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Yintoni ietoni, kwaye kutheni ziyingozi?

Imfundo yezeMpilo

I-Ketosis, okanye inkqubo yokutshisa ietoni, iye yaba ligama eliqhelekileyo-enkosi kwi-carb ephantsi ethandwayo ukutya kwe ketogenic . Ngaphambi kokuba le fad yokutya iqhume eMelika, ii-ketone zazisaziwa kuphela kubaqeqeshi bezempilo kunye nabo banesifo seswekile- kwaye yayingeyonto ilungileyo. Apha, funda ukuba zithini ietoni, nokuba zinokuba yingozi njani.

Yintoni iithoni?

IiKetoni ziimolekyuli ezinyibilika emanzini eziveliswa sisibindi. Zenziwe kwi-fatty acids ngaphakathi komzimba xa umzimba wakho ungavelisi i-insulin eyaneleyo yokuguqula i-glucose ibe ngamandla, utsho UDavid Nazarian , MD, ye-My Concierge MD eBeverly Hills.

Ukubeka nje, ietoni (okanye imizimba yeetone) zezinye izibaso ezenziwa esibindini sakho xa kungekho glucose ngokwaneleyo (iswekile) yamandla. Xa umzimba wakho ungenayo iswekile eyaneleyo okanye iglucose yamandla, umzimba wakho ufuna umthombo wamandla omtsha. Umzimba wakho uya kutshintshela ekwaphuleni amanqatha ukuze ufumane amandla. Le nkqubo yenziwa esibindini, apho amafutha aguqulwa abe yikhemikhali ebizwa ngokuba zii-ketone. Iitoni, ezinamanqatha acid, emva koko zikhutshwa esibindini ziye kwigazi lakho kwaye zisetyenziswa njengamafutha okuqhuba imetabolism yomzimba kunye nokuxhasa ukusebenza kwemisipha.

Umzimba ufuna ketoni xa amanqanaba e-insulin ephantsi. Imizekelo yamaxesha apho umzimba wakho uvelisa lo mthombo wamandla ubandakanya ukuzila ukutya, ukutya ukutya okunesondlo esincinci, okanye ubusuku bonke xa ulele.

Ukungalawuleki uhlobo lwe-1 yeswekile , Iietoni zinokuveliswa ngenxa yokunqongophala kweeseli ze-beta zepancreas okanye ukungabikho kwemvelaphi ye-insulin.

Ukulinganisa imveliso ye-ketone kunokwenziwa kuvavanyo lomchamo. Inani elikhuselekileyo leetoni kumchamo liyahluka ukusuka komnye umntu ukuya komnye kwaye kuxhomekeke kwimeko yempilo yabo. Ngelixa abanye abantu banokuba neetoni kumchamo wabo kwaye kuyinto eqhelekileyo, abanye kufuneka bakhathazeke ukuba kukho i-ketone build-up njengoko oku kunokuba sisalathiso sengxaki enkulu.

Yeyiphi indlela echanekileyo yokulinganisa ietoni?

Imitha yegazi okanye ikhithi yokuvavanya umchamo ekhaya inokunceda ekuvavanyeni ietoni. Ikhithi yokuchama ihlala iza nekomityi kunye nemitya yovavanyo oyithi nkxu kumchamo. Eyona ndlela ichanekileyo yokulinganisa ietoni, umgangatho wegolide kukhathalelo lwempilo, kukusebenzisa imitha yeetone yegazi (inqaku: a imitha yeswekile ayilinganisi into efanayo).

Kufuneka ujonge kangaphi iitoni?

Abantu abasandula ukufumanisa ukuba banesifo seswekile kufuneka bajonge amanqanaba abo kabini imihla xa befunyaniswe okokuqala.Kulabo bangenaso isifo seswekile, abafuna ukulinganisa i-ketoni yezizathu zokunciphisa umzimba, i-0.5 mmol / L egazini okanye kumchamo kuthetha ukuba uyifumene ketosis.

Ngaba iitoni ziyingozi?

Kulabo bangenaso isifo seswekile, ayisiyongxaki xa umzimba wakho uvelisa iietoni. Nangona kunjalo, kubantu abanesifo seswekile, ii-ketone zinokuba yingozi kakhulu. Kungenxa yokuba umzimba awukwazi ukulawula i-insulin, i-glucagon, kunye nezinye iihomoni kwabo banesifo seswekile.

Amanqanaba aphezulu eetoni anokuba yingozi kwaye anokubangela imiba yezempilo. Amanqanaba aphezulu eetoni kwimizimba yethu aqhele ukwenzeka kuhlobo lwe-insulin oluxhomekeke kwisifo seswekile esingayithathiyo i-insulin, utshilo uGqirha Nazarian. Igazi lakho liba neasidi ethe xa ingalungiswanga inokukhokelela kwi-coma okanye ekufeni.

Le tshathi ichaza uluhlu lwee ketone ezisempilweni nezinobungozi:

Iiketoni ezingalunganga	Ngaphantsi kwe-0.6 millimoles ilitha nganye (mmol / L)
Phantsi ukuya kumodareyitha	0.6 ukuya 1.5 mmol / L
Phezulu	1.6 ukuya ku-3.0 mmol / L
Phezulu kakhulu	enkulu kune-3.0 mmol / L

Ukuba amanqanaba akho aphantsi ukumodareyitha, biza ugqirha wakho ukuba axoxe ngala manqanaba ukuze ufumane olunye uvavanyo. Xa undwendwela, ugqirha wakho uya kwenza umchamo okanye uvavanyo lwegazi ukumisela amanqanaba eetone kunye nokwenza uvavanyo lweswekile yegazi. Kumanqanaba amakhulu kune-1.6 kubalulekile ukufuna ingqalelo engxamisekileyo njengoko iimpawu zinokubusongela ubomi.

Iimpawu zeetoni eziphezulu

Iimpawu ezinxulumene namanqanaba aphezulu e-ketone aquka:

Unxano olungacimiyo
Ukuchama rhoqo
Umlomo owomileyo (xerostomia)
Amanqanaba eswekile yegazi aphezulu (ngaphezulu kwama-240)

Iimpawu ezingafunyanwanga zinokuqhubela phambili kwiimpawu ezongezelelweyo kunye nezibi kakhulu kubandakanya:

Ukudideka okanye ubunzima ekugxileni
Ukudinwa
Isicaphucaphu
Ukuhlanza
Isikhumba esomileyo okanye esirhabaxa
Kunzima ukuphefumla
Ukuphefumla okubonakaliswa livumba elineziqhamo
Intlungu zesisu

I-ketoacidosis yeswekile (DKA) sisifo seswekile kwaye inokuba sisiphumo samanqanaba e-ketone angajongwanga. Oku kuya kubangela ukuba igazi libe ne-asidi. Lo ngumba onobuzaza nosongela ubomi onokuthi ukhokelele ekukhuleni kwengqondo, kwisifo seswekile okanye ekufeni.

Ungathini ukuba ietoni zam ziphezulu kakhulu?

Ukuba amanqanaba akho aphakamileyo kakhulu ngokusekwe kuvavanyo lwe-ketone, kubalulekile ukufuna unyango olungxamisekileyo. Uya kuba neempawu ezidweliswe apha ngasentla kwaye kunokwenzeka ukuba ikhokelele kwi-DKA.

Ingcali yezonyango iya kuyinyanga le meko ngaphakathi esibhedlele. Ezinye zeendlela eziqhelekileyo zokunyanga zezi:

Ulwelo lwe-IV lokunceda isiguli ekubeni siphelelwe ngamanzi emzimbeni ngenxa yokuchama rhoqo
Ukutshintshwa kwe-Electrolyte ukunceda ukukhulisa ii-electrolyte ezilahlekileyo.
I-insulin inceda umzimba ukuba uguqule ubuye usebenzise i-glucose endaweni yeeetoni zamandla.

Ulawulo lwesifo seswekile yeyona ndlela ingcono yokuthintela amanqanaba aphezulu, anokwenziwa: