I-Ketonuria: Okudingeka Ukwazi

-Delile

• Ziyini izimbangela ze-ketonuria?
• Ukudla kwe-Ketogenic
• Amazinga aphansi e-insulin
• Ezinye izimbangela
• Ziyini izimpawu ze-ketonuria?
• I-ketonuria itholakala kanjani?
• Ukuhlolwa kwasekhaya
• Amabanga wokuhlola
• Iphathwa kanjani i-ketonuria?
• Izinkinga ze-ketonuria
• I-Ketoacidosis
• Ukuphela kwamanzi emzimbeni
• Ekukhulelweni
• Uyini umbono we-ketonuria?

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Yini i-ketonuria?

I-ketonuria yenzeka uma unamazinga aphezulu e-ketone emchameni wakho. Lesi simo sibizwa nangokuthi i-ketoaciduria ne-acetonuria.

Amaketoni noma imizimba ye-ketone yizinhlobo zama-asidi. Umzimba wakho wenza amaketoni lapho kushiswa amafutha namaprotheni ukuthola amandla. Le yinqubo ejwayelekile. Kodwa-ke, ingangena ekushayweni ngokweqile ngenxa yezimo ezithile zezempilo nezinye izizathu.

I-Ketonuria ivame kakhulu kubantu abanesifo sikashukela, ikakhulukazi uhlobo lwesifo sikashukela se-1. Kungenzeka futhi kwabesifazane abakhulelwe noma abancelisayo.

Uma amazinga e-ketone ekhuphuka aphakeme kakhulu isikhathi eside, igazi lakho liba ne-asidi. Lokhu kungalimaza impilo yakho.

Ziyini izimbangela ze-ketonuria?

Ukudla kwe-Ketogenic

I-Ketonuria iyisibonakaliso sokuthi umzimba wakho usebenzisa amafutha namaprotheni ngokuyinhloko. Lokhu kubizwa nge-ketosis. Kuyinqubo ejwayelekile uma uzila ukudla noma ekudleni okune-carbohydrate ephansi, ekudleni ketogenic. Ukudla okune-ketogenic ngokuvamile akubeki engcupheni yezempilo uma kwenziwa ngendlela elinganiselayo.

Amazinga aphansi e-insulin

Amandla amaningi asetshenziswa ngumzimba wakho avela kushukela noma kushukela. Lokhu kuvamise ukwenziwa ngama-carbohydrate owadlayo noma avela kushukela ogciniwe. I-insulin yihomoni ebalulekile ehambisa ushukela kuwo wonke amaseli, kufaka phakathi imisipha yakho, inhliziyo nobuchopho.

Abantu abanesifo sikashukela kungenzeka bangabi nayo i-insulin eyanele noma bakwazi ukuyisebenzisa kahle. Ngaphandle kwe-insulin, umzimba wakho awukwazi ukuhambisa ushukela kahle kumaseli akho noma uwugcine njengophethiloli. Kumele ithole omunye umthombo wamandla. Amafutha omzimba namaprotheni ahlukaniswa ukuze kutholakale amandla, akhiqize amaketoni njengomkhiqizo odoti.

Lapho amaketoni amaningi enqwabelana egazini lakho, isimo esibizwa nge-ketoacidosis noma isifo sikashukela ketoacidosis singenzeka.Lesi yisimo esisongela impilo esenza igazi lakho libe ne-asidi futhi elingalimaza izitho zakho.

I-Ketonuria ivame ukwenzeka kanye ne-ketoacidosis. Njengoba amazinga e-ketone enyuka egazini lakho, izinso zakho zizama ukuzisusa ngomchamo.

Uma unesifo sikashukela futhi une-ketonuria, kungenzeka futhi ukuthi unamazinga aphezulu kashukela egazini, noma i-hyperglycemia. Ngaphandle kwe-insulin eyanele, umzimba wakho awukwazi ukuncela kahle ushukela ekudleni okugayiwe.

Ezinye izimbangela

Ungakwazi ukuthuthukisa i-ketonuria noma ngabe awunaso isifo sikashukela noma usekudleni okuqinile kwe-ketogenic. Ezinye izimbangela zifaka:

• ukuphuza utshwala ngokweqile
• ukuhlanza ngokweqile
• ukukhulelwa
• indlala
• ukugula noma ukutheleleka
• isifo senhliziyo
• ukuhlukumezeka ngokomzwelo noma ngokomzimba
• imithi, efana ne-corticosteroids kanye ne-diuretics
• ukusetshenziswa kwezidakamizwa

Ziyini izimpawu ze-ketonuria?

