ʻO Ketoacidosis Alkoholoholā

Anter

• He aha ke kumu o ka ketoacidosis ʻona?
• He aha nā hōʻailona o ka ketoacidosis ʻona?
• Pehea e ʻike ʻia ai ka ketoacidosis ʻona?
• Pehea e mālama ʻia ai ka ketoacidosis ʻona?
• He aha nā pilikia o ka ketoacidosis ʻona?
• He aha ka manaʻo lōʻihi no ka ketoacidosis ʻona?
• Pehea e hiki ai iaʻu ke pale aku i ka ketoacidosis ʻona?

He aha ka ketoacidosis ʻona?

Pono nā keaka i ka glucose (kō) a me ka insulin e hana kūpono. Hele mai ka glucose mai ka meaʻai āu e ʻai ai, a hana ʻia ka insulin e ka pancreas. Ke inu ʻoe i ka waiʻona, pau paha kāu pancreas i ka hana ʻana i ka insulin no kekahi manawa pōkole. Me ka loaʻa ʻole o ka insulin, ʻaʻole hiki i kāu mau hunaola ke hoʻohana i ka glucose āu e ʻai ai no ka ikehu. No ka loaʻa ʻana o ka ikehu e pono ai, e hoʻomaka ana kou kino e puhi i ka momona.

Ke puhi i kou kino i ka momona no ka ikehu, hana ʻia nā huahana e ʻike ʻia ʻo ke kino ketone. Inā ʻaʻole e hana ana kāu kino i ka insulin, e hoʻomaka nā kino ketone e kūkulu i loko o kou kahe koko. Hiki i kēia kūkulu ʻia ʻana o nā ketone ke hana i kahi ʻano hoʻoweliweli e ʻike ʻia ʻo ketoacidosis.

Ketoacidosis, a i ʻole metabolic acidosis, ke hana ʻoe i kahi mea i metabolized a i lilo i waikawa. He nui nā kumu o kēia ʻano, e like me:

• nā kaha nui o ka aspirin
• pīhoihoi
• maʻi maʻi ʻōpū
• kinikini kūlohelohe

Ma waho aʻe o ka ketoacidosis nui, aia kekahi mau ʻano kikoʻī. Aia kēia mau ʻano:

• ketoacidosis ʻona, i kumu ʻia e ka inu nui ʻana i ka ʻalekohola
• ketoacidosis diabetic (DKA), ka hapanui e hoʻomōhala i ka poʻe me ka maʻi diabetes type 1
• ketoacidosis pōloli, ka mea pinepine pinepine i nā wahine hāpai, i ke kolu o ka trimester, a ke ʻike nei i ka luaʻi nui.

Hoʻonui kēlā me kēia kūlana i ka nui o ka waikawa i ka ʻōnaehana. Hiki iā lākou ke hōʻemi i ka nui o ka insulin a kou kino e hana ai, e alakaʻi ana i ka haki ʻana o nā momona momona a me ka hana ʻana o nā ketones.

He aha ke kumu o ka ketoacidosis ʻona?

Hiki ke ulu ke ketoacidosis ʻona ke inu ʻoe i ka nui o ka waiʻona no kekahi manawa lōʻihi. ʻO ka nui o ka inu lama ʻana ke kumu o ka malnourishment (ʻaʻole lawa ka momona o ke kino e holo pono ai).

ʻAʻole paha ʻai ka poʻe inu nui i ka waiʻona. E lūlū paha lākou ma muli o ka inu nui. ʻO ka ʻai ʻole a i ka luaʻi paha e hiki ai i ka wī. Hoʻoemi hou kēia i ka hana o ka insulin o ke kino.

Inā ua make ʻole ke kanaka ma muli o ka waiʻona, hiki iā lākou ke hoʻomohala i ka ketoacidosis ʻona. Hiki i kēia ke hana i ka lā hoʻokahi ma hope o ka inu inu ʻana, e like me ke kūlana nutritional, ke kūlana olakino holoʻokoʻa, a me ka nui o ka waiʻona i hoʻopau ʻia.

He aha nā hōʻailona o ka ketoacidosis ʻona?

