Acetone mu shuga mellitus: chiyambi, chizindikiritso, kuchotsedwa

Chimodzi mwazizindikiro za shuga ndi kununkhira kwa acetone mwa wodwala. Poyamba, fungo limachokera mkamwa. Ngati zinthu sizinatenge nthawi, ndiye kuti khungu ndi mkodzo wake limayamba kununkhira wowawasa.

Thupi limapangidwa mozama, momwe chiwalo chilichonse ndi kachitidwe zimayenera kukwaniritsa ntchito zake.

Kuti mumvetsetse komwe kumawonekera ma acetone m'thupi, muyenera kupita mozama muzomwe zimachitika m'thupi mwathu.

Chimodzi mwazinthu zazikulu zomwe zimatipatsa mphamvu yofunikira ndi glucose, yomwe ilipo mu zakudya zambiri. Kuti glucose akhazikike bwino ndi maselo amthupi, kupezeka kwa insulin, chinthu chomwe chimapangidwa ndi kapamba, ndizofunikira.

Acetone mthupi: kumene ndipo chifukwa

Matenda a shuga ndi matenda a endocrine system. Chizindikiro chake ndi shuga wambiri wa magazi.

Glucose (shuga) amadziunjikira zochuluka chifukwa chakuti maselo ake sangatengeke chifukwa chosowa insulini, pomweponso amapangidwa ndi kapamba.

Ngati silikuyenda mwanjira yokhazikika, ndiye kuti maselo sangalandire shuga wofunikira ndikuchepetsa kapena kufa. Popewa izi, lembani odwala 1 a shuga omwe amapezeka ndi insulin ndi jakisoni.

Odwala oterewa amatchedwa kuti amadalira insulin.

Sizokayikitsa kuti pali anthu omwe ali ndi fungo labwinobwino omwe sakudziwa fungo la acetone. Ma hydrocarbon ndi gawo limodzi mwazinthu zambiri zamakampani omwe amapanga, monga ma sol sol, zomatira, utoto, ma varnish. Amayi amadziwa bwino izi ndi fungo la msomali wa kupukutira kwa msomali.

Fungo la thupi m'magazi a shuga limasintha chifukwa chakuti kuchuluka kwa matupi a ketone kumadziwika m'magazi. Izi zimachitika pamene thupi la wodwala silitenga glucose pamlingo woyenera. Zotsatira zake, zizindikilo zimatumizidwa ku ubongo kuti glucose m'thupi ndi yotsika kwambiri. Ndipo m'malo amenewo komwe kumakhalako, njira yachangu yodzikundikira imayamba.

Mwakutero, izi zimachitika m'magawo ogawa mafuta. Matendawa amathanso kukulitsa matenda monga hyperglycemia mu shuga mellitus, chifukwa nthawi zambiri matenda a shuga thupi silipanga mokwanira insulin, ndipo glucose amakhalabe m'magazi.

Mafuta ochulukirapo amachititsa kuti thupi la ketone lipangidwe. Zomwe zimapangitsanso kuwoneka ngati fungo losasangalatsa kuchokera mthupi.

Mwachizolowezi, fungo lamthupi ili limakhala lofanana kwa odwala matenda ashuga omwe ali ndi matenda amtundu woyamba. Ndi omwe ali ndi mseru wokwanira wamafuta komanso zovuta zama metabolic.

Komanso fungo la acetone limatha kuwoneka ndi matenda a shuga a mtundu wachiwiri. Pakadali pano chinthu ndichakuti pali mtundu wina wa zoopsa kapena matenda m'thupi. Koma chimodzimodzi, pazochitika zonsezi, zomwe zimapangitsa kununkhira ndi shuga wambiri.

Izi zikachitika, ndiye kuti nthawi yomweyo muyenera kuyimbira ambulansi ndikujambulira wodwala ndi insulin.

Amayambitsa fungo la acetone mu shuga

Mavuto a impso (nephrosis kapena dystrophy), pomwe wodwalayo amatupa, mavuto pokodza ndi kupweteka kumbuyo, kutsika kumbuyo,
Thyrotooticosis (kusokonezeka kwa dongosolo la endocrine, kuchuluka kwa mahomoni a chithokomiro), zizindikiro zowonjezera zomwe zimathandizira kugunda kwa mtima, mantha, kusokonekera, thukuta kwambiri,
Kuperewera kwa zakudya m'thupi, kuperewera kwa chakudya, zakudya zam'maso - chifukwa chakuchepa kwa mafuta m'thupi, mafuta amawonongeka, zomwe zimapangitsa kuti matupi a ketone awoneke.
Matenda a shuga.

Izi zikuyenera kukambirana mwatsatanetsatane kuyambira kuchuluka kwa chitukuko chake masiku ano kukukulira chaka chilichonse.

Matenda a shuga ndi matenda oopsa osokoneza thupi omwe amakhudza thupi lonse la munthu, pomwe njira yogwiritsira ntchito shuga imasokonezeka chifukwa chosowa insulini, yomwe imapangitsa kuti iphulike. Zotsatira zake, wodwalayo ali ndi kuchuluka kwa shuga ndi mkodzo.

Nthawi zambiri makolo amadzifunsa funso "Chifukwa chiyani mwana amanunkhira acetone kuchokera mkamwa", ndipo, pazalangizo za agogo awo, amayamba kulimbana ndi fungo, m'malo moyang'ana zomwe zimayambitsa. Fungo la acetone lochokera mkamwa mwa mwana limafotokozedwa ndi kukula kwa thupi ndi mavuto am'mimba, ngakhale kuti zoyambitsa zimatha kukhala zowopsa komanso zowopsa.

Chifukwa chachikulu cha kununkhira kwa acetone kuchokera mkamwa mwa mwana ndi matenda a shuga 1.

Fungo la thukuta la acetone limatha kuwonetsa mavuto monga:

endocrine kukanika chifukwa cha matenda ashuga
matenda am'mimba dongosolo
chiwindi ndi vuto la impso,
matenda a chithokomiro England
matenda a thupi ndi ma virus, ma virus, mabakiteriya,
chakudya chamavuto.

Zomwe zimayambitsidwa zimayambitsa kusalingana bwino mthupi, zomwe zimapangitsa kusokonezeka kwakukulu komanso kuwoneka ngati fungo lamphamvu. Matenda a shuga ndi omwe amachititsa thukuta kwambiri, lomwe limanunkhiza ngati acetone.

Izi zimachitika chifukwa cha kuchepa kwa insulin. Chifukwa chake, shuga sayenera kugaya.

Kuchulukitsa kwake kumabweretsa kusintha kwa kapangidwe ka magazi ndi zovuta zama metabolic, chifukwa cha momwe matupi owonjezera a ketone amapangidwira. /

Zizindikiro za matenda a shuga

Kuchulukana kwa ketone m'thupi kumachitika chifukwa cha kuperewera kwa insulin, komwe kumachitika shuga. Insulin imapangidwa ndi endocrine gland kuti igwetse shuga. Glucose omwe amapezeka mwanjira imeneyi amakhala bwino kutengeka ndi thupi.

Udindo wa shuga ndikuwonetsetsa kuti mulibe mphamvu. Ngati pali shuga, thupi limayamba kugwiritsa ntchito mafuta ndi mapuloteni kuti apange mphamvu, zikagwetsa, zinthu za ketone zimapangidwa. Mankhwalawa ndi oopsa, motero thupi limayesetsa kuwachotsa ndi thukuta komanso mkodzo, womwe umanunkhira ngati acetone.

Kuzindikira ndi kuchiza kununkhira kwa acetone mwa anthu

Zomwe zimawoneka ngati fungo la asetate la thukuta limapezeka ndikupita kuchipatala, komwe kuyezetsa magazi (general, biochemistry) ndi kuyesa kwamikodzo kukayikidwa. Posankha kuyesa kwamwazi wamagazi amunthu, chidwi chapadera chimaperekedwa:

kuchuluka kwa mapuloteni
shuga
milingo ya amylase, lipase, urea,
cholesterol, creatinine, ALT, AST.

Monga maphunziro owonjezera, ma diagnostics a ultrasound amagwiritsidwa ntchito kupenda mkhalidwe wam'mimba. Njira yothandizirayi imakuthandizani kuti muzitsatira zosagwirizana pakapangidwe ka ziwalo.

Kuyesa kwa magazi ndi mkodzo

Ngati ketoacidosis ikukayikiridwa, katswiriyo amawonetsa mayeso otsatirawa:

Urinalysis kwa kukhalapo ndi mulingo wa acetone. Phunziroli likuwonetsa acetonuria,
Kuyesa kwamwazi wamagazi. Zikuwonetsa kuchepa kwa shuga, kuchuluka kwa cholesterol ndi lipoproteins,
Kuyesa kwa magazi kuli konsekonse. Amawonetsa kusintha kwa ESR (erythrocyte sedimentation rate) ndi kuchuluka kwa khungu loyera.

