He tangata mate huka koe? He tangata rānei kei roto i tō whānau, i tō hoa rānei e mate huka ana? Kua rongo pea koe i te kupu 'ketones'. Engari he aha ēnei ketones? He aha te hiranga o ēnei ki te tangata mate huka? Me kōrero tātou mō tēnei i tēnei rā i roto i tētahi huarahi māmā e mārama ai koe. Mā te mōhio tika ki tēnei ka āwhina i a koe ki te whakaora i tō oranga.
He aha ngā ketones?
He momo waikawa ngā ketone e hangaia ana e tō tātou ate. He iti noa ngā ketone e hangaia ana e te katoa i roto i ō rātou tinana, ahakoa he mate huka tō rātou, kāore rānei.
Nā, me pēhea ēnei mea e puta ai? Ka whakamahia e ō tātou tinana te huka, te hukahuka rānei, hei pūtake matua mō te pūngao. He mea nui te homoni e kiia nei ko te insulin hei huri i tēnei hukahuka hei pūngao. Heoi, ki te kore e nui te insulin i roto i te tinana, kāore e taea e te tinana te whakamahi i te hukahuka hei pūngao. Kātahi ka rapu te tinana i tētahi atu pūtake pūngao. Ko te ngako e rongoatia ana i roto i ō tātou tinana.
Ina tīmata te tinana ki te tahu ngako hei pūngao, ka puta mai ēnei ketone hei hua taha. Ka kiia tēnei tukanga ko te ketosis . Ehara tēnei i te raruraru mō te tangata kāore he mate huka. Heoi, mō te tangata he mate huka, inā koa ka ngaro te mana whakahaere o te insulin, ka piki haere ēnei taumata ketone me te kore e taea te whakahaere. Mena ka tino teitei te taumata o ngā ketone i roto i te toto, ka arahi pea ki tētahi āhuatanga ohorere tino kino, tae atu ki te mate e kiia nei ko te Diabetic Ketoacidosis (DKA) .
Ko wai me mahi i te whakamātautau ketone?
Mena he mate huka koe, he mea tino nui kia mōhio koe ki ngā whakamātautau ketone.
- Te hunga whai mate huka momo 1: Koinei te hunga tino mōrearea. I roto i te mate huka momo 1, ka whakangaromia e te pūnaha ārai mate o te tinana ngā pūtau whakaputa insulin i roto i te repeure. Ki te kore he insulin, ka piki ngāwari ngā taumata huka toto me ngā taumata ketone.
- Te hunga mate huka momo 2: Tērā pea he nui ake ngā taumata ketone i roto i ō rātou tinana, engari kāore i te tino kitea pērā i te mate huka momo 1.
- Te hunga inu nui: Ko te hunga e inu nui ana i ia rā, ā, kāore e kai tika, e inu rānei, ka pāngia pea e te mate e kiia nei ko te alcoholic ketoacidosis . He āhuatanga ohorere anō hoki tēnei e hiahia ana kia rongoatia tonutia.
Āhea me whakamātautau koe mō ngā ketones?
Mena he mate huka tōu, ka tohutohu pea tō tākuta kia tirohia e koe ō taumata ketone i ngā wā e whai ake nei:
- Mena he nui ake te taumata huka i roto i tō toto i te 250 mg/dL mō ngā rā e rua karapīpiti.
- Mena ka pāngia koe e tētahi mate pēnei i te kirika, te makariri, te whara rānei.
- Mena kei te whakaaro koe ki te whakakorikori tinana, ā, kei runga ake i te 250 mg/dL te taumata huka i tō toto i taua wā.
- Mena kāore e taea e koe te whiwhi i te werohanga insulin kua tohua.
- Mena kei te hapu koe (ina koa mēnā he mate huka hapūtanga tōu).
- Mena kua pokangahia koe.
- Ki te kore e taea e koe te kai i tetahi mea.
- Ki te whakamahi koe i te papu insulin , ā, ka mutu tana mahi.
He aha ngā tohu o te nui haere o ngā taumata ketone?
Ki te pāngia koe e ēnei tohu e whai ake nei, he mea whakaaro nui kia tere tonu te whakamātautau ketone. Tērā pea he tohu tōmua ēnei o te DKA.
| Ngā tohu tōmua | Ngā tohu o tētahi mate kino |
|---|---|
| Te matewai nui me te waha maroke | Ngenge nui me te ngenge rawa |
| Te mimi pinepine | Whakapairuaki, ruaki, me te mamae o te puku |
| Te manawa kakara hua | Te uaua ki te manawa |
| Ānini | Whero kiri |
| Kiri maroke | Pōhēhē (mate hinengaro) |
Ko te mea nui ko te tirotiro i ō taumata ketone i ia 4-6 hāora mēnā he teitei ō taumata huka toto, he māuiui rānei koe.
