So woyɛ obi a wowɔ asikreyare? Anaasɛ obi a ɔwɔ asikreyare wɔ w’abusua anaa w’adamfo? Afei ebia woate asɛmfua 'ketones' no. Nanso dɛn ne saa ketones yi? Dɛn nti na ɛho hia saa ma obi a ɔwɔ asikreyare? Momma yɛnka eyi ho asɛm nnɛ wɔ ɔkwan a ɛyɛ mmerɛw a wubetumi ate ase so. Sɛ wuhu eyi yiye a, ebetumi aboa ma woagye wo nkwa.
Sɛ yɛbɛka no tiawa a, dɛn ne ketones?
Ketones yɛ acid bi a yɛn mmerɛbo no yɛ. Obiara yɛ ketones kakraa bi wɔ ne nipadua mu, sɛ́ ɔwɔ asikreyare anaasɛ onni bi no.
Enti ɔkwan bɛn so na saa nneɛma yi ba? Yɛn nipadua de asikre, anaa glucose, di dwuma sɛ wɔn ahoɔden fibea titiriw. Hormone bi a wɔfrɛ no insulin ho hia na ama glucose yi adan ahoɔden. Nanso, sɛ insulin nnɔɔso wɔ nipadua no mu a, nipadua no ntumi mfa glucose nni dwuma mfa nnya ahoɔden. Afei nipadua no hwehwɛ ahoɔden fibea foforo. Ɛno ne srade a wɔde asie yɛn nipadua mu no.
Sɛ nipadua no fi ase hyew srade de hwehwɛ ahoɔden a, wɔyɛ saa ketones yi sɛ ade a ɛka ho. Yɛfrɛ saa adeyɛ yi ketosis . Mpɛn pii no, eyi nyɛ ɔhaw mma obi a onni asikreyare. Nanso, wɔ obi a ɔwɔ asikreyare mu, titiriw sɛ insulin a wɔde di dwuma no hweree a, saa ketone dodow yi betumi akɔ soro a wontumi nni so. Sɛ ketones dodow a ɛwɔ mogya no mu no kɔ soro ma ɛyɛ hu a, ebetumi ama tebea a egye ntɛmpɛ a emu yɛ den yiye, a ɛde nkwa to asiane mu mpo a wɔfrɛ no Asikreyare Ketoacidosis (DKA) .
Henanom na ɛsɛ sɛ wɔyɛ ketone nhwehwɛmu?
Sɛ wowɔ asikreyare a, ɛho hia yiye sɛ wohwɛ ketone nhwehwɛmu.
- Nnipa a wɔwɔ Asikreyare a Ɛto so 1: Eyinom na asiane kɛse wom. Wɔ asikreyare a ɛto so 1 mu no, nipadua no mu tumi a ɛko tia nyarewa no sɛe nkwammoaa a ɛma insulin wɔ dwensɔtwaa no mu no. Sɛ insulin nni hɔ a, ɛnyɛ den sɛ asikre dodow ne ketone dodow a ɛwɔ mogya mu no bɛkɔ soro.
- Nnipa a wɔwɔ Asikreyare a Ɛto so Abien: Wobetumi nso anya ketone dodow a ɛkɔ soro, nanso ɛntaa nsi te sɛ asikreyare a ɛto so 1 no.
- Wɔn a wɔnom nsa pii: Nnipa a wɔnom nsa pii da biara na wonnidi anaa wɔnnom yiye no betumi anya tebea bi a wɔfrɛ no alcoholic ketoacidosis . Eyi nso yɛ tebea a egye ntɛmpɛ a egye ayaresa ntɛm ara.
Bere bɛn na ɛsɛ sɛ wosɔ ketones hwɛ?
Sɛ wowɔ asikreyare a, wo duruyɛfo bɛtaa tu wo fo sɛ hwɛ wo ketone dodow mu wɔ mmere a edidi so yi mu:
- Sɛ asikre dodow a ɛwɔ wo mogya mu boro 250 mg/dL nna abien a ɛtoatoa so a.
- Sɛ wunya yare bi te sɛ atiridiinini, atiridiinini, anaa opira a.
- Sɛ woreyɛ nhyehyɛe sɛ wobɛteɛteɛ w’apɔw mu na asikre dodow a ɛwɔ wo mogya mu boro 250 mg/dL saa bere no a.
- Sɛ wuntumi nnye insulin a wɔakyerɛw ama wo no a .
- Sɛ woanyinsɛn (titiriw sɛ wowɔ nyinsɛn mu asikreyare a).
- Sɛ wɔayɛ wo oprehyɛn a .
- Sɛ wuntumi nni biribiara a.
- Sɛ wode insulin pɔmpɛ di dwuma na egyae adwumayɛ a.
Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ ketone dodow kɔ soro?
Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi a, nyansa wom sɛ wobɛma wɔayɛ ketone nhwehwɛmu ntɛm ara. Ebia eyinom yɛ DKA ho sɛnkyerɛnne a edi kan.
| Nsɛnkyerɛnne a edi kan | Tebea bi a emu yɛ den ho sɛnkyerɛnne |
|---|---|
| Sukɔm a ɛboro so ne ano a ɛyɛ mmerɛw | Ɔbrɛ ne ɔbrɛ a ɛtra so |
| Nsu a wɔtaa tow | Akisikuru, ɔfe, ne yafunu mu akisikuru |
| Ahome a ɛyɛ nnuaba hua | Ɔhome a ɛyɛ den |
| Tipaeɛ | Wora a ɛyɛ kɔkɔɔ |
| Wora a ɛyɛ nwunu | Adwene a ɛyɛ basaa (adwene mu yare) . |
Ade a ɛho hia sen biara ne sɛ wobɛhwɛ wo ketone dodow nnɔnhwerew 4-6 biara sɛ wo mogya mu asikre dodow kɔ soro anaasɛ wote nka sɛ woyare a.
