Kuchuluka kwa acetone yamagazi kumayambitsa mwa akulu ndi ana, Zizindikiro zakuwonjezeka

Tikukulimbikitsani kuti muwerenge nkhaniyi pamutuwu: "ma acetone okwera m'magazi amachititsa akuluakulu ndi ana, zizindikiro za kuchuluka kwambiri" ndi ndemanga kuchokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Katswiri wathu wamtundu wa endoprinologist adzakuyankhirani.

Mwa ana, vuto lomwe limachulukana ndi acetone m'magazi limapezeka nthawi zambiri. Koma mkhalidwe wofananawo ungawoneke mwa akulu. Chifukwa chomwe zimakhalira, momwe zimadziwonekera ndikusamalidwa - awa ndi mafunso ofunika omwe amayenera kuyankhidwa.

Kanema (dinani kusewera).

Matupi a Ketone amatanthauza gulu la zinthu za metabolic zomwe zimachitika chifukwa cha kusinthana kwa michere yoyamba: chakudya, mafuta ndi mapuloteni. Masinthidwe ena ndi kupanga chinthu chotchedwa acetyl-CoA (kudzera glycolysis, beta oxidation, kutembenuka kwa amino acid). Awa ndi coenzyme omwe akukhudzidwa ndi kuzungulira kwa Krebs. Matupi a Ketone amapangidwa kuchokera mu chiwindi. Izi zimaphatikizapo acetoacetic, beta-hydroxybutyric acid ndi acetone.

Kanema (dinani kusewera).

Ntchito yayikulu ya ma ketoni m'thupi ndi kukhalabe ndi mphamvu. Nthawi zambiri, kuchuluka kwa plasma kwa zinthu izi kumakhala kotsika. Ndi gawo limodzi lokhala ndi mphamvu mu ubongo, minofu, ndi impso. Izi zimalepheretsa kuchepa kwamphamvu kwamafuta acid, glycogen ndi mapuloteni omanga ndi kusowa kwa glucose. Chiwindi chilibe ma enzymes ofunikira kuti mutulutsire ma ketones.

Ngati kugwiritsidwa ntchito kumakhala kotsika kuposa kupanga matupi a ketone, ndiye kuti zomwe zili m'magazi zimachulukana. Izi zimawonedwa pazochitika pamene mphamvu zamagetsi m'thupi zimasokonekera. Kuperewera kwa glucose, kuchuluka kwa mafuta acids omasuka ndi ma ketogenic amino acid mukakumana ndi zosowa za thupi - izi ndiye zinthu zofunika kwambiri pakusintha kagayidwe kuti asungitse magawo. Makina oterowo ndi othandizira-kusinthasintha komanso omveka bwino kuchokera pakuwona. Thupi limasowa mphamvu yothamanga, yomwe ili yoyenera kwambiri kuchokera ku ma ketones.

Pali zifukwa zokwanira zowonjezera acetone yamagazi mwa akulu. Izi zikuphatikiza ndi izi:

Kubweza shuga.
Kusanza kwanthawi yayitali komanso mankhwala osokoneza bongo (azimayi oyembekezera, matenda am'mimba, cicatricial stenosis ya pylorous).
Mowa.
Kuperewera kwa zakudya m'thupi ndi njala.
Severotoidrosis.
Glycogenosis.
Chithandizo cha milingo yayikulu ya glucocorticoids (mwachitsanzo, ndi matenda a autoimmune).

Akuluakulu, kagayidweko kamasokonekera. Muubwana, ketonemia imatha kupsinjika ndi kupsinjika, matenda opatsirana omwe ali ndi malungo, kuphwanya malamulo a lamulo (neuro-arthritic diathesis). Ndipo kwa akuluakulu, vuto lomwe limakonda kwambiri ndi kuchuluka kwa acetone ndi mtundu 1 wa shuga. Ketogenesis yowonjezera pankhaniyi imachitika chifukwa cha kusowa kwa insulini (mtheradi kapena wachibale) komanso kuchuluka kwa mahomoni a catabolic (glucagon, cortisol, mahomoni okula).

Kusanza kwambiri kumayendera limodzi ndi kusowa kwamadzi, komwe ma acetone m'magazi amatulukanso. Anthu omwe ali ndi vuto la zakumwa zoledzeretsa ali ndi njira zosiyana zopangira ma ketones, osiyana ndi omwe amakakamiza. Mowa wa Ethyl umasinthidwa ndi hepatic mapangidwe a acetaldehyde, omwe, amathandizira kaphatikizidwe ka acetoacetic acid. Mu thyrotoxicosis, limagwirira wa kusokoneza kagayidwe kachakudya zimagwirizana ndi contrainsular zochita zamafuta a chithokomiro - kuwonongeka kwa mafuta ndi mapuloteni (ntchito ya kagayidwe kakakulu imachulukitsa).

Zomwe zimapangitsa kuchuluka kwa acetone mwa achikulire ndizosiyanasiyana.Ndipo kuti mudziwe komwe kukuyipitsirani, muyenera kufunsa dokotala.

Ngati mulingo wa matupi a ketone m'magazi ukakhala wapamwamba kuposa wabwinobwino (1-2 mg%) ndipo umapitirira kwa nthawi yayitali, ndiye kuti zizindikiro zamankhwala zingachitike zomwe zimawonetsa kusokonekera kwa metabolic mthupi. Izi zikuphatikiza ndi izi:

Fungo la acetone mumlengalenga lotulutsa.
Tsitsani pamasaya.
Pakamwa pakamwa.
Kusanza ndi kusanza.
Kukongola kwa khungu.
Ululu mu epigastric dera.
Cardiac arrhythmias.
Kutsika kwamkodzo.
Zofooka zambiri, ulesi.

Dziwani kuti mu chithunzi cha chipatala pamakhala zizindikiro za matenda oyambitsidwa. Lisanayambike zizindikiro za ketosis odwala omwe ali ndi matenda ashuga, ludzu ndi polyuria kuchuluka, amayamba kumva kusweka ndi kugona. Ndi thyrotoxicosis, emaciation, palpitations, mulomo-eyed (exophthalmos), kusakwiya ndi chikhalidwe.

Kuthetsa madzi kumadziwika ndi pakamwa louma, ludzu lalikulu, kugwa kwamphamvu, kufinya kwamphamvu, chizungulire. Mu kapangidwe ka kachilombo ka uchidakwa ndi zakumwa zoledzeretsa, zizindikiro zam'mimba komanso zamaganizidwe zimakhalapo: nkhawa, kukhumudwa, kunjenjemera, thukuta, kukhumudwa, kulakalaka kwambiri mowa.

Kuwonjezeka kwa acetone m'magazi nthawi zambiri kumayendetsedwa ndi kusintha kosangalatsa kwa asidi-acid mpaka acidosis. Nthawi yomweyo, kuya komanso kupuma kwamphamvu kwa kupuma kumawonjezeka, chikumbumtima chimakhumudwa, ndipo nthawi zina kulephera kwamtima (kugwedezeka) kumawonedwa chifukwa chakuchepa kwa chidwi cha zolumikizira za catecholamine receptors. Koma nthawi zambiri zizindikiro zimabisala ngati mainology.

Ketonemia ndi mawu amitundu mitundu. Chifukwa chake, imatha kupezeka ndi kuyesedwa kwa wodwalayo. Ndipo chithunzithunzi chachipatala chimangolola kukayikira kwa kusintha kwa metabolism. Zina mwazofunikira njira zodziwira ndi:

Kuyesa magazi ndi mkodzo pafupipafupi.
Kuphatikiza kwamwazi wamagazi (matupi a ketone, glucose, ma electrolyte, mawonekedwe a mahomoni, kuyesa kwa chiwindi ndi impso, mowa).
Kuphatikizidwa kwa mpweya (kupanikizika pang'ono kwa mpweya ndi kaboni dioxide).
Kudziwitsa kozungulira magazi.
Electrocardiogram
Ultrasound ya chithokomiro.

Ngati kuchuluka kwa acetone kudutsa 10-12 mg%, ndiye kuti mumapezekanso mkodzo (umadutsa m'mbali yaimpso). Ndipo pamenepo, imatha kupezeka mwachangu mothandizidwa ndi mayeso othamanga mwachangu ndi zingwe za chizindikiro. Kusintha kwa mitundu yotsirizira (malingana ndi kukula) kukuwonetsa zomwe zili m'matumbo a ketone. Kusanthula uku ndikwabwino kugwiritsa ntchito nokha kuti muthane ndi acetone.

Matupi a Ketone amapezeka mu kafukufuku wa labotale. Koma magawo osiyanasiyana azidziwitso azitsimikizira zomwe zimayambitsa kuphwanya.

Kuti mumvetsetse momwe mungagwiritsire ketacidosis mwa munthu wamkulu, muyenera kudziwa komwe kumachokera. Ndipo njira zazikulu zochizira ziyenera kukhala ndikuchotsa zomwe zimayambitsa ndikudziwikiratu. Ndipo pokhapokha pa maziko a chithandizo chachikulu kuti mukwaniritse kukonza kagayidwe kake ndi zizindikiro. Mu shuga mellitus ndi chithokomiro, zotupa za mahomoni ziyenera kuchitika, yesetsani kuchepetsa glucocorticoid mankhwala omwe ali ndi matenda amtundu.

Popeza mwazindikira matupi a ketone m'mwazi ndi mkodzo, muyenera kulabadira moyo. Kufunika kwa zakudya zoyenera komanso zopatsa thanzi. Anthu omwe alibe matenda ashuga sayenera kuchepetsa kudya kwawo kwa chakudya. Zakudyazi ziyenera kulemezedwa ndi chimanga, masamba ndi zipatso, zitsamba. Ngati munthu wakakamizidwa kubaya insulin, ndiye kuti sikofunikira kwa kukonza zakudya zapadera - muyenera kusankha mankhwalawa. Koma odwala omwe ali ndi matenda a shuga a 2 amafunikirabe kuchepetsa kuchuluka kwa chakudya cham'mimba (ma cookie, maswiti, shuga, uchi, mphesa, ndi zina zambiri).

Anthu onse omwe amasamala za kudya wathanzi ayenera kuchepetsa kugwiritsa ntchito mankhwala osuta, nyama yamafuta, sodas, zakudya zosavuta, komanso zakudya zophatikiza ndi mankhwala.Mowa wambiri umawonetsedwa (madzi amchere amchere, zakumwa zakumwa zipatso, zakumwa za zipatso, msuzi wa rosehip). Onetsetsani kuti mwasiya zizolowezi zoipa, makamaka mowa. Kuphatikiza apo, ndikofunikira kulabadira kukhathamiritsa kugona komanso kupuma, kugwiritsa ntchito zolimbitsa thupi (zolimbitsa thupi m'mawa, kuyenda, kusambira).

Chithandizo cha acetonemia sichokwanira popanda mankhwala. Pogwiritsa ntchito mankhwala osokoneza bongo, mutha kuchitapo kanthu pazolumikizira pama kachitidwe kakulidwe ka matenda a metabolic. Mankhwala ndikofunikira kuti muchepetse mphindi zomwe zimayambitsa ketosis. Malangizo a matenda a metabolic amachitika mothandizidwa ndi mankhwalawa:

Kulowetsedwa ndi detoxization (yankho la Ringer, sodium bicarbonate, Reosorbilact, Hemodez).
Sorbents (Enterosgel, Smecta, Atoxil).
Mavitamini a B (thiamine, riboflavin).

Odwala omwe ali ndi matenda ashuga ayenera kukhathamiritsa mlingo wa mankhwala a insulin kapena hypoglycemic. Ndi hyperthyroidism, thyreostatics (Merkazolil) amagwiritsidwa ntchito. Kusanza kwambiri kumafuna kugwiritsa ntchito prokinetics (Motilium, Cerucal), ndipo matumbo sangathe popanda mankhwala.

Mikhalidwe ya acetonemic ndi yodziwika osati kwa ana okha, komanso imapezeka mwa akulu. Amalumikizidwa ndi zifukwa zosiyanasiyana, koma amakhala ndi chotsatira chimodzi - kuchuluka kwa matupi a ketone m'magazi. Koma kuti timvetsetse zomwe zimayambitsa kuphwanya malamulo ndikuchita mogwirizana ndi izi, kufunikira kwa dokotala ndikofunikira.