Me pēhea te tirotiro i ngā taumata ketone?
E rua ngā huarahi matua hei whakamātautau i ō taumata ketone, ā, ka taea e koe te mahi i ēnei i te kāinga.
1. Whakamātautau Mimi
Koinei te tikanga tino noa, tino iti hoki te utu. Ka taea e koe te hoko i ngā rīpene whakamātautau mō tēnei i te whare rongoā.
- Tangohia he mimi ki roto i tētahi kapu ma.
- Tōia te rīpene whakamātautau ki roto.
- Rūrūtia te rīpene kia paku, ka tatari mō te wā kua tohua i roto i ngā tohutohu kia huri rā anō tōna tae.
- Whakatauritea te tae o te rīpene ki te tūtohi tae i riro mai i a koe hei whakatau i te taumata o te ketone.
2. Whakamātautau Toto
He tika ake tēnei tikanga i te whakamātautau mimi. Ka taea hoki e ētahi mita huka toto te whakamātautau mō ngā ketone.
- Horoia ō ringaringa, ā, whakamarokehia kia tino pai.
- Whakauruhia te rīpene whakamātautau ketone ki roto i te mita.
- Werohia tō maihao ka whakatakotoria he pata toto ki runga i te rīpene whakamātautau.
- Pānuihia te hua e whakaaturia ana i runga i te mita.
Mā te whakamātautau toto ka kitea te taumata o ngā ketone i roto i tō toto i taua wā tonu, nō reira he tika ake. Engari he tino utu nui ngā rīpene whakamātautau. Pātai atu ki tō tākuta ko tēhea te tikanga pai rawa atu māu.
He aha te tikanga o ngā hua o taku whakamātautau?
He mea tino nui kia mārama koe ki ō hua.
| Momo whakamātautau | Hua | Me aha? |
|---|---|---|
| Whakamātautau mimi | ||
| Mimi | Kāore he ketone (Kāore) | Noa. |
| Aroturuki / Iti | Kei te tīmata te hanga o ngā ketone. Inuhia he nui te wai. Tirohia anō i roto i ētahi haora. | |
| Waenga | Waea atu ki tō tākuta i taua wā tonu. | |
| Teitei/Nui | He āhuatanga ohorere tēnei! Haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata. | |
| Whakamātautau Toto | ||
| Toto | I raro iho i te 0.6 mmol/L | Noa. |
| 0.6 - 1.5 mmol/rita | He nui rawa. Whāia ngā tohutohu a tō tākuta. Tirohia anō. | |
| 1.6 - 2.9 mmol/rita | Tērā te mōrearea o te DKA. Waea atu ki tō tākuta tonu. | |
| Neke atu i te 3.0 mmol/L | He tino mōrearea. Haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata. | |
Me pēhea te whakaiti i ngā taumata ketone?
Mena he paku teitei ake ō taumata ketone, he iti noa ngā mea ka taea e koe te mahi. Engari kia maumahara, ko te mea nui ko te whai i te mahere kua hoatu e tō tākuta ki a koe.
- Inumia he nui te wai: Ka āwhina tēnei ki te tango i ngā ketones i te tinana.
- Tirohia te huka toto i ngā wā katoa: I ia 3-4 hāora.
- Kaua e whakakorikori tinana: Mena he nui te huka toto me ngā ketone, ka kino ake te āhua i te whakakorikori tinana.
- Rapua he tohutohu mai i tō tākuta: Pātai atu ki tō tākuta mō te nui o te insulin e hiahiatia ana me ngā kai me kai e koe hei rongoā i ngā taumata ketone teitei.
Karere Tangohia ki te Kāinga
- He tohu whakatūpato nui ngā Ketone mō te hunga mate huka, inā koa te mate huka momo 1.
- Ka taea e te nui rawa o ngā ketones i roto i te toto te whakararu i te ora e kiia nei ko te DKA (Diabetic Ketoacidosis) .
- Whakamātauria ngā ketone ina neke atu i te 250 mg/dL te taumata o te huka i roto i tō toto, ina pāngia koe e te mate, ina tohutohu rānei tō tākuta.
- Kia tūpato ki ngā tohu pēnei i te kakara hua i te manawa, te matewai nui, me te pōhēhē.
- Mena he taurite, he teitei rānei ō taumata ketone, kaua e whakaroa , waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
- Me kōrero tonu ki tō tākuta mō te whakahaere i ō taumata ketone, me te whakawhanake i tētahi mahere mārama.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero