Urine Acetone wa Matenda a shuga - Momwe Mungachotsere

Fungo lachiwiri la matenda ashuga Izi ndizomwe zimachitika kawirikawiri. Monga lamulo, nthawi zambiri zimachitika mwa odwala omwe akuyesera kuchiritsa okha. Chizindikiro ichi chikuwonetsa kukula kwa matenda monga ketoacidosis, ndikuchenjezanso kulumpha kwakukulu mu shuga wamagazi.

Mkhalidwe wodwalayo umafunika kuchipatala mwachangu. Ndi zizindikiro zoyambirira za matendawa, mutha kutero chotsani acetone mu shuga munjira zina koma osagonekedwa.

Koma posankha njira yothandizira, kumbukirani kuti kuti mukwaniritse zotsatira zoyenera, muyenera kufunsa dokotala.

Njira yochizira matenda ashuga kunyumba

Chifukwa chiyani acetone imawonekera mu shuga

Kuti mumvetsetse bwino kukula kwa matendawa, ndikofunikira kuthana ndi zovuta zamatenda. Choyamba, ziyenera kudziwika kuti "matupi a ketone" amaphatikizapo zinthu zitatu monga:

• acetoacetate
• beta - hydroxybutyric acid,
• propanone.

Zinthu zonsezi ndi zinthu zakuwonongeka kwa mafuta amkati, komanso mapuloteni. Zomwe zimawonekera m'thupi la munthu ndi izi:

• zakudya zama carb ochepa
• kupezeka kwa zizindikiro zazitali monga kusanza kapena kutsegula m'mimba,
• kusala
• poyizoni wa mankhwala
• matenda opatsirana opatsirana
• kusowa kwamadzi
• kutenthetsa.

Komanso, kuwonongeka kwa matenda ashuga kungakhale chimodzi mwazifukwa. Ngati tikulankhula za kuphwanya kwamisempha m'magazi, ndiye kuti vuto la kukhalapo kwa acetone mu mkodzo limatha kuchitika pawiri:

1. Hyperglycemia. Potere, chifukwa chosakwanira kuchuluka kwa insulin yomwe thupi limadya, shuga owonjezera samatengedwa ndi maselo aubongo. Pazifukwa izi, amayamba kuwola ndipo nthawi yomweyo amapanga matupi a ketone. Ndi kuchuluka kwakukulu mwa iwo, chiwindi sichikugwirizana ndi kutaya kwawo, ndipo amalowa mkodzo.
2. Hypoglycemia. Mwakutero, kupezeka kwake kumakwiya chifukwa chopanga kuchuluka kwakukulu kwa mahomoni kapena kusowa kwa glucose muzakudya. Chomwe chimapangitsa ndikuchepa kwa gawo lapansi, lofunikira pakubala kwamphamvu mphamvu, pakupanga komwe thupi limagwiritsa ntchito zinthu zina.

Mwini pawokha, acetone yokhala ndi matenda a shuga siziwopseza moyo. Zimangowonetsa kuti thupi lilibe mulingo woyenera wa insulin. Zachidziwikire, izi sizingatchulidwenso kuti ndizofanana.

Ndikofunikira kuti mulamulire kuchuluka kwa glycemia ndikuwunikiridwa ndi endocrinologist. Musaiwale kuti kutengera ndi chisonyezo ichi, ketoacidosis imayamba. Ndi izo, chizungulire, kufooka kwathunthu, kufooka kwa khungu kumawonekera.

Zonsezi zimasonyezera acidization ya thupi, yomwe imafunikanso kukhala koyenera komanso koyenera.

Zithandizo za Folk za acetone

Zachidziwikire kuti munthu aliyense amene ali ndi matenda a shuga amachita nawo chidwi Momwe mungachotsere acetone mu mkodzo ndi shuga. Pali njira zambiri zosiyanasiyana, koma zothandiza kwambiri komanso zomwe zimagwiritsidwa ntchito pakati pa odwala ndi izi: adyo, masamba a mtedza, sauerkraut.

Njira yodziwika kwambiri ndikutenga chinthu ngati adyo. Chakumwa chopatsa thanzi chimakonzedwa pamaziko ake. Kuti muchite izi, yeretsani mitu ingapo yazogulitsayo, muipukute papulogalamu ya adyo. Zopangira zomalizidwa zimathiridwa ndi madzi otentha. Tiyi imayenera kuthiriridwa kwa mphindi 15, pambuyo pake imatengedwa mu chikho cha kotala katatu patsiku.

Yodziwika chimodzimodzi ndi mankhwala opangidwa kuchokera masamba a mtedza. Masamba atsopano amatengedwa kuphika, kutsukidwa bwino ndikutsanulira ndi kapu yamadzi otentha. Chomwacho chimayenera kuloledwa kulowetsedwa kwa mphindi 10-20, kenako chimasefa ndikuthiriridwa theka chikho chachiwiri patsiku.

Ngati mukufuna njira yosavuta, Momwe mungachotsere acetone kuchokera mthupi ndi shugandiye muyenera kulabadira sauerkraut. Sikuti zimangothandiza kuthana ndi vutoli mwachangu, komanso zilibe zoletsa kugwiritsa ntchito. Koma zochuluka, mutha kuzidya kwa miyezi yopitilira iwiri.

Ngati choyambitsa vutoli ndi "acetone wanjala", omwe akuwoneka chifukwa cha kupatula kwa chakudya kuchokera kwa wodwalayo, ndiye kuti muyenera kudya jamu, uchi komanso maswiti ochepa. Onetsetsani kuti mwasintha zakudya zanu. Sichikhala chopanda chidwi kulabadira zamasewera.

Ngati mulibe mwayi wochita nawo chipinda chapadera, ndiye kuti tsiku ndi tsiku ndizovomerezeka. Samalani kwambiri poyenda mumweya watsopano. Njira yokhayo yophatikizidwa ndi yomwe ingathandize kuthana ndi vutoli kwakanthawi kochepa.

Zofunika kale momwe mungachotsere acetone mu shuga wowerengeka azitsamba ayenera kupita kwa dokotala kuti mukawone.

Urine acetone mu shuga: momwe mungachotsere mkodzo ndi thupi kunyumba?

