Kei roto i tō mimi ngā ketone? Me kōrero tāua mō tēnei!

Tērā pea ka āwangawanga koe ina rongo koe kei roto i tō mimi ngā ketone, tika? Kaua e manukanuka. Me kōrero māmā noa iho, me mārama hoki tēnei. He aha ēnei ketone? He aha rātou i roto i tō tātou mimi? Me mārama tātou ki ēnei mea katoa i tēnei rā.

He aha ēnei ketone i roto i te mimi?

I te whakarapopototanga, ko ngā ketone he hua o te kore e taea e tō tinana te whakamahi i te huka, te hukahuka, e whakamahia ana e tō tinana hei whakaputa pūngao. He rite ki te tahu rakau i roto i te oumu tahu rakau, ka mahue te pungarehu. Ka puta ēnei ketone ina pakaruhia e ō tātou tinana te ngako hei pūngao. He momo waikawa tonu ēnei. Pērā i ētahi atu hua matū i roto i ō tātou tinana, ka puta ngā ketone i roto i ō tātou tinana i roto i ō tātou mimi. Engari i ētahi wā ka kitea anō hoki i roto i ō tātou toto. Ko te whai ketone i roto i tō mimi e mōhiotia ana i te taha hauora ko te 'ketonuria.'

Whakaarohia, he mea noa te kitea o ētahi ketone i roto i tō mimi, arā, he iti noa iho . Kāore he mea hei manukanuka. Nā te mea i ētahi wā me whakamahi e ō tātou tinana te ngako hei pūngao. Hei tauira, i a tātou e moe ana, mēnā ka nohopuku tātou mō te rā kotahi, mēnā rānei kei te kai iti-warowaihā tātou, arā, he "Kai Keto" e kōrerohia ana e te tini tāngata.

Heoi, ki te piki ake te nui o ngā ketone, he mea morearea . Nā te mea ka piki ake te waikawa o ō tātou toto. Ka karangatia tēnei mate ko te 'Ketoacidosis'. He pono rawa tēnei mō te hunga mate huka, koia i karangatia ai ko te 'Diabetes-related Ketoacidosis (DKA)'. Ko tēnei mate e kiia nei ko te DKA he āhuatanga ohorere hauora ka taea te whakararu i te ora , nō reira ki te whakapae koe he mea nui kia rapu awhina hauora tonu.

Me pēhea te ine i ngā ketone i roto i te mimi?

Āe, me pēhea tātou e mōhio ai mēnā he ketone kei roto i tēnei mimi, ā, mēnā he pērā, e hia te nui? E rua ngā huarahi matua hei mahi i tēnei.

Ngā whakamātautau i te kāinga

Ka taea e koe te hoko i ēnei rīpene whakamātautau ketone i te whare rongoā, i te ipurangi rānei. Kei te wātea mai i te toa kore utu (OTC), arā, kāore e hiahiatia he whakahaunga mai i te tākuta. Ko tāu noa he kohi i ētahi o tō mimi ki roto i tētahi ipu ma, ka tuku i te rīpene ki roto, ka waiho mō te wā kua tohua e te kaihanga (he torutoru hēkona te roa), kātahi ka tangohia. Ka huri te tae o te rīpene. Kei te rīpene he tūtohi tae. Me whakarite e koe te tae o tō rīpene ki te tūtohi tae. Ko te tikanga ka tohu i ō taumata ketone he 'kino', he 'iti', he 'waenga', he 'rahi' rānei. Ko ēnei rīpene te mea e whakamahia whānuitia ana e te hunga mate huka me te hunga kei runga i te 'Keto Diet'.

Ngā whakamātautau hauora

I ētahi wā, ka taea e tō tākuta, e tō nēhi rānei te tirotiro i ō taumata ketone mā te whakamātautau mimi, e kiia nei ko te urinalysis. Engari, ki te mea he tohu ketoacidosis tōu, tera pea ka tonoa e tō tākuta he whakamātautau ketone toto . He tika ake tēnei whakamātautau toto i te whakamātautau mimi. Ka whakaatu hoki i te nui o ngā ketone i roto i tō tinana i taua wā. Ko te tikanga, ka homai e te whakamātautau toto he tau tika, kaua he awhe.

Anei tētahi atu mea hei mārama. Ka roa te wā e whakaputa mimi ai ō tātou tinana. Nō reira, kāore e taea e te whakamātautau mimi te ine tika i ō taumata ketone i te wā tonu. Heoi, ka taea e ia te hoatu he whakaaro whānui mō te āhua o ō taumata ketone i ngā haora kua taha ake nei.

He aha i puta ai ngā ketone i roto i tō tātou mimi?

Nā, me titiro tātou ki te take i puta ai ēnei ketone i roto i tō tātou mimi. Ko te nuinga o te tinana e pai ake ana ki te whakamahi i te 'kurukōhi', te huka rānei, hei whakarato pūngao ki ia pūtau o tō tātou tinana. Ka whiwhi tātou i tēnei kurukōhi mai i ngā warowaihā e kainga ana e tātou, arā, ngā kai māngaro. Heoi, i ētahi wā motuhake, ka akiakihia tō tātou tinana ki te tahu ngako (i ētahi wā ko te uaua) hei pūngao.

Ki te kore e nui ngā warowaihā e whiwhihia ana e koe, ki te kore rānei e nui te homoni insulin, e āwhina ana i tō tinana ki te whakamahi i te hukahuka , ka uru tō tinana ki tētahi āhua e kiia nei ko te ketosis. I tēnei āhua o te ketosis, ka tahuna e te tinana te ngako hei pūngao, ā, ka tukuna ngā ketone hei hua taha. Ka puta atu ēnei i roto i te mimi.

Ina puta noa mai ngā ketones

Ahakoa ngā mea māmā noa iho pēnei i te moe, te nohopuku rānei mō te rā kotahi, e rua rānei, ka taea e te tinana te uru ki te āhua o te "ketosis" me te whakaputa i ngā ketone iti i roto i te mimi. He mea noa tēnei, he mea hauora hoki.

Waihoki, ka puta te ketosis ina whai koe i te `kai Ketogenic`, te `kai Keto` rānei e mōhiotia whānuitia ana e te tini. He nui te ngako i roto i tēnei kai keto, he taurite te pūmua, ā, he iti rawa te warowaihā. Hei whakamārama, ko te kai keto noa he 70% - 80% ngako, 20% pūmua, me te 5% - 10% warowaihā. Ka kitea ngā ketone i roto i te mimi o te hunga e whai ana i te kai keto tino pakari.

Ngā take o te nui rawa o ngā taumata ketone i roto i te mimi

Engari, ki te mea he iti, he taurite, he nui rānei ngā ketone i roto i tō mimi, tera pea he mea rerekē . He maha ngā take mō tēnei:

• Mate huka:E hiahia ana tātou katoa ki tētahi homoni e kiia nei ko te 'Insulin' hei oranga, hei whakamahi hoki i te hukahuka hei pūngao. Mēnā he mate huka tōu, kāore tō tinana e whakaputa i te insulin i te katoa, kāore rānei e nui te insulin e whakaputaina ana e ia, kāore rānei e taea te whakamahi tika i te insulin e whakaputaina ana e ia. Ka puta te hukahuka i roto i te toto, ka piki ake te taumata huka toto. I taua wā anō, ki te kore he insulin, ka taea e te tinana te whakamahi i te ngako hei pūngao. Mēnā ka haere tonu te kore o te insulin, ka puta ngā ketone i roto i te tinana. Ka taea e tēnei te arahi ki te mate morearea e kiia nei ko te 'diabetic ketoacidosis (DKA)' i whakahuatia i mua ake nei.

Whakaarohia, ki te kore te tangata mate huka e tango tika i āna rongoā, ā, ki te kore hoki e werohia te insulin, ka kore e taea te whakahaere i ngā taumata huka toto i roto i ētahi rā, ka arahi atu ki tētahi āhuatanga morearea pēnei. Nō reira, me tino tupato te hunga mate huka ki tēnei.

• Te mate whakamahi waipiro: Ina nui rawa te inu waipiro mō te wā roa, ka pā ki te āhua o te mimiti o ngā matūkai pēnei i te warowaihā me te penapena hukahuka ki te ate (hei glycogen). Ka akiakihia tō tinana ki te tahu ngako, ka arahi pea ki tētahi āhuatanga e kiia nei ko te ketoacidosis e pā ana ki te waipiro. Pērā i te DKA, he āhuatanga morearea tēnei ki te ora.

• Te Hapūtanga: Ko te tino take o ngā ketone i roto i te mimi i te wā e hapū ana ko te "mate huka gestational." Heoi, ko ngā take katoa o tēnei rārangi ka taea hoki te take o ngā ketone i te wā e hapū ana.

• Te ruaki roa me/ranei te korere: Mena kua roa koe e ruaki ana, e pāngia ana rānei e te korere, tera pea ka pau te hukahuka i roto i tō tinana hei pūngao, ā, tera pea ka puta ngā ketone i roto i tō mimi. Whakaarohia he tamaiti nohinohi e mamae ana te puku mō ngā rā maha, ā, e ruaki tonu ana, kāore hoki e kai. Koinei te mea ka tupu.

• Ngā mate kai me te hemokai: Ko ētahi mate kai, pērā i te anorexia, me te nohopuku roa, ka whakawhāiti i te nui o ngā warowaihā me te huka ka taea e tō tinana te mimiti. Ka puta hoki ngā ketone i roto i tō mimi.

• Te whakakori tinana roa, kaha: Ina whakakori tinana koe mō te wā roa, kaha hoki, ki te pau katoa te hukahuka kua rongoatia i roto i tō tinana (glycogen) hei pūngao, ka tīmata tō tinana ki te tahu ngako. Ka puta mai hoki ngā ketone i roto i tō mimi i tēnei.

Ka taea e te tangata kāore he mate huka te whai ketone i roto i tōna mimi?

Ae, tera pea he 'iti', he 'iti' rānei ngā ketone kei roto i tō mimi ahakoa kāore koe i te mate huka.He mea noa pea i ētahi wā, inā koa kei te nohopuku koe, kei te whai rānei i te kai keto. Heoi, he mea onge mō te tangata kāore he mate huka te whai i te nui o ngā ketones i roto i tōna mimi 'waenga', 'nui' rānei. Mēnā ka puta tēnei, waea atu ki te 1990 Suwaseriya Ambulance Service i Sri Lanka tonu, waea atu rānei ki te nama urupare i tō rohe , haere rānei ki te rūma urupare tata. Tērā pea kei a koe te mate huka kāore anō kia kitea, kei a koe rānei tētahi atu mate hauora kino.

He aha ngā taumata ketone noa me ngā taumata morearea i roto i te mimi?

He aha te taumata ketone noa?

He mea noa, he mea haumaru hoki te kitea o ngā ketone i roto i te mimi o te nuinga o te hunga hauora, he iti noa iho rānei.

Heoi, ki te mea he mate huka tōu, he mate rānei e tūpono ana ki te ketoacidosis, ahakoa he tohu whakatūpato tēnei taumata. Hei tauira, ki te mea kei runga ake i te 250 mg/dL (he huka toto teitei) te taumata o tō huka toto, he mea nui kia aro turukihia ō taumata huka toto, kia haere tonu hoki te whakamātautau i tō mimi mō ngā taumata ketone e piki haere ana.

He aha te taumata ketone morearea mō te tangata mate huka?

He mea morearea te taumata ketone kei runga ake i te 'iti' me te 'wāhi iti' rānei, inā koa mēnā kei te mōrearea koe ki te 'ketoacidosis' (hei tauira, te mate huka).