Zomwe zimawonjezera acetone mthupi la munthu: ndi chiyani, zizindikiro zake, zakudya

Acetone ndi organic solvent yomwe ili pamalo oyamba pakati pa ma ketoni.

Mitembo ya Ketone (acetone) imapangidwa nthawi yakusokonekera kwa mapuloteni ndi mafuta. Pambuyo pake, amachotsedwa m'thupi limodzi ndi mpweya komanso mpweya wokwanira.

Nthawi zambiri, acetone imakhalapo mthupi, koma yochepa. Kuwonjezeka kwakukulu kwa izo kumawonetsa kusayenda bwino mthupi.

M'magawo oyamba, kuwonjezeka kwa acetone kumawonekera m'magazi a anthu achikulire, koma momwe matenda akupitilira, chinthu ichi chimawonekera pamtunda wambiri mu mkodzo (acetonuria, ketonuria).

Kuzindikira kwa acetonemia mwamwambo kumachitika mwa kuchita kuyezetsa magazi a labotale. Izi nthawi zambiri zimaphatikizidwa ndi kuyesa kwamkodzo.

Zotsatira zoyeserera zitha kuwonetsa chikwangwani (+) kapena (-). Kuphatikiza apo, pakhoza kukhala "ma pluses" angapo mwamtunduwu.

Pankhaniyi, zotsatira za kuzindikira zimatsimikiziridwa motere:

(-) - kuchuluka kwa ma ma ketones sikupita 0.5 mmol / l,
(+) - mulingo wa ma ketoni wofika 1.5 mmol / l (matenda ofatsa),
(++) - mpaka 4 mmol / l (acetonuria ya zovuta zolimbitsa thupi),
(+++) - mpaka 10 mmol / l (kwambiri matenda ake).

Ngati mukufuna kudziwa kukhalapo kwa matenda, mungathe kunyumba pogwiritsa ntchito mayeso apadera. Kunja, zikuwoneka ngati zingwe zina zambiri zoyesa.

Kuyesaku kudera linalake kumakhala kodzaza ndi ma reagent apadera, omwe, akakumana ndi acetone yambiri, amasintha mtundu wake. Kuti mumvetsetse momwe njira ya pathological imayambitsidwira, muyenera kuyerekezera Mzere woyezetsa ukakumana ndi mkodzo wokhala ndi muyeso wamtundu pamaphukusiwo.

Pali zifukwa zambiri zowonjezera acetone mwa akuluakulu. Izi zikuphatikiza:

kuvutitsidwa kwa zakudya zamafuta ndi mapuloteni,
kusowa kwa zakudya zamagulu ochulukirapo m'zakudya,
kuchita masewera olimbitsa thupi mopitirira malire
kudya okhwima
lembani matenda ashuga 1 kapena matenda a shuga a pancreatic
matenda osokoneza bongo
kuchuluka kwa kutentha kwa thupi
poyizoni wa zinthu zoopsa, kuphatikizapo mowa,
mawonekedwe oyipa
insulin yowonjezera
matenda akulu akulu (cachexia, khansa, kuchepa magazi),
matenda opatsirana
kugwiritsa ntchito chloroform pa opaleshoni,
kuvulaza komwe mitsempha idawonongeka,
kuchuluka kwa chithokomiro.

Kuphatikiza pa zonse pamwambapa, azimayi oyembekezera amathanso kukhala ndi zifukwa zawo zowonjezera acetone.

Nthawi zambiri, izi ndi:

kupsinjika (kuphatikizapo zomwe zidasamutsidwa kale),
kuchepa kwa chitetezo chamthupi,
kuvutitsidwa kwa zakudya, zomwe zimakhala ndi mitundu yambiri, zoteteza komanso zowongolera,
Zotsatira zake: toxicosis ndipo chifukwa - kusanza pafupipafupi,
kusokoneza chilengedwe.

Acetone wolowerera ana nthawi zambiri amapezeka asanakwanitse zaka 12. Mpaka pano, kapamba amapitilira kukula ndipo nthawi zambiri samatha kulimbana ndi katundu yemwe ayikidwamo.

Zomwe zimayambitsa ketonemia mwa ana zimaphatikizapo:

kuperewera kwa zakudya m'thupi
kupsinjika
kugwira ntchito molimbika (m'thupi ndi m'maganizo),
nyongolotsi
matenda am'mimba
kugwiritsa ntchito antibacterial nthawi yayitali,
hypothermia
kuchuluka kwa kutentha kwa thupi.

Nthawi zambiri, kuchuluka kwa acetone m'thupi kumayendera limodzi ndi zizindikiro zotsatirazi:

mkodzo wopanda nzeru
Fungo la acetone lamkati,
dziko lokhumudwitsa
mphwayi, kutopa kwambiri,
Kuwala kwa khungu la masaya ndi khungu la matumbo m'malo otsalawo,
kamwa yowuma
kusanza, kusanza,
kupweteka kwam'mimba kapena kusasangalala
kuchepa kwamtima
kugona kusokonezedwa
kuchuluka kwa kutentha kwa thupi
kulephera kwa mtima
utachepa mkodzo.

Mwa zina, ngati ketonemia imayambitsidwa ndi matenda aliwonse, ndiye kuti wodwalayo amva zomwe akumva. M'mavuto ovuta kwambiri, chikomokere chimatha kuchitika chifukwa cha kuchuluka kwa acetone mwa munthu.

Ngati thupi la munthu lili wathanzi ndikugwira ntchito moyenera, ndiye kuti glucose, ikugwera impso, imasefa kusefukira, kenako imagwidwa kwathunthu ndi impso tubules ndikulowa m'magazi.

Komabe, kuphwanya njirayi, glucose amatha kupezeka mkodzo. Nthawi zambiri shuga mumkodzo amapezeka mwa odwala matenda a shuga. Nthawi zambiri mumtundu wawo wa mkodzo amapezekanso.

Izi ndichifukwa choti maselo amthupi amakhala ndi njala, ngakhale kuchuluka kwa shuga m'magazi kukukulira. Kuperewera kwa glucose kumadzetsa kuwonongeka kwa malo ogulitsa mafuta, pomwe chimodzi mwazomwe zimapangitsa kuti ammonia achulukane.

Odwala omwe ali ndi acetone komanso matenda osokoneza bongo okwera amakhala ndi kupuma msanga, kufooka, kusanza, pakamwa youma komanso ludzu losalekeza.

Zochita zazikulu pakupezeka kwa acetonuria akuluakulu

Ngati maphunziro awonetsa kuwonjezeka kwa kuchuluka kwa acetone m'thupi, muyenera kuyamba mankhwala munthawi yochepa kwambiri.

Kuphatikiza apo, ndikofunikira kwambiri kuyesa magazi a glucose. Izi ndizofunikira kupatula shuga. Kenako muyenera kukhazikitsa kuchuluka kwa matupi a ketone mumkodzo ndikupanga dongosolo lamankhwala. Zidzatengera kutha kwa matendawa, zomwe zimayambitsa maonekedwe ake komanso machitidwe a thupi la wodwalayo.

Panthawi yamankhwala, wodwalayo ayenera kukhala ndi nthawi yochulukirapo momwe angathere mu mpweya wabwino, kusinthanitsa ntchito ndi kupumula, kupewa nkhawa, ndikutsatira kugona ndi kugona. Imwani madzi ambiri kuti muchepetse kuchotsedwa kwa acetone. Komanso, ndikofunikira kuti awa sanali zipatso wamba komanso ma teti, omwe ndi madzi. Muyenera kumwa kawirikawiri, koma pang'ono ndi pang'ono.

Chithandizo cha ketonemia zimatengera momwe amayambira. Chifukwa chake, ngati mwa odwala ena ndikokwanira kungosintha kadyedwe, ndiye kuti ena amafunikira kuchipatala.

Nthawi zambiri, ndimatendawa, Regidron kapena Orsol ndi omwe amapatsidwa. Ngati munthu sangathe kumwa madzi okwanira chifukwa chosanza, amapatsidwa madzi amkati pogwiritsa ntchito dontho.

Komanso, ndikusanza kwambiri, Tserukal ikhoza kutumizidwa. Kuti muchepetse kuthana ndi poizoni ndi ammonia, ndikofunikira kuti odwala amwetse mpweya wozimira kapena mtundu wina uliwonse wamatsenga.

Pankhaniyi, mavitamini a gulu B amathanso kukhala opindulitsa.

Kuphatikiza pa china chilichonse, mankhwalawa amayambitsidwa ndi matenda oyambira. Chifukwa chake, ndi matenda a shuga a mellitus, kugwiritsa ntchito insulin ndikofunikira, ndi matenda am'matumbo - antibacterial othandizira, etc.

Palibe chithandizo chomwe chingathandize wodwala kuchotsa ketonemia ngati satsatira zakudya.

Pankhaniyi, amaloledwa kudya nyama yophika kapena yophika. Makamaka nyama yamwana wamchere kapena kalulu. Muthanso kudya supu zamasamba, nsomba (siziyenera kukhala zamafuta) ndi mbewu zina zingapo.

Masamba ophika, zipatso, zipatso (komanso zakumwa zingapo zakumwa) amathanso kumamwa mopanda malire. Athandizanso kukonza bwino magazi, kubwezeretsanso mavitamini ndikuthandizira chitetezo cha mthupi.

Ndi ketonemia, quince imatha kupindula kwambiri. Mutha kuzigwiritsa ntchito mwanjira iliyonse.

Nyama yamafuta, broth, zakudya zotsekemera, katundu wam'chitini, komanso zonunkhira ndizosemphana ndi chiphunzitsochi. Sipanginso chofunikira kudya zakudya yokazinga, zipatso za zipatso ndi nthochi.

Mankhwala ena amathanso kuthandiza kuchepetsa kuchuluka kwa acetone mthupi. Komabe, musanagwiritse ntchito izi kapena mankhwala, wodwalayo ayenera kufunsa dokotala pankhaniyi.

Pokonzekera wothandizira achire, inflorescence ya mankhwala a chamomile amafunikira. Izi zimachitika mophweka: 4 tbsp. l 1500 ml ya madzi oyera amathiriridwa pazomera zowuma, pambuyo pake zonse zimayatsidwa pamoto ndikuwiritsa kwa mphindi pafupifupi 5.

Chomalizidwa chazirala chimazizira ndipo chimasefedwa kudzera mu chidebe, chopindidwa mu zigawo zingapo. Mankhwalawa amagwiritsidwa ntchito muyezo womwe adokotala amawonetsa.

Pofuna kuthana ndi vuto la wodwalayo munthawi yochepa kwambiri, amalimbikitsidwa kuti azigwiritsa ntchito mchere. Izi zikuthandizira kusanza kwambiri, kuphwanya njira zamitsempha, komanso kusinthana kwa madzi kosayenera. Enema yotereyi imakhala yothandiza makamaka pakhungu lowonongeka, komanso matenda oopsa m'matumbo.

Njira yothetsera enema yotereyi imapangidwa motere: 1 tbsp. l mchere umaphatikizidwa mu 1000 ml ya madzi ofunda, osaphika kale.

Ndi ketonemia, zakumwa zochokera ku adyo zingakhale zothandiza kwambiri. Kuti mumuphike, muyenera kusenda magawo atatu a adyo ndi kuwaza mu chosindikizira cha adyo. Kenako chifukwa chachikulu muyenera kudzazidwa ndi 300 ml ya madzi otentha. Pukuta chiwiya mu thaulo ndikuyika malo otentha. Chifukwa chake, chakumwa chizichiriridwa kwa mphindi 15-20.

Chotsirizidwa chimakhala chikuledzera pa ¼ chikhocho katatu patsiku (mosasamala kanthu za chakudya).

Kuti mupange mankhwalawa, mumafunikira masamba a mtedza.

Masamba atsopano a chomera amasambitsidwa ndikuthiriridwa ndi kapu yamadzi otentha. Zotsatira zake ziyenera kukhala mtundu wa tiyi. Iyenera kupukutidwa kwa mphindi 15-25 ndipo pamapeto pake kupsyinjika mu gauze, yopindidwa mu zigawo zingapo.

Tiyi yokonzeka iyenera kumwa mowa m'mawa ndi m'mawa.

