Ketosis vs. ketoacidosis: Yerekezerani zomwe zimayambitsa, zizindikiro, mankhwala & zina

Maphunziro a Zaumoyo

Ketosis ndi ketoacidosis ndi zinthu ziwiri zomwe zingakhale zosavuta kusokonezana ngati simukudziwa kusiyana kwawo. Ketosis ndi kagayidwe kachakudya kamene thupi limalowamo mukakhala kuti mulibe glycogen yokwanira yochokera ku chakudya kuti itenthe mphamvu. Ketoacidosis ndi vuto la matenda ashuga (makamaka Type 1) omwe amachititsa kuti thupi lizipanga magazi ochulukirapo. Tiyeni tiwone mozama kusiyana pakati pa ketosis ndi ketoacidosis.

Zoyambitsa

Matenda a ketosis

Ketosis ndi chilengedwe chomwe thupi limalowa mukamagwiritsa ntchito mafuta m'malo mwa chakudya chamagetsi. Thupi likamawotcha mafuta m'malo mwa chakudya, chiwindi chimasandutsa mafuta kukhala ma ketoni, kapena matupi a ketone, omwe amalowa m'magazi ndikukhala gwero lamagetsi lama cell. Ma ketoni owonjezera omwe sagwiritsidwa ntchito ndi maselo amachoka mthupi kudzera mu impso ndi mkodzo. Ketosis imachitika pamene wina akusala kudya, amatsata zakudya zopatsa mphamvu, kapena amatsatira zakudya za ketogenic.

Ketoacidosis

Ketoacidosis, kapena matenda ashuga ketoacidosis (DKA), ndi vuto lalikulu lomwe lingayambitse chikomokere cha matenda ashuga ndipo litha kukhala loopsa. Amakhudza kwambiri anthu omwe ali ndi matenda a shuga amtundu woyamba, koma amathanso kukhudza anthu omwe ali ndi matenda amtundu wa Type 2. Ketoacidosis imachitika ketone ndi shuga m'magazi zikakwera kwambiri. Kwa anthu omwe ali ndi matenda ashuga, ketoacidosis imayamba chifukwa chosakhala ndi insulini yokwanira, potero kufalitsa shuga sikungagwiritsidwe ntchito ndi mphamvu. Zitha kuyambitsidwa chifukwa chosatsata dongosolo loyang'anira matenda ashuga moyenera, kuchokera ku matenda kapena matenda monga matenda amkodzo, kapena kuchokera pathupi.

Ketosis vs. ketoacidosis zimayambitsa
Matenda a ketosis	Ketoacidosis
Zakudya zamafuta ochepa Zakudya za Keto Kusala kudya Kusala kudya kwakanthawi	Osakwanira insulin Kuyankha kwa insulini Kudwala Matenda Mimba Mlingo wa insulin wosowa Osatsatira dongosolo lanu lakuchiza matenda ashuga Mowa kapena mankhwala osokoneza bongo Kusokonezeka kwa thupi kapena kukhumudwa

Kukula

Matenda a ketosis

Kuyeza kuchuluka kwa ketosis kumakhala kovuta chifukwa ndizovuta kudziwa kuti ndi anthu angati omwe akusala kudya kapena kudya chakudya chochepa kwambiri nthawi iliyonse. Pakhala pali kafukufuku wambiri wokhudzana ndi momwe zakudya zopatsa mphamvu za ketogenic komanso zotsika kwambiri zimathandizira kuti muchepetse kunenepa. Ena maphunziro akuwonetsa kuti zakudya za ketogenic zitha kukhala zothandiza kwambiri pakuchepetsa thupi kuposa zakudya zamafuta ochepa, ndipo anthu amatha kumva njala pakudya ketogenic. Phunziro limodzi mwa Khunyu & Khalidwe adawonetsa kuti zakudya za ketogenic zili ndi kuthekera kothandiza kuthandizira khunyu.

