Yu don eva yeri di wod ‘Ketones’? Sɔntɛm yu gɛt dayabitis, ɔ if yu na pɔsin we de fala di rili pɔpul ‘Keto it’ dɛn tɛm ya, yu go mɔs yɛri dis wɔd bɔku. Wetin na dɛn ketɔn ya rili? Wetin mek dɛn kin kɔmɔt wit wi urine? Dis na nɔmal tin, ɔ na sɔntin we wi fɔ wɔri bɔt? Lɛ wi no ustɛm ɔl dis de tɔk bɔt tide.
Fɔ tɔk am simpul wan, wetin na ketɔn?
Tink bɔt wi bɔdi lɛk motoka. Di men fiul fɔ dis motoka fɔ rɔn na ‘Glucose’, we na jɔs shuga. Wi bɔdi kin gɛt dis glukɔs frɔm di it dɛn we wi kin it we gɛt kabɔhaydrɛt, lɛk rays, bred, ɛn pɔt.
Bɔt, wetin kin apin if fɔ sɔm rizin di bɔdi nɔ ebul fɔ yuz dis glukɔs fiul? Jɔs lɛk aw motoka kin chenj to rizɔv we in gas dɔn, na so wi bɔdi kin chenj to sɛkɔn fiul sɔs. Dat min se, di fat we dɛn kin kip na di bɔdi .
So, we di bɔdi bigin fɔ bɔn fat fɔ gɛt ɛnaji, di kemikal dɛn we dɛn kin mek as bayprodukt fɔ da prɔses de, dɛn kin kɔl dɛn ketɔn . Dɛn rili na wan kayn asid. lεk כda dɔti tin dεm we di bכdi de mek, dεn kεtכn dεm ya kin kכmכt na di bכdi insay wi urine (pi). Sɔntɛnde, dɛn kin si dɛn bak na di blɔd. di prεsεns fכ di kεtכn dεm na di urine na wetin wi mεdikal kכl ‘kεtonuria’.
di imכtant tin na dat i nכmal f כ gεt sכm sכm (trace amount) kεtכn dεm na yu urine. I nɔmal fɔ mek smɔl smɔl ketɔn dɛn we wi de slip, fast, ɔ pan it we nɔ gɛt bɔku kab bikɔs wi bɔdi de yuz fat dis we.
Bɔt di prɔblɛm na we dɛn ketɔn ya kin tu ay . Dɔn dɛn kin bi pɔyzin to wi bɔdi. Dis kin mek wi blɔd gɛt asid tumɔs. Wi kin kɔl dis denja kɔndishɔn ketoacidosis . Dis kin mɔs afɛkt pipul dɛn we gɛt dayabitis, ɛn dɛn kin kɔl am Dayabitik Kɛtoacidosis (DKA) . Dis na mɛdikal imejensi we kin mek pɔsin in layf de pan denja .
Aw yu kin mɛzhɔ di ketɔn lɛvɛl na di urine?
tu men we dεm de fכ chεk fכ kεtכn dεm na di urine.
| Di we aw dɛn de du di tɛst | Aw i kin apin |
|---|---|
| Test dɛn we dɛn kin du na os | Yu kin bay ketɔn tɛst strip dɛn na famasi. Yu tek smɔl urine insay klin kɔntena, dip di strip insay, ɛn lɛf am fɔ sɔm tɛm. Dɔn i kin chenj in kɔlɔ. yu kin kכmpεr di kכla chכt na di bכks fכ si if yu kεtכn lεvεl na "nεgεtiv," "tεrεs," "sכmכl," "mכdarεt," כ "big." Bɔku tɛm, pipul dɛn we gɛt dayabitis ɛn di wan dɛn we de it di keto it kin yuz dɛn tin ya. |
| Mɛdikal tɛst dɛn | Dɔktɔ kin mɛzhɔ di ketɔn lɛvɛl wit wan simpul urinalysis. Bɔt if dɛn tink se gɛt ketoacidosis, bɔku tɛm di dɔktɔ go tɛl dɛn fɔ du di blɔd ketɔn tɛst . dis kin kכrekt pas urine tεst biכs di bכdi tεst de sho di εksakεt lεvεl fכ di kεtכn dεm na di bכdi da tεm de. |
Wetin mek di ketɔn dɛn kin apia na wi urine?
As wi bin dɔn tɔk, di kitɔn dɛn kin kɔmɔt ɛnitɛm we dɛn fos wi bɔdi fɔ bɔn fat fɔ gɛt ɛnaji. Sɔm men rizin dɛn de fɔ dis:
- Dayabitis: Pɔsin we gɛt dayabitis nɔ de mek insulin, ɔ di insulin we dɛn de mek nɔ de wok fayn. If insulin nɔ de, glukɔs nɔ go ebul fɔ go insay di sɛl dɛn. Dis kin mek di blɔd shuga go ɔp. Dɔn bak, di bɔdi kin bigin fɔ bɔn fat bikɔs i nɔ gɛt ɔda we fɔ gɛt ɛnaji. If di insulin lɛvɛl kɔntinyu fɔ smɔl, di kitɔn dɛn kin bɔku, ɛn dis kin mek pɔsin gɛt wan sik we kin mek pɔsin in layf de pan denja we dɛn kɔl dayabitik ketoacidosis (DKA) .
- Fɔ drink pasmak: We yu drink rɔm pasmak fɔ lɔng tɛm, yu bɔdi nɔ kin ebul fɔ tek di tin dɛn we de insay di bɔdi fayn fayn wan ɛn kip di glukɔs (as glycogen). Dis kin mek yu bɔdi bɔn fat, ɛn dis kin mek yu gɛt wan bad bad sik we dɛn kɔl alcohol-related ketoacidosis .
