Kiʻekiʻe anei kou mau ketones? E kamaʻilio maʻalahi kākou e pili ana i kēia!

Ua lohe paha ʻoe i ka huaʻōlelo 'Ketones'? Inā he maʻi diabetes kou, ua kamaʻāina paha ʻoe i ka huaʻōlelo. A i ʻole ua lohe paha ʻoe i ka ʻai 'Keto'. He aha maoli nā ketones? He maikaʻi a he maikaʻi ʻole paha lākou no ko kākou kino? He aha ka mea e hana ai inā e hoʻonui ʻia lākou? E kamaʻilio kākou e pili ana i kēia mau mea a pau me ka maʻalahi a me ka maopopo.

I ka ʻōlelo maʻalahi, he aha nā ketones?

E noʻonoʻo i kou kino e like me ke kaʻa. ʻO ka glucose ka wahie nui no ka holo ʻana o kēia kaʻa. ʻO kēia ʻano kō i kapa ʻia ʻo glucose, loaʻa mai ia mai nā meaʻai a mākou e ʻai ai me nā kalapona (e laʻa me ka laiki, ka berena, ka ʻuala).

E noʻonoʻo e pili ana i ia mea, he aha ka mea e hana ai inā no kekahi kumu ʻaʻole hiki i ke kino ke hoʻohana i kēia wahie glucose a inā ʻaʻole lawa? E kū anei ke kaʻa? ʻAʻole. Akamai loa ko kākou kino. I kēlā manawa, hoʻomaka ke kino e puhi i ka momona i mālama ʻia e hana i ka ikehu. E like me ke kaʻa e holo ana ma kahi pahu mālama ke pau ka ʻaila.

Hoʻokuʻu ʻia kēia mau ketones i loko o ke koko a hele i loko o ke kino e hāʻawi i ka ikehu i nā ʻāpana. A laila hoʻokuʻu ʻia nā ketones i koe i loko o ka mimi.

ʻO ka mea ʻoiaʻiʻo, he mea maʻamau a olakino hoʻi ke loaʻa ʻana o kekahi mau ketones i loko o ko kākou koko, ʻoiai he hana maʻamau ia no ko kākou kino e hoʻohana i kēia kumu ikehu kope i ka wā e pono ai.

Akā hoʻomaka ka pilikia ke kiʻekiʻe loa kēia mau pae ketone me ke kāohi ʻole ʻia. A laila lilo ko mākou koko i ʻakika loa a lilo i mea ʻawahia. Kāhea mākou i kēia ketoacidosis. He kūlana weliweli kēia e pono ai ka mālama olakino ulia pōpilikia.

I ka manawa hea e piʻi pinepine ai nā pae ketone?

ʻO ke kaʻina hana o ka hana ketone ua kapa ʻia ʻo ketosis. ʻAʻole kēia he kūlana weliweli, he mea maʻamau ia. No ka laʻana, hiki ke piʻi iki nā pae ketone o kou kino i nā kūlana aʻe:

• Ke hiamoe nei ʻoe: No ka mea, ʻaʻole ʻoe i ʻai no nā hola.
• I ka wā e hoʻokē ʻai ai: Puhi ke kino i ka momona no ka mea ʻaʻole ia e ʻai.
• I ka hoʻoikaika kino ʻana: No ka mea, ʻoi aku ka nui o ka ikehu e pono ai.
• I ka wā e hana ai i ka papaʻai Keto: Ma kēia papaʻai, hōʻemi nui ʻoe i nā kalapona a ʻai nui i ka momona, no laila e maʻa kou kino i ka puhi ʻana i ka momona me ka ikaika.

No wai nā ketones e weliweli ai? Diabetes a me nā Ketones

I ka wā e pili ana i nā ketones, ʻo ka poʻe me ka maʻi diabetes, ʻoiai ka Type 1 Diabetes, pono e hopohopo nui e pili ana iā lākou.

ʻO ke kumu kēia. E like me kā mākou i kūkākūkā ai ma mua, kōkua kahi hormone i kapa ʻia ʻo insulin i nā ʻāpana o ko mākou kino e lawe i ka glucose (kō) a hoʻohana iā ia no ka ikehu. ʻAʻole hana ka mea me ka maʻi diabetes type 1 i kēia hormone.

No laila, he aha ka mea e hana ai ke nalowale ʻoe i ka insulin?

1. ʻAʻole hiki i ke kō i loko o ke koko ke komo i loko o nā ʻāpana a hōʻiliʻili i loko o ke koko. ʻO kēia ke kumu e piʻi nui ai ke kiʻekiʻe o ke kō koko (`Hyperglycemia`).

2. No ka nele o nā ʻāpana i ka ikehu, manaʻo ke kino ua "pōloli" ia.

3. E kūkulu i ka ikaika, a e hoʻomaka kou kino e puhi i ka momona me ka wikiwiki.

4. ʻO ka hopena, ua hoʻokumu ʻia kahi nui loa o nā ketones i ka manawa hoʻokahi a hōʻiliʻili ʻia i loko o ke koko.

5. ʻO kēia pae kiʻekiʻe o nā ketones ke kumu e lilo ai ke koko i ʻakika, e alakaʻi ana i kahi maʻi weliweli i kapa ʻia ʻo Diabetic Ketoacidosis (DKA) .

ʻOiai ʻoi aku ka maʻamau o kēia ʻano i nā poʻe me ka maʻi diabetes type 1, hiki ke loaʻa pū kekahi i nā hihia i nā poʻe me ka maʻi diabetes type 2.