Ketoacidosis

Ketoacidosis ndimavuto wamba amtundu wa shuga woyamba. Ndi chifukwa chachikulu cha imfa mwa anthu ochepera zaka 24 omwe ali ndi matenda ashuga ndipo amatha kupezeka 25% -30% a matenda a shuga a mtundu woyamba wa mtundu woyamba. Aliyense atha kudwala matenda ashuga ketoacidosis, koma atha kukhala ofala pakati pa azaka 30 kapena kupitilira apo. Makumi atatu mphambu asanu ndi limodzi mwa milandu amapezeka pakati pa anthu 30 kapena ocheperako, 27% mwa anthu 30-50, ndi 23% mwa anthu 51-70 . Ena maphunziro onetsani kuti ndizofala kwambiri pakati pa amayi ndi odwala omwe amathandizidwa ndi jakisoni wa insulin.

Ketosis motsutsana ndi kuchuluka kwa ketoacidosis
Matenda a ketosis	Ketoacidosis
Zovuta kunena molondola kuti ndi anthu angati omwe atha kukhala ketosis Dziko la ketosis lingakhale lothandiza pakuchepetsa thupi Zakudya za Ketogenic zitha kuthandizira khunyu	Imene imayambitsa kufa kwa anthu 24 ndi ocheperako omwe ali ndi matenda ashuga Pakadali pano muli 25% -30% ya omwe amapezeka ndi Type 1 matenda ashuga Ambiri pakati pa achinyamata Ambiri mwa akazi

Zizindikiro

Matenda a ketosis

Anthu ambiri amasala kudya kapenanso kudya mafuta ochepa kwambiri kuti achepetse kunenepa, ndipo ngakhale atakhala kuti ali ndi ketosis atha kukhala ndi thanzi labwino ngati kuonda, amathanso kubweretsa mavuto zotsatira zoyipa . Ketosis imatha kuyambitsa nseru, kutopa, chizungulire, kupweteka mutu, kapena kugona tulo. Zomwe zimakhudza thanzi la ketogenic sizikhala zodziwika bwino.

Ketoacidosis

Kudziwa zizindikiro za ketoacidosis ndikofunikira kwambiri kwa anthu omwe ali ndi matenda ashuga. Kukhoza kuzindikira ngati inu kapena wokondedwa wanu mulowa mu ketoacidosis kungapulumutse moyo. Ngati muli ndi matenda a shuga ndikuyamba kutopa, kusokonezeka, kupweteka m'mimba, kusanza, ludzu kwambiri, kupuma kwa zipatso, kapena kukodza pafupipafupi, muyenera kupita kuchipatala mwachangu.

Ketosis vs ketoacidosis zizindikiro
Matenda a ketosis	Ketoacidosis
Nseru Kutopa Kuchepetsa thupi Mpweya woipa Chizungulire Mutu Kusowa tulo Mphamvu zochepa zolimbitsa thupi Kuchepetsa kudya	Kuchuluka kwa shuga m'magazi Msinkhu wa ketoni mumkodzo Kutopa Kusokonezeka Pakamwa pouma Kukodza pafupipafupi Kukhala ndi ludzu Kupita Mpweya wonunkhira Kupweteka m'mimba Nseru Kupuma mofulumira

Matendawa

Matenda a ketosis

Kuzindikira ketosis nthawi zambiri kumachitika poyesa mkodzo kapena kuyesa magazi. Mayeserowa angakuuzeni kuchuluka kwa ketone yamagazi anu komanso ngati thupi lanu lili ndi ketosis kapena ayi. Kuyezetsa mkodzo kumakhala kosavuta kunyumba ndipo kumasintha mitundu kutengera kuchuluka kwa ma ketoni mumkodzo wanu. Maseŵera a Ketone omwe ali ofanana kapena osachepera 0.5 mmol / L amaonedwa kuti ndi otsika kapena abwinobwino. Magulu a ketone omwe ali pakati pa 0.5-3 mmol / L akuwonetsa kuti thupi lili ndi ketosis yathanzi.

Ketoacidosis

Anthu omwe ali ndi matenda ashuga amatha kudziwa ngati ali ndi ketoacidosis kapena kuyeza ma ketone awo kunyumba ndi mayeso amkodzo. Amathanso kupimidwa ndi dokotala kuti awone ngati ali ndi ketone. Malinga ndi American Academy of Madokotala Amabanja , Kuzindikira matenda ashuga ketoacidosis kumafuna kuchuluka kwa shuga m'magazi kukhala 250 mg pa dL kapena kupitilira apo, limodzi ndi pH yochepera kuposa 7.3 ndi mulingo wa bicarbonate 18 mEq / L kapena ochepera. Kuyezetsa mkodzo komwe kumawerenga> 10 mmol / L kumatanthauza kuti muli pachiwopsezo chachikulu chotenga matenda ashuga ketoacidosis, ndipo ngati mayeso anu akuwonetsa izi muyenera kupita kuchipatala mwachangu.

Matenda a Ketosis vs. ketoacidosis
Matenda a ketosis	Ketoacidosis
Mitsempha ya ketone <0.5 mmol/L = low/normal 0.5-3 mmol / L = ketosis yathanzi > 10 mmol / L = matenda ashuga ketoacidosis Mlingo wa ketone wamagazi <0.5 mmol/L = low/normal 0.5 mmol / L = kuyamba ketosis 3 mmol / L = matenda ashuga ketoacidosis	Mitsempha ya ketone <0.5 mmol/L = low/normal > 10 mmol / L = matenda ashuga ketoacidosis Mlingo wa ketone wamagazi <0.6 mmol/L = normal 0.6-1.5 mmol / L = kuyamba ketosis > 3 mmol / L = matenda ashuga ketoacidosis

Mankhwala

Matenda a ketosis

Anthu ambiri omwe ali ndi ketosis safuna chithandizo chamankhwala chifukwa ndi chimodzi mwazinthu zachilengedwe za thupi. Ngati mukutsatira mosalekeza chakudya chochepa cha carb ndikusala kudya kwapakatikati, kuletsa izi kuyenera kusintha zovuta zilizonse zomwe mungakumane nazo. Kuchulukitsa kudya kwa carb ndikudya mafuta ochepa kumapangitsa thupi kuwotcha chakudya m'malo mwamafuta, ndipo thupi limatulutsa ma ketoni ochepa.

Ketoacidosis

Anthu omwe ali ndi ketoacidosis amafunikira chithandizo chamankhwala kuti athetse bwino shuga wambiri wamagazi ndi ma ketoni ambiri mthupi. Ketoacidosis imachiritsidwa kuchipatala ndi akatswiri azachipatala omwe amapereka madzi amkati, kulowetsa m'matumbo kuti atenge ma electrolyte omwe atayika, komanso / kapena insulin yolowa m'mitsempha.

Mankhwala a Ketosis vs. ketoacidosis
Matenda a ketosis	Ketoacidosis
Ankachitira kunyumba Kuwonjezera zakudya zina mu zakudya Kuletsa kusala kwakanthawi Kuletsa zakudya za ketogenic Kudya mafuta ochepa poyerekeza ndi chakudya	Amathandizidwa kuchipatala Thandizo la insulin Madzi olowa mkati Mitsempha yolowa mkati

Zowopsa

Matenda a ketosis

Anthu ena ali ndi chiopsezo chachikulu chotenga ketosis kuposa ena. Nazi zifukwa zazikulu za ketosis:

• Kukhala ndi chakudya choletsa
• Kukhala ndi chakudya chochepa kwambiri
• Kukhala ndi vuto la kudya

Ketoacidosis

Zinthu zotsatirazi zitha kuonjezera chiopsezo Kupanga ketoacidosis:

• Mtundu wa shuga woyamba, makamaka omwe ali ndi matenda a shuga a mtundu woyamba
• Matenda a mtima
• Mimba
• Matenda
• Matenda owopsa kapena zoopsa
• Kuledzera ndi / kapena kumwa mowa mwauchidakwa
• Kusowa kapena kusatenga bwino mlingo wa insulini

Ketosis motsutsana ndi zoopsa za ketoacidosis
Matenda a ketosis	Ketoacidosis
Zakudya zoletsa Zakudya zamafuta ochepa Matenda akudya	Type 1 shuga Matenda a mtima Mimba Matenda Matenda kapena zoopsa Mowa kapena vuto la kugwiritsa ntchito mankhwala osokoneza bongo Osatsatira dongosolo lakuchiza matenda ashuga moyenera

Kupewa

Matenda a ketosis

Njira yabwino yopewera ketosis ndiyo kudya chakudya choyenera chomwe chili ndi chakudya chokwanira, mafuta, ndi mapuloteni. Izi zimapangitsa kuti thupi lisadalire mafuta ngati gwero la mphamvu. Pali kutsutsana kwakukulu pazomwe zakudya zoyenera ziyenera kukhala, koma zambiri magwero vomerezani kuti ndi yomwe ili ndi zipatso ndi ndiwo zamasamba zosiyanasiyana ndipo ndizopanda zakudya zambiri.

