Izikhathi eziningi, kuphakama izimo lapho kuvela iphunga le-acetone ku-mellitus yesifo sikashukela. Ngaphezu kweqiniso lokuthi isibonakaliso esinjalo siletha ukungakhululeki okuthile, kungakhombisa nokuvela kwezinguquko ezithile ze-pathological emzimbeni.
Futhi lapho usinaka lesi simo ngokushesha futhi ususa imbangela yesimpawu, kulapho amathuba okuba uzokwazi ukugcina impilo futhi uvikele ukuwohloka okuthe xaxa.
Iphunga le-acetone livela isizathu, futhi libonisa ukuba khona kwezifo ezithile. Okungukuthi:
- umsebenzi wezinso ongonakalisiwe;
- izinkinga ngohlelo lwe-endocrine;
- ukungondleki;
- izinkinga zesibindi ezisobala.
Esimweni sokuqala, iphunga elingathandeki lingakhombisa ukuthi isiguli siqala i-nephrosis noma i-dystrophy yezinso. Lokhu kuxilongwa kuhambisana nokudumba okukhulu, ukuchama okunenkinga, nobuhlungu obukhulu obuphansi emuva.
Uma imbangela kungukusebenza kahle kohlelo lwe-endocrine, khona-ke izimpawu ezengeziwe zingabonakala njengokushaya kwenhliziyo okusheshayo. Imvamisa elungisiwe iye yakhuphuka ukungaphatheki kahle kwesiguli nokujuluka okukhulu.
Isizathu kungaba ukuntuleka kwama-carbohydrate emzimbeni. Ngenxa yalokhu, izidumbu ze-ketone ziqala ukuvela. Kulesi simo, i-acetone izovela umchamo. Lokhu kwephula kungenzeka ngenxa yesifo emzimbeni. Isizathu salokhu sithathwa njengokushintsha kokudla, ukubulawa yindlala okunzima nokudla okuhlukahlukene. Noma izifo ezihambisana nokuphazamiseka kwe-metabolic. Kungaleso sikhathi esedlule ukuthi isifo sikashukela singokwalabo.
Yini izici zesifo sikashukela?
Noma yimuphi umuntu ophethwe yilesi sifo uzovuma ukuthi lesi sifo sinezimpawu eziningi ezihlangana nezibonakaliso zezinye izifo.
Lokhu kungenxa yokuthi lesi sifo sithinta umzimba wonke. Kunomphumela oqondile ekusebenzeni kwesitho ngasinye futhi kushintsha ukwakheka kwengqamuzana ngalinye. Okokuqala, inqubo yokuthatha ushukela iyashintsha. Amaseli womzimba awayitholi le nto, lokhu kuba imbangela yezimpawu ezimbalwa. Ezinye zazo zibonisa njengephunga elingajabulisi. Kulokhu, iphunga lingaphuma ngomlomo, noma ngenye indlela.
Imvamisa, iphunga le-acetone kusifo sikashukela livela kulezi ziguli ezinenkinga yokuqala yesifo. Ngemuva kwakho konke, kungalesi sigaba lapho kuphazamiseka khona ama-metabolic. Abantu abaphethwe yisifo sikashukela se-degree yokuqala bavame ukuba nenkinga yokuthi inqubo yokuqhekeka kwamaprotheni namafutha emzimbeni yabo ithinteka kakhulu.
Ngenxa yalokhu, imizimba ye-ketone iqala ukwakha, eba imbangela yephunga elinamandla le-acetone. Le nto iphawuleka ngobuningi bomchamo nasegazini. Kodwa ukulungisa lokhu kungenzeka kuphela ngemuva kokuhlaziywa okufanele. Futhi kaningi, iziguli azinaki ukuthuthukiswa kwalesi sifo futhi zingagula zize zikhubazeke futhi zingalali embhedeni wesibhedlela.
Kungakho, lapho kuvela izimpawu zokuqala zephunga elibukhali le-acetone, kufanele uthintane nodokotela ngokushesha.
Ngemuva kokwenza ucwaningo olufanele, udokotela uzoqinisekisa noma aphike ukuba khona kwesifo sikashukela esigulini, futhi uma kuqinisekisiwe, kuzosungulwa isigaba saso.
Kungani kuvela iphunga elingathandeki?
Iphunga lomzimba likashukela liyashintsha ngenxa yokuthi inani lokugula lemizimba ye-ketone liyabonakala egazini. Lokhu kwenzeka lapho umzimba wesiguli ungangeni i-glucose ezingeni elifanele. Ngenxa yalokhu, amasignali athunyelwa ebuchosheni ukuthi ushukela emzimbeni uphansi kabuhlungu. Futhi kulezo zindawo lapho sisekhona, inqubo esheshayo yokuqongelela kwayo iyaqala.
Okungukuthi, lokhu kwenzeka kumaseli aqhekekile amanoni. Lesi simo singadala ukukhula kwesifo esinjenge-hyperglycemia ku-mellitus yesifo sikashukela, ngoba ngokuvamile kulesi sigaba sikashukela umzimba awukhiqizi ngokuzimela i-insulin ngokwanele, futhi ushukela usala egazini.
Ushukela omningi ngokweqile uholela ekwakhekeni kwezidumbu ze-ketone kuwo. Okuba yimbangela yephunga elibi elivela emzimbeni.
Imvamisa, leli phunga lomzimba lijwayelekile kwabanesifo sikashukela abahlushwa isifo sikashukela sohlobo 1. Yibona abanamazinga aphezulu kashukela kanye nokuphazamiseka okunamandla kwe-metabolic.
