He aha nā ketones? He mea weliweli anei lākou inā e hoʻonui ʻia i loko o kou kino?

Ua lohe paha ʻoe i nā ketones? Malia paha mai ke kauka mai, a i ʻole he hoaaloha, a inā he kanaka ʻoe i loaʻa i ka Diabetes Mellitus, pono ʻoe e ʻike i kēia. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano maoli o kēia mau ketones, he maikaʻi a he maikaʻi ʻole paha no ko mākou kino, a he aha ka mea e hana ʻia inā e hoʻonui ʻia lākou, ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo. ʻAʻohe mea e makaʻu ai, e hoʻomaopopo pono kākou i nā mea āpau.

He aha maoli nā ketones?

I ka ʻōlelo maʻalahi, ʻo nā ketones kahi ʻano waikawa a kou kino e hana ai. Hana ʻia lākou ke hoʻohana kou kino i ka momona ma kahi o ka glucose no ka ikehu. E noʻonoʻo e pili ana i ia mea, pono ko mākou kino i ka ikehu e hana ai. Loaʻa kēia ikehu mai ka glucose mai. ʻO ka glucose kahi ʻano kō. Loaʻa i ko mākou kino kēia glucose mai nā meaʻai a mākou e ʻai ai i loaʻa nā kalapona, no ka laʻana, ka laiki, ka berena, a me ka ʻuala.

I kēia manawa, inā no kekahi kumu ʻaʻole hiki i kou kino ke loaʻa ka glucose lawa no ka ikehu, he aha kāna hana? Hele ia i ke koho ʻelua. ʻO ia hoʻi, puhi ia i ka momona i mālama ʻia i loko o ke kino e hana i ka ikehu. Ke puhi ʻoe i ka momona e like me kēia, hana ʻia nā kino ketone ma ke ʻano he huahana ʻaoʻao. Hōʻiliʻili kēia mau ketones i loko o ke koko, hele i loko o ke kino, a hāʻawi i ka ikehu i nā ʻiʻo like ʻole. Ma hope o kēlā, hoʻokuʻu ʻia nā ketones i koe i loko o kou mimi.

ʻO ka maʻamau, ʻaʻole pilikia ka loaʻa ʻana o kekahi mau ketones i loko o kou koko, ʻaʻole hoʻi he mea weliweli. ʻO kēia no ka mea he mea maʻamau i ko mākou kino ke hoʻohana i ka momona no ka ikehu i ka wā e pono ai.

Eia nō naʻe, inā piʻi nui ka nui o nā ketones, hiki ke lilo i mea weliweli. Lilo kou koko i ʻakika a ʻawahia. Ua kapa ʻia kēia ʻano he ketoacidosis. Inā loaʻa iā ʻoe ka maʻi diabetes, hiki iā ʻoe ke loaʻa i kahi ʻano i kapa ʻia ʻo Diabetic Ketoacidosis (DKA), i hoʻoulu ʻia e ka piʻi ʻana o nā ketones. Hiki i kēia ke hoʻoweliweli i ke ola inā ʻaʻole mālama pono ʻia. No laila he mea nui loa ka makaʻala i kēia.

He aha ka hana a nā ketones i loko o ko mākou kino?

E like me ka mea i ʻōlelo ʻia ma mua, ʻo nā ketones kahi ʻano ikehu e hāʻawi i ka ikehu i ka lolo a me ke kino ke loaʻa ʻole, haʻahaʻa, a i ʻole loaʻa ʻole ke kumu ikehu nui o ko mākou kino, ʻo ka glucose. E noʻonoʻo i nā ketones ma ke ʻano he "lako mana kākoʻo" o kou kino. Hoʻomaka lākou i ka wā e ʻoki ʻia ai ke kaula nui.

ʻO ka maʻamau, hoʻokumu ʻia ka glucose mai ka meaʻai a mākou e ʻai ai, a me ke kōkua o ka hormone insulin, komo ia i loko o nā ʻāpana a hana i ka ikehu, a mālama ʻia no ka hoʻohana ma hope.

