He aha ngā ketones? He kino rānei mēnā ka piki ake i roto i tō tinana?

Kua rongo kē koe i ngā ketones? Tērā pea nā te tākuta, nā te hoa rānei, nā te mea he mate huka koe, me mōhio koe ki tēnei. I tēnei rā, ka kōrero tātou mō te āhua o ēnei ketones, he pai, he kino rānei mō te tinana, ā, he aha ngā mea ka puta mēnā ka piki ake, i roto i tētahi huarahi māmā ka taea e koe te mārama. Kāore he mea e wehi ai, kia mārama tātou ki ngā mea katoa.

He aha tonu ngā ketones?

Ki te whakarapopoto, he momo waikawa ngā ketone ka hangaia e tō tinana. Ka puta ēnei ina whakamahia e tō tinana te ngako hei utu mō te hukahuka hei pūngao. Whakaarohia, me pūngao ō tātou tinana kia mahi ai. Ko te nuinga o tēnei pūngao i ahu mai i te hukahuka. He momo huka te hukahuka. Ka whiwhi ō tātou tinana i tēnei hukahuka mai i ngā kai e kainga ana e tātou he warowaihā, hei tauira, te raihi, te taro, me te rīwai.

Nā, ki te kore e taea e tō tinana te whiwhi i te nui o te huka hei pūngao, he aha tāna mahi? Ka haere ki te kōwhiringa tuarua. Arā, ka tahuna e ia te ngako kua rongoatia i roto i te tinana hei whakaputa pūngao. Ina tahuna e koe te ngako pēnei, ka puta he tinana ketone hei hua taha. Ka kohia ēnei ketone i roto i te toto, ka haere puta noa i te tinana, ka whakarato pūngao ki ngā momo kiko. Whai muri i tēnā, ka tukuna ngā ketone e toe ana i roto i tō mimi.

I te nuinga o te wā, ehara i te mea he raruraru te whai ketone i roto i tō toto, ehara hoki i te mea morearea. Nā te mea he mea noa tēnei mā te tinana te whakamahi i te ngako hei pūngao ina hiahiatia.

Heoi, ki te nui rawa te pikinga o ngā ketone, ka tūpono he mea morearea. Ka waikawa, ka paitini hoki ō toto. Ka kiia tēnei mate ko te ketoacidosis. Ki te mate huka koe, ka pāngia koe e te mate e kiia nei ko te Diabetic Ketoacidosis (DKA), e puta mai ana i te pikinga o ngā ketone. Ka tūpono pea tēnei ki te ora mēnā kāore e rongoatia tika. Nō reira, he mea nui kia mōhio koe ki tēnei.

He aha tonu te mahi a ngā ketones i roto i ō tātou tinana?

E ai ki te kōrero i mua ake nei, he momo pūngao ngā ketone e whakarato ana i te pūngao ki te roro me te tinana ina kore e wātea, ina iti, ina kore rānei e wātea te pūtake pūngao matua o te tinana, te hukahuka. Whakaarohia ngā ketone hei "pūngao tārua" mō tō tinana. Ka tīmata ēnei ina tapahia te raina matua.

I te nuinga o te wā, ka hangaia te hukahuka mai i te kai e kainga ana e tātou, ā, mā te awhina o te homoni insulin, ka uru ki roto i ngā pūtau ka whakaputa pūngao, ka rongoa rānei mō te whakamahinga a muri ake nei.

Heoi, ki te kore e nui ngā warowaihā e kainga ana e koe, ka uru tō tinana ki tētahi āhua e kiia nei ko te ketosis. I tēnei āhua, ka tahuna e te tinana te ngako hei pūngao, ā, ka tukuna ngā ketone. Ka whakaratohia e ēnei ketone he pūngao ki ngā pūtau me ngā kiko, ā, ka āwhina i te tinana ki te mahi. He tukanga noa te ketosis. Hei tauira:

• I a koe e moe ana.
• Ina nohopuku koe.
• Ina whakakori tinana koe.
• Ina kei runga koe i te kai keto.

Kia kōrero tātou mō te Kai Keto.

Ko te hunga e kai ana i te kai keto ka whakaiti i ā rātou warowaihā, ka kai hoki i ngā kai he nui te ngako. Mā tēnei ka nui ake te ngako e tahuna ana e ō rātou tinana. Tērā pea ētahi painga hauora o te whakatutuki i te ketosis i tēnei ara, engari ka rerekē i runga i tō āhua hauora. Nō reira, me kōrero koe ki te tākuta i mua i te tīmatanga o tētahi kai pēnei. Nā te mea ka puta he huringa nui ki te tinana, kāore e pai mō te katoa. Waihoki, he kai tino here te kai keto, nō reira he uaua ki te whai mō te wā roa.

Kei hea ngā ketone e hangaia ai?

He tukanga te ketosis e puta ana i roto i tō ate . Ka hangaia e te ate ngā ketone, ka tukuna ki roto i te toto. Kātahi ka haere ēnei ketone mā roto i te toto hei whakarato pūngao puta noa i te tinana. Kia oti, ka tukuna ki roto i te mimi.

He aha ngā āhuatanga hauora ka hono atu ki ngā ketones?

He mea nui te mārama ki ngā ketone me te aroturuki i ō taumata ketone mēnā he mate huka koe, inā koa te mate huka momo 1. Ko te mate huka momo 1 he āhuatanga e kore ai e taea e tō tinana te hanga i te insulin, he homoni e āwhina ana i tō tinana ki te whakamahi i te hukahuka hei pūngao.

Ina he raruraru ki te insulin, ka nui rawa te huka o roto i tō toto (hyperglycemia), ā, ka nui haere ngā ketone i roto i tō toto. Koinei te take o te ketoacidosis mate huka (DKA). Ko te DKA te mea tino noa i roto i te hunga mate huka momo 1, engari ka taea hoki te pā ki te hunga mate huka momo 2.

Hei tāpiritanga, ko te hunga e pāngia ana e te mate inu waipiro kei te mōrearea ki te mate e kiia nei ko te alcoholic ketoacidosis. Ko te hunga e inu nui ana, inā koa ko te hunga e inu tonu ana, e ruaki ana, ā, kāore e kai tika ana, ka pāngia e te taumata ketone tino teitei. Pērā i te DKA, he āhuatanga ohorere hauora tēnei e hiahia ana kia rongoatia tonutia.

He aha ngā tohu o te nui o ngā taumata ketone i roto i te toto?

Mena kei a koe te mate huka, ā, ka pāngia koe e ēnei tohu e whai ake nei, waea atu ki tō tākuta tonu atu, haere rānei ki te rūma whawhati tata (ETU) .

He rite ngā tohu tōmua ki ērā o te huka toto tiketike (hyperglycemia):

• Te mimi pinepine.
• Te matewai nui.
• Te mangai maroke me te matewai.
• Kiri maroke.
• Te mamae o te upoko.

Ki te kore e rongoatia, ka tere te kino haere o te DKA (i roto i ngā haora 24, iti iho rānei). Ko ngā tohu o te DKA kino ko:

• Whakapairuaki me te ruaki.
• Te ngenge nui, e kore e memeha ahakoa i muri i te okiokinga.
• Mamae puku.
• Te poto o te manawa.
• Pōhēhētanga.
• He kakara hua ki te manawa (e kiia ana i ētahi wā ko te "manawa keto").

Me pēhea te tirotiro i ngā taumata ketone? He aha ngā whakamātautau e wātea ana?

Kei te wātea ngā kete whakamātautau hei tirotiro i ngā taumata ketone i ngā whare rongoā, ka taea rānei te tono ipurangi. Mena kei te mōrearea koe ki te DKA, pātai atu ki tō tākuta ko tēhea whakamātautau te mea pai mō tō hauora. He mea pai kia whai kete whakamātautau koe kia tere ai te mahi mena ka kite koe i ngā tohu o te DKA.

Ngā whakamātautau toto

Ka taea e koe te whakamātautau toto i te tari o te tākuta, ka taea rānei e koe te hoko i tētahi kete ka taea e koe te whakamahi i te kāinga. Ko te tikanga o tētahi kete kāinga ko te wero i tō maihao ki tētahi ngira iti hei tiki i tētahi pata toto. Ka whakatakotoria ki runga i tētahi rīpene whakamātautau ka pānuihia ki runga i te mita. Ka whakaatuhia e te mata o te mita ō taumata ketone o nāianei.

Ka taea e ētahi mita huka toto te ine i ngā taumata huka toto me ngā taumata ketone. Mena kei a koe tētahi, kāore koe e hiahia ki te mahi i tētahi atu whakamātautau.

Ngā whakamātautau mimi

Ko te tikanga, he rīpene whakamātautau kei roto i ngā whakamātautau mimi. Ka mimi koe ki roto i tētahi ipu, ka tāpirihia te rīpene ki roto, kātahi ka tatari kia huri tōna tae. He tūtohi tae kei ngā whakamātautau mimi e whakaatu ana i ngā taumata rerekē. Ka whakataurite koe i te tae o tō rīpene whakamātautau ki te tūtohi tae.

Kāore e taea e te whakamātautau mimi te whakaatu tika i te nui o ō taumata ketone i tēnei wā , he rerekē ki te whakamātautau toto. Heoi, ka taea e ia te whakaatu i te nui o ō taumata ketone i ngā haora kua taha ake nei .

Ngā whakamātautau manawa

Ko ētahi o te hunga e kai ana i te kai keto ka whakamahi i ngā mīhini tātari manawa ringaringa hei tirotiro i ō rātou taumata ketone. Ka taea e ēnei mīhini tātari manawa te kite i tētahi momo ketone e kiia nei ko te acetone. Engari he mea hou tonu tēnei hangarau. Me ako anō ngā kairangahau i tēnei i mua i te kiia he whakamātautau pono, he whakamātautau tika hoki.

Kaua rawa te hunga e mōrearea ana ki te DKA e whakawhirinaki ki tētahi mīhini tātari manawa hei tirotiro i ō rātou taumata ketone.

He aha te tikanga o ngā hua o te whakamātautau ketone?

Mā te mōhio ki ō taumata ketone ka āwhina i a koe ki te mōhio mēnā kei te mōrearea koe ki te DKA, me te mea me mahi tonu koe i ngā mahi hei whakaheke i ō taumata ketone. Ka rerekē pea ngā taumata ketone i runga i te whakamātautau ka mahia e koe. Waihoki, ko te mea e kiia ana he noa, he teitei rānei ngā taumata ketone ka rerekē pea i ia tangata, i ia tangata.

Kei te ripanga i raro nei he aratohu whānui mō te tikanga o ngā taumata ketone o tō toto e pā ana ki tō mōrearea ki te DKA, me ngā mahi me mahi e koe. (Tirohia tō tākuta mō ngā tohutohu motuhake mō tēnei.)

• I raro iho i te 0.6 mmol/L: He taumata noa tēnei.
• 0.6 ki te 1.5 mmol/L: He paku teitei ō taumata ketone. Whāia ngā tohutohu a tō tākuta. Tērā pea ka tono atu rātou kia whakamātauria anō koe i roto i ētahi haora.
• Mai i te 1.6 ki te 2.9 mmol/L:He teitei ō taumata ketone. Tērā pea kei te mōrearea koe ki te DKA. Waea atu ki tō tākuta tonu.
• 3.0 mmol/L, neke atu rānei: He tino teitei ō taumata ketone. Me tere tonu te awhina hauora. Haere ki te hōhipera tonu.

Āhea koe me tirotiro i ō taumata ketone?

Mena he mate huka tōu, ka tohutohu tō tākuta i a koe mō te wā me te auau o te tirotiro i ō taumata ketone. Ka kī atu rātou kia tirohia e koe i ēnei wā:

• Ina pāngia koe e ngā tohu o te DKA.
• Ahakoa kei te mate koe, kei te whara rānei.
• Mena kua ngaro i a koe tētahi, neke atu rānei, ngā werohanga insulin.
• Mena he nui ake te taumata huka i roto i tō toto i te 240 mg/dl (mirakaramu/tehirita).
• Mena kei te hapu koe. (He uaua pea te whakahaere i ngā taumata insulin i te wā e hapu ana. Mena he mate huka tōu, me tino tupato koe ki ō taumata insulin me te ketone i te wā e hapu ana.)

Ka aha mēnā ka piki ake ngā taumata ketone?

E ai ki te kōrero i mua ake nei, ki te nui te taumata o te ketone, ka nui rawa te waikawa o tō toto, ā, ka paitini hoki. Koinei te mea ka tupu i roto i te ketoacidosis. Ko te ketoacidosis mate huka (DKA) te momo ketoacidosis tino noa.

He aha ngā maimoatanga mō ngā taumata ketone teitei?

Ko te maimoatanga e whakawhirinaki ana ki te teitei o ō taumata ketone. Mā tō tākuta koe e ārahi i ngā mahi ka taea e koe te mahi i te kāinga hei whakaheke i ō taumata i mua i te tino teitei. Tērā pea ka tohutohu rātou i a koe kia mahi i ngā mea pēnei i:

• Te nui o te insulin hei tango.
• Te nui o te kai hei kai me te wai hei inu (me te momo kai).
• Taumata mahi haumaru.
• Kia pēhea te auau o taku tirotiro i te huka toto me ngā taumata ketone?
• He aha ngā taumata huka me ngā taumata ketone i roto i te toto me toro atu koe ki te tākuta (me haere rānei ki te ER)?

Ko te maimoatanga i te hōhipera ko te hoatu wai IV me te insulin hei whakaheke i ō taumata ketone.

Me pēhea te pupuri i ngā taumata ketone i roto i te awhe haumaru?

Ki te whakaaro koe kei te tino mōrearea koe ki te DKA, mahi tahi me tō tākuta ki te mahi i ngā mahi hei ārai i a ia.

• Kia mau ki tētahi tikanga o ia rā hei āwhina i a koe ki te whakahaere i ō taumata ketone. Whakauruhia tētahi tikanga hei pupuri i ō taumata huka toto i roto i tētahi awhe haumaru, me ngā taumata insulin hoki. Mā tēnei ka whakaiti i tō tupono ki te nui o ngā ketone. Kōrero ki tō tākuta mate huka kia whakatauhia ai he aha te mea haumaru.
• Ki te whakamahi koe i te papu insulin, kōrero ki tō rōpū tiaki mate huka mō te ārai i te DKA. Mā te mārama ki te tukunga o te insulin e tō papu, me pēhea te kite i te hapa o te papu, me te whai mahere ohorere ka āwhina i te whakaiti i te mōrearea o te DKA i te wā e whakamahi ana i te papu insulin.
• Kia mōhio ki ō taumata (me te wā hei whakamātautau).Kia mōhio koe ki ō taumata ketone noa, me te wā me mahi koe i ngā mahi hei whakaiti i aua taumata. Kōrero ki tō tākuta mō te wā me whakamātautau koe mō ngā ketone (hei tauira, mēnā he whara, he mate pāwera rānei tōu).
• Kia rite. Kia mau tonu he kete whakamātautau ketone mēnā kei a koe ngā tohu o te DKA. Mahi tahi me tō tākuta ki te whakarite i tētahi mahere mō te aha me mahi mēnā ka tino teitei rawa ō ketones. He mea nui kia mōhio koe ki te wā me waea atu ki tō tākuta me te wā me haere tonu ki te ER.

Hei whakamutunga, ngā mea hei maumahara

I te nuinga o te wā, he āwhina puku ngā ketone ina kore e taea e ō tātou tinana te whiwhi pūngao nui mai i te huka. Heoi, ki te teitei ō taumata ketone, ā, he mate pēnei i te Mate Huka Momo 1 tōu, me tino āwangawanga koe mō ēnei. Kōrero ki tō tākuta mō te aha me mahi mēnā he teitei ō taumata ketone. Hangaia he mahere hei pupuri i ō ketone ki te taumata haumaru hei karo i ngā raruraru pēnei i te DKA. Kei ō ringaringa tō hauora!

Ngā Ketone, te mate huka, te ketoacidosis, te DKA, te huka toto, te pūngao, te tahu ngako