E loli nā ʻōuli o ka ketoacidosis ʻona ma muli o ka nui o ka waiʻona āu i inu ai. E hilinaʻi pū ʻia nā ʻōuli ma ka nui o nā ketones i kou kahawai. ʻO nā ʻōuli maʻamau o ka ketoacidosis ʻona pū kekahi:

• abdominal eha
• ka pioloke a me ka huikau
• hoʻemi i ka makaʻala a i ʻole ke koma
• luhi
• neʻe lohi
• he hanu ʻole, hohonu, a wikiwiki hoʻi (hōʻailona o Kussmaul)
• nalo ʻai ʻole
• nausea a me ka luaʻi
• nā ʻōuli o ka make wai, e like me ka pualu (vertigo), lightheadedness, a me ka make wai

Inā hoʻomohala ʻoe i kekahi o kēia mau ʻōuli, e ʻimi i ka lāʻau olakino pōpilikia. ʻO ka ketoacidosis ʻalekika kahi maʻi weliweli i ke ola.

ʻO kekahi me ka ketoacidosis ʻona pū kekahi he mau ʻano ʻē aʻe e pili ana i ka hana ʻino ʻana. Pākuʻi ʻia kēia mau mea:

• pancreatitis
• maʻi maʻi ate
• maʻi maʻi ʻōpū
• ulcer
• lāʻau make ʻino ethylene glycol

Pono e hoʻokau ʻia kēia mau kūlana ma mua o ka hiki i ke kauka lapaʻau ke hōʻoia iā ʻoe me ka ketoacidosis ʻona.

Pehea e ʻike ʻia ai ka ketoacidosis ʻona?

Inā loaʻa iā ʻoe nā ʻōuli o ka ketoacidosis ʻona, e hana ana kāu kauka i kahi hoʻokolokolo kino. E nīnau pū lākou e pili ana i kāu moʻaukala olakino a me ka inu ʻana i ka waiʻona. Inā manaʻo kāu kauka ua hoʻomohala ʻoe i kēia ʻano, kauoha paha lākou i nā hoʻokolohua hou aku e kāpae i nā kūlana kūpono ʻē aʻe. Ma hope o kēia mau hopena hōʻike, hiki iā lākou ke hōʻoia i ke kuhi.

Hiki i nā hoʻokolohua ke hoʻopili i kēia mau mea:

• amylase a me nā lipase hoʻokolohua, e nānā i ka hana o kāu pancreas a nānā i ka pancreatitis
• hoʻāʻo kinoea koko arterial, e ana i kou mau oxygen pae pae a me ka koena acid / base
• ka helu anion āpau, kahi e ana ai i nā pae sodium a me potassium
• hoʻāʻo waiʻona koko
• kōpana kemika koko (CHEM-20), e kiʻi i kahi nānā ākea i kāu metabolism a pehea ka maikaʻi o ka hana
• hoʻāʻo glucose koko
• koko urea naikokene (BUN) a me nā hoʻokolohua creatinine, e hoʻoholo pehea ka maikaʻi o ka hana o kāu mau puʻupaʻa
• hoʻāʻo lactate serum, e hoʻoholo i nā pae o ka lactate i loko o ke koko (hiki i nā pae lactate kiʻekiʻe ke hōʻailona o ka lactic acidosis, kahi ʻano e hōʻike maʻamau ʻaʻole e loaʻa ana nā oxygen a nā kino o nā kino)
• hoʻāʻo mimi no nā ketone

Inā piʻi aʻe kou kiʻekiʻe o ka kō glucose, hiki i kāu kauka ke hana i kahi hōʻike hemoglobin A1C (HgA1C). E hāʻawi kēia hōʻike i ka ʻike e pili ana i kāu mau kō e kōkua ai e hoʻoholo inā loaʻa ka maʻi kō. Inā loaʻa ʻoe i ka maʻi diabetes, pono ʻoe i kahi lāʻau hou aʻe.

Pehea e mālama ʻia ai ka ketoacidosis ʻona?