I-Ketonuria ingaba uphawu lokuthi une-ketoacidosis noma iholele kuyo. Ukuphakama kwamazinga akho wamaketoni, izimpawu ziba zimbi kakhulu futhi zingaba yingozi kakhulu. Ngokuya ngobukhulu, izimpawu nezimpawu zingafaka:

• ukoma
• umoya onuka izithelo
• umlomo owomile
• ukukhathala
• isicanucanu noma ukuhlanza
• ukuchama kaningi
• ukudideka noma ubunzima bokugxila

Udokotela wakho angathola izimpawu ezihlobene ne-ketonuria:

• ushukela ophakeme wegazi
• ukoma okuphawulekayo
• ukungalingani kwe-electrolyte

Ukwengeza, kungaba khona izimpawu zezifo ezifana ne-sepsis, i-pneumonia, kanye nezifo zomgudu womchamo ezingaholela emazingeni aphezulu e-ketone.

I-ketonuria itholakala kanjani?

I-Ketonuria ivame ukutholakala ngokuhlolwa komchamo. Udokotela wakho uzobheka nezimpawu zakho nomlando wezokwelapha.

Ukuhlolwa okuvamile kwamaketoni kumchamo wakho nasegazini lakho kufaka:

• ukuhlolwa kwegazi le-ketone yomunwe
• ukuhlolwa komchamo
• ukuhlolwa kokuphefumula kwe-acetone

Ungase futhi wenze ezinye izivivinyo kanye nokuskena ukuze ubheke imbangela:

• ama-electrolyte egazi
• ukubala okuphelele kwegazi
• X-ray esifubeni
• Iskena se-CT
• i-electrocardiogram
• ukuhlolwa kwesiko legazi ukuthola izifo
• ukuhlolwa kweglucose yegazi
• isihenqo sezidakamizwa

Ukuhlolwa kwasekhaya

I-American Diabetes Association yeluleka ukuthi uhlole amazinga akho e-ketone uma unesifo sikashukela, ikakhulukazi uma ushukela wegazi lakho ungaphezu kwama-milligram angu-240 nge-desilitha ngalinye. Ungahlola amaketoni ngomugqa wokuhlola umchamo olula.

Abanye abaqaphi be-glucose egazini emakhaya nabo balinganisa ama-ketone egazi. Lokhu kuhilela ukukhonkotha umunwe wakho nokubeka ithonsi legazi emgqeni wokuhlola. Ukuhlolwa kwasekhaya kungenzeka kungabi njengokunembile njengomchamo noma ukuhlolwa kwegazi ehhovisi likadokotela wakho.

Thenga imichilo yokuhlola i-ketone nemishini ongayisebenzisa ekhaya

Amabanga wokuhlola

Ukuhlolwa kwe-ketone njalo kubaluleke kakhulu uma unesifo sikashukela. Umugqa wakho wokuhlola umchamo uzoshintsha umbala. Umbala ngamunye uhambelana namazinga amaningi we-ketone eshadini. Noma nini lapho amaketoni ephakeme kunokujwayelekile, kufanele uhlole izinga le-glucose egazini lakho. Thatha isinyathelo ngokushesha uma kudingeka.

Iphathwa kanjani i-ketonuria?

Uma i-ketonuria yakho ingenxa yokuzila ukudla okwesikhashana noma izinguquko ekudleni kwakho, kungenzeka ixazululwe yodwa. Ngeke udinge ukwelashwa. Hlola amazinga akho e-ketone kanye noshukela wegazi bese ubona udokotela wakho ukuthola ama-aphoyintimenti okulandelela ukuze aqiniseke.

