Acetonemic syndrome mu ana

Tanthauzo la acetonemic syndrome limadziwika ndi kusowa kwa chakudya kwa mwana, kubwereza mobwerezabwereza kapena masiku osakwana 1-2, nthawi zina mochulukirapo, khungu limakhala ndi masaya, kufooka, kusowa tulo, kugona, kupweteka msomali, komanso kuwonjezeka kwa kutentha kwa thupi kufika pa 37-27. 5 madigiri. Koma chochititsa chidwi kwambiri ndikuthandizira kudziwa molondola izi ndi kununkhira kwa acetone kuchokera mkamwa. Ndikothekanso kudziwa acetone mu mkodzo, magazi, masanzi.

Acetonemic syndrome, kapena vuto, ndi chizindikiro cha kusokonekera kwa metabolic m'thupi. Komanso, osalumikizidwa mu metabolism. Itha kuwonetsa njira zambiri zamatenda, zomwe nthawi zambiri zimagwirizanitsidwa ndi kuphwanya kwa mafuta zamafuta ndi chakudya. Pafupipafupi kusanza kwa acetoneemic kusanza muubwana ndiwofupi ndi kukula kwa matenda osiyanasiyana a metabolic omwe ali ndi zaka zambiri kwambiri. Mwachitsanzo, lembani matenda ashuga 1 a mellitus (amadalira insulin), gout, kunenepa kwambiri, urolithiasis, cholelithiasis, urate diathesis, neuroarthritic diathesis, ndi zina zina.

Makolo ayenera kudziwa zomwe zimayambitsa vuto la acetone. Izi zikuphatikiza:

• matenda owopsa, kupsinjika,
• kukakamiza kudya
• kuvutitsidwa kwa nyama ndi zakudya zamafuta,
• kugwiritsa ntchito chokoleti, khofi, cocoa ndi nyemba.

Zakudya zopatsa thanzi za acetonemic syndrome zimaphatikizapo malangizo ena okondweretsa panthawi yamavuto a acetone (chikhalidwe chovuta kwambiri chomwe chikufunika chisamaliro chofunikira mwachangu) ndikupitiliza kutsatira kwakanthawi kwa chakudya chapadera.

Zakudya za vuto la acetone:

M'nthawi yonse ya matenda, ndikofunikira kuti mwana amwe pafupipafupi, koma m'magawo ang'onoang'ono. Zakumwa zilizonse zotsekemera ndizoyenera - tiyi, compote, juwisi ndi zina zotero.

1. Ndi zizindikiro zoyambirira, perekani mwana tiyi wokoma, zipatso zamasamba atsopano, m'chilimwe mutha kupereka mavwende kapena vwende. Pankhaniyi, mutha kugwiritsa ntchito madzi owala. Coca-Cola amathandiza bwino (modabwitsa momwe zimamvekera), chinthu chachikulu sikuti chikugwiritse ntchito molakwika, theka lagalasi limakhala lokwanira. Komanso tidzakambirana kuti madzi omwe amawoneka obowoka amapezeka mwa ana omwe amakhala akukulira pafupipafupi, koma kumayambiriro kwa kuukira komwe thupi limasowa glucose - gwero lalikulu lamphamvu. Makina onse a chitukuko cha acetonemic syndrome ndi ovuta kwambiri, amachokera pazinthu zachilengedwe zomwe zimakhala zovuta kwambiri kwa munthu yemwe ali kutali ndi sayansi kuti amvetsetse, ndipo palibe kanthu kwa izo. Ndikokwanira kumvetsetsa kuti ndi kuchepa kwa glucose m'thupi (kutanthauza kuti, imapatsa thupi mphamvu), njira zowumiriza zimayatsidwa, zomwe cholinga chake ndi kupeza mphamvu kuchokera ku mafuta okha komanso kuchepa kwambiri kuchokera ku mapuloteni. Mafuta akaphwanyidwa, mphamvu ndi zinthu zina zimatulutsidwa, chimodzi mwa izo ndi matupi a ketone, omwe amawonetsa zizindikiro zomwe tafotokozazi. Chifukwa chake, chinthu choyamba ndikupereka thupi ndi mphamvu (glucose), ndipo chakumwa chilichonse chotsekemera ndichothandiza pa izi.
2. Kumwa pafupipafupi pafupipafupi pamavuto onse pogwiritsa ntchito madzi amchere (Borjomi, mwachitsanzo), zipatso zouma zipatso, kukonzekera kwapadera kwamadzimadzi (kubwezeretsanso kuchuluka kwa madzimadzi otayika) - Humana-Electrolyte, Bio-gay, Hip-Ors. Njira yotere ikhoza kukonzedwa palokha. Kuti muchite izi, ndikofunikira kupukuta supuni 1 yamchere ndi supuni imodzi ya shuga mu lita imodzi yamadzi, kusakaniza kwathunthu mpaka kusungunuka kwathunthu ndikupatsa mwana chakumwa chilichonse mphindi khumi ndi zisanu, ngati mwanayo amamwa supuni 1-2 panthawi, izi ndizokwanira.Mwa ana omwe akusanza, madzi ambiri amawonongeka, ndipo ngati kusanza sikungatheke, chifukwa chake, madzi ambiri amataika, omwe amayenera kubwezeretsedwanso posachedwa, apo ayi izi ndizomwe zimayamba chifukwa cha chikomokere, ndipo chithandizo chikuyamba ndi gawo lalikulu la chisamaliro.
3. Mwanayo sayenera kufa ndi njala panthawi yoyamba (kukana kudya, kufoka, nseru, fungo la mkamwa, mutu, kupweteka m'mimba), kupatula nthawi yomwe kusanza ndikudyetsa mwana sikungatheke. Ndikofunika kupereka zokonda pazinthu zomwe zimakhala ndi chakudya chamafuta, koma nthawi yomweyo kuchuluka kochepa kwamafuta: nthochi, mbatata zosenda, masamba, mkaka, kefir, semolina wamadzimadzi. Musayese kukakamiza mwanayo, koma kumunyengerera kuti adye.
4. Chakudya chimalimbikitsidwa chomwe chimagwiritsa ntchito zinthu zomwe zimakhala ndi matupi ochepa a ketone kwa masiku atatu - 3: zopendekera, oatmeal, phala la chimanga chophika m'madzi, mbatata yosenda popanda batala, makeke okoma a maapulo, ma biscuit cookies.
5. Ndikusintha kwazinthu zambiri atatha kusanza, kefir, mkaka, ndi msuzi wamasamba akhoza kuyambitsa zakudya.
6. Pamasabata atatu otsatira, muyenera kutsatira zakudya zosakhalitsa, kupatula marinade onse ndikudya nyama. Zogulitsa ziyenera kuwotchera kapena kuwiritsa. Kudyetsa mwana nthawi iliyonse ya maola awiri ndi atatu.
7. Pambuyo pakuletsa vutoli, tikulimbikitsidwa kumwa mankhwala omwe amathandizira kukula kwa uric acid m'magazi, ndi mankhwala omwe amasintha machitidwe a metabolic m'thupi.

Malangizo a zakudya kwa ana omwe ali ndi vuto la acetonemic nthawi zambiri

Zakudya zabwino komanso chizolowezi chatsiku ndi tsiku ndizofunikira kwambiri pakupambana matenda ambiri. Acetonemic syndrome sichoncho.

Ana amafunika kutetezedwa ku nkhawa zam'maganizo, kuletsa kuwonera TV, masewera apakompyuta komanso kulumikizana ndi anthu pa intaneti. Zothandiza (korona, koma kwenikweni) zolimbitsa, masewera owala komanso kumangokhala mu mpweya wabwino.

Chosangalatsa ndichakuti kusokonekera kwa ana kumayambira ana azaka 9 - 11. Chifukwa chake, atasiya kuukiridwa, mwana amakhala ndi zakudya zopatsa thanzi mpaka kuubwana. Pambuyo pake mutha kuchotsa zoletsa zonse.

Mfundo zotsatirazi zopatsa thanzi ziyenera kutsatiridwa:

1. Chofunika kwambiri ndikusankha zakudya zomwe zimakhala ndi purine pamiyendo ndi kuletsa zakudya zomwe zimakhala ndi mafuta. Masefa a purine ndi mankhwala achilengedwe omwe amapanga ma nikic acid.
2. Imwani madzi ambiri pogwiritsa ntchito mchere wamchere wamchere, tiyi wobiriwira.
3. Pafupipafupi chakudya chochulukirapo mpaka 5-6 patsiku.
4. Pamalo, mwana sayenera kudyetsedwa, ngakhale kuti ana omwe ali ndi vuto la acetone nthawi zambiri, kusowa kwa chakudya kumachepetsedwa.
5. Lolani mwana kuti azisankha chakudya chake monga gawo la zakudya zomwe afotokozazo.

Pazakudya ayenera kupambana:

• zopangidwa mkaka: mkaka, kefir, mkaka wopanda mafuta ophika, tchizi chosachedwa, tchizi cholimba,
• masamba: supu ndi borscht ndi msuzi wa masamba, mbatata, beets, kaloti, anyezi, zukini, nkhaka, kabichi yoyera, radara, letesi,
• zipatso: maapulo osakhala acidic, mapeyala, chivwende, vwende, apricots, mphesa, ndimu, yamatcheri,
• chimanga: ng'ombe, mpunga, tirigu, oat, mapira, barele wa ngale,
• zopangidwa ndi nyama: nyama ya nyama zachikulire (ng'ombe, nkhumba yodontha), nkaka, kalulu, nkhuku (nthawi 1-2 pa sabata), mazira (kamodzi patsiku mu mawonekedwe owiritsa),
• nsomba zam'nyanja: nsomba zam'nyanja, kale nsomba,
• zakumwa: zakumwa zatsopano zomwe zakonzedwa ndi zamkati, msuzi wa kiranberi, zipatso zouma zokhazokha, tiyi wobiriwira.

Amachepetsa nyama, makamaka mphodza ndi ng'ombe zokhala ndi tirigu, nsomba (yokazinga, kusuta), timitengo ta nkhanu, nyama zanyama, malalanje, ma tangerines, nthochi, zipatso, phwetekere, pasitala, mabisiketi.

• zopangidwa ndi nyama: nyama ya nyama zazing'ono (nyama yamwana wankhuku, nkhuku), nkhumba yamafuta, bakha, zakudya zonenepa, nsomba zamphamvu ndi msuzi wa nyama, masoseji, offal (chiwindi, ubongo, impso),
• nsomba zam'nyanja: caviar wakuda ndi wofiyira, masamba, sardines, hering'i,
• masamba ena: bowa (zoyera zoyera), sipinachi, rhubarb, katsitsumzukwa, sorelo, nyemba, parsley, kolifulawa,
• maswiti ndi zakumwa: chokoleti, khofi, koko, tiyi wakuda wamphamvu, madzi otumphuka ndi muffin,
• komanso mitundu yonse ya zakudya zamzitini, mtedza, tchipisi, kirimu wowawasa, kiwi.

Usiku, zimalimbikitsidwa kuti zizipereka zakudya zokhala ndi chakudya chamafuta: mkate wa rye, oatmeal ndi buckwheat, phala.

Ngati mwana adadya mobisa kwa makolo ake ndipo kuwonekeratu vuto la acetone liziwoneka, yambani mwatsopano. Ndi zovuta zomwe zimachitika pafupipafupi, ndikofunikira kuti mupeze mizere yoyesera kuti mupeze kuchuluka kwa acetone. Izi zikuthandizani kuti muwongolere kuchuluka kwa ma acetone m'magazi komanso panthawi yoyenera kuti muthandizire mwana, kuti musamubweretse kuchipatala. Ngati mukumamatira ku moyo wathanzi komanso mfundo za kadyedwe koyenera, mwayi wanu woti muphunzire kuchokera kwa mwana wanu zomwe matenda a acetonemic ali pafupi ndi zero.

About acetone pakuwona kwa mwana ndi zina mwa mkodzo pulogalamu "Sukulu ya Dr. Komarovsky" imati:

Ichi ndi chiyani

Acetonemic syndrome mu ana sichimatengedwa ngati matenda osiyana, ndizovuta zovuta zomwe zimakhudzana ndi kuchuluka kwa matupi a ketone m'madzi a m'magazi a mwana. Mankhwala, matendawa ali ndi mayina ena, mwachitsanzo, matenda osokoneza bongo a ketoacidosis kapena kusanza kwa acetonemic.

Zomwe zimatchulidwa zamatenda zimachitika makamaka mwa ana, chifukwa chake limawerengedwa kuti ndi chikhalidwe chaubwana. Nthawi zina palibe chifukwa chomveka chothetsera kusanza; matendawa amatchedwa idiopathic kapena oyambira. Izi zimachitika pafupifupi ana 5% osakwana zaka 12. Nthawi yomweyo, atsikana amakonda kuphwanyidwa kuposa anyamata.

Ngati maziko a chizindikiro ndi matenda enaake, matendawa amatchedwa achiwiri. Zomwe zili ponseponse, madokotala padziko lonse lapansi zimawavuta kuyankha - ziwerengero zotere sizikupezeka.

Matupi a Ketone omwe amasonkhana m'madzi am'magazi mwa ana ndi acetone, b-hydroxybutyric acid, acetoacetic acid. Ngati matendawa ndi ovomerezeka a idiopathic chizindikiro, ndiye kuti mavuto a acetone amakula nthawi yayitali pakati pa chakudya (cham'mimba chopanda kanthu).

Sekondale acetonemic syndrome imayamba motsutsana ndi maziko a matenda a shuga osaphatikizidwa, omwe ali ndi matenda a chithokomiro, kuvulala koopsa kwa ubongo, kupezeka kwa zotupa muubongo, pambuyo poyizoni wakupha, ngati pali vuto la chiwindi, komanso kuledzera kwambiri matenda opatsirana, khansa ya m'magazi.

Polankhula za kusanza kwa acetonemic, tiyenera kumvetsetsa kuti zimakhudza idiopathic acetonemia, osati yachiwiri. Ngati kudzikundikira kwa matupi a ketone kumalumikizidwa ndi matenda omwe amayambitsidwa, ndiye kuti kufotokozera matendawo ngati zovuta zina sizikupanga nzeru - matendawa apezeka ndipo amathandizidwa ngati matenda enaake amayenera kuthandizidwa. Tilankhula za momwe zinthu ziliri, khanda likakhala lathanzi, koma nthawi zina makolo ake amawona fungo la mkamwa kuchokera pakamwa pake, komanso amakumana ndi kusanza komwe sikungafotokozeke.

Matupi a Ketone amatha kudzikundikira m'madzi am'magazi a mwana yemwe amalandila chakudya pang'ono. Komanso chochititsa chimatha kukhala kudya kwambiri mafuta. Mu chiwindi cha ana, michere yocheperako imapangidwa yomwe imakhudzana ndi metabolic oxidation njira. Komanso, chifukwa cha zaka zakubadwa zokhudzana ndi chibadwa, ana onse achepetsa mphamvu yakugawika komanso kuchoka kwa matupi a ketone.

Pali malingaliro angapo a chiyambi cha ana acetonemic syndrome.Malinga ndi mtundu wina, kusanza kumayamba chifukwa choti kuchuluka kwa shuga m'magazi a mwana kumatsika, ngati ali ndi njala ndipo thupi limayamba kupanga mphamvu zosungira - awa ndi matupi a ketone. Koma ambiri aiwo amachititsa kuledzera ndi kuyamwa kwam'mimba. Chifukwa chake mawonetsero akusanza.

Malinga ndi mtundu wina, kuchuluka kwa glucose mthupi la mwana kumatha kuchepa msanga kuposa kuchuluka kwa matupi a ketone, chifukwa chake izi zimayambira.

Koma ofufuza onse amavomereza kuti makina oyambitsa nyenyezi nthawi zambiri amakhala ndi njala kapena matenda opatsirana kwambiri. Kupsinjika, kusokonezeka kwamaganizidwe, kutuluka kwa nthawi yayitali ndi dzuwa, kugona ndi kudya kwambiri, mapuloteni ochulukirapo komanso mafuta kwambiri osakhalapo ndi kuchuluka kwa chakudya chamagulu am'thupi kungayambitse kusanza kwa acetonemic.

Mwa makanda, kusanza kotero nthawi zambiri kumagwirizanitsidwa ndi chakuti amayi awo omwe pambuyo pake anali ndi vuto la preeclampsia ndi nephropathy.

Zizindikiro zake

Kuchulukirapo, malinga ndi kuonedwa kwa ana, ana omwe ali ndi chisangalalo chachikulu mu bungwe lamanjenje, ana olimba thupi, omwe amaopa chilichonse padziko lapansi, akuvutika ndi matenda amitsempha ya m'mimba komanso kugona usiku, amakhala ndi matendawa. Kuwonetsedwa kwa matendawa ndi vuto la acetonemic - mkhalidwe womwe unayambika mwadzidzidzi komanso mwadzidzidzi kapenanso kuwonekera kwa "oyamba" (ana ena amakhala ndi kufooka asanayambe kuukira, kukana kudya, kudandaula za mutu).

Vuto lenilenilo ndi kusanza kowirikiza komwe kumachitika chifukwa cha kuyesa kudyetsa kapena kuthirira mwana.

Pankhaniyi, ngakhale kusanza komwe kumakhala koopsa, koma mfundo yoti kuledzera ndi kutulutsa magazi akukulira kwambiri - khungu limakhala lothimbirira pachimake, nembanemba limakhala louma, limalira osalira, pakhungu limasinthasintha. Ndi zovuta zazikulu, kukulira kwa matenda opatsirana kumatha.

Kutentha kwa thupi kumakwera mpaka madigiri 37.5-38.5. Mwanayo amadandaula za kupweteka kwam'mimba, amatha kudzimbidwa kapena kutulutsa zodwala ngati vuto lawonso. Nthawi zambiri, zizindikiro zoyambirira za acetonemic syndrome zimachitika ndi zaka 2-3, zimatha kukula ndi zaka 6 mpaka 7 ndipo zimazimiririka pofika mwana wazaka 12 zakubadwa.

Acetonemia imasiyanitsidwa ndi kusanza kwina kulikonse ndi fungo lochokera pakamwa pa mwana - ena amafanizira ndi maapulo okongola, ena ndi fungo. Fungo la acetone limatha kuwoneka poyambira, ndiko kuti, kusanza kusanayambe. Amanunkhiza osati mkamwa basi, komanso mkodzo. Nthawi zina fungo limagwidwa kokha pafupi ndi mwana, ndipo nthawi zina ngakhale pamtunda wa mamita angapo.

Zoyenera kuchita

Zingakhale zolakwika kugwiritsa ntchito njira zachikhalidwe komanso zachikhalidwe. Ndikwabwino kuyamba mwa kuyendera dokotala yemwe angadziwe kuti ndi matenda amtundu uti - pulayimale kapena sekondale. Mwanayo adzaikidwa mayeso a labotale. Munthawi imeneyi, kuyezetsa magazi kumadziwika ndi leukocytosis, kuchuluka kwa neutrophils, komanso kuwonjezeka kwa erythrocyte sedimentation rate. Mitembo ya Ketone imapezeka mkodzo.

Ndikofunikira kwambiri kukaonana ndi dokotala ndi mwana, chifukwa zizindikirozi ndizofanana ndi appendicitis, peritonitis, meningitis, encephalitis, zotupa za mu ubongo, poyizoni komanso ngakhale matumbo. Katswiri wodziwa bwino yekha amatha kusiyanitsa wina ndi mzake.

Acetonemic syndrome iyenera kuthandizidwa mokwanira, ndipo ntchito yayikulu ndi njira yolondola yothanirana ndi mavuto komanso kupewa kubwezedwa mobwerezabwereza. Ngati mwana ali wocheperako, madzi m'thupi amatha kukhala atamupha. Chifukwa chake, ndikofunikira kuti muziika ana kuchipatala cha ana, komwe ogwira ntchito azachipatala sangalole kuchepa madzi m'thupi. Zakudya za acetonemic syndrome zimafuna choletsa chokhazikika pakudya kwamafuta, koma timalimbikitsidwa kudya zakudya zamafuta, zomwe zimatengedwa mwachangu popanda katundu (kuchokera ku chimanga, chimanga). Zosankhazo zikuphatikiza boma lapadera lakumwa - muyenera kumamwa pafupipafupi.

Gawo lina la matupi a ketone omwe alowa m'matumbo limatha kusinthika pogwiritsa ntchito sodium enema (sodium bicarbonate solution imagwiritsidwa ntchito kukonzekera). Ndi kusanza kwa acetonemic, mwana amakulimbikitsidwa kuti azitha kuyamwa kwamadzimadzi amadzimadzi. Kuti muchite izi, gwiritsani ntchito Regidron, Humana Electrolytekomanso mchere wamchere wamchere kapena mchere wowononga makina kutengera njira ya Dr. Komarovsky.

Antiemetics, monga "Cerucal", antispasmodics, mankhwala azitsamba. Ndi njira yoyenera yothetsera kuperewera kwa madzi m'thupi, zizindikiro za vutoli zimatsika kwa masiku awiri.

Zoyambitsa

Zambiri zomwe zimakhudza thupi la mwana kuchokera kunja zimadziwikanso, zomwe zingayambitse kukula kwa acetonemic syndrome mwa ana:

1. Kuperewera kwa zakudya m'thupi, mpaka kumaliza chakudya chathunthu.

2. Zilonda zopatsirana.

3. Kuyang'ana zakumwa zoziziritsa kukhosi, kuphatikiza mukudwala.

4. Kuphwanya dongosolo la chimbudzi chomwe chimayamba chifukwa choperewera m'thupi.

5. Kusintha kwa Nephropathic.

Mukakula, chomwe chimapangitsa kuti kudzikundikira kwa matupi a ketone nthawi zambiri kumakhala ndi matenda ashuga. Kuchuluka kwa insulin kumalepheretsa kulowa kwa glucose wa organic kumalowa m'maselo, zomwe zimapangitsa kuti pakhale kuchuluka kwa thupi kuphatikizapo mkodzo.

Nthawi zambiri, matenda a acetonemic amakula mwa ana okhala ndi malamulo osakhazikika, omwe amadziwika ndi kukhalapo kwa neuro-arthritic diathesis. Mu ana motsutsana ndi maziko a matenda otere, pali kuwonjezereka kwa chisokonezo komanso kufinya kwamphamvu kwamanjenje, kufooka thupi, kutopa, mitsempha ndi kugona.

Kuphatikiza pa izi, poyerekeza ndi kukhazikika kwa malamulo owonjezera a mwana, mwana amakula maluso olankhula, kukumbukira komanso njira zina zanzeru. Ana omwe ali ndi matenda amtunduwu amawonetsa kuti amakonda kuwononga kagayidwe ka uric acid ndi purines, komwe kumayambitsa urolithiasis, nyamakazi, gout, kunenepa kwambiri, glomerulonephritis ndi matenda osokoneza bongo akamakula.

Zizindikiro zazikulu za vuto la acetone mwa ana ndi:

1. Maonekedwe a mpweya woyipa, wokumbutsa za acetone. Khungu ndi mkodzo wa mwana zimayamba kununkhira chimodzimodzi.

2. Kulimbitsa thupi komanso kusowa madzi m'thupi, khungu kumawoneka bwino.

3. Kulimbikitsidwa kusanza kopitilira kanayi, nthawi zambiri kumadza pambuyo poyesera kudya kapena kumwa. Kusinthana ndi chizimba ndi masiku oyambira omwe amapanga acetonemic syndrome.

4. Tachycardia, arrhasmia, kukulira mtima kwamawu kumamveka.

5. Kutaya chakudya mpaka kutayika kwathunthu.

6. Kuwonjezeka kwa kutentha kwa thupi kosaposa madigiri 38,5.

7. Kumayambiriro kwamavuto, mwana amakhala wopanda nkhawa komanso wodala. M'tsogolo, pali ulesi, kugona komanso kufooka. Nthawi zina, matenda opatsirana amayamba.

8. M'mimba mumakhala ululu wamkati, mseru, ndi chopondapo.

Kuperewera kwa zakudya m'thupi

Nthawi zambiri, zizindikiro za matendawa zimayamba chifukwa cha kuperewera kwa zakudya m'thupi, pamene chakudya chamafuta sichikupezeka mu chakudya cha mwana ndi mafuta amino acid ndi ma ketogenic acid. Njira zamatabolic mthupi la mwana zimathamanga, ndipo dongosolo logaya chakudya silingasinthidwe mokwanira, zomwe zimayambitsa kuchepa kwa ketolysis, njira yakuwongolera matupi a ketone imachepera kwambiri.

Kuzindikira kwa vuto la acetonemic kwa ana

Makolo angathe kuyimira payokha kuti azindikire kuti ali ndi mkodzo mumkodzo.M'mafakitala, mayeso apadera owunikira amagulitsidwa, omwe ndi mafupa omwe amatsitsidwa mkodzo. Mlingo wa acetone mumkodzo umatsimikiziridwa pamlingo wapadera.

Kuyambira mu 1994, madotolo adazindikira njira zomwe matenda a acetonemic apezeka. Zizindikiro zazikulu komanso zowonjezera zimatsimikiziridwa.

Njira zovomerezeka

Njira zoyenera zodziwitsira matenda ndi:

1. Kuyimba kwa kusanza ndi gawo lachilengedwe, pomwe mphamvu yakuwukirayo ndi yosiyana.

2. Pakati pa kukomoka, mkhalidwe wa mwanayo umakhalapo kwakanthawi.

3. Kukumana ndi kusanza kumatenga maola angapo mpaka masiku asanu.

4. Zotsatira za labotale, endoscopic, radiology ndi zina pofotokoza zovuta za acetone mwa ana sizabwino. Chifukwa chake, chiwonetsero cha kuphwanya mu ntchito ya ziwalo zam'mimba thirakiti kumatsimikiziridwa.

Anthu ambiri amadabwa kuti izi zimatanthawuza chiyani, glucose mu mkodzo. Ndi kuchuluka kwa shuga mumkodzo, njira ina yopangira matenda enaake kapena kudziwikiratu kwa matenda ena kungachitike. Impso sizitha kuthana ndi shuga ndikupakika ndi mkodzo. Matendawa amatchedwa glucosuria ndipo ndiye njira yomwe chipambano cha nkhondo yolimbana ndi matenda ashuga imatsimikizidwira.

Mulingo wambiri wa shuga mu mkodzo wa mwana ndi 2.8 mmol / l. Pazizindikiro zoposa izi, ziyeso zozama ziyenera kuchitika. Akatswiri azachipatala amatumiza ana kuti akachitenso kafukufuku wina wotsatira labotale, malingana ndi zotsatira zake zomwe zingakhale zotheka kumvetsetsa ngati izi ndizochitika kapena ngozi.

Zomwe zimatanthawuza - shuga mu mkodzo, aliyense ayenera kudziwa.

Njira zina

Njira zowonetsera vuto la acetone mwa mwana ndi:

1. Kusintha kwa maula ndi njira yodziwika bwino. Zomwe zimapangidwa pakati pa episode ndizofanana, komanso kukula ndi kutalika kwa nthawi ya kusanza. Mwakutero, kuukiridwa kumatha kuima zokha.

2. Asanayambe kufuna kusanza, kunyansidwa, kupweteka pamimba, kupweteka m'mutu. Kufooka, ulesi ndi kuwopa kuwala.

Kuzindikira kumachitika atatha matenda a shuga a ketoacidosis, omwe ndi zovuta za matenda a shuga, komanso matenda am'mimba am'mimba. Kuphatikiza apo, njira zodziwira matendawa siziyenera kupatula mavuto amanjenje, monga encephalitis, meningitis, matenda am'mimba, komanso poyizoni ndi matenda oyambira.

Chithandizo cha acetonemic vuto la ana

Ngati mwana akukayikira zam'tsogolo, ayenera kugonekedwa kuchipatala msanga. Wodwalayo amapatsidwa zakudya zoyenera, kuphatikiza chakudya chochuluka chamafuta ndi zakumwa zambiri. Chakudya chizikhala cha pafupipafupi komanso chopindika, chomwe chimapangitsa kuti kagayidwe kachakudya kazigwiritse ntchito. Zomwezo zimapita ndikumwa.

Kuyeretsa enema

Ndi kuopsa kwa zizindikiritso, enema yoyeretsa amachitidwa, yomwe imathandiza kuchotsa mbali ina yamatupi a ketone ophatikizidwa m'thupi. Popewa kuchepa kwamadzi pa maziko akusanza, kuperekanso madzi m'thupi kumachitika mwa kutenga mayankho osakanikirana monga "Regidron" kapena mchere wamchere wamchere.

Mfundo zoyambirira zamankhwala

Chithandizo cha acetonemic syndrome mu mwana zimachitika mogwirizana ndi mfundo zotsatirazi:

1. Kutsatira zakudya.

2. Kumwa mankhwala a prokinetic, mwachitsanzo, Metoclopramide, Motilium, ma enzymes ndi cofactors a carbohydrate metabolism. Zinthu monga pyridoxine, thiamine, cocarboxylase zimathandizira kubwezeretsa mwachangu kupirira kwa chakudya ndikupangitsa matenda a mafuta ndi kagayidwe kazakudya.

3. Kulowetsedwa mankhwala.

4. Chithandizo cha etiotropic chimalembedwa molingana ndi mawonekedwe ndipo chimaphatikizanso kugwiritsa ntchito maantibayotiki ndi othandizira.

Ngati zomwe acetone zili mu mkodzo ndizapakati komanso vuto la acetone silikuyenda ndi kuchepa kwamphamvu kwa thupi, madzi osafunikira komanso kuchuluka kwa elekitirodi, komanso kusanza kosagwirizana, mankhwalawa aphatikiranso kutulutsa madzi mkamwa, kudya ndi prokinetics pazomwe zimayikidwa pazaka za wodwalayo.

Chithandizo cha vuto la acetonemic chimaphatikizapo kuchotseratu zizindikirozo. Chithandizo chothandizira chithandizira kuchepetsa kuthekera kwa kukokomeza.

Kuchita kulowetsedwa mankhwala

Zizindikiro zazikulu zakutsatiridwa kwa kulowetsedwa ngati vuto la acetone ndi:

1. Kubwereza komanso kosalekeza kufuna kusanza, komwe sikumatha kumwa mankhwala a prokinetic.

2. Kuzindikiritsa zamavuto am'magazi komanso hemodynamics.

3. Zizindikiro za kusokonezeka kwa chikumbumtima. Kuwonetsedwa mu chikomokere kapena stupor.

4. Kutopa kwambiri kapena kuchepa thupi.

5. Decompensated mawonekedwe a metabolic ketoacidosis ndi kuchuluka anionic imeneyi.

6. Kukhalapo kwa zovuta za mtundu wogwira ntchito kapena wotakataka pakamwa. Izi zitha kukhala chifukwa cha kukhazikika kwamkamwa kapena mafupa a nkhope, komanso vuto la mitsempha.

Kulowetsedwa mankhwala amalola kuti:

1. Siyani kuchepa madzi m'thupi, Sinthani ma microcirculation ndi mafuta.

2. Njira yolephera imaphatikizidwa pakupanga infusions, yomwe imakulitsa njira yobwezeretsanso gawo la plasma bicarbonate.

3. Mu kulowetsedwa, zakudya zam'mimba zimapezeka, zomwe zimapangidwa ndi njira yodziyimira payokha.

Musanayambe kupanga chithandizo cha kulowetsedwa, muyenera kupereka mwayi wopita kumitsempha, ndikuwunikanso zomwe zikuwonetsa madzi-electrolyte ndi acid-base usawa komanso hemodynamics ya thupi.

Kodi kudya kwa vuto la acetonemic kwa ana kumatanthauza chiyani?

Zakudya zamagulu

Malonda otsatirawa akhoza kuperekedwa kwathunthu kuchakudya cha mwana:

3. Wowawasa zonona zilizonse zamafuta.

4. Sipinachi ndi sorelo.

5. Chingwe chaching'ono.

6. Nyama, kuphatikizapo nkhumba ndi mwanawankhosa.

7. Zopereka, kuphatikizapo mafuta anyama, ubongo, mapapo, impso.

8. Mafuta olemera ndi msuzi wa bowa.

9. Masamba obiriwira ndi nyemba.

10. Zinthu zosuta, soseji.

11. Cocoa, chokoleti, kuphatikiza zakumwa.

Pazakudya za mwana, ndikofunikira kuphatikiza phala ya mpunga, msuzi wochokera msuzi wa masamba, mbatata yosenda. Ngati zizindikiro za mavuto sizibwerera mkati mwa sabata limodzi, kuyambitsa pang'onopang'ono nyama yotsika, zitsamba, masamba, obalaza amaloledwa m'zakudya.

Ngati zizindikiro za acetonemic syndrome zibwerera, mutha kusintha zakudya nthawi iliyonse. Ngati fungo losasangalatsa likuwoneka mkamwa mwanu, muyenera kumwa madzi ambiri momwe mungathere m'magawo ang'onoang'ono.