Pewani acetone mu mkodzo ndi shuga ndikotheka. Chachikulu ndikuzindikiritsa chomwe chinayambitsa matupi a ketone mumkodzo. Nthawi zambiri mkhalidwewu umakhala chifukwa cha kudya kosafunikira.

Koma ketonuria imatha kupanga zifukwa zina. Endocrinologists amakhulupirira kuti acetone mu mkodzo wokhala ndi mtundu wa 2 kapena mtundu wa 1 shuga mellitus amatha kuwoneka chifukwa cha mulingo woyenera wa mankhwala a insulin kapena hypoglycemic.

Ndikosatheka kuchotsa matupi a ketone kuchokera mthupi ndi wowerengeka azitsamba. Kunyumba, chithandizo sichikulimbikitsidwa, popeza wodwalayo adzafunika kuyika magazi ndi saline, onetsetsani mankhwalawa ndikuwayang'aniridwa ndi achipatala mosalekeza.

Zimayambitsa ketonuria mu shuga

Maonekedwe a acetone mu mkodzo amayamba chifukwa cha poyizoni kapena zina. Ketonuria imakhala yofala kwambiri kwa odwala matenda a shuga. Mkhalidwe ulinso wofanana mu mtundu 1 ndi matenda ashuga 2.

Kodi njira yopangira njirayi ndi yotani? Pakakhala kuchuluka kwa shuga m'magazi, kuwonongeka kwa mafuta kumayamba. Cholinga cha ndondomekoyi ndi kubwezeretsanso mphamvu zamthupi. Kuti ayambe kusokonekera kwamafuta, thupi limafunikira oxalacetic acid. Ndi kuchuluka kwa glucose, thupi limagwiritsa ntchito ma ketoni kupwanya mafuta, chifukwa cha momwe matupi a ketone amalowa m'magazi ndi mkodzo.

Zinthu zomwe zidalipo kale monga: zimatha kudzutsa ketonuria kumbuyo kwa mtundu 1 kapena matenda ashuga 2:

• Mimba Pa nthawi ya bere, omwe amadziwika kuti ndi gestational matenda a shuga amatha. Kwa nthawi yayitali, matendawa amatha kuonekera m'njira iliyonse. Kuthekera kwa ketonuria pakupanga mtundu wa shugawu ndikwambiri.
• Njala yayitali. Madokotala amalimbikitsa kuti kusala ndi matenda a shuga ndizoletsedwa. Kuti muchepetse kunenepa komanso mukhale ndi thanzi labwino la glycemia, mumangofunika kutsatira zakudya zamafuta ochepa.
• Mlingo wolakwika wa insulin kapena mankhwala a hypoglycemic.
• Poizoni.
• SARS ndi matenda opatsirana.
• Anemia ndi zina zomwe zimapangitsa kuti pakhale kuphwanya dongosolo mu hematopoietic system.
• Kuphwanya chiwindi kapena impso.
• Matenda a oncological.
• Opaleshoni
• Kuthetsa madzi m'thupi.
• Kupsinjika.
• Hypothermia.
• Matenda a endocrine dongosolo.
• Kumwa mankhwala omwe amatha kukulitsa kuchuluka kwa shuga m'magazi.

Zizindikiro za ketonuria

Chifukwa chomwe matenda ashuga amawonekera mkodzo mu shuga, ndizodziwikiratu. Tsopano muyenera kuganizira za ketonuria. Ndikufuna ndionetse kuti ketoacidosis ndi maonekedwe a matupi a ketone mumkodzo ndi malingaliro osiyanasiyana.

Ketoacidosis ndi mkhalidwe womwe milingo yamagazi imakwera mpaka 13 mmol / L. Pathology imayamba chifukwa cha kuchepa kwa insulini komanso kuoneka kwa kuchuluka kwa matupi a ketone m'magazi.

Acetone ikawoneka mwa odwala matenda ashuga, zizindikiro zotsatirazi zimawonedwa:

1. Mseru kapena kusanza.
2. Ululu m'mimba.
3. Kugona, kutsika kwa ndende, chisokonezo. Woopsa milandu, odwala matenda ashuga kufafaniza.
4. Mawonekedwe akununkhira kwa acetone kuchokera mkamwa.
5. Khungu lowuma.
6. Kusokonekera mu ntchito ya mtima. Mwa odwala matenda ashuga, amadumpha mu kuthamanga kwa magazi, kugunda kwa mtima kwadzidzidzi ndi arrhasmia kumawonedwa.
7. W ludzu, kukodza pafupipafupi, kamwa yowuma.

Kodi kudziwa acetone mu mkodzo wa odwala matenda ashuga?

Kodi ndizotheka kudziwa ma acetone amtundu wa shuga kapena mtundu 1 kunyumba? Inde, ndizotheka kudziwa ketonuria. Kuti muchite izi, muyenera kugula zingwe zapadera. Amagulitsidwa ku pharmacy iliyonse.

Ngati zingwe zoyeserera, mutatsikira mkodzo, ndikutembenuka ngati waridi, ndiye kuti mkodzo umakhala ndi zinthu zambiri za acetone. Pali njira inanso yodziwira ma ketoni popanda mizere yolingana.

Kunyumba, matupi a ketone amatha kutsimikizika pogwiritsa ntchito ammonia. Kutsata kwa njira zopezera matenda:

• Kokerani mkodzo mumtsuko.
• Onjezani ammonia kuchombo (10-20 ml ndikokwanira).
• Ngati pali matupi a ketone mu mkodzo, ndiye kuti apeza hue yofiira.

Kodi ketonuria amathandizira bwanji odwala matenda ashuga?

Momwe mungachotsere acetone kuchokera mthupi ndi shuga kunyumba? Ndikosavuta "kuthamangitsa" matupi a ketone kuchokera mthupi pogwiritsa ntchito njira zina zochizira.

Choyamba, wodwalayo ayenera kuyeza kuchuluka kwa glycemia m'magazi. Ngati hyperglycemia imawonedwa, ndiye kuti adokotala amafunika kuwonjezera kuchuluka kwa insulin kapena mankhwala a hypoglycemic. Minyewa ya glycemia ikakhazikika, mafuta ndi chakudya chama metabolism nthawi zambiri amakhala abwinobwino.

