Mea Kākau: Randy Alexander
Lā O Ka Hana: 28 Apelila 2021
HōʻAno Hou I Ka Lā: 18 Nowemapa 2024
Anonim
Ketonuria: He aha kāu e ʻike ai - Ola Kino
Ketonuria: He aha kāu e ʻike ai - Ola Kino

Anter

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

He aha ka ketonuria?

Hana ʻo Ketonuria ke loaʻa nā pae ketone kiʻekiʻe i kāu mimi. Kapa ʻia kēia ʻano ketoaciduria a me acetonuria.

ʻO nā ketone a i ʻole nā ​​kino ketone he ʻano o nā waikawa. Hana kou kino i nā ketones ke kuni ʻia nā momona a me nā protein no ka ikehu. He hana maʻamau kēia. Eia nō naʻe, hiki ke hele i loko o ka overdrive ma muli o kekahi ʻano olakino a me nā kumu ʻē aʻe.

ʻO Ketonuria ka mea maʻa mau i nā kānaka āpau i loaʻa i ka maʻi diabetes, ʻo ia hoʻi me ka maʻi maʻamau ʻo 1 diabetes. Hiki iā ia ke hana i nā wahine hāpai a hānai hānai.

Inā piʻi kiʻekiʻe nā pae ketone no ka lōʻihi loa, lilo kou koko i acidic. Hiki i kēia ke hōʻeha i kou olakino.

He aha nā kumu o ka ketonuria?

ʻO kaʻai Ketogenic

ʻO Ketonuria kahi hōʻailona e hoʻohana nui nei kou kino i nā momona a me nā protein no ka wahie. Kapa ʻia kēia he ketosis. He hana maʻamau inā ʻoe e hoʻokē ʻai ana a i ʻole ka low-carbohydrate, ketogenicʻai. ʻAʻohe maʻamau kaʻai ketogenike i kahi olakino olakino ke hana ʻia ia i ke kaulike.


Nā pae insulin haʻahaʻa

ʻO ka hapanui o ka ikehu e hoʻohana ai kou kino mai ke kō a i ʻole ka glucose. ʻO kēia ka mea maʻamau mai nā huaʻohuhu āu e ʻai ai a mai nā sukake i mālama ʻia. ʻO ka insulin ka hormone nui e lawe i ke kō i kēlā me kēia cell, e like me kou mau mākala, puʻuwai, a me kou lolo.

ʻAʻole lawa paha ka insulin i ka poʻe me ka maʻi diabetes a hiki paha ke hoʻohana kūpono iā ia. Me ka loaʻa ʻole o ka insulin, ʻaʻole hiki i kou kino ke hoʻoneʻe i ke kō i loko o kāu mau hunaola a i ʻole mālama ʻia e like me ka wahie. Pono e loaʻa kahi kumu mana ʻē aʻe. Wāwahi ʻia nā momona o ke kino a me nā protein no ka ikehu, e hana ana i nā ketones ma ke ʻano he huahana neoneo.

Ke piʻi a nui nā ketone i kou kahawai, hiki ke loaʻa kahi ʻano i kapa ʻia ʻo ketoacidosis a i ʻole diabetic ketoacidosis. He kūlana hoʻoweliweli kēia i ke ola i kou koko a hiki ke hōʻeha i kou kino.

Hana pinepine ʻo Ketonuria me ketoacidosis. Ke piʻi aʻe nā pae ketone i kou koko, hoʻāʻo kāu mau puʻupaʻa e kāpae iā lākou ma o ka mimi.

Inā loaʻa ʻoe i ka maʻi diabetes a ua hoʻomohala i ka ketonuria, loaʻa paha iā ʻoe ke kiʻekiʻe o ke kō i ke kō, a i ʻole hyperglycemia. Me ka lawa ʻole o ka insulin, ʻaʻole hiki i kou kino ke omo pono i ke kō mai ka ʻai i hoʻoiho ʻia.


Nā kumu ʻē aʻe

Hiki iā ʻoe ke hoʻomohala i ka ketonuria ʻoiai inā ʻaʻohe ou maʻi diabetes a i ʻole ma ka papa ketogenic koʻikoʻi. Nā kumu ʻē aʻe e:

  • inu lama loa
  • luaʻi nui
  • hāpai keiki
  • pōloli
  • maʻi a maʻi paha
  • maʻi hohola
  • hōʻeha manaʻo a i ʻole kino
  • nā lāʻau, e like me nā corticosteroids a me nā diuretics
  • hoʻohana lāʻau

He aha nā hōʻailona o ketonuria?

ʻO Ketonuria kahi hōʻailona paha he ketoacidosis ʻoe a alakaʻi iā ia. ʻO ke kiʻekiʻe o kāu mau ketone, ʻoi aku ka nui o nā ʻōuli a ʻoi aku ka weliweli ke lilo. Kaukaʻi ʻia i ke koʻikoʻi, hiki i nā hōʻailona a me nā hōʻailona ke hoʻopili pū.

  • make wai
  • hanu hohono hua
  • waha maloo
  • luhi
  • nausea a luaʻi paha
  • urination pinepine
  • huikau a paʻakikī paha i ka nānā ʻana

E ʻike paha kāu kauka i nā hōʻailona pili o ketonuria:

  • kō kō kiʻekiʻe
  • make nui loa
  • uila uila

Hoʻohui ʻia, aia paha he mau hōʻailona o nā maʻi e like me sepsis, pneumonia, a me nā maʻi urinary tract i hiki ke alakaʻi i nā pae ketone kiʻekiʻe.


Pehea e ʻike ʻia ai ka ketonuria?

Hoʻomaopopo pinepine ʻia ʻo Ketonuria ma o kahi hōʻike mimi. E nānā pū kāu kauka i kāu mau hōʻailona a me ka mōʻaukala olakino.

ʻO nā hoʻokolohua maʻamau no nā ketones i loko o kou mimi a me kou koko pū:

  • hoʻāʻo koko ketone koʻokoʻo
  • hoʻāʻo kaha mimi
  • hoʻāʻo hanu acetone

Hiki iā ʻoe ke hana i nā hoʻokolohua ʻē aʻe a me nā scans e nānā i ke kumu:

  • electrolytes koko
  • helu piha koko
  • umauma X-ray
  • CT scan
  • uila uila
  • nā hoʻāʻo moʻomeheu koko no nā maʻi
  • hoʻāʻo glucose koko
  • pale lāʻau

Nā hoʻāʻo home

Kūkā ka American Diabetes Association e nānā i kāu mau pae ketone inā he maʻi diabetes ʻoe, ʻoiai ke ʻoi aku ka nui o kāu kō kō i mua o 240 milligrams i kēlā me kēia deciliter. Hiki iā ʻoe ke hoʻāʻo no nā ketona me kahi kaha hoʻokolohua mimi maʻalahi.

ʻO kekahi mau mea nānā i ka glucose koko i ka home ke ana i nā ketone o ke koko. Hoʻopili kēia i ke kuʻi ʻana i kou manamana lima a kau i kahi kulu o ke koko ma luna o kahi kaha hoʻāʻo. ʻAʻole pololei paha nā hōʻike home e like me ka mimi a me ka hoʻāʻo ʻana o ke koko ma ke keʻena o kāu kauka.

Kūʻai no nā kaha hoʻāʻo ketone a me nā mīkini hiki iā ʻoe ke hoʻohana ma ka home

Nā pae hōʻike

He mea nui ka hoʻāʻo ʻana o ka ketone maʻamau inā loaʻa ʻoe i ka maʻi kō. E loli ke kahawai hoʻokolohua mimi i ke kala. Kūlike kēlā me kēia kala i kahi pae o ketone pae ma ka pakuhi. Ke kiʻekiʻe aʻe nā ketona ma mua o ka maʻamau, pono ʻoe e nānā i ke kiʻekiʻe o ka glucose koko. E hana koke inā pono.

LaulāNā hopena
Ma lalo o 0.6 millimoles i kēlā me kēia litaʻO ka pae ketone mimi maʻamau
0.6 a 1.5 millimoles i kēlā me kēia litaʻOi aku ke kiʻekiʻe ma mua o ka maʻamau; e hoʻāʻo hou i 2 a 4 mau hola
1.6 i ka 3.0 millimoles o ka litaKa pae ketone mimi kaulike; kelepona koke i kāu kauka
Ma luna o 3.0 millimoles i kēlā me kēia litaKūlana kiʻekiʻe weliweli; e hele koke i ka ER

Pehea e mālama ʻia ai ka ketonuria?

Inā pili kāu ketonuria i ka hoʻokē iki a hoʻololi paha i kāu papaʻai, e hoʻoholo paha ia iā ia iho. ʻAʻole ʻoe e pono i ka lāʻau. E hoʻāʻo i kāu pae ketone a me kou kō kō a ʻike i kāu kauka no nā koho hope e hōʻoia.

I nā kūlana koʻikoʻi hou aʻe, like ka mālama ketonuria me ka mālama ʻana no ka ketoacidosis diabetic. Koi paha ʻoe i ka mālama ola me:

  • ʻenekini hana wikiwiki
  • Nā wai IV
  • electrolytes e like me sodium, potassium, a me chloride

Inā pili ka maʻi i kāu ketonuria, pono ʻoe i kahi lāʻau hou e like me:

  • antibiotic
  • mea antivirals
  • nā kaʻina hana puʻuwai

Nā pilikia o ketonuria

I nā hihia koʻikoʻi, hiki i ka ketonuria ke alakaʻi i nā pilikia e hopena i kou olakino. Hiki ke hopena i kahi koma a make paha.

ʻO Ketoacidosis

ʻO ka ketoacidosis diabetic kahi pilikia olakino e hiki ai i ke koma diabetic a me ka make pū kekahi. ʻO ka spike i nā ketones i kou koko e hoʻāla i nā kiʻekiʻe o ka waikawa o kou koko. Kūpilikiʻi nā mokuʻāina kiʻekiʻe i nā ʻōpū, nā mākala, a me nā ʻalolo a keʻakeʻa i nā hana o ke kino. Hiki i kēia ʻano ke loaʻa i kekahi me ka maʻi kō, akā he mea maʻamau ia i ka poʻe me ka maʻi diabetes type 1.

Make wai

ʻO ke kiʻekiʻe o ke kō kō, e alakaʻi i nā pae ketone kiʻekiʻe, hoʻonui nui i ka urination a hiki ke alakaʻi i ka make wai. ʻO nā maʻi e kumu ai i ka ketonuria hiki ke kumu i ka nausea, ka luaʻi, a me ka maʻi diarrhea e hoʻohui nei i ka make wai.

I ka hāpai keiki

He mea maʻamau ʻo Ketonuria a hiki i ka hāpai hāpai olakino. Hiki ke hana inā ʻaʻole ʻoe e ʻai no kahi wā lōʻihi, loaʻa kahi papa ʻaina haʻahaʻa-carbohydrate, a i ʻole ʻike i ka luaʻi nui.

ʻO nā makuahine e kū nei i ka maʻi diabetes a i ʻole ka diabetes maʻamau iʻoi aku ka makaʻu no ka ketonuria. Hiki i kēia ke alakaʻi i ka ketoacidosis, hiki ke hōʻeha i ka pēpē e ulu ana.

Inā loaʻa ʻoe i ka maʻi diabetes, hiki i kāu kauka ke koi aku i ka mālama ʻana ma o ka papaʻai a me nā lāʻau e like me ka insulin. Hoʻoholo maʻamau ka ketonuria. Pono ʻoe e kiaʻi i nā pae kō kō a me nā pae ketone i nā manawa a pau ma ka hāpai ʻana a ma hope o ka hānau ʻana o kāu pēpē.

E paipai kāu kauka a mea olakino paha i nā loli i kāu papaʻai. ʻO nā koho meaʻai kūpono he mea nui i ka mālama ʻana a me ka mālama ʻana i ka maʻi diabetes.

He aha ka manaʻo no ketonuria?

Hiki ke kumu ʻia ʻo Ketonuria e nā kumu he nui, e like me ka mea āu e ʻai ai. Ma muli paha o ke kaulike ʻole o kāu papaʻai a i ʻole ke kumu koʻikoʻi. E ʻike koke i kāu kauka inā manaʻo ʻoe he ketonuria kāu.

ʻO ke kī nui i ka mālama ʻana ke ʻike nei i ke kumu. I nā manawa he nui, hiki paha iā ʻoe ke pale aku. Hōʻalo i nā papaʻai maikaʻi loa a kamaʻilio pū me kāu kauka a i ʻole nutristist ma mua o ka hoʻololi ʻana i kāu papaʻai i kēlā me kēia lā.

ʻO Ketonuria paha he hōʻailona hōʻailona no ka hewa o kekahi mea. Inā loaʻa i kāu ʻōuli kahi hilahila, ʻeha poʻo, nausea, a luaʻi paha, e ʻimi i ka mālama olakino olakino.

Inā loaʻa ʻoe i ka maʻi diabetes, he hōʻailona hōʻailona ka ketonuria no ka ʻole o ka kaohi o kāu maʻi diabetes. E hōʻoia i kāu mau pae ketone i nā manawa pinepine āu e nānā ai i kāu pae glucose glucose. E hoʻopaʻa i kāu mau hopena e hōʻike i kāu kauka.

E kamaʻilio me kāu kauka e pili ana i ka mea hiki ke hana i ke kaulike i kāu pae kō kō. Kau kauka paha i kau kauka insulin a i ʻole nā ​​lāʻau ʻē aʻe. Pono ʻoe i ke kōkua o kahi kauka lāʻau e kōkua i ke alakaʻi ʻana i kāu koho ʻana i ka meaʻai. Hiki i nā mea aʻo i ka maʻi kō ke kōkua iā ʻoe e hoʻokele a hoʻomaopopo i kou ʻano.

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