Zoyenera kuchita ngati ukununkhira acetone mu mkodzo wako

Katundu womaliza wa thupi la munthu, wopangidwa mu impso ndi kuwachotsa pamkodzo, amatchedwa kuti mkodzo (kapena mkodzo). Muli ndi mankhwala oopsa, mchere ndi madzi owonjezera. Mwa munthu wathanzi, mkodzo umakhala ndi fungo linalake lomwe silimasiyana ndi fungo losasangalatsa. Ichi ndichifukwa chake mawonekedwe a amberone omwe ali ndi chikondwerero pakukodza angayambitse nkhawa zina, osati pachabe!

Inde, simuyenera kuganiza kuti njira iliyonse yamatenda am'mthupi imayamba - kuwoneka ngati fungo la chinthu chakunja mumkodzo mwina kumayamba chifukwa cha mankhwala omwe mumamwa kapena zakudya zomwe mumamwa. Komabe, ngakhale pakalibe madandaulo okhudza kusintha kwaumoyo, muyenera kupita kuchipatala.

Munkhaniyi tikufuna kuwuza owerenga athu za momwe zimakhalira ndi ketonuria, yomwe imadziwika ndi kafungo ka acetone mu mkodzo - ndimatenda omwe amayambitsa komanso njira zamakono zodziwira matenda ake ndi chithandizo. Tsiku lililonse, magazi okwanira 1,500 l amadutsa impso - izi zimachitika chifukwa chakuti magazi amtunduwu amadutsa m'mitsempha yamagazi ya kwamkodzo pafupifupi nthawi 300, kutsukidwa kwa zinthu zosafunikira.

Ichi ndichakuti maselo omwe amapanga matupi oonda a matupi a impso amagwira ntchito ngati mtundu wa zosefera: amatha kubowola tinthu tambiri ndikudutsa ma amino acid, mchere, madzi kukhala kapamwamba. Chifukwa chake, mkodzo woyamba umapangidwa.

Kenako magazi amayenderera kudzera mu ma tubular of impso, pomwe ma fayilidwe ena osakanikirana amabwerera kuchokera ku kapisozi - njira yobwezeretsanso (kubwezeretsanso) kumachitika. Zinthu zotsalira ("zosafunikira" kwa thupi la munthu) zimadutsa muretra, kulowa mu chikhodzodzo ndipo zimamasulidwa kudzera mu urethra (urethra) - uwu ndi mkodzo wachiwiri.

Momwe mungadziwire kupezeka kwa njira ya pathological mu mkodzo?

Kuchuluka, mawonekedwe akuthupi komanso mankhwala a metabolic yomaliza yomwe impso zimabisalira, ngakhale mwa munthu wathanzi, zimadalira zinthu zambiri zomwe zimayang'aniridwa mu maphunziro aumodine. Kungoganiza kuti thanzi silili mwadongosolo, mutha kuzichita nokha, chifukwa ndikokwanira kulipira chidwi cha mkodzo - kununkhira

Nthawi zambiri, satha kuwonekera; zinthu zomwe zimapezeka mumkodzo zomwe zimapangidwa pakapangidwe kazinthu zoyambira mthupi zimatha kupatsa chiyembekezo. Fungo la acetone, limatikumbutsa kununkhira kwa maapulo wowawasa, limapezeka pamene kuchuluka kwa matupi a ketone - β-hydroxybutyrate ndi acetoacetate omwe amapangidwa m'chiwindi amachotsedwa tsiku ndi tsiku mumkodzo.

Limagwirira a mapangidwe a ketone matupi

Kapangidwe ka ma cellular kumachitika kudzera mu β-oxidation wamafuta acid kapena aerobic glycolysis (glucose oxidation process) - izi zimatengera tsogolo la mahomoni ndi kupatsidwa mphamvu mu minofu. Mu kagayidwe kazakudya, insulin, chinthu chogwira ntchito kwachilengedwe chomwe chimakhudzidwa ndi kapangidwe ka molekyulu acetyl-CoA (vitamini wokhala ndi protein osakhala ndi mapuloteni - othandizira pazomwe zimachitika pakachulukidwe ka michere), umachita mbali yofunika kwambiri.

Thupi limagwiritsa ntchito zotsalira zake kuti lipange matupi a ketone m'chiwindi nthawi ya ma Krebs cyclic - kusintha kosasintha kwamankhwala komwe kumapangitsa kupanga kwa adenosine triphosphoric acid, komwe ndikofunikira kwa thupi la munthu. Nthawi zambiri, mkombero usanachitike, acetyl-CoA amalowa asidi wa oxalic-acetic ndikuwongolera kuchuluka kwa mapangidwe a citrate synthase - transferase, yomwe imatenga nawo gawo la conduction acid.

Acetyl-coenzyme A imapereka minofu ndi mphamvu zonse, ndipo palibe chifukwa chogwiritsira ntchito β-oxidation wamafuta acids. Matupi a Ketone amapangidwa kuchokera ku zotsalira za coenzyme ya acetylation, pomwe mulingo wambiri wa mapangidwe awo osokoneza bongo ndikugwiritsira ntchito minofu imasungidwa, zomwe zimatsimikizira kusowa kwa acetone mu mkodzo wa munthu wathanzi.

Kuperewera kwa insulin kumayambitsa kuphwanya kwa aerobic glycolysis ndi kuchepa kwa kugwiritsidwa ntchito kwa glucose ndi minyewa ya adipose ndi minofu, yomwe imawonetsedwa kuti imadalira insulin - imakhala ndi "njala" pamene mapuloteni awa amaperewera. Mphamvu yamkati imalandira chizindikiro ndipo imathandizira kupanga ma contrainsular mahomoni (insulin antagonists) ndi endocrine glands, yomwe "imaphatikizanso" njira ya β-oxidation yamafuta acids, ndikulimbikitsa kusweka kwa mapuloteni am'mimba olowa m'chiwindi.

Chifukwa cha izi, oxalic-acetic acid imapangidwa, yomwe imakhudzidwa ndikupanga glucose kuchokera pazinthu zopanda mafuta, zomwe zimakwiyitsa kukula kwa ketosis, chikhalidwe chomwe matupi a ketone amakhala gwero lalikulu lamphamvu.

Zinthu zazikulu za ketonuria

Kuphwanya njira ya kagayidwe kachulukidwe kachulukidwe ka mafuta acids, kapangidwe ka ma ketones ndi shuga kungayambike pazifukwa zathupi:

• kusala kudya kwanthawi yayitali
• ntchito yayikulu
• toxicosis
• chakudya chopanda malire
• kusowa kwamadzi
• Hypothermia wa thupi,
• Chakudya chomwe chili ndi mapuloteni ambiri a nyama,
• kutopa kwambiri.

Maonekedwe akununkhira kwa acetone mu mkodzo mwa akazi amathanso kuyambika chifukwa cha matenda opatsirana ndi zotupa mkati mwa ziwalo zoberekera - pomwe chikhodzodzo chilibe kanthu, kumaliseche kumalowe kulowa mu madzi obwera. Kuchotsa kwa zinthu zopweteketsa mtima kumathandizira kuti mapangidwe amkodzo akhale apangidwe.

Kuchotsa kwamphamvu thupi la ketone m'thupi la munthu kumayang'aniridwa ndi:

• kuledzera
• kukhudzana ndi mafuta akunenepa - chloroform,
• kulimbitsa thupi kwambiri,
• kusintha kwa mahomoni.

Kuti mudziwe zomwe zimayambitsa kununkhira kwa ma acetone mu mkodzo wothiriridwa, muyenera kulumikizana ndi katswiri woyeserera yemwe adzakuyezeni zamankhwala ndikuzindikira njira zam'thupi zomwe zimatsogolera ketonuria:

• hyperglycemia - kuchuluka kuchuluka kwa shuga m'magazi,
• phosphorous kapena poyizoni wazitsulo,
• kuchuluka kwa katulutsidwe komanso katemera wokwanira wa mahomoni a chithokomiro kulowa m'magazi - hyperthyroidism,
• kuwonongeka kwa mafupa a chigaza ndi minyewa yofewa (mitsempha, msempha, mitsempha yamagazi, minofu yaubongo),
• kuchepa kwa kuchuluka kwa hemoglobin m'mwazi ndi kuchepa kwa maselo ofiira am'magazi - kuchepa magazi,
• mapangidwe chotupa m'mimba
• Kuchepetsa kwa pylorous ndi zilonda 12 zam'mimba - pyloric stenosis,
• Mycobacterium matenda opatsirana komanso otupa - chifuwa chachikulu,
• kutopa kwambiri kwa thupi - cachexia,
• matenda a chiwindi - matenda omwe amadziwika ndi kukonzanso kwachilendo kwa ziwalo ndikupanga chisokonezo chake,
• postoperative syndrome
• kuledzera m'magawo awiri a solvent-acetone (dimethylketone),
• matenda owopsa a hematopoietic dongosolo - leukemia.

Zimayambitsa kununkhira kwa acetone mu mkodzo wa mwana

Muubwana, ketonuria imawonedwa ndi:

• Matenda am'mimba.
• Kuperewera kwa m'mimba kwambiri kwa lipids ndi chakudya, zomwe zimayamba chifukwa cha matenda opatsirana - nkhuku kapena malungo ofiira, kudya kwambiri, matenda oopsa, kutentha thupi.
• Shigellosis ndimatenda oopsa a bakiteriya obwera.
• Kusintha - dziko lokwezedwa.
• Dysbiosis wamkati.
• Kuchulukana kwakanthawi kochepa kwaubongo komwe kumachitika chifukwa cha kukomoka.

Ana nthawi zambiri amapezeka ndi acetonemic syndrome - chizindikiro chovuta chomwe chimayambitsidwa ndi vuto la majini komanso kuchuluka kwa ma ketones m'magazi. Vutoli limadziwika ndi ziphuphu za acetone, zomwe zimawonetsedwa ndi kusanza kwachisawawa, kuchepa madzi m'mimba, kuledzera, kutentha thupi pang'ono, kupweteka pamimba, komanso fungo losasangalatsa kuchokera kumkamwa wamkamwa.

Matupi a Ketone mu mkodzo wa khanda amatha kuwonekera ndi kubereka kwatsopano (leukinosis) kapena kudyetsa kosayenera.

Njira zoyesera

Ndikofunikira kukhazikitsa chifukwa chake mkodzo umanunkhira acetone posachedwa. Kuti muchite izi, muyenera kulumikizana ndi chipatala ndikuchita kafukufuku wothandizidwira: kuwunika kwamkodzo, chiwindi, kuyesa kwa magazi, komwe kumakupatsani kudziwa kuchuluka kwa shuga, ultrasonography kapena kuchepa kwam'mimba.

Palibe matupi a ketone m'magazi ndi mkodzo wa munthu wathanzi. Mukamachita kafukufuku wa labotale, ngati mwapezeka mu zitsanzo zamafuta am'madzi, muwonetsere kuchuluka kwa kuchuluka kwawo - ngati mulingo wa ma ketoni ufika:

• 0.5 mmol / l, katswiriyu amaika "+/-",
• 1,5 – «+»,
• 4.0 - "++ "(mkhalidwe wodwalayo amawonedwa kuti ndi wocheperako, chithandizo kuchipatala ndichofunika),
• 10,0 - "+++ "(wodwala kwambiri, wodwalayo ayenera kuchipatala kuchipinda chothandizira kwambiri).

Njira zochizira

Chithandizo cha acetonuria chikuchitika zimadalira zifukwa zathu. Nthawi zina, zimakhala zokwanira kusintha zomwe wodwala amachita tsiku ndi tsiku komanso menyu. Ndi zoletsedwa kugwiritsa ntchito:

• chakudya chamzitini
• zonunkhira
• zakudya zamafuta ambiri
• Zipatso za malalanje
• Confectionery
• zakumwa zoziziritsa kukhosi
• mowa
• ankasuta nyama
• nthochi.

Amaloledwa kugwiritsa ntchito masamba atsopano, owiritsa kapena otentha mafuta amitundu mitundu ya nsomba ndi nyama. Ndi hyperglycemia yotsimikizika, mankhwalawa amathandizira kuchepetsa kuchuluka kwa shuga m'magazi (nthawi zambiri, chizindikiro chake chimachokera ku 3,3 mpaka 5.6 mmol / l). Pachifukwa ichi, amagwiritsa ntchito njira yapadera yogwiritsira ntchito insulin, yomwe imalola kubwezeretsa shuga. Izi zimathandizira pakutha kwa ma ketones komanso fungo la acetone kuchokera mkodzo.

Ndikulimbikitsidwa kumwa zakumwa zambiri, kumwa Orsol, Tserukal (ndi masanzi), kulowetsedwa kwa chamomile, msuzi wa rosehip ndi zipatso zowuma zambiri. Kuti muchotse poizoni, mutha kugwiritsa ntchito Sorbex, Enterosgel kapena malasha oyera. Ndikofunikira kukhazikitsa kugona kwapamwamba komanso kugona mokwanira, masewera olimbitsa thupi amafunikira - masewera olimbitsa thupi m'mawa, kusambira ndi kuyenda.

Kusintha machitidwe a metabolic, imathandizira kufalikira kwa zotumphukira ndikuletsa vasoconstriction, njira za thupi zitha kuyikidwa: ma saltux, malo osambira paraffin, kutikita minofu, UHF, diadynamics ndi Bernard mafunde, electrophoresis yokhala ndi nikotini acid, hydrogen sulfide ndi alkaline bas.

Njira za homeopathy ndi njira zina zochiritsira

Mankhwala ofooketsa m'mimba amathandizira kuchepetsa kukhudzika kwa glucose m'magazi ndikuyeretsa kwamikodzo, komanso amathandizira magwiridwe antchito amthupi la munthu. Kuti izi zitheke, kugwiritsa ntchito njira zakunyumba kumalimbikitsa kugwiritsa ntchito:

• Aconita,
• Fucus
• Sekale Cornutum
• Bryonia
• Cuprum Arsenicosum,
• Iris
• Nitricum ya ku Argentina,
• Echinacea
• Acidum Lacticum
• Kalkarea-fluoriki.

Monga thandizo mankhwalawa a ketonuria, maphikidwe a ochiritsira amagwiritsidwa ntchito:

• Magalamu 15 a tsamba lotchinga kutsanulira 150 ml ya madzi ophika kumene, kusiya kwa mphindi 60, kumwa 50 ml katatu pa tsiku.
• Pogaya 500 g mandimu mu chopukusira nyama, kuwonjezera 150 g wa parsley ndi adyo. Kupirira chifukwa misa kwa milungu iwiri mufiriji. Tengani 1 tsp kwa theka la ola musanadye.
• 100 g wa oats kutsanulira 600 ml ya madzi otentha, kunena ndi kumwa 4 pa tsiku, 100 ml.

Madzi ochokera kabichi, mbatata, mapeyala, rasipiberi, dogwood, komanso decoctions ndi masamba ochokera ku nettle masamba, blueberries, elderberry wakuda ndi sitiroberi, ma rhizomes a burdock, ginseng ndi dandelion, mbalame ya okonza ndi mahatchi amatha kusintha momwe kayendetsedwe kazinthu zimayendera. Pofuna kupewa kupezeka kwa matenda omwe amatsatizana ndi acetonuria, munthu aliyense ayenera kukumbukira kufunika kwa:

• moyo wathanzi
• zolimbitsa thupi,
• kupumula kwabwino,
• amayenda mumweya watsopano,
• zakudya zabwino
• njira yoyenera ya kumwa
• kuumitsa thupi
• mayeso a chitetezo chaka ndi chaka.

Pomaliza za zomwe tanena pamwambapa, ndikufuna kutsindikanso kuti maonekedwe a fungo lamkodzo mumkodzo pafupifupi nthawi zonse amawonetsa kukhalapo kwa vuto mthupi - kuchuluka kwa matupi a ketone m'magazi, kuchuluka kwa shuga, kachilombo ka virus, kudziwitsidwa kwa zinthu zakupha, madzi osowa, ndi dziko la acetone. Ichi ndichifukwa chake kuti mupewe kukula kwa zovuta zovuta, muyenera kufunsa dokotala munthawi yake.

Zifukwa zotheka zomwe mkodzo umanunkhira ngati acetone

Ketone, alinso acetone, matupi ndi zopangidwa posinthanitsa acetyl-CoA, yomwe imapangidwa kuchokera ku mapuloteni eni ake amthupi, komanso ndikusowa kwa michere - yochokera ku mafuta. Ma ketoni amaphatikizapo acetone acetic acid, beta-hydroxybutyric acid (BOMC) ndi acetone. Pogwiritsa ntchito mankhwala ochulukirapo m'magazi, ketonemia imawonjezeka pamene acetone komanso fungo la mkodzo wapezeka. Nthawi zambiri izi zimachitika chifukwa cha zovuta za metabolic komanso matenda.

Nthawi zambiri, ketosis ndi ketonuria zimachitika motsutsana ndi maziko a shuga mellitus (DM). Mtundu woyamba wa matenda a shuga, kuchepa kwa insulini komanso kuchuluka kwa mahomoni ake okana (glucagon, hydrocortisone, norepinephrine, ndi zina). Ndi zovuta za metabolic, lipids zimasweka kwambiri. Ma ketoni amapangidwa kuchokera kuzinthu zowola.

Mtundu wachiwiri wa matenda ashuga, ketonemia sichimatchulidwa. Chifukwa chake, acetone m'magazi ndi mkodzo nthawi zambiri limatuluka ndi mtundu 1 wa shuga.

Matupi a acetone mu mkodzo ndi magazi amawoneka ngati mukuphonya jakisoni wa insulin, pambuyo pa katundu wolemera, motsutsana ndi maziko a matenda opatsirana komanso zina zopsinjika. Izi zikutanthauza kuti acetone mumkodzo tsopano ndi chizindikiro choti matenda awola. Anthu odwala matenda ashuga omwe ali ndi ketosis komanso ma ketoni mumkodzo nthawi zambiri amagonekedwa kuchipatala. Nthawi zambiri, ma ketoni mu kuwunikira ndi chizindikiro choyamba cha matenda ashuga.

Zoyambitsa zakunja

Kunja kumaphatikizapo zoyambitsa zomwe sizotsatira za matenda aliwonse. Pankhaniyi, mkodzo umanunkha ndi acetone chifukwa:

• poyizoni ndi mowa, mankhwala osokoneza bongo, phosphorous, zitsulo,
• kumwa mankhwala ena ndi mavitamini
• kulimbitsa thupi kwanthawi yayitali,
• zakudya zopanda pake komanso zosasamala,
• kusowa kwamadzi m'thupi (kuchepa madzi m'thupi),
• kusala kudya kwanthawi yayitali (kumagwiritsa ntchito mitundu ina ya zakudya),
• kuvulala pamutu, etc.

Zoyambitsa zamkati

Izi zimayambitsa matenda azachilengedwe, ndipo zimapangidwanso ndimatenda amtundu uliwonse komanso zonyansa.

Acetonuria mwina chifukwa cha:

• kuchuluka kwa insulin (shuga mellitus),
• matenda opatsirana oyenda limodzi ndi vuto,
• kuchepa magazi kwambiri
• matenda a chithokomiro (chithokomiro),
• chikhalidwe (chikomokere),
• kupsinjika kapena kudwala kwam'mutu,
• kuchepa magazi
• matenda am'mimba (kuphatikizapo khansa),
• opaleshoni waposachedwa, etc.

Zizindikiro zoyenda

Pamodzi ndi fungo losasangalatsa la acetone, acetonuria imayendera limodzi ndi zizindikiro zina.

Makamaka, zodziwika bwino zimatha kuwonetsedwa mu:

• kuchepa kapena kusowa kudya kwathunthu, ndipo kukambirana sikumangokhudza chakudya, komanso za zakumwa,
• mseru,
• kusintha kwa khungu
• kamwa yowuma
• kupweteka m'mimba, etc.

Njira Zodziwitsira

Tsimikizani kapena kukana kupeza kuchuluka kwa matupi a ketone mumkodzo, ndikupezanso ngati kuwunika kwake kuli kofunikira, mutha kugwiritsa ntchito mawayilesi oyesera omwe amagulitsidwa ku pharmacy iliyonse.

Ngati zomwe zili m'matumbo a mkodzo mu mkodzo zikufika pamizeremizere, muyenera kupita kwa dokotala ndikupimidwa.

Nthawi zambiri, matenda amtunduwu amapezeka potengera zotsatira za urinalysis, komanso kuyesa kwa zamankhwala ndi magazi ena. Nthawi zina, njira zowonjezera zodziwikiratu zimatha kulembedwa kuti zitsimikizire matendawa, mwachitsanzo, ultrasound, CT, ndi zina zambiri.

Amapangidwanso pamaziko a matenda. Monga lamulo, kuchotsedwa kwa matenda omwe amachititsa acetonuria kumangoyambitsa kuchotsera kwa chizindikiro ichi chosasangalatsa.

Ngati fungo la mkodzo wa mkodzo ndi chizindikiro cha mkhalidwe wa wodwalayo (kuchepa madzi, kutopa, kugwira ntchito, ndi zina zambiri), ndikokwanira kumulamula munthu (kachiwiri, kutengera kutsimikizika) kuti mupumule, mupumule kapena musinthe zina ndi zina pa chakudya chake (lipatseni zakudya zapadera).

Ngati acetonuria adayamba chifukwa cha matenda oopsa, chithandizo chimachitika mogwirizana ndi njira yothetsera matendawa. Pankhani ya matenda oyambitsidwa ndi ma virus, njira ya maantibayotiki ingathe kutumikiridwa, ngati matenda a oncological - radiation kapena maphunziro a chemotherapy, ndi zina zambiri.

Ndikofunika kutsindika kuti chithandizo chilichonse chimayenera kukhazikitsidwa osati pongodziwa, komanso pa machitidwe a thupi.

Panthawi yomwe kuchuluka kwa matupi a ketone m'magazi kupitilira zovomerezeka ndipo kungavulaze ubongo (ketoacidosis), madokotala amatha kuchitapo kanthu kuti achepetse kuchuluka kwa acetone ndi ketone.

Ngati magazi a magazi aposa 13 mmol, ndipo ketone imaposa 5 mmol, kuwongolera kwazachipatala kuzama kwawo kumachitika pogwiritsa ntchito ma sorbents osiyanasiyana.

Kupewa

Kuchita mopitilira muyeso ndi kugwiranso ntchito kwa usiku kuyenera kupewedwa, ndipo ngati izi zichitika, masinthidwe amenewa ayenera kusinthana ndi nthawi yopumula, pomwe thupi limatha kuchira.

Zakudya zamafuta ambiri komanso zopatsa chidwi zimatha kukhala zokongola, zimanunkhira bwino komanso zimakoma, koma ndizomwe zimayambitsa matenda osiyanasiyana, kunenepa kwambiri komanso kusowa kwa vitamini. Muyenera kudya zakudya zopatsa thanzi, kusiyanitsa zakudya zanu, kudya zipatso ndi masamba ambiri.

Makanema okhudzana nawo

Pazifukwa za fungo losasangalatsa la mkodzo mu kanema:

Ndipo koposa zonse, ndimadzimadzi. Aliyense wabwinobwino azimwa madzi osachepera malita awiri patsiku, komanso, osati khofi kapena tiyi, koma madzi oyera kapena timadziti. Pokhapokha ndi pomwe idzatsimikiziridwa kuti itetezedwa ku acetonuria, ketoacidosis ndi mawonetsedwe ena oyipa.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Zolemba zaukadaulo wazachipatala

Ngati munthu alibe mavuto azaumoyo, mkodzo wake suyenera kukhala osiyana ndi fungo lililonse losasangalatsa. Chifukwa chake, kununkhira kwa acetone mu mkodzo kumayenera kumakhala tcheru nthawi zonse. Inde, sikofunikira kuti tizingoganiza za kukhalapo kwa matendawa: ndikofunikira kuyesedwa - mwina kununkhira kwa acetone mu mkodzo kumalumikizidwa ndi chikhalidwe cha zakudya kapena zomwe zidagwiritsidwa ntchito kale ndi mankhwala.

Epidemiology

Fungo la acetone mu mkodzo limapezeka nthawi zambiri mwa akazi kuposa amuna (oposa 3%).

Nthawi zambiri, fungo la acetone mu mkodzo limapezeka mwa odwala achichepere a zaka zoyambira 4 mpaka 4.

Fungo la acetone mu mkodzo limadziwika kuti ndi kupatuka komwe kumapezeka kwambiri pakuwonetsa urinalysis.

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Zimayambitsa kununkhira kwa acetone mu mkodzo

Fungo la acetone mu mkodzo (mu mankhwala - acetonuria) limawonekera chifukwa chakuwonjezeka kwa kuchuluka kwa matupi a ketone m'madzi amkodzo. Mitembo ya Ketone imadziwika kwambiri chifukwa cha kusakwanira kwa makutidwe ndi okosijeni a lipids ndi mapuloteni.

Kukhalapo kwa kununkhira kwa acetone mu mkodzo kuli kutali ndi munthu aliyense kumatanthauza kukhalapo kwa matenda. Palinso chizindikiritso chovomerezeka cha matupi a ketone - iyi ndi 25-50 mg / tsiku.

Zotsatira zotsatirazi zingakhudze chitukuko cha acetonuria:

• kuperewera kwa zakudya m'thupi, kugwiritsa ntchito mapuloteni ambiri a nyama,
• kudya koperewera, kusala kowuma,
• kutentha kwakutali, matenda opatsirana otupa, kuchepa kwa madzi m'thupi,
• kuchita masewera olimbitsa thupi mopitirira malire
• kumwa mankhwala omwe ali ndi vuto losakhudza kwamikodzo komanso kapamba.

Fungo la acetone mu mkodzo wa akazi limakonda kuphatikizidwa ndi zakudya zosiyanasiyana zomwe zimayesedwa ndi kugonana koyenera. Mwachitsanzo, mapuloteni a nthawi yayitali komanso zakudya zama carb otsika, komanso kufa ndi "youma" kungapangitse kununkhira kwa acetone mkodzo.

Zowonjezera zomwe zimapangitsa kuti fungo la acetone lipangidwe mu mkodzo likhoza kukhala:

1. kuchuluka kwa insulin m'magazi,
2. malungo
3. matenda a virus
4. opaleshoni wamba
5. matenda a chithokomiro (chithokomiro),
6. poyizoni - mwachitsanzo, ndi mowa,
7. coma ndi precomatose state,
8. kutopa kwambiri kwa thupi,
9. kuchepa magazi
10. mavuto akulu m'mimba (ma oncology, stenosis),
11. Mikhalidwe yokhudzana ndi nthawi yosanza yosayenera,
12. gestosis ya amayi apakati,
13. kuvulala kumutu.

• Fungo la acetone mu mkodzo wa mwana limatha kukhala chifukwa chosagwira bwino ntchito pancreatic. Chowonadi ndichakuti mapangidwe am'mimba a ana amapezeka pang'onopang'ono komanso pang'onopang'ono. Chifukwa cha zina, chitsulo chimatha kuthana ndi vuto losagonjetseka chifukwa chaichi, zomwe zimapangitsa kuti ma enzymerewo asapangidwe molondola, zomwe zimawonetsedwa ndi fungo la acetone mu mkodzo. Zifukwa zofananazi zingakhale:
  • kudya kwambiri, kudya "chakudya chouma" kapena "kuthamanga", kugwiritsa ntchito zakudya zopanda pake ndi zina zowonjezera zamankhwala ndi mafuta am'mimba,
  • Mantha, kupsinjika m'maganizo, kutsutsana mwa mwana pafupipafupi,
  • kumwa mankhwala osavomerezeka,
  • Sars, fuluwenza, ARI, hypothermia,
  • matupi awo sagwirizana, helminths.
• Fungo la acetone mu mkodzo wamwamuna wamkulu limatha chifukwa cha kuperewera kwa zakudya, kapena zifukwa:
  • matenda ashuga
  • kuledzera, kumwa poyizoni wophatikizana ndi phosphorous, lead, etc.,
  • dziko labwino
  • stenosis yam'mimba, zotupa zoyipa m'mimba
  • mphamvu ya chloroform,
  • kuvulala kumutu.

Muzochitika zonse, ndikuwoneka ngati fungo la mkodzo, ndikofunikira kukaonana ndi katswiri ndikuwonetsetsa.

• Fungo la acetone mu mkodzo wa mwana limakhudzana kwambiri ndi zovuta m'matumbo a kapamba. Zigawo za ana zomwe zimakonzedwa zimakhala bwino mpaka zaka 12, motero, m'miyezi yoyamba ndi zaka za moyo wamwana, chakudya chake cham'mimba nthawi zambiri sichinakonzekere kupsinjika. Kudyetsa koyambirira, kudya kwambiri m'mimba (kudya pafupipafupi kapena kuchuluka kwambiri) mkaka wa m'mawere mwa mayi - chilichonse mwa zinthu izi chitha kupangitsa kuti kununkhira kwa acetone mu mkodzo. Kuphatikiza apo, zifukwa zina sizingalepheretsedwe:
  • mantha a mwana,
  • kugwira ntchito mopitirira muyeso
  • diathesis
  • helminthic infestation,
  • mankhwala a antiotic
  • kutentha kwambiri kapena hypothermia.

Ngati mwana amanunkhira acetone mu mkodzo, ndiye kuti palibe vuto lililonse kuti musakayike kukaonana ndi dokotala. Zomwe zimayambitsa vutoli zimapezeka, zimathandizira kwambiri tsogolo la thanzi la mwana.

• Fungo la acetone mu mkodzo panthawi yomwe ali ndi pakati limapezeka nthawi yayitali kwambiri - mwachitsanzo, kusanza pafupipafupi komanso kusatha kudya mwachizolowezi ngakhale kumwa madzi. Thupi la mzimayi limasowa madzi, matupi a ketone amadziunjikira, omwe amadziwulula ngati fungo la asiti mumkodzo. Gawo lowonjezera loyambitsa masewera limaseweredwa ndi kupsinjika kwa m'maganizo, kufooka kwa chitetezo cha thupi, zolakwika za pakudya, komanso kukakamiza kwa chiberekero chomwe chikukula pazigawo zam'mimba - makamaka, pa kapamba.
• Fungo la acetone mu mkodzo wa amayi m'mawa limatha kuphatikizidwa ndi kuphwanya kwa ntchito kwa mafungo a impso - makamaka, ndi congestive pathology. Kusunthika kotereku kumathanso kudutsa vuto la mzimayiyo: chakudya chokhazikika, madzi pang'ono omwe amagwiritsidwa ntchito, komanso kufa ndi njala. Zowonjezera zomwe zimachitika zimatha kukhala kusachita mwakuthupi mwa ogwira ntchito ambiri m'maofesi. Kuti muchepetse kununkhira kwa acetone m'mawa, komwe kumayambitsidwa ndi zifukwa zomwe zili pamwambazi, ndikokwanira kuti muzitha kudya, kuwirikiza kawiri kuchuluka kwamadzi omwe mumamwa, ndikuyambitsa zochitika zokwanira zolimbitsa thupi.
• Fungo la acetone lochokera mkamwa ndi mkodzo m'malo ambiri limawonetsa kukhalapo kwa matenda osokoneza bongo - munyengo yotere, kulumikizana ndi dokotala kuyenera kukhala kwachangu. Mu shuga mellitus, kuchuluka kwa shuga m'magazi kumachulukirachulukira, koma maselo amawalephera, chifukwa shuga sangalowe m'magawo a cell chifukwa cha kuchepa kwa insulin. Kuti athetse vuto la kusakhazikika, thupi limayamba kuphwanya mafuta - chifukwa chake, mulingo wa acetone umakwera.

Kununkhira kwamphamvu kwa asitone mu mkodzo mu shuga kungayambike chifukwa cha kuchuluka kwa shuga m'magazi komanso kuchepa kwake. Chifukwa chake, popewa kuwonjezeka kwa kuchuluka kwa matupi a ketone ndipo osayambitsa kukula kwa chikomokere, odwala matenda ashuga ayenera kuyang'anitsitsa kuchuluka kwa shuga.

, ,

Acetonuria

Acetonuria (ketonuria) - zomwe zimachitika mu mkodzo wa matupi a ketone, zomwe ndi zinthu zosakwanira makutidwe ndi okosijeni a mapuloteni ndi mafuta m'thupi. Matupi a Ketone akuphatikizapo acetone, hydroxybutyric acid, acetoacetic acid.

Posachedwa, zodabwitsa za acetonuria zinali zosowa kwambiri, koma tsopano zinthu zasintha kwambiri, ndipo acetone yowonjezereka mkodzo imatha kupezeka osati mwa ana komanso mwa akulu.

Acetone imatha kupezeka mu mkodzo wa munthu aliyense, pokhapokha pazowerengeka zochepa kwambiri. Pochulukirapo (20-50 mg / tsiku), nthawi zambiri amatsitsidwa ndi impso. Palibe chithandizo.

Akuluakulu

Akuluakulu, izi zimachitika chifukwa cha zifukwa zingapo:

• Kuwonetsetsa kwa zakudya zamafuta ndi mapuloteni muzakudya pamene thupi lilibe mphamvu yokhoza kuphwanya mafuta ndi mapuloteni.
• Kuperewera kwa chakudya chamafuta ambiri.
  Zikatero, ndikokwanira kudya zakudya, osadya mafuta, kuwonjezera zakudya zopanda chakudya. Kutsatira zakudya zosavuta, zomwe zimachotsa zolakwika zonse m'zakudya, ndizotheka kuchotsa acetonuria popanda kugwiritsa ntchito mankhwala.
• Zochita zolimbitsa thupi.
  Ngati zifukwa zili pamasewera owonjezereka, muyenera kulumikizana ndi katswiri ndikusintha katundu yemwe angagwirizane ndi thupi.
• Chakudya chokhazikika kapena kusala kudya kwanthawi yayitali.
  Pankhaniyi, muyenera kusiya kufa ndi kudya ndikuthandizani wodwala kuti asankhe zakudya zoyenera komanso zakudya zofunika kubwezeretsanso thupi.
• Type I shuga mellitus kapena wotopa kukanenepa ndi mtundu wautali II matenda a shuga.

Munthawi imeneyi, thupi limasowa chakudya chokhala ndi mafuta ndi ma protein ambiri. Kutengera zifukwa zomwe zinapangitsa kuti ma acetone awoneke mkodzo ndi matenda a shuga, njira zosamalira wodwalayo zimasankhidwa. Ngati zifukwa zake ndizosavuta kutsatira pachakudya chokhazikika (ngakhale izi sizingachitike kwa anthu odwala matenda ashuga), ndiye kuti acetonuria imatha masiku angapo pambuyo poti zakudya zatha kapena kuwonjezera zakudya zomwe zili ndi zakudya m'zakudya. Koma wodwala yemwe ali ndi matenda ashuga akapanda kuchepa mu mkodzo ngakhale atatenga chakudya ndi jakisoni munthawi yomweyo, ndiye kuti muyenera kuganizira zovuta za metabolic. Zikatero, matendawa amakhala ovuta komanso owonda ndi matenda opha matenda ashuga ngati njira zachangu sizingatenge.

Cerebral coma.

Kutentha kwambiri.

Kuledzera.

Mkhalidwe wokongola.

Hyperinsulinism (kuukira kwa hypocglycemia chifukwa cha kuchuluka kwa insulin).

Matenda oopsa angapo - khansa yam'mimba, stenosis (kufupika kwa kutseguka kapena kufinya) kwa pylorous yam'mimba kapena esophagus, kuchepa magazi, cachexia (kuchepa kwambiri kwa thupi) - nthawi zambiri kumakhala limodzi ndi acetonuria.

Kusanza kopanda tanthauzo kwa amayi apakati.

Eclampsia (toxosis yayikulu pakatha nthawi yayitali).

Matenda opatsirana.

Opaleshoni, makamaka chloroform. Odwala pambuyo pa ntchito, acetone imatha kuwonekera mkodzo.

Ma poizoni osiyanasiyana, mwachitsanzo, phosphorous, lead, atropine ndi mankhwala ena ambiri.

Thyrotooticosis (kuchuluka kwa mahomoni a chithokomiro).

Zotsatira zavulala zomwe zimakhudza dongosolo lamanjenje lamkati.

Ngati acetone mu mkodzo amawonekera munthawi ya momwe thupi limagwirira ntchito, chithandizo chimayikidwa ndi dokotala yemwe amayang'ana wodwalayo.

Acetone mu mkodzo panthawi yapakati

Panthawi yapakati, mawonekedwe a acetone mu mkodzo ndiwodabwitsa. Palibe amene anganene zenizeni zomwe zimayambitsa acetonuria azimayi oyembekezera, komabe, akatswiri amatchulapo zinthu zingapo zomwe zikuchititsa kuti matendawa apezekenso:

• Zowononga zachilengedwe.
• Kupsinjika kwakukulu kwamaganizidwe kwa mayi woyembekezera, osati pakadali pano, komanso m'mbuyomu.
• Anachepetsa chitetezo chokwanira.
• Kupezeka kwazinthu zomwe zimagwiritsidwa ntchito ndi mankhwala - atoto, zoteteza komanso zowongolera.
• Toxicosis, momwe chizindikiro chachikulu ndikusanza kosalekeza. Pankhaniyi, ndikofunikira kubwezeretsanso madzi mthupi - kumwa madzi ang'onoang'ono kapena kubayiranso madzi m'mitsempha. Ndi chithandizo choyenera, acetone kuchokera mkodzo umatha mkati mwa masiku awiri kapena ngakhale kale.

Mulimonsemo, ndikofunikira kuzindikira chomwe chimayambitsa acetonuria mwa amayi apakati posachedwa ndikuchotsa kuti izi zisakhudze thanzi la mwana wosabadwa.

Kuyesa kwa Urine Acetone

Posachedwa, njira yodziwira ma acetone mu mkodzo yakhala yosavuta kwambiri. Pokayikira pang'ono vutoli, ndikokwanira kugula mayeso apadera mu pharmacy yokhazikika yomwe imagulitsidwa palokha. Ndikofunika kutenga ma strolo angapo nthawi imodzi.

Kuyesedwa kumachitika m'mawa uliwonse kwa masiku atatu motsatizana. Kuti muchite izi, sonkhanitsani mkodzo m'mawa ndikuchepetsa mzere. Chotsani, sansirani madontho ochulukirapo ndikudikirira mphindi zingapo. Ngati zingwe kuchokera ku chikasu zitasandulika pinki, izi zikuwonetsa kukhalapo kwa acetone. Maonekedwe a zovala zofiirira zimatha kuwonetsa acetonuria.

Kuyesedwa, kumene, sikuwonetsa kuchuluka kwenikweni, koma kudzakuthandizani kudziwa kuchuluka kwa acetone komwe muyenera kufunsa dokotala mwachangu.

Kuyesa kwa mkodzo kwa acetone

Kuti afotokozere bwino mulingo wa acetone, dokotala amalemba kutumiza kwa matenda amtundu wa kwamkodzo, komwe amatsimikiza pamodzi ndi zizindikiro zina.

Kutolere kwamkodzo kuti muwonedwe kumachitika molingana ndi malamulo apadera: pambuyo pa njira zaukhondo, mkodzo wam'mawa umasonkhanitsidwa mumbale yowuma komanso yoyera.

Nthawi zambiri, matupi a ketone (acetone) mumkodzo ndi ochepa kwambiri kotero kuti samatsimikiziridwa ndi njira zachilendo zothandizira ntchito. Chifukwa chake, akukhulupirira kuti acetone mu mkodzo sayenera kukhala yabwinobwino. Ngati acetone wapezeka mkodzo, kuchuluka kwake kumasonyezedwa pakuwunikiridwa ndi ma plus ("mitanda").

Kuphatikizanso kwina kumatanthauza kuti mayankho a mkodzo ku acetone alibe mphamvu.

Ma ploses awiri kapena atatu ndi mayankho abwino.

Ma pluses anayi ("mitanda inayi") - machitidwe oopsa, momwe zinthu zilili zimafunikira kuchipatala msanga.

Ndi dokotala uti yemwe ndiyenera kulumikizana ndi acetone mu mkodzo?

Popeza kukhalapo kwa acetone mu mkodzo kumatha kuyambitsidwa osati ndi matenda osiyanasiyana, komanso chifukwa cha kuthupi (kugwira ntchito, kuthana ndi zakudya, etc.), sikofunikira kufunsa dokotala pazinthu zonse za acetonuria. Kuthandizidwa ndi dokotala ndikofunikira pokhapokha ngati mawonekedwe a acetone mkodzo amayamba chifukwa cha matenda osiyanasiyana. Pansipa tikambirana omwe madokotala apadera omwe amayenera kufunsidwa kwa acetonuria, kutengera matenda omwe adawonjezera.

Ngati, kuphatikiza ndi acetone mu mkodzo, munthu akuzunzidwa ndi ludzu losalekeza, amamwa kwambiri ndikuwonetsa mkodzo, nembanemba wake umamuma, ndiye izi zikuwonetsa matenda a shuga, ndipo pamenepa, muyenera kulumikizana ndi endocrinologist (lowani).

Pamaso pa acetone mkodzo poyerekeza ndi kutentha kwambiri kapena matenda opatsirana, muyenera kulumikizana katswiri wamkulu (lowani) kapena katswiri matenda opatsirana (lowani)yemwe azichita kafukufuku wofunikira ndikupeza chomwe chimayambitsa malungo kapena kutupa, ndikutsatiridwa ndi kuperekedwa kwa chithandizo.

Ngati acetone mu mkodzo akuwonekera pambuyo povutitsa zakumwa zoledzeretsa, ndiye kuti zamankhwala (lowani)amene azichita chithandizo chofunikira pochotsa zakumwa zoledzeretsa za mthupi la ethyl.

Ngati kuchuluka kwa acetone mu mkodzo chifukwa cha opaleshoni, ndiye muyenera kulumikizana kuyambiranso (lowani) kapena wothandizira zochitika zofunikira ndikuchotsa mwachangu zinthu zoyipa m'thupi.

Pakakhala zizindikiro za hyperinsulinism (kupweteka kwa thukuta, kugona, kugona, mantha, nkhawa, kunjenjemera m'miyendo ndi mikono, kutayika kwa malo, kupenya kawiri, kudzimbidwa ndi kumva kunjenjemera) , nkhawa, kuyankhula mwachangu, kugona tulo, kusokonezeka kwa malingaliro, kugwedezeka pang'ono kwa miyendo ndi mutu, kugunda kwamtima mwachangu, kutupikana m'maso, kutupa kwa eyel, kuwona kawiri, kuwuma ndi kupweteka m'maso, thukuta, kutentha kwambiri. kuyendera thupi, kuchepa thupi, kulekerera kutentha kwakukulu, kupweteka kwam'mimba, kutsekula m'mimba, kufooka kwa minofu ndi kutopa, kusamba kwa msambo, kukomoka, kupweteka mutu komanso chizungulire), muyenera kulumikizana ndi endocrinologist.

Ngati mayi woyembekezera ali ndi acetone mu mkodzo wake, ndipo nthawi yomweyo amakhala ndi nkhawa ya kusanza pafupipafupi kapena kupindika kwa edema + kuthamanga kwa magazi + mkodzo, ndiye kulumikizana gynecologist (lowani), popeza Symbomatology imakupatsani mwayi wokayikira zovuta zapakati, monga toxicosis yayikulu kapena gestosis.

Ngati acetone mu mkodzo akuwonekera pambuyo povulala kwapakati pa dongosolo lamanjenje (mwachitsanzo, kulowetsedwa kwa ubongo, encephalitis, ndi zina), ndiye kulumikizana wamisala (lowani).

Ngati munthu mwadala kapena mwangozi adziyika yekha poyizoni wazinthu zilizonse, mwachitsanzo, adatenga atropine kapena amagwira ntchito m'makampani owopsa ndi mankhwala a lead, phosphorous kapena zebus, muyenera kulumikizana wasayansi wazipanga (lowani) kapena, pakalibe iye, kwa ochiritsa.

Ngati acetone mkodzo limaphatikizidwa ndi zizindikiro monga kupweteka kwam'mimba, kusweka, kusinthana kwa kudzimbidwa ndi kutsekula m'mimba, kupweteka kwa minofu, kutupa, kupsinjika kwa khungu, kusasamala, kusamva bwino, kumva kuti palibe chiyembekezo, mwina jaundice, madontho a magazi kumapeto kukodza, ndiye kuti Matenda a helminths (mphutsi za parasitic) amakayikiridwa, ndipo pamenepa, muyenera kulumikizana parasitologist (lowani), helminthologist (lowani) kapena matenda opatsirana.

Ngati munthu wamkulu kapena mwana ali ndi ululu wam'mimba kuphatikizira ndi kutsegula m'mimba, komanso mwina ndi kusanza ndi kutentha thupi, muyenera kulumikizana ndi katswiri matenda opatsirana, monga momwe zizindikiro zimasonyezera kamwazi.

Ngati mwana ali ndi kuchuluka kwa acetone mu mkodzo pamodzi ndi kupukutira, ndiye kuti muyenera kuwona katswiri kapena mankhwala.

Pamene acetone mkodzo wapezeka motsutsana ndi maziko a khungu lachiberekero ndi kufooka, kufooka, chizungulire, kulawa kusokonekera, "kupindika" m'makona amkamwa, khungu louma, misomali yofinya, kupuma movutikira, kukomoka kwa mtima, kuchepa kwa magazi, ndipo pamenepa, muyenera kulumikizana ndi izi hematologist (lowani).

Ngati munthuyo ndi woonda kwambiri, ndiye kuti kupezeka kwa acetone mu mkodzo ndi chimodzi mwazizindikiro za kutopa kwambiri, ndipo pankhaniyi, muyenera kulumikizana ndi dokotala kapena kwa wokonzanso (lowani).

Ngati kusanza kwa zakudya zodyedwa kumachitika pafupipafupi pamkodzo wa munthu, kumadzaza phokoso m'mimba pambuyo popewa kudya kwa maola angapo, kuperewera kwa m'mimba, kuperewera wowawasa kapena kuwola, kutentha kwa mtima, kufooka, kutopa ndi kutsekula m'mimba. pylorous yam'mimba kapena esophagus, chifukwa chake ndikofunikira kufunsa gastroenterologist (lowani) ndi dokotala.

Ngati acetone mkodzo umaphatikizidwa ndi kupweteka m'mimba, kudya m'mimba mutatha kudya, kusowa kudya, kusadya nyama, nseru komanso mwina kusanza, chakudya chochepa, komanso kusakhala bwino ndi thanzi, kutopa, ndiye kuti khansa yam'mimba imakayikiridwa, ndipo izi mlandu womwe muyenera kulumikizana nawo oncologist (lowani).

Kodi ndi mayeso ndi mayeso ati omwe dokotala angakulembeni acetone mu mkodzo?

Ngati acetone mkodzo limaphatikizidwa ndi zizindikiro zosonyeza kuchepa thukuta, kulumikizana, njala, mantha, kuda nkhawa, kunjenjemera miyendo ndi mikono, kutaya kuyang'ana malo, kuwona kawiri, dzanzi ndi kumva kulumala m'miyendo), ndiye dotolo. amatenga tsiku lililonse muyezo wama glucose m'magazi. Mwakutero, kuchuluka kwa shuga kumayesedwa ola lililonse kapena maola awiri aliwonse. Ngati zodwala zimapezeka ndikuwunika shuga tsiku ndi tsiku, kuwunika kwa hyperinsulinism kumawerengedwa. Ndipo pali zowonjezera zina zofunika kuzimvetsetsa zomwe zimayambitsa hyperinsulinism. Choyamba, kuyezetsa magazi kumachitika ngati mulingo wa C-peptide, insulin yogwira ndi shuga m'magazi ukayezedwa pamimba yopanda kanthu, ndipo ngati kupendekeka kwawo kumawonjezeka, ndiye kuti matendawa amayamba chifukwa cha kusintha kwa ma organic mu kapamba.

Kuti muwonetsetse kuti hyperinsulinism imayambitsidwa ndi kusintha kwa pathological mu kapamba, mayesero owonjezera amachitika kuti amve tolbutamide ndi leucine. Ngati zotsatira za kuyesa kwazinthu zili zabwino, ndiye kuti ndizoyenera Ultrasound (lowani), scintigraphy (lowani) ndi maginito oyesa (osayina).

Koma ngati panthawi yoyesedwa yanjala, kuchuluka kwa C-peptide, insulin ndi glucose m'magazi kumakhalabe kwabwinobwino, ndiye kuti hyperinsulinism imadziwika kuti ndi yachiwiri, ndiye kuti, sinayambike chifukwa cha kusintha kwa m'matumbo, koma chifukwa cha kusokonezeka kwa ntchito ya ziwalo zina. Zikakhala choncho, kuti adziwe chomwe chimayambitsa matenda a hyperinsulinism, adokotala amafotokozera zam'mimba zonse zam'mimba ndi kulingalira kwamatsenga pa ubongo (kusaina).

Ngati acetone mu mkodzo wakhazikika motsutsana ndi kumbuyo kwa zizindikiro za chithokomiro (mantha, kusangalala, kusalinganika, mantha, nkhawa, kuyankhula mwachangu, kusowa tulo, kusokonezeka kwa malingaliro, kuthamanga kwa malekezero ndi mutu, kugunda kwamtima mwachangu, kupweteketsa mtima, kupindika kwa matope, kupindika kawiri, kuuma ndi kupweteka. Maso, thukuta, kutentha kwambiri kwa thupi, kuchepa thupi, kulephera kutentha kwakukulu, kupweteka kwam'mimba, kutsegula m'mimba ndi kudzimbidwa, kufooka kwa minofu ndi kutopa, kusamba kwa msambo, kukomoka, kupweteka mutu ndi mutu chilengedwe), dotolo n'kukulemberani mayesero otsatirawa ndi mayeso:

• Mulingo wa mahomoni olimbitsa mtima a chithokomiro (TSH) m'magazi,
• Mulingo wa triiodothyronine (T3) ndi thyroxine (T4) m'magazi,
• Ultrasound ya chithokomiro England (lowani),
• Kuphatikizidwa kwa chithokomiro
• Electrocardiogram (ECG) (mbiri),
• Mbiri ya chithokomiro (lowani),
• Dongosolo la chithokomiro (kulembetsa).

Choyamba, kuyezetsa magazi kumayikidwa pazomwe zimapangidwira mahomoni opatsa chidwi a chithokomiro, thyroxine ndi triiodothyronine, komanso ultrasound ya chithokomiro cha chithokomiro, chifukwa izi zimapangitsa kuzindikira Hyperthyroidism. Maphunziro ena pamwambapa sangathe kuchitidwa, monga amawonedwa kuti ndi owonjezera, ndipo ngati palibe njira yochitira, atha kunyalanyazidwa. Komabe, ngati luso lilipo, ndiye kuti kuphatikizika kwa chithokomiro cha mankhwala a chithokomiro kumapangidwanso, komwe kumakupatsani mwayi wokhazikitsa kutulutsa kwina kwa ziwalo. Scintigraphy imagwiritsidwa ntchito poyesa ntchito ya gland, koma biopsy imangotenga pokhapokha ngati chotupa chikufungidwa. Ma electrocardiogram amachitika kuti awone zodetsa nkhawa pantchito ya mtima.

Pamene kukhalapo kwa acetone mu mkodzo kumaphatikizidwa ndi ludzu losalekeza, kukoka pafupipafupi ndi kuperewera, kumva kupukutika kwa mucous, ndiye kuti shuga imayikiridwa, ndipo pankhaniyi, adotolo amafotokozera mayeso ndi mayeso otsatirawa:

• Kutsimikiza kusala kwamagazi m'magazi,
• Kuyesa kwa mkodzo
• Katswiri a glycosylated hemoglobin m'magazi,
• Kudziwitsa kuchuluka kwa C-peptide ndi insulin m'magazi,
• Mayeso a kulolerana a Glucose (lowani).

Onetsetsani kuti mwatsimikiza kuchuluka kwa shuga m'magazi ndi mkodzo, komanso kuyeserera kwa shuga. Njira zantchitoyi ndizokwanira kuzindikira matenda ashuga. Chifukwa chake, pakalibe kuthekera kwaukadaulo, maphunziro ena sanaperekedwe ndipo sanachitike, chifukwa amatha kuwonedwa ngati owonjezera. Mwachitsanzo, kuchuluka kwa C-peptide ndi insulin m'magazi kumapangitsa kusiyanitsa mtundu wa 1 wa matenda ashuga amtundu wa 2 (koma izi zitha kuchitika ndi zizindikilo zina, popanda kusanthula), komanso kuchuluka kwa hemoglobin ya glycosylated kumapangitsa kulosera mwayi wamavuto.

Kuti adziwe zovuta za matenda ashuga, dokotala atha kukulemberani Ultrasound a impso (lowani), rheoencephalography (REG) (lowani) ubongo ndi rheovasography (lowani) miyendo.

Ngati acetone mkodzo wapezeka motsutsana ndi matenthedwe a thupi kapena matenda opatsirana, ndiye kuti dokotalayo amakuwonetsa kuyesedwa kwa magazi komanso kwachembere, komanso mayeso osiyanasiyana kuti adziwe kuti ndi ndani amene amachititsa kuti mankhwalawo akhale otupa - PCR (lowani), ELISA, RNGA, RIF, RTGA, chikhalidwe cha bacteria, etc. Nthawi yomweyo, tinthu tosiyanasiyana tachilengedwe - magazi, mkodzo, ndowe, katemera, kuchokera ku bronchi, malovu, ndi zina zambiri, titha kutengedwa kuti tikayesedwe kuti tipeze wothandizila wa matendawa, kutengera komwe wapezeka. Pakuwoneka ndendende komwe amayesedwa, dotolo amawona nthawi iliyonse payokhapokha, kutengera ndi zovuta zomwe wodwala ali nazo.

Acetone mu mkodzo akaonekera chifukwa cha uchidakwa, dokotala nthawi zambiri amangoyesa kuyeza magazi ndi ma biochemical ochepa, Ultrasound yam'mimba ziwalo (lowani)kuwunika momwe thupi liliri ndikumvetsetsa momwe amatanthauzira magwiridwe antchito a ziwalo zosiyanasiyana.

Ngati acetone mu mkodzo amapezeka mwa mayi wapakati, ndiye kuti adokotala akuyenera kukupatsani kuyezetsa magazi ambiri (lowani) ndi kuyesa kwamikodzo, kutsimikiza kwa protein protein mu mkodzo, kuyesa kwa magazi, kuchuluka kwa magazi, kuchuluka kwa magazi (potaziyamu, sodium, chlorine, calcium), kuyesa kwa magazi, kusanthula kwa magazi (ndi kuvomerezedwa kwa APTT, PTI, INR, TV, fibrinogen, RFMK ndi ma D-dimers).

Acetone mu mkodzo atawonekera pambuyo povulala kwamitsempha yamanjenje, dokotala, choyambirira, amapanga mayeso osiyanasiyana am'mitsempha, ndikuwonetsa kuyesedwa kwa magazi ndi ma biochemical, rheoencephalography, electroencephalography (lowani), dopplerography (lowani) mitsempha ya m'magazi ndi kulingalira kwamatsenga kwa ubongo. Kuphatikiza apo, kutengera zotsatira za mayeso, adotolo akhoza kuwonjezera njira zina zofufuzira zofunika kuzindikiritsa matenda am'manjenje apakati ndikudziwunikanso momwe ziliri.

Pamene acetone mu mkodzo akuwonekera limodzi ndi kukayikira kwa poyizoni wokhala ndi mchere wambiri wachitsulo, phosphorous, atropine, dokotala ayenera kuyesa kuyesedwa kwa magazi, kusanthula kwa magazi ndi kusanthula kwa magazi mthupi (bilirubin, glucose, cholesterol, cholinesterase, AcAT, AlAT, alkaline phosphatase, amylase) , lipase, LDH, potaziyamu, calcium, chlorine, sodium, magnesium, ndi zina).

Pamene acetone mu mkodzo limodzi ndi ululu wam'mimba, kusanza, kusinthana kudzimbidwa ndi kutsekula m'mimba, kupweteka kwa minofu, kutupa, kupindika kwakanthawi pathupi, kusamva, kupweteka koyipa, mwina jaundice, madontho a magazi kumapeto kukodza, matenda okhudzana ndi mafinya amakayikiridwa, ndipo pamenepa adotolo atha kukulemberani mayeso aliwonse:

• Kusanthula ndowe za antigel a Shigella ndi RCA, RLA, ELISA ndi RNGA ndi antibody diagnosticum,
• Mwazi wothandizirana,
• Kusanthula ndowe za dysbiosis (lowani),
• Kuwunika kwa ndowe,
• Chiwerengero chonse chamwazi
• Kuyesa kwa magazi a biochemical (kuvomerezedwa kotsimikiza kwa mulingo wa potaziyamu, sodium, chlorine ndi calcium).

Ngati matenda amakomoka akuwaka, kuyesedwa kwa ma antijeni a shigella kumachitika ndi njira iliyonse yomwe ikupezeka kuchipatala, chifukwa mayesowa amakupatsirani mwayi wodziwikitsa matenda. Zomwe zimakwaniritsa zomwe zingagwiritse ntchito zitha kugwiritsidwa ntchito ngati njira ina yothandizira ma shigella antijeni ngati sichichitidwa ndi antchito ogwira ntchito. Njira zina zoyeserera sizimalembedwa nthawi zonse, chifukwa zimawerengedwa ngati zowonjezera ndipo zimagwiritsidwa ntchito pozindikira kusokonezeka komwe kumachitika chifukwa cha kusowa kwamadzi ndi matumbo a biocenosis.

Acetone mu mkodzo akaonekera mwa mwana wokhala ndi zizindikiro za diathesis, dokotala amakupatsani mayeso allergological (lowani) pakumvetsetsa kosiyanasiyana ma allergen, komanso kudziwa kuchuluka kwa IgE m'magazi komanso kuyezetsa magazi ambiri. Zitsanzo za chidwi cha allergen zimapangitsa kuti kumveketsa zakudya ziti, zitsamba kapena zinthu zina zomwe mwana amatha kuchita mwamphamvu zomwe zimapangitsa kuti pakhale diathesis. Kuyesedwa kwa magazi kwa IgE ndi kuyezetsa magazi kumapangitsa kuti timvetsetse ngati tikulankhula zokhudzana ndi ziwengo kapena zamwano. Kupatula apo, ngati mwana ali ndi ziwonetsero zakale, ndiye kuti amadziwonetsera chimodzimodzi monga ziwonetsero zenizeni, koma zimayambitsidwa chifukwa cha kusakhazikika kwa chakudya chamagetsi, ndipo chifukwa chake, izi zimapangitsa chidwi chambiri chitha mwana akadzakula. Koma ngati mwana ali ndi ziwopsezo zenizeni, ndiye kuti zikhalabe ndi moyo, ndipo pankhaniyi ayenera kudziwa zinthu zomwe zimamupangitsa kuti asadziwitse thupi mtsogolo.

Ngati acetone mkodzo ilipo motsutsana ndi maziko a khungu ndipo zimagwira pakhungu, kufooka, chizungulire, kukoma kosokoneza, "kupindika" m'makona amkamwa, khungu louma, misomali yofinya, kufupika kwa phokoso, palpitations, chizungulire - kuchepa kwa magazi akuwoneka, ndipo pamenepa, adotolo akufotokozera mayeso otsatirawa ndi kafukufuku:

• Chiwerengero chonse chamwazi
• Kudziwitsa za kuchuluka kwa ferritin m'magazi (kusaina),
• Kudziwitsa za kuchuluka kwa kosunthira magazi,
• Katswiri wazitsulo za seramu m'magazi,
• Kutsimikiza kwa mphamvu yomangira chitsulo cha magazi mu seramu,
• Kudziwa kuchuluka kwa bilirubin m'magazi (kusaina),
• Vitamini B kutsimikiza₁₂ ndi folic acid m'magazi,
• Kuyesa ndowe za magazi amizimu,
• Mafupa a m'mafupa (lowani) kuwerengetsa kwamitundu yonse yamasambamyelogram (lowani)),
• X-ray yamapapu (lowani),
• Fibrogastroduodenoscopy (lowani),
• Colonoscopy (lowani),
• Zolemba pamakompyuta,
• Ultrasound ya ziwalo zosiyanasiyana.

Vuto lokhala ndi magazi akakayikiridwa, madokotala samapereka mankhwala onse nthawi imodzi, koma amatero m'magawo. Choyamba, kuyezetsa magazi kambiri kumachitika kuti atsimikizire kuchepa kwa magazi ndikuganiza momwe zimakhalira (kuperewera kwa folic acid, kuchepa kwa B12, hemolytic, etc.). Kenako, mu gawo lachiwiri, kuyeserera kumachitika kuti mudziwe mtundu wa kuchepa kwa magazi, ngati pakufunika kutero. B12-deficial anemia and folic acid akusowa magazi amadziwikanso ndi kuyesedwa kwa magazi, kotero ngati tikulankhula za anemias awa, ndiye kuti, kuyesa kosavuta kwelebhu ndikwanira kuwazindikira.

Komabe, kwa magazi ena, kuyezetsa magazi kwa bilirubin ndi ferritin ndi mankhwala, komanso kuwunika ndowe zamagazi amatsenga. Ngati mulingo wa bilirubin ndi wokwera, ndiye kuchepa kwa magazi kwa hemolytic chifukwa cha kuwonongeka kwa maselo ofiira amwazi. Ngati magazi abisika mu ndowe, ndiye hemorrhagic anemia, ndiye kuti, chifukwa cha magazi ochokera m'mimba, kutulutsa ziwalo kapena kupumira. Ngati ferritin yafupika, ndiye kuchepa kwa magazi m'thupi.

