Ukuhlolwa kwe-blood ketone kusetshenziswa abantu abanesifo sikashukela kanye nabantu abadla ngokudla okune-ketogenic. Ungahlola umchamo wakho noma igazi lakho ngamathononi. Kodwa ngoba ukuhlolwa komchamo akuyona into enembile, i-American Diabetes Association incoma ukuhlolwa kwegazi nge-ketone meter njengendlela ekhethwayo.
Uma unesifo sikashukela, kufanele uxoxe ngokuhlola i-blood ketone ne-udokotela wakho ukuze ufunde ukuthi kunconywa yini kuwe futhi uma kufanele uhlole.
Ukuhlolwa kwe-ketone kubaluleke kakhulu phakathi nezikhathi zokugula .
Ama-Blood Ketone Amamitha Wokuhlola Ekhaya
Uzodinga imitha ye-ketone yegazi kanye nekiti elifaka ipeni le-lancet ne-ketone test test. Lezi zimitha nazo zizofunda izingxenyeni zokuhlola i-blood glucose, futhi bobabili bazokhipha imiphumela yabo kukhompyutha yakho. Amanye ama-brand namamodeli angatholakala, kufaka phakathi:
- I-Xtra Precision: Le mitha evela ku-Abbott Diabetes Care ingakwazi ukugcina izilinganiso ezingu-450 futhi izobonisa isilinganiso sakho segazi se-glucose ngezikhathi ezihlukene. Udinga ukungena ikhodi ukushintsha ukuhlola kwe-glucose kuya ekuhloleni kwe-ketone. Abasebenzisi babonakala bejabule nge-Brand Precision, futhi abacwaningi bakuthola ukuthi kunembile kakhulu. Imichilo idinga 1.5 microliters yegazi. Ibuye ibonise ukubukwa kwe-backlit.
- I-Nova Max Plus: Le mitha esuka ku-Nova Biomedical ivame ukuhlinzekwa mahhala ngokuthenga amabhokisi amabili wezinhlamvu zokuhlola. Awudingi ukungena ikhodi ukuyiguqula kusuka kwegazi glucose kuya ekuhloleni i-ketone; yenza lokho ngokuzenzekelayo uma ufaka umugqa wokuhlola we-ketone. Uma usebenzisa ngokuyinhloko i-glucose yegazi, kuzokukhumbuza ukuthi uhlole amathononi uma izinga lakho lokushukela ngegazi lingu-250 mg / dL noma ngaphezulu. Isivivinyo sithatha i-Nova Max ayabiza kakhulu kodwa futhi i-flimsier futhi inika imilayezo eminingi yephutha, idinga ukubuyiselwa kabusha. Imichilo idinga igazi elingaphansi kunezingqimba zokuqagela, kuphela ama-microliters angu-0.3 kuphela.
Izindlela zokuhlola ze-Ketone
Kumele uthenge amathrekhi wokuhlola we-ketone njengoba amathrekhi wokuhlolwa kwe-glucose ngeke ahlole amathoni. Uzodinga futhi ukusebenzisa igazi kusuka kutholakale kalula kunendawo ehlukile. Imichilo ingaba yingxenye ebiza kakhulu yokuhlolwa, ikakhulukazi uma ingahlanganiswa nomshuwalense wakho.
Landela lawa macebiso kanye nezinyathelo zokuqapha lapho uthenga ama-test strips:
- Qinisekisa ukuthi uthole amathrekhi okuhlola afanele emitha elungile (ayinakushintshaniswa).
- Qaphela izinsuku zokuphelelwa yisikhathi emaphethweni, kokubili uma uthola ukuthenga kwakho nalapho uhlola igazi lakho. Imichilo ephelelwe yisikhathi ngeke inikeze imiphumela enembile.
- I-FDA ixwayisa ngokungahambisani nemichilo yokuhlolwa yangaphambili, njengoba ungase ubone ku-eBay. Nakuba kungase kube ngokomthetho, usengozini yokuthola umkhiqizo ongazange ugcinwe kahle futhi ungaphelelwa yisikhathi.
- I-FDA ixwayisa ngokuthenga imikhawulo engazange isuswe yi-FDA ukudayiswa e-United States.