Pomaliza, ndikofunikira kunena kuti, zoona, acetonemia imatha kuchiritsidwa. Komabe, ndibwino kwambiri kuti musalole izi zikuchitika. Ndiosavuta kuchita. Kuti muchite izi, muyenera kukhala ndi moyo wabwino, kusiya zizolowezi zoyipa, idyani moyenera, pewani kupsinjika ndikupumula kwakanthawi kokwanira.

Ngati mukukumana ndi zisonyezo zilizonse zosasangalatsa, muyenera kufunsa thandizo kuchipatala msanga. Ngati matenda atapezeka, ayenera kuthandizidwa. Izi zikuthandizira kupewa osati kuchuluka kwa acetone, komanso kukhazikitsa mikhalidwe ina yambiri yosasangalatsa.

Zomwe zimapangidwa ndi kupezeka kwa acetone m'magazi ndi mkodzo wa wodwala

Acetonuria ndi njira yodziwika bwino masiku ano. Vutoli limadziwika ndi kukhalapo kwa acetone m'magazi ndi mkodzo wa wodwala. Ambiri amakhulupirira kuti izi ndizosakhalitsa zomwe sizingakhudze thanzi la munthu.M'malo mwake, acetone m'magazi ndi chizindikiro choopsa chomwe chitha kuwonetsa kukhalapo kwa kupatuka kwakukulu pakugwira ntchito kwa machitidwe ndi ziwalo.

Nthawi zambiri, acetone imawonekera m'magazi chifukwa cha kuperewera kwa mafuta m'thupi, komanso kuperewera kwa chakudya.

Chofanana ndi acetone m'magazi ndi acetonemia.

Vutoli limaphatikizidwa ndi kudzikundikira m'thupi la munthu kwamphamvu yayikulu ya matupi a ketone. Amayamba kuwoneka m'magazi, kenako ndi mkodzo. Komabe, kuwunika kwa matenda am'mimba kumachitika kudzera mu urinalysis. Phunziroli ndiye njira yothandiza kwambiri yodziwira acetonemia.

Acetonuria imatha kuwonekera kunyumba pogwiritsa ntchito zingwe zapadera zoyeserera.

Masiku ano, milingo ya acetone imatha kutsimikiziridwa mosavuta kunyumba. Chifukwa cha izi, timiyalu ta kuyesa timagwiritsa ntchito, timene timatsitsidwa mumtsuko ndi mkodzo. Amakhala ndi mawonekedwe apinki ngati matendawa amawonedwa mkodzo, ngati matendawa amatchulidwa, mikwingwirima imakhala yofiirira.

Matupi a Ketone nthawi zambiri sapezeka m'magazi.

Molondola, magazi awo alibe zoposa 1-2 mg pa 100 ml. Chizindikirochi ndi chochepa kwambiri mwakuti sichimapezeka pogwiritsa ntchito mayeso wamba a labotale.

Matupi a Ketone ndi mankhwala omwe amapangidwa m'chiwindi cha munthu kuchokera ku zakudya zomwe zimachokera kunja. Kapangidwe kake chifukwa cha mapuloteni komanso mafuta. Matupi a Ketone pamiyeso yaying'ono ndiyofunikira kwa anthu, popeza ndi gwero lamphamvu. Ngati mulingo wawo uposa zomwe zimachitika, izi zimawopseza kuledzera kwa thupi.

Pali zizindikiro ndi zizindikiro zingapo zomwe zingawonetse kukula kwa vuto la acetone:

Kukana chakudya ndi madzi chifukwa cha mseru komanso kusowa kudya.
Chakudya chilichonse chimakhala ndi kusanza, komwe kumatha kukhalanso kwamuyaya.
Kukhalapo kwa zizindikiro za kuchepa mphamvu kwa madzi: mulingo wa mkodzo womwe umapangidwa umachepetsedwa, khungu limakhala lotuwa ndi lowuma, kufooka kumamveka, etc.
Zizindikiro za kusayenda bwino mkati mwa dongosolo lamanjenje (CNS) - chikhalidwe choyambirira chisangalalo chimasinthidwa mwachangu ndi boma lolesi, kugona. Pali mwayi wolanda.
Pali kutentha kochulukirapo.
Fungo la acetone limatuluka mkamwa, mkodzo umanunkhanso chimodzimodzi, komanso kusanza.
Chiwindi chimakula kukula.
Kuyesedwa kwa magazi a biochemical kumawonetsa kuti kuchuluka kwa chloride ndi glucose kumachepetsedwa, cholesterol ndi lipoproteins, mosiyana, zimawonedwa zochuluka. Kuwunikira kwakukulu kukuwonetsa kuchuluka kwa leukocytes ndi ESR.

Acetone m'magazi imawoneka chifukwa chophwanya mafuta ndi kagayidwe kazakudya. Acetone ndi organic solvent, yomwe ili pamalo oyamba pakati pa ma ketones. Matupi a Ketone kapena acetone ndi mankhwala ofunikira omwe amatenga nawo mafuta, mapuloteni ndi carbohydrate metabolism. Chifukwa chake, kuwonjezeka kwa zinthu izi kukuwonetsa kuphwanyika komwe kumachitika mthupi. Kodi kuchuluka kwa acetone mthupi la munthu ndi kotani? Ndikofunikira kudziwa kuti acetone pafupifupi imakhalapo m'magazi - chizolowezi chake m'magazi ndi 1-2 mg / 100 ml, mkodzo - 0,01-0.03 g. Kuphwanya njira za metabolic kumabweretsa kuti zikhalidwe zake zimakwera ndikuthandizira Pankhaniyi, zakudya zapadera zimatha kugwiritsidwa ntchito, zomwe cholinga chake ndikuchotsa acetone m'thupi.

Kukhalapo kwa acetone m'magazi kumatha kutchedwa mwanjira ina - acetonemia kapena ketonemia, ndiko kuti, mkhalidwe womwe umadziwika ndi kudziunjikira kwa matupi ambiri a ketone m'magazi. Ndikofunikira kudziwa kuti pamaso pa acetone mkodzo (acetonuria), ma ketones amawonekera m'magazi. Acetoneemia imathandizira kuzindikira acetonemia, njira yosavuta komanso yachangu kwambiri yopezera mankhwala a ketone.

Amayambitsa acetone m'magazi mwa akulu ndi njira zochiritsira

Ambiri ali ndi chidwi ndi funso loti kodi acetone m'magazi, ndi zizindikiro ziti, komanso momwe angachotsedwere mwachangu.Monga tafotokozera pamwambapa, zikuwoneka ndi kuwonjezeka kwa matupi a ketone, ndiye kuti, zinthu zomwe zimapangidwa mthupi panthawi yophatikiza mafuta, mapuloteni ndi chakudya. Pofuna kumvetsetsa chifukwa chake izi zimachitika, ndikofunikira kudziwa kuti kusagwira bwino ntchito kwa chimbudzi m'mimba mwa ana ndi akulu kumatsogolera kuti zinthu zambiri za metabolic zimadziunjikira m'thupi, zomwe zimapangitsa kuti izi zitheke.

Zizindikiro zazikulu za izi ndi mpweya woipa wa acetone. Kusanthula kwakanthawi mkodzo ndi magazi kuzindikiritsa kukhalapo kwa acetone mthupi ndikupanga kuzindikira koyenera.

Chimodzi mwazifukwa zomwe zimayambitsa kuchuluka kwa acetone mwa munthu wamkulu ndi mowa. Chifukwa chomwa mowa mopitirira muyeso, mowa umadziunjikira m'thupi, womwe umayambitsa poizoni wake. Impso zilibe nthawi yochotsa mowa m'thupi pakapita nthawi, zomwe zimapangitsa kuti acetone achulukane. Komanso, mowa umakhala ndi vuto m'magawo am'mimba, omwe amakhudza kuchuluka kwa matupi a ketone m'magazi. Mapuloteni, mafuta ndi chakudya chamagulu, chomwe mowa umakhala wopanda mphamvu, alibe nthawi yogaya bwino, zomwe zimapangitsa kuti matupi a ketone awoneke.

Popeza ambiri ali ndi chidwi ndi zoyenera kuchita kuti achepetse kuchuluka kwa ma acetone m'magazi ndikuchotsa zisonyezo zovuta za matendawa. Pankhaniyi, njira zotsatirazi ziyenera kuonedwa:

Zakumwa zoledzeretsa
Kutentha kwa Bowel ndi enema,
Pamaso pa kusanza kwakukuru, kutha kwake, muyenera kupereka zipatso zambiri kuchokera ku zipatso zouma, zomwe zimakupatsani kubwezeretsa kuchuluka kwa shuga mthupi,
M'pofunika kusamala chakudya moyenera kuti mupewe kuledzera thupi kambiri. Zakudya zapadera zimatha kuthandiza pamenepa, zomwe zimaphatikizapo masamba ndi zipatso, nyama yazakudya, msuzi wopatsa thanzi (zakudya zimalembedwa ndi adotolo).

Chithandizo chanthawi yake chokhacho chimathandiza kupewa zovuta ndikubwezeretsa munthu wathanzi komanso moyo wonse.

Kalyuzhny, I. T. Hemochromatosis: kuchepa kwa khungu, kutulutsa khungu la chiwindi, matenda a shuga "a mkuwa". Kalyuzhny, L.I. Kalyuzhnaya. - M: ELBI-SPb, 2003 .-- 338 p.
Radkevich V. Matenda a shuga. Moscow, Gregory Publishing House, 316 mas.
Saltykov, B.B. Diabetesic microangiopathy / B.B. Saltykov. - M.: Mankhwala, 2017 .-- 815 p.
Russell Jesse Mtundu 1 wa Matenda A shuga, Buku la Demand -, 2012. - 250 c.

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

Amayambitsa, Zizindikiro ndi zovuta chithandizo cha acetone m'magazi a mwana

Makolo ena akukumana ndi matenda a mwana monga acetonemic syndrome. Nthawi zambiri matendawa amayamba chifukwa chokhala ndi matupi ambiri a ketone m'magazi ndipo amapezeka ndi ana osakwana zaka 13 - pausinkhu uwu, kuwunika kumayenera kuchitika kamodzi pachaka pofuna kupewa mtundu wobisika wa matenda. Zifukwa zazikulu zomwe zimayambitsa kuchuluka kwa acetone mwa mwana ndi kusokonezeka kwa mafuta ndi kagayidwe kazakudya.

Zizindikiro za acetonemia mu ana:

Fungo la acetone kuchokera mkodzo ndi ndowe mwa mwana,
Khwawa lakusintha kusanza
Kupanda chilimbikitso
Kuledzera,
Kutopa, kumabweretsa madzi osalamulirika,
M'mimba kukokana
Lethargy
Kufooka kwa thupi
Thupi
Zozungulira mabuluu pansi pamaso.

Chizindikiro chachikulu cha matenda a mwana ndi kupuma movutikira, kukumbukira acetone, komanso "mafinya" kapena maapulo wowawasa. Imanunkhizanso ngati mkodzo, ndowe ndi kusanza.

Kuwoneka kwa acetone m'magazi ndi mkodzo mwa ana kumatha kuchitika pazifukwa zosiyanasiyana:

Zakudya zopanda pake ndizomwe zimayambitsa kuchuluka kwa acetone mwa mwana. Ana amafunikira chakudya chochuluka kuposa achikulire. Akasowa m'magazi a ana, kuchuluka kwa matupi a ketone kapena acetone amalowamo, komwe kumapangitsa fungo lakunja, losasangalatsa kuchokera mthupi. Njala mwadzidzidzi, yomwe imachitika masiku "osala kudya", imathanso chimodzimodzi.

Dysbiosis wamkati

Dysbacteriosis mu ana imachitika ndi nayonso mphamvu njira. Zotsatira zake, mafuta omwe abwera ndi chakudya cha mwana alibe ntchito. Ngati vuto ili likukula mosalekeza, mwana adzakhala ndi chakudya chamagulu, chomwe sichingathetsedwe ndi kadyedwe koyenera. Zotsatira zake, mwana amadzanunkhira acetone kuchokera mkamwa, kuwonetsa kukhalapo kwa matendawa mwa ana.

Ngati thupi la mwana lili ndi thanzi, chiwindi chimagwira ntchito moyenera - ngati fungo lochokera mkamwa lanena, ndiye kuti chiwalocho chasweka.

Acetone mu mkodzo wapakati

Kuphatikiza pazinthu zomwe zimayambitsa kuchuluka kwa acetone, pali zifukwa zapadera zomwe zimatsogolera ku izi panthawi yapakati.