Acetonuria imatha kudziwika kunyumba kudzera pamiyeso yomwe ili pamwambapa. Kuyesedwa kwa magazi kungachitike kokha mu labotale yapadera ndi anthu aluso.

Chithandizo cha Hyperhidrosis

Kuti muchepetse thukuta, ndikofunikira choyamba kukaonana ndi endocrinologist. Dokotala adzalemba mayeso ofunikira ndipo, atalandira mayankho, adzapereka njira zingapo zochizira matendawa, zomwe zimaphatikizapo:

Chithandizo cha mankhwala.
Matenda a zakudya.
Zaukhondo
Zithandizo za anthu aanthu thukuta.

Chithandizo cha mankhwala a hyperhidrosis

Hyperhidrosis mu matenda a shuga ndizovuta kuchiza ngakhale ndimankhwala, popeza amathandizira thupi la munthu, lomwe limakhala lofooka kale. Chifukwa chake, mafuta onunkhira ndi mafuta zimayikidwa pokhapokha, ngati mankhwala apadera a aluminochloride.

Kugwiritsa ntchito kwawo kumapangidwa pakhungu loyera osatinso kamodzi patsiku. Ndi bwino kuzigwiritsa ntchito m'mawa.

Ngati kuchuluka kwa shuga m'magazi kwachuluka, ndiye kuti muyenera kusiyira ma antiprostant, komanso ngati musayatsidwa ndi dzuwa nthawi yayitali. Kupatula apo, izi zimatha kuyambitsa kutentha kwa dzuwa.

Odwala onse omwe ali ndi matenda ashuga komanso anthu athanzi sayenera kugwiritsa ntchito mankhwala othetsa thukuta asanalembe zolimbitsa thupi, mwachitsanzo, m'malo olimbitsa thupi, popeza kudziunjikira thukuta pansi pakhungu kungayambitse matenda komanso kutupa kwa thukuta la thukuta.

Timaletsanso kugwiritsa ntchito antiprostant pakhungu la msana, pachifuwa ndi kumapazi, m'mene kutentha kwam'mimba kumatha kuchitika.

Mankhwala, palinso njira yochizira thukuta pogwiritsa ntchito opaleshoni. Izi zimatseka chizindikiro kuchokera ku ubongo kupita ku tiziwalo thukuta podula minyewa yamitsempha.

Njira imeneyi imatchedwa kuti sympathectomy. Kugwiritsa ntchito kwake kuyenera kukhala kokha ndi chilolezo cha adokotala ndipo pambuyo pochepetsa kuopsa kwa opaleshoni.

Ndi matenda ashuga, amamverani chisoni ndikosowa.

Zakudya zoyenera

Zakudya zopangidwa bwino ndi njira imodzi yothanirana ndi thukuta la mtundu wa 2 shuga. Kuti muchepetse thukuta, tiyenera kusiya zakumwa zoledzeretsa, khofi, zakudya zazonunkhira komanso zamchere, komanso zinthu zomwe zimakhala ndi chemistry yambiri: zophatikiza zonunkhira, zonunkhira, zoteteza, ndi ma utoto.

Kutsatira zakudya kumangoleketsa thukuta, komanso kuchepetsa thupi, zomwe ndizofunika kwambiri kwa matenda ashuga.

Zaukhondo ndi zovala

Kukhala waukhondo ndi njira imodzi yothanirana ndi fungo la thukuta, kwa munthu wamkulu komanso mwana.

Ingosambitsani nthawi zonse, zomwe zimapatsanso kutentha nthawi yotentha.

Popeza thukuta limakhala bwino pakhungu, liyenera kutsukidwa bwino, ndipo ena mpaka kumetedwa.

Zovala zoyenera zimathandizanso kuchepetsa thukuta. Ndikwabwino kuvala osati zopangidwa, koma thonje kapena, ngati zingatheke, zovala zansalu.

Thupi limatulutsa thukuta kwambiri ndipo kutentha kumakhala kosavuta kunyamula ngati zinthu zanu zili zomasuka, m'malo momangika.

Nsapato ziyeneranso kukhala zenizeni, makamaka kwa anthu odwala matenda ashuga. Popeza ali kale ndi mavuto ambiri azaumoyo, chifukwa chomwe thupi lonse limadwala, ndibwino kuti musawononge nthawi yanu pochita zilonda monga bowa.

Wofesa, nsapato zosankhidwa bwino, zovala zachilengedwe, zovala zansalu zatsopano nthawi zonse ndi masokosi oyera - awa ndiye mfundo zoyambirira zaukhondo zomwe zimatha kupirira thukuta ndikuchotsa fungo losasangalatsa la thukuta.

Zithandizo za anthu aanthu thukuta

Njira zina zothanirana ndi thukuta kwambiri zimathandizanso, ngakhale kuti musachotse, koma kuchepetsa izi zosasangalatsa. Zitha kugwiritsidwa ntchito kwa wamkulu komanso mwana.

Njira yothira mchere imathandizira manja. Kuti muchite izi, onjezerani supuni 1 yamchere mu 1 lita imodzi yamadzi ndikusungiramo zolembera pamphindi pafupifupi 10.

Kuyambira kununkhira kwa mapazi, khungwa la oak kapena tsamba la bay kukuthandizani. Kapangidwe ka makungwa a thundu sikugwiritsidwa ntchito pongotulutsa thukuta, komanso thupi lonse.

Mukungofunika kuwonjezera msuzi kutengera kuchuluka kwa bafa.

Ndi njira ina iliyonse yochizira matenda a shuga a mtundu wachiwiri, ndizosatheka kuthana ndi matendawa, popeza kutuluka thukuta kumayenderana ndi anthu odwala matenda ashuga. Koma, ngati mutsatira malingaliro onse a dotolo, ndiye kuti hyperhidrosis imatha kuyang'aniridwa ndikuulepheretsa kufikira gawo losasinthika.

Muyenera kuchitira osati chizindikiro, koma chachikulu matenda!

Zachidziwikire, muyenera kusamalira osati chizindikiro ngati fungo losasangalatsa, koma matenda akuluakulu, mwa ife, matenda a shuga. Ngati ketoacidosis akukayikiridwa, odwala amagonekedwa m'chipatala, pambuyo pake amawatumiza kuchipatala mwachangu.

Muchipatala, kuzindikira kwake kumatsimikiziridwa ndi kuyesedwa kwa labotale ndipo mankhwala amalembedwa ndikuwunika momwe wodwalayo alili ola limodzi mpaka ataya magawo ovomerezeka.

Kukhalapo kwa acetone kungasonyeze kupezeka kwa matenda ashuga amtundu woyamba. Matendawa amatenga chithandizo chimodzi chokha - jakisoni wokhazikika wa insulin. Mlingo uliwonse watsopano wa insulini umathandizira kuti maselo azikhala ndi mpweya komanso kuchepa kwapang'onopang'ono kwa acetone. Chifukwa chake, funso "momwe mungachotsere acetone kuchokera mthupi mu shuga?", Yankho limadziwunikira lokha - mothandizidwa ndi insulin.

Kumbukirani kuti matenda a shuga omwe amadalira insulin samachiritsidwa - amamuyenda limodzi ndi moyo wake wonse kuyambira nthawi yomwe matendawa adawonekera. Komabe, matenda oyipawa ndi osavuta kupewa, ngati sitikulankhula za chibadwa chathu.

Pofuna kuti musafunse mtsogolomo funso la momwe mungachotsere acetone kuchokera mthupi ndi matenda ashuga kunyumba, muyenera kutsatira moyo wathanzi:

Idyani pomwe
Pitani m'masewera
Thanani ndi zizolowezi zoyipa,
Nthawi zonse mumayesedwe.

Pamaso pa matenda a shuga omwe amadalira insulin, dokotalayo amatha kupereka chithandizo chotsatira, chomwe chimathandiza kuchotsa matupi a ketone m'thupi:

Mankhwala a insulin
Kukonzanso madzi m'thupi
Mankhwala othandizira
Hypokalemia kukonza
Kubwezeretsa moyenera acid-base.

Njira zonsezi zimapangidwira kubwezeretsa kagayidwe kazakudya, komanso kuchepetsa ndikuchotsa kwathunthu acetone yomwe ili m'magazi a wodwala. Panokha, njira zoterezi siziloledwa. Panyumba, thanani ndi matupi a ketone amangokulitsa jakisoni wa insulin, mlingo womwe uyenera kukhazikitsidwa ndi dokotala.

Chofunikira: kupewa kuwoneka kwa matupi a ketone mthupi omwe ali ndi matenda ashuga, kuwongolera masiku onse a shuga kumatha, sikuyenera kupitirira chizindikiro cha 12 mmol / l.

Zoyambitsa Odor

Kodi chimachitika ndi chiyani kuti kapamba sakugwira ntchito yake ndipo samapanga insulin yokwanira, kapena, moyipitsitsa, samatulutsa konse? Pankhaniyi, glucose sangalowe mu maselo pawokha, mtundu wamanjala yam'mbuyomu umayamba. Ubongo umatumiza chizindikiro ku thupi pakufunika kowonjezera insulin ndi glucose.

