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Tshuaj zoo qaib thiab os tuag aws 28 Aug 2017
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Zoo Siab

Ketones nyob rau hauv kev kuaj zis yog dab tsi?

Txoj kev ntsuas ntsuas ketone qib hauv koj cov zis. Nquag, koj lub cev hlawv cov piam thaj (qab zib) rau lub zog. Yog hais tias koj lub hlwb tsis muaj cov piam thaj txaus, koj lub cev yuav hlawv cov rog rau lub zog xwb. Qhov no tsim cov tshuaj hu ua ketones, uas tuaj yeem qhia hauv koj cov ntshav thiab zis. Theem ketone ntau hauv cov zis yuav qhia tau hais tias cov kab mob ntshav qab zib ketoacidosis (DKA), ib qho kev cuam tshuam ntawm cov ntshav qab zib uas tuaj yeem ua rau tsis nco qab lossis tuag taus. Cov ketones hauv kev kuaj zis tuaj yeem ua kom koj tau txais kev kho mob ua ntej muaj kev kho mob maj nrawm.

Lwm lub npe: ketones zis kuaj, ketone test, ketone zis, ketone lub cev

Nws siv rau dab tsi?

Qhov kev ntsuam xyuas no feem ntau yog siv los pab saib xyuas tib neeg qhov kev pheej hmoo siab ntawm kev txhim kho ketones. Cov no suav cov neeg muaj tus mob ntshav qab zib hom 1 lossis hom 2. Yog tias koj muaj ntshav qab zib, ketones hauv cov zis tuaj yeem txhais tau tias koj tsis tau txais insulin txaus. Yog tias koj tsis muaj ntshav qab zib, koj kuj tseem muaj feem yuav ua kom ketones yog tias koj:

  • Muaj kev ntuav thiab ua kom raws plab
  • Muaj lub plab zom mov
  • Koom nrog kev tawm dag zog
  • Yog cov zaub mov uas tsis muaj carbohydrate ntau
  • Muaj kev noj tsis haum
  • Xeeb tub

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

Koj tus kws kho mob yuav xaj ib ketones hauv kev kuaj zis yog tias koj muaj ntshav qab zib lossis lwm yam kev phom sij los tsim cov ketones. Koj tseem yuav xav tau qhov kev ntsuas no yog tias koj muaj cov tsos mob ntawm ketoacidosis. Cov no suav nrog:


  • Xeev siab los ntuav
  • Mob plab
  • Tsis meej pem
  • Teeb meem ua pa
  • Mloog mas zoo li pw tsaug zog kawg

Cov neeg muaj ntshav qab zib hom 1 muaj feem ntau dua rau ketoacidosis.

Muaj dab tsi tshwm sim thaum ketones nyob rau hauv kev kuaj zis?

Cov ketones hauv kev kuaj zis tuaj yeem ua tiav hauv tsev thiab hauv tsev kuaj ntshav. Yog tias nyob hauv chav sim, yuav muab cov lus qhia rau koj los qhia txog "ntsuas kom raug kev nyab xeeb". Kev ntes huv rau feem ntau suav nrog cov theem hauv qab no:

  1. Ntxuav koj ob txhais tes.
  2. Siv tshuaj ntxuav koj qhov chaw mos nrog lub pob kom huv. Cov txiv neej yuav tsum so nws tus qau. Cov poj niam yuav tsum qhib lawv cov labia thiab huv huv los ntawm sab pem hauv ntej.
  3. Pib tso zis rau hauv lub qhov viv.
  4. Txav mus ntim cov ntim hauv qab koj cov zis.
  5. Khaws tsawg kawg ib ooj lossis ob mus tso zis rau hauv lub khob, uas yuav tsum muaj cov cim rau taw qhia cov nyiaj.
  6. Ua kom tso zis rau hauv lub qhov viv.
  7. Xa lub thawv ntim quav rov qab raws li koj tus kws kho mob qhia.

Yog tias koj ua qhov kev sim hauv tsev, ua raws cov lus qhia uas nyob hauv koj cov khoom siv ntsuas. Koj cov khoom siv yuav muaj ib pob ntawm pob txaij coj mus kuaj. Koj yuav raug qhia kom muab ib qho hnoos qeev huv huv hauv ib lub taub ntim raws li tau piav saum toj no lossis muab txoj hlua coj mus kuaj ncaj qha rau hauv koj cov zis. Tham nrog koj tus kws kho mob txog cov lus qhia tshwj xeeb.


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

Koj yuav tsum yoo mov (tsis txhob noj lossis haus) rau qee lub sijhawm ua ntej coj mus kuaj ketones hauv kev kuaj zis. Nug koj tus kws saib xyuas kev noj qab haus huv yog tias koj xav tau yoo mov lossis ua lwm yam kev npaj ua ntej koj sim.

Puas muaj kev pheej hmoo rau kev kuaj?

Tsis muaj qhov paub tias yuav muaj ketones hauv kev kuaj zis.

Cov txiaj ntsig li cas?

Koj qhov kev xeem ntawv yuav yog tus lej tshwj xeeb lossis sau ua "me me," "loj tsawv," lossis "loj" ketones. Cov txiaj ntsig ib txwm tuaj yeem sib txawv, nyob ntawm koj li kev noj haus, qib theem, thiab lwm yam. Vim tias ketone qib siab tuaj yeem yog qhov txaus ntshai, nco ntsoov nrog koj tus kws kho mob tham txog qhov tsis zoo rau koj thiab koj cov txiaj ntsig txhais li cas.

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 zis?

Ketone kuaj cov khoom siv muaj nyob rau ntau lub tsev muag tshuaj yam tsis muaj tshuaj. Yog tias koj npaj siab tias yuav sim cov ketones hauv tsev, nug koj tus kws kho mob kom pom zoo txog cov khoom siv twg yuav zoo rau koj. Kev kuaj zis nyob hauv tsev yog ib qho yooj yim los ua thiab tuaj yeem muab cov txiaj ntsig tseeb yog tias koj ua tib zoo ua raws li txhua cov lus qhia.


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; c1995–2017. DKA (Ketoacidosis) & Ketones; [kho tshiab 2015 Mar 18; raug nplua 2017 Mar 19]; [txog 3 ntxaij]. Muaj los ntawm: http://www.diabetes.org/living-with-diabetes/complications/ketoacidosis-dka.html?referrer
  2. Hinkle J, Cheever K. Brunner & Suddarth phau ntawv ntawm Kev Kuaj Xyuas thiab Kuaj Xyuas Ntsuas. 2nd Ed, Kindle. Philadelphia: Wolters Kluwer Kev Noj Qab Haus Huv, Lippincott Williams & Wilkins; c2014. Ketones: Zis Dej; p. 351.
  3. Joslin Ntshav Qab Zib Center [Is Taws Nem]. Boston: Joslin Diabetes Center, Tsev Kawm Ntawv Kho Mob Harvard; c2017. Ketone Testing: Yam Koj Yuav Tsum Paub Txog; [hais tawm 2017 Mar 19]; [txog 3 ntxaij]. Muaj los ntawm: http://www.joslin.org/info/ketone_testing_what_you_need_to_know.html
  4. Kev Tshuaj Ntsuam Xyuas online [Internet]. Cov Koom Haum Asmeskas rau Chaw Kho Mob Soj Ntsuam; c2001–2017. Urinalysis: Peb Hom Kev Ntsuam Xyuas; [hais tawm 2017 Mar 19]; [txog 5 ntxaij]. Muaj los ntawm: https://labtestsonline.org/understanding/analytes/urinalysis/ui-exams/start/1#ketones
  5. Merck Los Ntawm Cov Neeg Siv Khoom Siv [Internet]. Kenilworth (NJ): Merck & Co., Inc .; c2017. Urinalysis; [hais tawm 2017 Mar 19]; [txog 2 ntxaij]. Muaj los ntawm: https://www.merckmanuals.com/home/kidney-and-urinary-tract-disorders/diagnosis-of-kidney-and-urinary-tract-disorders/urinalysis
  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; Tswj Ntshav Qab Zib; 2016 Nov [hais tawm 2017 Mar 19]; [txog 4 ntxaij]. Muaj los ntawm: https://www.niddk.nih.gov/health-information/diabetes/overview/managing-diab Qab Zib
  7. Paoli A. Ketogenic Noj rau Kev pham: Phooj ywg lossis Foe? Int J Chaw Rau Tib Neeg Noj Qab Haus Huv [Is Taws Nem]. Xyoo 2014 Lub Ob Hlis 19 [muab tawm 2019 Lub Ob Hlis 1]; 11 (2): 2092-2107. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945587
  8. Tsoom Fwv Tsev Kawm Ntawv Nroog Xees Phos [Internet]. Tulsa (OK): Saint Francis Health System; c2016. Tus Neeg Mob Cov Ntaub Ntawv: Kev Sau Cov Quav Mus Kuaj Mob Zis Kom Huv Zog; [hais tawm 2017 Apr 13]; [txog 3 ntxaij]. Muaj los ntawm: https://www.saintfrancis.com/lab/Documents/Collecting%20a%20Clean%20Catch%20Urine.pdf
  9. Scribd [Is Taws Nem]. Ntawv Sau; c2018. Ketosis: ketosis yog dab tsi? [kho tshiab 2017 Mar 21; [hais tawm 2019 Feb 1]; [txog 2 ntxaij]. Muaj los ntawm: https://www.scribd.com/document/368713988/Ketogenic-Diet
  10. Johns Hopkins Lupus Center [Is Taws Nem]. Johns Hopkins Tshuaj Kho Mob; c2017. Urinalysis; [hais tawm 2017 Mar 19]; [txog 3 ntxaij]. Muaj los ntawm: https://www.hopkinslupus.org/lupus-tests/screening-laug-tests/urinalysis/
  11. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (FL): University of Florida; c2019. Ketones kev kuaj zis: Txheej txheem cej luam; [kho tshiab 2019 Feb 1; raug nplua 2019 Feb 1]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/ketones-urine-test
  12. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2017. Kev Noj Qab Haus Huv Encyclopedia: Ketone Lub Cev (Zis); [hais tawm 2017 Mar 19]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid ;=ketone_bodies_urine

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.

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