- Bεlε: Di bεlε dayabεtis kin mek di kεtכn dεm na di urine. apat frכm dat, di kεtכn dεm kin apin bak we uman bεlε bikoz fכ כda rizin dεm we dεn mεnshכn na dis atikul.
- Fɔ vɔmit ɔ dayarɛa fɔ lɔng tɛm: We yu kɔntinyu fɔ vɔmit ɔ gɛt dayarɛa, di glukɔs we yu bɔdi gɛt kin dɔn, ɛn yu bɔdi kin bigin fɔ bɔn fat fɔ gɛt ɛnaji.
- Di prɔblɛm we yu de it ɛn fast: Di prɔblɛm we yu de it lɛk anorexia ɔ we yu de fast fɔ lɔng tɛm kin mek di bɔdi nɔ gɛt inof kabɔhaydrɛt ɛn i kin mek di kitɔn bɔku.
- Intɛns, strɛng ɛksɛsayz: We yu de du ɛksɛsayz we rili strɛs, we de tek lɔng tɛm, we di glukɔs (glycogen) we di bɔdi dɔn kip dɔn yus ɔl, di bɔdi kin bigin fɔ bɔn fat fɔ gɛt ɛnaji.
Pɔsin we nɔ gɛt dayabitis kin gɛt ketɔn na in urine?
Yɛs, i pɔsibul. i nכmal fכ pכsin we nכ gεt dayabitis fכ gεt "trace" כ "smכl" lεvεl fכ di kεtכn dεm na in urine. Dis kin apin we wi de du urine test we wi grap na mɔnin ɛn waka rawnd.
Bɔt if yu nɔ gɛt dayabitis ɛn yu urine tɛst sho se yu gɛt mɔdaret ɔ big ketɔn lɛvɛl, nɔ ignore am. I kin bi sayn fɔ gɛt dayabitis we dɛn nɔ no ɔ ɔda siriɔs sik. If na so i bi, go to yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU).
Wetin na di kεtכn lεvεl εn dεn simptom dεm?
di simptom dεm kin difrεn dipכnt pan di כmכnt כf di kεtכn dεm na di urine. Lɛ wi ɔndastand dis klia wan.
| Pozishɔn | Di kɔmɔn sayn dɛm |
|---|---|
| Ketosis we dɛn kɔl (Usually low ketone levels) . | Dis nɔr kin bi denja sik. Pipul wae de pan di keto diet kin get dis symptoms.
|
| Ketoacidosis we de mek pɔsin gɛt sik (High ketone levels - imejensi mεdikal atεnshכn nid! ) | Di fɔs tin dɛn we kin apin to pɔsin:
Leta siriɔs sayn dɛm:
|
If yu ɔ pɔsin we yu sabi, mɔ pɔsin we gɛt dayabitis, gɛt wan ɔ mɔ pan dɛn siriɔs tin ya we gɛt fɔ du wit ketoacidosis , kɛr am go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) ɛn nɔ de te.
Wetin na di denja kitɔn lɛvɛl fɔ pɔsin we gɛt dayabitis?
Fɔ pɔsin we gɛt dayabitis, ɛni kεtכn lεvεl we pas "trace" lεvεl kin bi wɔnin sayn.
- "Smכl" lεvεl: Dis de sho se yu de pan inkrεs risk fכ divεlכp kεtoasidכsis. If yu blɔd shuga lɛvɛl bak pas 250 mg/dL, kɔl yu dayabitis dɔktɔ fɔ advays.
- "Moderate" ɔ "Large" lɛvɛl: Dis de sho se yu de pan rili ay risk fɔ gɛt ketoacidosis. Go na ɔspitul wantɛm wantɛm fɔ mek dɛn go na dɔktɔ.
Pan ɔl we di ketɔn dɛn nɔ de du bad we dɛn smɔl, dɛn kin mek pɔsin in layf de pan denja if dɛn bɔku. If yu de pan denja fɔ gɛt ketoacidosis, tɔk to yu dɔktɔ bɔt aw fɔ mɛn am. Yu kin ɛp fɔ mek shɔ se yu sef bay we yu mek plan fɔ wetin fɔ du if yu ketɔn lɛvɛl go ɔp.
Mɛsej we dɛn kin kɛr go na os
- di kεtכn dεm na bayprodukt we di bכdi de bכn fεt fכ εnεji.
- I kin bi nכmal fכ gεt sכm sכm kεtכn dεm na yu urine.
- Bɔt we di kitɔn lɛvɛl go ɔp, mɔ pan pipul dɛn we gɛt dayabitis, kin rili denja. Dɛn kɔl dis sik ketoacidosis ɛn i nid fɔ gɛt mɛrɛsin kwik kwik wan.
- Yu fɔ no di sayn dɛm wae de sho se yu gɛt ketoacidosis, lɛk fɔ nɔs, fɔ vɔmit, fɔ fil pen na yu bɛlɛ, fɔ smɛl frut fɔ blo, ɛn fɔ kɔnfyus.
- If yu gɛt dayabitis ɛn yu urine ketone lɛvɛl smɔl ɔ ay, ɔ yu gɛt di sayn dɛm we wi dɔn tɔk bɔt, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Tɔk to yu dɔktɔ ɔltɛm bɔt ɛnitin we de mɔna yu fɔ gɛt wɛlbɔdi.
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