Pakadali pano, chidwi cha wodwalayo chikuwonjezereka, chifukwa thupi "limaganiza" kuti alibe mphamvu - glucose. Zikondwererozi sizingabise insulin yokwanira. Chifukwa cha kusalinganika kumeneku m'magazi, kuchuluka kwa glucose osagwiritsidwa ntchito kumawonjezeka.

Anthu amatcha gawo ili "kuchuluka kwa shuga m'magazi." Ubongo umayankha mopitirira muyeso wa glucose wosadziwika m'magazi ndikupereka chizindikiro cholowera kulowa m'magazi a mphamvu ya analogues - matupi a ketone. Acetone ndizosiyanasiyana matupi awa. Pakadali pano, maselo, osatha kudya shuga, amayamba kuwotcha mapuloteni komanso mafuta.

Mpweya wa matenda ashuga

Simuyenera kuchita mantha nthawi yomweyo komanso kukhumudwa ngati fungo la ma acetone, lofanana ndi fungo la maapulo wowawasa, limachokera mkamwa mwanu. Izi sizitanthauza kuti mukupanga matenda a shuga.

Amadziwika kuti thupi limatha kupanga acetone osati mu shuga, komanso matenda ena opatsirana, zovuta za chiwindi, acetonemic syndrome, ngakhale ndi njala ndi zakudya zina.

Urine Acetone wa Matenda A shuga

Matupi a Ketone, kuphatikiza acetone, amadziunjikira m'magazi ndipo pang'onopang'ono amawononga thupi. Ketoacidosis imayamba, kenako matenda a shuga. Kuchitapo kanthu mwanjira imeneyi kungaphe.

Kunyumba, mutha kuyang'ana palokha pokodza ngati mukupezeka ma acetone.Kuti muchite izi, pangani yankho la 5 peresenti ya sodium nitroprusside ndi yankho la ammonia. Acetone mu mkodzo pang'onopang'ono amasintha njirayi mu mtundu wofiira wowala.

Komanso, malo ogulitsa mankhwala amagulitsa mankhwala ndi mapiritsi omwe amayesa kupezeka ndi kuchuluka kwa acetone mu mkodzo, mwachitsanzo, Ketostiks, Ketur-Test, Acetontest.

Kwa odwala omwe ali ndi matenda amtundu wa 1, jakisoni wokhazikika wa insulin ndiye chithandizo chachikulu. Zikondamoyo za anthu otere sizimatulutsa timadzi tambiri tambiri kapena samatulutsa konse. Kukhalapo kwa acetone m'magazi ndi mkodzo ndikotheka, ndiko kuti, ndi matenda a shuga 1. Insulin yoyambitsidwa imadzaza maselo ndi kaboni, ndipo matupi a ketone, kuphatikiza acetone, amatha.

Matenda a shuga a Type 2 amatchedwanso kuti insulini -yokha, popeza zofunikira zimatha kugwira ntchito.

Matenda a shuga a Type II nthawi zambiri amakhala mtundu I, chifukwa kapamba amasiya kupanga "insulin" osafunikira nthawi yayitali.

Matenda a shuga omwe amadalira insulin, momwe ma acetone amatha kupangidwira, samachiritsidwa, koma nthawi zambiri amatha kupewedwa (kupatula mtundu wamtsogolo). Ndikokwanira kutsatira chakudya chopatsa thanzi, osayiwala za masewera olimbitsa thupi komanso olimbitsa thupi, komanso kunena zabwino.

Odor matenda a shuga: zimayambitsa ndi kuchiza matenda ashuga

Maonekedwe a mpweya woyipa silivuto lokongoletsa, limatha kuchitika chifukwa cha kusachita bwino mthupi, komwe kuyenera kuyang'aniridwa koyamba.

Zomwe zimachitika ndizosiyana kwathunthu - izi zitha kukhala zopanda pake pakamwa, kusowa kwa malovu, komanso matenda a ziwalo zamkati.

Chifukwa chake, ndi matenda am'mimba, fungo labwino limatha kumveka, ndi matenda am'matumbo - putrid.

M'masiku akale, ochiritsa samadziwa njira zamakono zothandizira kudziwa matendawa. Chifukwa chake, monga kuzindikira kwa matendawa, zizindikiro za wodwalayo zakhala zikugwiritsidwa ntchito monga kupuma koyipa, kusinthasintha kwa khungu, zotupa, ndi zizindikiro zina.

Ndipo masiku ano, ngakhale atakwaniritsa zinthu zambiri zasayansi komanso zida zamankhwala, madokotala amagwiritsabe ntchito njira zakale zopezera matendawa.

Kapangidwe kazizindikiro ndi mtundu wa ma alarm, omwe akuwonetsa kufunikira kukaonana ndi dokotala kuti akalandire chithandizo chamankhwala. Chimodzi mwazizindikiro zazikulu ndi kununkhira kwa acetone kuchokera mkamwa. Izi zikuwonetsa kuti kusintha kwamatenda kumachitika m'thupi la wodwalayo.

Komanso, zomwe zimayambitsa chizindikiro ichi mwa ana ndi akulu zimatha kukhala zosiyana.

Kuphatikiza pa matenda ashuga, kununkhira kwa acetone kuchokera mkamwa kumatha kuchitika pogwiritsa ntchito nthawi yayitali ndi mafuta komanso mapuloteni komanso mafuta ochepa. Potere, fungo limatha kuwonekera pakhungu kapena pakamwa, komanso mkodzo.

Kutalika kwa nthawi yayitali kumapangitsanso kuchuluka kwa acetone m'thupi, komwe kumapangitsa mpweya wabwino wosasangalatsa. Pankhaniyi, njira yodzikundikira matupi a ketone ndiyofanana ndi zomwe zimachitika ndi matenda ashuga.

Thupi likasowa chakudya, bongo limatumiza lamulo loti kuwonjezera kuchuluka kwa shuga m'thupi. Pambuyo pa tsiku, kuchepa kwa glycogen kumayamba, chifukwa chomwe thupi limayamba kudzazidwa ndi mphamvu zina, zomwe zimaphatikizapo mafuta ndi mapuloteni.

Kuphatikiza fungo la acetone kuchokera mkamwa nthawi zambiri limakhala chizindikiro cha matenda a chithokomiro. Matendawa nthawi zambiri amayambitsa kuwonjezeka kwa mahomoni a chithokomiro, omwe amachititsa kuti chiwopsezo cha mapuloteni komanso mafosholo chiwonjezeke.

Ndi kukula kwa aimpso, thupi silingachotse kwathunthu zinthu zomwe zaphatikizidwa, chifukwa chake fungo la acetone kapena ammonia limapangidwa.

Kuwonjezeka kwa kuchuluka kwa acetone mu mkodzo kapena magazi kumatha kuyambitsa chiwindi. Maselo a chiwalochi akaonongeka, vuto la kagayidwe kachakudya limachitika, zomwe zimapangitsa kudzikundikana kwa acetone.

Ndi matenda opatsirana omwe amakhala nthawi yayitali, kuphulika kwa mapuloteni kwambiri komanso kuchepa thupi kwamthupi kumachitika. Izi zimatsogolera pakupanga fungo la acetone kuchokera mkamwa.

Pazonse, chinthu monga acetone m'miyeso yaying'ono ndiyofunikira m'thupi, komabe, ndikuwonjezereka kwakuthwa kwake, kusintha kwakuthwa muyezo wa acid-base ndikuwonongeka kwa metabolic kumachitika.

Zochitika zofananira nthawi zambiri zimawonetsa zizindikiro za matenda ashuga mwa akazi ndi abambo.

Kungakhale kulakwitsa kuganiza kuti kupuma kwamphamvu kumachitika kokha chifukwa cha mabakiteriya omwe amachulukana mumkamwa. Fungo lama acidic kapena la putrid limawonetsa kutayika m'matumbo. "Fungo" la acetone limayendera limodzi ndi matenda ashuga, limawonetsa hypoglycemia, ndiye kuti, kuperewera kwa zakudya m'thupi lathu. Njirayi imachitika, nthawi zambiri, motsutsana ndi zovuta za endocrine, komanso ndendende, mtundu 1 wa matenda ashuga.

Thupi laumunthu silitha kudzipangira payokha, motero, limatenga michere yomwe imalowetsa ndi chakudya.

Fungo la acetone kuchokera kwa anthu omwe ali ndi matenda amtundu wa 1 likuwonetsa chitukuko cha ketoacidosis, imodzi mwazosiyanasiyana za metabolic acidosis chifukwa cha kuchuluka kwa glucose ndi organic acetone m'magazi.

Glucose ndi chinthu chofunikira pakugwirira ntchito kwa ziwalo zonse ndi machitidwe. Thupi limazipeza kuchokera ku chakudya, kapena, gwero lake ndi chakudya chamagulu. Kuti mumwe ndi kuyamwa shuga, mumafunikira insulini yoperekedwa ndi kapamba.

