I ketones a sang em? Hemi chungchang hi awlsam takin han sawi ila!

‘Ketones’ tih thumal hi i hre ngai em? Zunthlum i vei a nih chuan he thumal hi i hre chiang hle mai thei. A nih loh leh ‘Keto’ diet chungchang hi i hre tawh mai thei. Ketone hi eng nge ni tak tak? Kan taksa tan a tha nge tha lo? An pun chuan eng nge thleng ang? Heng zawng zawng hi awlsam tak leh chiang takin sawi ila.

A awlsam zawngin, ketones chu eng nge ni?

I taksa chu motor angin ngaihtuah rawh. He car tlanna tur fuel ber chu glucose a ni. Hetiang sugar chi glucose an tih hi kan ei tur carbohydrates (e.g. buhfai, chhang, alu) awmna atanga lo chhuak a ni ber.

Tunah chuan han ngaihtuah teh, eng emaw chhan vanga taksain he glucose fuel hi a hmang thei lo emaw, a tling lo emaw a nih chuan eng nge thleng ang? Car a ding dawn em ni? Ni lo, kan taksa hi a fing hle. Chutih lai chuan taksa chuan thau dahkhawm chu a hal tan a, chu chuan chakna a siam chhuak thin. Car pakhatin gasoline a tlakchham laiin reserve tank-a a tlan ang maiin.

Heng ketone te hi thisenah an chhuak a, taksa pum puiah an kal kual a, chu chuan cell te chu chakna a pe a ni. Chumi hnuah ketone la awmte chu zunah a chhuak leh thin.

Dik tak chuan kan thisenah ketone engemaw zat awm hi thil pangngai leh hrisel tak a ni a, kan taksain a tul huna he backup energy source hi a hman dan pangngai a nih avangin.

Mahse buaina chu heng ketone level te hi control loha a san lutuk atang hian a intan thin. Tichuan kan thisen hi a acidic lutuk a, toxic a lo ni ta a ni. Hei hi ketoacidosis kan ti a. Hei hi dinhmun hlauhawm tak a ni a, emergency medical treatment a ngai a ni.

Engtikah nge ketone level hi a tlangpuiin a san?

Keton siam chhuah dan hi ketosis an ti a. Hei hi dinhmun hlauhawm tak a ni lo, thil pangngai a ni. Entirnan, i taksa ketone level hi a pianphungah a hnuaia thil awm danah hian a sang deuh thei a ni:

• I mut lai: Darkar tam tak chhung chaw i ei loh vang a ni.
• Chaw nghei lai: Taksa hian a ei loh avangin thau a hal thin.
• Exercise kan tih hian: A chhan chu chakna tam zawk a mamawh vang a ni.
• Keto diet kan tih hian: He diet hian carbohydrates tihtlem leh thau ei tam a huam a, chuvangin taksa chuan thau hal chu tharum thawhna hmang deuhthaw a zir thin.

Keton hi tute tan nge hlauhawm? Zunthlum leh Ketones te

Ketones chungchang sawi dawn chuan zunthlum vei te, a bik takin Type 1 Diabetes nei te hian an ngaihtuah ber tur a ni.

A chhan chu hei hi a ni. A hmaa kan sawi tawh ang khan insulin an tih hormone hian kan taksa cell-te chu glucose (sugar) la turin a pui a, chakna atan a hmang bawk. Type 1 diabetes vei chuan he hormone hi a siam chhuak lo.

Chuti a nih chuan, insulin i hloh hian eng nge thleng?

1. Thisen chhunga sugar awm chu cell-ah a lut thei lo va, thisenah a pung khawm thin. Hei hian thisen sugar level a ti sang hle (`Hyperglycemia`).

2. Cell-te hian chakna an tlakchham avangin taksa chuan "riltam" niin a ngai.

3. Chakna siam la, i taksa chuan thau a hal thuai tan ang.

4. Chumi avang chuan ketone tam tak chu vawi khatah a lo piang a, thisenah a pung khawm thin.

5. Hetianga ketone tam lutuk hian thisen chu acidic a siam a, chu chuan natna hlauhawm tak Diabetic Ketoacidosis (DKA) tih a thlen thin.

Hetiang dinhmun hi type 1 diabetes vei zingah a tam zawk nachungin, type 2 diabetes vei zingah pawh a awm thei bawk.