Patsiku loyamba lachipatala, mwana sayenera kupatsidwa china chilichonse kupatula okhwasula rye. Tsiku lotsatira, apulosi wophika ndi decoction wa mpunga amawonjezeranso zakudya. Sitikulimbikitsidwa kuti mumalize zakudya mutangomaliza kuzikonza. Ndikofunikira kutsatira zakudya zomwe zidafotokozedwera sabata limodzi. Pambuyo pa nthawi iyi, mutha kuwonjezera supu zamasamba, masikono kapena mpunga wophika. Kutengera mkhalidwe wa mwana, chakudya chamasamba, masamba owiritsa ndi zipatso zatsopano zimayambitsidwa pang'onopang'ono muzakudya.

Matenda a mwana amene ali ndi vuto la acetone nthawi zambiri amakhala abwino. Akamakula, atsala pang'ono kutha msinkhu, ziwalo zam'mimba za mwana zimapangidwa, ndipo matendawa amayamba okha.

Pomaliza

Ngati makolo akudziwa za mwayi wokhala ndi vuto la acetone mu ana, kukonzekera kwa fructose ndi glucose amapezeka nthawi zonse kunyumba yawo yamankhwala. Makolo ayenera kuyang'anira mwapadera zakudya za mwana, ziyenera kukhala zazing'ono komanso zoyenera.Pachizindikiro choyamba cha kuchuluka kwa acetone, mwana ayenera kupatsidwa china chake chokoma, monga zipatso zouma. Chithandizo chothandizira chikuchitikanso, chomwe chimathandizira kupewa zisokonezo zam'tsogolo.

Maonekedwe ndi mafomu

Acetonemic syndrome (mayina ena: non-diabetesic ketoacidosis, periodic acetonemic kusanza syndrome) sichinthu chopatsirana, chotsimikizika pogwiritsa ntchito metabolism, chomwe chimakhazikitsidwa ndikuphwanya kutulutsidwa kwa metabolites ndi nitrogen yotsalira m'magazi. Pathogenesis yamatendawa imayamba chifukwa chophwanya kagayidwe ka mafuta acid, ma amino acid amtundu uliwonse.

Kukula kwa acetonemic syndrome mu ana akuti ngati zovuta za ketoacidotic nthawi zambiri zimasinthana. Pali mitundu iwiri yayikulu yamatendawa:

• chachikulu ketoacidosis,
• yachiwiri kukula kwa matenda.

Pulogalamu yayikulu ya acetonemic complex imakonda kukhala idiopathic m'chilengedwe, ndi matenda odziimira pawokha. Fomu yachiwiriyo ndi yotsatira kapena kupsinjika kwa ma concomitant oyambira ma pathologies. Nambala yamatenda a ICD-10 ndi R82.4 (acetonuria).

Zochitika

Cholinga chachikulu chophatikizira zotsalira za nayitrogeni ndi acetonemia ndizochulukirapo pazachilolezo chazaka zamagulu a ketone ndi acetone m'magazi. Limagwirira kukula kwa chachikulu matenda chifukwa cha kubadwa kwaphwanya kagayidwe mafuta mafuta zidulo. Zizindikiro za seketo yachiwiri ya ketoacidosis imapangika motsutsana ndi maziko a zotsatirazi:

• matenda ashuga
• kusakwanira kapena kuchepa kwa chithokomiro cha chithokomiro (hypothyroidism, thyrotooticosis, hyperparathyroidism),
• matenda oopsa am'mimba,
• khansa
• zotupa pa oncological,
• matenda a chiwindi
• aakulu aimpso kulephera
• zotupa za muubongo.

Kusanza kwa acetonemic kumayamba muubwana wa atsikana ndi anyamata omwe amachita zakudya zosiyanasiyana chifukwa chosakhutira ndi mawonekedwe awo. Njala, kuperewera kwa chakudya chamagulu, chakudya chopsa mtima - zonsezi zimathandiza kukulitsa acetonemia mwa ana okulirapo kuposa zaka 6-8.

Zizindikiro wamba

Ana omwe ali ndi vuto la acetonemic amadziwika ndi konda, khungu la neurotic. Mchitidwe wamanjenje wa odwala otere umatha, boma limasinthasintha ndi chisangalalo komanso kugona.

Ndikofunikira kudziwa kuti ana omwe ali ndi ketoacidosis ali bwino kuposa ana ena kuti aphunzire, adayamba kukumbukira, kuyankhula. Zizindikiro zambiri za mabvuto ndi:

• malaise, thukuta lozizira pamphumi,
• kulimbikira kugonjera,
• kusanza, kusanza ndi fungo la asetoni,
• zopweteka ngati migraine
• kusokonezeka kwa tulo, kulakalaka,
• mantha, kusokonezeka m'maganizo.

Lethargy, kukhumudwa muunyamata nthawi zambiri kumachitika chifukwa chogwira ntchito mopitirira muyeso, kutopa. Ndi kusokonezeka pafupipafupi, kuwonongeka konse mu mkhalidwe wa mwana kungakhale: chisokonezo, kunjenjemera kwa miyendo. Ana akamachepera ketoacidosis, m'pamenenso amayamba kukulitsa chithunzi cha matenda. Zizindikiro ziyenera kusiyanitsidwa ndi poyizoni, kuwopsa kwa mankhwalawa, vuto la matenda oopsa, njira yopatsirana kwambiri.

Kusanza kwa acetonemic kumachitika m'mikhalidwe yovuta, yomwe imakhala yofanana ndi matenda ashuga kwambiri, kuperewera kwa mafuta m'thupi, kuchuluka kwa mantha. Pangozi ndi ana omwe ali ndi urological pathologies, gouty nyamakazi, migraine.

Njira Zodziwitsira

Zizindikiro za vuto la acetone zimasiyana malinga ndi zaka za mwana

Kuzindikira komaliza kumakhazikitsidwa pa mbiri ya zamankhwala ndi moyo wa mwana, madandaulo, njira zakufufuzira zasayansi ndi zothandizira. Chofunika kwambiri pakuwazindikira kotsiriza ndi chidziwitso cha mayeso a labotale:

• kuyezetsa magazi kwaponseponse (kuchuluka pang'ono kwa leukocytes, granulocytes, liwiro la erythrocyte sedimentation rate),
• magazi a biochemistry (kuwunikira kowoneka bwino, kuwonetsa kuwonjezeka kwa urea, creatinine, nitrogen yotsalira, mapuloteni, hypokalemia),
• urinalysis (mtima wa ketonuria).

Acetonemic syndrome mwa ana imapezeka tsiku limodzi. Ngati mfundo za + ndi ++ zalembedwa pa fomu yoti muyeretse mkodzo, ndiye kuti mwanayo ali ndi acidosis yocheperako, yomwe imalola chithandizo kunyumba. Ndi malingaliro a +++ ndi apamwamba, amalankhula za kukula kwambiri kwa ketoacidosis, kuopsa kwa chikomokere ndi zovuta zazikulu. Pambuyo popeza matenda omaliza, chidziwitso cha matendawo chatsimikizika ndipo chithandizo chofananira cha matenda oyambitsidwa chimachitika.

Pozindikira chomwe chimayambitsa yachiwiri ya acetonemic syndrome, kufunsa ndi otolaryngologist, gastroenterologist, katswiri wa matenda opatsirana, nephrologist, hepatologist ndi neurologist angafunike.

Chithandizo

Mankhwalawa amakhala pakuyeretsa magazi a acetone owonjezera ndikusintha magazi mwa magazi

Matenda a Ketoacidotic amathandizidwa kuchipatala. Kugonekedwa kuchipatala ndikofunikira kuti pakhale zovuta zama metabolic, kufinya. Kuchiza kumayesedwa ndikuyeretsa magazi, kubwezeretsa njira za metabolic, kusiya zizindikiro zosasangalatsa.

Malangizo a mankhwalawa ali ndi izi:

• kusintha kwa zakudya, kuletsa mafuta kovomerezeka pamodzi ndi kuwonjezeka kwa chakudya chamafuta,
• bungwe lamaboma ambiri akumwa,
• enemas ndi yankho lochokera sodium bicarbonate, yomwe imalepheretsa matupi a ketone,
• Kuletsa madzi am'madzi ndi mtsempha wamagazi mkati, saline,
• zothetsera mkati zamkamwa magazi.

Ndi chithandizo chokwanira komanso chapanthawi yake chazovuta za acetone, mpumulo umabwera mkati mwa masiku ochepa. Chizindikiro chothandizira chimaphatikizira kuikidwa kwa antiemetics, painkillers, sedatives. Kusanza kwa acetonemic kungalepheretsedwe kokha pakupangidwanso kwa zakudya, kugona, kugona ndi kuyang'anitsitsa kwenikweni kwa malingaliro onse azachipatala.

Zotsatira zabwino zochizira zimatheka ndi maphunziro a kutikita minofu, ma multivitamin, ma enzyme, hepatoprotectors komanso kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali. Mu aakulu acetonemic syndrome, makolo amatha kuyesa kunyumba mayeso okhutira ndi zotsalira za acetone m'magazi a mwana pogwiritsa ntchito zingwe zapadera.

Zakudya zamankhwala

Kwa ana omwe ali ndi vuto la kagayidwe kachakudya komanso kusowa kwa mafuta m'thupi, zakudya ndi zakudya zopatsa thanzi ndizofunikira. Mfundo za kayendetsedwe ka chakudya m'mimba zimayang'ana kuti muchepetse chiwindi, impso, dongosolo logaya chakudya. Pazakudya musatchule:

• mafuta amkaka,
• nyama yamafuta, nsomba, mafuta ochokera ku broth ndi okhuta
• msuzi, makamaka mayonesi, ketchup,
• nyemba: nyemba, chimanga, nyemba, nandolo,
• kusuta nyama, maapulo, zipatso.

Chakudya chizikhala chophika, kuphika, kuwotcha. Ndikofunika kuti chakudyacho chiphatikiza masamba ndi zipatso, kupatula zipatso za malalanje.

Ndikulimbikitsidwa kumwa madzi ambiri (mpaka 1.5-2 malita patsiku). Zothandiza kwambiri ndizosapatsa zipatso mabulosi, zouma zipatso, zofunikira za zipatso za rosehip. Ndikulimbikitsidwa kuti muchepetse timadziti a zipatso ndi madzi ofunda paziwerengero 1: 1.

Sikulimbikitsidwa kupatula mafuta muzakudya za mwana, komabe, ngati kuli kotheka, bweretsani mafuta achinyama ndi mafuta a masamba. Zosankha zamasiku ano zikuphatikizapo:

• oatmeal ndi raspberries, tiyi wokhala ndi mkaka, cracker,
• msuzi wa nkhuku wokhala ndi Zakudyazi wosaphika, mbatata zosenda, zodulira
• mabulosi odzola, magawo, chimanga,
• masamba stew ndi masamba, nthochi, cranberry.

Dokotala wa gastroenterologist komanso wathanzi amatha kuthandizira kukonza mndandanda watsiku ndi tsiku. Zakudya zake zimasinthidwa. Nthawi zambiri zakudya zamagulu ochepa zimalimbikitsidwa. Imwani ayenera kukhala mphindi 20-30 asanadye kapena pambuyo chakudya.

Matenda a acetonemia ndiabwino. Kutha kwa unyamata, nthawi zambiri kumatha zokha.Ndi mitundu yachiwiri ya matenda, ndikofunikira kuthetsa matenda omwe amayambitsa.

Matenda abwinobwino amawonedwa posowa chithandizo chokwanira, chakudya ndi mankhwala, zovuta za ketoacidotic. Ndi acetonemia wopitilira, mavuto azachuma amakhudzana ndi ziwalo zamkati ndi machitidwe, mpaka kukula kwa acidido chikomokere ndi imfa ya wodwalayo.

Acetonemic syndrome mu mwana: chithandizo cha kusanza mu ana, chakudya pamavuto

Chifukwa chake, pachimake siteji ya acetonemic syndrome imakhala ndi zizindikiro monga kusanza kwa acetonemic, ndipo imabwerezedwanso komanso mosalekeza. Kuphatikiza apo, kuukira kuyambika kumayambira mwa mwana, osati kokha mutatha kudya, komanso atamwa madziwo. Vutoli limakhala lalikulu kwambiri, chifukwa limapangitsa kuti thupi lithe.

Kuphatikiza pa kusanza kosalekeza, matenda a acetonemic amawonetsedwa ndi toxicosis, yomwe imachulukitsidwa ndi kuchepa madzi m'thupi. Kuphatikiza apo, khungu la wodwalayo limayamba kunyezimira, ndipo khungu lomwe silili la chibadwa limawoneka pamasaya, kamvekedwe ka minofu kachepa ndipo kumva kufooka kumabuka.

Mwanayo ali wokondwa, limodzi ndi kulira ndi kukuwa. Vutoli limasinthidwa ndi kufooka komanso kugona. Pankhaniyi, nembanemba (maso, pakamwa) ndi khungu limaphwa.

Komanso, acetonemic syndrome imayendera limodzi ndi kutentha kwa thupi - 38-39 madigiri.

Nthawi zina, chifukwa chakusowa kwamadzi ndi toxosis, kutentha kumatha kufika madigiri 40. Nthawi yomweyo, thupi la mwanayo limakhala ndi fungo losasangalatsa, lokumbukira kununkhira kwa acetone kapena zosungunulira.

Tcherani khutu! Makolo ayenera kudziwa kuti kusanza kwa acetonemic mwa ana sikuwoneka popanda chifukwa. Chifukwa chake, kusanthula koyenera kwa mkhalidwe wapitalo ndi zochita za mwana ziyenera kuchitika.

Monga lamulo, kusanza kwa acetonemic kumachitika chifukwa cha kutengeka mtima kapena thupi. Nthawi zambiri izi zimachitika pambuyo pa tchuthi kapena kudya kwambiri mafuta ndi zakudya zotsekemera.

Komanso, kusanza kwa acetonemic kumatha kuchitika motsutsana ndi maziko a matenda osiyanasiyana, monga chimfine.

Monga lamulo, makolo osamala amatha kuzindikira zizindikilo zosonyeza kusanza. Zizindikiro zotsatirazi zikuwonetsa kuti mwana adzakhala ndi vuto la acetonemic:

• misozi
• kusinthasintha
• kupweteka kwam'mimba
• kukana kudya (ngakhale zakudya zomwe umakonda),
• mutu
• kufooka
• zopunthwitsa kapena zotayirira,
• Fungo la acetone limayamba kuchokera mkamwa.

Mutha kudziwa zamtundu wa acetone mu mkodzo pogwiritsa ntchito zingwe zapadera zoyeserera.

Dziwani kuti makolo odziwa bwino amatha kuletsa acetonemic syndrome, chifukwa cha izi mwana amakwaniritsidwa mosavuta komanso ngakhale kupezeka kwamiseche kumapetsedwa. Mochulukitsa, vutoli lidzadutsa mwachangu komanso mosavuta, popanda zovuta.

Kodi chithandizo choyamba cha ana a acetonemic chingachitike ndi chiyani kwa ana?

Mwana akakhala ndi vuto, ayenera kuchita zinthu mwachangu kuti wodwalayo akhale bwino. Iwo makolo omwe alibe luso loletsa kuyimba amayenera kuyimbira foni kunyumba. Makamaka, thandizo lachipatala ndilofunikira kwambiri ngati chiwopsezo cha acetonemic chachitika mwa mwana kwambiri (zaka 1-4).

Ngati mukukayika, ndikofunikanso kuyimba ambulansi, chifukwa acetonemic syndrome nthawi zambiri imasokonezedwa ndi matenda osiyanasiyana opatsirana, omwe ndi owopsa. Ndipo dotolo yemwe adabwera kudzayitanitsa adazindikira ngati pakufunika thandizo lazachipatala komanso kuyitanitsa chithandizo chowonjezera.

Chithandizo choyambirira chimakhala chofotokozera mwana, ndiye kuti, amwe madzi ambiri. Tiyi wokoma kwambiri amakhala chida chabwino, komabe, chimayenera kuledzera pang'onopang'ono komanso kuwonda pang'ono, kuti asayambitse kusanza.

Madzi ogawika omwe amagawika bwino amakhala ndi thupi, ndipo madzi ambiri akumwa amatha kubweretsa kusanza. Nthawi yomweyo, kutentha kwa tiyi kapena compote kuyenera kukhala kofanana ndi kutentha kwa thupi, kapena kutsika pang'ono. Ndipo ngati musanza kwambiri, ndikofunikira kumwa madzi ozizira, koma osati madzi oundana.

