Di imejensi we denja pas ɔl pan dayabitis! Lɛ wi no bɔt DKA (Diabetic Ketoacidosis) .

Yu gɛt dayabitis? Ɔ yu fambul ɔ yu padi gɛt dayabitis? Dɔn yu rili nid fɔ no bɔt wetin wi de tɔk bɔt tide. Dɛn kɔl dis DKA (Diabetic Ketoacidosis). Dis na tin we rili denja, ivin we kin mek pɔsin in layf de pan denja ɛn we kin apin bikɔs ɔf dayabitis. Bɔt nɔ wɔri, if dɛn tɛl wi gud gud wan bɔt dis, wi kin protɛkt wisɛf frɔm am ɛn du sɔntin kwik kwik wan if i apin wantɛm wantɛm.

Fɔ tɔk am simpul wan, wetin na DKA?

Tink bɔt di sɛl dɛn na wi bɔdi lɛk smɔl os dɛn. Dɛn os dɛn ya nid trɛnk fɔ wok. Da ɛnaji de kɔmɔt frɔm glukɔs, ɔ shuga, we kɔmɔt frɔm di it we wi de it. Bɔt fɔ mek dis shuga go insay di os dɛn we dɛn kɔl sɛl, i nid ki fɔ opin di domɔt. Dat ki na di ɔmon we dɛn kɔl insulin .

Naw, wetin kin apin na pɔrsin wae gɛt shuga in bɔdi na dat dis ki wae dɛn kɔl insulin nɔr de. Wetin kin apin da tɛm de? Shuga nɔ kin ebul fɔ go insay di sɛl dɛn ɛn i kin ful-ɔp wit blɔd. bכt di sεl dεm nכ gεt εnεji, dεn de "angri".

We dis kin apin, wi bɔdi kin tink se wi rili de angri we wi nɔ gɛt tin fɔ it. So di bɔdi kin bigin fɔ luk fɔ ɛnaji ɔda we. Dat min se na bay we dɛn de bɔn di fat we dɛn dɔn kip na di bɔdi fɔ mek i gɛt ɛnaji. We dɛn bɔn fat dis we, dɛn kin mek wan kemikal we dɛn kɔl ketɔn as bayprodukt.

Fɔ gɛt sɔm ketɔn dɛn na di blɔd nɔto prɔblɛm. Bɔt we dɛn kɔntinyu fɔ bɔn fat we dɛn nɔ gɛt insulin, dɛn ketɔn ya kin gɛda na di blɔd pasmak. dis kεtכn dεm na wan kayn asid. So we dɛn de bɔku na di blɔd, smɔl smɔl wi blɔd kin gɛt mɔ asid. I tan lɛk se yu ad vinega to wan glas wata. Dat asid we de na di blɔd ɛn di wata we de kam wit am na wetin wi kɔl DKA (Diabetic Ketoacidosis).

Udat de pan denja fɔ gɛt DKA?

Pan ɔl we DKA kin apin to ɛnibɔdi we gɛt dayabitis, sɔm pipul dɛn kin gɛt mɔ risk.

• Pipul wae gɛt Tayp 1 Dayabitis: Dɛn pipul ya kin gɛt DKA bikɔs dɛn bɔdi dɔn lɛf fɔ mek insulin.
• Fɔ di wan dɛn we nɔ no se dɛn gɛt dayabitis: I sɔprayz fɔ no se sɔm pipul dɛn kin jɔs no se dɛn gɛt tayp 1 dayabitis afta dɛn dɔn gɛt DKA ɛn dɛn kin put dɛn na ɔspitul. Dis kin mek bitwin 20% ɛn 40% pan di wan dɛn we gɛt DKA.
• Fɔ pipul dɛm wae gɛt Tayp 2 Dayabitis:Pan ɔl we i nɔ kin bɔku, sɔm pipul dɛn we gɛt tayp 2 dayabitis kin gɛt DKA, mɔ pan tin dɛn lɛk we dɛn gɛt siriɔs infɛkshɔn.

Wetin na di sayn dɛm fɔ dis denja sik? Aw wi kin no am?

DKA nɔ de divɛlɔp wantɛm wantɛm. I kin bigin wit smɔl smɔl sayn dɛm ɛn afta dat i kin tranga insay lɛk 24 awa. If yu de vɔmit, dis tɛm kin shɔt pas dat. So i impɔtant fɔ no bɔt dɛn sik ya.

If yu gɛt ɛni wan pan dɛn siriɔs sayn ya, kɔl yu dɔktɔ wantɛm wantɛm. Ɔ, if i pɔsibul, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) kwik kwik wan.

Wetin mek dis DKA kɔndishɔn kin apin? Wetin na di men tin dɛn we kin mek pɔsin gɛt dis sik?

