Uvavanyo lweeSetum Ketones: Kuthetha ntoni oku?

Umxholo

• Yeyiphi imingcipheko yovavanyo lwe-serum ketone?
• Injongo yovavanyo lwe-serum ketone
• Uvavanyo lwe-serum ketone lwenziwa njani?
• Ukubeka iliso ekhaya
• Zithetha ntoni iziphumo zakho?
• Kufuneka wenze ntoni xa iziphumo zakho zichanekile

Yintoni uvavanyo lweetoni zetyum?

Uvavanyo lweetoni ze-serum lumisela amanqanaba eetoni egazini lakho. IiKetoni yimveliso eveliswayo xa umzimba wakho usebenzisa amanqatha kuphela, endaweni yeswekile, ukufumana amandla. IiKetoni azinabungozi kwimali encinci.

Xa i-ketoni iqokelela egazini, umzimba ungena kwi-ketosis. Abanye abantu, ketosis yinto eqhelekileyo. Ukutya okune-carbohydrate encinci kunokubangela eli lizwe. Ngamanye amaxesha kuthiwa yi-ketosis yesondlo.

Ukuba unesifo seswekile sokuqala, unokuba semngciphekweni wesifo seswekile, ketoacidosis (DKA), esisongelo esisongela ubomi apho igazi lakho liba neasidi kakhulu. Ingakhokelela ekubeni umntu ahlaselwe sisifo seswekile okanye afe.

Nxibelelana nogqirha wakho ngokukhawuleza ukuba unesifo seswekile kwaye unokufunda okumodareyitha okanye okuphezulu kwietoni. Ezinye iimitha zeswekile yegazi entsha ziya kuvavanya amanqanaba e-ketone yegazi. Ngaphandle koko, unokusebenzisa umchamo womchamo weetone ukulinganisa inqanaba lakho lomchamo weetone. I-DKA inokukhula ngaphakathi kweeyure ezingama-24 kwaye inokukhokelela kwiimeko ezisongela ubomi ukuba ishiywe inganyangwa.

Nangona kunqabile, abantu abanesifo seswekile sesi-2 bayayiphuhlisa i-DKA, ngokweDeabetes Forecast. Abanye abantu banokuba ne-ketoacidosis enxilisayo yokusetyenziswa gwenxa kotywala okanye indlala ketoacidosis ngokuzila ukutya ixesha elide.

Fowunela ugqirha wakho kwangoko ukuba amanqanaba eswekile yegazi aphezulu, amanqanaba akho e-ketone aphakathi okanye aphezulu, okanye ukuba uziva:

• iintlungu esiswini
• Ukucaphukisa okanye ukugabha ngaphezulu kweeyure ezingama-4
• ugula ngumkhuhlane okanye umkhuhlane
• ukunxanwa okugqithisileyo kunye neempawu zokuphela emzimbeni
• egungxulweyo, ngakumbi kulusu lwakho
• ukuphefumla kancinci, okanye ukuphefumla ngokukhawuleza

Unokuba nesiqhamo okanye ivumba lesinyithi ekuphefumlweni kwakho, kunye nenqanaba leswekile yegazi engaphezulu kwama-milligram angama-240 kwidesilitha nganye (mg / dL). Zonke ezi mpawu zinokuba zizilumkiso ze-DKA, ngakumbi ukuba une-1 yeswekile.

Yeyiphi imingcipheko yovavanyo lwe-serum ketone?

Iingxaki kuphela ezivela kuvavanyo lwe-serum ketone zivela ekuthatheni isampulu yegazi. Umboneleli wezempilo unokuba nobunzima ekufumaneni umthambo olungileyo oza kuthatha kuwo isampulu yegazi, kwaye unokuba nokuqaqanjelwa kancinci okanye ukugruzuka kwindawo yokufakwa kwenaliti. Ezi mpawu zezokwexeshana kwaye ziya kusonjululwa zodwa emva kovavanyo, okanye kwiintsuku nje ezimbalwa.

Injongo yovavanyo lwe-serum ketone

Oogqirha basebenzisa iimvavanyo ze-serum ketone ikakhulu xa kuvavanywa i-DKA, kodwa banokubayalela ukuba bafumane i-ketoacidosis enotywala okanye indlala. Abafazi abakhulelweyo abanesifo seswekile baya kuhlala bethatha uvavanyo lwe-ketone yomchamo ukuba iimitha zabo azikwazi ukufunda amanqanaba e-ketone yegazi ukulandelela ietoni rhoqo.

