I ētahi wā ka ahua pōuri tātou mō te haunga e puta mai ana i ō tātou waha. He mea noa iho. Ka puta pea tēnei ina kai koe i ngā kai raukikī pērā i te riki, te kāriki rānei, ina kore rānei koe e parai tika i ō niho. Heoi, ki te kakara hua tō manawa, pērā i te tango peita whao, ehara i te mea noa. He tohu pea tēnei mō tētahi raruraru hauora nui. Koinei tā tātou e kōrero nei i tēnei rā.
He aha te kakara o taku manawa he rite ki te acetone?
Ki te kī māmā noa iho, ki te hongi tō manawa pēnei, ko te tikanga he teitei te taumata o ngā matū e kiia nei ko ngā ketone i roto i tō toto. Kaua e wehi i te kupu "ketones". Kia māmā noa iho.
Me whai pūngao ngā pūtau o tō tātou tinana kia mahi ai. I ahu mai tēnei pūngao i te huka e kīia nei ko te kurukose i roto i ngā kai e kainga ana e tātou. He rite ki te penehīni mō te motuka. Heoi, ki te kore e taea e ō tātou pūtau te whakamahi i tēnei kurukose, ka kimi te tinana i tētahi atu huarahi. Arā, ko te tahu i te ngako e rongoa ana i roto i te tinana hei whakaputa pūngao .
Whakaarohia he rite ki te whakahaere i tētahi motuka me te hinu pēni ina pau te penehīni. Ka oma te motuka, engari kāore e pai mō te miihini, ā, ka paowa. Waihoki, ina tahuna te ngako e te tinana, ka tāpirihia ēnei waikawa e kiia nei ko ngā ketone ki te toto hei hua taha. Ina tino teitei rawa ēnei taumata ketone, ka tīmata tō manawa ki te hongi pērā i te acetone, i te hua rānei.
He aha te whanaungatanga i waenga i te mate huka me te manawa acetone?
Ko tēnei āhuatanga e kiia nei ko te manawa acetone e pā ana ki te mate huka, inā koa i roto i te hunga mate huka momo 1 .
Ko te mate huka he āhuatanga e piki ake ai te taumata o te huka (glucose) i roto i te toto i runga ake i te taumata noa. I te nuinga o te wā, ko te homoni insulin, e hangaia ana e tō tātou repeure, he rite ki te kī e whakatuwhera ana i te tatau hei tuku i te huka ki roto i ō tātou pūtau. I roto i te tangata e mate huka ana, ka iti ake te insulin e hangaia ana e te tinana, kāore rānei e taea te whakamahi i te insulin e hangaia ana e ia. Kāore rānei e taea e te tinana te whakamahi tika i te insulin e hangaia ana e ia.
Nā, he aha te mea ka tupu ina kore he insulin i a koe? Kāore e taea e te huka te uru ki roto i ngā pūtau. Ka kohia noa iho i roto i te toto. Engari kāore he pūngao o ngā pūtau. Pērā i te tunu kai kāinga.He rite tonu ki te tatau o te kīhini kua raka ina kī, ā, me hiakai te whānau.
Koinei te wā ka tīmata te tinana ki te tahu ngako hei pūngao, e ai ki te kōrero i mua ake nei. Kātahi ka piki haere te taumata o ngā ketones i roto i te toto, ā, ka tino morearea. Ka kiia tēnei āhuatanga ko te Diabetic Ketoacidosis (DKA) . He āhuatanga ohorere hauora tino kino tēnei, he mea morearea ki te ora.
Ko tētahi o ngā tohu matua me ngā tohu wawe o te DKA ko te manawa kakara hua. Koinei tētahi o ngā tohu tuatahi ka tirohia e ngā tākuta ina whakapae rātou he DKA.
He aha atu ngā tohu o te DKA?