Eia kekahi, ʻo ka poʻe inu nui e pilikia ana hoʻi i ka loaʻa ʻana o kahi ʻano like i kapa ʻia ʻo 'alcoholic ketoacidosis'.

He aha nā hōʻailona o ka piʻi ʻana o nā pae ketone? (Nā hōʻailona o DKA)

Inā loaʻa iā ʻoe ka maʻi diabetes a ʻike ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei, e kāhea koke i kāu kauka a i ʻole e hele i ka lumi pilikia kokoke loa (ETU). Hiki i ka DKA ke lilo i mea koʻikoʻi loa me ka wikiwiki loa, i loko o 24 mau hola a i ʻole ka liʻiliʻi.

Pehea e nānā ai i nā pae ketone?

Inā ʻoe i pilikia no DKA, e paipai paha kāu kauka i kahi pahu hoʻāʻo ketone. Hiki iā ʻoe ke kiʻi mai kahi hale kūʻai lāʻau lapaʻau. He mea nui e loaʻa kēia mau mea ma ka home.

• Nā hoʻāʻo koko: Aia nā kime hiki iā ʻoe ke hana ma ka home. E like me ka nānā ʻana i kou kō koko, e hou ʻoe i kou manamana lima me kahi kulu koko liʻiliʻi a kau iā ia ma kahi kaha hoʻāʻo a heluhelu iā ia ma ka mika. Hāʻawi kēia iā ʻoe i kahi heluhelu pololei o kāu mau pae ketone i kēlā manawa. Hiki i kekahi mau glucometers ke nānā i nā ketones.
• Nā hoʻāʻo mimi: ʻO kēia ke komo ʻana i kahi ʻāpana hoʻāʻo i loko o kou mimi a nānā i ka loli ʻana o ke kala. Eia nō naʻe, haʻi wale kēia iā ʻoe i ke ʻano o kou mau pae ketone i kekahi mau hola i hala aku nei, ʻaʻole i ko lākou ʻano i kēia manawa.
• Nā hoʻāʻo hanu: He ʻenehana hou kēia. ʻAʻole hilinaʻi ʻia lākou no kekahi mea i pilikia no DKA. No laila, ʻaʻole pono e hoʻohana ʻia e ana i nā ketones.

I ka manawa hea e pono ai ke nānā ʻia nā pae ketone?

Inā loaʻa iā ʻoe ka maʻi diabetes, e aʻo aku kāu kauka iā ʻoe e pili ana i kēia. ʻŌlelo pinepine lākou iā ʻoe e nānā i kāu mau ketones i nā kūlana aʻe:

• Inā loaʻa iā ʻoe nā hōʻailona o DKA.
• Inā maʻi ʻoe me ke kuni, ke anu, a i ʻole ka ulia.
• Inā ʻoe e poina 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.
• Inā hāpai ʻoe (hiki ke paʻakikī ke kaohi ʻana i nā pae insulin i ka wā hāpai).

Pehea e mālama ai i nā pae ketone kiʻekiʻe?

Aia ka lāʻau lapaʻau i ke kiʻekiʻe o kāu mau pae ketone.

Nā mea hiki iā ʻoe ke hana ma ka home (ma ke ʻōlelo aʻoaʻo lapaʻau wale nō)

Hiki i kāu kauka ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo no ka mālama ʻana i kāu mau pae ma ka home ma mua o ko lākou lilo ʻana i kiʻekiʻe loa. Hiki i kēia mau ʻōlelo aʻoaʻo ke komo pū me:

• ʻO ka nui o ka insulin e lawe ai.
• Ka nui o ka wai a me ka meaʻai e inu ai.
• Inā paha he kūpono ke hoʻoikaika kino.
• ʻEhia mau manawa e pono ai ʻoe e nānā i kāu kō a me nā pae ketone?

Ka mālama ʻana ma ka haukapila

Inā kiʻekiʻe loa nā pae ketone, pono ka hoʻokipa ʻia ʻana i ka haukapila. ʻO kēia kahi e mālama nui ʻia ai ka saline intravenous (nā wai IV) a hāʻawi ʻia ka insulin e hōʻemi i ka acidity o ke koko a hoʻihoʻi i nā pae ketone a me nā pae kō i ka maʻamau.

Pehea e pale ai iā DKA a mālama i nā pae ketone palekana?

Inā pilikia ʻoe no DKA, ʻo ka pale ʻana ke koho maikaʻi loa. E hana pū me kāu kauka e hana i kēia.

• E mālama i kahi hana maʻamau: E hahai pono i ka papaʻai a kāu kauka a me ka papa hana insulin. E kōkua kēia i ka hoʻomalu ʻana i kou pae kō koko a hoʻemi i ka pilikia o ka hoʻomohala ʻana i nā ketones.
• E makaʻala i kāu mau pae: E ʻike i kāu mau pae ketone maʻamau, i ka wā e nānā ai iā lākou, a me ka mea e hana ai inā kiʻekiʻe kāu mau pae.
• E mākaukau: E mālama i nā pahu hoʻāʻo ketone ma ka home. E kamaʻilio me kāu kauka a hoʻomohala i kahi hoʻolālā e hahai ai inā piʻi kāu mau pae ketone. E ʻike pono i ka pae e kamaʻilio ai me kāu kauka a me ka pae e hele ai i ka ETU.

ʻO ka hapa nui o ka manawa, he kōkua leo ʻole nā ​​ketones i ko mākou kino. Akā inā loaʻa iā ʻoe ka maʻi diabetes, ʻo ka ʻike ʻana iā lākou a me ka mālama ʻana i kou pilikia e hiki ke kōkua i ka hoʻopakele ʻana i kou ola.