Ua lohe paha ʻoe i ka huaʻōlelo 'Ketones'? Malia paha he maʻi diabetes kou, a inā paha he kanaka ʻoe e hahai ana i ka 'Keto diet' kaulana loa i kēia mau lā, lohe pinepine paha ʻoe i kēia huaʻōlelo. He aha kēia mau ketones? No ke aha lākou e puka mai ai me kā mākou mimi? He mea maʻamau kēia, a i ʻole he mea ia e hopohopo ai kākou? E ʻike pono kākou i ke ʻano o kēia mau mea a pau i kēia lā.
I ka ʻōlelo maʻalahi, he aha nā ketones?
E noʻonoʻo i ko kākou kino e like me ke kaʻa. ʻO ka wahie nui no kēia kaʻa e holo ai, ʻo ia ka 'Glucose', ʻo ia hoʻi ke kō. Loaʻa i ko kākou kino kēia glucose mai nā meaʻai a kākou e ʻai ai me nā kalapona, e like me ka laiki, ka berena, a me ka ʻuala.
Akā, he aha ka mea e hana ai inā no kekahi kumu ʻaʻole hiki i ke kino ke hoʻohana i kēia wahie glucose? E like me ke kaʻa e hoʻololi ai i ka waihona ke pau ka ʻaila, e hoʻololi ko mākou kino i kahi kumu wahie ʻelua. ʻO ia hoʻi, ka momona i mālama ʻia i loko o ke kino .
No laila, ke hoʻomaka ke kino e puhi i ka momona no ka ikehu, ʻo nā kemika i hana ʻia ma ke ʻano he huahana o kēlā kaʻina hana ua kapa ʻia ʻo ketones . He ʻano waikawa maoli lākou. E like me nā huahana ʻōpala ʻē aʻe i hana ʻia e ke kino, haʻalele kēia mau ketones i ke kino i loko o kā mākou mimi (pee). I kekahi manawa hiki ke loaʻa iā lākou i loko o ke koko. ʻO ke alo o nā ketones i loko o ka mimi ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo 'ketonuria'.
ʻO ka mea nui, he mea maʻamau ka loaʻa ʻana o kahi liʻiliʻi loa (ka nui liʻiliʻi) o nā ketones i loko o kou mimi. He mea maʻamau ka hana ʻana i nā liʻiliʻi o nā ketones i ka wā e hiamoe ana, e hoʻokē ʻai ana, a i ʻole ma ka papaʻai haʻahaʻa-carb no ka mea hoʻohana ko mākou kino i ka momona ma kēia ʻano.
Akā ʻo ka pilikia ke kiʻekiʻe loa kēia mau ketones. A laila hiki iā lākou ke lilo i mea ʻawahia i ko mākou kino. ʻO kēia ke kumu o ko mākou koko e lilo i ʻakika loa. Kāhea mākou i kēia ʻano weliweli ʻo ketoacidosis . Hoʻopilikia nui kēia i ka poʻe me ka maʻi diabetes, a ua kapa ʻia ʻo Diabetic Ketoacidosis (DKA) . He pilikia olakino kēia e hiki ke hoʻoweliweli i ke ola .
Pehea e ana ai i nā pae ketone i loko o ka mimi?
ʻElua mau ala nui e nānā ai i nā ketones i loko o ka mimi.
| ʻAno hoʻāʻo | Pehea e hana ai |
|---|---|
| Nā hoʻokolohua ma ka home | Hiki iā ʻoe ke kūʻai i nā ʻāpana hoʻāʻo ketone ma kahi hale kūʻai lāʻau lapaʻau. Lawe ʻoe i kahi liʻiliʻi o ka mimi i loko o kahi pahu maʻemaʻe, e hoʻoluʻu i ke kaha i loko, a waiho no kekahi manawa. A laila loli ke kala. Hiki iā ʻoe ke hoʻohālikelike i ka pakuhi kala ma ka pahu e ʻike ai inā he "maikaʻi ʻole," "trace," "liʻiliʻi," "moderate," a i ʻole "nui" kou pae ketone. Hoʻohana pinepine ʻia kēia mau mea e ka poʻe me ka maʻi diabetes a me ka poʻe ma ka ʻai keto. |
| Nā hoʻokolohua lapaʻau | Hiki i ke kauka ke ana i nā pae ketone me kahi urinalysis maʻalahi. Eia nō naʻe, inā kānalua ʻia ka ketoacidosis, e kauoha pinepine ke kauka i kahi hoʻāʻo ketone koko . ʻOi aku ka pololei o kēia ma mua o ka hoʻāʻo mimi no ka mea hōʻike ka hoʻāʻo koko i ka pae pololei o nā ketones i loko o ke kino i kēlā manawa. |
No ke aha e ʻike ʻia ai nā ketones i loko o kā mākou mimi?
E like me kā mākou i kūkākūkā ai ma mua, hana ʻia nā ketones i kēlā me kēia manawa e koi ʻia ai ko mākou kino e puhi i ka momona no ka ikehu. Aia kekahi mau kumu nui no kēia:
- Maʻi diabetes: ʻAʻole lawa ka insulin i hana ʻia e ke kanaka me ka maʻi diabetes, a i ʻole ʻaʻole hana pono ka insulin a lākou e hana ai. Me ka ʻole o ka insulin, ʻaʻole hiki i ka glucose ke komo i loko o nā ʻāpana. Hoʻonui kēia i ke kiʻekiʻe o ke kō koko. Eia kekahi, hoʻomaka ke kino e puhi i ka momona no ka mea ʻaʻohe ala ʻē aʻe e loaʻa ai ka ikehu. Inā haʻahaʻa nā pae insulin, hiki i nā ketones ke hōʻiliʻili nui, e alakaʻi ana i kahi maʻi weliweli i kapa ʻia ʻo diabetic ketoacidosis (DKA) .
- Ka inu ʻona nui ʻana: Ke inu nui ʻoe i ka waiʻona no ka manawa lōʻihi, ʻaʻole hiki i kou kino ke omo pono i nā meaʻai a mālama i ka glucose (e like me ka glycogen). Hiki i kēia ke hana i kou kino e puhi i ka momona, e alakaʻi ana i kahi kūlana weliweli i kapa ʻia ʻo ketoacidosis pili i ka waiʻona .
- Hāpai keiki: Hiki i ka maʻi diabetes gestational ke hana i nā ketones i loko o ka mimi. Ma waho aʻe o kēlā, hiki ke loaʻa nā ketones i ka wā hāpai ma muli o nā kumu ʻē aʻe i ʻōlelo ʻia ma kēia ʻatikala.
- Ka luaʻi lōʻihi a i ʻole ka maʻi pākī: Ke hoʻomau ʻoe i ka luaʻi a i ʻole ka maʻi pākī, ua pau nā waihona glucose o kou kino, a hoʻomaka kou kino e puhi i ka momona no ka ikehu.
- Nā maʻi ʻai a me ka hoʻokē ʻai: ʻO nā maʻi ʻai e like me ka anorexia a i ʻole ka hoʻokē ʻai lōʻihi e hiki ai i ke kino ke loaʻa ʻole i nā kalapona lawa a hoʻonui i ka hana ketone.
- Hoʻoikaika kino ikaika a lōʻihi: I ka wā o ka hoʻoikaika kino ikaika loa a lōʻihi, ke hoʻopau loa ʻia ke kōpaʻa (glycogen) i mālama ʻia o ke kino, hoʻomaka ke kino e puhi i ka momona no ka ikehu.
Hiki i kekahi kanaka me ka ʻole o ka maʻi diabetes ke loaʻa nā ketones i loko o ko lākou mimi?
ʻAe, hiki nō. He mea maʻamau no ke kanaka me ka ʻole o ka maʻi diabetes ke loaʻa kahi pae "trace" a "liʻiliʻi" paha o nā ketones i loko o kā lākou mimi. Hiki ke hana ʻia kēia i ka wā o ka hoʻāʻo mimi ke ala mākou i ke kakahiaka a hele wāwae.