Indlela Yokuhlola Igazi Lakho Nge Ketoni
- Layisha inaliti emkhombeni we-lancet ngokusho kwikhombandlela yephakheji.
- Geza izandla zakho ngensipho bese uyomisa kahle.
- Susa umdwebo wokuhlola kusuka emaphaketheni bese uyifaka emitha.
- Beka ipeni le-lancet ngakwesokunene sakho bese ucindezela inkinobho.
- Ngenisa ngomunwe umunwe wakho ukuze uthole ukwehla kwegazi. Uzodinga ukudonsa okukhulu ukuze ulayishe kahle umdwebo. Emva kokukwenza izikhathi ezimbili noma ezintathu, uzothola umuzwa wokuthi ungadinga igazi elingakanani. Ngomitha ocacile, udinga ukudonsa okukhulu kwegazi kunezinye izikhathi uma uhlola i-glucose yegazi (ngisho nokusebenzisa imitha efanayo).
- Thinta ukuphela kwesigcawu sokuhlola kuze kube phansi kwegazi kuze kube yilapho egcwalisa ukuvulwa okuncane futhi imitha ibhalisa.
- Lindela imitha ukukunika ukufunda (imizuzwana embalwa nje).
- Qopha imiphumela yakho.
Ukuhlolwa kwe-Ketone ku-Diabetes
Abantu abane-diabetes bahlola amathononi ukuze babheke izimpawu ze-ketoacidosis. Ucwaningo luye lwabona ukuthi ukuqapha kwe-blood ketone kuphumelela ekunciphiseni ukuvakashelwa kwamagumbi okuphuthumayo kanye nezibhedlela. Liphinde ithuthukise isikhathi sokuthola abantu abathuthukisa i-ketoacidosis yesifo sikashukela. Uma unesifo sikashukela, kufanele uhlole amathononi uma:
- Ishukela lakho legazi lingaphezu kwama-250.
- Uyagula.
- Unezibonakaliso zokuphelelwa amandla kwamanzi.
- Ukwanda kwe-ketone yegazi kungaba uphawu lokuthi ushukela wegazi lakho liye lahla kakhulu ebusuku.
Funda ukuthi ungayifunda kanjani imiphumela yakho ye-ketone yegazi bese uxoxisana nodokotela wakho ukuthi yiliphi izinga okudingeka ulibize lona, elizoxhomeka ezintweni ezihlukile. Lezi ziqondiso jikelele:
- Izinga le-0.6 mmol / L lifika ku-1.0 mmol / L libhekwa njengejwayelekile kubantu abaningi abanesifo sikashukela.
- Izinga phakathi kuka-1.0 no-1.5 mmol / L ngokuvamile libhekwa njengento obiza ngayo udokotela wakho.
- Izinga eliphakathi kuka-1.5 no-3.0 mmol / L likhombisa ingozi ye-ketoacidosis. Kufanele ushayele udokotela wakho ngokushesha.
- Izinga elingaphezulu kuka-3.0 mmol / L yisidingo esiphuthumayo sezokwelapha. Udinga ukuya ekamelweni eliphuthumayo noma ushayele u-911.
Ukuhlolwa kwe-Ketone ngezidlo ze-Ketogenic
Uma une-glucose ejwayelekile yegazi, ama-ketone akho egazi angase abe ngaphezulu kakhulu ekuseni emva kokudla kwakho ebusuku. Kodwa-ke, abantu abaningi babika ukuthi amaketoni abo aphakama ngokuhamba kwesikhathi. Uma ufuna ukulandelela i-ketones yegazi ngosuku nosuku, ukhetha isikhathi esisodwa sosuku futhi uzinamathele kuso kuzokunikeza ukufaniswa okuhamba phambili. Ezinye izinto ngaphandle kokudla okuvamile okungabangela ukushintshashintsha kuhlanganisa ukuzivocavoca nokudla amafutha ane-chain triglycerides, njengamafutha kakhukhunathi noma amafutha e-MCT. Futhi-ke, ukudla okuthile (ngokuvamile ephezulu ku-carbs) okukukhukhumeza ngaphandle kwe-ketose kuzokwenza ukuthi izinga lakho le-ketone liyeke.