• Mena he iti noa ngā ketone kei roto i tō mimi, ka nui ake te tūponotanga o te ketoacidosis. Mena he mate huka tōu, kōrero ki tō tākuta mate huka, ki tō kaiwhakarato hauora rānei mō te whakahaere i tēnei mate.
• Mena he nui, he taurite rānei te nui o ngā ketone i roto i tō mimi, he nui te tūponotanga ka pāngia koe e te ketoacidosis. He āhuatanga ohorere tēnei, nō reira me rapu tonu i te awhina hauora i te hōhipera tata ki a koe.

He aha te tikanga o te mea he iti noa ngā ketone kei roto i te mimi?

Ko te taumata 'iti' o ngā ketone i roto i te mimi he taumata haumaru, he taumata hauora hoki mō te hunga kāore he mate huka. He iti noa ngā ketone i roto i te mimi o te nuinga o te tangata, inā koa i te ata.

Ka taea e te aroaro o ngā ketone i roto i te mimi te whakaputa i ngā tohu?

Āe, ki te mea he ketone kei roto i tō mimi, tera pea ka pāngia koe e ētahi atu tohu i runga i te nui o ngā ketone.

Ngā Tohu o te Ketosis

Ko te āhua o te "Ketosis," arā, he iti noa ngā ketone kei roto i te mimi (hei tauira, i te wā e kai ana i te keto), ka puta pea ngā tohu pēnei i roto i ētahi tāngata:

• Te āhua nei kei te mamae tō puku, kei te whakapairuaki
• Ānini
• Ngenge
• Kohu roro, uaua ki te arotahi
• He kakara motuhake e puta mai ana i te waha ('manawa keto')
• Te kōroke
• Te kore moe

Ngā Tohu o te Ketoacidosis

Ki te nui, ki te taurite rānei ngā taumata o ngā ketone i roto i tō mimi, tera pea he mate kei a koe e kīia ana ko te `ketoacidosis` – e mōhiotia ana ko te `DKA`, ko te `alcoholic ketoacidosis` rānei. He tino morearea tēnei.

Ko ngā tohu tōmua o te DKA ko:

• Te mimi pinepine
• Te matewai nui, te waha maroke (polydipsia)
• Te hiakai nui (polyphagia)
• Te maroketanga
• Ānini

Ko ngā tohu kino ake o te DKA me te ketoacidosis waipiro ko:

• Whakapairuaki me te ruaki
• Mamae nui o te puku
• Korere
• Te uaua ki te manawa, te 'manawa Kussmaul' rānei (te manawa hohonu, tere, uaua)
• Te manawa kakara hua (te kakara acetone)
• Te tino ngenge, te ngoikore rānei
• Te hekenga o te māramatanga, te ohooho, te pōhēhē rānei (te whakarerekētanga o te āhua hinengaro)
• Te ngoikore o te kaha ki te noho mataara, te hiamoe

Ki te pā mai tētahi, ētahi rānei o ēnei tohu, whakaarohia he āhuatanga ohorere hauora tēnei, ā, rapua tonutia he awhina hauora, nā te mea ka tūpono pea tēnei ki te ora!

Ngā mea tino nui me maumahara koe

Ahakoa he iti noa ngā ketone, ka noho hei wāhanga noa o te tukanga noa i roto i ō tātou tinana. Heoi , ki te nui te kohi o ngā ketone i roto i te tinana, ka waiho hei mate kino ka mōrearea ki te ora. Ina koa mēnā kei te mōrearea koe ki te `ketoacidosis`, arā, mēnā he mate pēnei i te mate huka tōu, kōrero ki tō tākuta mō te whakahaere tika i tēnei mate. Waihoki, mā te kōrero mō te aha me mahi mēnā ka tino teitei ō taumata ketone, me te whai mahere pai, ka āwhina i a koe ki te tiaki i a koe mai i te tūponotanga. He mea tino nui kia tiakina tonutia tō tinana, tō hauora, me te tūpato, e mārama ana koe?

Ngā Ketone, ngā ketone i roto i te mimi, ketoacidosis, DKA, mate huka, kai keto, whakamātautau mimi