Di men tin we kin mek pɔsin gɛt DKA na we i nɔ de gɛt inof insulin to di bɔdi. Dɛn tin ya kin ɛp fɔ mek i apin:

• Insulin injɛkshɔn we nɔ de: If pɔsin we de tek insulin fɔ dayabitis mis wan ɔ tu injɛkshɔn, DKA kin apin.
• Insulin pɔmp prɔblɛm: If pɔsin yuz pɔmp, di bɔdi nɔ kin gɛt insulin bikɔs ɔf rizin dɛn lɛk we di tiub dɔn lɔk ɔ we i nɔ gɛt kɔnekshɔn to di bɔdi.
• Yuz insulin we dɔn pas ɔ we dɔn pwɛl: Insulin na mɛrɛsin we nɔ de taya fɔ ɔt ɔ kol pasmak. Fɔ ɛgzampul, if dɛn nɔ put am na frij ɔ i dɔn pas, i kin mek i nɔ wok igen.
• Sik ɛn infekshɔn: Ɛni sik, lɛk fiva, nyumonia, urinary tract infection (UTI), na di men tin we kin mek pɔsin gɛt DKA. Dis na bikɔs we wi sik, wi bɔdi kin strɛs ɛn mek ɔmon dɛn we de wok agens insulin. Dɔn wi nid mɔ insulin pas aw wi kin nid.
• Ɔda tin dɛn we kin mek pɔsin gɛt bad bad injury, trauma, ɔpreshɔn, at atak, bɛlɛ, drink pasmak, ɛn sɔm mɛrɛsin dɛn kin mek bak di risk fɔ gɛt DKA.

Wetin kin apin if dɛn nɔ trit DKA kwik?

Dis na di pat we denja pas ɔl we wi ɔl nid fɔ no bɔt. DKA kin mek yu gɛt siriɔs prɔblɛm dɛn if dɛn nɔ trit am kwik ɛn fayn.

• Di potashɔm lɛvɛl we rili smɔl na di blɔd.
• Bren we de swel.
• Fɔ ful-ɔp di lɔng dɛn wit wata.
• Di at we de mek di at nɔ de wok.
• Damej to di kidni ɛn ɔda ɔgan dɛn.
• Kɔma.
• Dɔn, ivin day kin apin.

Aw dɛn kin trit am?

Di tritmɛnt fɔ DKA fɔ de na ɔspitul ɔltɛm. If yu gɛt sayn dɛn fɔ DKA, go na ɔspitul wantɛm wantɛm.

Tritmɛnt we dɛn kin gi na ɔspitul

1. IV fluid: Di fɔs tin we yu fɔ du na fɔ gi salin. Dis kin ɛp fɔ mek yu nɔ gɛt wata na di blɔd, fɔ pul di shuga ɛn kitɔn we pasmak na di blɔd, ɛn fɔ klin di bɔdi.

2. Insulin: Dɛn kin gi insulin insay di bɛlɛ. Dis kin kɔntrol di blɔd shuga lɛvɛl ɛn mek di bɔdi bigin fɔ yuz shuga fɔ gɛt ɛnaji bak. dis de stכp di fכmeshכn fכ di kεtכn dεm bak.

3. Fɔ gi Ilɛktrɔlayt: DKA de mek di bɔdi lɔs impɔtant minral dɛn lɛk potashɔm. Dɛn kin gi dɛn tin ya insay di bɛlɛ fɔ mek di bɔdi balans bak.

Tritmɛnt na os (na dɔktɔ in advays nɔmɔ)

If dɛn no DKA kwik, yu dɔktɔ kin tɛl yu fɔ gi yu tritmɛnt na os. Bɔt dɛn fɔ jɔs du dɛn tin ya ɔnda yu dɔktɔ in sɔpɔtishɔn.

• Fɔ chɛk di blɔd shuga lɛvɛl ɔltɛm (sɔntɛm wan tɛm insay awa).
• Fɔ chɛk di lɛvɛl dɛn we di ketɔn de.
• Drink bɔku wata ɛn wata we nɔ gɛt shuga fɔ mek yu nɔ gɛt wata na yu bɔdi.
• Fɔ avɔyd fɔ du ɛksɛsayz.

Wetin wi kin du fɔ mek DKA nɔ de divɛlɔp?

DKA na wan kɔndishɔn we wi kin ebul fɔ avɔyd bɔku tɛm. Dɛn tin ya kin ɛp.

• Chek yu blɔd shuga ɔltɛm: Chek yu blɔd shuga bɔku tɛm insay di de, mɔ bifo ɛn afta yu it, ɛn bifo yu go slip. If yu blɔd shuga bɔku, tek akshɔn wantɛm wantɛm.
• Tek yu insulin ɛn mɛrɛsin di rayt tɛm: Nɔ ɛva skip di doz fɔ insulin we yu dɔktɔ dɔn tɛl yu.
• Chek fɔ ketɔn: If yu blɔd shuga lɛvɛl ɔltɛm de ɔp pas 250 mg/dL, ɔ if yu gɛt sik lɛk fiva ɔ vɔmit, chɛk yu urine ɔ blɔd fɔ ketɔn.
• Mek "sik de plan": Tɔk to yu dɔktɔ ɛn mek plan bifo tɛm bɔt aw fɔ ajɔst yu insulin doz ɛn aw fɔ it if yu gɛt fiva ɔ vɔmit.
• Yu fɔ no: Di mɔ yu no bɔt DKA, na di mɔ yu go gɛt chans fɔ sev frɔm am. Aks yu dɔktɔ fɔ no mɔ bɔt dis.

Sɔntɛnde, ilɛksɛf wi tek tɛm, DKA kin apin fɔ rizin dɛn we wi nɔ ebul fɔ kɔntrol. If dat apin, nɔ fil bad bɔt am ɛn tink se na yu fɔlt. Di tin we impɔtant pas ɔl na fɔ no di sayn dɛm ɛn go to dɔktɔ kwik kwik wan.