I zun ah ketones i nei em? Hemi chungchang hi han sawi ila!

I zun-ah ketone a awm tih i hriat chuan i lungkham deuh mai thei, a dik em? Mahse, lungngai suh. Hemi chungchang hi awlsam tak leh chiang takin sawi ila. Heng ketone te hi engte nge ni? Engvangin nge kan zun ah an awm? Heng zawng zawng hi vawiinah hian chipchiar takin i hrethiam ang u.

Urine-a heng ketones te hi engte nge ni?

A awlsam zawngin sawi ila, ketones hi i taksain chakna a siam chhuahna atana a hman sugar, glucose a hman theih lohna byproduct a ni. Thingpui lumna stove-a thing hal, vut hnutchhiah ang mai a ni . Heng ketones te hi kan taksain chakna a neih theih nan thau a tihchhiat hian a lo piang chhuak thin. A nihna takah chuan acid chi khat an ni. Kan taksaa chemical byproduct dang ang bawkin a tawpah chuan ketone te hi kan taksa atangin kan zun ah a kal chhuak thin. Mahse a chang chuan kan thisenah pawh hmuh tur a awm thei bawk. I zun chhunga ketone awm hi damdawi lam chuan ‘ketonuria’ tia hriat a ni.

Tunah chuan han ngaihtuah teh, i zun-ah ketone engemaw zat awm hi thil pangngai a ni a, chu chu tlemte chauh a ni . Thil ngaihtuah tur a awm lo. A chhan chu a chang chuan kan taksa hian chakna atan thau a hmang a ngai thin. Entirnan, kan mut laiin, ni khat chhung chaw kan nghei a nih chuan, emaw, low-carb diet kan ei a nih chuan, chu chu mi tam takin an sawi thin ``Keto Diet'' tihna a ni.

Mahse, ketones a tam chuan a hlauhawm hle . A chhan chu chutih hunah chuan kan thisen acidity a sang chho zel a ni. Hetiang dinhmun hi `Ketoacidosis` kan ti a. Hei hi zunthlum vei tan chuan a dik hle a, chuvang chuan `Diabetes-related Ketoacidosis (DKA)` an ti a ni. He DKA an tih hi medical emergency a ni a, nunna atana hlauhawm thei a ni , chuvangin i rinhlelh chuan damdawi lam pan nghal a pawimawh hle.

Engtin nge zun chhunga ketones te hi i teh thin?

Okay, chuti a nih chuan engtin nge he zun chhungah hian ketone a awm em tih chiang takin kan hriat theih ang, a awm a nih chuan engzat nge? Chutianga tih theih dan tlangpui pahnih a awm.

In lama test neih a ni

Heng ketone test strip te hi damdawi dawrah emaw online emaw atangin i lei thei ang. Over-the-counter (OTC)-a lei theih an ni a, doctor hnen atanga prescription lak ngai lo tihna a ni. I tih tur chu i zun thenkhat chu bawm fai takah la khawm la, chutah chuan strip chu dip la, a siamtuin a ruat hun chhung (a tlangpuiin second tlemte) atan dah la, chutah chuan i chhuah tir mai a ni. Strip chu a rawng a danglam ang. Strip ah hian color chart a awm bawk. I strip rawng chu color chart nen i khaikhin a ngai a ni. I ketone level chu ‘negative’, ‘trace’, ‘small’, ‘moderate’, emaw ‘large’ tiin a tarlang tlangpui. Heng strip te hi zunthlum vei leh `Keto Diet` hmang te hian an hmang nasa ber a ni.

Damdawi lam test neih a ni

A châng chuan i doctor emaw nurse emaw chuan i ketone level chu zun test hmangin a enfiah thei a, chu chu urinalysis an ti a ni. Mahse ketoacidosis symptom i neih chuan i doctor chuan thisen ketone test a ti mai thei . He thisen test hi zun test aiin a dik zawk. Chutih laia i taksaa ketones awm zat dik tak a tarlang bawk. Thisen test hian range ni lovin number dik tak a pe tlangpui.

Hetah hian hriatthiam tur dang a awm. Kan taksa hian zun a siam chhuah theih nan hun rei tak a mamawh a ni. Chuvangin zun test hian i ketone level tehna dik tak a pe nghal lovang. Mahse, darkar tlemte kalta chhunga i ketone level chu eng ang nge a nih tih rough idea a pe thei che a ni.

Engvangin nge kan zun ah ketones a lo lang thin?

Tunah chuan engvangin nge heng ketone te hi kan zun ah an lo lang tih hi han en ila. Taksa hian kan taksa chhunga cell tinte chakna pe turin `glucose` emaw sugar emaw hman a duh ber a. He glucose hi kan ei carbohydrates atang hian kan hmu a, chu chu starchy foods a ni. Mahse, thil bik thenkhatah chuan kan taksa hian chakna atan thau (a chang chuan taksa ruh pawh) hal a ngai thin.

