I zun ah ketones i nei em? (Ketones in Urine) - Hemi chungchang hi awlsam takin han sawi ila!

'Ketones' tih thumal hi i hre ngai em? Zunthlum i vei a ni mai thei, a nih loh leh tunlai ‘Keto diet’ lar tak zawmtu i nih chuan he thumal hi i hre tam hle mai thei. Heng ketone te hi eng nge ni tak tak? Engvangin nge kan zun nen an rawn chhuah? Hei hi thil pangngai a ni em, a nih loh leh kan lungkham tur thil a ni em? Heng zawng zawng hi vawiinah hian eng nge a nih chiang takin i zawng chhuak ang u.

A awlsam zawngin, ketones chu eng nge ni?

Kan taksa hi motor angin han ngaihtuah teh. He car tlanna tur fuel ber chu ‘Glucose’ a ni a, chu chu sugar mai a ni. Kan taksa hian he glucose hi kan ei leh in carbohydrates awmna, buhfai, chhang, leh alu te a\angin a hmu \hin.

Mahse, eng emaw chhan vanga taksain he glucose fuel hi a hmang thei lo a nih chuan eng nge thleng ang? Car pakhatin gas a tlakchham chuan reserve-ah a inthlak ang bawkin kan taksa pawh hian fuel source pahnihnaah a inthlak a ni. Chu chu taksaa thau dahkhawm tihna a ni .

Chuvângin, taksain chakna atâna thau a hal ṭan chuan, chu thil tih aṭanga byproduct anga chemical lo chhuak chu ketones an ti a ni. A nihna takah chuan acid chi khat an ni. Taksa siam bawlhhlawh dang ang bawkin heng ketone te hian a tawpah chuan taksa chu kan zun (pee) ah an chhuahsan thin. A chang chuan thisenah pawh hmuh tur an awm thei bawk. Zun chhunga ketone awm hi damdawi lam chuan ‘ketonuria’ kan tih hi a ni.

Mahse buaina chu heng ketones te hi a sang lutuk hian a ni . Tichuan kan taksa tan toxic an ni thei. Hei hian kan thisen chu a acidic lutuk a tichhuak thin. Hetiang dinhmun hlauhawm tak hi ketoacidosis kan ti a . Hei hian zunthlum vei te a nghawng ber a, chu chu Diabetic Ketoacidosis (DKA) an ti a ni. Hei hi medical emergency a ni a, nunna atana hlauhawm thei a ni .

Engtin nge zun a ketone level hi i teh thin?

Zun-a ketone awm leh awm loh enfiah dan tlangpui pahnih a awm.

Engvangin nge kan zun ah ketone a lo lang thin?

Kan sawi tawh ang khan kan taksain chakna a neih theih nan thau a hal tir apiangin ketone a siam chhuak thin. Hei hi a chhan lian ber tlemte a awm a:

• Diabetes: Zunthlum vei chuan insulin a siam tling lo emaw, a siam chhuah insulin hian hna a thawk tha lo emaw a ni thei. Insulin tel lo chuan glucose hi cell chhungah a lut thei lo. Hei hian thisen sugar level a tisang a ni. Tin, taksa hian chakna a hmuh theihna tur kawng dang a neih loh avangin thau a hal tan bawk. Insulin level a hniam reng chuan ketone tam tak a pung thei a, chu chuan nunna atana hlauhawm tak , diabetic ketoacidosis (DKA) tih a thlen thei a ni.

• Zu in tam lutuk: Hun rei tak chhunga zu in tam lutuk hian i taksain nutrients a hip tha thei lo va, glucose (glycogen angin) a khawlkhawm thei lo. Hei hian i taksaah thau a tichhe thei a, chu chuan zu nena inzawm ketoacidosis tih natna hlauhawm tak a thlen thei a ni.

• Naupai: Naupai laia zunthlum natna hian zun chhungah ketone a siam thei a. Chu bakah chuan naupai laiin ketones hi he thuziak-a kan sawi chhan dang vangin a awm thei bawk.

• Hun rei tak chhunga luak chhuak emaw, luak chhuak emaw: I luak chhunzawm zel emaw, i luak chhuak emaw chuan i taksaa glucose reserve a tlakchham a, i taksa chuan chakna atan thau a hal tan thin.

• Ei leh in lama harsatna leh chaw nghei: Ei leh in lama harsatna, anorexia emaw, rei tak chaw nghei emaw hian taksain carbohydrates a dawng tlem a, ketone siamchhuah a tipung thei a ni.

• Exercise nasa tak, hahthlak tak: Exercise hahthlak tak tak, rei tak chhung, taksaa glucose (glycogen) dahkhawm chu a hman zawh vek chuan taksain chakna atan thau a hal tan thin.

Zunthlum vei lo chuan an zun-ah ketones a nei thei ang em?

Ni e, a theih. Zunthlum vei lo tan chuan an zun-ah ketones level "trace" emaw "small" emaw a awm hi thil pangngai a ni. Hei hi zun test lai hian zingkar kan tho a, kan kal kual vel hian a thleng thei a ni.

Ketone level leh a symptoms te chu engte nge ni?

Zun chhunga ketone awm zat a zirin a natna lan chhuah dan a inang lo. Hei hi chiang takin i hrethiam ang u.

Nangmah emaw, i hriat emaw, a bik takin zunthlum vei emaw hian heng ketoacidosis natna lan chhuahna pawi tak tak pakhat emaw a aia tam emaw i neih chuan, damdawi in hnai ber Emergency Department (ETU)-ah hruai nghal vat rawh.

Zunthlum vei tan chuan ketone level hlauhawm tak chu eng nge ni?

Zunthlum vei tan chuan ketone level "trace" level aia sang eng pawh hi warning sign a ni thei.

• "Small" level: Hei hian ketoacidosis vei theihna a sang zawk tih a tilang a ni. I thisen sugar level pawh 250 mg/dL aia sang a nih chuan i zunthlum doctor call la, thurawn la rawh.
• "Moderate" emaw "Large" level: Hei hian ketoacidosis vei theihna chance sang tak i nei tih a tilang a ni. Damdawi in pan nghal la, damdawi lam pan nghal rawh.

Ketones hi a tlem berah chuan hlauhawm lo mah se, a tam chuan nunna atana hlauhawm thei a ni. Ketoacidosis vei hlauhawm i nih chuan i doctor nen in enkawl dan tur sawipui rawh. I ketone level a san chuan eng nge i tih tur tih ruahmanna siamin i himna tur i pui thei ang.