Nā ho'āʻo mimi no ka maʻi diabetes: nā pae Glucose a me nā Ketone

Anter

• ʻO wai ka mea pono e loaʻa kahi hōʻike mimi no ka maʻi diabetes?
• Nā pae Glucose
• Nā Ketone
• Pehea ʻoe e hoʻomākaukau ai no kahi hōʻike mimi?
• He aha kāu e manaʻo ai i ka wā o ka hōʻoia mimi?
• Ma ke keʻena o ke kauka
• Nā kaha hoʻāʻo ma ka home
• He aha ke ʻano o kaʻu mau hōʻike hōʻoia glucose mimi?
• He aha ke ʻano o ka hopena o kaʻu hopena ketone mimi?
• Liʻiliʻi a hoʻohaʻahaʻa
• Lawe a nui
• Nui loa
• He aha ka hana ma hope o kahi hōʻike mimi no ka maʻi kō?

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 nā hōʻike mimi no ka maʻi diabetes?

ʻO ka maʻi diabetes kahi ʻano e hōʻike ʻia e nā kiʻekiʻe o ke kō kō. Hiki i kēia ma muli o ka hiki ʻole o ke kino ke hana i kekahi a i ʻole lawa ka insulin, e hoʻohana pono i ka insulin, a i ʻole ʻelua paha.

ʻO ka insulin ka hone e kōkua i nā hunaola o kou kino e ʻono i ke kō i ke koko e hana i ka ikehu. Hoʻokumu ʻia ka insulin e ka pancreas i nā nui nui ma hope o kou ʻai ʻana i ka meaʻai.

ʻElua ʻano nui o ka maʻi kō:

• ʻano diabetes 1
• ʻano 2 diabetes

ʻAno 1 diabetes i ka wā e hoʻouka ai ke kino o ka ʻōnaehana pale kino a luku i nā insulina e hana ana i ka insulin i ka pancreas. Hoʻomaopopo pinepine ʻia kēia ʻano i ka wā kamaliʻi a ulu koke.

Kū ka maʻi diabetes ʻelua ke hiki ʻole i nā hunaola ke hoʻohana pono i ka insulin. Kapa ʻia kēia mokuʻāina ʻo resistence insulin. Hoʻolālā mālie ka maʻi diabetes 2 a pili pū ʻia me ka momona a me ke ʻano noho.

ʻO ka maʻi diabetes ke kumu o ke kō glucose, a i ʻole ke kō kō, e piʻi aʻe i nā kiʻekiʻe kiʻekiʻe. I ka maʻi diabetes type 1, hoʻomaka paha ke kino e puhi i ka momona no ka ikehu no ka mea ʻaʻole i loaʻa nā cell i ka glucose e pono ai. Ke hana kēia, hana ke kino i nā kemika i kapa ʻia ketones.

Ke kūkulu ʻia nā ketone i loko o ke koko, hana lākou i ke koko i meaʻawaʻawa nui. Hiki i ke kūkulu ʻana i nā ketone ke hōʻino i ke kino a hopena i ka make a i ʻole ka make.

ʻAʻole hoʻohana ʻia nā hōʻike mimi e ʻike pono i ka maʻi kō. Eia nō naʻe, hoʻohana ʻia paha lākou e nānā i nā pae o ka mimi ketones a me ka glucose kōmiko. I kekahi manawa ua hoʻohana ʻia lākou e hōʻoia i ka mālama pono ʻana i ka maʻi kō.

ʻO wai ka mea pono e loaʻa kahi hōʻike mimi no ka maʻi diabetes?

Hāʻawi ʻia kahi hōʻike mimi ma ke ʻano he maʻa o ka nānā maʻamau. Hiki i kahi lab ke hoʻāʻo i kou mimi no ke kū mai o glucose a me nā ketone. Inā loaʻa kekahi i ka mimi, hiki ke manaʻo ʻaʻole ʻoe e lawa i ka nui o ka insulin.

ʻO kekahi mau lāʻau diabetes e like me canagliflozin (Invokana) a me empagliflozin (Jardiance) ke kumu o ka hoʻonui ʻana o ke kō i kahe i ka mimi. No ka poʻe e lawe nei i kēia mau lāʻau, ʻaʻole pono e hoʻāʻo ʻia nā pae glucose e ka mimi akā maikaʻi nō ka hoʻāʻo ʻana i nā ketones.