Akā inā ʻaʻohe ou maʻi diabetes a hōʻike kāu hoʻāʻo mimi i nā pae ketone waena a nui paha, mai hoʻowahāwahā iā ia. He hōʻailona paha ia o ka maʻi diabetes i ʻike ʻole ʻia a i ʻole kekahi maʻi koʻikoʻi ʻē aʻe. I kēlā hihia, e ʻike koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
He aha nā pae ketone a me ko lākou mau hōʻailona?
ʻOkoʻa nā hōʻailona ma muli o ka nui o nā ketones i loko o ka mimi. E hoʻomaopopo pono kākou i kēia.
| Kūlana | Nā hōʻailona maʻamau |
|---|---|
| Ketosis (ʻO ka maʻamau, haʻahaʻa nā pae ketone) | ʻAʻole kēia he kūlana weliweli maʻamau. Hiki i ka poʻe ma ka papaʻai keto ke ʻike i kēia mau hōʻailona.
|
| Ketoacidosis (Kiʻekiʻe o nā ketones - pono ke kōkua lapaʻau koke! ) | Nā hōʻailona mua:
Nā hōʻailona koʻikoʻi ma hope:
|
Inā ʻoe a i ʻole kekahi āu i ʻike ai, ʻoiai kekahi me ka maʻi diabetes, loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona koʻikoʻi o ka ketoacidosis , e lawe koke iā lākou i ka Emergency Department (ETU) o ka haukapila kokoke loa.
He aha ka pae ketone weliweli no kekahi kanaka me ka maʻi diabetes?
No kekahi kanaka me ka maʻi diabetes, ʻo kekahi pae ketone ma luna o nā pae "trace" hiki ke lilo i hōʻailona hōʻailona.
- Pae "Liʻiliʻi": Hōʻike kēia ua piʻi aʻe kou pilikia o ka hoʻomohala ʻana i ka ketoacidosis. Inā ʻoi aku kou pae kō koko ma mua o 250 mg/dL, e kāhea i kāu kauka maʻi diabetes no ka ʻōlelo aʻo.
- Pae "Waena" a i ʻole "Nui": Hōʻike kēia he kiʻekiʻe loa kou pilikia o ka hoʻomohala ʻana i ka ketoacidosis. E hele koke i ka haukapila no ke kōkua lapaʻau.
ʻOiai ʻaʻole ʻino nā ketones i nā liʻiliʻi liʻiliʻi, hiki iā lākou ke hoʻoweliweli i ke ola i nā nui nui. Inā ʻoe e pilikia ana i ka ketoacidosis, e kamaʻilio me kāu kauka e pili ana i ke ʻano o ka mālama ʻana. Hiki iā ʻoe ke kōkua i ka hōʻoia ʻana i kou palekana ma ka hana ʻana i kahi hoʻolālā no ka mea e hana ai inā kiʻekiʻe kāu mau pae ketone.
Leka Lawe-Home
- ʻO nā Ketones kahi hopena o ka puhi ʻana o ke kino i ka momona no ka ikehu.
- He mea maʻamau paha ka loaʻa ʻana o nā ketones liʻiliʻi loa i loko o kou mimi.
- Eia nō naʻe, he mea weliweli loa nā pae ketone kiʻekiʻe, ʻoi aku hoʻi i ka poʻe me ka maʻi diabetes. Ua kapa ʻia kēia ʻano he ketoacidosis a pono e mālama ʻia e ka lāʻau lapaʻau ulia pōpilikia.
- E makaʻala i nā hōʻailona o ka ketoacidosis, e like me ka nausea, ka luaʻi ʻana, ka ʻeha o ka ʻōpū, ka ʻala hanu hua, a me ka huikau.
- Inā loaʻa iā ʻoe ka maʻi diabetes a he kaulike a kiʻekiʻe paha nā pae ketone o kāu mimi, a i ʻole he mau hōʻailona kāu i luna, e hele koke i ka Emergency Department (ETU) o ka haukapila.
- E kamaʻilio mau me kāu kauka e pili ana i nā pilikia olakino.
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