Carbohydrates i hmuh tlem chuan , emaw , i taksain glucose a hman theihna tura puitu hormone insulin i neih tlem chuan i taksa chu ketosis an tih state-ah a lut a ni. Hetiang ketosis dinhmunah hian taksain chakna atan thau a hal a, ketones chu byproduct angin a chhuak thin. A tawpah chuan zunah an chhuak leh thin.

Ketones a awm dan pangngaia a awm chuan

Thil awlsam tak tak, ni khat emaw ni hnih emaw chhung mut emaw, chaw nghei emaw pawh hian taksa chu ``ketosis'' state-ah a lut thei a, zun chhungah ketone tlemte a siam thei bawk. Hei hi thil pangngai leh hrisel anga ngaih theih a ni.

Chutiang bawkin ketosis hi mi tam takin an hriat lar tak `Ketogenic diet` emaw, `Keto diet` emaw i zawm hian a awm thin. He keto diet hian thau a pai tam ber a, protein a pai tlem a, carbohydrates a tlem hle bawk. A dik tak chuan keto diet pangngai chu 70% - 80% fat, 20% protein, leh 5% - 10% carbohydrates vel a ni. Ketone hi keto diet khauh tak zawmtute zun-ah hmuh tur a awm tlangpui.

Zun-a ketone level sang lutuk chhan

Mahse i zun-ah ketone tlemte, a tlem emaw, a tam emaw i neih chuan thil pangngai lo a ni thei . Hei hi chhan hrang hrang a awm a:

• Zunthlum:Kan dam khawchhuah theih nan leh chakna atan glucose kan hman theih nan `Insulin` tih hormone kan mamawh vek a ni. Zunthlum i neih chuan i taksa hian insulin a siam chhuak lo tak tak emaw, a siam chhuak tlem emaw, a siam chhuah insulin chu a hmang dik thei lo emaw a ni. Hei hian thisenah glucose a tipung a, chu chuan thisen sugar level a tisang a ni. Chutih rual chuan insulin tel lo chuan taksain thau chu chakna atan chauh a hmang thei a ni. Insulin tlakchhamna a awm chhunzawm zel chuan taksaah ketones a lo pungkhawm ang. Hei hian a hmaa kan sawi tawh `diabetic ketoacidosis (DKA)` tih chu nunna atana hlauhawm tak a thlen thei a ni.

Ngaihtuah teh, zunthlum vei chuan an damdawi ei tha tawk lo a, insulin a inject loh chuan ni rei lo te chhungin an thisen sugar level chu a thunun theih loh phah thei a, hetiang dinhmun hlauhawm takah hian a awm thei a ni. Chuvangin zunthlum vei te hian he thil hi an fimkhur hle a ngai a ni.

• Zu hmansualna: Hun rei tak chhunga zu in tam lutuk hian i taksain carbohydrates ang chi nutrients a lakluh dan leh liver-a glucose a dahkhawm dan (glycogen angin) a nghawng thei a ni. Hei hian i taksa chu thau hal ai chuan a nawr a, chu chuan zu nena inzawm ketoacidosis tih natna a thlen thei a ni. DKA ang bawkin hei hi nunna atana hlauhawm tak a ni thei.

• Naupai: Naupai laiin zun chhunga ketone awm chhan ber chu ``Gestational diabetes'' a ni.Amaherawhchu, he list-a a chhan dang zawng zawng hian naupai laiin ketone a thlen thei bawk.

• Hun rei tak chhunga luak chhuak leh/ emaw, luak chhuak: Hun rei tak i luak emaw, i luak chhuak emaw a nih chuan i taksaah chakna atan glucose a tlachham thei a, i zun-ah ketone a lo lang thei bawk. Naupang tê tak tê ni engemaw zât a pum na a, a luak chhuak reng a, a ei lo tih han mitthla teh. Hei hi a thleng thei a ni.

• Ei leh in lama harsatna leh riltam: Ei leh in lama harsatna thenkhat, anorexia, leh rei tak chaw nghei te hian i taksain carbohydrates leh glucose a lakluh theih zat a tihtlem thei a ni. Hei hian i zun ah ketones a rawn lang thei bawk.

• Hun rei tak, nasa taka exercise: Hun rei tak leh nasa taka exercise i tih hian i taksaa glucose dahkhawm zawng zawng (glycogen) chu chakna atan a hmang zo vek a nih chuan i taksa chuan thau a hal tan ang. Hei hian i zun ah ketones a rawn lang thei bawk.

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

Ni e, zunthlum nei lo mah la, i zun-ah ketone ‘trace’ emaw ‘tlemte’ emaw i nei thei.A chang chuan thil pangngai tak a ni thei a, a bik takin chaw nghei emaw keto diet i zawm emaw chuan. Mahse, zunthlum vei lo tan chuan an zun-ah ketone ‘moderate’ emaw ‘large’ emaw a awm hi thil mak tak a ni. Chutiang a nih chuan Sri Lanka-a 1990 Suwaseriya Ambulance Service chu call nghal la, a nih loh leh i awmna hmuna emergency number call rawh , a nih loh leh emergency room hnai ber pan rawh. Zunthlum hriat loh emaw, damdawi lam natna khirh tak dang emaw i nei thei bawk.

Zun-a ketone level pangngai leh hlauhawm tak chu engte nge ni?

Ketone level pangngai chu eng nge ni?

Mi hrisel tam zawk tan chuan an zun-ah ketone ‘trace’ emaw ‘small’ emaw awm hi thil pangngai leh him anga ngaih a ni.

Mahse, zunthlum emaw, ketoacidosis vei theihna tur dinhmun dang emaw i neih chuan he level pawh hi warning sign a ni thei . Entirnan, i thisen sugar level chu 250 mg/dL aia sang (thin sugar sang) a nih chuan i thisen sugar level uluk taka enfiah a pawimawh a, i zun chu ketone level sang zawk enfiah chhunzawm zel a pawimawh.

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

Ketone level ‘small’ emaw ‘trace’ aia sang eng pawh hi a hlauhawm thei hle a, a bik takin ‘ketoacidosis’ (e.g. diabetes) vei hlauhawm i nih chuan a hlauhawm thei hle.

• I zun-ah ketone tlemte i neih chuan ketoacidosis i vei theihna a tipung a ni. Diabetes i neih chuan i diabetes doctor emaw healthcare provider emaw nen he natna hi i enkawl dan tur sawipui rawh.
• I zun-ah ketones a tlem emaw, a tam emaw i neih chuan ketoacidosis i vei theihna a sang hle. Hei hi emergency a nih avangin i hnai ber damdawi inah doctor pan nghal rawh.

Zun chhunga ‘trace’ ketones awm hi eng nge a awmzia?

Zunthlum-a ketones awm zat ‘trace’ hi a tlangpuiin zunthlum vei lo tan chuan a him leh hrisel a ni. Mi tam zawk chuan an zun-ah ketone tlem te te an nei thei a, a bik takin zingkar hmasa berah chuan.

Zun chhunga ketone awm hian symptom a thlen thei em?

Ni e, i zun-ah ketones i neih chuan ketone awm zat a zirin symptom dang i nei thei bawk.

Ketosis natna lan chhuah dan

``Ketosis'' dinhmun, chu chu zun-ah ketone tlemte a awm tlangpui (e.g., keto diet-a kan ei laiin) a ni a, mi thenkhatah chuan hetiang symptoms hi a awm thei a ni:

• Pum natna nei ang maia inhriatna, nausea
• Lu na
• Chau
• Brain fog, ngaihtuahna seng harsa
• Kawng atanga rim danglam tak lo chhuak (‘keto breath’) .
• Ek khal
• Mu thei lo

Ketoacidosis natna lan chhuah dan

I zun chhunga ketone awm zat tlem emaw, sang emaw a awm chuan `ketoacidosis` an tih – `DKA` emaw `alcoholic ketoacidosis` tia hriat bawk i nei thei tihna a ni. Hei hi a hlauhawm hle mai.

DKA natna lan chhuah hmasak berte chu:

• Zun chhuah fo thin
• Tuihâl lutuk, hmui vawt (polydipsia) .
• riltam lutuk (polyphagia) .
• Tui tlakchhamna (dehydration).
• Lu na

DKA leh alcoholic ketoacidosis natna lan chhuahna na zawk chu:

• Nausea leh luak chhuak
• Pum natna nasa tak
• Kawthalo
• Thâwk harsa emaw `Kussmaul thawk` (thâwk thuk, rang, thawkrim taka thawk) .
• Thlai rimtui thaw (acetone rim) .
• Chau lutuk emaw, chak lo emaw anga inhriatna
• Thil hriatna tlahniam, buaina, emaw, buaina (rilru dinhmun danglam) .
• Muthilh theihna tlahniam, mut theih lohna

Heng symptoms pakhat emaw a aia tam emaw i neih chuan medical emergency-ah ngai la, doctor pan nghal rawh, hei hian nunna a tichhe thei a ni!

I hriat reng tur pawimawh ber berte

Ketones, a tlem berah chuan kan taksaa thil awm dan pangngaiah a tel thei a ni. Mahse , taksaah ketone tam tak a awm khawm chuan natna khirh tak a ni thei a, nunna atana hlauhawm tak a ni thei. A bik takin `ketoacidosis` vei hlauhawm i nih chuan, chu chu zunthlum ang chi natna i neih chuan i doctor nen uluk taka enkawl dan tur sawipui rawh. Tin, i ketone level a san lutuk chuan eng nge i tih tur tih sawi te, ruahmanna tha tak neih te hian hlauhawm lakah a venghim ang che. I taksa, i hriselna, fimkhur reng a pawimawh em em a, i hrethiam em?

` Ketones, zun chhunga ketone, ketoacidosis, DKA, zunthlum, keto diet, zun test