Hōʻike mimi Ketones

Ana ke ana mimi ketone i ka nui o nā ketones i ka mimi.

E ana pinepine ʻia nā ketone mimi ma ke ʻano he "spot test." Loaʻa kēia i kahi pahu hoʻāʻo e hiki ai iā ʻoe ke kūʻai ma kahi hale kūʻai lāʻau. Loaʻa i ka pahu i nā dipsticks i uhi ʻia me nā kemika e hana me nā kino ketone. Hoʻokomo ʻia kahi dipstick i loko o ka mimi. Hōʻike kahi hoʻololi kala i ke alo o nā ketone.

Hōʻike kēia ʻatikala i ka hōʻike mimi ketone e pili ana i ka hoʻouna ʻana i ka mimi i hōʻiliʻili ʻia i kahi lab.

Pono kahi laʻana mimi hoʻomaʻemaʻe. Hoʻohana ʻia ke ʻano hoʻomaʻemaʻe hopu i mea e pale aku ai i nā g germ mai ka peni a i ʻole ka puki mai ke komo ʻana i kahi mimi. No ka hōʻiliʻili ʻana i kou mimi, hāʻawi ka mea mālama ola iā ʻoe i kahi pahu hopu hoʻomaʻemaʻe kūikawā i loaʻa ka hopena hoʻomaʻemaʻe a me nā holoi holoi. E hahai pololei i nā ʻōkuhi.

E hāhai paha ʻoe i ka papaʻai kūikawā. E haʻi paha kāu mea lawelawe iā ʻoe e haʻalele no ka lawe manawa ʻana i kekahi mau lāʻau i hiki ke hoʻololi i ka hōʻike.

Hoʻopili wale ka hōʻike i ka urination maʻamau wale nō. ʻAʻohe pilikia.

Hana pinepine pinepine ʻia ka hoʻāʻo Ketone inā he maʻi diabetes type 1 kāu a:

• ʻOi aku ke kō o kou kō ma mua o 240 milligrams per deciliter (mg / dL)
• He lōlō paha kou a luaʻi paha
• He ʻeha kou i ka ʻōpū

Hana ʻia paha ka hoʻāʻo Ketone inā:

• Loaʻa ʻoe i ka maʻi e like me ka pulumonia, hōʻeha puʻuwai, a i ʻole hahau
• He lōlō paha kou a luaʻi paha e hele ʻole
• Hāpai ʻoe

He hopena hopena hopena maikaʻi ʻole.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻO kahi hopena maʻamau he ketones kāu i kāu mimi. Hoʻopaʻa pinepine ʻia nā hopena ma ke ʻano he liʻiliʻi, kaulike, a nui paha e like me kēia:

• Liʻiliʻi: 20 mg / dL
• Hoʻohui: 30 a 40 mg / dL
• Nui:> 80 mg / dL

Kūkulu nā Ketones ke pono ke kino e wāwahi i nā momona a me nā waikawa momona e hoʻohana i wahie. Kūpono paha kēia ke loaʻa ʻole ke kino i ke kō a me nā kōpika.

Loaʻa paha kēia i ka ketoacidosis diabetic (DKA). ʻO DKA kahi pilikia hoʻoweliweli e hoʻopili i ka poʻe me ka maʻi kō. Hana ʻia ia ke hiki ʻole i ke kino ke hoʻohana i ke kō (glucose) ma ke ʻano he wahie no ka mea ʻaʻohe insulin a lawa ʻole ka insulin. Hoʻohana ʻia ka momona no ka wahie ma kahi.

Loaʻa paha kahi hopena maʻamau ma muli o:

• Ka hoʻokē ʻai a me ka wī paha: e like me ka anorexia (kahi maʻi ʻai)
• ʻO ke protein kiʻekiʻe a i ʻole ka papaʻai carbohydrate haʻahaʻa
• ʻO ka luaʻi i kahi manawa lōʻihi (e like me ka wā o ka hāpai mua)
• Nā maʻi kūpilikiʻi a koʻikoʻi paha, e like me sepsis a i ʻole Burns
• Nā fiva kiʻekiʻe
• ʻO ka thyroid gland e hana ana i ka nui o ka hormone thyroid (hyperthyroidism)
• Hanai hānai i kahi pēpē, inā ʻaʻole ʻai ka makuahine a inu lawa

ʻAʻohe pilikia me kēia hōʻike.

Nā kino ketone - mimi; Nā ketona mimi; Ketoacidosis - hoʻāʻo ketones mimi; Ketoacidosis diabetic - hoʻāʻo ketones mimi

Murphy M, Srivastava R, Deans K. Diagnosis a me ka nānā ʻana i ka maʻi diabetes. I: Murphy M, Srivastava R, Deans K, eds. ʻO Biochemistry Haumana: He Kikokiko Waihona i hōʻike ʻia. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 32.

ʻO Sacks DB. Diabetes mellitus. I: Tifai N, ed. ʻO Tietz Textbook of Clinical Chemistry a me nā Molecular Diagnostics. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 57.