Ketones nyob rau hauv Ntshav

Zoo Siab

• Ketones hauv kev kuaj ntshav yog dab tsi?
• Nws siv rau dab tsi?
• Vim li cas kuv thiaj xav tau ketones hauv kev kuaj ntshav?
• Muaj dab tsi tshwm sim thaum ketones hauv kev kuaj ntshav?
• Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
• Puas muaj kev pheej hmoo rau kev kuaj?
• Cov txiaj ntsig li cas?
• Puas muaj lwm yam ntxiv uas kuv xav paub txog ketones hauv kev kuaj ntshav?
• Ua tim khawv

Ketones hauv kev kuaj ntshav yog dab tsi?

A ketones hauv kev kuaj ntshav ntsuas cov qib ketones hauv koj cov ntshav. Ketones yog cov tshuaj uas koj lub cev ua yog tias koj lub hlwb tsis muaj cov piam thaj hauv ntshav (cov piam thaj hauv ntshav). Kev ua nyob rau hauv koj lub cev yog qhov tseem ceeb ntawm lub zog.

Ketones tuaj yeem tshwm hauv cov ntshav lossis zis. Cov ketone qib siab yuav qhia tau tias yog mob ntshav qab zib ketoacidosis (DKA), ib qho kev cuam tshuam ntawm cov ntshav qab zib uas tuaj yeem ua rau lub cev tsis nco qab lossis tuag taus. Ib ketones hauv kev kuaj ntshav tuaj yeem ua rau koj tau txais kev kho mob ua ntej muaj kev kho mob maj nrawm.

Lwm lub npe: Ketone lub cev (cov ntshav), cov ketum ntshav, beta-hydroxybutyric acid, acetoacetate

Nws siv rau dab tsi?

Ib ketones hauv kev kuaj ntshav feem ntau yog siv los kuaj mob ketoacidosis (DKA) hauv cov neeg muaj ntshav qab zib. DKA tuaj yeem cuam tshuam rau txhua tus neeg muaj ntshav qab zib, tab sis nws yog feem ntau rau cov neeg muaj ntshav qab zib hom 1. Yog tias koj muaj ntshav qab zib hom 1, koj lub cev tsis tau tsim kom muaj cov insulin, yam tshuaj hormones uas tswj cov piam thaj hauv koj cov ntshav. Cov neeg muaj ntshav qab zib hom 2 tuaj yeem ua insulin, tab sis lawv lub cev tsis siv nws kom raug.

Vim li cas kuv thiaj xav tau ketones hauv kev kuaj ntshav?

Tej zaum koj yuav xav tau ketones hauv kev kuaj ntshav yog tias koj muaj ntshav qab zib thiab cov tsos mob ntawm DKA. Cov tsos mob DKA suav nrog:

• Kev nqhis dej ntau dhau
• Nce tso zis
• Xeev siab thiab ntuav
• Qhuav lossis yaug tawv nqaij
• Ua tsis taus pa
• Tsw tsw tus pa hauv cov pa
• Nkees
• Tsis meej pem

Muaj dab tsi tshwm sim thaum ketones hauv kev kuaj ntshav?

Tus kws kho mob yuav kuaj ntshav ntawm txoj hlab ntshav hauv koj txhais caj npab, siv rab koob me me. Tom qab cov koob raug tso nkag, cov ntshav me me yuav raug sau rau hauv lub khob kuaj lossis vial. Koj tuaj yeem hnov ​​me ntsis thaum cov koob nkag mus lossis tawm. Qhov no feem ntau yuav siv sijhawm tsawg dua tsib feeb.

Koj kuj tseem tuaj yeem siv cov khoom siv hauv tsev kom ntsuas cov ketones hauv cov ntshav. Txawm tias cov lus qhia yuav txawv, koj cov khoom siv yuav suav qee yam khoom siv rau koj ntaus koj cov ntiv tes. Koj yuav siv qhov no txhawm rau khaws ntshav coj mus kuaj. Nyeem cov lus qhia pob ntawv kom zoo, thiab tham nrog koj tus kws kho mob kom paub tseeb tias koj khaws thiab kuaj koj cov ntshav kom yog.

Koj tus kws kho mob yuav xaj ib ketones hauv kev kuaj zis ntxiv rau lossis hloov ketones hauv kev kuaj ntshav mus kuaj mob ketoacidosis. Tej zaum nws yuav xav txheeb xyuas koj qib A1c thiab qib ntshav qab zib kom pab soj ntsuam koj cov ntshav qab zib.

Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?

Koj tsis tas yuav npaj tshwj xeeb rau ketones hauv kev kuaj ntshav.

Puas muaj kev pheej hmoo rau kev kuaj?

Txoj kev kuaj ntshav muaj feem me me. Koj yuav muaj mob me lossis doog ntshav ntawm qhov chaw tso rab koob, tab sis feem ntau cov tsos mob ploj mus sai.

Cov txiaj ntsig li cas?