Eia nō naʻe, inā ʻaʻole ʻoe e ʻai i nā kalapona lawa, e komo kou kino i kahi kūlana i kapa ʻia ʻo ketosis. Ma kēia kūlana, puhi ke kino i ka momona no ka ikehu, a hoʻokuʻu ʻia nā ketones. Hāʻawi kēia mau ketones i ka ikehu i nā cell a me nā ʻiʻo a kōkua i ke kino e hana. He hana maʻamau ka Ketosis. Eia kekahi laʻana:

• ʻOiai ʻoe e hiamoe ana.
• Ke hoʻokē ʻai ʻoe.
• Ke hoʻoikaika kino ʻoe.
• Ke ʻai ʻoe i ka papaʻai keto.

E kamaʻilio iki kākou e pili ana i ka Keto Diet.

Hoʻemi ka poʻe ma ka papaʻai keto i kā lākou mau kalapona a ʻai i nā meaʻai momona. ʻO kēia ke kumu o ko lākou kino e puhi i ka momona hou aku. Aia paha kekahi mau pono olakino i ka hoʻokō ʻana i ketosis ma kēia ʻano, akā e loli ia ma muli o kou kūlana olakino. No laila, pono ʻoe e kamaʻilio me ke kauka ma mua o ka hoʻomaka ʻana i ia ʻano papaʻai. No ka mea, he mea ia e hoʻololi nui ai i ke kino, ʻaʻole kūpono ia no nā mea āpau. Eia kekahi, he papaʻai kaupalena loa ka papaʻai keto, no laila hiki ke paʻakikī ke hahai no ka manawa lōʻihi.

Ma hea kahi i hana ʻia ai nā ketones?

He hana ketosis e hana ʻia i loko o kou ake . Hana ke ake i nā ketones a hoʻokuʻu iā lākou i loko o ke kahe koko. A laila hele kēia mau ketones ma o ke kahe koko e hāʻawi i ka ikehu ma ke kino holoʻokoʻa. Ke pau lākou, hoʻokuʻu ʻia lākou i loko o ka mimi.

He aha nā kūlana olakino e hiki ke pili me nā ketones?

He mea nui loa ka hoʻomaopopo ʻana i nā ketones a me ka nānā ʻana i kāu mau pae ketone inā loaʻa iā ʻoe ka maʻi diabetes, ʻoiai ke ʻano maʻi diabetes type 1. ʻO ka maʻi diabetes type 1 kahi kūlana i hiki ʻole ai i kou kino ke hana i ka insulin, kahi hormone e kōkua i kou kino e hoʻohana i ka glucose no ka ikehu.

Ke loaʻa nā pilikia me ka insulin, hiki i kou pae kō koko ke kiʻekiʻe loa (hyperglycemia), a hiki i nā ketones ke hōʻiliʻili i loko o kou koko. ʻO kēia ke kumu o ka diabetic ketoacidosis (DKA). ʻO ka DKA ka mea maʻamau i ka poʻe me ka maʻi diabetes type 1, akā hiki nō hoʻi ke loaʻa i ka poʻe me ka maʻi diabetes type 2.

Eia kekahi, ʻo ka poʻe me ka maʻi hoʻohana waiʻona e pilikia ana i kahi maʻi i kapa ʻia ʻo ketoacidosis alcoholic. ʻO ka poʻe e inu nui ana, ʻoiai ka poʻe e inu mau ana a luaʻi, a ʻaʻole ʻai pono, hiki ke loaʻa i nā pae ketone kiʻekiʻe loa. E like me DKA, he pilikia olakino kēia e pono ai ka mālama koke ʻana.

He aha nā hōʻailona o ke kiʻekiʻe o nā ketones?