Ngati mwana akufuna kudya, ndiye kuti mutha kum'patsa kagawo ka buledi wakale kapena wopukutira yoyera. Koma, ngati wodwala akukana chakudya, ndiye kuti simukufunika kumukakamiza.

Ndi mayamwidwe abwinobwino amadzimadzi, mutha kupatsa wodwalayo mankhwala a oregano kapena timbewu tonunkhira, kapena kum'patsa madzi ofunda a mchere osagwiritsa ntchito mpweya.

Zakudya zapadera ziyeneranso kutsatiridwa, kuphatikizai zimaphatikizapo zipatso ndi ndiwo zamasamba zakumwa zomwera mkaka.

Acetonemic syndrome mu ana amathandizidwa m'njira ziwiri zazikulu:

• mankhwalawa acetonemic kuukira, kuphatikizapo toxicosis ndi kusanza,
• chithandizo ndi kukonza njira pakati pa khunyu kuti muchepetse pafupipafupi komanso zovuta kutuluka.

Chithandizo cha kukomoka nthawi zambiri chimagwira. Njirayi imasankhidwa kutengera mtundu womwe wapezeka komanso kuchuluka kwa ma acetone mu mkodzo nthawi yowonjezera. Panthawi yodwala kovutirapo ndi acetone mpaka mitanda iwiri, chithandizo chitha kuchitidwa kunyumba, koma moyang'aniridwa ndi achipatala ndi makolo, ndipo makamaka muzovuta, wodwalayo amagonekedwa kuchipatala.

Vuto laacetonemic nthawi zambiri limathandizidwa popewa kuchepa kwa madzi komanso kubwezeretsanso madzi m'thupi mukatha kusanza kwanthawi yonse.

Komanso, chithandizo chamankhwala ndicholinga chothetsa mavuto omwe amapangitsa kuti matupi a ketone akhale pa thupi la mwana (makamaka pamankhwala amanjenje) ndikuchotsa kusanza palokha.

Komanso, zakudya zapadera zimatsatiridwa ndipo nthawi zina njira zina zochiritsira zimagwiritsidwa ntchito.

Chakudya chapadera chimaperekedwa kwa mwana aliyense yemwe ali ndi vuto la acetone, limodzi ndi kusanza. Choyamba, chakudya chopepuka (shuga, glucose) ndi kumwa kwambiri ziyenera kupezeka mu chakudya cha ana. Koma kugwiritsa ntchito zakudya zamafuta kuyenera kukhala kochepa.

Pazoyambirira za vuto, mwana ayenera kugulitsidwa nthawi yomweyo. Ndiye kuti, ayenera kupatsidwa chakumwa chotentha, chomwe kuchuluka kwake kumachokera pa 5-15 ml. Imwani madzi aliwonse pakatha mphindi 5 mpaka 10 kuti musiye kusanza.

Tcherani khutu! Ndikwabwino kusungunula mwana ndi madzi amchere amchere (akadali) kapena tiyi wokoma kwambiri.

Pa gawo loyambirira la matenda, chidwi cha wodwalayo chimachepa, pazifukwa izi simuyenera kumudyetsa kwambiri. Zili bwino mokwanira ngati amadya mabisiketi kapena zotheka. Kusanza kumaleka (tsiku lachiwiri), mwana amatha kudyetsedwa ndi madzi, kuphika mpunga, kuphika m'madzi, ndi msuzi wamasamba. Nthawi yomweyo magawo azikhala ochepa, ndipo nthawi yodyerayo iyenera kuchepetsedwa.

Chakudya chapadera chimaperekedwanso kwa makanda. Mwana amayenera kuyamwa bere pafupipafupi, ndipo ana oyamwitsa ayenera kupatsidwa madzi osakaniza, phala ndi kumwa nthawi zambiri.

Ngati kusanza kumachepa ndipo thupi liyamba kuyamwa bwino chakudya, ndiye kuti menyu ya ana imatha kukulitsidwa pang'ono powonjezera zinthu zokhala ndi chakudya:

1. zomata kapena nsomba zansomba
2. phala la buckwheat
3. oatmeal
4. phala la tirigu.

Kuti mupewe kukomoka mtsogolo pambuyo poti masiya, muyenera kutsatira zakudya zina. Mwana sangathe kudyetsedwa:

• ng'ombe
• nkhuku yokongoletsedwa
• sorelo
• tomato
• mafuta ndi zakudya zina zamafuta,
• ankasuta nyama
• katundu zamzitini
• msuzi wolemera
• nyemba
• khofi
• Chocolate

Makonda ayenera kuperekedwa pazinthu zamkaka, chimanga, mbatata, zipatso, mazira ndi masamba.

Vuto lalikulu ndi vuto la acetonemic ndi kusowa kwamadzi, motero chithandizo chikuyenera kukhala chokwanira.Ndi acetonemia wofatsa komanso wolimbitsa thupi (1-2 mtanda-acetone mu mkodzo), kutsitsanso pakamwa (kufotokozera) pogwiritsa ntchito njira zowonjezera ndikokwanira.

Choyamba, muyenera kuchotsa zochulukirapo za acetone ndi zinthu zina zowola ndikupanga enema yotsuka, popeza koloko imaletsa matupi a ketone ndikuyeretsa matumbo, potero kusintha mawonekedwe a mwana. Nthawi zambiri, njirayi imachitika pogwiritsa ntchito njira yamchere. Chinsinsi cha kukonzekera kwake ndi chosavuta: 1 tsp. soda imasungunuka mu 200 ml ya madzi ofunda.

Mankhwala oterowo akachitika, mwana ayenera kuledzera ndi kuyamwa kwa madzi ndi mawerengero a 100 ml pa kilogalamu imodzi ya kulemera kwa thupi. Ndipo pambuyo pa kusanza kulikonse, amafunika kumwa mpaka ma 150 ml amadzimadzi.

Mulimonsemo, kusankha kwa madzimadzi kuyenera kukambirana ndi dokotala. Komabe, ngati palibe mwayi wakuonana ndi dokotala, ndiye kuti muyenera kuyankha nokha. Pakatha mphindi 5 zilizonse mwana ayenera kumwa 5-10 ml ya madzi kuchokera supuni.

Tiyi yotentha yotsekemera ndi mandimu kapena uchi, yankho la sopo, madzi amchere a mchere osakhala ndi kaboni ndi abwino ngati chakumwa. Mutha kugwiritsanso ntchito mayankho amkamwa kutulutsa madzi mkamwa, ngati akupezeka kunyumba yanu yanyumba.

Chikwama cha zotere chimasungunuka mu madzi okwanira 1 litre, kenako amamwa kuchokera supuni masana. Mankhwala abwino kwambiri a mwanayo ndi ORS-200, Oralit, Glucosolan, kapena Regidron.

Mwana yemwe wapezeka kuti ali ndi vuto la acetone, wolemba ana amathandizira kuwunika komwe ali. Mankhwalawa amathandizanso kuchitira ena mankhwala, ngakhale pakadalibe khunyu.

Choyamba, adokotala amasintha kadyedwe ka ana. Izi ndizofunikira kwambiri, chifukwa zakudya ziyenera kukhala zochepa, chifukwa ngati kudya kwambiri komanso kudya zakudya zoletsedwa, wodwalayo akhoza kukulirakonso ndipo kusanza kudzachitikanso.

Komanso, kawiri pachaka, adokotala amatipatsa mankhwala a vitamini, nthawi zambiri nthawi yophukira ndi masika. Kuphatikiza apo, chithandizo cha spa chitha kukhala chothandiza kwa mwana.

Kuwongolera magwiridwe antchito a chiwindi, omwe cholinga chake ndi kulepheretsa matupi a ketone, dokotala amafotokozera kuchuluka kwa zinthu za lipotropic ndi hepatoprotectors. Mankhwalawa amathandizira kuti chiwindi chithandizenso kupukusa mafuta komanso kusintha magwiridwe ake.

Ngati pakuwunika ndowe mukusintha zomwe zikusonyeza kuti kuphwanya kwa kapamba, ndiye kuti dokotala amakupatsani ma enzyme. Kutalika kwa chithandizo chotere ndi kuyambira 1 mpaka miyezi iwiri.

Mwana yemwe ali ndi chidwi chachikulu cha mankhwalawa amalembedwa njira yochizira, kuphatikiza kukonzekera kwa amayi ndi valerian, tiyi wosintha, mankhwala osamba komanso kutikita minofu. Njira imeneyi ya mankhwala imachitika kangapo pachaka.

Kuti muwunikire pafupipafupi kuchuluka kwa acetone mu mkodzo wogulitsa mankhwala, mutha kugula zingwe. Kuyesa kwa mkodzo kwa acetone kuyenera kuchitika mwezi woyamba atadwala matenda a acetonemic. Ndipo, ngati makolo akukayika kuti mulingo wa acetone wa mwana wawo umatsitsidwa chifukwa cha kupsinjika ndi kuzizira, kafukufuku amachitika ngati pakufunika.

Ngati mayeso awonetsa kukhalapo kwa acetone mu mkodzo, ndiye kuti mutha kupitiriza njira zonsezi pamwambapa kuti mkhalidwe wa mwana ukhale wosasunthika komanso kusanza sikuwoneka. Mwa njira, mikwingwirima yoyeserera imakupatsaninso mwayi wowunika momwe mankhwala alili.

Tsoka ilo, vuto la acetonemic lingayambitse kupititsa patsogolo kwa matenda ashuga. Chifukwa chake, ana omwe ali ndi ma endologies a endocrinologist amaika akaunti ya dispensary. Komanso mwana chaka chilichonse amatenga mayeso kuti adziwe kuchuluka kwa shuga m'magazi.

Ndi chithandizo choyenera ndikuchira pambuyo pake, chiwopsezo cha acetonemic chimachepa pakatha zaka 12 mpaka 15 za moyo. Koma mwa ana omwe adapulumuka mavutowa, matenda angapo amatha (dystonia, gallstones, matenda oopsa, etc.).

Ana oterowo amayenera kuyang'aniridwa ndi achipatala ndi makolo, makamaka, chifukwa chakuwonjezeka kwamanjenje ndi kuwukiridwa kosalekeza. Amawunikidwa pafupipafupi ndi madokotala ndipo amawunikira kuti adziwe nthawi yoyambira matendawa kapena kukula kwa zovuta.

Komanso, kuti tipewe zotsatirazi, tifunika kupewa matenda oyamba kupweteka a chimfine ndi chimfine. Chifukwa chake, kutsatira malangizo onse azachipatala ndikuwona zakudya zoyenera, zovuta zomwe zimachitika mwa mwana zimatha kuchira kwamuyaya.

Mavuto a acetonemic ana: zimayambitsa, zizindikiritso, chizindikiritso ndi chithandizo

Kukula kwa vuto la acetone mwa ana ndi chizindikiro cha kusokonekera kwa metabolic m'thupi. Matendawa amadziwonetsera yekha chifukwa chodzikundikira matupi a ketone m'mwazi. Vuto la acetonemic limayendetsedwa ndi kusanza mobwerezabwereza, kuchepa madzi m'thupi, kuperewera, kupuma kwakomoka kwa acetone kuchokera mkamwa ndi m'mimba.

Matendawa amapezeka ndi kuphatikiza zizindikiro, komanso zotsatira za mayeso, kuphatikiza Zizindikiro za urea, electrolyte usawa, komanso ketonuria wovumbulutsidwa.

Ndi vuto la acetone mwa ana, ndikofunikira kuchita kulowetsedwa kwadzidzidzi, enema ndikumuyika mwanayo pachakudya chogwiritsa ntchito chakudya chamagulu amoto chambiri.

Acetonemic syndrome ndi mkhalidwe pamene vuto la metabolic limapezeka m'thupi, ndiye kuti, vuto la metabolism. Poyerekeza ndi matendawo matendawa, kusokonekera kwa ziwalo zamkati ndi machitidwe, mawonekedwe ake samadziwika. Nthawi yomweyo, kugwira ntchito kwa chiwindi ndi kapamba kumasokonekera.

Vuto la acetonemic mwa ana palokha ndichizindikiro cha kukhalapo kwa vuto losakhazikika mu malamulo a thupi la mtundu wa arthritic, omwe kale amatchedwa neuro-arthritic diathesis. Izi matenda amtundu wa machitidwe pamodzi ndi ntchito yamanjenje ndi ziwalo za mwana malinga ndi algorithm inayake.

Nthawi zambiri, vuto la acetone mwa ana limapezeka, komabe, mwa odwala akuluakulu, matendawa amapezekanso. Zomwe zimayambitsa matendawa ndi:

1. Matenda a impso, kuphatikizapo kuperewera.

2. Kupanda michere yamagetsi m'thupi, yomwe ingatengeredwe kapena cholowa.

3. Zosokoneza pakugwira ntchito kwa endocrine system, kuphatikizapo zopezeka ndi majini.

4. Mndandanda wa mtundu wa arthritic kapena neurogenic.

5. Dyskinesia ya bile duct.

Zomwe zimayambitsa vuto la acetone mwa ana ziyenera kutsimikiziridwa ndi dokotala.

Mu wakhanda, matenda a pathology angasonyeze kukhalapo kwa ma mochedwa gestosis pa nthawi yomwe mayi ali ndi pakati kapena kusintha kwa nephropathic.

Zambiri zomwe zimakhudza thupi la mwana kuchokera kunja zimadziwikanso, zomwe zingayambitse kukula kwa acetonemic syndrome mwa ana:

1. Kuperewera kwa zakudya m'thupi, mpaka kumaliza chakudya chathunthu.

2. Zilonda zopatsirana.

3. Kuyang'ana zakumwa zoziziritsa kukhosi, kuphatikiza mukudwala.

4. Kuphwanya dongosolo la chimbudzi chomwe chimayamba chifukwa choperewera m'thupi.

5. Kusintha kwa Nephropathic.

Mukakula, chomwe chimapangitsa kuti kudzikundikira kwa matupi a ketone nthawi zambiri kumakhala ndi matenda ashuga. Kuchuluka kwa insulin kumalepheretsa kulowa kwa glucose wa organic kumalowa m'maselo, zomwe zimapangitsa kuti pakhale kuchuluka kwa thupi kuphatikizapo mkodzo.

Nthawi zambiri, matenda a acetonemic amakula mwa ana okhala ndi malamulo osakhazikika, omwe amadziwika ndi kukhalapo kwa neuro-arthritic diathesis. Mu ana motsutsana ndi maziko a matenda otere, pali kuwonjezereka kwa chisokonezo komanso kufinya kwamphamvu kwamanjenje, kufooka thupi, kutopa, mitsempha ndi kugona.

Kuphatikiza pa izi, poyerekeza ndi kukhazikika kwa malamulo owonjezera a mwana, mwana amakula maluso olankhula, kukumbukira komanso njira zina zanzeru.Ana omwe ali ndi matenda amtunduwu amawonetsa kuti amakonda kuwononga kagayidwe ka uric acid ndi purines, komwe kumayambitsa urolithiasis, nyamakazi, gout, kunenepa kwambiri, glomerulonephritis ndi matenda osokoneza bongo akamakula.

Zizindikiro zazikulu za vuto la acetone mwa ana ndi:

1. Maonekedwe a mpweya woyipa, wokumbutsa za acetone. Khungu ndi mkodzo wa mwana zimayamba kununkhira chimodzimodzi.

2. Kulimbitsa thupi komanso kusowa madzi m'thupi, khungu kumawoneka bwino.

3. Kulimbikitsidwa kusanza kopitilira kanayi, nthawi zambiri kumadza pambuyo poyesera kudya kapena kumwa. Kusinthana ndi chizimba ndi masiku oyambira omwe amapanga acetonemic syndrome.

4. Tachycardia, arrhasmia, kukulira mtima kwamawu kumamveka.

5. Kutaya chakudya mpaka kutayika kwathunthu.

6. Kuwonjezeka kwa kutentha kwa thupi kosaposa madigiri 38,5.

7. Kumayambiriro kwamavuto, mwana amakhala wopanda nkhawa komanso wodala. M'tsogolo, pali ulesi, kugona komanso kufooka. Nthawi zina, matenda opatsirana amayamba.

8. M'mimba mumakhala ululu wamkati, mseru, ndi chopondapo.

Nthawi zambiri, zizindikiro za matendawa zimayamba chifukwa cha kuperewera kwa zakudya m'thupi, pamene chakudya chamafuta sichikupezeka mu chakudya cha mwana ndi mafuta amino acid ndi ma ketogenic acid. Njira zamatabolic mthupi la mwana zimathamanga, ndipo dongosolo logaya chakudya silingasinthidwe mokwanira, zomwe zimayambitsa kuchepa kwa ketolysis, njira yakuwongolera matupi a ketone imachepera kwambiri.

