Ketosis vs. ketoacidosis: Enzanisa zvikonzero, zviratidzo, kurapwa & nezvimwe

Dzidzo yehutano

Ketosis uye ketoacidosis mamiriro maviri anogona kuve nyore kuvhiringidza kana iwe usingazive kuti misiyano yavo ndeipi. Ketosis inzvimbo yemetabolism iyo muviri unopinda mairi kana isina glycogen yakakwana kubva kumahydrohydrate kupisa simba. Ketoacidosis kusangana kweshuga (kazhinji Type 1) inokonzeresa kuti muviri uburitse rakawandisa ropa acid. Ngatitorei zvakadzama kutarisa musiyano uripo pakati pe ketosis uye ketoacidosis.

Zvinokonzera

Ketosis

Ketosis inzvimbo yakasikwa iyo muviri unopinda mairi painoshandisa mafuta panzvimbo yemakabohaidhiretsi esimba. Kana muviri uchipisa mafuta pachinzvimbo chemakabohydrate chiropa chinoshandura mafuta kuita ketoni, kana miviri ye ketone, iyo inopinda muropa uye inoshanda sosi yesimba remasero. Chero chero ketoni dzakawandisa dzisingashandiswe nemaseru dzinosiya muviri kuburikidza neitsvo uye weti. Ketosis inoitika kana mumwe munhu achitsanya, achitevera kudya kwakaderera-makabhohaidhiretsi, kana kutevera chikafu cheketogenic.

Ketoacidosis

Ketoacidosis, kana chirwere cheshuga ketoacidosis (DKA), mamiriro akakomba anogona kutungamira kuchirwere cheshuga coma uye inogona kutyisidzira hupenyu. Inonyanya kubata vanhu vane Type 1 diabetes, asi inogona zvakare kubata vanhu vane Type 2 diabetes. Ketoacidosis inoitika kana ketone uye mashuga eropa akakwira zvine njodzi. Kune vanhu vane chirwere cheshuga, ketoacidosis inowanzo kukonzerwa nekushaya insulin yakakwana, nekudaro kutenderera shuga hakugone kushandiswa nemuviri kuti uwane simba. Inogona kukonzerwa nekusatevera chirongwa cheshuga manejimendi nenzira kwayo, kubva pakurwara kana kutapukirwa senge urineti, kana kubva pakubata.

Ketosis vs. ketoacidosis inokonzera
Ketosis	Ketoacidosis
Kudya kwakaderera-carb Keto kudya Kutsanya Kutsanya kwenguva pfupi	Hazvina kukwana insulin Insulin maitiro Urwere Utachiona Kubata Kushaikwa kweiyo insulin Kwete kutevera chirongwa cheshuga chekurapa chirwere cheshuga Doro kana kushandisa zvinodhaka Kushungurudzika mumuviri kana mupfungwa

Kuwanda

Ketosis

Kuyera kuwanda kwe ketosis kunonetsa nekuti zvakaoma kuteedzera kuti vanhu vangani vari kutsanya kana pane yakaderera-carb kudya chero nguva. Pakave nekumwe kutsvagurudza kwakaitwa nezvekuti zvinobudirira sei ketogenic uye yakaderera-carb kudya kuri kwekudzikira uremu. Vamwe zvidzidzo inoratidza kuti ketogenic yekudya inogona kubatsira zvakanyanya pakurasikirwa nehuremu pane kudya kwakaderera-mafuta, uye vanhu vanganzwa kushaya nzara pane ketogenic yekudya. Imwe fundo na Pfari & Maitiro yakaratidza kuti chikafu che ketogenic chine mukana wakakura wekubatsira kurapa pfari.

Ketoacidosis

Ketoacidosis inguva yakajairika kusangana kweType 1 chirwere cheshuga. Ndiyo chinokonzera kukonzera rufu mune vanhu vadiki pane makumi maviri nemana vane chirwere cheshuga uye vanogona kunge varipo 25% -30% yeachangobva kuongororwa Type 1 chirwere cheshuga. Chero ani zvake anogona kuwana chirwere cheshuga ketoacidosis, asi zvinogona kuve zvakajairika pakati pevane makore makumi matatu kana vadiki. Makumi matatu nezvitanhatu muzana ezviitiko zvinoitika pakati pevanhu 30 kana vadiki, 27% pakati pevanhu 30-50, uye 23% pakati pevanhu 51-70 . Vamwe zvidzidzo kuratidza kuti zvakare kwakanyanya kuwanda pakati pevakadzi nevarwere vanorapwa nemajekiseni e insulin.

Ketosis vs. ketoacidosis kuwanda
Ketosis	Ketoacidosis
Zvakaoma kutaura chaizvo kuti vangani vanhu vangave vari mune mamiriro ketosis Mamiriro e ketosis anogona kubatsira pakurasikirwa nehuremu Ketogenic kudya kunogona kubatsira kurapa pfari	Chikonzero chakakosha cherufu muvanhu makumi maviri nemana uye vadiki vane chirwere cheshuga Ipo mu25% -30% yeachangobva kuongororwa Type 1 chirwere cheshuga Zvimwe zvinowanzoitika pakati pevakuru vakuru Zvimwe zvakajairika muvakadzi

Zviratidzo

Ketosis

Vanhu vazhinji vanomhanyisa-mhanya kana kuenda pane yakaderera-carb, kudya kwakakora-mafuta kuyedza uye kurasikirwa nehuremu, uye kunyangwe kuve munzvimbo yeketosis kungave nekumwe kubatsirwa kwehutano sekurema kwekurema, kunogona kukonzera kusagadzikana mhedzisiro . Ketosis inogona kukonzera kusvotwa, kuneta, dzungu, kutemwa nemusoro, kana kushaya hope. Izvo zvenguva refu zvehutano zvinokonzerwa neketogenic kudya hazvizivikanwe.

Ketoacidosis

Kuziva zviratidzo zve ketoacidosis kwakakosha kwazvo kune vanhu vane chirwere cheshuga. Kugona kuziva kana iwe kana munhu waunoda uchipinda ketoacidosis kunogona kuponesa hupenyu. Kana iwe uine chirwere cheshuga uye ukatanga kuona kuneta, kuvhiringidzika, kurwadziwa mumimba, kurutsa, nyota yakanyanya, mweya unonhuwirira muchero, kana kuita weti kakawanda, unofanirwa kutsvaga kurapwa nekukurumidza.

Ketosis vs. ketoacidosis zviratidzo
Ketosis	Ketoacidosis
Nausea Kuneta Kuonda Kufema kwakaipa Dzungu Kutemwa nemusoro Kusarara Simba shoma rekurovedza muviri Kuderedza kudya	Yakakwira ropa glucose mazinga Yakakwira mazinga emaketoni mune weti Kuneta Kuvhiringidzika Muromo wakaoma Kakawanda weti Kuva nenyota Kupfuura Kufema kunhuwa-kunhuwa Marwadzo emudumbu Nausea Kukurumidza kufema

Kuongorora

Ketosis

Kuongorora ketosis kunowanzoitwa pamwe nekuyedza weti kana kuongororwa kweropa. Iyi bvunzo inogona kukuudza iwe yako eropa-ketone mazinga ari uye uye kana muviri wako uri mune yakasikwa mamiriro ketosis. Weti miedzo iri nyore kuita kumba uye inochinja mavara zvichienderana nekuti mangani ketoni ari mune yako weti. Mazinga eKetone akaenzana kana asingasviki 0.5 mmol / L anoonekwa seakaderera kana akajairwa. Matanho eKetone ari pakati pe0.5-3 mmol / L anoratidza kuti muviri uri mune ketosis yekudya.

Ketoacidosis

Vanhu vane chirwere cheshuga vanogona kuziva kana vasina ketoacidosis nekuyera ketone mazinga avo kumba nemuedzo weti. Vanogona zvakare kuita kuti chiremba aongorore ketone yeropa kuti aongorore mwero wavo weketone. Zvinoenderana ne American Academy yeMhuri Varapi , kuongororwa kwechirwere cheshuga ketoacidosis kunoda kuwanda kweglucose kuti ive 250 mg nedL kana yepamusoro, pamwe nePH mwero uri pasi pe7.3 uye bicarbonate level 18 mEq / L kana zvishoma. Weti weti iyo inoverengwa> 10 mmol / L zvinoreva kuti une njodzi yakanyanya yekuenda kuchirwere cheshuga ketoacidosis, uye kana bvunzo yako ikaratidza izvi unofanirwa kutsvaga kurapwa nekukasira.

Ketosis vs. ketoacidosis kuongororwa
Ketosis	Ketoacidosis
Urine ketone mazinga <0.5 mmol/L = low/normal 0.5-3 mmol / L = chikafu ketosis > 10 mmol / L = chirwere cheshuga ketoacidosis Ropa ketone mazinga <0.5 mmol/L = low/normal 0.5 mmol / L = kutanga ketosis 3 mmol / L = chirwere cheshuga ketoacidosis	Urine ketone mazinga <0.5 mmol/L = low/normal > 10 mmol / L = chirwere cheshuga ketoacidosis Ropa ketone mazinga <0.6 mmol/L = normal 0.6-1.5 mmol / L = kutanga ketosis > 3 mmol / L = chirwere cheshuga ketoacidosis

Kurapa

Ketosis

Vazhinji vanhu vane ketosis havadi kurapwa nekuti ndechimwe chezvinhu zvemuviri zvakasikwa. Kana iwe uchingogara uchiteedzera yakaderera-carb chikafu uye uchidzidzira zvenguva yekutsanya, kumisa izvi kunodzoreredza chero yakaipa mhedzisiro iwe yaungave uri kusangana nayo. Kuwedzera kudya kwako kwecarb uye kudya mafuta mashoma kunoita kuti muviri upise makabhohaidhiretsi panzvimbo pemafuta emafuta, uye muviri unoburitsa ketoni shoma.

Ketoacidosis

Vanhu vane ketoacidosis vachatoda kurapwa kuti vadzore zvakachengeteka mashuga eropa uye huwandu hwemaketoni mumuviri. Ketoacidosis inorapwa muchipatara nevanoona nezvekurapa vanozopa intravenous fluids, intravenous nutrient kutsiva yakarasika electrolyte, uye / kana intravenous insulin.

Ketosis vs. ketoacidosis kurapwa
Ketosis	Ketoacidosis
Kuitirwa kumba Kuwedzera mamwe makabhohaidhiretsi mune chikafu Kumisa kutsanya kwekumira Kumisa iyo ketogenic kudya Kudya mashoma mafuta tichienzanisa nemakabohydrate	Kuchengetwa muchipatara Inopinza insulin kurapwa Inopinza mvura Kupinza zvinovaka muviri

Njodzi zvinhu

Ketosis

Vamwe vanhu vane njodzi yakakwira yekuona ketosis kupfuura vamwe. Heano epamusoro njodzi njodzi dze ketosis:

• Kuva pane chikafu chinorambidza
• Kuva pane yakaderera-carb chikafu
• Kuva nedambudziko rekudya

Ketoacidosis

Zvinhu zvinotevera zvinogona kuwedzera njodzi yekuvandudza ketoacidosis:

• Nyora 1 chirwere cheshuga, kunyanya avo vane chirwere cheshuga chisingawanikwe
• Chirwere chemoyo
• Kubata
• Zvirwere
• Kurwara kwakakosha kana kushungurudzika
• Zvinodhaka uye / kana kunwisa doro
• Kushaya kana kusatora nenzira kwayo insulin doses

Ketosis vs. ketoacidosis njodzi zvinhu
Ketosis	Ketoacidosis
Kudya kunodzivirira Kudya kwakaderera-carb Kudya kusagadzikana	Tora 1 chirwere cheshuga Chirwere chemoyo Kubata Utachiona Kurwara kana kushungurudzika Doro kana kushandisa zvinodhaka Kwete kutevera zvirongwa zvekurapa chirwere cheshuga nemazvo

Kudzivirira

Ketosis

Nzira yakanakisa yekudzivirira ketosis ndeyekudya chikafu chakaringana chine huwandu hwakakwana hwe makabhohaidhiretsi, mafuta, uye mapuroteni. Izvi zvinoita kuti muviri usavimba nemafuta sosi sosi. Pane gakava rakawanda pamusoro pekuti chikafu chakakodzera chinofanirwa kuve chii, asi zvakawanda zvinyorwa bvumirana ndeimwe iyo ine michero mitsva nemiriwo zvakasiyana siyana uye izvo zvakaderera muzvikafu zvakagadziriswa.

Ketoacidosis

Kudzivirira ketoacidosis kunosanganisira kuita zvinhu zvakati wandei nguva nenguva. Vanhu vane chirwere cheshuga vanogona kudzikisira mikana yavo yekuwana chirwere cheshuga ketoacidosis kana vakatevera chirongwa chavo cheshuga chekurapa chirwere chavakapihwa nemubatsiri wavo wehutano, vanotora insulin yavo sekurudzirwa, tarisa huwandu hweshuga yeropa nguva zhinji, uye tarisa kuvapo kwemaketani mumurini yavo kana ropa ravo shuga mazinga akakwirira.

Nzira yekudzivirira ketosis vs. ketoacidosis zvinokonzera
Ketosis	Ketoacidosis
Kuchengeta chikafu chakaringana chine ma carbohydrate, mapuroteni, uye mafuta Kudzivisa kutsanya kana kupindira kwekutsanya	Kutevera chirongwa chako cheshuga chekurapa chirwere cheshuga Kutora insulin yako sezvakakurudzirwa Kuongorora huwandu hweropa reropa nguva dzose Kutarisa ketoni mumuti wako

Nguva yekuona chiremba kune ketosis kana ketoacidosis

Nekuti ketosis haisi yehutano mamiriro asi echisikigo metabolic mamiriro emuviri, hazvidi kurapwa. Ndipo apo mwero weketone unowedzera zvakanyanya uye shuga dzeropa dzinokwira apo vanhu vanofanira kuona mupi wezvehutano. Kana iwe uine chirwere cheshuga uye ropa rako kana ketone mazinga akakwirira uye achikwira, kana kana iwe usinganzwe mushe kunyangwe hazvo shuga rako reropa uye ketone zviyero zvakajairika, iwe unofanirwa kutsvaga zano rekurapa nekukurumidza sezvazvinogona.

Inowanzo bvunzwa mibvunzo nezve ketosis uye ketoacidosis

Ndeapi mamwe ematambudziko anogona kukonzerwa neketoacidosis?

Kutsvaga kurapwa kwe ketoacidosis nekukurumidza sezvinobvira kwakakosha nekuti kana ikasarapwa kunogona kukonzera mamwe matambudziko ehutano uye inogona kuuraya. Ketoacidosis yave ichizivikanwa nekukonzera kuzvimba muuropi (cerebral edema), mvura inoyerera kupinda mumapapu (pulmonary edema), kukuvara kweitsvo, komasi, potasiamu mazinga, uye zvinogona kutouraya.

Kune vanhu vane Type 2 cheshuga yakachengeteka kubva mukuwana ketoacidosis?

Kunyangwe hazvo vanhu vane Type 2 chirwere cheshuga vari kashoma kuwana ketoacidosis pane vanhu vane Type 1 diabetes, chero munhu ane chirwere cheshuga anogona kuwana mamiriro acho. Ichi chikonzero nei kutevera chirongwa cheshuga chekurapa chirwere cheshuga kuchikosha.

Iwe kangani iwe unofanirwa kutarisa ako ketone mazinga?

Vanhu vane insulin-vanovimba neshuga vanofanira kuongorora avo ketone mazinga nemabhande ekuyedza chero nguva mashuga eropa ravo aripamusoro pe 300 mg / dl, kana mashuga avo eshuga akave akapfuura pamusoro pe230 mg / dl, kana kana vasina kugadzikana uye vaine chero zviratidzo zve ketoacidosis.