Ngati ntchito yake yasokonekera, thupi silingalimbane ndi ntchitoyi popanda thandizo lakunja. Minofu ndi ubongo sizikulandila chakudya chokwanira. Mtundu I shuga, chifukwa cha kapamba, maselo omwe amapereka mahomoniwo amafa. Thupi la wodwalayo limatulutsa insulin yaying'ono, kapena samayipanga konse.

Glycemia ikachitika, thupi limalumikiza zomwe zimasungidwa. Ambiri amva kuti shuga imanunkhiza ngati acetone kuchokera mkamwa. Zikuwoneka chifukwa cha kugwiritsidwa ntchito kwa shuga popanda kutenga insulini. Thupi lomwe limachita izi ndi acetone.

Koma ndi kuchuluka kwa matupi a ketone m'magazi, kuledzera kumachitika.

Mankhwala oopsa kwambiri amathandizidwa mkodzo ndipo, ndiye kuti, thupi lonse limanunkhiza. Mtundu wachiwiri wa matenda ashuga, momwemonso. Ndikofunika kukumbukira kuti poizoni wa ketone amatha kutha.

Kutukwana ndi matenda ashuga kumachitika kawirikawiri. Zomwe zimayambitsa matendawa ndi izi:

cholowa
kunenepa
kuvulala
kumangokhala
njira zopatsirana.

Zomwe zimayambitsa thukuta mu shuga, malinga ndi madotolo, ndi kupsinjika kwa thupi. Kuphatikiza apo, pali chifukwa chamtundu - kuthamanga kwa kagayidwe kazinthu pakupanga matenda a mtima.

Zimasokoneza kuchitika kwa mphamvu ya thupi yogwiritsira ntchito mafuta, zimapatsa mphamvu kuchuluka kwamphamvu yotumizira kutentha, ndipo zotsatira zake, mkhalidwe pamene wodwala ayamba thukuta kwambiri.

Mankhwala, matendawa amagawidwa m'mitundu iwiri:

Matenda a shuga a Type 1 nthawi zambiri amapezeka mwa achinyamata ochepera zaka 30. Zizindikiro za matendawa zimawoneka mosayembekezereka, nthawi yomweyo zimayambitsa kuwonongeka kwakukulu mthupi la wodwalayo.
Matenda a shuga a Mtundu Wachiwiri ndiwo matenda ofala kwambiri pakati pa achinyamata ndi akulu. Chikhalidwe cha matendawa ndikuwonekera pang'onopang'ono kwa zizindikiro za pathological. Nthawi zambiri zimachitika kuti kuchotsa njira yomwe imayambitsa chitukuko cha matenda, ziwonetsero zonse za matenda amitundu iwiri zimatha mwa wodwalayo.

Ndikofunikira kudziwa kuti zizindikiritso za pathologies m'mitundu yonseyi ndizofanana. Kusiyana kokhako ndikuti thukuta lomwe limayambitsa matenda a shuga a 2 amathanso kuthandizidwa, koma ndi matenda amtundu woyamba 1, chizindikirochi chimakhala chosagwirizana ndi wodwalayo.

Zochitika zofananira nthawi zambiri zimawonetsa zizindikiro za matenda ashuga mwa akazi ndi abambo.

Kodi ndimatenda ati a shuga?

Munthu aliyense amene akudwala matendawa angavomereze kuti matendawa ali ndi zizindikilo zambiri zomwe zimadutsana ndi zizindikiro zamatenda ena.

Izi ndichifukwa choti matendawa amakhudza thupi lonse. Imakhudzanso magwiridwe antchito a chiwalo chilichonse ndipo imasintha kapangidwe ka selo lililonse. Choyamba, njira yogwiritsira ntchito shuga ikusintha.

Maselo a thupi samalandira izi, zimayambitsa zizindikiro zingapo. Zina mwazo zimawoneka ngati fungo losasangalatsa. Potere, fungo limatha kutuluka pakamwa kapena munjira ina.

Nthawi zambiri, fungo la acetone mu shuga limawonekera mwa odwala omwe ali ndi matenda oyamba. Kupatula apo, ndi panthawiyi pomwe zovuta za metabolic zimadziwika. Anthu omwe akudwala matenda oyamba a shuga amakhala ndi vuto loti njira yogawikana mapuloteni ndi mafuta m'thupi lawo imakhala ndi vuto lalikulu.

Zotsatira zake, matupi a ketone amayamba kupanga, omwe amakhala chifukwa cha fungo lamphamvu la acetone. Izi zimadziwika kwambiri mumkodzo ndi magazi. Koma kukonza izi ndizotheka pokhapokha kuwunikira koyenera.

Ichi ndichifukwa chake, zizindikiro zoyamba za fungo lakuthwa za acetone zikaonekera, muyenera kufunsa dokotala.

Amanunkhiza matenda

Anthu nthawi zambiri amaganiza kupuma kwamphamvu ndi chakudya kapena ukhondo wowuma. Koma zitha kukhala zowopsa kwambiri.

Ngati munthu amanunkhira acetone kapena msomali wamkamwa kuchokera pakamwa pake, izi zitha kuwonetsa matenda, kuphatikizapo matenda a shuga.

Momwe mpweya wamunthu umanunkhira ungakhale chizindikiritso cha thanzi lathunthu. Nkhaniyi ikufotokoza chifukwa chake kupuma kwa munthu kumatha kununkhira ngati acetone komanso zomwe zingatanthauze thanzi lake.

Matenda a shuga amathanso kukoka momwe mpweya wa munthu umanunkhira komanso umatha kupangitsa kuti kupuma kapena halitosis. Pakafukufuku wa 2009, asayansi adapeza kuti kupenda momwe munthu akupumira kumathandizira kuzindikira matenda a prediabetes pomwe matenda ashuga akadalipo.

Pali zinthu ziwiri zomwe zimagwirizanitsidwa ndi shuga zomwe zimapangitsa kupuma koyipa: matenda a chingamu ndi ma ma ketones ambiri.

Dzinalo la matenda amtundu wa m'matumbo, ndipo mitundu yake ndi monga:

gingivitis
periodontitis wofatsa
pang'onopang'ono periodontitis

Matenda a shuga amatha kuphatikizidwa ndi chiopsezo chowonjezeka cha matenda a chingamu, omwe angapangitse munthu kupuma movutikira. Komabe, matenda a chingamu samachititsa kuti munthu apume, zomwe zimanunkhira ngati acetone.

Ngati munthu ali ndi matenda ashuga komanso amapuma ngati acetone, nthawi zambiri izi zimayamba chifukwa cha ma ketones am'magazi ambiri.

Ngati matenda ashuga sangayende bwino, thupi silipanga insulin yokwanira kuti igwetse magazi. Izi zimadzetsa kuti maselo amthupi samalandira glucose wokwanira wogwiritsidwa ntchito ngati mphamvu.

Thupi likapanda kupeza mphamvu ndi shuga, limasinthira kumafuta oyaka mmalo mwa mafuta. Njira yodula mafuta kuti mugwiritse ntchito ngati zinthu zamagetsi zomwe zimatchedwa ma ketones.

Matupi a Ketone akuphatikizapo acetone. Acetone ndi chinthu chomwe chimagwiritsidwa ntchito popukutira misomali ndipo chimanunkhira bwino.

Munthu wodwala matenda ashuga ali ndi mpweya womwe umanunkhira ngati acetone, izi ndi chifukwa chakuti pamakhala magazi ambiri a ketone.

Choyambitsa fungo la mtundu wa 2 odwala matenda ashuga nthawi zambiri chimakhala chakudya chosakwanira.

Ngati chakudyacho chili ndi mapuloteni komanso mankhwala a lipid, thupi limakhala "acidified".

Nthawi yomweyo, pakapita kanthawi, ketoacidosis imayamba kukula m'thupi, chomwe chimapangitsa kuchuluka kwa mankhwala oopsa. Vutoli limachitika chifukwa cha kulephera kwa thupi kuphwanya lipids.

Ndiyenera kunena kuti chizindikiritso chofanana chikhoza kukhalanso mwa munthu wathanzi, ngati amakonda kusala, amatsatira zakudya zopanda mafuta osokoneza bongo, monga "Kremlin" kapena dongosolo la zakudya la Montignac.

"Skewing" potsogola zakudya zochulukirapo zamafuta, makamaka zosavuta kugaya, ndi matenda amtundu II zimabweretsa zotsatirapo zomvetsa chisoni.

Takambirana kale pazifukwa izi.

Mpweya wathu wa nasopharynx unapangidwa mwanjira yoti tisamve fungo labwino la kupuma kwathu. Koma omwe ali pafupi, makamaka apafupi, ayenera kusamala pozindikira fungo lakuthwa, lomwe limadziwika kwambiri m'mawa.

acetonemic syndrome (kulephera kwa kagayidwe kachakudya),
matenda opatsirana omwe amaphatikizidwa ndi kutentha kwambiri kwa thupi
chiwindi ntchito,
kulephera kwa aimpso
mtundu 1 shuga
poyizoni (poizoni kapena chakudya),
kupanikizika kwa nthawi yayitali
kobadwa nako pathologies (kuchepa kwa michere yam'mimba).

