I-Ketonuria: Into ekufuneka uyazi

Umxholo

• Yintoni unobangela ketonuria?
• Ukutya kweKetogenic
• Amanqanaba asezantsi e-insulin
• Ezinye izizathu
• Ziintoni iimpawu ze-ketonuria?
• I-ketonuria ifunyaniswa njani?
• Uvavanyo lwasekhaya
• Uluhlu lovavanyo
• Iphathwa njani i-ketonuria?
• Iingxaki zeketonuria
• Ketoacidosis
• Ukuphelelwa ngamanzi emzimbeni
• Ngexesha lokukhulelwa
• Yintoni imbonakalo yeketonuria?

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Yintoni i-ketonuria?

I-ketonuria yenzeka xa unamazinga aphezulu e-ketone kumchamo wakho. Le meko ikwabizwa ngokuba yi ketoaciduria kunye neacetonuria.

Iithoni okanye imizimba yeketone ziindidi zeeacidi. Umzimba wakho wenza iiketoni xa amafutha kunye neeproteni zitshiselwa amandla. Le yinkqubo eqhelekileyo. Nangona kunjalo, inokungena kwi-overdrive ngenxa yeemeko ezithile zempilo kunye nezinye izizathu.

I-Ketonuria ixhaphake kakhulu kubantu abanesifo seswekile, ngakumbi uhlobo lweswekile 1. Kungenzeka nakwabasetyhini abakhulelweyo okanye abancancisayo.

Ukuba amanqanaba e-ketone anyuka aphakame kakhulu ixesha elide, igazi lakho liba ne-asidi. Oku kunokuyonakalisa impilo yakho.

Yintoni unobangela ketonuria?

Ukutya kweKetogenic

I-Ketonuria luphawu lokuba umzimba wakho usebenzisa amafutha kunye neeprotein. Oku kubizwa ngokuba yi-ketosis. Yinkqubo eqhelekileyo ukuba uyazila okanye kwi-carbohydrate ephantsi, ukutya kwe-ketogenic. Ukutya kwe ketogenic akubeki mngciphekweni wezempilo ukuba kwenziwe ngendlela elungeleleneyo.

Amanqanaba asezantsi e-insulin

Uninzi lwamandla asetyenziswa ngumzimba wakho avela kwiswekile okanye iswekile. Ngokwesiqhelo oku kuvela kwii-carbohydrate ozityayo okanye kwiishukela ezigciniweyo. I-insulin yihomoni ebalulekileyo ehambisa iswekile kwiseli nganye, kubandakanya izihlunu zakho, intliziyo kunye nengqondo.

Abantu abanesifo seswekile basenokungabinayo i-insulin eyaneleyo okanye bakwazi ukusisebenzisa ngokufanelekileyo. Ngaphandle kwe-insulin, umzimba wakho awukwazi ukuhambisa iswekile ngokufanelekileyo kwiiseli zakho okanye uyigcine njengamafutha. Kuya kufuneka ifumane omnye umthombo wamandla. Amafutha omzimba kunye neeprotheyini zaphulwe ukuze zifumane amandla, zivelise iitoni njengemveliso yenkunkuma.

Xa iitoni ezininzi zigcinwa kwigazi lakho, imeko ebizwa ngokuba yi ketoacidosis okanye isifo seswekile ketoacidosis inokwenzeka. Le yimeko esongela ubomi eyenza igazi lakho libe neasidi kwaye linokwenzakalisa amalungu akho.

I-Ketonuria ihlala isenzeka kunye ne-ketoacidosis. Njengoko amanqanaba e-ketone enyuka egazini lakho, izintso zakho zizama ukuzisusa ngomchamo.

Ukuba unesifo seswekile kwaye uphuhlise i-ketonuria, kusenokwenzeka ukuba unamazinga aphezulu eswekile yegazi, okanye i-hyperglycemia. Ngaphandle kwe-insulin eyaneleyo, umzimba wakho awunako ukufunxa ngokufanelekileyo iswekile kukutya okwetyisiweyo.

Ezinye izizathu

Unokuphuhlisa i-ketonuria nokuba awunaso isifo seswekile okanye unokutya ngokungqongqo ketogenic. Ezinye izizathu zibandakanya:

• ukusela utywala kakhulu
• ukugabha kakhulu
• ukukhulelwa
• indlala
• ukugula okanye usulelo
• ukuhlaselwa yintliziyo
• ukwenzakala ngokweemvakalelo okanye ngokwasemzimbeni
• amayeza, anje nge-corticosteroids kunye ne-diuretics
• Ukusetyenziswa kweziyobisi

Ziintoni iimpawu ze-ketonuria?

I-Ketonuria inokuba luphawu lokuba une-ketoacidosis okanye ikhokelela kuyo. Amanqanaba akho aphezulu eetoni ayonyuka, kokukhona ziya zisiba mbi iimpawu kunye nokuba yingozi ngakumbi. Kuxhomekeka kubukhali, iimpawu kunye neempawu zinokubandakanya:

• unxano
• Umphunga onuka iziqhamo
• umlomo owomileyo
• ukudinwa
• isicaphucaphu okanye ukugabha
• ukuchama rhoqo
• ukudideka okanye ubunzima ekugxileni

Ugqirha wakho unokufumana iimpawu ezinxulumene ne-ketonuria:

• iswekile ephezulu yegazi
• Ukuphelelwa ngamanzi emzimbeni
• ukungalingani kwe-electrolyte

Ukongeza, kunokubakho iimpawu zezifo ezinje nge-sepsis, inyumoniya, kunye nosulelo lomchamo olunokukhokelela kumanqanaba aphezulu e-ketone.

I-ketonuria ifunyaniswa njani?

I-Ketonuria ifunyaniswa kuvavanyo lomchamo. Ugqirha wakho uya kujonga iimpawu zakho kunye nembali yonyango.

Uvavanyo oluqhelekileyo lweetoni kumchamo wakho nakwigazi lakho kubandakanya:

• uvavanyo lwegazi lweketone yomnwe
• Uvavanyo lomchamo womchamo
• Uvavanyo lokuphefumla lwe-acetone

Unokwenza olunye uvavanyo kunye nokuskena ukukhangela unobangela:

• ii-electrolyte zegazi
• ubalo lwegazi olupheleleyo
• X-reyi yesifuba
• Ukuskena i-CT
• umbane wombane
• kuvavanywa inkcubeko yegazi kusulelo
• uvavanyo lweglucose yegazi
• Ikhusi leziyobisi

Uvavanyo lwasekhaya

Umbutho weSwekile waseMelika ucebisa ngokujonga amanqanaba akho e-ketone ukuba unesifo seswekile, ngakumbi xa iswekile yegazi lakho ingaphezulu kweemiligram ezingama-240 kwidesilitha nganye. Unokuvavanya iimetoni ngomtya wokuvavanya umchamo olula.

Abanye abagadi beglucose egazini balinganisa iithoni zegazi. Oku kubandakanya ukuhlaba umunwe wakho kunye nokubeka ithontsi legazi kumtya wovavanyo. Uvavanyo lwasekhaya alunakuba luchanekile njengomchamo okanye uvavanyo lwegazi kwiofisi kagqirha wakho.

Thenga izixhobo zokuvavanya i-ketone kunye noomatshini onokuwasebenzisa ekhaya

Uluhlu lovavanyo

Ukuvavanywa rhoqo kweketone kubaluleke kakhulu ukuba unesifo seswekile. Umtya wokuvavanya umchamo wakho uya kutshintsha umbala. Umbala ngamnye uhambelana noluhlu lwamanqanaba eetone kwitshathi. Nanini na xa iitoni ziphezulu kunesiqhelo, kufuneka ujonge inqanaba leswekile yegazi. Thatha amanyathelo kwangoko xa kufuneka njalo.

Iphathwa njani i-ketonuria?

Ukuba i-ketonuria yakho ibangelwa kukuzila ukutya okwexeshana okanye utshintsho kwindlela otya ngayo, iya kusonjululwa yodwa. Awuyi kufuna unyango. Vavanya amanqanaba akho e-ketone kunye neswekile yakho yegazi kwaye ubone ugqirha wakho ukulungiselela ukuqeshwa ukuze uqiniseke.

Kwiimeko ezinzima, unyango lwe-ketonuria lufana nonyango lwe-ketoacidosis yesifo sikashukela. Unokufuna unyango olusindisa ubomi nge:

• i-insulin esebenza ngokukhawuleza
• Ulwelo IV
• ii-electrolyte ezinjenge-sodium, i-potassium kunye ne-chloride

Ukuba i-ketonuria yakho ibangelwa kukugula, unokufuna unyango olongezelelekileyo njenge:

• iyeza lokubulala iintsholongwane
• izinto zokulwa
• iinkqubo zentliziyo

Iingxaki zeketonuria

Kwiimeko ezinzima, i-ketonuria inokukhokelela kwiingxaki ezichaphazela impilo yakho. Ingakhokelela ekubeni afe isiqaqa okanye afe.

Ketoacidosis

I-ketoacidosis yeswekile yimeko engxamisekileyo yezempilo enokuthi ikhokelele ekubeni umntu ahlaselwe sisifo seswekile ade afe. I-spike kwietoni egazini lakho iphakamisa amanqanaba e-asidi yegazi lakho. I-asidi ephezulu ithi inetyhefu kwizitho, izihlunu, kunye ne-nerves kwaye iphazamise ukusebenza komzimba. Le meko inokwenzeka nakubani na onesifo seswekile, kodwa ixhaphake kakhulu kubantu abane-1 yeswekile.

Ukuphelelwa ngamanzi emzimbeni

Amanqanaba eswekile egazi aphezulu, akhokelela kumanqanaba aphezulu e-ketone, anyusa kakhulu ukuchama kwaye anokukhokelela ekuphelelweni ngamanzi emzimbeni. Izifo ezibangela i-ketonuria zisenokubangela isicaphucaphu, ukugabha, kunye norhudo olongeza ukomisa.

Ngexesha lokukhulelwa

I-Ketonuria ixhaphake nangona ukukhulelwa okunempilo. Kungenzeka ukuba ungadli ixesha elide, unokutya okuncinci kwe-carbohydrate, okanye amava okugabha kakhulu.

Oomama abalindelweyo abanesifo seswekile okanye isifo seswekile basengozini enkulu ye-ketonuria. Oku kunokukhokelela kwi-ketoacidosis, enokonakalisa usana olusakhulayo.

Ukuba unesifo seswekile sokukhulelwa, ugqirha unokucebisa unyango ngokutya kunye namayeza afana ne-insulin. Unyango luhlala lusombulula i-ketonuria. Uya kudinga ukubeka esweni amanqanaba eswekile yegazi kunye namanqanaba eetone rhoqo ngexesha lokukhulelwa nasemva kokuzalwa komntwana wakho.

Ugqirha wakho okanye umondli uya kukucebisa utshintsho kwindlela otya ngayo. Ukukhetha ukutya okufanelekileyo linyathelo elibalulekileyo kulawulo kunye nonyango lwesifo seswekile.

Yintoni imbonakalo yeketonuria?

I-ketonuria inokubangelwa zizinto ezininzi, kubandakanya nokutya. Isenokuba ngenxa yokungalingani kwindlela otya ngayo okanye unesona sizathu sibi. Yiya kugqirha ngokukhawuleza ukuba ucinga ukuba une-ketonuria.

Eyona nto iphambili kunyango kukuchonga unobangela. Kwiimeko ezininzi, unokukwazi ukuyithintela. Kunqande ukutya okugabadeleyo kwaye uthethe nogqirha okanye ugqirha wakho ngaphambi kokuba wenze utshintsho olukhulu kwindlela otya ngayo imihla ngemihla.

I-Ketonuria inokuba sisilumkiso sokuba kukho into engalunganga. Ukuba iimpawu zakho zibandakanya ukudideka, intloko ebuhlungu, isicaphucaphu, okanye ukugabha, funa unyango lwengxamiseko.

Ukuba unesifo seswekile, ketonuria luphawu lwesilumkiso lokuba isifo seswekile asilawuleki. Jonga amanqanaba akho etoni rhoqo njengoko ujonga amanqanaba eglucose egazini lakho. Rekhoda iziphumo zakho ubonise ugqirha wakho.

Thetha nogqirha wakho malunga nento onokuyenza ukulinganisa amanqanaba eswekile yegazi. Ugqirha wakho unokukunika i-insulin okanye amanye amayeza. Ungadinga uncedo lwengcali yokutya ukukunceda ekukhokeleni ekukhetheni ukutya. Ootitshala abanesifo seswekile banokukunceda ukuba ulawule kwaye uqonde imeko yakho.