Indlela Yokuchaza Imiphumela Yezidlo ze-Ketogenic
Uma ungumuntu omusha kokudla okunomtholampilo futhi unomgomo we-ketosis yokudla okunomsoco (ngokuvamile ochazwe phakathi kuka-0.5 no-3 mmol / L), wazi ukuthi kungathatha amaviki amabili kuya kwamane ukuze ahlale njalo kulolu hlu. Ngokuvamile kuthatha inani elifanele lokumisa ukuze uthole ukuthi yini ongayikwazi futhi ongakwazi ukuyidla, ngisho nabantu abanobugebengu be-carb ephansi.
Imitha ye-ketone yasungulwa ukuze ixwayise abantu abane-diabetes abancike kwisifo sikashukela ezibonakalweni ze-ketoacidosis eyingozi yesifo sikashukela. Kodwa-ke, uma ungenayo isifo sikashukela futhi usekudla okune-ketogenic, uyayisebenzisa ngesizathu esihlukile ngokuphelele. Kulesi simo, amathononi aphakeme akuwona uphawu lwegazi eliphakeme, asibangelwa ukuphazamiseka kwamaprotheni, futhi akuyona into enobuthi. Ukuze uthole ukwaziswa okuningiliziwe mayelana nezindlela zokudla okunomsoco, hlola izincwadi zikaJeff Volek noStephen Phinney: "Ubuciko Nezesayensi Zokuphila Eziphansi Zama-Carbohydrate" nethi "Ubuciko Nezesayensi Zokusebenza Okuphansi Kwe-Carbohydrate."
Izwi elivela
Uma unesifo sikashukela, ukuthatha amazinga e-ketone wakho kunganciphisa ingozi yakho yokuhlala esibhedlela kanye nezinkinga zesifo sikashukela ezifana ne-ketoacidosis. Xoxa nge-ketone ekhaya ukuhlolwa nodokotela wakho. Uma ungenayo isifo sikashukela, ungase ungajwayele ukuhlola ukuhlolwa kwegazi ekhaya futhi uzodinga ukufunda ukuthi ungayenza kanjani kahle. Lapho uthenga imitha ye-ketone evunyelwe i-FDA, ihlehlela ekukhethweni komuntu ngamunye futhi oyitholayo kulula ukuyisebenzisa. Hlala ulandela izikhombisi-ndlela ngokucophelela uphinde uphinde uhlole uma ucabanga ukuthi wenze iphutha, njengoba lizophazamisa imiphumela.
> Imithombo:
> Klocker A, Phelan J, Twigg S, Craig M. Blood β-Hydroxybutyrate Ukuhlolwa kwe-Urine Acetoacetate Yokuvimbela Nokuphathwa Kwe-Ketoacidosis ku-Type 1 Isifo Sikashukela: Ukubuyekezwa Okuhlelekile. Imithi yesifo sikashukela . 2013. 30 (7): 818-24.
> Misra S, Oliver N. Ukusetshenziswa kohlelo lwe-Ketone ekuvimbeleni, ukuxilongwa nokuphathwa kwesifo sikashukela se-Ketoacidosis. Imithi yesifo sikashukela . 2015. 32 (1): 14-23.
> Paoli, A et al. Ngaphandle kokulahlekelwa kwesisindo: ukubuyekezwa kokusetshenziswa kokwelapha kokudla okuncane kakhulu kwe-carbohydrate (ketogenic). I-European Journal ye-Clinical Nutrition. May 2014; I-Epub ngaphambi kokuphrinta. doi: 10.1038 / ejcn.2013.116
> I-Volek JS, i-Phinney SD, i-Kossoff E, i-Eberstein JA, i-Moore J. Ubuciko Nezesayensi Ye-Carbohydrate Ephansi Ukuphila: Umhlahlandlela Wama-Expert wokwenza Izinzuzo Zokulondoloza Ukuphila Kwemikhakhadidididiyithi Inomsoco futhi Inenjabulo . I-Lexington, KY: Ngaphandle Kokukhuluphala; 2011.
> I-Volek JS, amaFinney S. I-Art kanye neSayensi Ye-Performance Low Carbohydrate . I-Lexington, KY. Beyond Obesity LLC. 2012.