Nā pae Glucose

I ka wā ma mua, ua hoʻohana ʻia nā hōʻike mimi no ka glucose e ʻike a nānā i ka maʻi kō. I kēia manawa, ʻaʻole hoʻohana mau ʻia lākou.

I mea e ʻike pono ai i ka maʻi diabetes, e hilinaʻi pinepine ke kauka i kahi hōʻike glucose kō koko. ʻOi aku ka pololei o nā hōʻoia koko a hiki ke ana i ka nui kikoʻī o ka glucose i loko o ke koko.

Makemake ʻoe e nānā i kāu ponoʻī ma ka home? E kūʻai no ka glucose mimi ma ka home a i ʻole ma ka home glucose test glucose.

Nā Ketone

Pono ka hoʻāʻo ʻana o ka miki ketone i ka poʻe me ka maʻi diabetes type 1 nāna:

• loaʻa nā kō kō kō ma luna o 300 milligrams per deciliter (mg / dL)
• he maʻi
• loaʻa nā ʻōuli o ka ketoacidosis diabetic (DKA), kahi pilikia koʻikoʻi o ka maʻi kō

Hiki ke nānā ʻia nā pae Ketone me kahi pahu hoʻāʻo mimi ma ka home. Pono e hoʻohana i kahi hōʻoia mimi no ketone inā kūlike ʻoe i nā wehewehe ma luna a i ʻole kekahi o nā ʻōuli o DKA:

• ka luaʻi a me ka manaʻo nalu
• e hoʻomau i nā kiʻekiʻe o ke kō e pane ʻole i ka lāʻau
• manaʻo maʻi, e like me ka maʻi palū a i ʻole kahi maʻi
• luhi a luhi paha i nā manawa āpau
• make wai nui a i ʻole he waha maloʻo loa
• urination pinepine
• hanu ʻaʻala e "hua"
• huikau a manaʻo paha e like me ʻoe i kahi "fog"

Pono paha ʻoe e lawe i kahi hōʻike ketone mimi inā:

• hāpai ʻoe a loaʻa i ka maʻi kō
• ke hoʻolālā nei ʻoe i ka hoʻoikaika kino a kiʻekiʻe kou pae kō glucose i ke koko

Kūʻai no kahi hōʻike ketone ma ka home.

ʻO ka poʻe me ka maʻi diabetes, ʻo ia hoʻi ka maʻi diabetes 1, pono e loaʻa i nā ʻōlelo aʻoaʻo mai kā lākou kauka i ka wā e hōʻoia ai lākou no nā ketones. ʻO ka maʻamau, inā mālama maikaʻi ʻia kou maʻi diabetes, ʻaʻole pono ʻoe e nānā pinepine i kāu mau ketone.

Inā hoʻomaka ʻoe e ʻike i nā ʻōuli e like me ka mea i ʻōlelo ʻia ma luna, ʻoi aku ka nui o kāu kō ma mua o 250 mg / dL, a i ʻole ʻaʻole e pane ana kou kino i nā inikina insulin, a laila pono ʻoe e hoʻomaka i ka nānā ʻana i kāu pae ketone.

Pehea ʻoe e hoʻomākaukau ai no kahi hōʻike mimi?

Ma mua o kou hoʻāʻo ʻana, e nānā pono e inu i ka wai lawa i hiki ai iā ʻoe ke hāʻawi i kahi laʻana o ka mimi. E ʻike pono i kāu kauka e pili ana i nā lāʻau a i ʻole nā ​​mea hoʻopihapiha āu e lawe nei, no ka mea e hoʻopili paha kēia i nā hopena.

Hiki ke hoʻoweliweli maʻalahi i ka mimi e nā bacteria a me nā hunaola. E hoʻomaʻemaʻe ʻoe i kou wahi genital me ka wai ma mua o ka hāʻawi ʻana i kahi laʻana o ka mimi.

He aha kāu e manaʻo ai i ka wā o ka hōʻoia mimi?

E noi paha ʻoe e hāʻawi i kahi laʻana o ka mimi ʻoiai ma ke keʻena o ke kauka. Loaʻa i nā pahu hōʻike mimi no ka hoʻohana ʻana ma ka home. He maʻalahi kahi hōʻike mimi a ʻaʻohe pilikia. ʻAʻole pono ʻoe e ʻoluʻolu i kēia hōʻike.