Mpweya woyipa umatha kuchitika ndi ena opanga mankhwala. Kuchepetsa kuchuluka kwa malovu kumathandizira kuwonjezeka kwa mabakiteriya azachilengedwe, omwe amangopanga "kununkhira".

Kununkhira kwakukulu nthawi zonse kumawonetsa momwe ma pathological akuwonekera m'thupi, zomwe zimapangitsa kuti magazi azikhala ndi michere yambiri - zotumphukira za acetone.

Zizindikiro zimatengera kuphatikizidwa kwa ketone mankhwala m'magazi. Ndi mtundu wofatsa wa kuledzera, kutopa, nseru, ndi mantha zimawonedwa. Mkodzo wa wodwalayo amanunkhira acetone, kuwunika kumavumbula ketonuria.

Ndi ketoacidosis wokwanira, pamakhala ludzu lochulukirapo, khungu louma, kupumira mwachangu, nseru komanso kuzizira, kupweteka pamimba.

Kuzindikira kwa ketoacidosis kumatsimikiziridwa ndi kuyesa kwa magazi ndi mkodzo. Komanso, mu seramu yamagazi mumakhala ochulukirapo pazomwe zili mu matupi a ketone motsutsana ndi 0.03-0.2 mmol / L. Mu mkodzo, mumapezeka kuchuluka kwa ma acetone ena.

Zizindikiro monga mkhalidwe wa pakhungu, kununkhira kochokera mkodzo kapena mkamwa mwa wodwalayo kungakayikire kupezeka kwa zosokoneza mthupi. Mwachitsanzo, kupuma movutikira kumangowonetsa osati ziwonetsero za caries kapena matenda a chingamu, komanso zovuta zazikulu.

Zomwe zimayambitsa zimatha kukhala diverticulum (chotupa chokhala ngati khoma la esophagus) pomwe tinthu tating'onoting'ono timakola chakudya. Vuto lina lomwe lingachitike ndi chotupa chomwe chimayamba m'mero.

Fungo la zakudya zowola limadziwika ndi matenda a chiwindi. Pokhala fayilo yachilengedwe, chiwalochi chimapopera zinthu zapoizoni m'magazi athu.

Koma ndikupanga ma pathologies, chiwindi chokha chimakhala chowonjezera cha poizoni, kuphatikizapo dimethyl sulfide, yomwe imayambitsa amber yosasangalatsa.

Kumaoneka ngati "fungo" labwino ndi chizindikiro cha zovuta zazikulu zaumoyo, zikutanthauza kuti kuwonongeka kwa chiwindi kwapita patali.

Ndi fungo la maapulo owola omwe ali chizindikiro choyamba chodwala ndipo ayenera kukhala chifukwa chopita kwa endocrinologist.

Muyenera kumvetsetsa kuti kununkhira kumawonekera pamene chizolowezi cha shuga chamagazi chikuwonjezeka nthawi zambiri ndipo gawo lotsatila pakukula kwa matendawa limatha kukhala kuphwanya.

Kuzindikira kwa ketoacidosis kumatsimikiziridwa ndi kuyesa kwa magazi ndi mkodzo. Komanso, mu seramu yamagazi mumakhala ochulukirapo pazomwe zimakhala mu ketone matupi 16-20 motsutsana ndi chikhalidwe cha 0.03-0.2 mmol / L. Mu mkodzo, mumapezeka kuchuluka kwa ma acetone ena.

Ndi kuphwanya kwa kagayidwe kazakudya, chizindikiricho chimawonjezeka kangapo ndikufika pa 50-80 mg. Pachifukwa ichi, "fungo" labwino limapezeka kuchokera pakupuma kwa munthu, ndipo ma acetone amapezekanso mkodzo.

Chifukwa chiyani fungo losasangalatsa limawonekera?

Fungo la thupi m'magazi a shuga limasintha chifukwa chakuti kuchuluka kwa matupi a ketone kumadziwika m'magazi. Izi zimachitika pamene thupi la wodwala silitenga glucose pamlingo woyenera.Zotsatira zake, zizindikilo zimatumizidwa ku ubongo kuti glucose m'thupi ndi yotsika kwambiri. Ndipo m'malo amenewo komwe kumakhalako, njira yachangu yodzikundikira imayamba.

Mafuta ochulukirapo amachititsa kuti thupi la ketone lipangidwe. Zomwe zimapangitsanso kuwoneka ngati fungo losasangalatsa kuchokera mthupi.

Mwachizolowezi, fungo lamthupi ili limakhala lofanana kwa odwala matenda ashuga omwe ali ndi matenda amtundu woyamba. Ndi omwe ali ndi mseru wokwanira wamafuta komanso zovuta zama metabolic.

Izi zikachitika, ndiye kuti nthawi yomweyo muyenera kuyimbira ambulansi ndikujambulira wodwala ndi insulin.

Acetonemic Syndrome

Matendawa amayenera kukambirana mosiyana, chifukwa zimachitika mwa ana okha. Makolo amadandaula kuti mwana sakudya bwino, nthawi zambiri amadwala, atatha kudya, kusanza kumawonedwa. Ambiri amadziwa kuti fungo lonunkhira lofanana ndi fungo la munthu m'matenda a shuga limachokera mkamwa mwa khanda. Palibe chachilendo mu izi, chifukwa chomwe chimapangitsa izi ndizowonjezera za matupi a ketone.

Fungo la maapulo oyipsa omwe amachokera mkodzo, khungu ndi malovu,
kusanza pafupipafupi
kudzimbidwa
kutentha kuwonjezeka
kukopa kwa pakhungu
kufooka ndi kugona,
kupweteka m'mimba
kukokana
arrhythmia.

Kapangidwe ka acetonemia kumachitika motsutsana ndi maziko a kusowa kwa glucose, komwe kumagwira ntchito ngati mphamvu. Ndi kuchepa kwake, thupi la munthu wamkulu limapita kumasitolo a glycogen, mwa ana sikokwanira ndipo m'malo mwake mumakhala mafuta.

Chifukwa chake, acetone owonjezera amadziunjikira. Pakapita kanthawi, thupi limayamba kupanga zinthu zofunika ndipo mwanayo amachira.

Monga lamulo, kuchotsa mwana kuchokera ku malo ovuta kumalola kuti njira ya shuga iperekedwe pamitsempha, komanso mankhwala a Regidron.

Kodi kununkhira kwa acetone ndikabwino kapena koyipa?

Ngati munthu ayamba kuona kuti akununkha kwa acetone, ndiye kuti muyenera kufunsa dokotala nthawi yomweyo. Kupatula apo, choyambitsa chiwonetserochi chimawonedwa ngati kusagwira bwino ntchito kwa ziwalo zamkati, komanso kusokoneza ma metabolic a thupi.

Choyambitsa choyamba chakuti panali mpweya wakuthwa kuchokera mkamwa ndikugwira ntchito kwa kapamba. Mwakutero, kuti siyipanga insulin yokwanira. Zotsatira zake, shuga amakhalanso m'magazi, ndipo maselo amawona kuti alibe.

Ubongo, nawonso, umatumiza zizindikilo zoyenera kuti pali kuchepa kwakukulu kwa insulin ndi glucose. Ngakhale omalizira ambiri amakhala m'magazi.

Mwakuthupi, izi zimawonetsedwa ndi zizindikiro monga:

kulakalaka
kukwera kwakukulu
kumverera kwa ludzu
thukuta
kukodza pafupipafupi.

Koma makamaka munthu amamva kwambiri kumva kwamphamvu njala. Kenako ubongo umamvetsetsa kuti pali shuga wambiri m'magazi ndipo njira yopangira matupi a ketone omwe atchulidwa pano ayamba, chomwe chimakhala chifukwa chomwe wodwalayo amanunkhira acetone.

Ndi mndandanda wa mphamvu zamagetsi, womwe, mwanjira yabwinobwino, umakhala ndi glucose ngati ilowa m'maselo. Koma popeza izi sizichitika, maselo amawona kusowa kwamphamvu kwa zinthu zamagetsi izi.

M'mawu osavuta, kununkhira kwa fungo lamchere la acetone kumatha kufotokozedwa ngati kuwonjezeka kwamphamvu kwa shuga m'magazi. Pankhaniyi, muyenera kupanga jakisoni wowonjezera wa insulin, koma ndibwino kukaonana ndi dokotala nthawi yomweyo.

Ndi madokotala okha omwe amatha kuyeserera kwathunthu ndikupanga kusintha koyenera kwa kuchuluka kwa insulin. Ngati mungodziwonjezera pawokha jakisoni, ndiye kuti mutha kuyambitsa kukula kwa hypoglycemia, ndipo nthawi zambiri zimatha ndi zotsatira zowopsa, ngati chikomokere cha glycemic.

Ndi madokotala okha omwe amatha kuyeserera kwathunthu ndikupanga kusintha koyenera kwa kuchuluka kwa insulin. Ngati inu nokha mukulitsa kuchuluka kwa jakisoni, ndiye kuti mutha kuyambitsa kukula kwa hypoglycemia, ndipo nthawi zambiri kumatha ndi zotsatira zowopsa, ngati chikomokere cha glycemic.

Pomwe kununkhira kwa acetone kumawonekera

Fungo la acetone linalake limayamba pang'onopang'ono ndipo limatha kukula nthawi. Izi zimachitika chifukwa cha kuchuluka kwa matupi a ketone amodzi mwa zigawo za acetone, zomwe zimadziunjikira chifukwa cha insulin yokwanira. Izi zimachitika pambuyo kagayidwe kachakudya matenda, kuphatikizapo mkhalidwe chitukuko cha matenda a shuga.

Panthawi yovomerezeka ya endocrine system, gren adrenal ndi kapamba, thupi limadzipangira palokha insulin yokwanira, yofunikira pokonzekera shuga. Ndi kuchepa kwa mahomoni, shuga wamagazi amawonjezeka ndipo thupi limayesa kutsitsanso chizindikiro m'njira zina, zomwe zimapangitsa kuti pakhale kuchuluka kwazinthu zambiri zopangidwa ndi zinthu zina kuphatikizapo ketone. Ndizotulukirazi zomwe zimapangitsa kuti pakhale kununkhira kwa acetone kuchokera mkamwa, komanso kuchokera ku thupi lonse, makamaka pamene munthu walumbira.

Matenda a shuga ndi kununkhira kwa acetone

Pali zifukwa zingapo zowonekera ngati fungo linalake kuchokera kwa munthu. Izi ndi kukanika kwa chiwindi, kuperewera kwa zakudya m'thupi, kusokonezeka kwa endocrine, koma matenda a shuga ndi omwe amachititsa kwambiri.

Mitundu ya glucose yayikulu, ndikupanga fungo lachilendo, imawonekera chifukwa chotsatira njira izi:

Matenda a pancreatic omwe amatsogolera ku kuchepa kwa insulin. Kuwonongeka kwa chakudya chamafuta, mafuta, mapuloteni ndi mankhwala ena sikokwanira. Njira zingapo zama metabolic zimasokonekera, glucose imadziunjikira m'magazi, ndipo ndi zinthu zake, zomwe zimapangitsa kununkhira kwa acetone kuchokera mkamwa mu shuga. Mkhalidwe woterewu ndi wofanana ndi matenda a shuga 1.
Kupanga kwa insulini kapena kudya kwake ndikwabwinobwino, koma pazifukwa zina (matenda, matenda ophatikizika), sikungathandize kuchepetsa kuchuluka kwa shuga. Izi zitha kuchitika chifukwa maselo samatenga shuga ndikudziunjikira m'magazi.

Kunyalanyaza kuchuluka kwa matupi a ketone ndi owopsa paumoyo, popeza pamakhala chiopsezo cha kuledzera kwa thupi, zovuta mu mawonekedwe a glycemic coma, kunenepa kwambiri, mavuto amthupi, komanso kukula kwa ma pathologies ena owopsa.

Kuti tichitire umboni za matenda am'mimba sitingathe kununkhira kuchokera kwa munthu, komanso zizindikiro zotsatirazi mu thukuta, kukodza pafupipafupi, ndi kununkhira zimaphatikizanso mkodzo. Pali chilimbikitso chowonjezeka.

Kodi ndiyenera kuchita chiyani ngati mpweya wanga ukununkhira ngati acetone?

Ngati palibe kuzindikira matenda a shuga, koma mwadzidzidzi pamakhala kumverera kwa acetone mkamwa, kuchokera mthupi kapena mkodzo, ndiye kuti simukuyenera kupeza zomwe zimayambitsa nokha ndikuchitapo kanthu. Muyenera kuyendera katswiri posachedwa, ndipo adzamtumiza kwa akatswiri pazotsatira zoyesa, kusanthula ndi maphunziro ena ofunikira. Sikoyenera kuganiza ngati munthu ali ndi matenda ashuga otere, chifukwa kuphatikiza pa matenda awa, zochitika zotsatirazi zimatha kuyambitsa "kununkhira":

Kukhala ndiukhondo wowerengeka. Ngati, pambuyo pakupukuta mano anu, mano osasangalatsawa atasowa ndipo sanawonekere masana, ndiye kuti muyenera kungowunikiranso kupezeka mano kwanu ndikusankha lingaliro.
Kukhalapo mukudya kwamitundu yambiri, mafuta. Thupi silingathe kuthana ndi mavoliyumu oterowo, koma mwa kusintha zakudya, matendawo amatha kukhalanso ovomerezeka.
Mavuto ndi endocrine dongosolo, mahomoni oyambira, makamaka kukula kwa thyrotooticosis.
Matenda a impso, kuphatikizapo nephrosis.
Kumwa mankhwala ena kumathandizira mawonekedwe a acetone.

Pali zovuta zina zingapo zokhudzana ndi zomwe zimapangitsa kuti pakhale fungo losasangalatsa. Palibe chifukwa choyesera zaumoyo, yesani njira zina, osadziwa zifukwa zenizeni za izi.

Mkhalidwe wosiyana ndi fungo la acetone kuchokera mkamwa ndi shuga limayamba kukula. Izi zitha kuwonetsa kuchepa kwa kuwongolera kuchuluka kwa insulin m'mwazi. Izi zitha kuchitika ndi insulin yokwanira kapena kusakwanira kwake, mwachitsanzo, chifukwa chosungidwa mosayenera, komanso kunyalanyaza kwambiri zakudya.

Ngati munthu wapezeka ndi matenda a shuga, amayang'anitsitsa kuchuluka kwa shuga ndipo ngakhale asanatuluke fungo, amatha kudziwa kusiyana kwa shuga muzoyenera. M'magawo ovuta, muyenera kulowa muyezo wa insulin ndikuyendera dokotala kuti mudziwe zifukwa zomwe acetone amapangira. Pambuyo pakuzindikira, machitidwe atengedwa limodzi ndi adotolo kuti athetsere chizindikirocho, chithandizo chasintha.

Zoyambitsa Kupuma Kuipa

Kupezeka kwa halitosis kumatha kukhala chifukwa cha zifukwa zambiri. Onsewa ali m'magulu motere:

kuphwanya malamulo aukhondo wamlomo,
matenda amkamwa,
matenda am'mimba thirakiti
kagayidwe kachakudya matenda.

Ndi gulu lomaliza lomwe limaphatikizapo matenda ashuga. Nthawi yomweyo, nosology imatha kuyambitsa mpweya woipa chifukwa cha ma pathologies ake. Matenda a shuga amayambitsa matenda angapo a mano ndi minyewa yofewa yoyandikana nayo.

Mpweya woipa “wodwala kwambiri” umayenderana ndi matenda a metabolic. Nthawi zonse amapilira matenda amisala. Malingana ngati thupi (lokha kapena mothandizidwa ndi mankhwalawa) limatha kulipirira zovuta izi, palibe mpweya woipa uliwonse.

Mu shuga mellitus (pamlingo wopanda kukwanira kapena kuwonongeka kwathunthu), fungo la acetone limamveka kuchokera mkamwa mwa wodwalayo. Zimakhudzidwa ndikuti chisautso cham'maso ndi cha bronchial chimatha kupanga zopangidwa ndi metabolic. Ndi kuwonongeka kwa matendawa, acetone (zomwe zimapangidwa ndi maselo chifukwa chakusowa kwa glucose) m'magazi amapangika maulendo mazana ambiri kuposa kale. Mwachilengedwe, impso sizikhala ndi nthawi yocheza ndi ambiri.

Acetone ndilo dzina lophatikiza la matupi a ketone omwe amapangidwa panthawi ya kuwonongeka kwa matenda ashuga. Ma organic awa amakhala ndi volatility yayikulu (ndiwokwera kuposa mowa ndipo amafanizidwa ndi mafuta). Zotsatira zake, ndi kupuma kulikonse kwa wodwala, kuchuluka kwamamolekyulu a ketone ambiri amalowa mumlengalenga. Amasungunuka mosavuta pamphuno ya ena. Ndi chifukwa ichi. Fungo la acetone lochokera mkamwa limamveka bwino pakubowoleza kwa shuga.

Zomwe zimanunkhira kuchokera m'thupi

Fungo la thupi limapangidwa chifukwa cha kutuluka kwa thukuta komanso zotupa za sebaceous kuchokera pamwamba pake, komanso zinthu zowonongeka za mabakiteriya.