Ezimweni ezibucayi kakhulu, ukwelashwa kwe-ketonuria kuyefana nokwelashwa kwe-ketoacidosis yesifo sikashukela. Ungadinga ukwelashwa okusindisa impilo nge:

• i-insulin esebenza ngokushesha
• Uketshezi lwe-IV
• ama-electrolyte afana ne-sodium, i-potassium ne-chloride

Uma i-ketonuria yakho ingenxa yokugula, ungadinga ukwelashwa okwengeziwe okufana nalokhu:

• ama-antibiotic
• imishanguzo
• izinqubo zenhliziyo

Izinkinga ze-ketonuria

Ezimweni ezimbi kakhulu, i-ketonuria ingaholela ezinkingeni ezithinta impilo yakho. Kungabangela ukuquleka noma ukufa.

I-Ketoacidosis

I-ketoacidosis yesifo sikashukela yisimo esiphuthumayo sezempilo esingaholela ekuqulekeni kwesifo sikashukela ngisho nasekufeni. I-spike kumaketoni egazini lakho inyusa amazinga e-asidi egazi lakho. Izindawo eziphakeme ze-asidi zinobuthi ezithweni, imisipha, nezinzwa futhi ziphazamisa ukusebenza komzimba. Lesi simo singehlela noma ngubani onesifo sikashukela, kepha sivame kakhulu kubantu abanesifo sikashukela sohlobo 1.

Ukuphela kwamanzi emzimbeni

Amazinga kashukela aphezulu egazi, aholela emazingeni aphezulu e-ketone, akhulisa kakhulu ukuchama futhi angaholela ekuphelelweni amanzi emzimbeni. Izifo ezibangela i-ketonuria nazo zingadala isicanucanu, ukuhlanza nokuhuda okunezela ekuphelelweni amanzi emzimbeni.

Ekukhulelweni

I-Ketonuria ivamile ngisho nokukhulelwa okunempilo. Kungenzeka uma ungadli isikhathi eside, ube nokudla okune-carbohydrate ephansi, noma ube nokuhlanza okweqile.

Omama abalindelekile abanesifo sikashukela noma isifo sikashukela sokukhulelwa basengozini enkulu ye-ketonuria. Lokhu kungaholela ku-ketoacidosis, engalimaza ingane ekhulayo.

Uma unesifo sikashukela sokukhulelwa, udokotela wakho angancoma ukwelashwa ngokudla nangemithi efana ne-insulin. Ukwelashwa kuvame ukuxazulula i-ketonuria. Usazodinga ukuqapha amazinga kashukela egazini lakho namazinga e-ketone njalo phakathi nokukhulelwa nangemva kokuzalwa kwengane yakho.

Udokotela wakho noma umondli uzoncoma izinguquko ekudleni kwakho. Ukukhetha ukudla okulungile kuyisinyathelo esibalulekile ekuphathweni nasekwelapheni isifo sikashukela sokukhulelwa.

Uyini umbono we-ketonuria?

I-ketonuria ingadalwa yizinto eziningi, kufaka phakathi lokho okudlayo. Kungahle kube ngenxa yokungalingani ekudleni kwakho noma kube nesizathu esibi kakhulu. Bheka udokotela wakho ngokushesha uma ucabanga ukuthi une-ketonuria.

Ukhiye obaluleke kakhulu ekwelashweni ukukhomba imbangela. Ezimweni eziningi, ungakwazi ukukuvimbela. Gwema ukudla okweqile futhi ukhulume nodokotela wakho noma isazi sokudla ngaphambi kokwenza ushintsho olukhulu ekudleni kwakho kwansuku zonke.

I-Ketonuria ingaba uphawu oluyisixwayiso lokuthi kukhona okungahambi kahle. Uma izimpawu zakho zibandakanya ukudideka, ukuphathwa ikhanda, isicanucanu, noma ukugabha, funa usizo lwezempilo oluphuthumayo.

Uma unesifo sikashukela, i-ketonuria iwuphawu oluyisixwayiso lokuthi isifo sakho sikashukela asilawuleki. Hlola amazinga akho e-ketone kaningi uma uhlola amazinga eglucose egazini lakho. Qopha imiphumela yakho ukukhombisa udokotela wakho.

Khuluma nodokotela wakho ngalokho ongakwenza ukuze ulinganise amazinga kashukela egazini lakho. Udokotela wakho angakunika i-insulin noma eminye imithi. Ungadinga usizo lodokotela wezokudla ukusiza ukuhola ukukhetha kwakho kokudla. Abafundisi besifo sikashukela nabo bangakusiza ukuphatha nokuqonda isimo sakho.