Ma ke keʻena o ke kauka

E hāʻawi kāu kauka i nā ʻōkuhi pehea e hāʻawi ai i kahi laʻana a me kahi e waiho ai ke pau ʻoe. Ma ka laulaha, ʻo kēia ka mea e hiki ke manaʻo ʻia i ka wā o kahi hōʻike mimi keʻena:

1. Hāʻawi ʻia iā ʻoe kahi kīʻaha plastic me ka inoa o kou inoa a me nā ʻike olakino ʻē aʻe.
2. Lawe ʻoe i ke kīʻaha i loko o kahi lumipaku ponoʻī a mimi i loko o ke kīʻaha. E hoʻohana i ke ʻano "clean catch" i mea e pale ai i ka hoʻohaunaele me nā bacteria a i ʻole nā ​​hunaola o kou ʻili. Me kēia hana, e hōʻiliʻili wale ʻoe i kāu mimi waena. Hiki ke koena o kou kahe mimi i loko o ka lua.
3. E kau i ka poʻi ma ke kīʻaha a holoi i kou mau lima.
4. Lawe i ke kīʻaha i kahi a kāu kauka i ʻōlelo aku ai iā ʻoe e waiho iā ia ke pau ʻoe. Inā ʻaʻole maopopo iā ʻoe, e nīnau i kahi kahu a i ʻole limahana ʻē aʻe.
5. E kālailai ʻia ka hāpana no ke kū ʻana o ka glucose a me nā ketone. E mākaukau nā hopena ma hope koke iho o ka hāʻawi ʻia ʻana o kahi hāpana.

Nā kaha hoʻāʻo ma ka home

Loaʻa nā hoʻāʻo Ketone ma ka hale kūʻai lāʻau me ka ʻole o kauka, a i ʻole ma ka pūnaewele. E heluhelu pono i nā kuhikuhi ma ka pūʻolo a i ʻole e hele i kahi e hoʻohana ai i nā ʻāpana me kāu kauka ma mua o ka hana ʻana i ka hōʻike.

Ma mua o ka hoʻohana ʻana i ka kaha hoʻāʻo, e nānā inā ʻaʻole ia i hala i ka wā.

Ma ka laulaha, pili ka hōʻike mimi ma ka home i kēia mau hana:

1. E hoʻomaka me ka heluhelu ʻana i nā ʻōlelo aʻoaʻo a ka mea hana.
2. Mimi i kahi ipu maʻemaʻe.
3. Hoʻopau i ka huki i ka mimi. Hoʻopili ʻia nā ʻāpana me nā kemika e hana me nā ketone. E hoʻoluliluli i ka mimi ʻoi aku ma ke kaha.
4. E kakali i ka pā pale e hoʻololi i ke kala. ʻO nā ʻōkuhi i hiki mai me nā ʻāpana e haʻi iā ʻoe i ka lōʻihi e kali ai. E makemake paha ʻoe e loaʻa kahi uaki a me ka uaki.
5. Hoʻohālikelike i ke kala ʻālunu i ka pakuhi kala ma ka ʻōpala. Hāʻawi kēia iā ʻoe i kahi pae no ka nui o nā ketones i loaʻa i kāu mimi.
6. Kākau koke i kāu mau hopena.

He aha ke ʻano o kaʻu mau hōʻike hōʻoia glucose mimi?

ʻAʻole pono nā kānaka olakino i ka glucose i kā lākou mimi i nā mea āpau. Inā hōʻike ka hōʻike i ke kū ʻana o ka glucose i loko o kou mimi, pono ʻoe e kūkākūkā me nā kauka kūpono me nā kauka.

ʻAʻole e hoʻāʻo ka mimi i nā pae o ke kō o ke kō i kēia manawa. Hiki ke hāʻawi wale i ka ʻike inā e ninini ʻia ana ka glucose i loko o kāu mimi. Hōʻike wale ia i ke kūlana o kāu kō kō i nā hola i hala.

ʻO ka hoʻāʻo glucose glucose koko ka hōʻike mua e hoʻohana ʻia e hoʻoholo ai i nā pae glucose maoli.

He aha ke ʻano o ka hopena o kaʻu hopena ketone mimi?

He mea nui ka nānā ʻana i nā pae ketone i ka mimi inā loaʻa kāu ʻano diabetes 1. ʻIke pinepine ʻia nā Ketones i ka mimi o ka poʻe me ka maʻi diabetes type 1 ma mua o ka poʻe me ka maʻi diabetes type 2.