Chimodzi mwazifukwa izi chimatchedwa toxicosis, yomwe imadziwoneka yokha mu trimester yoyamba ya mimba. Chifukwa chosanza pafupipafupi, chakudya sichitha kugaya bwino, chikhumbo chimakulirakulira, chomwe chimayambitsa kuperewera kwa madzi - izi zimapangitsa kuti mulingo wa acetone mumkodzo wa mayi wapakati ukhale wokwera. Zizindikiro zazikulu za matendawa zithandiza kudziwa izi - fungo la mkodzo, ndowe ndi kusanza, komwe kumakhala ndi fungo la acetone kapena acid. Komanso, mayi wamtsogolo amanunkhira koyipa kuchokera mkamwa mwake, chifukwa fungo limakhalanso ngati acetone.

Chinanso chomwe chimayambitsa acetonuria ndi matenda a shuga, omwe ndi owopsa ku thanzi la ana. Nthawi zambiri, zimayambitsa kukulira msanga mu fetal misa, yomwe imawopseza kukula kwa zovuta za pathologies. Chifukwa chake, ngati kuwunika mkodzo panthawi yoyembekezera kwawonetsa chizindikiritso, choyamba kuwunikira kwachiwiri kumachitika kuti muthetsere cholakwika chamankhwala, kenako kupenda magazi kumayikidwa kuti mupeze shuga la magazi, lomwe limakupatsani mwayi wowunika.

Popeza acetone mu mkodzo wa amayi apakati ndi chizindikiro cha matenda, palibe chithandizo chapadera chochepetsera chiwopsezo chake. Izi zikutanthauza kuti chithandizo chachikulu chikuyenera kuthana ndi mavuto amtsogolo mayi wochotsa matendawa. Ngati choyambitsa chachikulu cha acetone ndi toxosis munthawi yoyamba kubereka, ndikofunikira kuti muzikhala ndi kumwa moyenera. Ndi toxosis yayikulu, mkazi ayenera kumwa madzi ambiri, koma izi ziyenera kuchitika m'magawo ang'onoang'ono - izi sizipangitsa kusanza kwatsopano panthawi yapakati.

Ku chipatala, mayi woyembekezera amamulembera kulowetsedwa kwa kulowetsedwa, ndipo atatha kukonza, amadya kwambiri. Ngati matenda ashuga amayambitsa zizindikiro zikuluzikulu za matendawa, ayenera kudya zakudya zapadera kuti athandizidwe, pochotsa zinthu zambiri zomwe zili ndi shuga ndi zakudya. Ngati ndi kotheka, insulin imayikidwa ndikutsatira katundu wochepa.

Zoyambitsa Acetonemia

Choyamba, tiyeni tiyese kudziwa momwe matupi a ketone amalowera m'magazi ndi momwe angakhalire oopsa. Nthawi zambiri, sayenera kukhala acetone m'magazi a mwana. Matupi a Ketone ndi chinthu chapakatikati cha metabolism ya metabolism pomwe mapuloteni ndi mafuta zimakhudzana ndi kaphatikizidwe ka glucose. Glucose ndiye gwero lalikulu lamphamvu kwa thupi la munthu. Amapangidwa ndi kuphulika kwa zomanga zam'mimba zomwe zimabwera kwa ife ndi chakudya.Popanda mphamvu, kupezeka ndizosatheka, ndipo ngati pazifukwa zina kuchuluka kwa shuga m'magazi kumatsika, thupi lathu limayamba kuphwanya mafuta ake ndi mapuloteni kuti apange glucose - njira izi zimatchedwa gluconeogeneis. Pa nthawi ya kuwonongeka kwa mapuloteni ndi mafuta, matupi oopsa a ketone amapangidwa, omwe amakhala ndi nthawi yoyamba kuthira manyowa kuzinthu zopanda mankhwala ndipo amatsitsidwa mkodzo ndikutha mpweya.

Momwe mapangidwe a ma ketoni amapitilira kuchuluka kwa magwiritsidwe awo ndi ntchito, amayamba kuwononga maselo onse ndipo makamaka maselo amtundu waubongo, amakhumudwitsa mucous membrane wam'mimba wam'mimba - kusanza kumachitika. Ndi masanzi, mkodzo, ndipo kudzera pakupuma, mwana amataya madzi ambiri. Nthawi yomweyo, vuto la metabolic limapita patsogolo, momwe magazi amacheukira kumbali ya asidi - metabolic acidosis imayamba. Popanda chithandizo chokwanira, mwana amagwa chikomokere ndipo amatha kufa chifukwa cha kusowa madzi m'thupi kapena mtima.

Zotsatira zazikuluzikulu za acetonemia mwa ana zimatha kusiyanitsidwa:

Kuchulukitsa kwa shuga wamagazi: kuperewera kwa chakudya chamafuta pang'ono (chakudya chosakwanira, zakudya zosagwirizana), kuphwanya kwa kugaya kwa chakudya (kufooka kwa enzymatic), ndi kuwonjezeka kwa kugwiritsidwa ntchito kwa glucose (kupsinjika, matenda opatsirana, kuchuluka kwa matenda osafunikira, kupsinjika kwakuthupi kapena kwamaganizidwe, kuvulala, ntchito).
Kuchuluka kwa mapuloteni ndi mafuta kuchokera ku chakudya kapena kuphwanya njira yakhazikidwe lawo labwinobwino m'mimba. Pankhaniyi, thupi limakakamizidwa kugwiritsa ntchito kwambiri mapuloteni ndi mafuta, kuphatikiza ndi gluconeogeneis.
Matenda a shuga amayamba chifukwa cha matenda ashuga a ketoacidosis, pomwe kuchuluka kwa shuga m'magazi kuli kwachilendo kapena ngakhale kukwezedwa, koma sikungathe kudyeka chifukwa chosowa insulini.

Vuto la acetonemic ndi acetonemic syndrome

Acetonemia mwa ana amawonetsedwa ndi zovuta za zizindikiro - acetonemic vuto. Ngati mavuto abwerezedwa mobwerezabwereza, ndiye kuti anena kuti mwana ali ndi vuto la acetonemic.

Kutengera zomwe zimayambitsa acetonemia, pulayimale yachiwiri ndi sekondale imasiyanitsidwa. Sekondale acetonemic syndrome imayamba motsutsana ndi komwe kumatengera matenda ena:

opatsirana, makamaka iwo amene ali ndi kutentha thupi kapena kusanza (chimfine, SARS, matumbo,),
somatic (matenda am'mimba, chiwindi ndi impso, matenda a shuga, magazi m'thupi, ndi zina),
kuvulala kwambiri ndi ntchito.

Pulogalamu ya pulayimale ya acetonemic imakonda kulembedwa mwa ana omwe ali ndi diuro ya neuro-arthritic (uric acid). Neuro-arthritic diathesis si matenda, ndiye otchedwa anomaly of the Constitution, lingaliro lakapangidwe kakhazikitso kazomwe zimachitika poyesa kukhudzana ndi zakunja. Ndi urat diathesis, kuchuluka kwamphamvu kwa mantha, kulephera kwa enzymatic, kusokonezeka kwa kagayidwe ka mapuloteni ndi mafuta kumadziwika.

Ana omwe ali ndi neuro-arthritic diathesis ndi opyapyala, ogwiritsira ntchito kwambiri, othandizira, nthawi zambiri amakhala patsogolo pa anzawo pakulakula kwa malingaliro. Amakhala osakhazikika, nthawi zambiri amakhala ndi enursis, akuchita chibwibwi. Chifukwa cha zovuta za metabolic, ana omwe ali ndi uric acid diathesis amavutika ndi ululu molumikizana ndi mafupa, nthawi zina amadandaula za kupweteka kwam'mimba.

Zochitika zakunja zotsatirazi zimatha kukhala gawo lopangitsa kukula kwa vuto la acetone mwa mwana wokhala ndi mutu wotsatira wa neuro-arthritic anomaly:

cholakwika chakudya
kupsinjika kwamanjenje, kupweteka, mantha, malingaliro olimba,
kupsinjika kwakuthupi
kuwala kwa nthawi yayitali.

Acetonemic Syndrome Prevention

Kuwonekera kamodzi, ndikuthekera kwakukulu, matendawa amatha kubwereza kangapo. Popewa izi, makolo ayenera kuyang'anira kwambiri kupewa.

Udindo wofunikira umaseweredwa ndi zakudya komanso zochita za mwana tsiku lililonse.

Konzani ndikusinthanitsa chakudya - mwanayo ayenera kudya pang'ono, koma pafupipafupi. Zokwanira zomwe zingakhale chakudya chambiri 5-6 patsiku. Chakudya chisakhale chamafuta kwambiri komanso cholemetsa. Mapamba a ana sangathe kugwira ntchito mokwanira ngati munthu wamkulu, chifukwa chake, musamadzudzenso. Unikani menyu. Nyama zakusuta, ma pickles, zakudya zam'chitini, tchipisi ndi zotsekemera, madzi otsekemera okoma ndi chakudya mwachangu ndi zinthu zoletsedwa mthupi la mwana. Zipatso zowoneka bwino ndizothandiza pang'ono, koma ngati mwana amakonda kupezeka ndi acetone, ndibwino kuti muzingowatula kwakanthawi. Cherries, kiwi, currants, mandimu, malalanje ayenera kuyambitsidwa mosamala.

Phunzitsani mwana wanu kumwa. Poyerekeza ndi kutentha ndi kusowa kwamadzi, thupi lonse limavutika, izi siziyenera kuloledwa. Phunzitsani mwana wanu kumwa madzi oyera tsiku lonse (kuti asasokonezedwe ndi timadziti ndi ma compotes).

Mwana akatenga nawo gawo pa masewera, kapena amangolankhula mwamphamvu, osamupulumutsa. Glucose ndi mphamvu, ndikofunikira kukhalabe ndi metabolism yathunthu m'thupi. Pambuyo pochita zolimbitsa thupi zilizonse kapena kupsinjika, perekani mwana wanu tiyi wokoma kapena zopanda mwana. Onetsetsani kuti nthawi yopuma isanakhale yotalikirapo. Poyerekeza ndi kusala kwa nthawi yayitali, acetone imayamba.

Kuyenda ndi moyo wokangalika ndikofunikanso kuti dosing. Maphunziro amasukulu pawokha ndi katundu wolemera pamthupi la mwana. Magawo azamasewera sayenera kuchitika nthawi zopitilira 3 pa sabata. Konzani zochitika zatsiku la mwana wanu kuti kusintha kwa ntchito kungokhala, komanso mosavomerezeka. Muloleni mwana agone mokwanira. Kugona kumayenera kukhala pafupifupi maola 8 patsiku.

Onani mkodzo wa mwana wanu nthawi ndi nthawi kuti muone zomwe zili mu ketone. Izi zimachitika mosavuta pogwiritsa ntchito zingwe zapadera zomwe zimagulitsidwa ku pharmacy iliyonse. Chifukwa chake mutha kuwona kuwonjezeka kwa acetone, osabweretsa zovuta. Pakumdima pang'ono kwa mzere, mwanayo amapatsidwa njira yothetsera shuga, zakudya ndi kumwa pafupipafupi zimalembedwa.

Osachoka kutali kwambiri kupita kwina. Ngati zakudya, ndiye moyenera. Ngati zolimbitsa thupi, ndiye zolimbitsa. Ngati mupumulapo, ndiye kwakanthawi, koma osakhala m'makoma anayi. Mwana amafunika kukhala panja tsiku lililonse, kusewera masewera olimbitsa thupi, kulankhulana ndi anzawo. Ichi ndiye chizolowezi.

Ngati tizingolankhula zachiwiri za acetone, ndiye kuti nthawi yamatendawa ndibwino kuti musakhale m'magulu a ana. Limbikitsani chitetezo chokwanira cha mwana ndi zakudya zabwino komanso malingaliro abwino.

Mkhalidwe womwe mumakhala kuchuluka kwa acetone (matupi a ketone) m'magazi amatchedwa acetonemia, ndipo kupezeka kwake mkodzo kumatchedwa acetonuria. Kusintha kumeneku kumatha kuchitika kawiri kawiri komanso matenda. Nthawi zina acetonemic syndrome imatha kukhala chiwonetsero chazomwe chimayambitsa matenda a endocrine.
Nthawi zambiri, sayenera kukhala acetone mu mkodzo wa mwana, kuchuluka kwake kumaloledwa mpaka 0,01 - 0,03 g mumkodzo wa tsiku ndi tsiku. Kupezeka kwake kumatha kutsimikizika pakuwunika mkodzo mwachangu kapena mwachangu - ndikumayeso apadera kunyumba.

Kupanga kwa kapangidwe ka acetone mthupi - chifukwa chosowa shuga kapena michere ina, mafuta ndi mapuloteni amapangidwa kuti apatse thupi mphamvu.

Makutidwe a oxidation omwewa samachitika kwathunthu, ndikupanga acetone, acetoacetic ndi hydroxybutyric acid. Kudzikundikira kwawo m'magazi kumabweretsa kuledzera, mseru ndi kusanza, kusowa kwamadzi, kusokonezeka kwa metabolic.

Kukhalapo kwa acetone m'magazi ndi mkodzo kumatha kukhala kwachilengedwe, chifukwa cha kusakhazikika kwa machitidwe a pancreatic enzyme mwa mwana, koma amathanso kuchitika chifukwa cha zifukwa zina. Mu ana mpaka miyezi 10-12, acetonemic syndrome, monga lamulo, sizimachitika chifukwa chogwira ntchito kwambiri ma enzyme omwe amawononga acetone.

Chiwopsezo chachikulu cha acetone mu mkodzo mwa ana omwe ali ndi matenda a neuro-arthritic shuga ndi gawo la malamulo, momwe mumakhala kusokonezeka kwa zinthu zonse, komanso matenda a machitidwe a enzyme. Ana otere nthawi zambiri amakhala ndi matenda am'mimba, kupweteka kwam'mimba, kuchepa kwa thupi, kuchuluka kwa zochita komanso kusakwiya, zolakwika zamalankhulidwe (chibwibwi), enursis, ndipo pambuyo pake zimafupa. Chofunika kwambiri kwa iwo ndi kupewa ziphuphu za acetone ndi chithandizo chokwanira.

Amayambitsa ndi zinthu zomwe zimakhudza mawonekedwe a acetone mkodzo

Chifukwa chachikulu chowonekera cha chinthuchi mumkodzo ndi ma ketones m'magazi. Ma ketones ndi zinthu zapakati pazomwe amapangira chakudya. Munthawi yabwinobwino yamafuta awa m'magazi sayenera kutero, popeza amagawanika mwachangu mu mafuta osavuta.

Kuwoneka kwa mankhwala awa m'magazi kumachitika mchikakamizo cha zinthu zingapo zomwe zimakhudza kagayidwe kachakudya mthupi.

Ma ketoni a Ketone amakhala ndi poizoni woopsa m'thupi, akamalowa m'maselo, amawononga magawo awo. Kuchita izi kumabweretsa kusokonezeka kwa kagayidwe kachakudya, kumasokoneza mayendedwe osiyanasiyana a redox omwe amaonetsetsa momwe maselo amagwirira ntchito.

Zoyambitsa acetonemia:

Zakudya zopanda thanzi - kugwiritsa ntchito mafuta osokoneza bongo, mapuloteni ochulukirapo m'zakudya, njala, kusowa kwa chakudya chamagulu.
Kuphwanya ulamuliro wa tsikulo, kusowa tulo, kugwiritsa ntchito maola opitilira 2-3 pakompyuta.
Kupsinjika kwakuthupi kapena kutengeka, masewera olimbitsa thupi, kupsinjika.
Kuthetsa magazi chifukwa cha madzi osakwanira am'madzi.
Kutentha kwa mwana kapena mosemphanitsa, hypothermia.
Ketonemia ndi ketonuria zimatha kuwonetsa kuchepa kwa kagayidwe kazakudya matenda a shuga, matenda oopsa, komanso matenda ena a endocrine.
Kukhalapo kwa poizoni ndi matenda opatsirana, limodzi ndi kutentha.
Kuvulala kwapakale ndi opareshoni, matenda opatsirana angapangitsenso kukwera kwa ma ketoni m'mwazi ndi mkodzo.

Zomwe zimayambitsa ndi matenda a kugaya kwam'mimba, matenda a kapamba, matenda a impso ndi chiwindi, kuperewera kwa magazi (kuchepa kwa magazi m'thupi), kusintha kwa malingaliro ndi zotupa zoyipa.

Kanema : Kuchulukitsa acetone mwa mwana

Zizindikiro zodziwika bwino ndi mawonekedwe a acetone mkodzo

Zizindikiro za acetonemic syndrome mwa ana zimafotokozedwa kutengera mulingo wa matupi a ketone m'magazi.

Zizindikiro zake zazikulu ndi kufooka kwathunthu, kupweteka m'mutu, nseru ndi kusanza, komanso kuchepa kwa chakudya. Kuchokera pakhungu la mwana komanso zimagwira pakhungu, mkodzo wake umakhala ndi fungo la acetone, kapena "maapulo wowawasa". M'masanzi pakhoza kukhala zinyalala za chakudya, bile, ntchofu, zimaperekanso fungo la acetone.

Zizindikiro zowonjezereka zingaphatikizepo kupweteka pamimba komanso kukokana kwam'mimba, chiwindi chokwanira, kusokonezeka kwa mankhwalawa, kutentha kwa mankhwalawa, oliguria, lilime lophimba, kusokonekera komanso kusowa tulo, tachycardia kapena arrhythmia, kulephera kupuma (malinga ndi mtundu wa Chain-Stokes).

Acetonemic syndrome mu etiology yake ikhoza kukhala yoyamba (idiopathic) komanso yachiwiri. Mtundu woyamba umachitika pawokha, popanda chifukwa chodziwika bwino, mwa ana omwe ali ndi vuto lamanjenje, ndi labwino kwambiri. Imadziwulula nthawi zambiri ndi mseru, kusanza ndi zizindikiro zina za kuledzera. Sekondale ya acetonemic syndrome imayendera matenda ena, monga matenda amtundu wa kupuma kwamatenda, matumbo, matenda owopsa am'mapapo, matenda a chithokomiro, kapamba, matenda a shuga a mtundu woyamba ndi wachiwiri.

Monga njira, acetone mu mkodzo amatha kuonedwa mwa ana osakwana zaka 12, omwe amalumikizidwa ndi dongosolo la enzyme losasintha.

Acetonemic syndrome mwa ana atakwanitsa zaka 12 ndi chizindikiro chosavomerezeka chosonyeza kuchepa kwa magazi ndi matenda ashuga, omwe angayambitse zovuta - matenda oopsa, matenda a impso, chiwindi ndi kapamba.

Kuzindikira kwa acetonemic syndrome

Njira zakuzindikira za acetonemic syndrome zimaphatikizapo kusanthula kwamkodzo pafupipafupi, kusanthula kwa magazi, kuchuluka kwa magazi ndi ziwonetsero zam'mimba.

Panjira yodziwikiratu kuti mwazindikira matendawa muphatikizire mayeso apadera kuti mupeze ma ketones mumkodzo. Njira yoyesera - Mzere wowerengeka umatsitsidwa mu kapu yokhala ndi mkodzo wa ana, ndipo patatha mphindi ziwiri kapena zitatu zimatha kale kuyesa kuchuluka kwa ma ketoni mumkodzo. Amasintha mtundu pamaso pa acetone kuchokera pachikaso kukhala pinki kapena utoto, kutengera kuchuluka kwa matupi a ketone.

Mtengo umodzi kapena iwiri pamlingo umadziwika kuti ndi acetonemic syndrome, umatha kuthandizidwa kunyumba.

Pogwiritsa ntchito ma ploses atatu kapena anayi, mwana amafunikira kuchipatala mwachangu.

Mwambiri urinalysis, matupi a ketone, mapuloteni, shuga, leukocytes, epithelium amatsimikiza. Pakuwunika kwamagazi kokwanira, maselo ofiira a m'magazi, hemoglobin, maselo oyera amwazi, ESR amatsimikiza. Pakuwunika kwamwazi wamagazi - mapuloteni onse, shuga m'magazi, impso ndi chiwindi.

Mukamapanga ultrasound, nthawi zambiri zopatuka kuzikhalidwe sizimawonedwa.

Chithandizo cha acetone mu mkodzo wa mwana

Cholinga chachikulu cha chithandizo ndikuchotseka mwachangu, kuchepetsa kuchuluka kwa matupi a ketone mthupi ndikuchotsa chizindikiro cha kuledzera. Ndikofunikira kuzindikira zomwe zimayambitsa vutoli, kuwonjezera apo, ndikofunikira kusintha zakudya za mwana.

Ngati matenda afatsa, kutsegula kuchipatala nthawi zambiri sikufunikira, chithandizo chitha kuchitidwa mwachangu. Woopsa milandu, Zizindikiro zazikulu, kusokonezeka kwa mwana, kuchipatala ndi chithandizo cha mankhwala ndikofunikira.

Choyamba, ndikofunikira kusintha zakudya - chakudyacho chiyenera kukhala makamaka chakudya, chopepuka.

Mwanayo sayenera kufa ndi njala, tikulimbikitsidwa kudya misuzi ya zipatso, tiyi wokoma, ma compotes ndi zakumwa za zipatso. Ngati palibe kusanza, ndipo mwana amatha kudya mwachizolowezi, phala, masamba ndi masamba, msuzi wa mpunga, ndi zinthu zamkaka amaloledwa kuti adzetsedwe muzakudya.

M'pofunika kuchepetsa kudya mwachangu, chokoleti, ma citruse, kirimu wowawasa ndi zonona, bowa, khofi ndi koko, maswiti, zakudya zonunkhira, msuzi wokhazikika.

Ndikofunikira kwambiri kusintha mawonekedwe a tsiku la mwana - mufunika kugona tulo lathunthu, kuchita masewera olimbitsa thupi pang'ono, kuyenda mumlengalenga. Ndikofunikira kuchepetsa nthawi yomwe mumagwiritsa ntchito kompyuta ndi TV.

Chithandizo cha mankhwala osokoneza bongo chimakhala ndi kupatsanso madzi m'thupi, kulowa ndi matenda omwe amayambitsidwa ndi matenda. Kubwezeretsanso kwa kuchuluka kwa madzi kuyenera kuchitika pang'onopang'ono, m'magawo ang'onoang'ono, chifukwa mungagwiritse ntchito madzi wamba, tiyi, decoctions zoumba, ndi mayankho a electrolyte, mwachitsanzo, Gastrolit, Oralit, Regidron ndi Atoxil. Kuchuluka kwa madzi kumatha kuwerengedwa ndi mafomula - 15-20 mamililogalamu pa kilogalamu imodzi ya kulemera kwa thupi patsiku, muyenera kuzipereka kuti amwe pafupipafupi, koma m'malo ochepa kuti muchepetse kusanza.

Kuti muchepetse kuchuluka kwa matupi a ketone m'magazi, ma sorbents amagwiritsidwa ntchito, monga Smecta, Enterosgel, Polysorb, Enterol. Ntchito ya enema ndi chapamimba chingagwiritsidwe ntchito kuchepetsa ketonemia ndi ketonuria.

Pokulira pamatenda owopsa, kukoka kwa mkati mwa glucose ndi mayankho a electrolyte, ma sorbents angafunike. Kubwezeretsa mkhalidwe wamthupi, njira zothetsera ma amino acid zimagwiritsidwa ntchito, mwachitsanzo Glutargin.

Ngati matenda omwe adayambitsa kuwoneka kwa acetone mkodzo amafunikira chithandizo cha mankhwala oteteza thupi, maantibayotiki amayeneranso kuphatikizidwa munthawi ya mankhwalawa, mwachitsanzo Amoxiclav, Cefodox, Cefix.

Kupewera kwa acetonemic syndrome mu ana kumakhala ndi kusintha kwa dongosolo la tsiku ndi tsiku, lofunikira makamaka kwa achinyamata. Mwana amafunikira kugona mokwanira, kuyenda mu mpweya wabwino, kulimbitsa thupi pang'ono, kudya mokwanira. Ndikulimbikitsidwa kuti muzidya pafupipafupi, makamaka kuchokera ku chakudya chamagulu othamanga, ndikofunikira kuti muchepetse kuchuluka kwamafuta ndi chakudya chokazinga, timalimbikitsidwanso kupatula zakudya zachangu, zamzitini komanso zotsiriza.

Kanema: Thanzi lathu. Acetone mwa ana

Chithandizo choyenera cha acetone. Acetonemic syndrome - zovuta ndi zotulukapo. Thandizo loyamba kwa mwana wokhala ndi acetone yowonjezereka.

Acetonemic syndrome (AS) ndi zovuta zovuta zomwe zimayambitsa kusokonekera kwa metabolic m'thupi la mwana. Zomwe zimayambitsa matendawa ndi kuchuluka kwamatupi a ketone m'magazi. Mitembo ya Ketone ndi zinthu zomwe zimapangitsa kuti mafutawo asamalilike. Acetonemic syndrome imawonekera muzochitika zobwerezabwereza za kusanza kwa acetonemic ndikusinthana ndi nthawi ya thanzi lathunthu.

Zizindikiro za matendawa zimawonekera pakapita zaka ziwiri kapena zitatu. Stronger akuwonetsa odwala zisanu ndi ziwiri - zisanu ndi zitatu, ndipo pofika zaka khumi ndi ziwiri.

Acetonemic syndrome mcb 10 - R82.4 Acetonuria

About the acetonemic syndrome mu ana, adotolo a ana akuti ichi ndi chizindikiro chochokera m'thupi chokhudza kutha kwa glucose m'magazi. Chithandizo cha zakumwa ndizambiri komanso zotsekemera. Kusanza kwa acetonemic kunachitika - khungu lamitsempha kapena jakisoni wa antiemetic, ndiye kuthirira mwana.

Zizindikiro zakukula kwa acetone mwa mwana

Mokwera ma acetone mthupi la mwana amachititsa kuledzera komanso kusowa madzi m'thupi. Zizindikiro za ma acetone okwera:

fungo lamwana la acetone
mutu ndi mutu
kusowa kwa chakudya
kusanza
fungo losasangalatsa la maapulo acidine ndi owola
kuwonda
kugona nkhawa ndi psychoneurosis
khungu lotuwa
kufooka kwa thupi lonse
kugona
kutentha kokwezeka mpaka madigiri 37 38
matumbo

Kutentha ndi acetone mwana

Matendawa amaphatikizidwa ndi kuwonjezeka kwa kutentha kwa mwanayo mpaka madigiri 38 kapena 39. Ichi ndichifukwa cha toxosis ya thupi. Kutentha kumasintha dongosolo kukhala lamkati. Kuyandikira 38 - 39 madigiri. Kuda nkhawa kumabuka pakuwonekera koyamba. Mwana wodwala amagonekedwa kuchipatala kuchipatala kuti akalandire chithandizo.

Zokambirana pa intaneti za kutentha kwa mwana ndi acetone

Kutsitsa kutentha nthawi zina kumawonetsa kuti vuto la acetone lasiya.

Acetonemic syndrome mwa ana ndi akulu. Zizindikiro ndi kusiyana kwawo

Acetonemic syndrome mu ana Amadziwika ndi zizindikiro zingapo za pathological zomwe zimachitika muubwana ndipo zimachitika mthupi chifukwa cha kuchuluka kwakukulu kwa "matupi a ketone" m'magazi am'magazi.

"Matupi a Ketone" - gulu la zinthu zomwe zimasinthidwa ndikupanga m'chiwindi. M'mawu osavuta: matenda a metabolic, omwe ma slags samachotsedwa.

Zizindikiro zake za ana:

Zizindikiro zolembedwa zimawoneka payekhapayekha kaphatikizidwe.

Acetonemic syndrome mu ana ndi mitundu iwiri:

chachikulu - chifukwa chosowa chakudya.
yachiwiri - ndi matenda, endocrine matenda, komanso motsutsana ndi maziko a zotupa ndi zotupa za chapakati mantha dongosolo.

Palinso matenda oyamba a idiopathic acetonemic syndrome mu ana. Pankhaniyi, makina oyambitsa ndi omwe amatengera cholowa.

Acetonemic syndrome mwa akulu amapezeka kuphwanya protein protein bwino. Kuchulukana kwa kuchuluka kwa acetone, zomwe zimatsogolera ku kuledzera kwa thupi. Zizindikiro ndi mawonekedwe ake amafanana ndi ana acetonemic syndrome, komanso fungo la acetone lochokera mkamwa. Zifukwa zachitukuko:

Mapeto: mwa ana, matendawa amapezeka chifukwa cha kubereka kapena matenda opatsirana. Akuluakulu amatenga matendawa chifukwa cha zinthu zakunja.

Zotsatira ndi zovuta za chithandizo chosayenera

Ndi chithandizo choyenera, mavuto a matendawa amapita popanda zovuta.

Ndi mankhwala osayenera, metabolic acidosis imachitika - makulidwe amakulitsa a mkati mwa thupi. Kuphwanya ntchito kwa ziwalo zofunika. Mwanayo akuwopsezedwa ndi kukomoka kwa acetone.

Ana omwe adadwalanso ndi matendawa mtsogolo azidzadwala cholelithiasis, gout, matenda ashuga, kunenepa kwambiri, matenda a impso komanso chiwindi.

Kodi ndi dokotala uti amene amachitira acetonemic syndrome?

Choyamba, timatembenukira kwa dotolo . Popeza acetonemic syndrome ndi matenda aubwana, chifukwa chake, adotolo ndi ana. Dokotala amasankha kuyezetsa ndi psychotherapist, gastroenterologist, ultrasound kapena kupereka maphunziro a kutikita minofu ya ana.

Ngati acetonemic syndrome mwa akulu, funsani ndi endocrinologist kapena akatswiri.

Chithandizo cha acetonemic syndrome kunyumba

Timachotsa zochuluka zowola pogwiritsa ntchito mankhwala a alkali. Kukonzekera yankho - sungunulani supuni ya tiyi ya sopo mu mamililita 200 amadzi oyeretsedwa
Timamwa kukonzekera kubwezeretsanso kwamkati - "Opangira Mphamvu", "Enterosgel", "Regidron", "ORS-200", "Glucosolan" kapena "Oralit"
Timabwezeretsanso madzi otayika, chifukwa chosanza kwambiri, thupi limasowa madzi - tiyi wotsekemera wamphamvu ndi mandimu kapena madzi amchere. Timamwetsa mwana zakumwa zozizilitsa kumamwa pakatha mphindi 5 mpaka 10 zazing'ono tsiku lonse
Nthawi zambiri imagwiritsidwa ntchito pachifuwa cha mwana woyamwa
Timalemeretsa zakudya za tsiku ndi tsiku ndi chakudya chamafuta, koma timakana zakudya zamafuta konse.
Ngati kudya kumayambitsa kusanza kwatsopano, mungafunike dontho lokhala ndi shuga

Mutha kudziwa pawokha kuchuluka kwa acetone pogwiritsa ntchito mayeso. Kuchiza kunyumba kumaloledwa pambuyo pakuwunikira kwathunthu.

Chithandizo cha acetonemic syndrome, choyambirira, nkhondo yolimbana ndi mavuto komanso kupumula kwa chidwi.

Kubwezeretsanso panthawi yakuwonjezera matendawa kumayendera limodzi ndi chisamaliro chachikulu. Njira yakuchiritsira imasankhidwa payekha kutengera mulingo wa acetone m'thupi. Acetonomic syndrome mu ana, chithandizo ndi njira zodzitetezera zimachitika potsatira malingaliro a dokotala komanso mabungwe azachipatala kuti asatengere kubwereza.

Akamakula, mwana amadwala, chifukwa chitetezo cha m'thupi cha mwana chimafooka kwambiri. Chimodzi mwa matenda owopsa ndi acetonemia, omwe amadziwika ndi kukhalapo kwa fungo lamphamvu la acetone mkodzo, kusanza komanso mpweya wotuluka. Mkhalidwe wamtunduwu wa thupi la mwana sungathe kunyalanyazidwa, chifukwa umatha kuyambitsa mavuto akulu azaumoyo.

Kodi acetone mumkodzo wa mwana ndi chiyani?

Ngati kuphwanya njira ya mayamwidwe wa chakudya ndi mafuta kagayidwe, kuwonjezeka pang'onopang'ono kwa kuchuluka kwa ma ketones kumawonedwa. Matendawa ali ndi mayina angapo: acetonemia, acetonuria kapena ketonuria. Munthawi yochepa, thupi limapanga zinthu zochepa za ketone, zomwe ndizofunikira pamoyo wa munthu. Mankhwala awa amapangidwa m'chiwindi kuchokera pazakudya zomwe zikubwera - mafuta ndi mapuloteni, omwe amaphwanyidwa mpaka acetone ndi acetoacetic acid mwachilengedwe.

Ma ketones ndi gwero lamphamvu, koma kuphatikizidwa kwakanthawi kwa zinthu izi kumatha kukhala ndi vuto ku ziwalo komanso mkati mwa mantha. Chimodzi mwazomwe zimawonetsera kuledzera kotereku ndikusanza, komwe kumachitika chifukwa cha kupsinjika kwa mucous membrane wamatumbo motsutsana ndi maziko a kuchepa kwamadzi m'thupi la mwana. Kuchuluka kwa matupi a ketone kumakwiyitsa malo osanza mu ubongo, omwe amayambitsa nseru komanso kupweteka kwambiri pamimba.

Kusweka kwamphamvu kwamafuta kuti mubwezeretse ndalama ndi njira yachilengedwe kwa thupi.Monga mukudziwira, mphamvu zambiri zomwe munthu amalandira kuchokera ku glucose (glycogen), womwe umapezeka m'chiwindi. Akuluakulu, zomwe amasungidwa m'zinthu izi ndi zazikulu kwambiri kuposa ana, chifukwa chake acetonemia imadziwika ngati matenda pakati pa makanda. Komabe, si mwana aliyense yemwe amakhala ndi ketonuria, zonse zimatengera umunthu wa kagayidwe. Mwa ana ena, acetone samadzisonkhanitsa.

Kuzindikira kwa acetonemia, zizindikiro zoyenera

Kuzindikira kwa acetonemia mwamwambo kumachitika mwa kuchita kuyezetsa magazi a labotale. Izi nthawi zambiri zimaphatikizidwa ndi kuyesa kwamkodzo.

Zotsatira zoyeserera zitha kuwonetsa chikwangwani (+) kapena (-). Kuphatikiza apo, pakhoza kukhala "ma pluses" angapo mwamtunduwu.

Pankhaniyi, zotsatira za kuzindikira zimatsimikiziridwa motere:

(-) - kuchuluka kwa ma ma ketones sikupita 0.5 mmol / l,
(+) - mulingo wa ma ketoni wofika 1.5 mmol / l (matenda ofatsa),
(++) - mpaka 4 mmol / l (acetonuria ya zovuta zolimbitsa thupi),
(+++) - mpaka 10 mmol / l (kwambiri matenda ake).

Ngati mukufuna kudziwa kukhalapo kwa matenda, mungathe kunyumba pogwiritsa ntchito mayeso apadera. Kunja, zikuwoneka ngati zingwe zina zambiri zoyesa.

Zomwe zimachitika

Pali zifukwa zambiri zowonjezera acetone mwa akuluakulu. Izi zikuphatikiza:

kuvutitsidwa kwa zakudya zamafuta ndi mapuloteni,
kusowa kwa zakudya zamagulu ochulukirapo m'zakudya,
kuchita masewera olimbitsa thupi mopitirira malire
kudya okhwima
lembani matenda ashuga 1 kapena matenda a shuga a pancreatic
matenda osokoneza bongo
kuchuluka kwa kutentha kwa thupi
poyizoni wa zinthu zoopsa, kuphatikizapo mowa,
mawonekedwe oyipa
insulin yowonjezera
matenda akulu akulu (cachexia, khansa, kuchepa magazi),
matenda opatsirana
kugwiritsa ntchito chloroform pa opaleshoni,
kuvulaza komwe mitsempha idawonongeka,
kuchuluka kwa chithokomiro.

Pa nthawi yoyembekezera

Kuphatikiza pa zonse pamwambapa, azimayi oyembekezera amathanso kukhala ndi zifukwa zawo zowonjezera acetone.

Nthawi zambiri, izi ndi:

kupsinjika (kuphatikizapo zomwe zidasamutsidwa kale),
kuchepa kwa chitetezo chamthupi,
kuvutitsidwa kwa zakudya, zomwe zimakhala ndi mitundu yambiri, zoteteza komanso zowongolera,
Zotsatira zake: toxicosis ndipo chifukwa - kusanza pafupipafupi,
kusokoneza chilengedwe.

Acetone wolowerera ana nthawi zambiri amapezeka asanakwanitse zaka 12. Mpaka pano, kapamba amapitilira kukula ndipo nthawi zambiri samatha kulimbana ndi katundu yemwe ayikidwamo.

Zomwe zimayambitsa ketonemia mwa ana zimaphatikizapo:

kuperewera kwa zakudya m'thupi
kupsinjika
kugwira ntchito molimbika (m'thupi ndi m'maganizo),
nyongolotsi
matenda am'mimba
kugwiritsa ntchito antibacterial nthawi yayitali,
hypothermia
kuchuluka kwa kutentha kwa thupi.

Nthawi zambiri, kuchuluka kwa acetone m'thupi kumayendera limodzi ndi zizindikiro zotsatirazi:

mkodzo wopanda nzeru
Fungo la acetone lamkati,
dziko lokhumudwitsa
mphwayi, kutopa kwambiri,
Kuwala kwa khungu la masaya ndi khungu la matumbo m'malo otsalawo,
kamwa yowuma
kusanza, kusanza,
kupweteka kwam'mimba kapena kusasangalala
kuchepa kwamtima
kugona kusokonezedwa
kuchuluka kwa kutentha kwa thupi
kulephera kwa mtima
utachepa mkodzo.

Kuchulukitsa acetone mu shuga

Ngati thupi la munthu lili wathanzi ndikugwira ntchito moyenera, ndiye kuti glucose, ikugwera impso, imasefa kusefukira, kenako imagwidwa kwathunthu ndi impso tubules ndikulowa m'magazi.

Komabe, kuphwanya njirayi, glucose amatha kupezeka mkodzo. Nthawi zambiri shuga mumkodzo amapezeka mwa odwala matenda a shuga. Nthawi zambiri mumtundu wawo wa mkodzo amapezekanso.

Odwala omwe ali ndi acetone komanso matenda osokoneza bongo okwera amakhala ndi kupuma msanga, kufooka, kusanza, pakamwa youma komanso ludzu losalekeza.

Mankhwala

Chithandizo cha ketonemia zimatengera momwe amayambira. Chifukwa chake, ngati mwa odwala ena ndikokwanira kungosintha kadyedwe, ndiye kuti ena amafunikira kuchipatala.

Nthawi zambiri, ndimatendawa, Regidron kapena Orsol ndi omwe amapatsidwa. Ngati munthu sangathe kumwa madzi okwanira chifukwa chosanza, amapatsidwa madzi amkati pogwiritsa ntchito dontho.

Komanso, ndikusanza kwambiri, Tserukal ikhoza kutumizidwa. Kuti muchepetse kuthana ndi poizoni ndi ammonia, ndikofunikira kuti odwala amwetse mpweya wozimira kapena mtundu wina uliwonse wamatsenga.

Pankhaniyi, mavitamini a gulu B amathanso kukhala opindulitsa.

Kuphatikiza pa china chilichonse, mankhwalawa amayambitsidwa ndi matenda oyambira. Chifukwa chake, ndi matenda a shuga a mellitus, kugwiritsa ntchito insulin ndikofunikira, ndi matenda am'matumbo - antibacterial othandizira, etc.

Palibe chithandizo chomwe chingathandize wodwala kuchotsa ketonemia ngati satsatira zakudya.

Pankhaniyi, amaloledwa kudya nyama yophika kapena yophika. Makamaka nyama yamwana wamchere kapena kalulu. Muthanso kudya supu zamasamba, nsomba (siziyenera kukhala zamafuta) ndi mbewu zina zingapo.

Ndi ketonemia, quince imatha kupindula kwambiri. Mutha kuzigwiritsa ntchito mwanjira iliyonse.

Nyama yamafuta, broth, zakudya zotsekemera, katundu wam'chitini, komanso zonunkhira ndizosemphana ndi chiphunzitsochi. Sipanginso chofunikira kudya zakudya yokazinga, zipatso za zipatso ndi nthochi.

Chamomile decoction

Chomalizidwa chazirala chimazizira ndipo chimasefedwa kudzera mu chidebe, chopindidwa mu zigawo zingapo. Mankhwalawa amagwiritsidwa ntchito muyezo womwe adokotala amawonetsa.

Chifukwa chiyani acetone amapezeka?

M'pofunika kunena nthawi yomweyo kuti chizolowezi pamenepa ndi kupezeka kwathunthu kwa ma ketones m'mwazi wa munthu aliyense. Acetone mu mkodzo akuwonetsa kuchepa kwa mphamvu, chifukwa chomwe thupi limayamba "kufa ndi njala" pamphamvu.

Ketonemia ndi acetone m'magazi a mwana kapena wamkulu. Chifukwa chakuti ma ketoni amakhala m'magazi amthupi, pamakhala zovuta zoyipa zamagetsi zamkati.

Pokhala ndi ndende zochepa za acetone, zosasangalatsa zopanda pake zimawonekera, ndipo ndizokwanira, ntchito yodziwika imalephereka, ndipo mkhalidwe wamtunduwu sutha. Acetone m'magazi ikaposa zizindikiro zonse zovuta, ketonuria imayamba. Acetone imapezeka mkodzo.

Acetone m'magazi mwa ana imatha kupezeka ndi kuphwanya kwamphamvu zamafuta, kapena njira ya kugaya chakudya kwamthupi. Kukula kwa mkhalidwewu kumakhazikitsidwa pa hypersensitivity ya thupi la mwana kuti asinthe mu glucose m'magazi.

Zomwe zimapangitsa acetone kuchuluka m'magazi a ana:

Choyambitsa chachikulu cha matenda ndi kusowa kwa zakudya m'thupi, makamaka kugwiritsa ntchito mafuta osokoneza bongo komanso shuga, kudya kwambiri.
Zifukwazi zimapezekanso m'matenda - matenda ashuga, matenda am'mimba, komanso matenda a chiwindi.
Kugwira ntchito kwambiri, nkhawa.
Matenda oyipa m'thupi.

Monga zonse zomwe tafotokozazi, zomwe zimapangitsa kupezeka kwa matupi a ketone m'mwazi ndi mkodzo ndizosiyanitsidwa kwambiri.

Zoyambitsa acetone yayikulu mwa akulu:

Thupi.
Poizoni woledzera.
Matenda a etiology opatsirana.
Poizoni wamankhwala.
Kukhalapo kwa matenda ashuga.
Kuvulala komwe kudayambitsa kulephera kwamkati mwa dongosolo lamanjenje.
Zakudya zopanda pake, momwe mumakhala zakudya zamafuta ndi mapuloteni.
Kuletsa zakudya zokha.

Akuluakulu, kupezeka kwa acetone kumatha kuwonetsa kuphwanya dongosolo la endocrine, kuchita masewera olimbitsa thupi mopitirira muyeso,

Mchere wamchere

Njira yothetsera enema yotereyi imapangidwa motere: 1 tbsp. l mchere umaphatikizidwa mu 1000 ml ya madzi ofunda, osaphika kale.

Chotsirizidwa chimakhala chikuledzera pa ¼ chikhocho katatu patsiku (mosasamala kanthu za chakudya).

Chipatala cha matenda

Acetone m'magazi ndi mkodzo imatha kuganiziridwa ndi zovuta zamatenda zamatenda a acetone mwa ana. Monga momwe zamankhwala zimasonyezera, chizindikiro cha chithunzicho chimatchulidwa, ndipo sichingopita popanda chidziwitso kuchokera kwa makolo.

Chizindikiro choyambirira komanso chachikulu cha khalidweli ndi mseru kwambiri, kusanza, ndipo chifukwa chake, kusowa kwamthupi. Monga lamulo, kusanza mobwerezabwereza kumawonedwa mutatha kudya kapena zakumwa.

Potengera zakumbuyo komwe thupi limakana kudya, mwa ana aang'ono, kuchepa kwa chakudya kumachitika, amakhala odandaula komanso osakwiya.

Popita nthawi, ululu m'mimba umapezeka, kufooka kwakukulu kumawonedwa, chidikha chinayamba kuoneka palilime.

Zizindikiro zomwe zimakhala ndi acetone zimaphatikizapo izi:

Kuchulukitsa kutentha kwa thupi.
Mukamakodza, mkodzo umachotsedwa m'miyeso yaying'ono.
Fungo lokhazikika la acetone limapezeka kuchokera kumkamwa wamkamwa.
Kukomoka, kusokoneza, kusakwiya kapena ulesi, komanso zizindikilo zina zokhudzana ndi vuto la mantha amkati.

Ndikofunika kudziwa kuti ana omwe ali ndi acetone m'magazi, kusokonezeka kwa tulo kumayang'aniridwa, makamaka kugona kwambiri, komwe kumatha kubweretsa kukomoka.

Walnut

Kuti mupange mankhwalawa, mumafunikira masamba a mtedza.

Tiyi yokonzeka iyenera kumwa mowa m'mawa ndi m'mawa.

Kodi vuto la acetonemic limafala kwambiri kwa ana?

Nondiabetesic ketoacidosis amalembedwa makamaka mwa ana a zaka 1 mpaka 11-13. Koma akuluakulu, monga ana, amakonda kutenga matenda, kuvulala ndi matenda ena. Komabe, acetonemia mwa iwo nthawi zambiri amangopezeka gawo lokhazikika la shuga. Chowonadi ndi chakuti zinthu zingapo zolimbitsa thupi za mwana zimatsimikizira kukula kwa ketoacidosis pankhani yovuta.

Ana amakula ndi kusunthira kwambiri, motero mphamvu zawo zofunika zimakhala zapamwamba kwambiri kuposa za akuluakulu.
Mosiyana ndi achikulire, ana alibe malo ogulitsira a shuga monga glycogen.
Mu ana, pali kuchepa kwa ma enzymes omwe amagwiritsidwa ntchito pakugwiritsa ntchito ma ketones.

Zizindikiro za Acetonemic Callen

Kusanza mobwerezabwereza poyankha chakudya chilichonse kapena kusamba kwamadzimadzi kapena kusanza (kosalekeza).
Kholingo, kusowa kudya, kukana kudya ndi kumwa.
Spasmodic m'mimba ululu.
Zizindikiro za kuchepa mphamvu ndi kuledzera (kuchepa kwamkodzo, khungu komanso khungu lowuma, blush pamasaya, lilime louma, louma), kufooka.
Zizindikiro zowonongeka kwa chapakati mantha dongosolo - kumayambiriro kwa acetonemia, chisangalalo chimadziwika, chomwe chimasinthidwa mwachangu ndi ulesi, kugona, mpaka kukula. Nthawi zina, kukomoka kumatheka.
Thupi.
Fungo la acetone kuchokera mkamwa mwa mwana, fungo lomweli limachokera mkodzo ndikusanza. Uku ndi kununkhira kwachilendo kwawoko (zipatso), kokumbukira kununkhira kwa maapulo apsa. Itha kukhala yolimba kwambiri, kapena itha kuwonekera mosavuta, yomwe nthawi zonse imagwirizana ndi kuopsa kwa mkhalidwe wa mwana.
Kukula kwa chiwindi.
Zosintha pakuwunika: acetonuria, poyesa magazi a biochemical - kuchepa kwa glucose ndi kuchuluka kwa chloride, kuchuluka kwa cholesterol, lipoproteins, acidosis, kuyezetsa magazi kambiri - kuchuluka kwa ESR ndi kuwerengeka kwa maselo oyera a magazi. Pakadali pano, acetonuria imatsimikiziridwa mosavuta kunyumba pogwiritsa ntchito ziphuphu zapadera za mayeso a acetone. Mzere umamizidwa mumtsuko wokhala ndi mkodzo, ndipo pamaso pa acetone, mtundu wake umasintha kuchokera ku chikasu kupita ku pinki (wokhala ndi mimbulu mumkodzo) kapena mithunzi yofiirira (yokhala ndi acetonuria).

Ndi yachiwiri acetonemic syndrome, zizindikiro za nthenda yayikulu (fuluwenza, tonsillitis, matumbo, ndi zina) zimadziwika kwambiri pazizindikiro za acetonemia yokha.

