Ukuhlolwa Kwama-Serum Ketones: Kusho Ukuthini?

-Delile

• Ziyini izingozi zokuhlolwa kwe-serum ketone?
• Inhloso yokuhlolwa kwe-serum ketone
• Kwenziwa kanjani ukuhlolwa kwe-serum ketone?
• Ukuqapha ekhaya
• Isho ukuthini imiphumela yakho?
• Okufanele ukwenze uma imiphumela yakho itholakala

Kuyini ukuhlolwa kwe-serum ketones?

Ukuhlolwa kwe-serum ketones kunquma amazinga wamaketoni egazini lakho. Ama-ketone angumkhiqizo okhiqizwa lapho umzimba wakho usebenzisa amafutha kuphela, esikhundleni se-glucose, ukuthola amandla. Ama-ketone awalimazi ngamanani amancane.

Lapho amaketoni enqwabelana egazini, umzimba ungena ku-ketosis. Kwabanye abantu, i-ketosis ijwayelekile. Ukudla okunama-carbohydrate amancane kungadala lo mbuso. Lokhu kwesinye isikhathi kubizwa nge-ketosis yokudla okunempilo.

Uma unesifo sikashukela sohlobo 1, ungaba sengozini yesifo sikashukela ketoacidosis (DKA), okuyinkinga eyingozi empilweni lapho igazi lakho liba ne-asidi kakhulu. Kungaholela ekuqulekeni kwesifo sikashukela noma ekufeni.

Xhumana nodokotela wakho ngokushesha uma unesifo sikashukela futhi ufunda ngokulingene noma okuphezulu ngamaketoni. Amanye amamitha amasha eglucose egazi azohlola amazinga e-ketone yegazi. Ngaphandle kwalokho, ungasebenzisa imichilo ye-ketone yomchamo ukukala izinga lakho le-ketone yomchamo. I-DKA ingakhula kungakapheli amahora angama-24 futhi ingaholela ezimeni ezisongela impilo uma ishiywe ingalashwa.

Yize kungavamile, abantu abanesifo sikashukela sohlobo lwe-2 bayayithuthukisa i-DKA, ngokweDiabetes Forecast. Abanye abantu bangaba ne-ketoacidosis yotshwala kusuka ekusebenziseni kabi utshwala isikhathi eside noma indlala ketoacidosis ngokuzila ukudla isikhathi eside kakhulu.

Shayela udokotela wakho ngokushesha uma amazinga kashukela egazi aphezulu, amazinga akho e-ketone aphakathi noma aphezulu, noma uma uzizwa:

• ubuhlungu esiswini
• ucanuzelelwa inhliziyo noma uhlanza ngaphezu kwamahora ama-4
• ugula ngumkhuhlane noma umkhuhlane
• ukoma ngokweqile nezimpawu zokoma
• i-flushed, ikakhulukazi esikhumbeni sakho
• ukuphefumula okuncane, noma ukuphefumula ngokushesha

Ungaba nephunga lezithelo noma lensimbi ekuphefumuleni kwakho, nezinga likashukela egazini elingaphezu kwama-milligram angama-240 nge-desilitha (mg / dL) ngalinye. Zonke lezi zimpawu zingaba yizimpawu zokuxwayisa ze-DKA, ikakhulukazi uma unesifo sikashukela sohlobo 1.

Ziyini izingozi zokuhlolwa kwe-serum ketone?

Izinkinga kuphela ezivela ekuhlolweni kwe-serum ketone zivela ekuthatheni isampula segazi. Umhlinzeki wezokunakekelwa kwempilo angaba nobunzima ekutholeni umthambo omuhle ongathatha kuwo isampula yegazi, futhi ungahle ube nokuzwa okuncane noma ukulimaza endaweni yokufakwa kwenaliti. Lezi zimpawu zingezesikhashana futhi zizoxazululwa zodwa ngemuva kokuhlolwa, noma ezinsukwini ezimbalwa.

Inhloso yokuhlolwa kwe-serum ketone

Odokotela basebenzisa izivivinyo ze-serum ketone ngokuyinhloko ekuhloleni i-DKA, kepha bangabayalela ukuthi nabo bathole i-ketoacidosis yotshwala noma indlala. Abesifazane abakhulelwe abanesifo sikashukela bavame ukuthatha ukuhlolwa kwe-ketone yomchamo uma amamitha abo engakwazi ukufunda amazinga we-ketone yegazi ukulandelela amaketoni njalo.