Uvavanyo lwe-serum ketone, ekwabizwa ngokuba luvavanyo lwe-ketone yegazi, ijonge ukuba ingakanani i-ketone esegazini lakho ngelo xesha. Ugqirha wakho unokuvavanya imizimba emithathu eyaziwayo ye-ketone ngokwahlukeneyo. Ziquka:

• acetoacetate
• beta-hydroxybutyrate
• acetone

Iziphumo azitshintshi. Banokunceda ukufumanisa iimeko ezahlukeneyo.

I-Beta-hydroxybutyrate ibonisa i-DKA kunye neeakhawunti zeepesenti ze-75 zeetoni. Amanqanaba aphezulu e-acetone abonisa ityhefu ye-acetone etywaleni, ipeyinti, kunye nokususa isikhonkwane.

Kufuneka uvavanye iithoni ukuba:

• baneempawu zeketoacidosis, ezinjengokunxanwa okugqithisileyo, ukudinwa, kunye nokuphefumla okunesiqhamo
• Uyagula okanye usulelekile
• banamanqanaba eswekile yegazi ngaphezulu kwe-240 mg / dL
• usele utywala kakhulu kwaye utye kancinci

Uvavanyo lwe-serum ketone lwenziwa njani?

Uvavanyo lwe-serum ketone lwenziwa kwilungiselelo laselebhu kusetyenziswa isampulu yegazi lakho. Ugqirha wakho uya kukuxelela ukuba kuya kufuneka uzilungiselele kwaye uzilungiselele njani ukuba wenza njalo.

Umboneleli wezempilo uza kusebenzisa inaliti ende, ebhityileyo ukuzoba iibhotile ezincinci zegazi engalweni yakho. Baza kuthumela iisampulu kwilebhu yovavanyo.

Emva kokutsalwa kwegazi, ugqirha wakho uya kubeka i-bandage phezu kwendawo yokujova. Oku kungasuswa emva kweyure. Indawo inokuziva ithenda okanye ibuhlungu emva koko, kodwa oku kuyaphela ekupheleni kosuku.

Ukubeka iliso ekhaya

Iikiti zasekhaya zokuvavanywa kweetoni egazini ziyafumaneka. Kufuneka usebenzise izandla ezicocekileyo, ezihlanjwe ngaphambi kokuba utsale igazi. Xa ubeka igazi lakho emgceni, esweni liya kubonisa iziphumo malunga nemizuzwana engama-20 ukuya kwengama-30 kamva. Ngaphandle koko, unokubeka iliso kwietoni usebenzisa i-urine ketone strips.

Zithetha ntoni iziphumo zakho?

Xa iziphumo zakho zovavanyo zikhona, ugqirha wakho uya kuzijonga kunye nawe. Oku kunokuba semnxebeni okanye kwidibano yokulandelela.

Amanqanaba aphezulu eetoni egazini angabonisa:

• I-DKA
• indlala
• amanqanaba eglucose serum angalawulekiyo
• ketoacidosis ezinxilisayo

Usenokuba neetoni nokuba awunaso isifo seswekile. Ubukho beetoni buhlala buba phezulu ebantwini:

• kwisondlo esisezantsi-carbohydrate
• abanengxaki yokutya okanye kunyango lwabo
• abahlala begabha
• abangamanxila

Unokufuna ukuqwalasela ngenqanaba leswekile yegazi lakho. Inqanaba eliqhelekileyo leswekile yegazi kumntu ongenasifo seswekile ngama-70-100 mg / dL ngaphambi kokutya ukuya kuthi ga kwi-140 mg / dL kwiiyure ezimbini emva koko.

Kufuneka wenze ntoni xa iziphumo zakho zichanekile

Ukusela amanzi ngakumbi kunye neencindi ezingenaswekile kwaye ungazilolanga zizinto onokuzenza kwangoko ukuba iimvavanyo zakho zibuya ziphezulu. Kuya kufuneka uphinde ubize ugqirha wakho ukuze ufumane i-insulin engaphezulu.

Yiya kwi-ER kwangoko ukuba uneemodareyitha okanye ezinkulu zeetoni kwigazi okanye kumchamo wakho. Oku kubonisa ukuba une ketoacidosis, kwaye inokukhokelela kwi-coma okanye ibe nezinye iziphumo ezisongela ubomi.