Ketone ka Mali

Litaba

• Ketone ha ho etsoa tlhahlobo ea mali ke eng?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka li-ketone tekong ea mali?
• Ho etsahalang nakong ea ketone tekong ea mali?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Ho na le eng kapa eng eo ke hlokang ho e tseba ka li-ketone tekong ea mali?
• Litšupiso

Ketone ha ho etsoa tlhahlobo ea mali ke eng?

Li-ketone tekong ea mali li lekanya boemo ba ketone maling a hau. Li-ketone ke lintho tseo 'mele oa hau o li etsang haeba lisele tsa hau li sa fumane tsoekere e lekaneng (tsoekere maling). Tsoekere ke mohloli o moholo oa matla oa 'mele oa hau.

Ketone e ka hlaha maling kapa morong. Maemo a phahameng a ketone a ka supa lefu la tsoekere ketoacidosis (DKA), bothata ba lefu la tsoekere le ka lebisang coma kapa esita le lefu. Li-ketone tekong ea mali li ka u khothaletsa ho fumana kalafo pele ho hlaha boemo ba tšohanyetso ba bongaka.

Mabitso a mang: 'Mele ea ketone (mali), li-ketone tsa serum, beta-hydroxybutyric acid, acetoacetate

E sebelisetsoa eng?

Li-ketone tekong ea mali li sebelisoa haholo ho lekola lefu la tsoekere ketoacidosis (DKA) ho batho ba nang le lefu la tsoekere. DKA e ka ama mang kapa mang ea nang le lefu la tsoekere, empa e atile haholo ho batho ba nang le lefu la tsoekere la mofuta oa 1. Haeba u na le lefu la tsoekere la mofuta oa 1, 'mele oa hau ha o etse insulin, e leng hormone e laolang palo ea tsoekere maling a hao. Batho ba nang le lefu la tsoekere la mofuta oa 2 ba ka etsa insulin, empa 'mele ea bona ha e e sebelise hantle.

Hobaneng ha ke hloka li-ketone tekong ea mali?

U kanna ua hloka li-ketone tekong ea mali haeba u na le lefu la tsoekere le matšoao a DKA. Matšoao a DKA a kenyelletsa:

• Lenyora le feteletseng
• Ho eketseha ha ho ntša metsi
• Ho nyekeloa le ho hlatsa
• Letlalo le ommeng kapa le bosoeu
• Phefumoloho e khutšoanyane
• Monko oa litholoana o phefumoloha
• Mokhathala
• Pherekano

Ho etsahalang nakong ea ketone tekong ea mali?

Ngaka ea tlhokomelo ea bophelo e tla nka sampole ea mali mothapong o letsohong la hao, e sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano.

U ka boela ua sebelisa lisebelisoa tsa lapeng ho leka ketone maling. Le ha litaelo li ka fapana, lisebelisoa tsa hau li tla kenyelletsa mofuta o itseng oa sesebelisoa hore u phunye monoana oa hau. U tla sebelisa sena ho bokella lerotholi la mali bakeng sa tlhahlobo. Bala litaelo tsa lisebelisoa ka hloko, 'me u bue le mofani oa tlhokomelo ea bophelo ho etsa bonnete ba hore u bokella le ho hlahloba mali a hau ka nepo.

Mofani oa hao oa tlhokomelo ea bophelo a ka odara ketone tekong ea moroto ho kenyelletsa kapa ho e-na le li-ketone tekong ea mali ho lekola lefu la tsoekere ketoacidosis. A kanna a batla ho lekola maemo a hau a A1c le maemo a tsoekere ea mali ho thusa ho lekola lefu la tsoekere.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Ha o hloke litokisetso tse khethehileng bakeng sa ketone tekong ea mali.

Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali. U kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.

Liphetho li bolelang?

Sephetho se tloaelehileng sa liteko ha se na tšoaetso. Sena se bolela hore ha ho li-ketone tse fumanoeng maling a hau. Haeba ho fumanoa maemo a phahameng a ketone ea mali, ho ka bolela hore o na le lefu la tsoekere ketoacidosis (DKA). Haeba u na le DKA, mofani oa hao oa tlhokomelo ea bophelo o tla fana ka kapa a khothaletse kalafo, e ka kenyelletsang ho ea sepetlele.

Maemo a mang a ka etsa hore u hlahlobe tšoaetso ea ketone ea mali. Tsena li kenyelletsa:

• Mathata a amanang le ho ja, khaello ea phepo e nepahetseng le maemo a mang moo 'mele o sa keneng ka lik'halori tse lekaneng
• Boimana. Ka linako tse ling bakhachane ba tla ba le ketone ea mali. Haeba maemo a phahameng a fumaneha, a ka bolela lefu la tsoekere la bokhachane, mofuta oa lefu la tsoekere le amang basali ba bakhachane feela.

Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Ho na le eng kapa eng eo ke hlokang ho e tseba ka li-ketone tekong ea mali?

Batho ba bang ba sebelisa lisebelisoa tsa lapeng ho lekola ketone haeba ba le lijong tsa ketogenic kapa "keto". Lijo tsa keto ke mofuta oa moralo oa ho theola boima ba 'mele o etsang hore' mele oa motho ea phetseng hantle o etse li-ketone. Etsa bonnete ba hore u bua le mofani oa tlhokomelo ea bophelo pele u ea lijong tsa keto.

Litšupiso

1. Mokhatlo oa American Diabetes Association [Inthaneteng]. Arlington (VA): Mokhatlo oa Amerika oa lefu la tsoekere; c1995–2018. DKA (Ketoacidosis) & Ketone; [e ntlafalitsoeng ka 2015 Mar 18; e qotsitsoeng ka 2018 Jan 9]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: http://www.diabetes.org/living-with-diabetes/complications/ketoacidosis-dka.html?referrer
2. Setsi sa lefu la tsoekere sa Joslin [Marang-rang]. Boston: Setsi sa lefu la tsoekere sa Joslin; c2018. Teko ea Ketone; [e qotsitsoeng ka 2020 Pherekhong 1]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.joslin.org/patient-care/diabetes-education/diabetes-learning-center/ketone-testing-0
3. Liteko tsa Lab Marang-rang [Inthaneteng]. Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2018. Li-Ketone tsa mali; [e ntlafalitsoeng 2018 Jan 9; e qotsitsoeng ka 2018 Jan 9]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/blood-ketones
4. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2018. Coma ea lefu la tsoekere: Kakaretso; 2015 Mots'eanong 22 [e qotsitsoeng ka 2018 Pherekhong 9]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/diabetic-coma/symptoms-causes/syc-20371475
5. National Heart, Lung, le Setsi sa Mali [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Liteko tsa Mali; [e qotsitsoeng ka 2018 Pherekhong 9]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/with
6. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lefu la tsoekere ke eng ?; 2016 Nov [e qotsitsoeng ka 2018 Pherekhong 9]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes
7. Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co Inc .; c2018. Lefu la tsoekere Mellitus (DM) ho Bana le Bacha; [e qotsitsoeng ka 2018 Pherekhong 9]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: http://www.merckmanuals.com/home/children-s-health-issues/hormonal-disorders-in-children/diabetes-mellitus-dm-in-children-and-adolescents
8. Lijo tsa Paoli A. Ketogenic bakeng sa botenya: Motsoalle kapa Sera? Int J Environ Res Bophelo bo Botle ba Sechaba [Marang-rang]. 2014 Feb 19 [e qotsitsoeng 2018 Feb 22]; 11 (2): 2092-2107. E fumaneha ho tsoa ho: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945587
9. Scribd [Inthanete]. Ngola; c2018. Ketosis: ketosis ke eng ?; [e ntlafalitsoeng 2017 Mar 21; e qotsitsoeng 2018 Feb 22]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.scribd.com/document/368713988/Ketogenic-Diet
10. Setsi sa Bongaka sa UCSF [Marang-rang]. San Francisco (CA): Baemeli ba Univesithi ea California; c2002–2018. Liteko tsa Bongaka: Serum Ketones; [e qotsitsoeng ka 2020 Jan 1]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.ucsfhealth.org/medical-tests/003498
11. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2018. Health Encyclopedia: Melemo ea Ketone (Mali); [e qotsitsoeng ka 2018 Pherekhong 9]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=ketone_bodies_serum
12. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Teko ea Glucose ea Mali a Lapeng: Kamoo e Etsoang Kateng; [e ntlafalitsoeng 2017 Mar 13; e qotsitsoeng ka 2018 Jan 9]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/home-blood-glucose-test/hw226531.html#hw226576
13. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Ketone: Kamoo E Etsoang Kateng; [e ntlafalitsoeng 2017 Mar 13; e qotsitsoeng ka 2018 Jan 9]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/ketones/hw7738#hw7758
14. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Li-Ketone: Liphetho; [e ntlafalitsoeng 2017 Mar 13; e qotsitsoeng ka 2018 Jan 9]; [li-skrini tse ka bang 8]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/ketones/hw7738#hw7806
15. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Li-Ketone: Kakaretso ea Teko; [e ntlafalitsoeng 2017 Mar 13; e qotsitsoeng ka 2018 Jan 9]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/ketones/hw7738.html

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.