Inā haʻi ʻia ʻoe e nānā i kāu ketone, e noi i kāu hui olakino e kōkua iā ʻoe e hoʻomohala i kahi hoʻolālā no ka mea e hana ai inā ʻike ʻoe i nā ketones i kāu mimi.

ʻO nā pae maʻamau a i ʻole nā ​​kahawai o nā ketone i ka mimi ma lalo o 0.6 millimoles i kēlā me kēia lita (mmol / L), e like me ka National Health Service (NHS).

ʻO kahi hopena maʻamau he ketones kāu i kāu mimi. Hoʻohālikelike ʻia nā heluhelu ʻana ma ke ʻano he liʻiliʻi, kaulike, a nui paha.

Liʻiliʻi a hoʻohaʻahaʻa

Kuhi ʻia kahi pae ketone o 0.6 a 1.5 mmol / L (10 a 30 mg / dL) i ka liʻiliʻi. Kuhi paha kēia hopena ke hoʻomaka nei ke kūkulu ʻana o ketone. E hōʻoia hou ʻoe i kekahi mau hola.

I kēia manawa, inu nui i ka wai ma mua o ka hoʻāʻo. Mai hoʻoikaika kino inā kiʻekiʻe kou mau kō glucose koko. Hiki i ka wī ke kumu i kahi liʻiliʻi o nā ketone i ka mimi, no laila e hōʻalo i ka haʻalele ʻana i nā meaʻai.

Lawe a nui

Kuhi ʻia kahi pae ketone o 1.6 a 3.0 mmol / L (30 a 50 mg / dL) i ke kaulike a nui. Hiki i kēia hopena ke hōʻailona ʻaʻole mālama maikaʻi ʻia kāu maʻi diabetes.

I kēia manawa, pono ʻoe e kāhea i kāu kauka a i ʻole e ʻimi i ka olakino.

Nui loa

Hiki ke hōʻike i kahi pae ketone ʻoi aku ma mua o 3.0 mmol / L (50 mg / dL) he DKA kāu. He kūlana hoʻoweliweli kēia i ke ola a koi koke ʻia i ka lāʻau lapaʻau koke. E hele pololei i ka lumi pilikia inā nui kāu pae.

Ma mua o nā pae ketone nui i ka mimi, ʻo nā ʻōuli o ketoacidosis ka:

• ka luaʻi
• nausea
• huikau
• he hanu ʻaʻala i wehewehe ʻia ma ke ʻano he “hua”

Hiki i ke Ketoacidosis ke kumu i ka pehu ʻana o ka lolo, koma, a me ka make ke haʻalele ʻole ʻia.

He aha ka hana ma hope o kahi hōʻike mimi no ka maʻi kō?

Inā loaʻa ka glucose a i ʻole nā ​​ketones i ka mimi i ka wā o ka hoʻokolohua maʻamau, e hana hou kāu kauka i nā hoʻokolohua e hoʻoholo ai i ke kumu o kēia. Pākuʻi ʻia paha kēia i kahi hōʻike glucose koko.

E hele pū kāu kauka me kāu papa hana lapaʻau inā loaʻa ʻoe i ka maʻi kō. Hiki iā ʻoe ke mālama i nā pae kō kō me ke kōkua o:

• hoʻokele papaʻai
• hoʻoikaika kino
• nā lāʻau
• hoʻāʻo glucose koko ma ka home

Inā loaʻa iā ʻoe ka maʻi diabetes 1, pono paha ʻoe e nānā pinepine i nā pae ketone i loko o kou mimi e hoʻohana ana i kahi papa hoʻāʻo home. Inā nui a nui nā pae ketone, hiki iā ʻoe ke hoʻomohala iā DKA.

Inā hōʻike ka hōʻike he mau ketone liʻiliʻi a kaulike paha kāu, e hāhai i ka hoʻolālā āu i hoʻonohonoho ai me kāu hui mālama ola. Inā he nui kāu mau ketona i kou mimi, e kāhea koke aku i kāu kauka lawelawe a i ʻole e hele i ka lumi pilikia.

E mālama ʻia ʻo DKA me nā wai hoʻouluulu (IV) a me ka insulin.

E kamaʻilio me kāu kauka e pili ana i nā mea e hiki ke hana e pale aku ai i nā hanana o ka wā e hiki mai ana. Ke mālama nei i kāu mau hopena a me nā kūlana i hōʻeuʻeu i kahi ʻāpana o nā ketona nui hiki ke kōkua iā ʻoe a me kāu kauka e hoʻoponopono i kāu papa hana maʻi kō.