Mwachizolowezi, fungo limakhala ndi chinsinsi cha tinthu tating'onoting'ono ta sebaceous. Amakhala wokhazikika, wofanana ndi mafuta osalala. Chinsinsi cha tiziwalo thukuta ndi chosaneneka. Amayamba kutulutsa "fungo" linalake pokhapokha chifukwa cha mabakiteriya, omwe amakhala kwambiri pakhungu. Malo omwe amawakonda ndi mawonekedwe osiyanasiyana a khungu ndi tsitsi. Pano, kuponderezana kwawo kupitirira makumi a masauzande pa centimeter.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Zotsuka za tsiku ndi tsiku zimakupatsani mwayi kuti mumasuke ku maselo akufa a epidermis komanso zomera zambiri za bacteria. Zachidziwikire, ndizosatheka kuthana kwathunthu ndi "opanga". Njira zaukhondo sizilola kuti achulukitse zochulukirapo.

Ndi matenda a shuga pagawo lakulipira komanso kutsatira miyezo yonse yaukhondo, payenera kuti palibe fungo lochokera m'thupi. Koma matendawa atayamba kupita patsogolo, mabakiteriya ndi omwe amayambira kuchita nawo. Amapeza mwayi pama cell a khungu, chifukwa omalizawa amakumana ndi vuto lalikulu la matendawa.

Ngati shuga wambiri amawonjezeredwa pano, zinthu zabwino zimapezeka ndikukula ndi kukula kwa tizilombo. Pachifukwachi, odwala matenda ashuga amatha kutengeka ndi matenda osiyanasiyana a kutupa ndi pakhungu. Izi ndizowona makamaka kwa furunculosis. Koma ngakhale pamenepo, fungo lamthupi limasintha pang'ono.

Kusintha kowonekera kwambiri kumachitika pakubwezeretsa shuga. Monga tiziwalo tating'onoting'ono, zotulutsa tiziwalo thukuta zimadzala ndi matupi a ketone. Chifukwa cha kusasunthika kwakukulu, “amabalalika” kuchoka pagulu losungunuka mbali zonse.

Izi pamwambapa zimapereka lingaliro lazomwe munthu wodwala matenda ashuga amve, ngakhale ndi zikhalidwe zonse zaukhondo. Mukamalipira, zinthu zofunikira za bakiteriya ndizofunikira kwambiri. Pachifukwa ichi, fungo la thukuta ndi "khungu losalala" (fungo la sebaceous secretion) limawonekera.

Ngati munthu ayamba kuwonongeka kwa matenda ashuga, ndiye kuti kununkhira kwa acetone kumawonjezeredwa ku "fungo lake". Poyamba, satha kuwonekera, koma ndikuphwanya kwambiri amayamba kugunda kununkhira kwina konse.

Kodi ketoacidosis ndi chiyani?

Ketoacidosis ndi mitundu yosiyanasiyana ya metabolic acidosis (mkhalidwe womwe pH yamkati imasinthidwira kumbali ya acidic). Amadziwika ndi matenda a shuga komanso matenda ena angapo. Zifukwa zomalizazi zimachitika makamaka mwa ana osakwana zaka 12.

Dibetic ketoacidosis ndizomwe zimasiyana kwambiri ndi matenda amtunduwu mu akulu ndi ana. Kukhalapo kwake kuyenera kukhala koopsa nthawi zonse malinga ndi matenda.

Njira yomwe imayambitsa kukula kwa ketoacidosis ndikusowa kwa shuga m'maselo. Ichi ndi gawo lofunikira pakupanga mphamvu, popanda zomwe zochita zawo zambiri sizingatheke. Kuperewera kwa glucose kumayambitsa kuwonongeka kwa lipids ndi mapuloteni opanga mphamvu. Zotsatira zoyipa za njirazi ndi matupi a ketone. Amatulutsidwa kwambiri ndi ma cell m'magazi. Matupi a Ketone zochuluka motere safunikira thupi ndipo akuyesera kuti awachotse. Ma mamolekyuluwo amatsogolera ku kusintha kwa pH kupita ku mbali ya acidic.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Zolemba zapamwamba zamatumbo a ketone m'magazi (komanso m'thupi lonse) zimabweretsa kusintha kwa pH. Izi zimakhudza njira ya zochita zonse za metabolic. Zotsatira zake, metabolic acidosis imayamba. Gawo lake ndi acetone (dzina lophatikiza la matupi onse a ketone m'magazi). Pachifukwachi, dzina lake lina ndi ketoacidosis.

Matendawa adafotokozedwa koyamba kwa odwala matenda a shuga. Kwa nthawi yayitali anthu amakhulupirira kuti izi zokha ndi zomwe zimawonetsa kusintha kumeneku. Kuphatikiza apo, ketoacidosis imakula nthawi zambiri ndi matenda ashuga.

Mayeso a mkodzo kunyumba

Kudziwitsa za kuchuluka kwa acetone kumachitika kudzera mu kuphunzira kwa biochemical ya seramu yamagazi. Koma popeza matupi a ketone amawonetsedwa kwambiri ndi impso, njira yophunzirira mkodzo wa acetone imagwiritsidwa ntchito kwambiri.

Njira yodziwitsira matenda ndi yosavuta. Kuti muchite izi, muyenera pepala wamba, pomwe limayikidwa ndi gawo lapadera la testage. Amakhudzidwa ndi matupi a ketone okha. Pansi pa zochita zawo, chizindikiro chimasintha mtundu. Kuyerekeza kwake ndi sikelo yapadera (yomwe ili pambali ya mtsuko momwe timiyala toyeserera imasungidwira) imapereka lingaliro la kuchuluka pafupifupi kwa matupi a ketone mumkodzo.Pambuyo pakupenda, Mzere umatayidwa.

Kuti zitheke madokotala ndi ogwira ntchito ogwira ntchito, mulingo wa acetone umawonetsedwa pamiyeso. Komwe kulibe kwawo kuli ngati chizolowezi. Mulingo wambiri wa acetone walembedwa ngati - (++++).

Zonsezi zimapangitsa kuti pakhale kuyeserera kwa mkodzo kwa acetone kunyumba. Palibe maluso apadera ofunikira. Kuyesaku kumakhala bwino bwino kwa iwo omwe ali ndi matenda a shuga a 2 kunyumba. Izi ndichifukwa chakuti mwa odwala amayamba kubwezeretsa mwachangu.

Momwe mungachotsere fungo

Kutha kuthetsa fungo la acetone kuchokera mkamwa kapena kuchokera m'thupi mu shuga popanda kulandira chithandizo kuli kovuta, chifukwa zimagwirizanitsidwa ndi kutulutsidwa kwa matupi a ketone, kuchuluka kwake komwe kumawonjezeka chifukwa cha kusintha kwa kagayidwe kachakudya. Chokhacho chomwe wodwala matenda ashuga angachite kunyumba ndikumwa madzi ambiri.

Panyumba, kuthetsedwa kokha kwa fungo la thukuta ndi zotupa za sebaceous ndizotheka. Chifukwa chiyani ndikofunikira kusamba kwambiri komanso nthawi zambiri, kumavala bafuta ndi zovala zopangidwa ndi nsalu zokulira (thonje, nsalu) ndipo nthawi zambiri amazisintha.

Kupewa ndi malingaliro

Polankhula popewa kununkhira kwa acetone kwa wodwala yemwe ali ndi matenda ashuga, ndikofunikira kutsimikizira kuti sizotheka popanda chithandizo choyenera cha matenda. Chifukwa chake, malingaliro oyamba ndikuwonetsetsa katswiri komanso kukhazikitsa kwake mwamphamvu madongosolo ake.

Gawo lachiwiri lofunikira la kupewa ndi ukhondo waumwini kwa odwala. Amayenera kusamba pafupipafupi kuposa masiku onse, kuyang'anira pakamwa pake.

Pamalo wachitatu pakufunika ndikudya. Ndikofunikira kuti mawonekedwe a metabolic azisintha. Ndi matenda ashuga, simuyenera kungoletsa kuchuluka kwa chakudya chamagulu, komanso magawo omwe atsala ndi chakudya.

Malo a 4 (mwamwambo) ndizolimbitsa thupi. Kafukufuku waposachedwa watsimikizira kufunikira kwa njira yodziwira kupsinjika. Ndi zolimbitsa thupi, njira zowonongeka za zinthu zimachulukana kangapo. Izi zimalepheretsa kuwonjezeka kwa kuchuluka kwa ena (mwachitsanzo, glucose), ndi kufalikira kwa ena (mafuta). Zotsatira zake, kagayidwe kake ka zinthu sikakhudzidwa ndi matendawa.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Zoyenera kuchita ngati pali fungo la acetone mu shuga?

Monga zadziwika kale kuchokera kuzonse zomwe zanenedwa pamwambapa, ngati munthu amununkhira fungo lamphamvu la acetone mu shuga, ayenera kufunsa dokotala nthawi yomweyo.