Hoʻomaʻamaʻa mau ʻia ka ketoacidosis ʻona ma loko o ka lumi pilikia. E nānā kāu kauka i kāu mau hōʻailona koʻikoʻi, e like me ka helu o kou puʻuwai, ke koko, a me ka hanu. Hāʻawi lākou iā ʻoe i nā wai me ke aniani. Hiki iā ʻoe ke loaʻa nā wikamina a me nā meaola e kōkua ai i ka mālama ʻana i ke olakino, me:

• thiamine
• potasiuma
• pākuʻi
• makanekiuma

E ʻae aku paha kāu kauka iā ʻoe i ka keʻena mālama maʻi nui (ICU) inā ʻoe e koi i ka mālama mau. ʻO ka lōʻihi o kou noho ʻana i ka haukapila e pili ana i ka paʻakikī o ka ketoacidosis ʻona. Aia nō ia i ka lōʻihi o ka hoʻoponopono ʻia ʻana o kou kino a mai ka makaʻu. Inā loaʻa iā ʻoe nā pilikia hou aʻe i ka wā o ka mālama ʻana, e hoʻopili kēia i ka lōʻihi o kou noho ʻana i ka haukapila.

He aha nā pilikia o ka ketoacidosis ʻona?

ʻO kahi pilikia o ka ketoacidosis ʻona ʻo ka haʻalele ʻana i ka ʻalekohola. E nānā kāu kauka a me nā mea lapaʻau ʻē aʻe iā ʻoe no nā ʻōuli o ka haʻalele ʻana. Inā loaʻa ʻoe i nā ʻōuli koʻikoʻi, hāʻawi lākou iā ʻoe i lāʻau. Hiki i ke ketoacidosis ʻona ke alakaʻi i ke kahe o ka gastrointestinal.

Hiki i nā pilikia ʻē aʻe ke:

• psychosis
• koma
• pancreatitis
• pulumonia
• encephalopathy (kahi maʻi lolo e hiki ai ke lilo i ka hoʻomanaʻo ʻana, nā loli o ke ʻano, a me ka mimiki ʻana o nā ʻiʻo, ʻoiai ʻaʻole maʻamau kēia)

He aha ka manaʻo lōʻihi no ka ketoacidosis ʻona?

Inā kuhi ʻia ʻoe me ka ketoacidosis ʻona, e hilinaʻi ʻia kou ola ʻana ma nā ʻano kumu he nui. Ke ʻimi nei i ke kōkua ke kū koke nā hōʻailona e hōʻemi i kou kūlana o nā pilikia koʻikoʻi. Pono nō hoʻi ka mālama ʻana no ka hōʻalo ʻana i ka waiʻona e pale i ka hoʻi hou ʻana o ka ketoacidosis ʻona.

E hoʻopili ʻia kāu prognosis e ka paʻakikī o kāu hoʻohana ʻana i ka waiʻona a inā ʻaʻole ʻoe he maʻi akepau. Hoʻohana lōʻihi ʻia o ka waiʻona hiki i ka hopena i ka cirrhosis, a i ʻole ka scarring mau o ke ake. Hiki i ka Cirrhosis o ke ake ke hana i ka luhi, ka pehu ʻana o ka wāwae, a me ka nausea. He hopena maikaʻi ʻole ia ma kāu wānana holoʻokoʻa.

Pehea e hiki ai iaʻu ke pale aku i ka ketoacidosis ʻona?

Hiki iā ʻoe ke pale i ka ketoacidosis ʻona ma ka kaupalena ʻana i kāu inu ʻona. Inā loaʻa ʻoe i ka waiʻona, e ʻimi i ke kōkua ʻoihana. Hiki iā ʻoe ke aʻo pehea e hōʻemi ai i kāu lawe ʻana i ka waiʻona a hoʻopau loa paha iā ia. ʻO ka hui ʻana i kahi mokuna kūlohelohe o Alcoholics Anonymous hiki ke hāʻawi iā ʻoe i ke kākoʻo e pono ai e kūpale. Pono ʻoe e hāhai i nā ʻōlelo aʻoaʻo a kāu kauka e hōʻoia i ka meaʻai kūpono a me ka hoʻihoʻi.