Ib qho kev xeem raug yog qhov tsis zoo. Qhov no txhais tau tias tsis pom muaj ketones hauv koj cov ntshav. Yog tias pom muaj cov ntshav ketone hauv cov ntshav siab, nws yuav txhais tau tias koj muaj ntshav qab zib ketoacidosis (DKA). Yog tias koj muaj DKA, koj tus kws kho mob yuav muab lossis qhia seb yuav kho li cas, uas tej zaum yuav tau mus pw hauv tsev kho mob.

Lwm yam mob tuaj yeem ua rau koj mus soj ntsuam cov txiaj ntsig ua ntshav. Cov no suav nrog:

• Kev noj kev tsis txaus, noj zaub mov tsis txaus, thiab lwm yam mob uas lub cev tsis noj txaus hauv calories
• Cev xeeb tub. Qee zaum cov poj niam cev xeeb tub yuav pib ua cov ntshav ketones. Yog tias nrhiav tau qib siab, nws tuaj yeem txhais tau cov ntshav qab zib hauv lub plab, ib hom mob ntshav qab zib uas cuam tshuam rau cov poj niam cev xeeb tub xwb.

Yog koj muaj lus nug txog koj cov txiaj ntsig, nrog koj tus kws kho mob tham.

Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.

Puas muaj lwm yam ntxiv uas kuv xav paub txog ketones hauv kev kuaj ntshav?

Qee tus neeg siv cov khoom siv tom tsev sim rau ketones yog tias lawv nyob ntawm ketogenic lossis "keto" cov khoom noj. Kev noj haus keto yog hom phiaj-poob-hnyav uas ua rau tus neeg muaj lub dag zog lub cev ua ketones. Nco ntsoov nrog koj tus kws kho mob tham ua ntej mus noj keto.

Ua tim khawv

1. American Diabetes Association [Internet]. Arlington (VA): Lub Koom Haum Asmeskas Kev Ntshav Qab Zib; c1995–2018. DKA (Ketoacidosis) & Ketones; [kho tshiab 2015 Mar 18; raug nplua 2018 Jan 9]; [txog 3 ntxaij]. Muaj los ntawm: http://www.diabetes.org/living-with-diabetes/complications/ketoacidosis-dka.html?referrer
2. Joslin Ntshav Qab Zib Center [Is Taws Nem]. Boston: Joslin Diabetes Center; c2018. Ketone Testing; [raug nplua 2020 Jan 1]; [txog 3 ntxaij]. Muaj los ntawm: https://www.joslin.org/patient-care/diabetes-education/diabetes-learning-center/ketone-testing-0
3. Kev Tshuaj Ntsuam Xyuas online [Internet]. Cov Koom Haum Asmeskas rau Chaw Kho Mob Soj Ntsuam; c2001–2018. Ntshav Ketones; [kho tshiab 2018 Jan 9; raug nplua 2018 Jan 9]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/tests/blood-ketones
4. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2018. Mob Ntshav Qab Zib Coma: Txheej txheem cej luam; 2015 Tsib Hlis 22 [raug nplua 2018 Jan 9]; [txog 2 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/diseases-conditions/diabetic-coma/symps-causes/syc-20371475
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6. Teb chaws koom haum txog ntshav qab zib thiab lub plab thiab lub raum mob [Is Taws Nem]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Ntshav Qab Zib Yog Dab Tsi ?; 2016 Nov [hais tawm 2018 Jan 9]; [txog 4 ntxaij]. Muaj los ntawm: https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes
7. Merck Los Ntawm Cov Neeg Siv Khoom Siv [Internet]. Kenilworth (NJ): Merck & Co. Inc .; c2018. Ntshav Qab Zib Mellitus (DM) hauv Cov Menyuam thiab Cov Hluas; [hais 2018 2018 9; [txog 2 ntxaij]. Muaj los ntawm: http://www.merckmanuals.com/home/children-s- health-issues/hormonal-disorders-in-children/diabetes-mellitus-dm-in-dub-and-adolescents
8. Paoli A. Ketogenic Noj rau Kev pham: Phooj ywg lossis Foe? Int J Chaw Rau Pej Xeem Kev Noj Qab Haus Huv [Is Taws Nem]. Xyoo 2014 Lub Ob Hlis 19 [muab 2018 2018 22; 11 (2): 2092-2107. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945587
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11. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2018. Kev Noj Qab Haus Huv Phau Ntawv Teev Npe: Ketone Lub Cev (Ntshav); [hais 2018 2018 9; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid ;=ketone_bodies_serum
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13. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2018. Ketones: Yuav Ua Li Cas; [kho tshiab 2017 Mar 13; raug nplua 2018 Jan 9]; [txog 5 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/ketones/hw7738#hw7758
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15. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2018. Ketones: Lus Qhia Tag Nrho; [kho tshiab 2017 Mar 13; raug nplua 2018 Jan 9]; [txog 2 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/ketones/hw7738.html

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.