Ina haere koe ki te tākuta i te wā e hapu ana, ka whiwhi koe i tētahi whakamātautau mimi, tika? I ētahi wā ka kī pea te tākuta kei roto i tō mimi tētahi mea e kiia nei ko ngā ' ketones '. He mea noa te mataku me te manukanuka ina rongo koe i tēnā. He maha ngā whaea e whakaaro ana he tohu tēnei mō tētahi mate kino. Engari kaua e mataku. I te nuinga o te wā, he mea tēnei ka taea te whakahaere. I tēnei rā, ka kōrerohia e tātou tēnei i roto i ngā kupu māmā, he aha i puta ai ngā ketones i roto i te mimi i te wā e hapu ana, mēnā ka pā ki te pēpi, me te aha me mahi e tātou.
He aha ngā ketones?
Whakaarohia tō tātou tinana he motuka. Ko te wahie matua e hiahiatia ana e tēnei motuka ko te hukahuka , arā, te huka e mōhiotia ana e tātou. Ka whiwhi te tinana i tēnei wahie hukahuka mai i ngā kai warowaihā e kainga ana e tātou, pērā i te raihi, te taro, me te rīwai.
Heoi, ki te kore e taea e te tinana te whakamahi i te hukahuka, koia nei te wahie matua, ka huri te tinana ki tētahi atu puna wahie hei āhuatanga ohorere. Arā, ko te ngako e rongoatia ana i roto i te tinana. Nō reira, ina tahuna e te tinana te ngako hei pūngao, ko ngā matū e puta mai ana hei hua taha ko ngā mea e kiia nei e tātou he ketones. Ka tukuna ēnei ketones i roto i te mimi mā roto i ngā whatukuhu. Ko tēnei āhuatanga o te whai ketones i roto i te mimi e kiia ana i roto i te rongoā ko te ketonuria .
He aha ngā tino take o te puta o ngā ketones i te wā e hapu ana?
He maha ngā take e puta ai ngā ketone i roto i te mimi i te wā e hapu ana. Ko ētahi he mea noa, ko ētahi he mea hei āwangawanga.
1. Te mate huka i te wā hapūtanga
Koinei te tino take mō te hanganga o ngā ketone, ā, koinei hoki te tino take e aro nui atu ai tātou.
He aha te mea ka pa ki tō tinana i te wā e hapu anaKa taea e ngā huringa homoni te whakararuraru i te mahi a te homoni e kiia nei ko te insulin i roto i te tinana. He rite te insulin ki te kī e āwhina ana i te huka (glucose) i roto i te toto kia tomo ki ngā pūtau me te hanga pūngao. Ina kore e mahi tika tēnei kī, ka kohia te huka ki roto i te toto, kaua ki roto i ngā pūtau. Koinei te mea e kiia nei e tātou ko te mate huka hapūtanga .
Nō reira, nā te mea kāore he huka i roto i ngā pūtau o te tinana, ka tīmata rātou ki te tahu ngako hei pūngao. Koinei te wā e hangaia ai ngā ketone, ka tukuna ki roto i te mimi. Ko te whai ketone i roto i tō mimi he tohu kei te kore e taea te whakahaere i ngā taumata huka toto.
2. Ka taea e te hunga kāore he mate huka te whai ketones?
Āe, he pono. Ehara i te mate huka anake te take. Ka kitea hoki ngā ketone i roto i te mimi mō ēnei take e whai ake nei.
| Take | He whakamārama māmā |
|---|---|
| Kāore i te nui te kai | Ki te kore e nui ngā kaora e kainga ana e koe hei whakatutuki i ngā hiahia pūngao mōu me tō pēpi, ka whakamahia e tō tinana te ngako hei pūngao. |
| Mate o te Ata | Ki te nui tō ruaki, kāore e taea e tō tinana te mimiti i tāu e kai ana, ā, ka matewai hoki koe. Ka taea e ēnei āhuatanga e rua te arahi ki te hanganga o ngā ketones. |
| Te peke i ngā kai, te nohopuku rānei | Ka heke te taumata huka toto i muri i ētahi haora o te nohopuku. Ka kitea ngā ketone i roto i te mimi i te ata, inā koa nā te roa o te wā i waenga i te tina me te ata. |
| Te nui rawa o te whakakori tinana | Ki te nui atu tāu whakakori tinana i tāu e kaha ai, ka tere te pau o tō huka toto, ā, ka tīmata te tahu ngako a tō tinana. |
| Kai iti-warowaihā | Ki te whakaitihia e koe ngā kai māngaro pēnei i te raihi me te taro, ka ngaro te pūngao matua o tō tinana, ka puta ai ngā ketone. |
He kino te nui o ngā ketone ki te pēpi?
Koinei te wehi nui rawa atu mō te tini o ngā whaea. Ina hoki, ka haere ngā ketone mā te whenua whānau ki te pēpi. Nō reira , ki te nui te ketone i roto i te tinana , e whakaponohia ana ka pā ki te whanaketanga o te roro o te pēpi.
