I kekahi manawa, manaʻo iki mākou i ka ʻala e puka mai ana mai ko mākou waha. He mea maʻamau ia. Hiki ke hana ia ke ʻai ʻoe i nā mea ʻala e like me nā ʻakaʻakai a me ke kālika, a i ʻole ke palaki pono ʻole ʻoe i kou mau niho. Eia nō naʻe, inā ʻala hua kou hanu, e like me ka mea wehe pena kui, a laila ʻaʻole ia he mea maʻamau. He hōʻailona paha kēia o kahi pilikia olakino koʻikoʻi. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.
No ke aha i honi ai koʻu hanu e like me ka acetone?
I ka ʻōlelo maʻalahi, inā ʻala kou hanu e like me kēia, ʻo ia hoʻi ke kiʻekiʻe nei nā pae kemika i kapa ʻia he ketones i kou koko. Mai makaʻu i ka huaʻōlelo "ketones." E mālama kākou i ka maʻalahi.
Pono nā ʻāpana o ko kākou kino i ka ikehu e hana ai. Loaʻa kēia ikehu mai ke kō i kapa ʻia ʻo glucose i loko o ka meaʻai a kākou e ʻai ai. Ua like ia me ka ʻaila no ke kaʻa. Eia naʻe, inā no kekahi kumu ʻaʻole hiki i ko kākou mau ʻāpana ke hoʻohana i kēia glucose, loaʻa i ke kino kahi koho ʻē aʻe. ʻO ia ke puhi ʻana i ka momona i mālama ʻia i loko o ke kino e hana i ka ikehu .
E noʻonoʻo e like me ka hoʻāʻo ʻana e holo i kahi kaʻa me kahi mea e like me ke kerosene ke pau ka ʻaila. Holo ke kaʻa, akā ʻaʻole maikaʻi no ka ʻenekini a uahi ia. Pēlā nō, ke puhi ke kino i ka momona, hoʻohui ʻia kēia mau waikawa i kapa ʻia he ketones i ke koko ma ke ʻano he huahana ʻaoʻao. Ke piʻi nui kēia mau pae ketone, hoʻomaka kou hanu e honi e like me ka acetone a i ʻole ka hua.
He aha ka pilina ma waena o ka maʻi diabetes a me ka hanu acetone?
ʻO kēia kūlana i kapa ʻia ʻo ka hanu acetone e pili nui ana me ka maʻi diabetes mellitus, ʻoi aku hoʻi i ka poʻe me ka maʻi diabetes type 1 .
ʻO ka maʻi diabetes kahi kūlana kahi e piʻi ai ka pae o ka glucose (sugar) i loko o ke koko ma luna o ka pae maʻamau. ʻO ka maʻamau, ʻo ka hormone insulin, i hana ʻia e kā mākou pancreas, hana ia e like me ke kī e wehe ai i ka puka e ʻae i ka glucose i loko o kā mākou mau cell. I ke kanaka me ka maʻi diabetes, hana ke kino i ka insulin liʻiliʻi a ʻaʻohe paha. A i ʻole, ʻaʻole hiki i ke kino ke hoʻohana pono i ka insulin āna e hana ai.
No laila, he aha ka mea e hana ai ke ʻole ʻoe he insulin? ʻAʻole hiki i ka glucose ke komo i loko o nā cell. Hōʻiliʻili wale ia i loko o ke koko. Akā, ʻaʻohe ikehu o nā cell. E like me ka kuke ʻana ma ka home.Me he mea lā ua laka ʻia ka puka o ka lumi kuke ke piha, a pono ka ʻohana e pōloli.
ʻO kēia ka manawa e hoʻomaka ai ke kino e puhi i ka momona no ka ikehu, e like me ka mea i ʻōlelo ʻia ma mua. A laila piʻi nui ka pae o nā ketones i loko o ke koko. Kāhea mākou i kēia maʻi ʻo Diabetic Ketoacidosis (DKA) . He pilikia olakino koʻikoʻi loa kēia a hoʻoweliweli i ke ola.
ʻO kekahi o nā hōʻailona nui a mua loa o DKA ʻo ia ka hanu ʻala hua. ʻO kēia kekahi o nā hōʻailona mua a nā kauka e nānā ai i ka wā e kānalua ai lākou iā DKA.
He aha nā hōʻailona ʻē aʻe o DKA?
Ma waho aʻe o ka hanu acetone, aia kekahi mau hōʻailona ʻē aʻe o DKA. Hiki ke ʻike koke ʻia kēia mau mea, i kekahi manawa i loko o 24 mau hola. ʻO ia paha kekahi o nā hōʻailona mua a kekahi i ʻike hou ʻia me ka maʻi diabetes.
| Hōʻailona | He aha ke ʻano o kēia? |
|---|---|
| Ka makewai nui a me ka mimi pinepine | Hoʻāʻo ke kino e hoʻokuʻu i ke kō keu i loko o ke koko ma o nā puʻupaʻa i loko o ka mimi. I ka manawa like, ua hoʻokuʻu ʻia ka nui o ka wai mai ke kino aku, e hoʻoulu ai i ka make wai nui. |
| Ka luaʻi a me ka luaʻi | ʻO ka nui o nā ketones i loko o ke koko e hiki ke alakaʻi i ka nausea, ka luaʻi ʻana, a me ka ʻeha o ka ʻōpū. |
| Luhi a me ka nāwaliwali | Ua luhi loa ke kino a ua nāwaliwali hoʻi no ka mea, ʻaʻole i loaʻa i nā ʻāpana ka ikehu (glucose) a lākou e pono ai. |
| Paʻakikī ka hanu ʻana | Ke piʻi ka ʻakika o ke koko (ma muli o nā ketones), hoʻāʻo ke kino e kaohi iā ia ma ka hanu wikiwiki ʻana a me ka hoʻokuʻu ʻana i ke kalapona ʻokikene. |
| Ka huikau | Hoʻopilikia kēia kūlana i ka hana o ka lolo, hiki ke alakaʻi i ka emi ʻana o ka makaʻala a me ka huikau. |
| Ka emi koke ʻana o ke kaumaha | Ma muli o ke puhi ʻana o ke kino i ka momona no ka ikehu, hiki ke hōʻemi koke ʻia ke kaumaha (ʻoi aku hoʻi i ka maʻi diabetes type 1 i ʻike hou ʻia). |
Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?
He ʻāpana koʻikoʻi loa kēia.
- Inā he maʻi diabetes ʻoe a ʻala kou hanu e like me ka acetone, ʻo ka mea mua, e hahai pono i ka hoʻolālā lapaʻau a kāu kauka i hāʻawi ai iā ʻoe. ʻO ia hoʻi ka lawe ʻana i nā inikini insulin a me nā lāʻau lapaʻau i ka manawa kūpono.
- Inā ʻoe e hahai pololei ana i ka lāʻau lapaʻau, akā he haʻahaʻa a kiʻekiʻe paha kou mau pae ketone (i ana ʻia me nā ʻāpana hoʻāʻo), e kāhea koke aku i kāu kauka.
- ʻOiai inā ʻaʻohe ou maʻi diabetes, inā he mau hopohopo kou e pili ana i kēia ʻala acetone mau, e ʻike pono i ke kauka.
He pilikia olakino ʻo DKA. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, e hele koke i ka ʻoihana pilikia o ka haukapila (ETU).
* Inā loaʻa iā ʻoe ma mua o hoʻokahi o nā hōʻailona DKA i ʻōlelo ʻia ma luna.
* Inā ʻaʻole hiki iā ʻoe ke hoʻokaʻaʻike aku i kāu kauka.
* Inā ʻoi aku ke kiʻekiʻe o kou pae kō koko ma mua o 300 mg/dL.
E ʻoluʻolu, mai hoʻomāmā i kēia kūlana. Hiki i ka lāʻau lapaʻau koke ke hoʻopakele i ke ola.
Aia kekahi mau kumu ʻē aʻe o ka hanu acetone ma waho aʻe o ka maʻi diabetes?
ʻAe. ʻOiai ʻo ka maʻi diabetes ke kumu nui, hiki ke loaʻa kēia maʻi ma muli o kekahi mau kumu ʻē aʻe.
| Kumu | Wehewehena |
|---|---|
| ʻAi Keto a me ka hoʻokē ʻai | He ʻai momona kiʻekiʻe ka ʻai keto, he ʻai haʻahaʻa loa ia i ka carbohydrate, a he meaʻai momona haʻahaʻa loa ia. Hoʻoikaika ia i ke kino e puhi i ka momona no ka ikehu. Hana pū kēia i ka wā e hoʻokē ʻai ai ʻoe no ka manawa lōʻihi. Hiki i kēia ke hoʻonui i nā pae ketone i loko o ke koko, a hiki ke hoʻoulu i kahi ʻala hua ma kou hanu. |
| Ketoacidosis ʻona | Hiki i nā Ketones ke lilo i mea weliweli loa i loko o ke koko o ka poʻe e inu nui ana i ka waiʻona, ʻaʻole ʻai pono, a luaʻi. He maʻi koʻikoʻi loa kēia. Hiki ke huikau ʻia nā hōʻailona e like me ka luaʻi a me ka ʻeha o ka ʻōpū me nā maʻi ʻē aʻe. Akā he mea nui ka mālama koke ʻana. |
Leka Lawe-Home
- Inā ʻala kou hanu e like me ka hua a i ʻole ka mea wehe pena kui (hanu acetone), mai hoʻowahāwahā iā ia me he hanu ʻino maʻamau.
- He hōʻailona ikaika kēia no ka diabetic ketoacidosis (DKA), kahi pilikia koʻikoʻi o ka maʻi diabetes.
- Inā loaʻa iā ʻoe ka maʻi diabetes a hele pū kēia hanu ʻino me nā hōʻailona ʻē aʻe e like me ka makewai nui, ka mimi pinepine, ka luaʻi, a me ka luhi nui, e hele koke i ka Emergency Department (ETU) o ka haukapila.
- Ma waho aʻe o ka maʻi diabetes, hiki i ka ʻai keto a i ʻole ka inu nui ʻana i ka waiʻona ke kumu, akā me ka nānā ʻole i ke kumu, he mea nui e nīnau i kāu kauka no ka ʻōlelo aʻo .
- He leka koʻikoʻi kēia hōʻailona mai kou kino a i ʻole ke kino o kāu mea aloha. E hoʻolohe iā ia.
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