Komanso, wodwalayo akulimbikitsidwa:

1. Imwani zamadzi zambiri. Kwa odwala matenda amtundu woyamba kapena wachiwiri, odwala amalangizidwa kuti azimwa pafupifupi malita atatu kapena atatu a madzi oyeretsedwa patsiku. Matupi a ketone akapezeka mumkodzo, madokotala amalimbikitsa kumwa yothira sodium (magalamu 5 pagalasi lamadzi).
2. Tsatirani zakudya. Mutha kuthana ndi hyperglycemia ndi ketonuria kudzera muzakudya zabwino. Onetsetsani kuti mwasintha kuchuluka kwa mapuloteni, mafuta ndi chakudya. Kwa matenda a shuga a 2 komanso kunenepa kwambiri, akuluakulu ndi ana amalangizidwa kuti azitsatira zakudya zamagulu ochepa.
3. Ikani enema yoyeretsa. Amakhulupirira kuti njirayi imachotsa acetone ndikubweretsa kutentha. Koma madotolo ena amakhulupirira kuti kuyika enema nkoopsa, chifukwa matupi a ketone akapezeka mkodzo, pamakhala kutopa kwambiri.
4. Kuchita intravenous makonzedwe a saline. Kudzinyongedwa kudzasintha kapangidwe ka magazi.

Ngati wodwala matenda ashuga alephera kuchotsa acetone munthawi yake, matenda ashuga a ketoacidosis amatha. Zotsatira zake ndizowopsa, chifukwa motsutsana ndi ketoacidosis, munthu amatha kugwa (ngakhale zotsatira zakupha ndizotheka).

Kuti munthu athetse vutoli, madokotala amagwiritsa ntchito mankhwala a insulin, kuchepa madzi m'thupi, kukhazikitsa njira zothetsera shuga (kupewa hypoglycemia). Komanso, maantibayotiki othandizira, ma anticoagulants ndikuwongolera zovuta zamagetsi zitha kuperekedwa kwa wodwala.

Acetone mu mkodzo wa matenda ashuga: momwe mungachotsere ndi zoyenera kuchita

Nthawi zambiri amapezeka odwala omwe ali ndi matenda a shuga 1 - amadalira insulin. Mtundu wachiwiri wa matenda ashuga, acetone mu mkodzo ndimachitika kawirikawiri.

Kapangidwe ka acetone kumayambitsa kuvulaza thupi, ndipo ngati sichichotsedwa pa nthawi, kumatha kuyambitsa ketoocytosis, ndi zotsatira zoyipa kwambiri mu mawonekedwe a chikomokere kapena ngakhale kufa.

Zotsatira za acetone ndizowonjezera glucose wamagazi (kuyambira 13.5 mmol / lita ndi kukwera). Ngati wodwala yemwe ali ndi matenda a shuga apezeka m'magazi ake kuchuluka kwa glucose, ayenera kuchepetsa magazi glycemia ku Normoglycemia.

Zimayambitsa acetone mu mkodzo

• kubwezeretsa (kuchuluka kwa hyperglycemia),
• kutalika kwa chakudya kapena kuperewera kwa chakudya chamthupi,
• kukana insulini,
• hypoglycemic chikomokere.

Ngati palibe matenda a shuga, ndipo matupi a ketone amapezeka mkodzo, ndiye chomwe chimayambitsa izi kukhala kuledzera kwa thupi, poyizoni wa chakudya, malungo kapena mankhwala oletsa kupweteka.

Choopsa chachikulu ndikuwonekera kwa chinthu ichi mwa amayi apakati.

Kodi mumadziwa kuti matenda ashuga amathandizidwa bwino ndi mankhwala a Dialec a shuga? Yemwe adagwiritsa ntchito Dialek, aliyense ndiwosangalala!

Momwe mungachotsere acetone

Cholinga chachikulu chakuchotsa acetone mu mkodzo m'magazi a shuga ndikudziwa zomwe zimayambitsa. Nthawi zambiri limodzi ndi ludzu, motero, pamenepa, kumwa kwambiri zamchere kumaloledwa. Ngati choyambitsa chinali kusowa kwa insulini, ndikofunikira kuti muwonjezere msanga, munthawi imeneyi, insulin imalowetsedwa maola atatu aliwonse.

The endocrinologist, m'malo owonjezera mankhwala, angafotokozedwe mankhwala enema, ascorbic acid, mankhwala osungirako chiwindi. Nthawi zambiri, njira ngati imeneyi ndikokwanira kuchotsa matupi osafunikira m'thupi ndikuchotsa fungo.

Kumbukirani kuti acetone yemwe sanapatsidwe angayambitse matenda oopsa a ketoocytosis pakapita nthawi, ndipo chithandizo chomwe sichinachitike pakapita nthawi chimawopseza wodwala. Ndiye chifukwa chake aliyense wodwala matenda ashuga ayenera kudziwa momwe angachotsere acetone kunyumba.

Malamulo apadera a acetone wapezeka kale:

• mankhwala a insulin
• kubwezeretsa asidi - m'munsi moyenera, kubwezeretsa ma electrolyte,
• kupewa matenda osiyanasiyana, mikhalidwe ya hypoglycemia, kuledzera.

Malingaliro a Doctor

Malangizo & zidule

Kuti thupi lizichira msanga, kupewetsa komanso matenda, maupangiri ena ovuta ayenera kutsatiridwa, omwe amathandizidwa ndikuwunika bwino.

Chakudya chiyenera kugayidwa mosavuta komanso chathanzi, kupatulidwa ku mafuta ndi michere yambiri. Chakudya chizikhala cha pafupipafupi komanso magawo ang'onoang'ono. Njira yabwino ikhoza kukhala msuzi wophweka wa nyama, mbewu monga chimanga, buledi, mazira, osati zipatso.

Mukadzachira thupi lonse, pakatha masiku atatu mungathe kubwereranso ku zomwe mumadya.

Matenda a shuga ndi matenda osokoneza bongo a autoimmune omwe amafunikira kuwunikira mosalekeza, komabe, tsopano pali chilichonse chofunikira pa izi, ngakhale matupi a ketone mumkodzo amatha kupezeka pogwiritsa ntchito zingwe zoyeserera ma ketones. Zida zonsezi, kuphatikiza zakudya zoyenera komanso kukhala ndi moyo wathanzi, zidzakuthandizani kuti mukhalebe abwino.

Urinary acetone mu shuga

Vuto lalikulu la matenda ashuga ndi kupanga acetone mkodzo. Ndikusowa kwa insulin mthupi, yomwe imawotcha mafuta ndi mapuloteni, ndizotsatira zamapangidwe amtunduwu. Matupi amtundu wa Ketone amayamba kusokoneza wodwala, poyizoni ndikuwonetsa mawonekedwe a ketoacidosis.

Njira yomwe ikufunsidwa imatha kudwala matenda ashuga omwe amatsogolera munthu kumwalira. Ndikofunikira kudziwa kuti acetone imapangidwa m'thupi makamaka ndi matenda a shuga 1.

Mtundu wachiwiri wa matenda amayamba chifukwa cha kuchuluka kwa insulin m'magazi, ndiye kuti mulingo wa chinthu umachuluka, zomwe sizimalola acetone kupanga mkodzo.

Ngati shuga mumkodzo akachuluka, ndipo kuchuluka kwake kumakhala kupitirira katatu, ndiye kuti insulini imalembedwa kwa wodwala yemwe ali ndi matenda a shuga, omwe amathandiza kuthetsa acetone m'thupi.

Komabe, ndikofunikira kudziwa kuti acetone imatha kuwonekanso ngati shuga yachepa. Matendawa amatchedwa hypoklemia.

Ndi matenda omwe adakhazikitsidwa kale ndi adotolo, wodwalayo amamulembera zakudya zoyenera zomwe zimakhala ndi zakudya zopatsa mphamvu zambiri.

Amadziwika kuti ndizotheka kuyendetsa acetone mu mkodzo ndi mulingo wake popanda cholepheretsa kunyumba. Othandizira omwe ali ndizizindikiro zapadera za mayeso ndi mankhwala osokoneza bongo.

Kuphatikiza apo, kudziwa molondola kupezeka kwa matupi a ketone mthupi, pali mayankho a ammonia ndi mayankho a sodium nitroprusside.

Kukhalapo kwa acetone mu mkodzo kumachitika chifukwa cha kusuntha kwa zinthuzi mumithunzi yofiyira.

Zomwe zimayambitsa mkodzo acetone mu shuga

Zomwe zimayambitsa kupangika kwa acetone mu mkodzo ndi:

1. Kubwezera
2. Zakudya zopanda pake ndi kuphwanya kwawo, ndiye kuti, kudya kwambiri mafuta okhala ndi mapuloteni,
3. Kusala pafupipafupi komanso kwanthawi yayitali,
4. Hypoglycemia wautali,
5. Kudumpha jakisoni wa insulin.

Fungo lenileni la acetone mu shuga

Fungo la acetone mu shuga

Chizindikiro chodziwika kwambiri komanso chodziwika bwino cha kupezeka kwa acetone mu mkodzo ndi fungo linalake. Choyamba, nthenga zosasangalatsa zimachokera mkamwa. Pakakhala chithandizo mosayembekezereka, fungo lokhazikika limayamba kutuluka pakhungu ndi mkodzo wa wodwala.

Mwakutero, thupi lililonse laumunthu ndimapangidwe ovuta momwe machitidwe ndi ziwalo zimagwira ntchito payokha. Ichi ndichifukwa chake ndikofunikira kuwonetsa kuti kupangidwa kwa acetone ndizotsatira zamachitidwe azinthu.

Chofunikira kwambiri chomwe chimapereka mphamvu yofunikira ndi glucose, yomwe ilipo pazinthu zambiri. Kuti chinthuchi chizilowetsedwa bwino ndi maselo, kupezeka kwa insulin, ndiye kuti, chinthu chomwe chimapangidwa ndi kapamba, chimafunika.

Mu nthawi ngati izi pamwambazi sizitha kuthana ndi ntchito yake, glucose amataya kulowa m'maselo, ndikupanga njala yam'mimba. Pakadali pano, chidwi cha munthu chimakulitsidwa kwambiri.

Amanena za kusalinganika kotere: "Mwazi wa magazi ukuwonjezeka." Poyankha mopitirira muyeso, bongo limatumiza mauthenga, ndikupangitsa kufananizira mphamvu m'magazi, ndiye kuti, matupi amodzimodzi a ketone.

Monga momwe amadziwira kale, acetone imawonedwa monga mitundu yosiyanasiyana yazofotokozedwera.

Amayambitsa acetone

Kuwonjezeka kwa acetone mu mkodzo mwa akulu kumachitika chifukwa cha zifukwa zina:

• kuphwanya malamulo a insulin,
• chakudya choperewera mu chakudya,
• kusala kudya kapena kupitilira nthawi yayitali,
• matenda a endocrine
• kupsinjika, kuda nkhawa kwanthawi yayitali,
• kuvulala
• Mlingo wolakwika wa insulin
• kudya zakudya zamafuta ndi mapuloteni ambiri.

Komanso, chinthu china chofunikira chomwe chimapangitsa kuti acetone apezeke mkodzo mwa akulu ndi kugwiritsa ntchito insuloni yatha kapena yosauka. Kukopa kwa zinthu kumathandizira kupezeka kwa acetone mu mkodzo, womwe umawonetsedwa ndi zizindikiro zamunthu.

Ndi matenda a shuga a mtundu wa 2, acetone mu mkodzo samachuluka. Koma ngati izi zichitika, ndiye kuti zikuwonetsa kusakwanira kwa mankhwala ochepetsa shuga. Ngati acetone imachulukitsidwa mwa okalamba, ndiye kuti pali mwayi wopanga matenda a mtima, mitsempha yamagazi, ndi ubongo.

Kuchiza matenda

Chithandizo chachikulu cha odwala matenda ashuga a mtundu woyamba ndicho kupaka insulin mthupi la munthu. Amadziwika kuti kapamba wa anthu otere sangathe kubisa gawo lokwanira lamahomoni.

Nthawi zina, imakhala ndi kuthekera kosawabala konse. Zadziwika kuti acetone mu mkodzo amapangidwa ndendende mu mtundu wa 1 odwala matenda ashuga.

Kuwononga chinthu chomwe chikufunsidwa, ndikofunikira kuyambitsa mafuta a insulin, ndikuchotsa chinthucho.

Mu kapangidwe kake, mtundu wa 2 shuga ndi nthawi yodalira insulini. Pakadali pano, chitsulo chimatha kuthana ndizovuta zake zokha.

Vuto lalikulu nthawi zambiri limayamba chifukwa cha insulin cell receptors, yomwe pang'onopang'ono imakhala yofooka komanso yosaganizira zowongolera insulin.

Matendawa omwe akufunsidwa amalimbikitsidwa kuti azichitira ndi othandizira a hypoglycemic. Ndiye kuti, ngati shuga akwezedwa, amafunika kumwa mankhwala.

Kusintha kwa matenda ashuga kuchokera ku mtundu wachiwiri kupita woyamba amakhalanso ndi milandu pafupipafupi. Izi zimachitika chifukwa choti pakapita nthawi, zikondwerero zimasiya kutulutsa zomwe zimatchedwa insulin.

Njira za anthu

Munthawi yamakono, mutha kupeza njira zambiri zachikhalidwe zomwe zimakupatsani mwayi wodziimira payekha kuthana ndi mavuto omwe amadza chifukwa cha matenda ashuga komanso zotsatira zake.

Sauerkraut, yogwiritsidwa ntchito m'magawo oyamba, amathandizira kuthetseratu matenda osasangalatsa. Amadziwika kuti ndikofunikira kutengera mkatikati kwa miyezi iwiri mopanda malire. Ngati chilimbikitso chikuwonjezereka, ndiye kuti kuchuluka kwa kabichi sikungakhale kochepa,

Ndikofunika kukumbukira kuti shuga ya mtundu wodalira insulini, ndiko kuti, matenda omwe amatha kupanga chinthu chomwe chimatchedwa acetone, sichitha.

Chifukwa chake, ndikofunikira kuyang'anitsitsa thanzi lanu komanso momwe thupi lanu lilili. Ndipo izi si zovuta kutsatira, chifukwa ndizotheka kupewa matendawa nthawi zambiri.

Zachidziwikire, ngati sitikunena za chibadwa.

Mfundo zofunika zopewa matenda ashuga ndizotsatira kwambiri zakudya zabwino, kupezeka kwa mayendedwe olimbitsa thupi komanso kuchita masewera olimbitsa thupi, ndipo, motero, kukana kwathunthu zoyipa zosiyanasiyana zoyipa.

Mankhwala aliwonse ayenera kukhala ogwirizana. Chifukwa chake, kutembenukira kwa akatswiri ndi gawo loyamba kuti muchiritse.

Momwe mungachotsere acetone kuchokera mthupi kunyumba

Kuwonjezeka kwa kuchuluka kwambiri kwa matupi a ketone m'magazi, limodzi ndi mawonekedwe a acetone mkodzo, ndimikhalidwe yodwala yomwe imachitika makamaka mwa ana a zaka 1 mpaka 12.

Pali zifukwa zingapo zomwe zimapangidwira kukula kwa acetonemic syndrome. Zakudya zodziwika bwino - zopanda chakudya, kupuma nthawi yayitali, zolakwa za zakudya.

Mitsempha ya ketone itakula kwambiri, nseru, kusanza komanso fungo la acetone kuchokera pakamwa lidzaonekera. Ngati choyambitsa matendawa sichichotsedwa pakapita nthawi, madzi am'madzi amayamba, zomwe zimakhala zowopsa kwambiri mthupi la mwana.

Mwana aliyense akhoza kukhala pachiwopsezo. Ndiye chifukwa chake, kupatula, makolo onse ayenera kudziwa momwe angachotsere acetone kuchokera mthupi. Tilankhula za izi mwatsatanetsatane m'nkhani yathu.

Kuphwanya carbohydrate metabolism, kuchepa kwa shuga kumachitika. Kuti athe kulipirira, thupi limayambiranso kusintha kuti lipange mphamvu kuchokera m'malo obisika. Woyamba kuyankha pakuchepa kwa chakudya cham'mimba ndi chiwindi. Muli glycogen - gwero lina la glucose.

Ndi kuphwanya kwa kagayidwe kazakudya, kuphulika kwa glycogen kumachitika, ndipo pamene malo ake atatha, lipolysis imayamba. Pankhaniyi, kuti apange mphamvu, mafuta amawonongeka ndikupanga "zinthu zamtundu" wa zinthu za metabolic - matupi a ketone. Pamodzi ndi shuga wopangidwa, amatulutsidwa m'magazi.

Ndi zochuluka kwambiri, poyizoni amakula, mawonetseredwe ake ndi mseru, kusanza ndi fungo linalake la asetoni mumkodzo, ndipo nthawi zina kuchokera pamlomo wamkamwa.

Musanachotse acetone kuchokera mthupi, monga matenda ena aliwonse, ndikofunikira kudziwa chifukwa chomwe chimachitikira. Pankhani ya acetonemic syndrome, onse amawira mpaka zotsatirazi:

• kudya chakudya chokwanira
• kuvutitsidwa kwa zakudya zamafuta ndi mapuloteni,
• zolimbitsa thupi,
• kusala kudya kwanthawi yayitali,
• kufinya kwamatenda,
• uchidakwa.

Chimayambitsa ketonuria ndi chiyani?

Kuti mumvetse momwe mawonekedwe a acetone amkodzo mu shuga, muyenera kudziwa kuti matupi a ketone ndi lingaliro lalikulu lokhala ndi zinthu zitatu:

1. propanone (acetone),
2. acetoacetate (acetoacetic acid),
3. B-hydroxybutyrate (beta-hydroxybutyric acid).

Komanso, izi ndizinthu zomwe zimapangitsa kuti mapuloteni asokonezeke komanso mafuta amkati. Zomwe zimayambitsa kupezeka kwawo m'magazi ndi mkodzo ndizosiyanasiyana. Awa amatha kukhala mavuto azakudya zopatsa thanzi, monga zakudya zama carb otsika kapena kufa ndi njala. Kuphatikiza apo, acetone mu matenda a shuga amapezeka kuti ali ndi vuto la matenda.

Zomwe zimayambitsa ketonuria:

• kutenthetsa
• kusanza ndi kusanza, kulimbikira kwa nthawi yayitali,
• kusowa kwamadzi
• poyizoni wa mankhwala
• nthawi ya matenda opatsirana opatsirana ndi kusowa kwamadzi.

Ngati tikulankhula za zolephera mu chakudya cha carbohydrate, ndiye kuti ma acetone mkodzo wa munthu wodwala matenda ashuga amawonekera pamaso pamikhalidwe iwiri. Yoyamba ndi hyperglycemia, yomwe imachitika ndi insulin, pomwe shuga wambiri sangatengeredwe ndi maselo aubongo. Zitachitika izi, kuwonongeka kwa mapuloteni ndi mafuta kumachitika, zomwe zimapangitsa kuti pakhale matupi a ketone, omwe chiwindi sichitha kuthana nawo, ndipo amalowa mkodzo, kuthana ndi impso.

Mlandu wachiwiri, ketonuria imachitika motsutsana ndi maziko a hypoglycemia, omwe amawoneka ngati pali kusowa kwa glucose pakhungu kapena vuto la insulin.

Zifukwazi zimagonekanso mukuchepa kwa mahomoni omwe amasintha shuga kukhala mphamvu, motero thupi limayamba kugwiritsa ntchito zinthu zina.

Ndi mayeso ati oti atengere acetone?

Pali mitundu ingapo ya maphunziro yomwe imazindikira ma ketoni omwe amatha kuchitidwa kunyumba kapena labu. Chipatalachi chimawunika magazi ndi mkodzo kwathunthu. Ndipo kunyumba, zingwe zoyesera zimagwiritsidwa ntchito, zomwe zimatsitsidwa mkodzo, pambuyo pake zimasintha mtundu mothandizidwa ndi acetone.

Kuphatikizika kwa zinthu za ketone kumatsimikiziridwa ndi kuchuluka kwa ma pluses. Ngati pali chizindikiro chimodzi chokha, ndiye kuti zomwe zili za propanone sizoposa 1.5 mmol / l, zomwe zimawoneka ngati mawonekedwe ofewa a ketonuria. Kuphatikiza kwachiwiri kumawonjezeredwa, kuchuluka kwa acetone kumafika ku 4 mmol / L, komwe kumakhala ndi mpweya wabwino. Pankhaniyi, kufunsira kwa endocrinologist kumafunika kale.

Ngati ma pluses atatu adawonekera pambuyo poyesa, ndiye kuti mulingo wa acetone ndi 10 mmol / L. Izi zimafunikira kuchipatala wodwala mwachangu.

Ubwino wa mikwingwirima yoyeserera ndiwotsika mtengo wawo komanso wotchipa.

Komabe, odwala matenda ashuga ayenera kudziwa kuti kudzipereka kwamawonekedwe a kwamikodzo a ketone sikumawonetsedwa ngati njira ina yoyeserera yoyeserera.

Momwe mungasinthire kuchuluka kwa zinthu zam'm ketoni mu mkodzo?

Kupezeka kwa matupi a ketone m'madzi a mthupi kungasonyeze mtundu woyamba wa matenda ashuga. Potere, chithandizo chokwanira cha insulin chithandiza kuchotsa acetone. Kupatula apo, jakisoni wokhazikika wa mahomoni mu mlingo woyenera amadzaza maselo ndi chakudya, chomwe chimakupatsani mwayi kuti muchepetse acetone pang'onopang'ono.

Tsoka ilo, matenda osokoneza bongo omwe amadalira insulin amafunikira insulin. Koma kukula kwake kumatha kupewa ngati munthu alibe chibadwa chobadwa nacho. Chifukwa chake, mankhwalawa a ketononuria amateteza kupewa, kutanthauza kutsatira malamulo angapo:

1. zolimbitsa thupi koma zolimbitsa thupi,
2. kukana zosokoneza bongo,
3. zakudya zopatsa thanzi
4. kutsiriza kwakanthawi kwa mayeso athunthu kuchipatala.

Koma momwe mungachotsere acetone mothandizidwa ndimankhwala ndi njira zina zochiritsira? Chifukwa chaichi, mankhwala monga Methionine, Cocarboxylase, Splenin, Essentiale amatha kukhazikitsidwa.

Pankhani ya matenda a shuga omwe amadalira insulin, kupatsanso madzi m'thupi, kukonzanso acid moyenera, kuwongolera glycemic komanso antibacterial chithandizo kumathandizira kuchotsa acetone. Izi zimathandizira kubwezeretsa kagayidwe kazakudya, amachepetsa ndende, ndikuchotsa ma ketones m'magazi.

Ngati matenda ashuga a ketoacidosis atakula, ndiye kuti chithandizo chamankhwala chimalimbikitsa kuthana ndi mavuto awiri. Choyamba ndi kuyambiranso kwa plasma osmolality, electrolyte ndi intravascular metabolism. Mfundo yachiwiri ya chithandizo ndikusintha muyezo wa insulin ndi choletsa chinsinsi cha mahomoni okhazikika, kuonjezera kugwiritsidwa ntchito ndikupanga shuga ndi ketogene.

Chifukwa cha kuchepa kwakukulu kwa madzi amkati ndi ma intracellular, pakufunika kulowetsedwa. Choyamba, wodwalayo amapaka jekeseni ndi 1-2 l ya isotonic mchere solution mkati mwa ola limodzi. Lita yachiwiri ya ndalama ndiyofunikira ngati muli ndi Hypovolemia.

Ngati njirazi sizinali kugwira ntchito, ndiye kuti wodwalayo amapaka jekeseni ndi njira yocheperako yamchere. Izi zimakuthandizani kukonza Hypovolemia ndi kusintha hyperosmolarity. Njirayi imapitilira mpaka kuchuluka kwa intravascular kubwezeretsedwa kwathunthu kapena kuwerenga kwa glucose kutsikira 250 mg.

Kenako njira yothetsera shuga (5%) imayambitsidwa, yomwe imachepetsa chiopsezo chokhala ndi matenda a chithokomiro cham'mimba komanso insulin hypoglycemia. Pamodzi ndi izi, jakisoni wochepa wa insulin amayambitsidwa, kenaka amasamutsidwa ku kulowetsedwa kwake kosalekeza. Ngati palibe kuthekera kwa mtsempha wa magazi kukonzekera, ndiye kuti mankhwalawa amaperekedwa kudzera mu intramuscularly.

Anthu odwala matenda ashuga ayenera kukumbukira kuti izi ndizofunikira. Kupatula apo, osachotsedwa acetone kumatha kubweretsa kukulira kwa matenda ashuga, omwe nthawi zambiri amatha ndi edema yam'mimba ndikumwalira pambuyo pake.

Momwe mungachotsere acetone kuchokera mthupi ndi chakudya? Choyamba, wodwalayo ayenera kusiya zinthu zingapo zomwe zimapangitsa kuti ma ketoni apangidwe:

• nsomba, bowa, msuzi wamafupa,
• ankasuta nyama
• nsomba zazinkhanira ndi nsomba zamtsinje (kupatula pike ndi pike),
• zipatso zouma ndi zipatso,
• ma pickles ndi ma pickles,
• msuzi
• kukhululuka,
• zakudya zilizonse zamafuta, kuphatikiza tchizi,
• mitundu ina ya masamba (rhubarb, tomato, sipinachi, tsabola, sorelo, biringanya),
• kuphika ndi zofooka zosiyanasiyana,
• zakumwa zoziziritsa kukhofi ndi koloko, makamaka zotsekemera.

Muyeneranso kuchepetsa kumwa kwa nsomba zam'madzi, nyemba, nyama zamzitini, pasitala, kirimu wowawasa ndi nthochi. Choyambirira ndicho mitundu ya nyama ndi nsomba zochepa, zomwe zimatha kuwotchera kapena kuwotcha.

Ponena za msuzi, zokonda ziyenera kuperekedwa kwa msuzi wamasamba. Ndimalolanso kugwiritsa ntchito mbewu monga chimanga, masamba, zipatso ndi zipatso.

Zoyenera kuchita mukazindikira acetone mu mkodzo uuza katswiri muvidiyoyi.

Zizindikiro

Kwa mayeso, adotolo amakupangira kuyesedwa kwa magazi ndi a biochemical, mitundu ingapo ya urinalysis (malinga ndi Nechiporenko, ambiri, maphunziro a kuchuluka kwa tsiku ndi tsiku). Ngati mkodzo ndi wabwinobwino, samapereka fungo losasangalatsa. Popita nthawi, imapeza kuwala kwa ammonia hue, izi zimachitika chifukwa cha kupsa kwamchere. Ngati ammonia alipo mkodzo, ndiye kuti kununkhira kwa maapulo wowawasa kumamveka.

Zotsatira zakuwunika mu labotale zimatengera kulondola kwa zinthu zomwe zatoleredwa. Ndikofunikira kuti chidebe (pulasitiki kapena galasi) chizikhala chosalimba, ndi chivindikiro cholimba.

Kuti mumve zambiri, muyenera kusuta mkodzo wa m'mawa pafupifupi 120 ml., Pre-khalani ndi zikhalidwe zaukhondo, ndikupereka mayeso kwa maola 1-2.

Kupeza mkodzo pakuwunikira zitsanzo zitatu zamagalasi atatu, ndikofunikira kusungitsa madzi kuchokera kumagawo atatu, nthawi yomwe pakati pokodza iyenera kukhala maola 3-4. Ngati zotsatira zake zikuphatikiza, ndiye kuti ma acetone alipo. Kuchuluka kwa 1 mpaka 4 kumawonetsa kuchuluka kwa ngozi kwa thupi.

Home Acetone Control

Kuphatikiza apo, mankhwalawa amagulitsa mankhwala apadera oyeza acetone mu mkodzo wa matenda a shuga mellitus (Ketostiks, Acetontest, Ketur-Test). Kuti mugwiritse ntchito mankhwala osokoneza bongo, muyenera kutsatira malangizo.

Kuti muchite izi, m'mawa musanatole mkodzo, njira zaukhondo zimachitika. Kenako, mu mkodzo wofayikiridwa mumtsuko woyera, tsitsani gawo loyesa. Pambuyo masekondi 5, chotsani madzi otsalira. Pambuyo pa mphindi 1-2, bala ikuwonetsa zotsatira zake.

Ngati 1 kuphatikiza kwawonetsedwa pa mzere woyeza, ndiye kuti mankhwalawo amachitika kunyumba. Kuti muchite izi, muyenera kumwa madzi okwanira mpaka malita 2,5, khazikitsani zinthuzo ndi insulin. Indicator kuyambira 2 mpaka 4 - chithandizo ndikofunikira kuchipatala.

Kuti muchotse acetone mu mkodzo ndikuchotsa chizindikiro cha matendawa, muyenera kulabadira zomwe zimayambitsa mawonekedwe ake. Ngati wodwala sanatenge molondola kapena kulowetsamo insulin mu mlingo wochepetsedwa, ndiye kuti matenda amakula. Chifukwa chake, ndikofunikira kuchita mankhwala a mahomoni mu Mlingo wambiri. Chitani jakisoni ola lililonse.

Pankhaniyi, muyenera kutsatira malamulowo:

Timapereka kuchotsera kwa owerenga tsamba lathu!

• imwani madzi ambiri oyera mpaka malita 2-2,5 (kumwa ola lililonse ndi kapu yamadzi ndi mchere wambiri),
• gwiritsitsani chakudya
• kuwunika bwino-acid
• kulimbitsa chitetezo cha mthupi.

Kusintha momwe mulingo wa asidi-mulingo, njira zothetsera saline ndi saline zimayendetsedwa, ndipo ma coagulants amalembedwa ngati pakufunika.

Ngati chifukwa chowonjezeka cha acetone chikuperewera m'thupi, ndiye kuti ndikofunikira kumwa mankhwala omwe amakongoletsa kugwira ntchito kwa endocrine gland.

Ndikulimbikitsanso kumwa mankhwala omwe amachepetsa kuwopsa kwa thupi.

Kuti muchite izi, akuti amalandila achikondi:

Kubwezeretsa asidi-pamunsi kugwiritsa ntchito Orsol, Regidron. Kuchepetsa Refresh Reflex, ndikofunika kutenga Cerucal.

Maphikidwe a anthu

Kugwiritsa ntchito njira zina kumakhala ndi zopindulitsa, koma kugwiritsa ntchito mankhwala osokoneza bongo ndi mankhwala a zitsamba si njira yokhayo yothandizira.

Pangani chamomile decoction. Kuti muchite izi, muyenera:

Dzazani maluwa ndi madzi, kuyatsidwa, kuwira kwa mphindi 5. Sefa ndi kumwa mu voliyumu yomwe ili yotsimikizidwa ndi endocrinologist.

Ndi chifukwa chopatsirana chowonjezera cha acetone, enema yotsuka mchere imakhala ndi phindu. Kuti muchite izi, 1 lita. madzi ofunda kuchepetsa 1 tbsp. l mchere.

Ndi kuchuluka kwa acetone mu mkodzo, ndikofunikira kutsatira zakudya. Ndikofunikira kupewa zakudya zomwe ndizoletsa matenda ashuga.

• ma pickles ndi ma pickles,
• shuga, maswiti,
• kusuta, zokometsera, zakudya zamchere,
• buledi woyera, makeke,
• msuzi wamafuta ndi nyama,
• zakumwa zoziziritsa kukhosi
• mafuta amkaka,
• zakumwa zoledzeretsa, khofi.

Zakudya zopatsa thanzi zimaphatikizapo mndandanda wazinthu:

Nthawi yomweyo, chakudya chimayenera kukhala chambiri komanso zazing'ono. Ndikofunikira kutsatira zakudya, kupatuka kwakukulu mu ndandanda ndikololedwa kwa mphindi 10-15.

Mavuto

Ngati simukhazikika, thupi limakomoka. Choopsa ndikuwoneka kwa ketonemia, yomwe imatsatana ndi zizindikiro:

Zotsatira zake, pamakhala chiwopsezo cha kumangidwa kwamtima, kupuma, ndi ntchito ya ubongo. Pofuna kupewa kufera, ndikofunikira kupeza chithandizo chamankhwala panthawi yake ndikuwongolera.

Kupewa ndi malingaliro

Choyamba, kuti acetone isachulukane mkodzo mwa akulu, ndikofunikira kutsatira zomwe dokotala akutsimikiza. Ndikofunika kuthandizira panthawi yake komanso kupewa matenda oyamba.

Ndikofunika kuti muzikhala ndi nthawi yatsopano, muzichita masewera olimbitsa thupi, kutsatira zakudya mosamala. Chakudya chizikhala pa ndandanda, pafupipafupi komanso pang'ono. Chakudya cham'mawa ndi chamadzulo chimakhala ndi zakudya zochepa zopatsa mphamvu. Zakudya zambiri ndizopanga, zovuta zamafuta.

Kutengera kuchuluka kwa chakudya, ndikofunikira kuphunzira momwe mungawerengere insulin molondola. Ndikofunika kupewa kuthana kwambiri, kupsinjika, kupumula kwambiri.

Ndi matenda a shuga, ndikofunikira kuwunika pafupipafupi kuchuluka kwa shuga m'magazi, komanso acetone mu mkodzo. Izi zitha kuchitika kunyumba. Koma kusintha kulikonse mu insulin kumachitika pokhapokha motsogozedwa ndi dokotala.

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

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

Momwe mungadziwire kuchuluka kwa acetone mthupi?

Kuti mudziwe kuchuluka kwa ma ketoni m'thupi, ndikokwanira kuchititsa magazi ambiri. Ngati kuchuluka kwa metabolites kuli kochepa, izi zitha kuonedwa ngati njira yabwinobwino. Koma mu mkodzo, acetone amadziwika pokhapokha kwakanthawi, pomwe matupi a ketone atulutsidwa m'mitsempha ndikuzungulira mkati mwake amayamba kupemphedwa ndi impso.

Ndizotheka kudziwa kuchuluka kwa acetone mu mkodzo osati mu labotale, komanso kunyumba. Potsirizira pake, ndikofunikira kugula ziphuphu zapadera kuchokera ku pharmacy. Mfundo zawo zimafanana ndi mayeso a litmus. Ndikokwanira kutsitsa mzerewo mumtsuko ndi mkodzo watsopano ndipo pambuyo pa mphindi 3-5 onetsetsani zotsalazo ndi muyeso pa phukusi.

Musanatsatire njira yochotsera acetone m'thupi, ziyenera kudziwika kuti zoterezi zimakhala zowopsa pokhapokha ngati zotsatirazi zikupezeka:

• nseru
• kusanza
• kukopa kwa pakhungu
• khungu lowuma,
• Fungo la ma acetone (maapozi otentha) kuchokera mkamwa,
• lilime louma (lokhudza).

Palibe zizindikiro, acetone mkodzo siowopsa monga momwe ingaoneke poyamba.

Momwe mungachotsere acetone kuchokera mthupi pambuyo poyizoni?

Ndi zovuta za metabolic, matupi a ketone amatha kupangidwira kuchuluka komwe kungayambitse kuledzera. Poizoni wowopsa, chiwindi ndi impso zimakhudzidwa kwambiri, zomwe zimawonetsedwa ndi chitukuko cha jaundice, mawonekedwe a puffness, komanso kuwonongeka muumoyo. Chifukwa chake, ndikofunikira kwambiri kudziwa momwe mungachotsere mwachangu acetone kuchokera mthupi ndikuchotsa zomwe zimapangitsa kuti ziwonjezeke.

Ndi kuledzera kwambiri, limodzi ndi kusanza, thandizo lachipatala lofunikira limafunikira. Ku chipatala, chifukwa cha izi, chithandizo chambiri cha okosijeni chimachitika, chomwe chimakulolani kuti muchotse mwachangu acetone m'thupi.

Chithandizo chamankhwala othandizira acetone

Nthawi zambiri, mutha kuchepetsa kuchuluka kwa matupi a ketone m'mwazi ndi mkodzo kunyumba. Choyamba, izi zikuyenera kuonetsetsa kuti madzi amatuluka kulowa mthupi kuti magazi asatayike. Muyenera kumwa kwambiri komanso nthawi zambiri. Zokonda ziyenera kuperekedwa ku mamineral akadali madzi kapena compote yokoma ya zipatso zouma.

Pazonse, dongosolo la momwe mungachotsere acetone kuchokera mthupi ndi motere: