Ketones ku jira Dhiiga

Qanacsan

• Waa maxay ketones ku jira baaritaanka dhiigga?
• Maxaa loo adeegsadaa?
• Maxaan ugu baahanahay ketones baaritaanka dhiigga?
• Maxaa dhacaya inta lagu jiro ketones baaritaanka dhiigga?
• Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
• Ma jiraan wax khatar ah oo imtaxaanku leeyahay?
• Maxay natiijooyinka ka dhigan yihiin?
• Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado ketones ku jira baaritaanka dhiigga?
• Tixraacyo

Waa maxay ketones ku jira baaritaanka dhiigga?

Ketones ku jira baaritaanka dhiigga ayaa cabiraya heerka ketones ee dhiigaaga. Ketones waa walxo jirkaagu sameeyo hadii unugyadaadu aysan helin gulukoos ku filan (sonkorta dhiiga). Gulukoosku waa isha ugu muhiimsan ee jidhkaagu ka helo tamarta.

Ketones waxay ku soo bixi karaan dhiig ama kaadi. Heerarka ketone ee sarreeya ayaa laga yaabaa inay muujiyaan ketoacidosis-ka sonkorowga (DKA), dhibaatada cilladda sonkorowga taasoo u horseedi karta miyir beel ama xitaa dhimasho. Ketones ku jira baaritaanka dhiigga ayaa kugu kicin kara inaad daaweyn hesho ka hor intaan xaalad caafimaad oo degdeg ahi dhicin.

Magacyada kale: Ketone body (blood), ketones serum, beta-hydroxybutyric acid, acetoacetate

Maxaa loo adeegsadaa?

Ketones ku jira baaritaanka dhiigga ayaa inta badan loo isticmaalaa in lagu hubiyo cudurka ketoacidosis ee sonkorowga (DKA) ee dadka qaba sonkorowga. DKA wuxuu ku dhici karaa qof kasta oo qaba sonkorow, laakiin wuxuu ku badan yahay dadka qaba nooca 1aad ee sonkorowga. Haddii aad qabtid nooca 1aad ee sonkorowga, jirkaagu ma sameeyo wax insulin ah, hormoonka gacanta ku haya xaddiga gulukooska dhiiggaaga ku jira. Dadka qaba sonkorowga nooca 2aad waxay sameyn karaan insulin, laakiin jirkoodu si sax ah uma isticmaalo.

Maxaan ugu baahanahay ketones baaritaanka dhiigga?

Waxaad u baahan kartaa ketones baaritaanka dhiiggaaga haddii aad qabto sonkorow iyo astaamaha DKA. Calaamadaha DKA waxaa ka mid ah:

• Haraad xad dhaaf ah
• Kaadida oo badata
• Lalabbo iyo matag
• Maqaar qallalan ama harag ah
• Neefta oo kugu yaraata
• Neefsashada miraha khudradda
• Daal
• Jahwareer

Maxaa dhacaya inta lagu jiro ketones baaritaanka dhiigga?

Xirfadlaha daryeelka caafimaadka ayaa tijaabo dhiig ka qaadi doona xididka gacantaada, isagoo isticmaalaya cirbad yar. Kaddib cirbada la geliyo, qadar yar oo dhiig ah ayaa lagu ururin doonaa tuubada baaritaanka ama fijaan. Waxaa laga yaabaa inaad dareento xoog wax yar ah markii irbadda ay soo galayso ama ay ka baxeyso. Tani badanaa waxay qaadataa in ka yar shan daqiiqo.

Waxaad sidoo kale awoodi kartaa inaad isticmaasho xirmada guriga si looga baaro ketones ku jira dhiigga. In kasta oo tilmaamuhu kala duwanaan karaan, xirmadaada waxaa ku jiri doona nooc ka mid ah qalab aad ku farxo fartaada. Waxaad u isticmaali doontaa tan inaad ku ururiso dhibic dhiig ah si loo baaro. Si taxaddar leh u aqri tilmaamaha xirmada, lana hadal bixiyahaaga daryeelka caafimaadka si aad u hubiso inaad u soo ururisay oo aad u tijaabisay dhiiggaaga si sax ah.

Bixiyaha xanaanada caafimaadkaaga ayaa laga yaabaa inuu dalbado ketones baaritaanka kaadida marka lagu daro ama bedelida ketones ee baaritaanka dhiigga si loo hubiyo cudurka ketoacidosis ee sonkorowga. Isaga ama iyadu sidoo kale waxay rabi karaan inay hubiyaan heerarkaaga A1c iyo heerarka gulukoosta dhiigga si ay uga caawiyaan la socodka sonkorowgaaga.

Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?

Uma baahnid wax diyaargarow gaar ah oo loogu talagalay ketones baaritaanka dhiigga.

Ma jiraan wax khatar ah oo imtaxaanku leeyahay?

Khatar aad u yar baa jirta in dhiig lagaa qaado. Waxaa laga yaabaa inaad xanuun yar ama nabar ku yeelato barta irbadda lagu muday, laakiin astaamaha badankood si dhakhso leh ayey u baxaan.

Maxay natiijooyinka ka dhigan yihiin?

Natiijada baaritaanka caadiga ah waa mid xun. Tan macnaheedu waa in ketones aan laga helin dhiiggaaga. Haddii la helo heerarka ketone-ka dhiigga oo sarreeya, waxay macnaheedu noqon kartaa inaad qabto ketoacidosis sonkorow (DKA). Haddii aad leedahay DKA, daryeel caafimaad bixiyahaaga ayaa ku siin doona ama kugula talin doona daaweyn, taas oo ku lug leh tegitaanka isbitaalka.

Xaaladaha kale waxay kuu horseedi karaan inaad iska hubiso ketones dhiigga. Kuwaas waxaa ka mid ah:

• Cunno xumida, nafaqo-xumada, iyo xaalado kale oo jirku uusan qaadan kaloriin ku filan
• Uurka. Mararka qaar haweenka uurka leh waxay ku dhici doonaan ketones dhiig. Haddii heerar sare la helo, waxay noqon kartaa macaanka uurka, nooca sonkorowga oo keliya ku dhaca haweenka uurka leh.

Haddii aad su'aalo ka qabtid natiijooyinkaaga, la hadal daryeel caafimaad bixiyahaaga.

Wax badan ka baro baaritaanka shaybaarka, kala duwanaanshaha tixraaca, iyo fahamka natiijooyinka.

Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado ketones ku jira baaritaanka dhiigga?

Dadka qaar waxay isticmaalaan xirmooyinka guriga si ay uga baaraan ketones haddii ay ku jiraan cuntada ketogenic ama "keto". Cunto keto waa nooc ka mid ah qorshaha miisaanka-luminta kaas oo sababa jirka qof caafimaad qaba inuu sameeyo ketones. Hubso inaad lahadasho bixiyahaaga daryeelka caafimaadka kahor intaadan aadin cuntada keto.

Tixraacyo

1. Ururka Sonkorowga Mareykanka [Internet]. Arlington (VA): Ururka Sonkorowga Mareykanka; c1995–2018. DKA (Ketoacidosis) & Ketones; [cusboonaysiiyay 2015 Mar 18; daliishaday 2018 Jan 9]; [ilaa 3 shaashad]. Waxaa laga heli karaa: http://www.diabetes.org/living-with-diabetes/complications/ketoacidosis-dka.html?referrer
2. Xarunta Macaanka ee Joslin [Internet]. Boston: Xarunta Sonkorowga ee Joslin; c2018. Tijaabada Ketone; [daliishaday 2020 Jan 1]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.joslin.org/patient-care/diabetes-education/diabetes-learning-center/ketone-testing-0
3. Tijaabooyinka Shaybaarka ee Internetka [Internetka] Ururka Mareykanka ee Kiimikada Caafimaadka; c2001–2018. Ketones Dhiig; [cusbooneysiiyay 2018 Jan 9; daliishaday 2018 Jan 9]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://labtestsonline.org/tests/blood-ketones
4. Mayo Clinic [Internet]. Aasaaska Mayo ee Caafimaadka Caafimaadka iyo Cilmi-baarista; c1998–2018. Koma Sonkorowga: Guudmarka; 2015 Meey 22 [daliishaday 2018 Jan 9]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.mayoclinic.org/diseases-conditions/diabetic-coma/symptoms-causes/syc-20371475
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8. Paoli A. Cudurka Ketogenic ee Cayilka: Saaxiib ama Cadaw? Int J Environ Res Caafimaadka Bulshada [Internetka]. 2014 Feb 19 [daliishaday 2018 Feb 22]; 11 (2): 2092-2107. Waxaa laga heli karaa: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945587
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10. Xarunta Caafimaadka ee UCSF [Internet]. San Francisco (CA): Regents-ka Jaamacadda California; c2002–2018. Tijaabooyinka Caafimaadka: Serum Ketones; [daliishaday 2020 Jan 1]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.ucsfhealth.org/medical-tests/003498
11. Jaamacadda Rochester Medical Center [Internet]. Rochester (NY): Jaamacadda Rochester Medical Center; c2018. Encyclopedia Caafimaadka: Ketone Bodies (Dhiig); [daliishaday 2018 Jan 9]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=ketone_bodies_serum
12. Caafimaadka UW [Internetka]. Madison (WI): Jaamacadda Wisconsin Isbitaalada iyo Maamulka Rugta; c2018. Baadhitaanka Gulukooska Dhiigga ee Guriga: Sida Loo Sameeyo; [cusbooneysiiyay 2017 Mar 13; daliishaday 2018 Jan 9]; [ilaa 5 shaashad]. Waxaa laga heli karaa: https://www.uwhealth.org/health/topic/medicaltest/home-blood-glucose-test/hw226531.html#hw226576
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Macluumaadka ku yaal boggan waa in aan loo isticmaalin beddel daryeel caafimaad oo xirfad leh ama talo. La xiriir bixiye daryeel caafimaad haddii aad su'aalo ka qabtid caafimaadkaaga.