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He aha nā ketones i ka hoʻāʻo ʻana i ke koko?

ʻO kahi ketone i ka hoʻāʻo ʻana o ke koko e ana i ka pae o nā ketones i kou koko. ʻO Ketones nā mea a kou kino e hana ai inā ʻaʻole lawa nā glucose i kāu mau hunaola. ʻO Glucose ke kumu waiwai nui o kou kino.

Hiki i nā Ketones ke hōʻike i ke koko a i ka mimi paha. Hōʻike nā pae ketone kiʻekiʻe i ka ketoacidosis diabetic (DKA), kahi pilikia o ka maʻi kō i hiki ke alakaʻi i kahi koma a i ʻole make paha. Hiki i kahi ketones i ka hoʻāʻo ʻana i ke koko ke hoʻolalelale iā ʻoe e mālama i ka lāʻau ma mua o ka hiki ʻana mai o kahi pilikia kino.

Nā inoa ʻē aʻe: Ketone kino (koko), serum ketones, beta-hydroxybutyric acid, acetoacetate

No ke aha ia e hoʻohana ai?

Hoʻohana ʻia kahi ketones i ka hoʻāʻo koko e nānā ai no ka ketoacidosis diabetic (DKA) i ka poʻe me ka maʻi kō. Hiki i ka DKA ke hoʻopili i kekahi me ka maʻi kō, akā he mea maʻamau ia no nā poʻe me ka maʻi diabetes 1. Inā loaʻa iā ʻoe ka maʻi diabetes type 1, ʻaʻole hana kou kino i kekahi insulin, ka hōmona e mālama i ka nui o ka glucose i kou koko. Hiki i nā poʻe me ka maʻi diabetes type 2 ke hana i ka insulin, akā ʻaʻole hoʻohana maikaʻi ko lākou mau kino iā ia.


No ke aha wau e pono ai i kahi ketones i ka hoʻāʻo ʻana i ke koko?

Pono ʻoe i ketones i ka hoʻāʻo ʻana o ke koko inā loaʻa ka maʻi diabetes a me nā ʻōuli o DKA. ʻO nā hōʻailona DKA pū kekahi:

  • Make wai nui loa
  • Hoʻonui i ka urination
  • ʻO Nusea a me ka luaʻi
  • ʻO ka ʻili maloʻo a ʻulaʻula paha
  • Pokole o ka hanu
  • Hanu Fruity i ka hanu
  • Ka luhi
  • Huikau

He aha ka hana i ka wā o ketones i ka hoʻāʻo ʻana o ke koko?

E lawe kahi ʻoihana mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila kuʻikuʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.

Hiki paha iā ʻoe ke hoʻohana i kahi pahu home ma ka home e hoʻāʻo no nā ketones i ke koko. ʻOiai e loli paha nā ʻōkuhi, e hoʻokomo pū kāu kit i kekahi ʻano pono hana e ʻūlū i kou manamana lima. E hoʻohana ʻoe i kēia e ʻohiʻohi i kahi kulu o ke koko no ka hoʻāʻo ʻana. E heluhelu pono i nā ʻōkuhi a me ka kamaʻilio ʻana i kāu kauka mālama ola e ʻike pono ʻoe e hōʻiliʻili a hoʻāʻo pono i kou koko.


Hiki i kāu mea mālama olakino ke kauoha i kahi ketones i ka hoʻāʻo mimi ma kahi o a i ʻole kahi ketones i ka hoʻāʻo ʻana i ke koko e nānā ai no ka ketoacidosis diabetic. Makemake paha ia e nānā i kāu mau pae A1c a me nā pae glucose i ke koko e kōkua e nānā i kāu maʻi kō.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no ka ketone i ka hoʻāʻo ʻana i ke koko.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku.

He aha ke ʻano o nā hopena?

He maikaʻi ʻole kahi hopena hōʻike maʻamau. ʻO kēia ke kumu ʻaʻole i loaʻa kahi ketones i kou koko. Inā loaʻa nā pae ketone koko kiʻekiʻe, manaʻo paha ia he ketoacidosis diabetic (DKA) kāu. Inā loaʻa iā DKA, e hāʻawi a hāʻawi paha kāu mea mālama ola i kāu lāʻau lapaʻau, e pili ana paha i ka hele ʻana i ka haukapila.

Hiki i nā kūlana ʻē aʻe ke hoʻāʻo iā ʻoe e hōʻoia i nā ketones koko. Pākuʻi ʻia kēia mau mea:


  • ʻO nā maʻi ʻai, malnutrisi, a me nā kūlana ʻē aʻe kahi i lawe ʻole ai ke kino i ka nui o nā calories
  • Hapai keiki. I kekahi manawa hoʻomohala nā wahine hāpai i nā ketone o ke koko. Inā loaʻa nā pae kiʻekiʻe, hiki ke manaʻo i ka maʻi kōpū, he ʻano diabetes e pili wale ana i nā wahine hāpai.

Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka ketones i ka hoʻāʻo ʻana i ke koko?

Hoʻohana kekahi poʻe i nā pahu i ka home e hoʻāʻo ai i nā ketones inā aia lākou ma ka papa ketogenic a i ʻole "keto" ʻai. ʻO ka papa keto kahi ʻano o ka hoʻolālā hoʻemi kaumaha e hana i ke kino o ke kanaka olakino e hana i nā ketones. E noʻonoʻo pono e kamaʻilio me kāu kauka olakino ma mua o ka hele ʻana i ka papaʻai keto.

Nā kūmole

  1. ʻAhahui Diabetes ʻAmelika [Pūnaewele]. Arlington (VA): ʻAhahui Diabetes ʻAmelika; c1995–2018. DKA (Ketoacidosis) & Ketones; [hoʻohou 2015 Malaki 18; i helu ʻia 2018 Ian 9]; [ma kahi o 3 pale]. Loaʻa mai: http://www.diabetes.org/living-with-diabetes/complications/ketoacidosis-dka.html?referrer
  2. ʻO Joslin Diabetes Center [Pūnaewele]. ʻO Bosetona: ʻO Joslin Diabetes Center; c2018. Hōʻikeʻike Ketone; [helu ʻia 2020 Ian 1]; [ma kahi o 3 pale]. Loaʻa mai: https://www.joslin.org/patient-care/diabetes-education/diabetes-learning-center/ketone-testing-0
  3. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2018. Nā Ketone Koko; [hōʻano hou 2018 Jan 9; i helu ʻia 2018 Ian 9]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/tests/blood-ketones
  4. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2018. Koma Diabetes: Overview; 2015 Mei 22 [helu ʻia 2018 Ian 9]; [ma kahi o 2 pale]. Loaʻa mai: https://www.mayoclinic.org/diseases-conditions/diabetic-coma/symptoms-causes/syc-20371475
  5. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ho'āʻo koko; [helu ʻia 2018 Ian 9]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/with
  6. National Institute of Diabetes and Digestive and Kidney Diseases [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; He aha ia Diabetes ?; 2016 Nov [helu ʻia 2018 Ian 9]; [ma kahi o 4 pale]. Loaʻa mai: https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes
  7. Merck Manual Mea Kūʻai Manuahi [Pūnaewele]. Kenilworth (NJ): Merck & Co. Inc.; c2018. Diabetes Mellitus (DM) i nā keiki a me nā ʻōpio; [helu ʻia 2018 Ian 9]; [ma kahi o 2 pale]. Loaʻa mai: http://www.merckmanuals.com/home/ Children-s-health-issues/hormonal-disorder-in- Children/diabetes-mellitus-dm-in- Children-and-adolescents
  8. ʻO Paoli A. Ketogenic Diet no ka nui nui: Hoa a i ʻole hewa? ʻO Int J En environment Res Health Health [Pūnaewele]. 2014 Feb 19 [helu ʻia 2018 Pep 22]; 11 (2): 2092-2107. Loaʻa mai: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945587
  9. Scribd [Pūnaewele]. Scribd; c2018. Ketosis: He aha ka ketosis ?; [hoʻohou 2017 Malaki 21; i helu ʻia 2018 Pep 22]; [ma kahi o 2 pale]. Loaʻa mai: https://www.scribd.com/document/368713988/Ketogenic-Diet
  10. UCSF Medical Center [Pūnaewele]. Kapalakiko (CA): Nā Regents o ke Kulanui o Kaleponi; c2002–2018. Nā hoʻāʻo lapaʻau: Ketones Serum; [helu ʻia 2020 Ian 1]; [ma kahi o 3 pale]. Loaʻa mai: https://www.ucsfhealth.org/medical-tests/003498
  11. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2018. ʻO Encyclopedia Health: Nā Ketone Bodies (Koko); [helu ʻia 2018 Ian 9]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=ketone_bodies_serum
  12. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2018. Hōʻike Glucose Koko Kai: Pehea e hana ai; [hōʻano 2017 2017 Mar 13; i helu ʻia 2018 Ian 9]; [ma kahi o 5 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/home-blood-glucose-test/hw226531.html#hw226576
  13. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2018. Ketones: Pehea e hana ai; [hōʻano 2017 2017 Mar 13; i helu ʻia 2018 Ian 9]; [ma kahi o 5 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/ketones/hw7738#hw7758
  14. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2018. Ketones: Nā hopena; [hōʻano 2017 2017 Mar 13; i helu ʻia 2018 Ian 9]; [ma kahi o 8 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/ketones/hw7738#hw7806
  15. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2018. Ketones: Nānā Hōʻike Hou; [hōʻano 2017 2017 Mar 13; i helu ʻia 2018 Ian 9]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/ketones/hw7738.html

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.

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