Makolo angathe kuyimira payokha kuti azindikire kuti ali ndi mkodzo mumkodzo. M'mafakitala, mayeso apadera owunikira amagulitsidwa, omwe ndi mafupa omwe amatsitsidwa mkodzo. Mlingo wa acetone mumkodzo umatsimikiziridwa pamlingo wapadera.

Kuyambira mu 1994, madotolo adazindikira njira zomwe matenda a acetonemic apezeka. Zizindikiro zazikulu komanso zowonjezera zimatsimikiziridwa.

Njira zoyenera zodziwitsira matenda ndi:

1. Kuyimba kwa kusanza ndi gawo lachilengedwe, pomwe mphamvu yakuwukirayo ndi yosiyana.

2. Pakati pa kukomoka, mkhalidwe wa mwanayo umakhalapo kwakanthawi.

3. Kukumana ndi kusanza kumatenga maola angapo mpaka masiku asanu.

4. Zotsatira za labotale, endoscopic, radiology ndi zina pofotokoza zovuta za acetone mwa ana sizabwino. Chifukwa chake, chiwonetsero cha kuphwanya mu ntchito ya ziwalo zam'mimba thirakiti kumatsimikiziridwa.

Anthu ambiri amadabwa kuti izi zimatanthawuza chiyani, glucose mu mkodzo. Ndi kuchuluka kwa shuga mumkodzo, njira ina yopangira matenda enaake kapena kudziwikiratu kwa matenda ena kungachitike. Impso sizitha kuthana ndi shuga ndikupakika ndi mkodzo. Matendawa amatchedwa glucosuria ndipo ndiye njira yomwe chipambano cha nkhondo yolimbana ndi matenda ashuga imatsimikizidwira.

Mulingo wambiri wa shuga mu mkodzo wa mwana ndi 2.8 mmol / l. Pazizindikiro zoposa izi, ziyeso zozama ziyenera kuchitika. Akatswiri azachipatala amatumiza ana kuti akachitenso kafukufuku wina wotsatira labotale, malingana ndi zotsatira zake zomwe zingakhale zotheka kumvetsetsa ngati izi ndizochitika kapena ngozi.

Zomwe zimatanthawuza - shuga mu mkodzo, aliyense ayenera kudziwa.

Njira zowonetsera vuto la acetone mwa mwana ndi:

1. Kusintha kwa maula ndi njira yodziwika bwino. Zomwe zimapangidwa pakati pa episode ndizofanana, komanso kukula ndi kutalika kwa nthawi ya kusanza. Mwakutero, kuukiridwa kumatha kuima zokha.

2. Asanayambe kufuna kusanza, kunyansidwa, kupweteka pamimba, kupweteka m'mutu. Kufooka, ulesi ndi kuwopa kuwala.

Kuzindikira kumachitika atatha matenda a shuga a ketoacidosis, omwe ndi zovuta za matenda a shuga, komanso matenda am'mimba am'mimba.Kuphatikiza apo, njira zodziwira matendawa siziyenera kupatula mavuto amanjenje, monga encephalitis, meningitis, matenda am'mimba, komanso poyizoni ndi matenda oyambira.

Ngati mwana akukayikira zam'tsogolo, ayenera kugonekedwa kuchipatala msanga. Wodwalayo amapatsidwa zakudya zoyenera, kuphatikiza chakudya chochuluka chamafuta ndi zakumwa zambiri. Chakudya chizikhala cha pafupipafupi komanso chopindika, chomwe chimapangitsa kuti kagayidwe kachakudya kazigwiritse ntchito. Zomwezo zimapita ndikumwa.

Ndi kuopsa kwa zizindikiritso, enema yoyeretsa amachitidwa, yomwe imathandiza kuchotsa mbali ina yamatupi a ketone ophatikizidwa m'thupi. Popewa kuchepa kwamadzi pa maziko akusanza, kuperekanso madzi m'thupi kumachitika mwa kutenga mayankho osakanikirana monga "Regidron" kapena mchere wamchere wamchere.

Chithandizo cha acetonemic syndrome mu mwana zimachitika mogwirizana ndi mfundo zotsatirazi:

1. Kutsatira zakudya.

2. Kumwa mankhwala a prokinetic, mwachitsanzo, Metoclopramide, Motilium, ma enzymes ndi cofactors a carbohydrate metabolism. Zinthu monga pyridoxine, thiamine, cocarboxylase zimathandizira kubwezeretsa mwachangu kupirira kwa chakudya ndikupangitsa matenda a mafuta ndi kagayidwe kazakudya.

3. Kulowetsedwa mankhwala.

4. Chithandizo cha etiotropic chimalembedwa molingana ndi mawonekedwe ndipo chimaphatikizanso kugwiritsa ntchito maantibayotiki ndi othandizira.

Ngati zomwe acetone zili mu mkodzo ndizapakati komanso vuto la acetone silikuyenda ndi kuchepa kwamphamvu kwa thupi, madzi osafunikira komanso kuchuluka kwa elekitirodi, komanso kusanza kosagwirizana, mankhwalawa aphatikiranso kutulutsa madzi mkamwa, kudya ndi prokinetics pazomwe zimayikidwa pazaka za wodwalayo.

Chithandizo cha vuto la acetonemic chimaphatikizapo kuchotseratu zizindikirozo. Chithandizo chothandizira chithandizira kuchepetsa kuthekera kwa kukokomeza.

Zizindikiro zazikulu zakutsatiridwa kwa kulowetsedwa ngati vuto la acetone ndi:

1. Kubwereza komanso kosalekeza kufuna kusanza, komwe sikumatha kumwa mankhwala a prokinetic.

2. Kuzindikiritsa zamavuto am'magazi komanso hemodynamics.

3. Zizindikiro za kusokonezeka kwa chikumbumtima. Kuwonetsedwa mu chikomokere kapena stupor.

4. Kutopa kwambiri kapena kuchepa thupi.

5. Decompensated mawonekedwe a metabolic ketoacidosis ndi kuchuluka anionic imeneyi.

6. Kukhalapo kwa zovuta za mtundu wogwira ntchito kapena wotakataka pakamwa. Izi zitha kukhala chifukwa cha kukhazikika kwamkamwa kapena mafupa a nkhope, komanso vuto la mitsempha.

Kulowetsedwa mankhwala amalola kuti:

1. Siyani kuchepa madzi m'thupi, Sinthani ma microcirculation ndi mafuta.

2. Njira yolephera imaphatikizidwa pakupanga infusions, yomwe imakulitsa njira yobwezeretsanso gawo la plasma bicarbonate.

3. Mu kulowetsedwa, zakudya zam'mimba zimapezeka, zomwe zimapangidwa ndi njira yodziyimira payokha.

Musanayambe kupanga chithandizo cha kulowetsedwa, muyenera kupereka mwayi wopita kumitsempha, ndikuwunikanso zomwe zikuwonetsa madzi-electrolyte ndi acid-base usawa komanso hemodynamics ya thupi.

Kodi kudya kwa vuto la acetonemic kwa ana kumatanthauza chiyani?

Malonda otsatirawa akhoza kuperekedwa kwathunthu kuchakudya cha mwana:

3. Wowawasa zonona zilizonse zamafuta.

4. Sipinachi ndi sorelo.

5. Chingwe chaching'ono.

6. Nyama, kuphatikizapo nkhumba ndi mwanawankhosa.

7. Zopereka, kuphatikizapo mafuta anyama, ubongo, mapapo, impso.

8. Mafuta olemera ndi msuzi wa bowa.

9. Masamba obiriwira ndi nyemba.

10. Zinthu zosuta, soseji.

11. Cocoa, chokoleti, kuphatikiza zakumwa.

Pazakudya za mwana, ndikofunikira kuphatikiza phala ya mpunga, msuzi wochokera msuzi wa masamba, mbatata yosenda.Ngati zizindikiro za mavuto sizibwerera mkati mwa sabata limodzi, kuyambitsa pang'onopang'ono nyama yotsika, zitsamba, masamba, obalaza amaloledwa m'zakudya.

Ngati zizindikiro za acetonemic syndrome zibwerera, mutha kusintha zakudya nthawi iliyonse. Ngati fungo losasangalatsa likuwoneka mkamwa mwanu, muyenera kumwa madzi ambiri momwe mungathere m'magawo ang'onoang'ono.

Patsiku loyamba lachipatala, mwana sayenera kupatsidwa china chilichonse kupatula okhwasula rye. Tsiku lotsatira, apulosi wophika ndi decoction wa mpunga amawonjezeranso zakudya. Sitikulimbikitsidwa kuti mumalize zakudya mutangomaliza kuzikonza. Ndikofunikira kutsatira zakudya zomwe zidafotokozedwera sabata limodzi. Pambuyo pa nthawi iyi, mutha kuwonjezera supu zamasamba, masikono kapena mpunga wophika. Kutengera mkhalidwe wa mwana, chakudya chamasamba, masamba owiritsa ndi zipatso zatsopano zimayambitsidwa pang'onopang'ono muzakudya.

Matenda a mwana amene ali ndi vuto la acetone nthawi zambiri amakhala abwino. Akamakula, atsala pang'ono kutha msinkhu, ziwalo zam'mimba za mwana zimapangidwa, ndipo matendawa amayamba okha.

Ngati makolo akudziwa za mwayi wokhala ndi vuto la acetone mu ana, kukonzekera kwa fructose ndi glucose amapezeka nthawi zonse kunyumba yawo yamankhwala. Makolo ayenera kuyang'anira mwapadera zakudya za mwana, ziyenera kukhala zazing'ono komanso zoyenera. Pachizindikiro choyamba cha kuchuluka kwa acetone, mwana ayenera kupatsidwa china chake chokoma, monga zipatso zouma. Chithandizo chothandizira chikuchitikanso, chomwe chimathandizira kupewa zisokonezo zam'tsogolo.

Kufotokozera kogwirizana ndi 28.06.2017

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Mikhalidwe ya acetonemic imachitika mwa ana omwe ali ndi matenda opatsirana, matenda am'mimba kapena ovuta. Kuchita kupsinjika kwakuthupi ndi m'maganizo komanso zolakwika za kadyedwe kumawakhumudwitsa. Pamene kufunikira kwa glucose, monga gwero lamphamvu, kukupitilira, malo ogulitsira a glycogen mu chiwindi amasandulika kukhala glucose ndipo amatopa msanga. Ana amanjenje ndi ma motile alibe nkhokwe zokwanira za glycogen pazofunsa kwambiri za metabolic ndipo mafuta amaphatikizidwa mu metabolism, ndipo akawonongeka, matupi a ketone amapangidwa.

Poona kupanda ungwiro kwa ma enzyme mu ana (kuchepa kwa mphamvu ya ma enzone omwe ma ketone amatulutsa), amadziunjikira. Ndikupanga acidosis (kusintha kwa magazi kupita ku mbali ya acidic) ndi kuledzera kwamkati, komwe kumayendetsedwa ndi kusanza ndi kufooka. Acetone imayikidwa mkodzo pakapumira ndi mpweya komanso kudzera pakhungu la mwana. Dandaulo lalikulu ndikumakhala ndi mseru, kusanza (3-8 pa tsiku), kukwiya, komwe kumakhala kufooka, kupweteka m'mimba, kununkhira kwa acetone mkamwa, ndipo nthawi zina kutentha thupi.

Acetonemic Syndrome - Izi si matenda, koma mawu oti thupi latha mphamvu ya glucose. Chifukwa chake, njira yokhayo yochiritsira ndi chakumwa chokoma ndi zakudya zoyenera pambuyo potiwukira.

Zakudya za acetonemic syndrome mu ana ziyenera kukhala:

• Zakudya zamagetsi zopatsa mphamvu mosavuta ndipo zimakhala ndiminyemba zotsekemera, tchizi tchizi, zipatso zamkati, ma compotes ndi zakudya zonona.
• Madzi okwanira (malita 1-1,5 patsiku).
• Zinthu zomwe zimathandizira kuthana ndi mkodzo: mkaka wa mandimu, mitengo yamalonda, masiku, nkhuyu, zipatso zotsekemera, zipatso, beets, kaloti. Mazira, nyama, nsomba, mkate wa tirigu amachititsa acidization ndipo amangoyambitsidwa kwa masiku atatu okha. Zipatso zowonda (kiwi, msuzi wa rosehip, currants) ziyenera kukhala zochepa.

Kwa ana omwe ali ndi vuto la acetonemic pafupipafupi, nthawi yayitali pakati pakudya ndilosavomerezeka. Muyenera kudziwa kuti matendawa angayambitse matenda aliwonse kapena matenda a catarrhal, kotero matenda opatsirana pachakudya, zakudya zopatsa thanzi ziyenera kukhala zopepuka komanso zimakhala ndi zovuta zamagulu pang'ono.

Ndi zakudya ziti zomwe zitha kumenyedwa pambuyo poti ziwombe? Mukangomaliza kusanza, mutha kumamwa zakumwa zotsekemera (tiyi, compote, juwisi, njira ya shuga). Mwana akamatha kudya, ndipo atha kukhala patsiku lachiwiri, zakudya zosakhalitsa zopatsa thanzi zimaperekedwa ndipo magawo azakudya ayenera kukhala ochepa:

• mbewu monga chimanga (burwheat, mpunga, chimanga, oat) wopanda shuga ndi mchere,
• zipatso mousses ndi zakudya
• ma cookies a biscuit
• apulo wophika
• masamba ndi zipatso zokoma.

Kuyambira lachitatu mpaka tsiku lachinayi:

• supu zamasamba
• tchizi chamafuta ochepa
• nyama soufflé, mbale za Turkey, kalulu, nsomba zam'nyanja,
• mazira a nkhuku (mazira opaka, owiritsa owiritsa),
• zopangidwa mkaka popanda zoteteza ndi utoto.

Ndi matenda a acetone kwa nthawi yosachepera mwezi, achire Tebulo 1. Chakudya chizikhala chosasamala m'mimba (osawerengera makina, mankhwala ndi kutentha). Zakudya siziyenera kukwiyitsa mucosa wa kumtunda kwam'mimba ndipo sizikhala ndi zinthu zotumphukira (zotembenukira, radish, katsitsumzukwa, nyemba, radish, nandolo). Chakudya chizikhala chotentha.

Zakudya za acetone mu mkodzo mwa ana zimapereka chakudya chamagulu (mpaka katatu pa tsiku), m'magawo ang'onoang'ono. Ndikofunikira kuti nthawi yayitali yopitilira chakudya sichikhala yopitilira maola atatu. Mwana akakana kudya, amwe kapu ya kapu ya zipatso kapena compote ndi uchi, idyani zipatso zilizonse zotsekemera, zipatso zouma (prunes, madeti, ma apricots owuma) kapena makeke. Koma pakapita kanthawi muyenera kuperekanso chakudya chamasana kapena chakudya chamadzulo kachiwiri.

Pambuyo pakusanza, mucous membrane wam'mimba ndi esophagus amakhudzidwa kapena sakhudzidwa, chifukwa chake zimakhala bwino ngati chakudyacho chimakhala chamadzimadzi ndi gruel. Ngati mumapereka zakudya zamagetsi, ndiye bwino kupukuta. M'pofunikanso kunena kuti mbale zaphikidwa zophika (zophika), mutha kuphika, koma kukazinga sikuphatikizidwa.

Popeza ma acetone okwera mumkodzo amaphatikizidwanso ndi kuperewera kwamafuta komanso kugwiritsa ntchito zakudya zamafuta, mkaka wotsika wamafuta ndi nyama ziyenera kupezeka mu chakudya. Sizovomerezeka kudya zakudya zokazinga, msuzi wamafuta onenepa, kirimu wowawasa, nyama zosuta, komanso zakudya zam'chitini.

Maonekedwe a acetone mu mkodzo ndi wa mimba zimachitika pafupipafupi, kotero mkazi amaperekedwa nthawi zonse kuti akayesedwe mkodzo matupi a ketone. Zomwe zimayambitsa acetone yowonjezereka panthawi yapakati ikhoza kukhala matenda ena kapena kusowa kwa zakudya m'thupi. Koma nthawi zambiri - mawonekedwe owopsa toxicosis ndi kusanza ndi kusowa kudya. Kusanza kutayika, madzi ndi ma electrolyte amatayika, ndipo panthawi yanjala, mapuloteni ndi mafuta amaphatikizidwa ndi metabolism, zinthu zowola zomwe ndi matupi a ketone (acetone) omwe amapezeka mumkodzo. Zakudya zoperewera, zomwe zimagwiritsa ntchito zakudya zamafuta ndi nyama yambiri, zimatha kuyambitsa ma acetone mkodzo. Tiyenera kudziwa kuti "kukonda" kwambiri kwa maswiti amathanso kutsagana ndi kuphwanya kotere.

