Iithoni egazini

Umxholo

• Yintoni ietoni xa kuvavanywa igazi?
• Isetyenziselwa ntoni?
• Kutheni ndifuna ietoni xa kuvavanywa igazi?
• Kwenzeka ntoni ngexesha leetoni kuvavanyo lwegazi?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo?
• Zithetha ntoni iziphumo?
• Ngaba ikhona enye into endifuna ukuyazi malunga nokuvavanywa kwegazi?
• Izalathiso

Yintoni ietoni xa kuvavanywa igazi?

Iitoni ekuvavanyeni igazi zilinganisa inqanaba leetoni egazini lakho. IiKetoni zizinto ezenziwa ngumzimba wakho ukuba iiseli zakho azifumani glucose yaneleyo (iswekile yegazi). Iswekile ngumthombo ophambili wamandla omzimba wakho.

Iiketoni zinokubonakala egazini okanye emchameni. Amanqanaba aphezulu e-ketone angabonisa i-ketoacidosis yeswekile (i-DKA), ingxaki yesifo seswekile enokubangela isiqaqa okanye ukufa. Ietoni ekuvavanyweni kwegazi zinokukunyanzela ukuba ufumane unyango phambi kokuvela okungxamisekileyo kwezonyango.

Amanye amagama: Imizimba yeKetone (igazi), iisetoni ze-serum, i-beta-hydroxybutyric acid, i-acetoacetate

Isetyenziselwa ntoni?

Ietoni ekuvavanyweni kwegazi ubukhulu becala zisetyenziselwa ukujonga isifo seswekile ketoacidosis (DKA) kubantu abanesifo seswekile. I-DKA inokuchaphazela nabani na onesifo seswekile, kodwa ixhaphake kakhulu kubantu abane-1 yeswekile. Ukuba une-1 yeswekile, umzimba wakho awenzi nayiphi na i-insulin, ihomoni elawula inani leswekile egazini lakho. Abantu abanesifo seswekile sesi-2 banokwenza i-insulin, kodwa imizimba yabo ayiyisebenzisi kakuhle.

Kutheni ndifuna ietoni xa kuvavanywa igazi?

Unokufuna i-ketoni kuvavanyo lwegazi ukuba unesifo seswekile kunye neempawu ze-DKA. Iimpawu ze-DKA zibandakanya:

• Ukunxanwa okugqithisileyo
• Ukwanda komchamo
• Isicaphucaphu nokugabha
• Isikhumba esomileyo okanye esirhabaxa
• Ukuqhawukelwa ngumphefumlo
• Ivumba leziqhamo xa liphefumla
• Ukudinwa
• Ukudideka

Kwenzeka ntoni ngexesha leetoni kuvavanyo lwegazi?

Ingcali yokhathalelo lwempilo iyakuthatha isampulu yegazi kumthambo engalweni yakho, isebenzisa inaliti encinci. Emva kokuba inaliti ifakiwe, inani elincinci legazi liya kuqokelelwa kwityhubhu yovavanyo okanye igutyana. Unokuziva uluma kancinci xa inaliti ingena okanye iphuma. Oku kuhlala kuthatha imizuzu engaphantsi kwesihlanu.

Unokwazi ukusebenzisa ikiti yasekhaya ukuvavanya ietoni zegazi. Ngelixa imiyalelo inokwahluka, ikiti yakho iya kubandakanya uhlobo oluthile lwesixhobo ukuze ubambe umunwe wakho. Uya kusebenzisa oku ukuqokelela ithontsi legazi ukuze livavanywe. Funda imiyalelo yekiti ngocoselelo, kwaye uthethe nomboneleli wakho wezempilo ukuze uqiniseke ukuba uqokelela kwaye uvavanye igazi lakho ngokuchanekileyo.

Umboneleli wakho wezempilo unoku-odola ietoni kuvavanyo lomchamo ukongeza okanye endaweni yeetetoni kuvavanyo lwegazi ukujonga isifo se-ketoacidosis seswekile. Unokufuna ukujonga amanqanaba akho e-A1c kunye namanqanaba eglucose egazini ukukunceda ujonge isifo seswekile.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Awudingi naluphi na ulungiselelo olukhethekileyo lweetoni ekuhlolweni kwegazi.

Ngaba bukhona ubungozi kuvavanyo?

Mncinci kakhulu umngcipheko wokuvavanywa kwegazi. Unokuba nentlungu encinci okanye ukrakra kwindawo apho inaliti yafakwa khona, kodwa uninzi lweempawu zihamba ngokukhawuleza.

Zithetha ntoni iziphumo?

Isiphumo esiqhelekileyo sovavanyo singekho. Oku kuthetha ukuba akukho ketoni zafunyanwa egazini lakho. Ukuba kufunyenwe amanqanaba aphezulu e-ketone yegazi, oko kunokuthetha ukuba unesifo seswekile ketoacidosis (DKA). Ukuba unayo i-DKA, umboneleli wakho wezempilo uyakukubonelela okanye acebise unyango, olunokubandakanya ukuya esibhedlele.

Ezinye iimeko zinokubangela ukuba uvavanye ii-ketone zegazi. Oku kubandakanya:

• Ukuphazamiseka kwindlela yokutya, ukungondleki, kunye nezinye iimeko apho umzimba ungathathi iikhalori ezaneleyo
• Ukukhulelwa. Ngamanye amaxesha abafazi abakhulelweyo baya kuba neetoni zegazi. Ukuba amanqanaba aphezulu afunyenwe, oko kunokuthetha ukuba isifo seswekile, uhlobo lwesifo seswekile esichaphazela kuphela abasetyhini abakhulelweyo.

Ukuba unemibuzo malunga neziphumo zakho, thetha nomboneleli wakho wezempilo.

Funda ngakumbi malunga novavanyo lwelabhoratri, uluhlu lweereferensi, kunye neziphumo zokuqonda.

Ngaba ikhona enye into endifuna ukuyazi malunga nokuvavanywa kwegazi?

Abanye abantu basebenzisa iikiti zasekhaya ukuvavanya ietoni ukuba zikwi-ketogenic okanye "keto" yokutya. Ukutya kwe-keto luhlobo lwesicwangciso sokulahla ubunzima esibangela ukuba umzimba womntu osempilweni wenze iitoni. Qiniseka ukuba uthetha nomboneleli wakho wezempilo ngaphambi kokuba uhambe kwisidlo se keto.

Izalathiso

1. Umbutho weSwekile yaseMelika [kwi-Intanethi]. IArlington (VA): Umbutho weSwekile waseMelika; c1995–2018. I-DKA (Ketoacidosis) kunye neeKetoni; [ihlaziyiwe ngo-2015 nge-18 kaMatshi; icatshulwe ngo-2018 kuJan 9]; [malunga nezikrini ezi-3]. Ifumaneka kwi: http://www.diabetes.org/living-with-diabetes/complications/ketoacidosis-dka.html?referrer
2. IZiko leSwekile leJoslin [kwi-Intanethi]. IBoston: IZiko leSwekile leJoslin; c2018. Uvavanyo lweKetone; [icatshulwe ngo-2020 uJan 1]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.joslin.org/patient-care/diabetes-education/diabetes-learning-center/ketone-testing-0
3. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. Umbutho waseMelika weKhemesti yezonyango; c2001–2018. Iiketoni zegazi; [ihlaziywe ngo-2018 Jan 9; icatshulwe ngo-2018 kuJan 9]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://labtestsonline.org/tests/blood-ketones
4. Ikliniki yaseMayo [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1998–2018. Isifo Seswekile: Ubume; 2015 ngoMeyi 22 [icatshulwe ngowama-2018 kaJan 9]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.mayoclinic.org/diseases-conditions/diabetic-coma/symptoms-causes/syc-20371475
5. Intliziyo kaZwelonke, iMiphunga, kunye neZiko leGazi [kwi-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Uvavanyo lwegazi; [icatshulwe ngo-2018 ngoJanuwari 9]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/with
6. IZiko leLizwe leSwekile kunye neZifo zeDigestive kunye neZintso [i-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Siyintoni isifo seswekile ?; 2016 Nov [icatshulwe ngowama-2018 kaJan 9]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes
7. Umdibaniso wencwadi yomsebenzisi yenguqulo [ye-Intanethi]. I-Kenilworth (NJ): iMerck kunye ne-Co Inc. .; c2018. Isifo seswekile iMellitus (DM) kuBantwana naBafikisayo; [icatshulwe ngo-2018 ngoJanuwari 9]; [malunga nezikrini ezi-2]. Ifumaneka kwi: http://www.merckmanuals.com/home/children-s-health-issues/hormonal-disorders-in-children/diabetes-mellitus-dm-in-children-and-adolescents
8. Isidlo sePaoli A.Ketogenic sokuTyeba kakhulu: Ngaba ungumhlobo okanye ulutshaba? I-Int J En Res Res yezeMpilo yoLuntu [kwi-Intanethi]. 2014 Feb 19 [icatshulwe ngowama-2018 Feb 22]; 11 (2): 2092-2107. Ifumaneka kwi: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945587
9. Scribd [Intanethi]. Umlobi; c2018. I-Ketosis: Yintoni i-ketosis ?; [ihlaziywe ngo-2017 nge-21 kaMatshi; ikhankanywe ngo-2018 ngoFebruwari 22]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.scribd.com/document/368713988/Ketogenic-Diet
10. IZiko lezoNyango le-UCSF [i-Intanethi]. ISan Francisco (CA): Abameli beDyunivesithi yaseCalifornia; c2002–2018. Uvavanyo lwezonyango: iiSetum Ketones; [icatshulwe ngo-2020 uJan 1]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.ucsfhealth.org/medical-tests/003498
11. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2018. Health Encyclopedia: Amalungu eKetone (Igazi); [icatshulwe ngo-2018 ngoJanuwari 9]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=ketone_bodies_serum
12. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2018. Uvavanyo lweGlucose yegazi laseKhaya: Kwenziwa njani; [ihlaziywe ngo-2017 nge-13 kaMatshi; icatshulwe ngo-2018 kuJan 9]; [malunga nezikrini ezi-5]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/home-blood-glucose-test/hw226531.html#hw226576
13. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2018. Iithoni: Indlela Eyenziwa ngayo; [ihlaziywe ngo-2017 nge-13 kaMatshi; icatshulwe ngo-2018 kuJan 9]; [malunga nezikrini ezi-5]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/ketones/hw7738#hw7758
14. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2018. Iiketoni: Iziphumo; [ihlaziywe ngo-2017 nge-13 kaMatshi; icatshulwe ngo-2018 kuJan 9]; [malunga nezikrini ezi-8]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/ketones/hw7738#hw7806
15. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2018. Iiketoni: Isishwankathelo sovavanyo; [ihlaziywe ngo-2017 nge-13 kaMatshi; icatshulwe ngo-2018 kuJan 9]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/medicaltest/ketones/hw7738.html

Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.