Ukuhlolwa kwe-serum ketone, okwaziwa nangokuthi ukuhlolwa kwe-ketone yegazi, kubheka ukuthi ingakanani i-ketone esegazini lakho ngaleso sikhathi.Udokotela wakho angahlola imizimba emithathu eyaziwayo ye-ketone ngokwehlukana. Kubandakanya:

• acetoacetate
• i-beta-hydroxybutyrate
• i-acetone

Imiphumela ayishintsheki. Bangasiza ukuxilonga izimo ezahlukahlukene.

I-Beta-hydroxybutyrate ikhombisa i-DKA kanye nama-akhawunti ngamaphesenti ama-75 wamaketoni. Amazinga aphezulu e-acetone akhombisa ubuthi be-acetone obuvela otshwaleni, opende, nasekususeni i-nail polish.

Kufanele uhlole amaketoni uma:

• banezimpawu ze-ketoacidosis, njengokoma ngokweqile, ukukhathala, nokuphefumula okunesithelo
• uyagula noma une-infection
• babe namazinga kashukela egazini angaphezu kuka-240 mg / dL
• uphuze kakhulu utshwala futhi udle kancane

Kwenziwa kanjani ukuhlolwa kwe-serum ketone?

Ukuhlolwa kwe-serum ketone kwenziwa kusethingi elebhu kusetshenziswa isampula yegazi lakho. Udokotela wakho uzokutshela uma udinga ukuzilungiselela nokuthi ungazilungiselela kanjani uma wenza kanjalo.

Umhlinzeki wezokunakekelwa kwempilo uzosebenzisa inaliti ende, ezacile ukudonsa izitsha ezimbalwa zegazi ezingalweni zakho. Bazothumela amasampula ebhodini lokuhlola.

Ngemuva kokudonswa kwegazi, udokotela wakho uzobeka ibhandishi endaweni yokujova. Lokhu kungasuswa ngemuva kwehora. Indawo ingazizwa ithambile noma ibuhlungu ngemuva kwalokho, kepha lokhu kuyaphela ekupheleni kosuku.

Ukuqapha ekhaya

Amakhithi asekhaya okuhlola amaketoni egazini ayatholakala. Kufanele usebenzise izandla ezihlanzekile ngaphambi kokudonsa igazi. Uma ubeka igazi lakho esiqeshini, umqaphi uzobonisa imiphumela cishe kumasekhondi angama-20 kuye kwangama-30 kamuva. Ngaphandle kwalokho, ungabheka amaketoni usebenzisa imichilo ye-ketone yomchamo.

Isho ukuthini imiphumela yakho?

Lapho imiphumela yakho yokuhlolwa itholakala, udokotela wakho uzoyibuyekeza nawe. Lokhu kungenzeka kube ngocingo noma ekubonaneni kokulandelela.

Izinga eliphakeme lamaketoni egazini angakhombisa:

• I-DKA
• indlala
• amazinga we-serum glucose angalawulwa
• ketoacidosis yotshwala

Usengaba namaketoni noma ngabe awunaso isifo sikashukela. Ukuba khona kwamaketoni kuvame ukuphakama kubantu:

• ekudleni okunama-carbohydrate amancane
• abanenkinga yokudla noma abelashelwa eyodwa
• abahlala behlanza
• abayizidakwa

Ungahle uthande ukubabheka ngezinga likashukela egazini lakho. Izinga elijwayelekile likashukela egazini lomuntu ongenaso isifo sikashukela lingu-70-100 mg / dL ngaphambi kokudla kuze kufike ku-140 mg / dL ngemuva kwamahora amabili.

Okufanele ukwenze uma imiphumela yakho itholakala

Ukuphuza amanzi amaningi namanzi angenawo ushukela nokungawuvivinyi umzimba yizinto ongazenza ngokushesha uma izivivinyo zakho zibuya phezulu. Ungadinga futhi ukubiza udokotela wakho ukuthola i-insulin eyengeziwe.

Yiya ku-ER ngokushesha uma unamanani amaphakathi noma amakhulu wamaketoni egazini lakho noma emchameni. Lokhu kukhombisa ukuthi une-ketoacidosis, futhi kungaholela ku-coma noma kube neminye imiphumela esongela impilo.