Ketoacidosis

Kupewa ketoacidosis kumaphatikizapo kuchita zinthu zingapo pafupipafupi. Anthu omwe ali ndi matenda ashuga amachepetsa mwayi wawo wopeza matenda ashuga ketoacidosis ngati atsatira njira yawo yothandizira matenda ashuga yomwe amapatsidwa ndi omwe amawapatsa chithandizo chamankhwala, amatenga insulin yawo monga akuvomerezera, onani kuchuluka kwa magazi m'magazi pafupipafupi, komanso onetsetsani kuti pali ketoni mumkodzo wawo ngati magulu awo a shuga m'magazi ndi okwera.

Momwe mungapewere ketosis vs. ketoacidosis zomwe zimayambitsa
Matenda a ketosis	Ketoacidosis
Kusunga chakudya chopatsa thanzi chomwe chili ndi chakudya, mapuloteni, ndi mafuta Kuchepetsa kusala kudya kapena kusala kudya kwakanthawi	Kutsatira dongosolo lanu lakuchiza matenda ashuga Kutenga insulini yanu monga momwe mukufunira Kuyang'ana kuchuluka kwa magazi m'magazi pafupipafupi Kuyang'ana ma ketoni mumkodzo wanu

Nthawi yoti muwone dokotala wa ketosis kapena ketoacidosis

Chifukwa ketosis sichachipatala koma chikhalidwe chachilengedwe cha thupi, sichifuna chithandizo chamankhwala. Ndipamene milingo ya ketone imakwera kwambiri ndipo shuga yamagazi imakwera kuti anthu aziwona wothandizira zaumoyo. Ngati muli ndi matenda ashuga ndipo magazi anu kapena ketone mulingo wake ukukwera komanso ukukwera, kapena ngati simukumva bwino ngakhale milingo yanu ya shuga ndi ketone ndiyabwino, muyenera kupeza upangiri kuchipatala mwachangu.

Mafunso omwe amafunsidwa kawirikawiri za ketosis ndi ketoacidosis

Kodi zovuta zina zomwe ketoacidosis ingayambitse ndi ziti?

Kufunafuna chithandizo cha ketoacidosis posachedwa ndikofunikira chifukwa ngati sichingalandiridwe kumatha kuyambitsa mavuto ena azaumoyo ndipo akhoza kupha. Ketoacidosis amadziwika kuti imayambitsa kutupa muubongo (cerebral edema), madzimadzi olowa m'mapapu (pulmonary edema), kuwonongeka kwa impso, makoma, kuchuluka kwa potaziyamu, ndipo kumatha kupha.

Kodi anthu omwe ali ndi matenda a shuga amtundu wachiwiri ali otetezeka ku ketoacidosis?

Ngakhale anthu omwe ali ndi matenda a shuga amtundu wa 2 sangatenge ketoacidosis kuposa anthu omwe ali ndi matenda a shuga a mtundu woyamba, aliyense amene ali ndi matenda a shuga amatha kudwala matendawa. Ichi ndichifukwa chake kutsatira dongosolo lanu lothandizira matenda ashuga ndikofunikira.

Kodi muyenera kuwona kangati ketone yanu?

Anthu omwe ali ndi matenda a shuga omwe amadalira insulin ayenera kuwunika magulu a ketone ndi mizere yoyesera nthawi iliyonse kuchuluka kwa shuga m'magazi awo kumakhalakupitirira 300 mg / dl, ngati shuga zawo zakhala zikupitilira 230 mg / dl, kapena ngati sakupeza bwino ndipo ali ndi zizindikilo za ketoacidosis.