Maphunziro owonjezereka amachitika pokhapokha atapezeka kuti hemolytic kapena hemorrhagic anemia. Ndi hemorrhagic anemia, colonoscopy, fibrogastroduodenoscopy, X-ray yamapapu imalembedwa, Ultrasound yamchiberekero zamkati (lowani) ndi m'mimba patondo kuti mudziwe komwe kutuluka magazi. Ndi hemolytic anemia, kupyoza kwam'mafupa kumachitika ndi kuyesa kwa smear ndikuwerengera kuchuluka kwa maselo angapo a hematopoietic.

Kuyesedwa kwa kudziwa mulingo wa kusamutsidwa, chitsulo cha seramu, kuthekera kwakumanga kwa seramu, vitamini B₁₂ ndipo folic acid sakonda kulembedwa, chifukwa amalembedwa kuti ndi othandiza, popeza zotsatira zomwe amapereka zimapezanso mayeso ena, osavuta, omwe atchulidwa pamwambapa. Mwachitsanzo, mavitamini B₁₂ m'magazi amakulolani kuzindikira B₁₂kuchepa kwa magazi m'thupi, koma izi zitha kuchitidwa ndi kuyezetsa magazi konse.

Ngati kuchuluka kwa acetone mu mkodzo kumayendetsedwa ndi kusanza nthawi zambiri mutatha kudya, mawu akumwazika m'mimba maola ochepa mutatha kudya, kupezeka kwa m'mimba, kugundana, m'mimba, kuphika wowawasa kapena wowola, kutentha kwa mtima, kufooka, kutopa, kutsekula m'mimba. adotolo akuwaganizira kuti stenosis (kuchepa) kwa pylorous yam'mimba kapena kum'mero, ndikuyesa mayeso ndi mayeso otsatirawa:

• Ultrasound yam'mimba ndi esophagus (lowani),
• X-ray yam'mimba yothandizira ndi yosiyana (lowani),
• Esophagogastroduodenoscopy,
• Zachika,
• Kuyesedwa kwa magazi kwa hemoglobin concentration ndi hematocrit
• Chemistry yamagazi (potaziyamu, sodium, calcium, chlorine, urea, creatinine, uric acid),
• Kusanthula kwa asidi oyambira m'magazi,
• Electrocardiogram (ECG).

Mwachindunji kuti mupeze stenosis (kupatulira), mutha kupereka ma ultrasound, kapena x-ray yam'mimba ndi wothandizira wosiyana, kapena esophagogastroduodenoscopy. Mutha kugwiritsa ntchito iliyonse mwanjira zofunsira mafunso, koma zopindulitsa kwambiri, motero, zomwe zimakondedwa ndi esophagogastroduodenoscopy. Pambuyo poti wapezeka ndi stenosis, electrogastrography imalembedwa kuti iwone kuyipa kwa zolakwazo. Kuphatikiza apo, ngati stenosis yapezeka, ndiye kuyesa kwamwazi wamagazi, magazi omwe amakhala m'magazi, komanso kusanthula kwa hemoglobin ndi hematocrit, amalembedwa kuti ayese kuchuluka kwa thupi. Ngati, malinga ndi zotsatira za kusanthula, wapezeka wa potaziyamu m'magazi, ndiye kuti electrocardiography imachitidwa kuti iwonenso kuchuluka kwa vuto la mtima.

Kuphatikiza pa acetone mu mkodzo, munthu amakhala ndi nkhawa m'mimba atatha kudya, kudya chakudya chochepa, kuthana ndi nyama, kusadya bwino, nseru, nthawi zina kusanza, kudwala kovuta, kutopa, dotolo amakayikira khansa yam'mimba ndikuwonetsa mayeso ndi mayeso otsatirawa:

• Gastroscopy wokhala ndi mpanda biopsies (lowani) magawo okayikitsa a khoma la m'mimba,
• X-ray yamapapu
• Ultrasound yam'mimba,
• Multispiral kapena positron emission tomography,
• Kuyesa kwamatsenga kwa Fecal,
• Chiwerengero chonse chamwazi
• Kuyesa kwa magazi kwa zotupa (lowani) (zazikuluzikulu ndi CA 19-9, CA 72-4, CEA, CA 242, PK-M2).

Ngati khansa ya m'matumbo ikukayikiridwa, sikuti maphunziro onse omwe ali pamwambawa ndi omwe amakakamizidwa, popeza ena mwa iwo amalemba zomwe zikuwonetsedwazo ndipo mwakutero ali ndi zomwezi. Chifukwa chake, adokotala amasankha makonzedwe oyenera a maphunziro kuti apezeke ngati muli ndi vuto lililonse. Chifukwa chake, mosalephera, ndi khansa ya m'mimba yomwe akuyembekezeredwa, kuyezetsa magazi konse, kufufuza zamatsenga zamatsenga, komanso gastroscopy yokhala ndi mpanda wa biopsy amachitidwa. Panthawi ya gastroscopy, dokotala yemwe ali ndi diso amatha kuwona chotupa, amawunika malo ake, kukula kwake, kupezeka kwa zilonda zam'mimba, magazi ena, ndi zina zambiri. Onetsetsani kuti mukutula kachidutswa kakang'ono kuchokera pa chotupa (biopsy) kuti mumayang'anidwe zakale pansi pa microscope. Ngati zotsatira za kafukufuku yemwe ali ndi biopsy pansi pa maikulosikopu zinaonetsa kukhalapo kwa khansa, ndiye kuti matendawa amadziwika kuti ndi olondola kenako ndikuwatsimikizira.

Ngati, malinga ndi zotsatira za gastroscopy ndi histology ya biopsy, palibe khansa yomwe yapezeka, ndiye kuti maphunziro ena sanachitike. Koma ngati khansa yapezeka, ndiye kuti mapapu a x-ray amafunikira kuti azindikire metastases pachifuwa, ndi ma ultrasound, kapena ma multispiral computed tomography, kapena positron emission tomography amachitika kuti awone metastases pamimba yam'mimba. Kuyesedwa kwa magazi kwa zotupa kumakhala koyenera, koma sikofunikira, chifukwa khansa yam'mimba imadziwika ndi njira zina, ndipo kuchuluka kwa zotupa kumakupatsani mwayi woweruza momwe ntchito ikuyendera ndikuthandizira kuwunika momwe mankhwalawa alili mtsogolo.

Chithandizo cha acetonuria

Chithandizo cha acetonuria zimatengera zomwe zimayambitsa ndikuvuta kwa njirayi. Nthawi zina zimakhala zokwanira kungosintha zochitika za tsiku ndi tsiku komanso kadyedwe. Ndi kuchuluka kwa acetone mu mkodzo, kuthandizira odwala kuchipatala ndikofunikira.

Choyamba, adotolo azikupatsani zakudya zokwanira komanso zakumwa zambiri. Madzi ayenera kumwa nthawi zambiri pang'onopang'ono, ana ayenera kumamwa nthawi iliyonse ya mphindi 5 mpaka 10 ndi supuni.

Zothandiza kwambiri pamenepa ndi decoction ya zoumba ndi mayankho a mankhwala apadera, monga Regidron kapena Orsol. Ndikulimbikitsanso kumwa madzi osakhala a carbonated alkaline, kulowetsedwa kwa chamomile kapena decoction a zipatso zouma.

Ngati mwana kapena wamkulu sangathe kumwa chifukwa chosanza kwambiri, madzi akumwa amayamba. Ndi kusanza kwambiri, jakisoni wa mankhwala a Cerucal nthawi zina amathandiza.

Kuphatikiza pa kumwa zamadzimadzi zambiri, poizoni amatha kuchotsedwa mthupi ndi mankhwala omwe amayamba ngati White Coal kapena Sorbex.

Kuti muchepetse mkhalidwe wa mwana, mutha kumupatsa enema yotsuka. Ndipo kutentha kwambiri kwa enema, konzekerani izi: yikani supuni imodzi yamchere mu lita imodzi yamadzi mufiriji.

Zakudya za acetone mu mkodzo

Zakudya zomwe zimakhala ndi acetonuria ziyenera kuyang'aniridwa.

Mutha kudya nyama yophika kapena yowotcha, yoopsa, yophika. Amaloledwa kudya nkhuku, kalulu ndi ng'ombe.

Supu yophika masamba ndi borsch, nsomba zamafuta ochepa ndi mbewu monga chimanga ndizololedwa.

Masamba, zipatso, komanso timadziti, zakumwa za zipatso ndi ma compotes zimabwezeretsa bwino kuchuluka kwa madzi ndipo nthawi yomweyo zimabweretsa mavitamini.

Mwa zipatso zonse, quince mwanjira iliyonse ndizothandiza kwambiri. Popeza chipatsochi chimatha kulawa, ndibwino kuphika chambiri kuchokera kumtengowu kapena kupanikizana.

Nyama yamafuta ndi ma broth, maswiti, zonunkhira komanso zakudya zina zam'chitini siziyenera kugwiritsidwa ntchito chifukwa cha acetonuria. Zakudya zophika, nthochi ndi zipatso zamtchire sizimasungidwa kumenyu.
Zambiri pazakudya

Komarovsky za acetone mu mkodzo

Wodziwika bwino wazachipatala komanso wowonetsa TV pa TV Komarovsky E.O. adakweza mobwerezabwereza mutu wa acetone mu mkodzo mwa ana ndipo adapereka kufalitsa kwapadera kwa acetone syndrome.

Komarovsky akuti m'zaka zaposachedwa, mawonekedwe a acetone mu mkodzo afala kwambiri mwa ana. Dokotala amakhulupirira kuti chodabwitsachi chimalumikizidwa ndi zakudya zopanda ana komanso kuchuluka kwa matenda opatsika m'mimba ali mwana. Mukamadya zodzaza ndi mapuloteni komanso zakudya zamafuta, ndikusowa kwa chakudya chamafuta, ndipo ngakhale mwana ali ndi vuto lililonse logaya chakudya, matupi a ketone opangidwawo samakonzedwa, koma ayambe kupatsidwa mkodzo.

Pulogalamu yake, Komarovsky lucidly amafotokozera makolo momwe angapangire mwana zakudya kuti aletse kukula kwa acetonuria.

Hyperthyroidism

Hyperthyroidism imadziwika ndi kuwonjezeka kwa kupanga kwa mahomoni a chithokomiro. Ndi hyperthyroidism, kuchuluka kwa mitundu yonse ya kagayidwe kachakudya mthupi kumachulukitsa, kuphatikiza mapuloteni-lipid metabolism. Kuipa kwa nayitrogeni kumaonetsa kuwonongeka kwa mapuloteni.