Inā loaʻa iā ʻoe ka maʻi diabetes a loaʻa iā ʻoe nā hōʻailona ma lalo nei, e kāhea koke aku i kāu kauka , a i ʻole e hele i kahi lumi pilikia (ETU) .

ʻO nā hōʻailona mua e like me nā hōʻailona o ke kō koko kiʻekiʻe (hyperglycemia):

• Ka mimi pinepine ʻana.
• Makewai loa.
• Waha maloʻo a me ka make wai.
• ʻIli maloʻo.
• ʻEha poʻo.

Inā ʻaʻole mālama ʻia, hiki i ka DKA ke lilo koke i mea koʻikoʻi (i loko o 24 mau hola a i ʻole ka liʻiliʻi). ʻO nā hōʻailona o ka DKA koʻikoʻi:

• Ka luaʻi a me ka luaʻi.
• Luhi nui loa ʻaʻole e emi iho ma hope o ka hoʻomaha ʻana.
• ʻeha ka ʻōpū.
• Pōkole o ka hanu.
• Ka huikau.
• He ʻala hua i ka hanu (i kekahi manawa i kapa ʻia ʻo "keto breath").

Pehea ʻoe e nānā ai i nā pae ketone? He aha nā hoʻokolohua i loaʻa?

Loaʻa nā pahu hoʻāʻo e nānā i nā pae ketone ma nā hale kūʻai lāʻau lapaʻau a i ʻole hiki ke kauoha ʻia ma ka pūnaewele. Inā pilikia ʻoe no DKA, e nīnau i kāu kauka i ka hoʻāʻo maikaʻi loa no kou olakino. He manaʻo maikaʻi e loaʻa kahi pahu hoʻāʻo ma ka lima i hiki iā ʻoe ke hana koke inā ʻike ʻoe i nā hōʻailona o DKA.

Nā hoʻāʻo koko

Hiki iā ʻoe ke kiʻi i kahi hoʻāʻo koko ma ke keʻena o ke kauka, a i ʻole hiki iā ʻoe ke kūʻai i kahi pahu hana hiki iā ʻoe ke hoʻohana ma ka home. ʻO ka maʻamau, ʻo ia ke hou ʻana i kou manamana lima me kahi nila liʻiliʻi e loaʻa ai kahi kulu koko. Hoʻokomo ʻia ia ma kahi kaha hoʻāʻo a heluhelu ʻia ma ka mika. Hōʻike ka pale o ka mika i kāu mau pae ketone o kēia manawa.

Hiki i kekahi mau glucometers ke ana i ke kō koko a me nā pae ketone. Inā loaʻa iā ʻoe kekahi, ʻaʻole pono ʻoe e lawe i kahi hoʻāʻo ʻokoʻa.

Nā hoʻāʻo mimi

ʻO ka maʻamau, pili ka hoʻāʻo mimi i kahi ʻāpana hoʻāʻo. Mimi ʻoe i loko o kahi pahu, hoʻokomo i ke ʻāpana i loko, a kali a lilo i kala. Loaʻa i nā hoʻāʻo mimi kahi pakuhi kala e hōʻike ana i nā pae like ʻole. Hoʻohālikelike ʻoe i ke kala o kāu ʻāpana hoʻāʻo i ka pakuhi kala.

ʻAʻole e like me ka hoʻāʻo koko, ʻaʻole hiki i ka hoʻāʻo mimi ke haʻi pololei iā ʻoe i ke ʻano o kou mau pae ketone i kēia manawa . Eia nō naʻe, hiki iā ia ke haʻi iā ʻoe i ke ʻano o kou mau pae ketone i nā hola i hala iho nei .

Nā hoʻokolohua hanu

Hoʻohana kekahi poʻe ma ka papaʻai keto i nā mīkini hanu lima e nānā i ko lākou pae ketone. Hiki i kēia mau mīkini hanu ke ʻike i kahi ʻano ketone i kapa ʻia ʻo acetone. Akā he mea hou kēia ʻenehana. Pono nā kānaka noiʻi e aʻo hou i kēia ma mua o ka hiki ke manaʻo ʻia he mau hoʻokolohua hilinaʻi a pololei hoʻi.