Tin, zu in tam lutuk te pawh hi chutiang bawka natna `alcoholic ketoacidosis` tih chu an vei thei bawk.

Ketone level sang lutuk hian eng symptoms nge a neih? (DKA natna lan chhuah dan)

Diabetes i vei a, a hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan doctor ko nghal la, emergency room (ETU) hnai ber pan rawh. DKA hi a na hle thuai thei hle a, darkar 24 emaw a aia rei lo chhungin a na thei bawk.

Engtin nge ketone level hi i check thin?

DKA vei hlauhawm i nih chuan i doctor chuan ketone testing kit hman a rawt thei ang. Damdawi dawr atangin i hmu thei ang. Hengte hi in lamah neih a pawimawh.

• Thisen test: In lama tih theih tur kit a awm. I thisen sugar i check ang bawkin i kut zungtang chu thisen tlemte hmangin i chil a, test strip-ah i dah a, meter-ah i chhiar a ni. Hei hian chutih lai chuan i ketone level dik takin a chhiar thei che a ni. Glucometer thenkhat chuan ketone awm leh awm loh an enfiah thei bawk.
• Urine test: Hei hi i zun chhungah test strip dip a, a rawng inthlak dan en a ni. Mahse, hei hian darkar tlemte kalta a i ketone level kha eng ang nge a nih tih chauh a hrilh che a, tuna a awm dan erawh a hrilh lo.
• Breathalyzer test: Hengte hi technology thar a la ni reng a. DKA vei hlauhawm tak tan chuan rintlak an ni lo. Chuvangin ketone tehna atan hman loh tur a ni.

Engtikah nge ketone level hi enfiah tur?

Zunthlum i vei a nih chuan hemi chungchangah hian i doctor chuan thurawn a pe ang che. Anni chuan a hnuaia thil awm danah hian i ketones check turin an hrilh tlangpui che a:

• DKA symptoms i neih chuan.
• Khawsik emaw, khawsik emaw, accident emaw i neih chuan.
• Insulin injection pakhat emaw a aia tam emaw i pek loh chuan.
• I thisen sugar level 240 mg/dl aia tam a nih chuan.
• Naupai i nih chuan (naupai laiin insulin level control chu thil harsa tak a ni thei).

Ketone level sang hi engtin nge kan enkawl ang?

Treatment chu i ketone level a san danah a innghat.

In lama i tih theih tur (damdawi lam thurawn chauh) .

I doctor chuan in lama i level hlauhawm taka a san hmaa i enkawl dan tur thurawn a pe thei che a ni. Heng tips te hi a hnuaia mi te hi a ni thei:

• Insulin ei tur zat.
• Tui leh ei tur in tur zat.
• Exercise neih a rem leh rem loh.
• I sugar leh ketone level hi engzat nge i check tur?

Damdawi in enkawl a ni

Ketone level a sang hle a nih chuan damdawi ina dah a ngai a ni. Hei hi enkawlna bulpui ber chu intravenous saline (IV fluids) leh insulin pekna hmun a ni a, chu chuan thisen acidity a tihziaawm a, ketone level leh sugar level chu a pangngaiah a dah leh thin.

DKA hi engtin nge kan ven theih ang a, ketone level hi engtin nge kan him theih ang?

DKA vei hlauhawm i nih chuan invenna hi a tha ber. Chutiang ti tur chuan i doctor nen thawk ho rawh.

• Thil tih dan dik tak vawng reng rawh: I doctor-in ei tur ruahmanna leh insulin regimen dik tak zawm rawh. Hei hian i thisen sugar level control nan a pui ang a, ketones neih theihna a ti tlem bawk ang.
• I level hre reng ang che: I ketone level pangngai chu eng nge ni tih hria la, engtikah nge i check tur tih leh i level a san chuan eng nge i tih tur tih te hre rawh.
• Inbuatsaih rawh: Ketone test kit hi in lamah dah rawh. I doctor nen inbia la, i ketone level a san chuan zawm tur ruahmanna siam rawh. I doctor nen eng level nge i sawi tur tih leh eng level nge ETU-a kal tur tih chiang takin hria ang che.

A tam zawkah chuan ketones hi kan taksa tan silent help a ni. Mahse zunthlum i vei a nih chuan anmahni hriat chian leh i risk enkawl hian i nunna a chhanhim thei a ni.