Kuchuluka kwa mahomoni a chithokomiro kumalimbikitsa kusweka kwamafuta. Matupi a Ketone (i.e. acetone) amapangidwa kwambiri kuchokera ku lipids.

Chifukwa chake, mkodzo mwa anthu omwe ali ndi vuto la acerone la hyperthyroidism. Nthawi zambiri awa amakhala fungo lokhazikika la ammonia. Pankhaniyi, mkodzo sasintha mtundu.

Zakudya zoperewera, zakudya, njala

Thanzi limagwira gawo lofunikira kwambiri pakuyamba kwa ketonuria. Acetone imayamba kupangika ndikusowa kwa michere (mwachitsanzo, kusala kapena kudya mosamalitsa komanso choletsa calorie).

Ma ketoni ambiri amalowanso mkodzo ndikuyang'ana zakudya zama ketogenic. Woimira chidwi ndi chakudya cha Atkins. Chakudya chamtunduwu chimapereka kuphatikizidwa kwathunthu kwa zophatikizira zamagulu a chakudya m'zakudya, komanso momwe zimadzazidwira ndi mafuta ndi mapuloteni.

Acetone yamagazi imachepetsa njala. Koma zimathandizanso kudzikundikira kwa uric acid ndikuwonjezera kuchuluka kwa calcium mumkodzo. Izi zimatha kutsogola gout ndi mafupa m'tsogolo.

Ndiye kuti, acetone m'magazi ndi mkodzo ndi chizindikiro kuti pali mafuta ochulukirapo mu chakudya.

Kutupa kwa genitourinary system

Matenda a urogenital thirakiti ndi njira zotupa. Kutupa kwazinthu zilizonse, kusokonezeka kwa kagayidwe kachikhalidwe. Acetone imayamba kuponyedwa mkodzo kuyambira masiku oyamba matenda. Chifukwa chake, ndi pyelonephritis kapena cystitis, fungo la ammonia limadziwika.

Kuti mutsimikizire matenda amtundu wa genitourinary, ndikokwanira kungoyesa mkodzo wamba. Kuphatikiza pa mabakiteriya, maselo ofiira am'magazi ndi mapuloteni, padzakhalanso kuchuluka kwa acetone mu biomaterial. Pa fomu, wothandizira ma labotale adzazindikira: ma ketones "++++".

Matenda a chiwindi

Chiwindi ndimalo omwe amaphatikizidwa ndi acetone ndi matupi ena a ketone. Hepatitis ndi matenda ena a chiwindi zimabweretsa kusintha kwa metabolidi ya lipid. Zotsatira zake ndi kwambiri ketogene.

Kuchuluka kwa kwamikodzo ketone excretion kungayende limodzi ndi pachimake komanso matenda a chiwindi.

Kuti mutsimikizire matenda a chiwindi, kuyezetsa magazi kwamomwe amomwemo kumachitika. Zimatengera zovuta za chiwindi: ALT, AST, bilirubin, GGT ndi mapuloteni athunthu. Ndi hepatitis, osati mkodzo wokha, komanso khungu limanunkhiza ngati acetone.

Kuthandizira matenda oyambitsirana kumathandizira msanga ketonuria.

Kuthetsa madzi m'thupi

Kutayika kwa madzimadzi ndi ma electrolyte ndichinthu chothandiza kwambiri cha ketogenesis. Acetone imawonekera mkodzo panthawi yakusowa kwamadzi pazifukwa zosiyanasiyana: kuyambira kukhala malo otentha mpaka kusanza kwambiri panthawi ya matenda.

Ketonemia imakula mwachangu motsutsana ndi maziko a kuchepa kwa electrolyte mwa ana. Chifukwa chake, ndikofunikira kuti ana abwezeretse ndalama moyenera mosachedwa.

Ngati kuchepa kwam'madzi kwakukayikira, gwiritsani ntchito mikwingwirima yoyesera ya mkodzo kuti mutsimikizire ketonuria.

Matenda opatsirana

Matenda am'mimba am'mimba nthawi zambiri amaphatikizidwa ndi kusanza komanso / kapena kutsekula m'mimba. Poyerekeza ndi mbiri yotayika ya madzimadzi ndi ma electrolyte, vuto la acetonemic limakula mwachangu. Ma ketones amayamba kudziunjikira mwachangu m'magazi ndikutuluka mkodzo.

Matenda am'mimba oyamba ndi kusanza ndi m'mimba:

• kolera
• nsomba
• matenda a rotavirus
• matenda a norfolk
• chakudya kuyamwa.

Nthawi zambiri pochiza matendawa, kubwezeretsanso kwa kuchuluka kwa mchere wamadzi kumabwera patsogolo. Kuthetsa muzu chifukwa kumachitika pambuyo kukhazikika.

Akuluakulu, kusowa kwamadzi sikuchulukirachulukira, ndipo mwa ana, gawo logona (lakufa) lotha kuchepa thupi limatha kuchitika pakangotha ​​maola ochepa. Chifukwa chake, matenda am'matumbo omwe ali ndi diarrheal syndrome ndi owopsa kwambiri kwa ana. Acetone m'magazi ndi mkodzo amayamba kupanga kale gawo loyambirira la exicosis (kusowa kwamadzi).

Esophageal stenosis

Acetone imatha kuwonjezeka ndi matenda opweteka kwambiri, mwachitsanzo, ndi esophageal stenosis. Njira za oncological khoma lake nthawi zambiri zimayambitsa kutsekeka kwa mphamvu ya chiwalo. Amuna amatenga matendawa mosavuta. Chifukwa chake, ndi mawonekedwe a acetone mu mkodzo limodzi ndi mawonekedwe a esophageal stenosis (dysphagia, kupweteka pachifuwa, kusafa, kuwonda mwadzidzidzi), muyenera kufunsa dokotala posachedwa ndikukhala ndi HDF.

Thanzi laumunthu limakhudzana mwachindunji ndi thupi. Kupsinjika kumakhudza kagayidwe kake ka thupi konse, kuphatikizapo lipid metabolism. Chifukwa chake, kununkhira kwa acetone mu mkodzo wa munthu wamkulu nthawi zina kumachitika mukakumana ndi zochitika zam'maganizo komanso kupsinjika.

Poizoni

Matenda okhudzana ndi zakudya amaphatikizidwanso ndi kuphatikizika kwa acetone mthupi. Tizilombo toyambitsa matenda timafanana ndi matenda am'matumbo. Udindo wofunikira umachitika ndi kusowa kwamadzi chifukwa chosanza kwambiri komanso kutsegula m'mimba. Pakakhala poizoni, mkodzo nthawi zambiri umamasulidwa ndi fungo lamphamvu la acetone.

Popewa zotsatirapo zake, ndikofunikira kusamala mchere wam'madzi ngati chiphe chitha kumwa ndi zakumwa zoledzeretsa kapena njira zina zopetsanso madzi m'thupi.

Chifukwa chiyani ketonuria imakhala yoopsa?

Kuchuluka kwa acetone mthupi kumabweretsa ketoacidosis. Ichi ndi vuto lalikulu, lomwe limatsatana ndi kusintha kwa magazi mu pH ya magazi kupita ku mbali ya acidic.

Mavuto oopsa kwambiri a ketoacidosis:

• mitundu yosiyanasiyana ya arrhythmias,
• matenda amtima,
• kumangidwa kwadzidzidzi kwamtima,
• Reflex kupuma kwamphamvu,
• chikumbumtima
• matenda edema,
• Pakakhala chisamaliro chokwanira chachipatala - kumwalira.

Chisamaliro chapadera chiyenera kuperekedwa ngati mawonekedwe a acetone mu mkodzo wa ana ndi amayi apakati. Maguluwa nthawi zambiri amakhala ndi zovuta kwambiri.

Zoyenera kuchita ngati mkodzo amanunkhira acetone

Pochotsa bwino ma ketones m'mwazi ndi mkodzo, chithandizo chovuta chimagwiritsidwa ntchito. Choyamba amachotsa matenda a acetonemic, kenako chifukwa chomwe adawathandizira.

Kupatula, aliyense amalimbikitsidwa kudya zakumwa zambiri zamchere (madzi amchere, tiyi wobiriwira, msuzi wa zipatso zouma).

Zotsatirazi ndizoletsedwa kwakanthawi:

Ndi bwino kukhala m'zakudya:

• phala (buckwheat, oatmeal),
• supu zamasamba
• mbatata zosenda
• maapulo ophika ndi zipatso zina,
• mabisiketi
• zopangidwa mkaka (kupatula zoletsedwa).

Mankhwala osokoneza bongo amayikidwa kuti athe kukonza mchere wamchere ndi acid-base. Cholinga chake ndikuchotsa mwachangu acetone mu mkodzo ndi zamchere magazi:

• Ngati khola, kutsitsimuka kwamlomo kumayikidwa. Mayankho a Regidron ndi Oralit ndi oyenera. Ndi kuchepa mphamvu kwa madzi m'thupi, ma donos a Reosorbilact, njira ya shuga ya 5-10% ndi insulin, yankho la Ringer limayikidwa.Xylate ali ndi antiketogenic wabwino. Imalepheretsa kupangika kwa acetone mwakuwonjezera kuyamwa kwake m'chiwindi.
• Kuti aletse kusanza, amalimbikitsa Osetron (ondasetron). Mankhwalawa amachepetsa kusanza m'kati mwa dongosolo lamanjenje. Jakisoni wake amatha kuchitidwa maola asanu ndi limodzi ndi asanu ndi limodzi.
• Kuthandizira chiwindi ndi zoletsa ketogenesis, hepatoprotectors (Glutargin, Ursofalk, Betargin) amagwiritsidwa ntchito.
• Sorbents (kaboni yodziyambitsa, Enterosgel, Atoxil) imakhala ndi zotsatira zabwino. Ma mamolekyulu akhama a mankhwalawa amatenga ammonia ndi acetone mofulumira m'matumbo.

Pambuyo pakuchiritsa matenda, amayamba kuchiza matenda oyambitsawo. Malangizo a matendawa amatengera pathogenesis ya matendawa. Ndi matenda a shuga, mankhwala a insulin ndi mankhwala, omwe ali ndi hyperthyroidism - mankhwala a thyrostatic. Chithandizo chokwanira chimalepheretsa ketogenesis, komanso ndimachotsa ma ketoni otsala mkodzo. Kwakukulukulu, kudalirika kwa kuchira kumakhala koyenera.