ʻAʻole pono e hilinaʻi ka poʻe i pilikia i ka DKA i kahi breathalyzer e nānā i ko lākou pae ketone.

He aha ka manaʻo o nā hopena o nā hoʻāʻo ketone?

ʻO ka ʻike ʻana i kou mau pae ketone e hiki ke kōkua iā ʻoe e ʻike inā he pilikia ʻoe no DKA a inā pono ʻoe e hana koke i kahi hana e hoʻohaʻahaʻa i kou mau pae ketone. Hiki ke ʻokoʻa nā pae Ketone ma muli o ka hoʻāʻo āu e hana ai. Eia kekahi, ʻo ka mea i manaʻo ʻia he maʻamau a kiʻekiʻe paha nā pae ketone hiki ke ʻokoʻa mai kēlā kanaka a i kēia kanaka.

Hāʻawi ka papa ma lalo nei i kahi alakaʻi laulā i ke ʻano o kou mau pae ketone koko e pili ana i kou pilikia o DKA, a me nā hana āu e hana ai. (E ʻike i kāu kauka no nā ʻōlelo aʻoaʻo kikoʻī e pili ana i kēia.)

• ʻOi aku ka liʻiliʻi ma mua o 0.6 mmol/L: He pae maʻamau kēia.
• 0.6 a 1.5 mmol/L: Kiʻekiʻe iki kou pae ketone. E hahai i nā ʻōlelo a kāu kauka. E noi paha lākou iā ʻoe e hoʻāʻo hou i loko o kekahi mau hola.
• Mai 1.6 a i 2.9 mmol/L:Kiʻekiʻe kou pae ketone. Aia paha ʻoe i ka pilikia no DKA. E kāhea koke i kāu kauka .
• 3.0 mmol/L a ʻoi aku paha: Kiʻekiʻe loa kou mau pae ketone. Pono ʻoe i ke kōkua lapaʻau koke. E hele koke i ka haukapila.

I ka manawa hea e pono ai ʻoe e nānā i kāu pae ketone?

Inā loaʻa iā ʻoe ka maʻi diabetes, e aʻo aku kāu kauka iā ʻoe i ka manawa a me ka pinepine e nānā ai i kāu mau pae ketone. E haʻi aku lākou iā ʻoe e nānā i kēia mau manawa:

• Ke loaʻa iā ʻoe nā hōʻailona o DKA.
• ʻOiai i kou maʻi ʻana a i ʻeha paha.
• Inā ua hala ʻoe i hoʻokahi a ʻoi aku paha mau inikini insulin.
• Inā ʻoi aku ke kiʻekiʻe o kou pae kō koko ma mua o 240 mg/dl (milligrams/deciliter).
• Inā hāpai ʻoe. (Hiki ke paʻakikī iki ka mālama ʻana i nā pae insulin i ka wā hāpai. Inā loaʻa iā ʻoe ka maʻi diabetes, pono ʻoe e makaʻala loa e pili ana i kāu insulin a me nā pae ketone i ka wā hāpai.)

He aha ka mea e hana inā piʻi aʻe nā pae ketone?

E like me ka mea i ʻōlelo ʻia ma mua, inā kiʻekiʻe nā pae ketone, hiki i kou koko ke lilo i waikawa loa a me ka ʻawahia. ʻO kēia ka mea e hana ʻia i ka ketoacidosis. ʻO ka diabetic ketoacidosis (DKA) ke ʻano maʻamau o ka ketoacidosis.

He aha nā lāʻau lapaʻau no ka hoʻonui ʻia ʻana o nā pae ketone?

Aia ka lāʻau lapaʻau i ke kiʻekiʻe o kou mau pae ketone. E alakaʻi kāu kauka iā ʻoe ma o nā ʻanuʻu hiki iā ʻoe ke hana ma ka home e hoʻohaʻahaʻa i kou mau pae ma mua o ko lākou lilo ʻana i kiʻekiʻe loa. Hiki iā lākou ke aʻo iā ʻoe e hana i nā mea e like me:

• ʻO ka nui o ka insulin e lawe ai.
• ʻO ka nui o ka meaʻai e ʻai ai a me ka wai e inu ai (a me ke ʻano o ka meaʻai).
• Pae hana palekana.
• ʻEhia mau manawa e pono ai iaʻu e nānā i koʻu kō koko a me nā pae ketone?
• I ka nui o ke kō koko a me nā ketone e pono ai ʻoe e ʻike i ke kauka (a i ʻole e hele i ka ER)?

ʻO ka mālama ʻana ma ka haukapila e komo pū ana me ka hāʻawi ʻana i nā wai IV a me ka insulin e hoʻohaʻahaʻa i kāu mau pae ketone.

Pehea e mālama ai i nā pae ketone i kahi pae palekana?

Inā manaʻo ʻoe he kiʻekiʻe kou pilikia no DKA, e hana pū me kāu kauka e hana i nā hana e pale aku ai.

• E mālama i kahi hana maʻamau i kēlā me kēia lā e kōkua iā ʻoe e kāohi i kāu mau pae ketone. E komo i kahi hana maʻamau e mālama ai i kou mau pae kō koko i loko o kahi pae palekana a me nā pae insulin i kaohi. E hōʻemi kēia i kou pilikia o nā ketones kiʻekiʻe. E kamaʻilio me kāu kauka maʻi diabetes e hoʻoholo i ka mea palekana.
• Inā ʻoe e hoʻohana i kahi pamu insulin, e kamaʻilio me kāu hui mālama maʻi diabetes e pili ana i ke ʻano o ka pale ʻana iā DKA. ʻO ka hoʻomaopopo ʻana i ke ʻano o ka hāʻawi ʻana o kāu pamu i ka insulin, pehea e ʻike ai i kahi hana hewa o ka pamu, a me ka loaʻa ʻana o kahi hoʻolālā ulia pōpilikia hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o DKA i ka wā e hoʻohana ai i kahi pamu insulin.
• E ʻike i kou mau pae (a me ka wā e hoʻāʻo ai).E ʻike i kāu mau pae ketone maʻamau a me ka wā e pono ai ʻoe e hana i nā hana e hoʻohaʻahaʻa iā lākou. E kamaʻilio me kāu kauka e pili ana i ka wā e pono ai ʻoe e hoʻāʻo no nā ketones (no ka laʻana, inā he ʻeha a maʻi paha kou).
• E mākaukau. E mālama i kahi pahu hoʻāʻo ketone inā loaʻa iā ʻoe nā hōʻailona o DKA. E hana pū me kāu kauka e hana i kahi hoʻolālā no ka mea e hana ai inā kiʻekiʻe loa kāu mau ketones. He mea nui e ʻike i ka wā e kāhea aku ai i kāu kauka a me ka wā e hele koke ai i ka ER.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻO ka hapa nui o ka manawa, he kōkua leo ʻole nā ​​ketones ke hiki ʻole i ko mākou kino ke loaʻa ka ikehu lawa mai ka glucose. Eia nō naʻe, inā kiʻekiʻe kou pae ketone a loaʻa iā ʻoe kahi maʻi e like me ka Type 1 Diabetes, pono ʻoe e hopohopo nui e pili ana iā lākou. E kamaʻilio me kāu kauka e pili ana i ka mea e hana ai inā kiʻekiʻe kou pae ketone. E hana i kahi hoʻolālā e mālama i kāu mau ketones i kahi pae palekana e pale aku i nā pilikia e like me DKA. Aia kou olakino ma kou mau lima!

ʻO nā Ketones, ka maʻi diabetes, ketoacidosis, DKA, ke kō koko, ka ikehu, ka puhi ʻana i ka momona