Inde, fungo losasangalatsa ngati ili silikhala chizindikiro cha matenda ashuga nthawi zonse. Pali matenda ena angapo omwe amadziwika ndi fungo la acetone. Koma kuti mudziwe zomwe zimayambitsa zenizeni ndizotheka pokhapokha mayeso athunthu. Izi zimachitika makamaka ngati pali fungo lochokera mkamwa.

Mulimonsemo, munthu akangofika kukaonana ndi dokotala, amapezeka msanga kuti amupatse matenda ndipo amupatsanso njira yolandirira.

Ngati timalankhula makamaka za matenda a shuga, ndiye kuti, fungo la acetone limatha kuwoneka kuchokera mkamwa komanso mkodzo. Cholinga cha izi chimawerengedwa kuti ndi ketoacidosis wamphamvu. Ikatha kukomoka, ndipo nthawi zambiri imatha ndi imfa.

Ngati mukuwona kupuma koyipa mu shuga, chinthu choyamba chomwe muyenera kuchita ndikusanthula mkodzo wanu wa acetone. Itha kuchitika kunyumba. Koma, zoona, ndikofunikira kuyeserera kuchipatala. Kenako zotsatira zake zidzakhala zolondola kwambiri ndipo zidzatha kuyamba kulandira chithandizo chadzidzidzi.

Mankhwalawa pawokha amasintha mtundu wa insulin ndikuwupereka pafupipafupi. Makamaka pankhani ya odwala amtundu woyamba.

Nthawi zambiri, kununkhira kwakuya kwa acetone ndi chizindikiro cha matenda amtundu 1. Ngati wodwala akudwala mtundu wachiwiri wa matenda, ndiye kuti chizindikiro ichi chikuwonetsa kuti nthendayi yadutsa pagawo loyamba. Kupatula apo, mwa odwala okha izi kapamba samatulutsa insulin yokwanira. Mwakutero, kusowa kwake mthupi kumakhala chifukwa cha kununkhira.

Pamodzi ndi jakisoni wa analogue achilengedwe a insulin, mukuyenera kumangotsatira zakudya zokhwima ndikudya ndi pafupipafupi. Koma pokhapokha mutayamba kumwa jakisoni wa insulin nokha, ndi dokotala yekhayo amene angakupatseni jekeseni woyenera ndi mtundu wa jakisoni. Kupanda kutero, hypoglycemia ikhoza kuyamba, yomwe nthawi zambiri imatha kufa. Kanemayo munkhaniyi akukamba za zomwe zimapangitsa fungo la asetoni kudwala matenda ashuga.

Mutha kuchenjezedwa

Kwa odwala matenda a shuga, ndikofunikira kuwunika thanzi lawo ndi moyo wawo kuti apewe kuchitika kwa acetone. Njira zothandiza kwambiri ndizochita zolimbitsa thupi pafupipafupi, kutsatira zakudya zoyenera ngati mtundu wa matenda, komanso chithandizo chokwanira cha insulin.

Palibe chifukwa chomwe muyenera kumamwa mowa, popeza ma ethanol omwe amapezeka amathandizira kuwonjezera shuga komanso kuchuluka kwa ma ketones. Ndikofunikira kuyang'anira momwe khomo lamkamwa limayendera, kuwongolera kuchuluka kwa shuga m'magazi ndi ma ketoni a mkodzo. Komanso muziwona dokotala pafupipafupi ndikutsatira malingaliro ake.

Chidziwitsocho chimaperekedwa kuti chizidziwitso chokha chokha ndipo sichingagwiritsidwe ntchito pakudzipangira nokha mankhwala. Osadzinyengerera, zitha kukhala zowopsa. Nthawi zonse funsani dokotala. Pofuna kukopera mwatsatanetsatane kapena mwatsatanetsatane zinthu zomwe zili pamalowo, kulumikizana kwofunikira kukufunika.

Ngati munthu adatsegula pakamwa pake ndikumverera ngati fungo la acetone lozungulira, sinthani matendawo mwa kubaya insulin. Ngakhale mphindi yomwe idasowa ndikuwonetsa wodwala kuti adwala, pambuyo poti amupatse mankhwala osokoneza bongo, adzachira ndipo matendawa akhazikika.

Ngati matenda a shuga sanapezekebe, ndipo fungo la acetone lochokera mkamwa laonekera, muyenera kulumikizana ndi endocrinologist posachedwa. Ndikosatheka kumwa nokha insulini, komanso kwambiri, jakisoni sangapange jekeseni asanapange bwino.

Chowonadi ndi chakuti fungo la acetone kuchokera pamlomo wamkamwa limawonekera osati mu shuga mellitus, chizindikiro ichi ndi chodziwika:

ndi kulephera kwa aimpso,
madzi atasowa,

ndi matenda opatsirana pachimake m'thupi,
ndi kuledzera.

Komabe, matenda osokoneza bongo a shuga amaphatikizika ndi aimpso kapena a hepatic insuffuffence, pafupipafupi kutupa kwachilendo, komanso ma mucous nembanemba. Chifukwa (munjira ina iliyonse) fungo la acetone lochokera mkamwa ndimatenda a shuga limachitika kawirikawiri.

Kunena zowona, ma acetone mu mpweya wotulutsa amatha kumva osati shuga. Pali zochitika zingapo za pathological momwe mawonekedwe a chizindikirochi amathekanso (afotokozedwa pansipa).

Tsoka ilo, pali nthawi zina pomwe ketoacidosis imachita ngati chiwonetsero cha matenda. Izi zimachitika, monga lamulo, muubwana ndi unyamata, koma osati kwenikweni. Ndikofunikira kwambiri kudziwa zowonjezera zowunikira zomwe zingathandize kuwomba alarm panthawi.

ludzu losatha, kuchuluka kwamadzi ambiri,
polyuria - kukodza pafupipafupi, pambuyo pake pakusinthana ndi anuria - kusowa kukodza,
kutopa, kufooka wamba,
kuwonda msanga
kuchepa kwamtima
khungu louma, komanso nembanemba
kusanza, kusanza,
Zizindikiro za "pamimba pamimba" - ululu m'mbali yofananira, mavuto a khoma lam'mimba,
zotupa zotayirira, matumbo amisala,
kukomoka mtima,
Kussmaul wotchedwa kupumira - wogwira ntchito, wopumira kwambiri komanso phokoso lakutali,
chikumbumtima chosavala bwino (kuwonda, kugona) ndi kusokonezeka kwa manjenjenje, mpaka kutayika kwathunthu ndikugwera pakukomoka pambuyo pake.

Kupeza

Mankhwala a pharmacy amakupatsani mwayi wophunzirira kupezeka kwa ma ketones mumkodzo nokha, osalumikizana ndi bungwe lazachipatala. Ma chingwe cha mayeso a Ketur, komanso zizindikiro za Acetone Test, ndizosavuta kugwiritsa ntchito.

Amamizidwa mumtsuko ndi mkodzo, kenaka mawonekedwe ake amawayerekeza ndi tebulo lomwe lili phukusi. Mwanjira imeneyi, mutha kudziwa kuchuluka kwa matupi a ketone mumkodzo ndikuyerekeza iwo ndi mawonekedwe. Mikwingwirima "Samotest" imakupatsani mwayi nthawi yomweyo kudziwa kukhalapo kwa acetone ndi shuga mkodzo.

Kuti muchite izi, muyenera kugula mankhwalawa nambala 2. Ndi bwino kuchita kafukufuku woterewu pamimba yopanda kanthu, popeza kuchuluka kwa zinthu mkodzo kumasintha tsiku lonse. Ndikokwanira kungomwa madzi ambiri, kuti zizindikirazo zimacheperapo kangapo.

Njira zopewera

Mwachiwonekere, njira yodziwika yodzitetezera pakuwonekera kwa acetone mu mkodzo ndi magazi a munthu wodwala matenda ashuga ndi chakudya chopatsa chidwi komanso jakisoni wa insulin wa panthawi yake. Ndi mphamvu yochepa ya mankhwalawa, iyenera m'malo mwake ina, ndikuchita kwakali.

M'pofunikanso kuwongolera katundu. Ayenera kupezeka tsiku ndi tsiku, koma osadzitengera kutopa kwambiri. Pamavuto, thupi limasokoneza kwambiri norepinephrine. Pokhala wotsutsana ndi insulin, imatha kuyipa.

Kutsatira zakudya ndi zina mwazinthu zazikulu zothandizira kuti mukhale ndi thanzi labwino ndi mtundu uliwonse wa matenda ashuga. Zosavomerezeka komanso kumwa mowa, makamaka zamphamvu.

Anthu odwala matenda ashuga amakonda kwambiri kudwala matenda am'kamwa monga periodontitis ndi kuwola kwa mano (chifukwa cha izi ndikusowa kwa malovu komanso kuwonongeka kwamitsempha yamagazi). Amayambitsanso kupuma kwamphamvu, kuphatikiza apo, njira zotupa zimachepetsa mphamvu ya insulin. Zosagwirizana, izi zitha kubweretsanso kuwonjezeka kwa zomwe ma ketones amapanga.