Heoi, ko te mea nui kia mārama koe i konei, ko te mea he iti noa te nui o te mimi i ētahi wā , ā, kāore he tohu kē atu, ehara i te mea hei āwangawanga. I te nuinga o te wā, ka puta i muri i tō kai i te pō, ā, ka tatari kia ata. Heoi anō, ka aroturukihia tēnei e tō tākuta, ka hoatu hoki i ngā tohutohu e tika ana.
He aha ngā tohu e taea ai te tohu mēnā kei a koe ngā ketones?
I te nuinga o te wā, ahakoa he ketone kei roto i tō mimi, kāore pea he tohu e puta. Koia te take e whakamātautau pinepine ai ngā whare hauora i tō mimi. Heoi, i ētahi wā ka kitea ngā ketone i roto i ngā mea pēnei i:
- Te pikinga o te huka toto.
- Te tino matewai, ahakoa te nui o te wai e inuhia ana e koe.
- Te tino ngenge me te ngenge rawa.
- Ngā mate urutā auau o te tara, o te ara mimi rānei.
He āhuatanga e hiahia ana kia arohia wawetia – DKA
Mena he mate huka tōu, he mate huka hāpu rānei, me tūpato koe ki tētahi āhuatanga kino e kiia nei ko te diabetic ketoacidosis (DKA) . Ka puta tēnei ina tino teitei te huka toto me ngā taumata ketone.
He mate urutā hauora mōrearea te DKA. Mēnā kei a koe ēnei tohu, me haere tonu koe ki te tari urupare ohorere (ETU) o te hōhipera .
- Ngā taumata huka toto tino tiketike.
- Te matewai nui rawa.
- Te tirohanga pōuri.
- Te mimi auau, te nui hoki.
- Te nui o te hiamoe me te whanoke.
- He kakara hua i te manawa.
He tino onge tēnei āhuatanga i te wā e hapu ana, engari ka puta pea mēnā kāore te mate huka e whakahaeretia.
Me pēhea te whakahaere me te aukati i ngā taumata ketone?
Ka whakawhirinaki te maimoatanga ki te take. Mā tō tākuta e whakatau te maimoatanga pai rawa atu.
- Mena he mate huka tōu: Me whakarerekē tō kai hei whakahaere i te taumata huka o tō toto. Me werohanga insulin anō hoki pea koe.
- Mena ko te ruaki te take: Me tango rongoā koe hei whakahaere i te ruaki, me whakauru rānei ki te hōhipera, ā, ki te tika, me hoatu he wai tote (wai IV).
- Mena nā te kore kai i ranea: Whakanuia te maha o ngā kai, ā, tohutohu i te tangata kia kai i ngā kai totika.
Ko ēnei mea ka āwhina i te pupuri i ngā taumata ketone ki te taumata hauora :
- Kaua rawa e whakarērea ngā kai. Ina koa i te wā e hapu ana, kaua e kai i tētahi kai iti.
- Inumia he nui te wai me ngā inu. He mea tino nui kia kore ai e matewai.
- Kia toru ngā kai matua, kia toru hoki ngā kai paramanawa i te rā.
- Mā te kai i tētahi mea iti, pērā i te miraka kawa, i tētahi karāhe miraka, i tētahi hua rānei , i mua i te moe ka āwhina i te whakaiti i ngā taumata ketone i te ata.
- Me whakauru he taurite o te pūmua (he hua manu, he mīti, he ika, he pīni, he pīni kikī) me te warowaihā (he raihi, he pīni, he ōti, he taro parani) i ia kai.
- Whakakorikori tinana i ia rā, i ia rā.
Āhea koe me waea atu ki tō tākuta?
Mena kua mōhio kē koe kei roto i tō mimi ngā ketone, ā, kei a koe tētahi, ētahi atu rānei o ngā tohu e whai ake nei, me whakamōhio tonu atu ki tō tākuta.
- Te kirika.
- Te ruaki, te korere rānei.
- Mena he mate huka koe, ka piki ake pea te taumata huka o tō toto i runga ake i ngā taumata noa, kāore he take e kitea ana.
- Ka whakaatuhia ngā taumata ketone o te mimi he "waenga" he "nui" rānei ina whakamātauria ki te kāinga.
Karere Tangohia ki te Kāinga
- Ka puta ngā ketone i roto i te mimi nā te mea ka tahuna e te tinana te ngako hei pūngao ina kore e nui te huka (kurukose) e whiwhi.
- Ka kitea whānuitia tēnei i te wā e hapū ana nā ngā huringa kai, te whakapairuaki o te ata, te mate huka hapūtanga rānei.
- Kāore he take e manukanuka ai mēnā he iti noa ngā ketone e puta ana i ētahi wā, engari me rapu awhina hauora mēnā ka roa te pikinga o ngā taumata.
- Kaua rawa e peke i ngā kai, kaua hoki e ngana ki te whakaiti i tō taumaha i te wā e hapu ana. Inuhia he nui te wai.
- Ki te mea he ketone kei roto i tō mimi, me whai tonu i ngā tohutohu a tō tākuta mō te whakahaere i taua mea. He mea nui kia mārama tika koe ki te āhuatanga, kaua hoki e mataku.
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