Haunga te manawa acetone, he maha atu anō ngā tohu o te DKA. Ka puta wawe tonu ēnei, i ētahi wā i roto i ngā haora 24. Tērā pea koinei ētahi o ngā tohu tuatahi ka pā ki te tangata hou kua tāpaetia he mate huka.
| Tohu | He aha te tikanga o tēnei? |
|---|---|
| Te matewai nui me te mimi pinepine | Ka ngana te tinana ki te whakaputa i te huka nui i roto i te toto mā roto i ngā whatukuhu i roto i te mimi. I taua wā anō, ka puta he nui te wai mai i te tinana, ka puta te matewai nui. |
| Whakapairuaki me te ruaki | Ka taea e ngā taumata ketone teitei i roto i te toto te whakapouri i te puku, te whakapairuaki, me te ruaki. |
| Te ngenge me te ngoikore | Ka tino ngenge, ka ngoikore hoki te tinana nā te mea kāore ngā pūtau e whiwhi i te pūngao (te hukahuka) e hiahiatia ana e rātou. |
| Te uaua ki te manawa | Ina piki ake te waikawa o te toto (nā ngā ketone), ka ngana te tinana ki te whakahaere mā te manawa tere ake me te whakaputa i te hauhā waro. |
| Pōhēhētanga | Ka pā tēnei āhuatanga ki te mahi a te roro, ka heke ai te mataara me te pōhēhē. |
| Te whakahekenga taumaha ohorere | Nā te mea ka tahuna e te tinana te ngako hei pūngao, ka tere te hekenga o te taumaha (ina koa ko te hunga kua kitea houtia te mate huka momo 1). |
Āhea koe me rapu tohutohu hauora tonu?
He wāhanga tino nui tēnei.
- Mena he mate huka koe , ā, he kakara acetone tō manawa, tuatahi, me whai i te mahere maimoatanga kua hoatu e tō tākuta ki a koe. Arā, me tango i ngā werohanga insulin me ngā rongoā i te wā tika.
- Mena kei te whai tika koe i te maimoatanga, engari he taurite, he teitei rānei ngā taumata ketone (i inehia ki ngā rīpene whakamātautau), waea atu ki tō tākuta tonu.
- Ahakoa kāore koe i te mate huka, ki te mea he āwangawanga āu mō te haunga pumau o te acetone, me toro atu ki te tākuta.
He āhuatanga ohorere hauora te DKA. Mēnā kei a koe tētahi, ētahi rānei o ngā tohu e whai ake nei, haere tonu ki te tari ohorere o te hōhipera (ETU).
* Mena he nui atu i te kotahi ō tohumate DKA kua whakahuatia i runga ake nei.
* Ki te kore e taea e koe te whakapā atu ki tō tākuta.
* Mena he teitei ake te taumata huka i roto i tō toto i te 300 mg/dL.
Kaua e whakahawea ki tēnei āhuatanga. Mā te maimoatanga tere ka ora ai te tangata.
He take kē atu anō kei te puta ai te manawa acetone i tua atu i te mate huka?
Āe. Ahakoa ko te mate huka te tino take, ka puta anō hoki tēnei mate nā ētahi atu take.
| Take | Whakaahuatanga |
|---|---|
| Te Kai Keto me te Nohopuku | He kai nui te ngako, he pūmua taurite, he iti rawa te warowaihā te kai keto. Ka akiaki i te tinana ki te tahu ngako hei pūngao. Ka puta anō hoki tēnei ina nohopuku koe mō te wā roa. Ka piki ake pea ngā taumata ketone i roto i te toto, ka puta he kakara hua ki tō manawa. |
| Ketoacidosis waipiro | Ka taea hoki e ngā ketone te piki rawa i roto i te toto o te hunga e inu nui ana i te waipiro, e kore e kai tika, e ruaki ana hoki. He mate tino kino hoki tēnei. Ka taea te whakapoauau i ngā tohu pēnei i te ruaki me te mamae o te puku ki ētahi atu mate hauora. Engari he mea nui te maimoatanga tere. |
Karere Tangohia ki te Kāinga
- Ki te hongi tō manawa i te huarākau, i te tango peita whao rānei (manawa acetone), kaua e warewaretia he manawa kino noa iho.
- He tohu whakatūpato kaha tēnei mō te ketoacidosis mate huka (DKA), he raruraru nui o te mate huka.
- Mena kei a koe te mate huka, ā, kei te haere tahi mai tēnei manawa kino me ētahi atu tohu pēnei i te matewai nui, te mimi pinepine, te ruaki, me te ngenge nui, haere tonu ki te Tari Urupare o te hōhipera (ETU).
- Haunga te mate huka, ko te kai keto, ko te inu nui rānei i te waipiro, ka taea hoki te waiho hei take, engari ahakoa te take, he mea nui kia toro atu koe ki tō tākuta mō ētahi tohutohu .
- He karere nui tēnei tohu mai i tō tinana, i te tinana rānei o tō hoa aroha. Whakarongo mai.
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