Wobɛyɛ dɛn ahwɛ ketone dodow?
Akwan titiriw abien wɔ hɔ a wobɛfa so asɔ wo ketone dodow ahwɛ, na wubetumi ayɛ abien no nyinaa wɔ fie.
1. Nsuo mu Nhwehwɛmu
Eyi ne ɔkwan a wɔtaa fa so na ne bo nyɛ den sen biara. Wubetumi atɔ nnuru a wɔde sɔ eyi hwɛ wɔ nnurutɔnbea.
- Fa nsu bi gu kuruwa a ɛho tew mu.
- Fa sɔhwɛ krataa no hyɛ mu.
- Wosow strip no kakra na twɛn bere a wɔakyerɛ wɔ akwankyerɛ no mu kosi sɛ ɛbɛsesa kɔla.
- Fa kɔla a ɛwɔ strip no toto kɔla nhyehyɛe a wo nsa kaa no ho na woahu wo ketone dodow.
2. Mogya mu Nhwehwɛmu
Saa kwan yi yɛ pɛpɛɛpɛ sen nsu mu nhwehwɛmu. Mogya mu glucose mita ahorow bi nso tumi sɔ ketones hwɛ.
- Hohoro wo nsa na ma ɛnyow yiye.
- Fa ketone sɔhwɛ krataa no hyɛ mita no mu.
- Twe wo nsateaa mu na fa mogya bi gu sɔhwɛ krataa no so.
- Kenkan nea efii mu bae a wɔada no adi wɔ mita no so no.
Mogya mu nhwehwɛmu ma wunya ketones dodow a ɛwɔ wo mogya mu saa bere no, enti ɛyɛ pɛpɛɛpɛ kɛse. Nanso sɔhwɛ nhama no bo yɛ den yiye. Bisa wo duruyɛfo no ɔkwan a eye ma wo.
Dɛn na me sɔhwɛ mu aba kyerɛ?
Ɛho hia paa sɛ wobɛte nea efi mu ba no ase.
| Sɔhwɛ su | Nsunsuansoɔ | Nea ɛsɛ sɛ wɔyɛ |
|---|---|---|
| Nsuo mu Nhwehwɛmu | ||
| Nsuo a wɔde gu mu | Ketones biara nni hɔ (Negative) . | Daa daa. |
| Trace / Ketekete | Ketones afi ase reyɛ. Nom nsu pii. Hwɛ bio wɔ nnɔnhwerew kakraa bi akyi. | |
| Kakra | Frɛ wo duruyɛfo ntɛm ara. | |
| Ɔsoro/Kɛse | Eyi yɛ asɛm a egye ntɛmpɛ! Kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. | |
| Mogya mu Nhwehwɛmu | ||
| Mogya | Ennu 0.6 mmol/L | Daa daa. |
| 0.6 - 1.5 mmol/L na ɛyɛ adwuma | Kakraa bi a ɛboro so. Di wo duruyɛfo akwankyerɛ akyi. Hwɛ bio. | |
| 1.6 - 2.9 mmol/L na ɛyɛ adwuma | Asiane wɔ hɔ sɛ obi benya DKA. Frɛ wo duruyɛfo ntɛm ara. | |
| Sɛ ɛboro 3.0 mmol/L | Asiane kɛse paa. Kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. | |
Ɔkwan bɛn so na wɔbɛtew ketone dodow so?
Sɛ wo ketone dodow kɔ soro kakra a, nneɛma kakraa bi wɔ hɔ a wubetumi ayɛ. Nanso kae sɛ, nea ɛho hia sen biara ne sɛ wubedi nhyehyɛe a wo duruyɛfo de ama wo no akyi.
- Nom nsu pii: Eyi boa ma ketones fi nipadua no mu.
- Hwɛ asikre a ɛwɔ mogya mu mpɛn pii: Hwɛ nnɔnhwerew 3-4 biara.
- Mma nteɛteɛ w’apɔw mu: Sɛ asikre a ɛwɔ wo mogya mu ne ketones nyinaa dɔɔso a, apɔw-mu-teɛteɛ betumi ama tebea no asɛe kɛse.
- Hwehwɛ afotu fi wo duruyɛfo hɔ: Bisa wo duruyɛfo no insulin dodow a wuhia ne nnuan a ɛsɛ sɛ wudi de sa ketone dodow a ɛkɔ soro no ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Ketones yɛ kɔkɔbɔ sɛnkyerɛnne a ɛho hia ma nnipa a wɔwɔ asikreyare, titiriw asikreyare a ɛto so 1.
- Ketones a ɛdɔɔso dodo wɔ mogya mu no betumi ama tebea a egye ntɛmpɛ a ɛde nkwa to asiane mu a wɔfrɛ no DKA (Diabetic Ketoacidosis) aba .
- Sɔ ketones hwɛ bere biara a asikre dodow a ɛwɔ wo mogya mu boro 250 mg/dL, bere a wowɔ yare bi, anaa bere biara a wo duruyɛfo bɛtu wo fo no.
- Hwɛ sɛnea yare no ho sɛnkyerɛnne te sɛ nnuaba hua a ɛba wo home so, sukɔm a ɛboro so, ne adwene a ɛyɛ basaa.
- Sɛ wo ketone dodow yɛ nea ɛkɔ fam anaasɛ ɛkɔ soro a , ntwentwɛn wo nan ase na frɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU).
- Bere nyinaa wo ne wo duruyɛfo nkasa mfa sɛnea wobɛhwɛ wo ketone dodow so na woayɛ nhyehyɛe a emu da hɔ.
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