Kepha futhi iphunga le-acetone lingavela ku-mellitus yesifo sikashukela sohlobo lwesibili. Okwamanje into ukuthi kukhona uhlobo oluthile lobuhlungu noma ukutheleleka emzimbeni. Kepha konke okufanayo, kuzo zombili lezi zimo, imbangela yephunga yi-glucose ephezulu.
Uma lokhu kwenzeka, khona-ke kufanele ngokushesha ushayele i-ambulensi bese ufaka isiguli nge-insulin.
Ngabe iphunga le-acetone lilungile noma libi?
Uma umuntu eqala ukuzwa ukuthi unuka i-acetone, khona-ke kufanele uthintane nodokotela ngokushesha. Ngemuva kwakho konke, imbangela yalokhu kubonakaliswa kuthathwa njengokungasebenzi kahle kwezitho zangaphakathi, kanye nokuphazamiseka ezinqubweni ze-metabolic zomzimba.
Imbangela yokuqala yokuthi bekukhona umoya obukhali ophuma emlonyeni ukungasebenzi kahle kwamanyikwe. Okungukuthi, ukuthi ayakhiqizi i-insulin eyanele. Ngenxa yalokhu, ushukela uhlala egazini, futhi amangqamuzana azizwa engelutho.
Ingqondo nayo ithumela izibonakaliso ezifanele zokuthi kunokuntuleka okukhulu kwe-insulin neglucose. Yize eyokugcina inqwaba isala egazini.
Ngokomzimba, lesi simo sikhonjiswa yizimpawu ezinjengokuthi:
- ukwanda kwesifiso sokudla;
- isasasa eliqinile;
- umuzwa wokoma;
- ukujuluka
- ukuchama njalo.
Kepha ikakhulukazi umuntu uzizwa enamandla kakhulu yendlala. Lapho-ke ingqondo iyaqonda ukuthi kunensada kashukela egazini futhi inqubo yokwakheka kwalezi umzimba we-ketone okungenhla iqala, okuba yisizathu sokuthi isiguli siphunga i-acetone. Ziyi-analogue yezakhi zamandla, okuthi, esimweni esejwayelekile, ushukela uma ungena kumaseli. Kepha njengoba lokhu kungenzeki, amaseli azizwa eswele kakhulu izinto ezinjalo zamandla.
Ngamazwi alula, iphunga le-pungent le-acetone lingachazwa njengokukhuphuka okunamandla koshukela begazi. Kulokhu, udinga ukwenza imijovo eyengeziwe ye-insulin, kodwa kungcono ukubonana nodokotela ngokushesha.
Udokotela kuphela ongenza ukuhlolwa okugcwele futhi enze izinguquko ezidingekayo kumthamo we-insulin. Uma ukhulisa ngokuzimela umthamo womjovo, khona-ke ungadala ukukhula kwe-hypoglycemia, futhi kuvame ukuphela ngemiphumela eyingozi, njenge-glycemic coma.
Yini okufanele uyenze uma kunephunga le-acetone kushukela?
Njengoba sekuvele kucace kukho konke okushiwo ngenhla, uma umuntu ezwa iphunga elinamandla le-acetone kushukela, khona-ke kufanele abonane nodokotela ngokushesha.
Kuyiqiniso, iphunga elinjalo elingathandeki ngaso sonke isikhathi akuyona neze uphawu lwesifo sikashukela. Kukhona ezinye izifo ezithile ezibuye ziboniswe iphunga le-acetone. Kepha ukuthola imbangela yangempela kungenzeka kuphela ngemuva kokuhlolwa okugcwele. Lokhu kuyiqiniso ikakhulukazi uma kunephunga elivela emlonyeni.
Kunoma ikuphi, lapho umuntu evakashela udokotela ngokushesha, uzothola isifo bese enquma uhlobo lonyango.
Uma sikhuluma ngokuthe ngqo ngesifo sikashukela, khona-ke kuleli cala, iphunga le-acetone lingavela kokubili liphuma emlonyeni kanye nomchamo. Isizathu salokhu sithathwa njenge-ketoacidosis enamandla. Ngemuva kokuthi kufike ukoma, futhi kuvame ukuphela ngokufa.
Uma ubona ukuphefumula okubi kushukela, into yokuqala okudingeka uyenze ukuhlaziya umchamo we-acetone. Kungenziwa ekhaya. Kodwa-ke, kuphumelela ngokwengeziwe ukwenza ukuhlolwa esibhedlela. Ngemuva kwalokho umphumela uzoba olunembile ngokwengeziwe futhi uzokwazi ukuqala ukwelashwa okuphuthumayo.
Ukwelapha ngokwalo kuqukethe ukulungisa i-insulin nokuyisebenzisa njalo. Ikakhulu uma kukhulunywa ngeziguli zohlobo lokuqala.
Imvamisa, iphunga elisindayo le-acetone liyisibonakaliso sohlobo 1 sikashukela. Uma isiguli sihlushwa uhlobo lwesibili lwesifo, khona-ke lolu phawu lukhombisa ukuthi isifo sakhe sesidlulele esigabeni sokuqala. Ngemuva kwakho konke, kulezi ziguli kuphela i-pancreas ayakhiqizi i-insulin eyanele. Okungukuthi, ukuntuleka kwayo emzimbeni iba imbangela yokuqhuma kwephunga.
Kanye nemijovo ye-anulinue yemvelo ye-insulin, kufanele ulandele ukudla okuqinile futhi udle njalo njalo. Kepha uma kungekho simo lapho kufanele uqale ngokuthatha imijovo ye-insulin, udokotela kuphela ongakunikeza umthamo ofanele nohlobo lomjovo. Ngaphandle kwalokho, i-hypoglycemia ingaqala, nayo ivame ukuphela ngokufa. Ividiyo ekulesi sihloko ikhuluma ngezimbangela zokuhogela kwe-acetone kushukela.