Ndi acetone mu mkodzo wa amayi apakati omwe amagwirizana ndi toxicosis, njira yokhazikika imayamwa - kugwiritsa ntchito mchere wamchere wamchere (Borjomi) yaying'ono, kuti musayambitse kusanza. Muyenera kumwa mpaka malita 1.5 amadzi tsiku lililonse. Ndi kutha kwa mseru ndi kusanza, muyenera kuyamba kudya magawo ang'onoang'ono a saladi, zipatso, supu zamasamba, timadziti, chimanga. Sizikulimbikitsidwa kufa ndi njala, zomwe zingayambenso kuvuta.

Ngati m'magawo oyambilira mawonekedwe a mkodzo wa acetone mwa amayi apakati atha kukhala chifukwa cha toxicosis, ndiye kuti m'magawo apambuyo, mutha kuganiza za kukhalapo kwa matenda ashuga. Ndipo izi zikutanthauza kuti mzimayi azisanthula bwino kwambiri ndi endocrinologist.

Kodi ndimayani omwe amayambitsa acetonemic syndrome mwa ana?

Acetonemic syndrome mwa ana imawonekera, monga lamulo, asanakwanitse zaka 5. Matenda amadzachitika motsutsana ndi maziko a kagayidwe kachakudya mthupimakamaka ndi shuga osakwanira.

Chifukwa cha kuphwanya kotero, matupi a ketone amayamba kudziunjikira m'thupi la mwana. Ngati chiwerengero chawo Kuchuluka kwambiri kuposa masiku onse, wodwala yaying'ono ali ndi zizindikiro zosasangalatsa, monga mseru, kusanza pafupipafupi, kufooka.

Ngati mu nthawi kuti muchepetse zomwe zimayambitsa matendawa, izi palibe chowopsa, ndipo, posachedwa, mkhalidwe wa mwana wabwinobwino.

Komabe, nthawi yayitali ya matendawa imatha kubweretsa zovuta zazikulu za metabolic, matenda a ziwalo zamkati, thanzi loipa, kuwonongeka konsekonse kwa thanzi, kufooka.

At chakudya kagayidwe kachakudya thupi limachepetsa mphamvu ya shuga, chinthu chomwe thupi limalandira mphamvu zomwe limafunikira.

Potere, thupi limayamba kupanga mphamvu kuchokera kuzosungiramo zina zomwe sizinapangidwire izi.

Choyang'aniridwa makamaka chiwindi. Ziwalozi zimakhala ndi glycogen, pomwe glucose amapangidwa nthawi zina.

Masheya a glycogen m'chiwindi ndi ochepa kwambiri, ndipo njira yogawanika imachitika kwakanthawi kochepa. Zotsatira zake, njira za metabolic mu chiwindi zimasokonekera, magwiridwe antchito amtunduwu amachepa.

Pambuyo poti glycogen itatha, thupi limayamba kugwira ntchito ya lipolysis, ndiye kuti, kuwonongeka kwa mafuta, komwe thupi limatulutsa mphamvu zomwe zimafunikira. Zotsatira zamachitidwe awa, osati mphamvu zokha zomwe zimapangidwa, komanso chochokera ndi ketoneomwe amalowa m'magazi.

Ketone ndi chinthu chovulaza thupi, chomwe, chochepa, sichimabweretsa zotsatira zoyipa, chifukwa chimatsitsidwa mthupi ndi impso. Ngati zomwe zili m'matumbo a ketone zimachuluka, izi zimatha kusokoneza thanzi la mwana.

Matupi a Ketone samapezeka mwa akhanda, chifukwa thupi lake limakhala ndi ma enzymes apadera chifukwa cha kuwonongeka kwawo. Komabe pofika miyezi 10, kuchuluka kwa ma enzymes amenewa kumachepetsedwaZotsatira zake, matupi a ketone, pamaso pazinthu zina, amatha kudziunjikira.

Pali mitundu iwiri ya matendawa: yoyamba (imayamba ngati njira yodziyimira payokha), ndipo yachiwiri (imachitika motsutsana ndi maziko a matenda ena). Primary acetonemia amapezeka mwa ana a zaka 1 mpaka 13, omwe ali ndi vuto lililonse.

Njira yachiwiri ya matenda amapezeka motsutsana ndi maziko a matenda a endocrine, matenda a chiwindi, concussion, kapena khansa. Kukula kwa matenda amtunduwu zingayambitse kuperewera kwa zakudya m'thupi (makamaka, kusala, kudya zakudya zosavomerezeka), matenda am'mimba.

Kodi asphyxia ndi chiyani mwa mwana wakhanda ndipo zotsatira zake ndi chiyani? Pezani yankho pompano.

Pofuna kuchiza matenda am'mimba, ndikofunikira kudziwa bwino zomwe zimayambitsa kukula.

Zina mwazinthu zoyipa ndi izi:

1. Kuperewera kwa glycogen m'chiwindi. Vutoli limachitika makamaka mwa ana aang'ono (opitilira miyezi 10) omwe amayamwa. Mu chiwindi cha mwana wocheperako, glycogen samadzikundikira, ndipo akapatsidwa chakudya mwanjira, mwana salandira mavitamini okwanira ndi zinthu zina zofunika kuzitsatira.
2. Kuperewera kwa zakudya m'thupimakamaka, kudya kwambiri zakudya zamafuta ndi mapuloteni. Mukugaya, mapuloteni ndi mafuta amawonongeka, pakachitika izi kuchuluka kwa matupi a ketone amalowa m'magazi, omwe, pakakhala zinthu zosagwirizana, amatha kudziunjikira.
3. Kuchita masewera olimbitsa thupi mopitirira maliremomwe thupi limafunikira mphamvu zambiri kuposa pakupuma. Zotsatira zake, thupi limachotsera mphamvu izi m'mafuta, zomwe zimatsogolera pakupanga ma ketones.
4. Zakudya zolimba, kusala kudya. Mfundo zoyenera kuchita ndizofanana: kuchuluka kwa michere sikulowa mthupi, zomwe zimachitika pakuwonongeka kwa mafuta zimayambira, ndipo, chifukwa chake, mapangidwe a matupi a ketone.
5. Matenda a kapambazimakhudzana ndi kusokonezeka kwa metabolic m'thupi.

Kutengera zifukwa izi, titha kunena kuti ana azaka zapakati pa 1-3, akuvutika ndi matenda a ziwalo zamkati, kapena omwe amapanikizika zolimbitsa thupi kawirikawiri amakhala pachiwopsezo.

Chofunika kwambiri ndi mtundu wa chakudya, komanso chakudya chambiri.

Malangizo aukonzi

Pali malingaliro angapo onena za kuopsa kochapa zodzola. Tsoka ilo, si amayi onse omwe angobwera kumene amawamvetsera. Mu 97% ya shampoos ya ana, mankhwala oopsa Sodium Lauryl Sulfate (SLS) kapena analogies ake amagwiritsidwa ntchito. Zolemba zambiri zalembedwa zokhudza zomwe zimapangidwira pakukhudzidwa kwa ana ndi akulu omwe. Potipempha owerenga athu, tayesa mitundu yotchuka kwambiri. Zotsatira zake zinali zokhumudwitsa - makampani otsatsa malonda kwambiri adawonetsa kupezeka kwa zinthu zoopsa kwambiri. Pofuna kuti tisaphwanye ufulu wokhala wopanga, sitingatchule dzina la mtundu. Mulsan cosmetic, kampani yokhayo yomwe imadutsa mayeso onse, idalandila bwino mfundo 10 kuchokera pa 10. Chopangidwa chilichonse chimapangidwa kuchokera ku zosakaniza zachilengedwe, zotetezeka kwathunthu komanso hypoallergenic. Tsimikizani motsimikiza pa malo ogulitsa pa intaneti mulsan.ru. Ngati mukukayikira kuti zodzoladzola zanu ndizachilengedwe, onani nthawi yomwe zimatha, siziyenera kupitirira miyezi 10. Sankhani zodzola mosamala, izi ndizofunikira kwa inu ndi mwana wanu.

Amadziwika kuti thupi laumunthu limafunikira mphamvu. Amachipeza pogawa michere (mafuta, mapuloteni, chakudya) omwe amabwera ndi chakudya.

Chifukwa cha kusweka uku, glucose amapangika m'thupi, amene amadziunjikira m'chiwindi ngati chinthu - glycogen. Ndikofunika kukumbukira kuti malo ogulitsira a glycogen m'chiwindi ndi ochepa kwambiri, ndipo amatha kuwonongeka kwakanthawi kochepa.

Pakachitika kuti michere yokwanira ilowa m'thupi, imayamba kugwiritsa ntchito ndalama zomwe zimapangidwa kale, glycogen yoyamba, kenako mafuta, kuti ipeze mphamvu. Zotsatira zakusokonekera kwa mafuta, ma acid amapangidwa m'thupi.

Amalowa m'chiwindi, kumene kusinthidwa matupi a ketone. Popita nthawi, matupi a ketone amasinthidwa kukhala zinthu zapadera za poizoni (beta-hydroxybutyric acid, acetoacetic acid, acetone).

Kuphatikiza apo, zinthuzi zomwe zimakhala ndi magazi zimayenda mthupi lonse, kuphatikiza zomwe zimalowa mu ubongo. Ndipo ngati zili za ma keto acid ndizambiri, izi zimatha kuledzera thupi, zimapangitsa kusanza pafupipafupi komanso kusanza kwambiri.

Pakakhala chithandizo choyenera, zovuta zazikulu zimatheka, zimawonetsedwa, makamaka, pakusokoneza kosagwira ntchito kwa ziwalo zamkati zomwe zimayambitsidwa chifukwa cha kuledzera kwa nthawi yayitali.

Kodi acetonemia amawonetsedwa bwanji? Matendawa ali ndi zizindikiro zingapo zamankhwala. Izi zikuphatikiza:

• khungu lowuma. Kusanza kwambiri kumabweretsa kuperewera kwa madzi m'thupi, kuphwanya njira za kagayidwe kachakudya chifukwa khungu limatayika chinyezi.
• panthawi yamavuto imawonedwa kukulitsa chiwindi. Chizindikiro ichi chikupitilira sabata yatha kusiya kuukiridwa,
• Chifukwa cha kuledzera kwa thupi kosakhalitsa kumawonedwa kuwonongeka kwakukulu kwa mwanakufooka, ulesi. Woopsa kwambiri, ulesi ungatheke,
• matenda a mtima kuwonetsedwa mawonekedwe a arrhythmias, tachycardia, kuchuluka kwa magazi,
• kusanza pafupipafupi komanso kwadzaonenikudya kwakachepa, kusowa kwa tulo, mawonekedwe a ululu m'mimba,
• zolimbitsa malungo thupi
• mwachindunji fungo la acetone
• mayeso a labotale akuwonetsa kuti alibe chidwi kuchuluka kwa ESR, zomwe zimakhala za neutrophils ndi leukocytes zimachulukirapo (nthawi zina, zizindikirozi zimakhalabe zachilendo). Mkulu wa glucose, m'malo mwake, akuchepa.

Werengani za momwe mungathandizire ana asthenic syndrome pambuyo pa matenda.

Njira yofunika yodziwitsira matenda ndi kuwunika kwa matenda omwe ali ndi matenda. Chifukwa chake titha kulankhula za kukhalapo kwa acetonemia pamene

• kusanza kumachitika mobwerezabwereza,
• Ziwopsezo zakhala nthawi yayitali,
• kubwereza kangapo pa sabata,
• kusinthana ndi nthawi zakhululukidwa, wodwalayo akamva bwino,
• Zowukira zili ndi njira yofananira (wodwala aliyense),
• nyamuka ndi kufa mwachangu.

Kuti mudziwe bwino, mayeso angapo a labotale ndi ofunika:

1. Kuyesa kwa magazi (zochulukitsa zizindikiro za glucose, leukocytes, neutrophils, komanso ESR akuyerekezedwa).
2. Urinalysis kudziwa kuchuluka kwa matupi a ketone (kuchuluka kwake kukuwonetsedwa ndi chizindikiro +, zizindikiro zingasiyane +++++).
3. Kafukufuku wa Electrolyte kudziwa kuchuluka kwa madzi m'thupi, kudziwa mtundu wamadzi (amchere kapena wopanda mchere) omwe amataya.

Njira zochizira zothetsera zomwe zimayambitsa ndi zizindikiro za acetonemia zimagawidwa m'magawo awiri: mpumulo wa vuto la acetonemic (ikuchitika pakukomoka) ndipo mankhwala pakati kuukira.

Kusanza kwambiri kumabweretsa zotsatirapo zoyipa zomwe zimakhudzana ndi kusokonezeka kwa metabolic, kuchepa kwamadzi, komwe kumakhudza kwambiri mbali zonse za ziwalo ndi machitidwe a mwana. Chifukwa chake, kusanza kuyenera kupewedwa ndikuponderezedwa.

Pakukomoka, ndikofunikira kuonetsetsa kuti mwana amamwa madzi okwanira, omwe amalola bwezeretsani madzi moyenera chamoyo, chotsani poizoni ndi poizoni.

Ndikofunika kumwa pafupipafupi, koma pang'ono, kuti tisayambitse kusanza.

Njira yothetsera vutoli imakhala yoyenera kufotokozera Rehydron, tiyi azitsamba, zakumwa za zipatso za Vitamini, michere akadali madzi.

Wodwala m'chipatala amatchulidwa kuti alowetse mankhwala (kuyambitsa njira pogwiritsa ntchito dontho). Kulowetsedwa mankhwala Cholinga cha:

1. Kuthetsa kusowa kwamadzi mu thupi, kupatsanso mpweya, kusintha njira za kagayidwe kazinthu komanso kuyimitsidwa.
2. Kubwezeretsa asidi wabwinobwino - maziko olimbitsa thupi.
3. Kupereka thupi ndi chakudya chamagetsi kuti muzikhala wamphamvu.

Kusintha mkhalidwe wa mwana Chotsani zomwe zimayambitsa matendawa mwana amafunikira:

1. Tengani kukonzekera kwa enzyme komwe kumakongoletsa njira yokumba, kubwezeretsanso kagayidwe kake.
2. Kutsatira zakudya.
3. Kulandila kwa ma antiviral mankhwala osokoneza bongo komanso maantibayotiki (omwe amachitidwa mosamalitsa monga adanenera dokotala).
4. Kutenga ma pinkiller (ngati wodwalayo amadandaula za kupweteka kwam'mimba).
5. Kuyeretsa enemas pakuchotsa thupi.

Phunzirani zamawu ndi chithandizo cha nyamakazi mwa ana kuchokera m'nkhaniyi.

Chimodzi mwazifukwa zakukula kwa acetonemia ndi kuperewera kwa zakudya m'thupi.

Chifukwa chake, munthawi yamankhwala, komanso kupewa kupewa kuyambanso, mwana ayenera kutsatira zakudya zapadera.

Makamaka, zakudya zomwe zimakhala zoteteza, mafuta ambiri. Muyenera kusiya kugwiritsa ntchito sopo wokoma, tchipisi, zakudya zopezeka mwachangu. Ndikulimbikitsidwa kuchepetsa kudya kwa nyama yokazinga.

Zakudya pa mankhwala kumatenga pafupifupi milungu iwiri. Nthawi yoyamba pambuyo povutitsidwa, ndikofunikira kuti muphatikize mwana pazosankha phala la mpunga, msuzi wamasamba, mbatata yosenda.

Ngati kuukira sikuyambiranso pakudya kwa masiku angapo, menyu akhoza kukhala osiyanasiyana, kuphatikiza nyama yankhuku yophika (wopanda peel), masamba osaphika, masamba. Mkate umadyedwa bwino mu mawonekedwe owuma.

Popita nthawi, ngati zizindikiro za nthendayi sizibwerera, mutha kupatsa mwana wanu phala lalikulu la nsomba, nsomba zamafuta ochepa, mankhwala amkaka.

Acetonemia imawerengedwa kuti ndi yoyipa kwambiri m'thupi la mwana, kusokoneza kukula kwake komanso kukula. Zomwe zimayambitsa matendawa zimakhudza kwambiri moyo wa wodwala pang'ono, zimapangitsa kuti moyo ubwerere, kulumala.

Chifukwa chake ndikofunikira kwambiri kuti muchepetse kukula kwa zizindikiro zosasangalatsa izi. Komanso, sizovuta kuchita izi. Ndikofunikira kusamalira thanzi la mwana, zakudya zake zoyenera, kutsatira mfundo za moyo wathanzi.

Mutha kuphunzira za momwe mungadziwire matenda a acetonemic mwa mwana kuchokera pa kanema:

Tikukupemphani kuti musadzilimbikitse. Lowani kwa dokotala!

1. 
   Onipko, V.D. Buku la odwala matenda a shuga mellitus / V.D. Onipko. - Moscow: Nyali, 2001 .-- 192 p.
2. 
   Knyazev Yu.A., Nikberg I.I. Matenda a shuga. Moscow, yosindikiza nyumba "Mankhwala" 1989, masamba 143, kufalitsa makope 200,000.
3. 
   Balabolkin M. I., Lukyanchikov V. S. Clinic ndi chithandizo chazovuta za endocrinology, Zdorov'ya - M., 2011. - 150 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Kuzindikira ndi kuchiza matenda acetonemic syndrome ana.

Nthawi zambiri makolo okhala ndi nkhawa, kuyimbira dokotala kunyumba, amalankhula zakuti mwana wathanzi kwathunthu kusanza kwambiri kunachitika mwadzidzidzi usiku kapena m'mawa. Ndipo wodwala pang'ono yekha ndi wofooka, wowopsa ndipo safuna kudya. Nthawi zambiri zinthu ngati izi zimalakwika chifukwa cha matenda am'mimba, kutumiza mwana kuchipatala cha matenda opatsirana. Ndipo mwadzidzidzi, pakuwunika mkodzo, acetone wapezeka. Ndipo adotolo amauza makolo omwe adadandaula kuti mwana ali ndi "acetonemic syndrome."

Tiyeni tiwone momwe ziliri vuto, momwe mungakhalire kwa makolo, zomwe mungachite ndi momwe mungapewere mobwerezabwereza.

Acetonemic syndrome ndi mkhalidwe womwe umachitika pamene njira za metabolic m'thupi zimasweka, zinyenyeswazi, mtundu wa kusagwira bwino mu njira ya metabolic. Pankhaniyi, palibe kusokonezeka kwa ziwalo, zovuta m'magulu awo sizipezeka, zimangogwira ntchito, mwachitsanzo, kapamba ndi chiwindi sizimayendetsedwa. Matendawa pawokha ndi amodzi mwa mawonetseredwe a neuro-arthritic anomaly a lamulo (neuro-arthritic diathesis ndi dzina lakale lofanana lomweli). Izi ndi zina mwa machitidwe a mwana limodzi ndi ziwalo zamkati ndi zamanjenje za mwana.

Acetonemic syndrome m'mabuku osiyanasiyana imatha kutchedwa mwanjira ina matenda a cyclic acetonemic kusanza, nondiabetesic ketosis, nondiabetesic ketoacidosis, kusanza kwa acetoneemic - izi zonse ndizofanana zomwezo. Kungoti madokotala ena adayika dzina lodziwikiratu kukhala chisonyezo chachikulu mu chithunzi cha matenda - kusanza, pomwe ena - omwe adachititsa - acetone. Chifukwa chake, chisokonezo pang'ono chitha kubuka.

Kukhalapo kwa chizindikiritso chotere mu kadi kungadabwitse makolo. Koma simukuyenera kuchita mantha nthawi yomweyo - kwenikweni, zimatha kuchitika ndipo, pogwiritsa ntchito njira zoyenera za makolo, mutha kuthandizidwa mwachangu, ndipo mukamatsatira malamulo osavuta, mutha kuletsa kuzunzidwa kwathunthu. Pafupifupi chilichonse mwatsatanetsatane.

Chifukwa chiyani kuukira kumachitika?

Kuti mumvetsetse komwe ma acetone amachokera mthupi, muyenera kupenda pang'ono pofotokoza matendawo omwewo ndikumapita kwakanthawi kochepa mu thupi la zakudya. Ziwalo zathu zonse ndi minyewa zimafuna mphamvu kuti zikule komanso kugwira ntchito bwino. Nthawi zambiri, kwa maselo a pafupifupi ziwalo zonse ndi minyewa, gwero lamphamvu lamphamvu ndi chakudya, kapena glucose. Thupi limazipeza kuchokera ku chakudya chonse chomwe chimabwera ndi chakudya - wowuma, sucrose, shuga ya zipatso ndi ena. Komabe, kupsinjika, m'malo a njala, matenda, ndi zina, chakudya chokha, monga othandizira shuga, chimakhala chosakwanira. Kenako thupi limayamba kulandira glucose kudzera pakusintha kwa metabolic kuchokera m'mafuta. Ndipo m'malo ovuta kwambiri, masitolo amafuta akatha, mapuloteni amayamba kudyedwa (mwa ana, mpaka chisangalalo chachikulu, izi zimachitika kawirikawiri, pamavuto oopsa).

Chabwino komanso chabwino, mukuti. Ngati pali china chomwe chitha kusintha kusowa kwa chakudya, ndiye kusiyana kwake? Ndipo kusiyana kwake kuli ndendende chifukwa chakuti chakudya chamafuta chimapangidwa mwachindunji kukhala ogulitsa shuga - amawonongeka pokhapokha ngati pali shuga ndipo nthawi zina madzi. Koma mu kapangidwe ka shuga kuchokera kwa mafuta, michere yapakatikati ndi zopangidwa zimapangidwa - otchedwa ketone matupi, omwe amaphatikizapo acetone, acetoacetic acid ndi β-hydroxybutyric acid. Mitundu yochepa ya ketone imapangidwa ndimikhalidwe yokhazikika, imapereka mphamvu ku ubongo ndi minyewa yamitsempha, koma pazinthu za chitukuko cha acetonemic syndrome, kuphatikizira kwawo kumawonjezeka kuchoka kuzungulira kwazonse.

Asayansi akukhulupirira kuti chomwe chimayambitsa kukula kwa acetone syndrome ndi kusagwira bwino ntchito kwa magawo ena a ubongo - hypothalamus ndi pituitary gland, yomwe imayang'anira dongosolo la endocrine, makamaka ka metabolism oyenera a chakudya ndi mafuta. Pali zifukwa zambiri; izi ndi njira za kubereka komanso kubereka mwana, pomwe mwana wosabadwayo ndi minyewa yake ya m'mimba imakhala yoperewera mu okosijeni, komanso zinthu zomwe zimabweretsa chibadwa chathu, komanso kusokonezeka kwa kagayidwe kachakudya m'thupi ndi zinyenyeswazi, kupsinjika, matenda, ndi zina.

Mkhalidwe uliwonse womwe umapangitsa kukhazikika kwa kusanza ndi kupsinjika kwa thupi la nandolo. Ndipo popsinjika, mahomoni ambiri amayamba kubisidwa (mwachitsanzo, glucagon, adrenaline ndi ena), omwe amachititsa kuti mafuta azikhala ndi mafuta ochepa, ndipo malo omwe amakhala nawo ndi ochepa. Imawagwira kwa maola angapo, ikangogwiritsidwa ntchito, pamakhala kusinthana kwa mafuta kuti ikwaniritse zosowa za thupi. Ndipo pali matupi ambiri a ketone m'thupi, alibe nthawi yoti awotchedwe ndi mitsempha, ayambe kudziunjikira m'thupi la mwana, kulowa m'magazi, amatengedwa kudutsa thupi lonse, ndikupereka mankhwala oopsa pamitsempha yamkati, minyewa ya impso, kapamba, chiwindi ndi ziwalo zina. Zachidziwikire, thupi likuyesera kumenya nkhondo, ndikuchotsa ma ketoni mwamphamvu ndi mkodzo ndi masanzi, ndi mpweya womwe watha ndipo ngakhale khungu. Ichi ndichifukwa chake komwe mwana wodwala ali, fungo lodziwika bwino la acetone limamveka, monga momwe madotolo amanenera, kununkhira ngati "chipatso chakupsa."

Ma ketones amayambitsa zovuta mu thupi la mwana - zomwe zimadziwika kuti metabolic acidosis zimachitika, ndiye kuti, acidization ya mkati mwa thupi. Zomwe zimayambitsa kusagwira bwino ntchito kwa ziwalo zonse. Pofuna kuthandizira mwanjira inayake, thupi limapumira mofulumira, magazi amayenda kumapapu. Koma kwa ziwalo zina ndi ubongo, kukoka kumachepa. Ma ketones amagwira mwachindunji minyewa yaubongo, zomwe zimayambitsa kufanana ndi narcotic, mpaka kukomoka. Chifukwa chake, ana amakhala owopsa, oletsedwa. Ndipo kupatsidwa kuti acetone ndizosungunulira bwino, kumaphwanya umphumphu wamafuta am'maselo a thupi. Chifukwa chakukwiyitsa mucous membrane wam'mimba ndi matumbo okhala ndi matupi a ketone, kupweteka m'mimba ndi kusanza kumachitika.

Kodi mungayembekezere kuukiridwa?

Nthawi zambiri, ana amakhala ndi vuto la acetonemic syndrome; zaka zambiri, kukomoka kumafika pachimake ndipo nthawi zambiri zimatha pofika kutha msinkhu.

Pulogalamu ya pulayimale ya acetonemic imadziwika mu 4-6% ya ana azaka 1 mpaka nthawi zambiri amalembedwa mwa atsikana. Kuphatikiza apo, theka la odwala ang'onoang'ono omwe ali ndi izi amafunikira kuchipatala ndi madzi amkati.

Munthawi yovomerezeka, thupi la mwana lomwe limadwala matenda amitsempha yamagetsi limagwira ntchito chimodzimodzi ndi ana ena, koma zomwe zimasungidwa mthupi mwa ana ndizochepa. Chifukwa chake, zochitika zazing'onozing'ono kwa ana wamba zimatha kuyambitsa kuukira - hypothermia, kupsinjika, zolakwika zopatsa thanzi ndi zina zambiri.

Ngati dokotala amafunsa amayi ake mosamala, mutha kudziwa kuti ana awa anali ndi mavuto obadwa nawo, kuwonongeka kwa ubongo kwakanthawi, ndipo madokotala ena amawona kuti ndi mtundu wa kuwonetsa kwa migraines. Nthawi zina kusanza kwa acetonemic kumayamba ndi matenda opatsirana pachimake, matenda am'matumbo, bronchitis ndi chibayo.

Nthawi zambiri, kuukira kumayambitsidwa ndi zolakwika mu zakudya. Inde, ndizovuta kwambiri kufotokozera zinyenyeswazi chifukwa chake munthu sangadye zakudya zina. Chifukwa chake, amayi nthawi zambiri amayang'anira zakudya zawo, osazolowera mwana zomwe zingakhale zowopsa kwa iwo. Mavuto nthawi zambiri amabwera alendo, malo ogulitsa kapena mwana akamadyetsedwa ndi agogo omwe amakhulupirira kuti amadziwa bwino zomwe mdzukulu wawo wokondedwa angachite. Kufikira zaka zakubadwa, kuthekera kwa kuyamwa kwamafuta kumachepetsedwa kwambiri, ndipo kudya mopambanitsa ndi zakudya zamafuta - mafuta, zonona wowawasa, batala, zikondamoyo zamafuta ndi ma pie, cutlets yokazinga - zimayambitsa kulanda.

Ngakhale mwachilungamo, tikuwona kuti simukufunika kuthamangira mopitilira muyeso - kusanza kwa acetonemic kumatha kuchitika ndi choletsa kwambiri zakudya. Ngati kudya kwa michere sikuchitika pafupipafupi kapena kuchepa kwambiri, thupi liyamba kugwiritsa ntchito mafuta ake, ndikuwonjezereka kwa mafuta, monga tapeza, zimangobweretsa kuchuluka kwa ma ketones. Chifukwa chake, makolo okondedwa, ngati mwana wanu ali wonenepa kwambiri, simuyenera kumamuwonjezera masiku osala kapena kuvala zakudya, komanso kwambiri kuti musafe ndi njala. Dokotala amayenera kutengapo gawo pakuchepetsa thupi kwa mwana woyang'aniridwa ndi mayeso!

Pezani ndikusintha

Matendawa amadziwika ndi kupezeka kwa mawonekedwe ena - maulendo obwereza, osasangalatsa, omwe amabwerezedwanso ngakhale poyesa kumwa mwana. Nthawi yomweyo, zizindikiro za kusowa madzi m'thupi ndi kuledzera zimadziwika - pallor yokhala ndi blashi yowoneka bwino pamasaya, kuchepa kwa minofu kamvekedwe, poyamba chisangalalo, chomwe chimasinthidwa ndi kugona, kufooka, khungu louma komanso mucous membrane. Nthawi zambiri pamakhala kutentha kwa 38,5 ° C, kuchokera kwa mwana ndi matumbo ake ndikusanza, fungo la acetone, loonda, kapena "zipatso zakupsa" limamveka bwino.

Tidziwa kale kuti kuukira sikuchitika motere, kuyambira pachiwopsezo. Kumbukirani mwatsatanetsatane - zomwe mwanayo adadya ndi zomwe adachita, ngati pali zizindikiro za chimfine. Nthawi zambiri, kuukiraku kusanachitike, mutha kudziwa zomwe zimachitika musanayambike mavuto - mawonekedwe osinthika kwambiri, misozi, kukana kudya, madandaulo amutu. Nthawi zambiri mavuto amatsatiridwa ndi zizindikiro za dyspeptic ndi kupweteka kwam'mimba. Ndipo nthawi zina ngakhale isanayambike kuwukira kwa mwana, mutha kugwira fungo "lachilendo" kuchokera mkamwa ndipo kukhalapo kwa acetone mumkodzo kumatsimikiziridwa. Makolo ozindikira, podziwa zizindikirozi, amatha kupewa kuwonongeka kwa mkhalidwe wa mwana ndikuchepetsa kwambiri kuchuluka kwa kugwidwa.

Zachidziwikire, ngati mukukayikira, pankhani ya madandaulo ofanana, komanso ngati ndinu makolo odziwa zambiri, ndipo vuto la mwana si loyamba, muyenera kuyimbira foni dokotala kunyumba. Vutoli limafanana ndi matenda ena. Chifukwa chake, pakuzindikira koyenera, dokotala adzadalira zizindikiro zina zamankhwala, zomwe zitha kukhala zonse kapena kupatula chimodzi kapena ziwiri.Kuphatikiza apo, mavuto amatha nthawi iliyonse kukhala ovuta, ndipo mwina mankhwala ena amafunikira.

Adokotala asanafike, nthawi yomweyo mupeze madzi ambiri - nthawi zambiri amakhala ofunda, tiyi wamphamvu ndi shuga, koma muyenera kumamwa pang'ono pang'onopang'ono, pang'onopang'ono. Kumwa msanga komanso madzi ambiri kumatha kusanza, pomwe madzi ofunda amasokoneza madzi osowa. Ngati mwana akufuna, mutha kupatsa ufa kapena mkate wa mkate yoyera ndi tiyi. Koma ngati safuna, sayenera kukakamizidwa. Mutha kuwotcha ndi kulowetsedwa kwazitsamba ndi oregano kapena timbewu tambiri, mumatha kumwa madzi amchere amchere monga Essentuki-4, Shadrinskaya, Uralochka, koma osakhala ndi mpweya nthawi zonse. Khungu lomwe limadya nthawi ya nkhondoyi nthawi zambiri limakhala loipa, koma ngati simukufuna chakudya, mupatseni uchi, msuzi wa uchi, mbatata yosenda popanda batala, kefir wopanda mafuta.

Nthawi zambiri, mawonetseredwe a acetonemic syndrome mu njira yakuwopseza kusanza kwa mwana kuyambira masiku 5, kuchuluka kwa kutulutsa kwake kumadalira mkhalidwe wa thanzi la mwana, kutsata kwa makolo pakudya ndi njira ya mwana. Kusintha kungakhale osakwatiwa, koma nthawi zambiri kumachitika kangapo, musanafike tsiku.

Kuzindikira matendawa

Nawonso makolo amatha kuchita zinthu zodziwikitsa mwachangu kuti adziwe zamkodzo mu mkodzo - timizere tapadera tomwe timagulitsidwa ku pharmacy titha kuthandiza. Afunika kutsitsidwa mu gawo la mkodzo ndipo, kugwiritsa ntchito mwapadera, kudziwa mtundu wa acetone. Mu labotore, pakusanthula kwamkodzo matenda, kupezeka kwa ma ketoni kumatsimikizika kuchokera "kuphatikiza" (+) mpaka "ma ploses anayi" (++++). Kuukira kochepa - mulingo wa ma ketones ku + kapena ++, ndiye kuti mwana amatha kuthandizidwa kunyumba. "Ma pluses atatu" amafanana ndi kuchuluka kwa matupi a ketone m'mwazi ndi 400, ndipo kanayi - 600. Muzochitika izi, kugonekedwa kuchipatala kumafunikira - kuchuluka kwa acetone kumakhala koopsa pakupanga chikomokere ndi kuwonongeka kwa ubongo.

Dokotala amayenera kudziwa mtundu wa matenda acetone: kaya ndi pulayimale kapena yachiwiri - yopangidwa mwachitsanzo, ngati zovuta za matenda ashuga.

Pa mgwirizano wapadziko lonse wa ana mu 1994, madokotala adatsimikiza njira zapadera zothandizira kudziwa matendawa, amagawidwa pawiri komanso zowonjezera.

• kusanza kumachitika mobwerezabwereza, m'njira zosiyanasiyana,
• pakati povulaza pamakhala magwiridwe abwinobwino a mwana,
• kutalika kwa zovuta kumayambira maola angapo mpaka
• zotsatira zoyipa zasayansi, radiology ndi endoscopic zotsatira zotsimikizira chomwe chimayambitsa kusanza, monga chiwonetsero cha matenda am'mimba.

Njira zina zikuphatikiza:

• magawo a kusanza ali ndi chikhalidwe komanso kusokonekera, ma episode amtsogolo ndi ofanana ndi am'mbuyomu munthawi, kulimba komanso kutalika, ndipo kuukira kwawo kumatha kutha zokha.
• kusanza kumayendetsedwa ndi nseru, kupweteka m'mimba, kupweteka mutu, kufooka ndi ulesi wa mwana.

Matendawa amapangidwanso kupatula matenda ashuga a ketoacidosis (zovuta za matenda ashuga), matenda am'mimba owopsa a m'mimba - peritonitis, appendicitis. Neurosological pathology (meningitis, encephalitis, matenda am'mimba), matenda opatsirana ndi poizoni nawonso samayikidwa.

Kodi acetonemic syndrome imathandizidwa bwanji?

Pali njira ziwiri za mankhwalawa - uwu ndi chithandizo cha kukomoka iwo eni komanso kuchiza kwakanthawi, komwe cholinga chake ndi kuchepetsa kuchuluka kwa kukokomeza.

Chifukwa chake, timachapa matenda. Njira zochizira matendawa zimatengera kuchuluka kwa ziphuphu zakumaso mu mkodzo - ngati vutoli limafinya mkodzo ndi "+" kapena "++„) adokotala amamuthandiza mwanayo kunyumba mothandizidwa ndi makolo ake. M'mikhalidwe yovuta kwambiri, mwana amalimbikitsidwa kuti agonekere kuchipatala.

Maziko a chithandizo cha kusanza kwa acetonemic ndi: kukonza kwamadzimadzi am'mimba chifukwa cha kusanza, kupewa mankhwalawa a m'matumbo a ziwalo zamanjenje ndi masisitimu amanjenje, kumasuka kuukira ndikusanza, kusintha zakudya ndi zina zokhudzana ndi izi.

Kukonzanso zakudya kumapatsa mwana aliyense masanzi. Chakudya chizikhala ndi chakudya chamafuta ambiri, chimayenera kukhala ndi madzi ambiri, ndipo mafuta amakhala ochepa.Ngakhale ndi zisonyezo zoyambirira za zovuta, muyenera kuyambitsa kugulitsa mwana - madzi aliwonse ayenera kuperekedwa pang'ono, 3-5-10 ml iliyonse kuti musayambitse kusanza. Ndikofunika kumamwa madzi amchere a alkaline opanda mpweya, koma ngati sanayandikire, mutha kupatsa mwana wanu tiyi wokoma.

Patsiku loyamba, chidwi cha mwana chichepetsedwa kwambiri, ngati sakupempha chakudya, osakakamiza kudya, ndipo tsiku lotsatira yesani kupereka mosamala mabisiketi, mabisiketi, phala la mpunga m'madzi kapena theka la mkaka, msuzi wamasamba - komabe, kuwonongeka kuyenera kukhala kochepa, zophatikizira pakati pawo zimayenera kuchepetsedwa. Ngati mwana akadali woyamwitsa, ndiye kuti muwayamwitsa. Ndi kulekerera bwino kwa zinthu zoyambirira, mutha kukulitsa menyu - perekani buckwheat, oatmeal kapena phala la tirigu, cutlets za nthunzi, nsomba.

Kuti mupewe kuukira, muyenera kutsatira malangizo ena azakudya - simungadyetse mwana wanu ndi nkhuku, nyama yamwana wamkaka, nyama yankhumba, zakudya zamafuta, msuzi wamphamvu, katundu wam'chitini ndi nyama yofuka. Ndikofunikira kuchepetsa kumwa nyemba, sorelo, tomato - mwatsopano ndi zamzitini, tiyi wamphamvu, khofi, chokoleti ndi maswiti. Makonda pazakudya ziyenera kuperekedwa kwa zinthu zamkaka, mazira, mbatata, masamba, zipatso, mbewu za chimanga.

Nkhondo yolimbana ndi kusowa kwamadzi ndi toxicosis imachitika mokwanira. Mu magawo oyamba komanso mofatsa kufikira maphunziridwe oyenera (acetone mu mkodzo kuti "++"), mutha kudziwonetsa nokha pakufotokozera ndi malingaliro osavuta.

Pa gawo loyamba, kuyeretsa kwamatumbo ndi enema yokhala ndi njira ya alkaline kumalimbikitsidwa, nthawi zambiri supuni ya supuni ya kapu mu kapu yamadzi ofunda. Kuphatikiza pa kuchotsedwa mwachindunji kwa zinthu zosafunikira, imasokoneza gawo la matupi a ketone omwe agwera m'matumbo a lumen ndikuchepetsa pang'ono mkhalidwe wa mwana.

Kuwerengera kuchuluka kwa madzimadzi omwe mwana amafunikira kumwa kumachitika pang'onopang'ono pafupifupi 100 ml pa kilogalamu ya kulemera kwa thupi, koma pali njira yosavuta yowerengera - pa kusanza kulikonse, mwana ayenera kumwa madzi osachepera.

Ndikwabwino kupatsa dotolo madzi osankha, koma ngati mulibe nthawi yoyembekezera dokotala kapena kulumikizana naye ndizovuta, mutha kuyambitsa kugulitsa mwana nokha. Imwani kuchokera supuni miniti iliyonse ndi tiyi wokoma, mutha kugwiritsa ntchito mchere wa mandimu, osakhala ndi kaboni wa mchere, 1-2% yankho la sodium bicarbonate (koloko yowotcha), zothetsera zothetsera kuthanso kwamlomo - Regidron, Oralit, Glucosolan, Citorglucosolan .

Ngati vuto la mwanayo silisintha, kusanza sikutha, kapena vutolo likayamba kukula, ndiye kuti dokotalayo asinthana ndi madzi amkati, koma adzakhala ali kuchipatala. Mwana adzapatsidwa dontho wokhala ndi mayankho apadera - amathandiza kulimbana ndi kuledzera kwa ketone komanso kutulutsa madzi m'thupi. Chifukwa chake, palibe chifukwa choopera ndi kukana obwera.

Kuphatikiza pa khanda ili lonse, amatha kumwa jakisoni wa antiemetic, kupereka mankhwala omwe amathandizira kagayidwe kamunthu, komanso kuthandizira matenda a chiwindi ndi matumbo.

Mwanayo akangomva bwino, ndipo amwe ndekha, ndipo kusanza kuyimitsidwa, adzasinthidwa ndikusintha, ndipo pang'onopang'ono ayamba kudya yekha. Mwana akakhala ndi ululu wam'mimba, amatha kutumikiridwa jakisoni wa antispasmodics (papaverine, platyphyllin, no-shpa mu msambo wokhudzana ndi zaka). Ngati mwana wasangalala, kuda nkhawa kwambiri, dokotala amalimbikitsa kusuntha ndi kukhazikika - amachotsa chisangalalo chochuluka muubongo, izi zithandiza kuthana ndi kusanza msanga.

Ndi chithandizo choyenera komanso chapanthawi yake, zizindikiro zonse zimachepa patsiku la matendawa. Mwakutero, ngakhale kuukiridwa komwe kwatchulidwa nthawi yayitali, komwe kumakhala kwa masiku angapo, sikuopseze moyo wa zinyenyeswazi, ngati zonse zachitika molondola. Koma izi sizitanthauza kuti simufuna dokotala ndi chithandizo.Kupumira kuyenera kuyimitsidwa posachedwa magawo oyamba, chifukwa kumafooketsa chitetezo cha mthupi, kumabweretsa madzi osowa madzi m'thupi. Ndipo ma ketoni amakhumudwitsa minofu ya impso, chifukwa amakhala ndi asidi, kudzikundikira kwawo kumaphwanya acid-based balance of the body in the wayity acidity and acidosis - owonjezera acid m'magazi ndi matupi athupi. Izi zimasintha kagayidwe kakang'ono ndikukulitsa mkhalidwe wa mwana: pansi pazinthu zotere, mtima umagwira ntchito ndikusokonekera, maselo aubongo akuvutika.

Zoyenera kuchita panthawi yopumira?

Nthawi zambiri, zochitika zonse za dotolo ndi makolo ndizolinga zokweza kuchuluka kwa khunyu komanso kupewa kufalikira kwa matendawa. Nthawi zambiri, adotolo amalimbikitsa njira ziwiri za njira zopewera matenda pachaka, makamaka mu nyengo yotsala - mu kugwa ndi masika.

Kuti muthandize mwana yemwe ali ndi matendawa, muyenera kuganizira mofatsa za moyo wa mwana. Maziko othandizira kupewa, ngakhale atakhala amisala bwanji, amakhala athanzi. Izi zimaphatikizapo, mwachidziwikire, kukhala nthawi yayitali komanso koyenera mu mpweya wabwino, ndipo ndibwino kuziphatikiza ndi masewera akunja ndi masewera. Kuchita masewera olimbitsa thupi pafupipafupi komanso kwatsatanetsatane kumayambitsa matenda a carbohydrate ndi metabolism yamafuta, koma ndikofunikira kuti osagwiritsidwa ntchito mopitirira muyeso, kugwira ntchito mopitilira muyeso kumatha kudzetsa chidwi. Onetsetsani kuti mwaphatikiza njira zamadzi muzochitika za tsiku ndi tsiku - malo osambira, kusamba kosiyanako, kusisita miyendo kapena thupi lonse. Njirazi zimathandizira thupi, kupisa zinyansi komanso kusintha kagayidwe. Mwana safunika kugona tsiku lililonse, ndipo ophunzitsidwa bwino amagona masana. Pewani kuwonekera padzuwa nthawi yayitali ndipo onetsetsani kuti mwachepetsa kwambiri kuwona kwanu TV ndi kompyuta.

Tetezani mwana wanu ku matenda opatsirana - ana oterowo akuwonetsedwa kulandira katemera aliyense woletsa kutengera ndi kalendala ya katemera ndipo akapita ku sukulu ya kindergarten ndi zowonjezera.

Matenda operewera a m'mimba ndi zida zina zimatha kudodometsa chimbudzi ndi kuperewera kwa michere. Zotsatira zake, pamakhala kuwonjezeka kwa kugwiritsa ntchito malo osungirako mafuta, ndipo izi zimapangitsa kudzikundikira kwa matupi a ketone m'magazi.

Pazakudya zanu, muchepetseni zakudya zomwe zimakhala ndi mafuta komanso zakudya zopezeka ndi ketone. Komabe, madotolo amati sizoyenera kuchotsa mafuta muzakudya, zimafunikira kuti thupi la mwana likhale - amapanga ziwalo. Mafuta ochulukirapo, monga nkhumba, mwanawankhosa, komanso mbale monga makeke ndi makeke a kirimu, bakha, msuzi wolemera sayenera kuphatikizidwa kwathunthu. Koma osachotsera mafuta pachakudyacho, ayenera kukhala ochepa, ndikusinthanitsa ndi mafuta a masamba - mpendadzuwa, maolivi, mpiru. Chiwerengero cha mapuloteni, mafuta ndi chakudya chamagulu azikhala mu chiwerengero cha: 1: 1: 4. zakumwa zokhala ndi tiyi kapena khofi.

Makonda pazakudya ziyenera kuperekedwa ku zakudya zamkaka wamkaka, lactic acid, mbewu, masamba abwino, zipatso ndizofunikira nthawi zonse. Cottage tchizi, nsomba zamafuta ochepa, oatmeal, masamba mafuta, omwe amatha kuyendetsa mafuta a nyama, amathandizanso pakukula kwa metabolism, ndipo muyezo wochepa ungaperekedwe kwa mwana kuphatikiza ndi masamba - mu saladi ndi vinaigrette.

Kwa ana omwe ali ndi acetonemic syndrome pakukonzekera zakudya pali lamulo - "mafuta amayaka m'malawi amoto." Izi zikutanthauza kuti mafuta amathanso kuperekedwa limodzi ndi chakudya. Ikani batala mu phala kapena masamba ophikira, masamba otsekemera amathanso kukhala ndi masamba kapena zakudya zam'mbali, kirimu wowawasa mu supu yamasamba, masamba kapena chinangwa casserole.Mukamapangira zakudya, muyenera kuganizira makonda ndi makulidwe a mwana, makolo amawona msanga zakudya ziti zomwe zimapangitsa mwana kukula, ndikuwasiya kapena kumachepetsa. Nthawi yoyamba, zitha kukhala zovuta, koma pakapita nthawi, inu ndi mwana muzolowera zakudya zamtunduwu.

Kodi adotolo achita chiyani?

Mwana yemwe ali ndi vuto la acetonemic adzalembedwera kuchipatala; pakakhala kuthekera, dokotala angalimbikitse maphunziro a njira zothandizira. Choyamba, chifukwa chakuti ziletso zakudya zimayambitsidwa, maphunziro a multivitamini amawonetsedwa kawiri pachaka - nthawi zambiri kumapeto kwa nthawi yophukira komanso yophukira. Analimbikitsa chithandizo mu sanatorium.

Kusunga chiwindi ntchito, maphunziro a mankhwala amalembedwa - hepatoprotectors ndi lipotropic - mankhwalawa athandiza kusintha kwa thanzi ndikugwira ntchito kwa maselo a chiwindi ndikulola kuphatikiza kwa mafuta kagayidwe. Kusintha kwamakina omwe amapezeka motsutsana ndi kapamba wopanda pake, kukonzekera kwa enzyme kumayikidwa mwezi umodzi kapena iwiri ndikulipira kwapang'onopang'ono.

Popeza mtundu wamanjenje womwe sunayambike bwino mwa ana omwe ali ndi vutoli, amapatsidwa njira yothandizira - mankhwala osiyanasiyana, ma decoctions a valerian ndi mamawort, malo osamba olimbitsa. Maphunziro amachitika kangapo pachaka.

Kuwongolera mkodzo acetone, dokotala angalimbikitse kugula zingwe zoyeserera. Ndikulimbikitsidwa kwambiri kuti mkodzo uyesedwe tsiku ndi tsiku chifukwa cha acetone wogwiritsa ntchito mawanga ozindikira kwa woyamba ndi theka mpaka miyezi iwiri. Kuzindikira koyambirira kwa ndulu mu mkodzo kungatilole kuchita panthawi yake kukonza komwe tafotokozera kale. M'tsogolomu, mutha kugwiritsa ntchito mawayilesi ngati kuli kofunikira - ngati mukukayikira kuphwanya kusinthana.

Ana omwe ali ndi acetonemic syndrome amawerengedwa ngati gulu lowopsa chifukwa cha matenda a shuga, chifukwa chake amakhalanso akuyang'aniridwa ndi endocrinologist. Amayezetsa magazi a magazi a pachaka.

Nthawi zambiri, ziphuphu za m'mimba zimatha kutha msinkhu, komabe, ali ndi mwayi wopitilira ana ena kukhala ndi matenda monga gout, ma gallstones, kuwonongeka kwa impso, matenda osokoneza bongo, matenda oopsa a mtima, komanso matenda oopsa. Ana oterowo amafunikira kuyesedwa ndi dokotala wa ana ndi akatswiri, ma ultrasound a impso ndi ziwalo zam'mimba, komanso pamaso pa mchere mkodzo. Muwunikireni miyezi isanu ndi umodzi.

Komabe, ngati njira zonse za chitetezo zomwe zafotokozedwazo zikutsatiridwa, kukomoka kumatha kucheperachepera komanso kuchepetsa.