Acetonemic vuto la mankhwala

Ngati mwana wanu akuwonetsa koyamba za vuto la acetone, onetsetsani kuti mumayimbira dokotala: adzayambitsa chomwe chimayambitsa acetonemia ndikuwonetsa chithandizo chokwanira, ngati kuli koyenera, kuchipatala. Ndi acetonemic syndrome, mavuto akachitika pafupipafupi, makolo nthawi zambiri amatha kuthana nawo bwinobwino kunyumba. Koma ngati mwana ali ndi vuto lalikulu (kusanza kosakhazikika, kufooka kwambiri, kugona, kugona, kusazindikira) kapena kusakhalapo kwa chithandizo chamasana, kupatsidwa chithandizo kuchipatala kumafunika.

Kuchiza kumachitika m'njira ziwiri zazikulu: kufulumizitsa kuchotsedwa kwa ma ketoni ndikupereka thupi ndi kuchuluka kwa shuga.

Kudzaza kuperewera kwa shuga, mwana ayenera kupatsidwa chakumwa chokoma: tiyi ndi shuga, uchi, 5% shuga yankho, rehydron, zipatso zowuma zonse. Pofuna kuti musayambitse kusanza, imwani supuni pakadutsa mphindi 4 zilizonse, ndipo ndikofunikira kugulitsa mwana ngakhale usiku.

Kuti muchotse ma ketones, mwana amapatsidwa enema yoyeretsa, ma enterosorbents ndi omwe amaperekedwa (Smecta, Polysorb, Polyphepan, Filtrum, Enterosgel).Kuwona ndikuwonjezera kuchuluka kwa mkodzo wothandiziridwanso kumathandizanso kuchotsa ma ketoni, zakumwa zotsekemera zimasinthana ndi mchere wamchere wamchere, madzi owiritsa wamba, msuzi wa mpunga.

Kupanga mwana sikuyenera kudya, koma sayenera kufa ndi njala. Mwana akapempha chakudya, mutha kum'patsa chakudya chokhala ndi chakudya chambiri, chomanga thupi: madzi ammolina kapena oatmeal, mbatata zosenda kapena kaloti, msuzi wamasamba, apulo wophika, ndi makeke owuma.

M'mavuto akuluakulu a mwana, kulandira kuchipatala ndi kulowetsedwa kwa mankhwala amadzimadzi ndi kofunikira.

Zimayambitsa maonekedwe a acetone mu mkodzo wa mwana

Kuti muyambe kuchiza acetone wowonjezereka mwa ana, ndikofunikira kudziwa zomwe zimayambitsa thupi.

Matupi omwe amatchedwa ketone amawonekera mthupi chifukwa cha kagayidwe kosayenera, ndiye kuti, ndi kuwonongeka kwa mapuloteni ndi mafuta. Zitatha izi, zinthu zotere zimapita munjira ya oxidation, kenako ndikuyamba kuthawa mkodzo ndi mpweya wotuluka.

Tiyeni tiwone chifukwa chake mwana wawonjezera acetone mu mkodzo wake, ndipo ndi zinthu ziti zomwe zimapangitsa izi.

Kusagwirizana kwamphamvu. Mafuta ndi mapuloteni amakhala patsogolo pazakudya za mwana, zomwe zimakhala zovuta kuzisintha kukhala shuga, zomwe zimapangitsa kuyamwa kwa michere “mosungira”. Ndipo ngati kuli kofunikira, makina a neoglucogeneis amatembenuka nthawi yomweyo.
Kuperewera kwa Enzymatic, komwe kumamatira michere kumayakidwa bwino.
Kuperewera kwa shuga mu chakudya - makanda amasiyidwa opanda chakudya.
Kuchulukitsa kwa glucose. Zimakwiyitsidwa ndi mikhalidwe yopsinjika, kuwonjezeka kwa kupsinjika kwa thupi ndi kwamaganizidwe. Komanso kuphatikiza kwa chakudya champhamvu kwambiri kumalimbikitsidwa ndi matenda, kuvulala, kugwira ntchito.

Kuphatikiza apo, kununkhira kwa acetone mu mkodzo kungakhale chizindikiro cha kuchepa kwa insulin. Pankhaniyi, kufunsira kwa endocrinologist ndikofunikira, chifukwa chiopsezo chowoneka cha woyamba kapena chachiwiri ndichotheka.

Kaya ndi zifukwa ziti zomwe zimapangitsa vutoli, makolo ayenera kuwazindikira munthawi yake ndikuyesera kuchitapo kanthu kuti athandize mwana.

Momwe mungadziwire kupezeka kwa acetone?

Kuti muchite izi, gulani masamba apadera oyeserera ku pharmacy. Viyikani mzere kwa masekondi angapo mumkodzo wamwana ndikatha mphindi zochepa kuti mupeze zotsatira. Fananizani mtundu wa Mzere ndi mulingo wautoto pa mtanda. Ngati mayesowo adawonetsa kukhalapo kwa acetone +/- (0.5 mmol / L) kapena + (1.5 mmol / L), ndiye kuti mkhalidwe wa mwana umadziwika kuti ndi wofatsa.

Ngati zotsatira zoyesedwa ndi ++ (4 mmol / l) - izi zikuwonetsa kuti mkhalidwe wa mwana ndiwofatsa. Pa +++ (10 mmol / L), izi ndi zovuta. Pankhaniyi, mwana ayenera kuchipatala mwachangu.

Acetone wokwera mwa ana ali ndi zizindikiro zotsatirazi:

Chidwi cha mwana chimazimiririka, amakhala woopsa komanso wopanda mphamvu, amagona kwambiri, koma malotowa ali ngati kuyiwalika ndi mseru wambiri kwambiri m'magazi a mwana.
Mwana amadandaula za kupweteka kwambiri mu navel, kusanza kosasunthika, komwe kumawonjezera kuyesayesa kumamwa kapena kumudyetsa.
Kusanza ndi kusanza kumayendetsedwa ndi chopondapo chopsinjika, kutentha mpaka madigiri 38 38,5. Nthawi zambiri chopondapo chokhala ndi fungo la acetone, pamakhala kafungo ka acetone kochokera mkamwa.
Masaya a mwana ndi ofiira, ofiirira, osowa madzi m'thupi ndipo zizindikiro zonse za kuledzera zimawonedwa.

Mitsempha ya ketone ikalowa m'magazi, imafalikira mwachangu ndi thupi, ndikuyipsa, motero acetone mwa ana imakwiyitsa malo osanza, omwe amatsogolera kusanza kosalekeza popanda zizindikiro zakupha. Mchitidwe wamanjenje, kugaya chakudya m'mimba kumavutika,

Chithandizo chakupeza acetone mkodzo

Ngati mwana wanu woyamba ali ndi vuto la acetone, muyenera kufunsa dokotala. Matendawa ndiwowoneka bwino chifukwa ndizovuta kuneneratu za kutukuka kwake komanso momwe mwana angachitire ndi kuchuluka kwa acetone.

Ngati mwana anali kale ndi acetonemic syndrome, ndiye kuti makolo apeza kale zofunikira ndipo amatha kupirira payekha ndikulimbana ndi acetone ndikukhazikika.

Chithandizo chikuchitika m'njira ziwiri zazikulu:

kuthamangitsa kuchotsedwa kwa ma ketones,
kupereka thupi ndi kuchuluka kwa shuga.

Kuti mubwezere kusowa kwa glucose komwe mwana wataya, muyenera kum'patsa tiyi wokoma, makamaka ndi uchi, mchere, ma compotes, shuga. Popewa kusanza mobwerezabwereza, muyenera kumamwa mwanayo mphindi 5 zilizonse, kumupatsa supuni yamadzi, ndikofunikira kwambiri kumwa mwanayo usiku.

Chinsinsi chabwino kwambiri chothana ndi acetone ndi decoction ya zoumba. 100 magalamu a zoumba pa lita imodzi yamadzi.

Kuti muchotse ma ketones, mwana amapatsidwa enema yoyeretsa, ma enterosorbents ndi omwe amaperekedwa (Smecta, Polysorb, Polyphepan, Filtrum, Enterosgel). Kuwona ndikuwonjezera kuchuluka kwa mkodzo wothandiziridwanso kumathandizanso kuchotsa ma ketoni, zakumwa zotsekemera zimasinthana ndi mchere wamchere wamchere, madzi owiritsa wamba, msuzi wa mpunga.

Kumbukirani kuti palibe amene sangakakamizidwe kudya mwana. Ngati akufuna kudya, mutha kum'patsa mbatata kapena kaloti wosenda, msuzi wamasamba, apulo wophika ndi makeke owuma.

Pankhaniyi, muyenera kuyang'anira kuchuluka kwa acetone mu mkodzo. Ngati vuto la mwana silikuyenda bwino, ndiye kuti, dokotala amafotokozera zamadzimadzi zomwe zimatha kuthana ndimatenda amthupi komanso ketone. Chithandizo chotere chikuyenera kuchitika kuchipatala. Ndi chithandizo choyenera, zizindikiro zonse zimatha mu sabata limodzi.

Ngati vuto la acetonemic libwerera pafupipafupi, ndikofunikira kusintha moyo wa mwana ndikupereka zakudya zapadera.

Pofuna kupewa kukonzanso kwa vuto la acetone, ndikofunikira kutsatira malamulo ena muzakudya. Zinthu zomwe zimatha kuwonjezera ma ketones amwazi zimachotsedwa muzakudya za mwana:

nyama zamafuta ndi nsomba,
msuzi wonenepa,
bowa
marinade
wowawasa zonona
zonona
kukhululuka,
ankasuta nyama
sorelo
Tomato
malalanje
khofi ndi cocoa mankhwala.

Sizoletsedwa kupatsa mwana chakudya chofulumira, zakumwa zozizilitsa kukhosi, tchipisi, zopaka ndi zinthu zina zokhala ndi zotetemera ndi utoto. Menyuyi iyenera kukhala ndi chakudya chamafuta tsiku ndi tsiku (zipatso, ma cookie, uchi, shuga, kupanikizana) - mokwanira.

Kuchulukitsa acetone mwa mwana ikhoza kukhala chizindikiro cha matenda oopsa, monga, mwachitsanzo, matenda a shuga, komanso kusokonezeka kwakanthawi kwa thupi komwe sikumakhala ndi ma pathologies akulu.

Komabe, pakalibe chithandizo chamanthawi yake, acetone imatha kukhala ndi vuto lalikulu paumoyo. Musanalankhule za chithandizo cha kuchuluka kwa acetone mwa mwana, ndikofunikira kumvetsetsa zomwe zimachitika.

Mitembo ya Ketone (acetone) imapangidwa nthawi ya kuwonongeka kwa mapuloteni ndi mafuta, kenako amachotsedwa m'thupi kudzera mu mpweya ndi mkodzo wothinitsidwa. Pakamasulidwa, matupiwa amakhumudwitsa m'mimba, kupangitsa kusanza, kuvulaza ubongo ndi ziwalo zina zofunika.

Pamapeto pake, ngati mwana wakweza acetone ndipo sanalandire chithandizo choyenera, amatha kufa chifukwa cha kusowa magazi, matenda amtima, komanso mavuto ena akulu mthupi.

Zinthu zomwe zimawononga ntchito ya thupi ndikusokoneza ma acetone amwazi zitha kukhala zotsatirazi:

Kupsinjika
Mantha
Kuchulukitsa kwa malingaliro
Kuperewera kwa zakudya m'thupi
Kuchita masewera olimbitsa thupi mopitirira malire
Kutentha kwambiri padzuwa ndi ena ambiri.

Zizindikiro zakukula kwa acetone mwa mwana

Pali zisonyezo zingapo zomwe ndizodziwikiratu zoonekera za kukweza kwa acetone. Zonsezi ndi chifukwa cha kupukusa kwam'mimba thirakiti, kuchepa mphamvu kwamadzi ndi kuchepa kwa shuga m'magazi.Zizindikiro zofala kwambiri za acetone yokwezeka ndi izi:

Kupuma mutatha kudya
Kuperewera kwa chakudya, kusanza mseru,
Kupweteka kwam'mimba
Kulipira msonkho,
Kukongola kwa khungu
Kuchepetsa mkodzo
Zofooka zathupi
Kugona
Kugwa
Zingwe
Thupi
Fungo la acetone chifukwa mkamwa ndi mkodzo wa mwana,
Kukula kwa chiwindi.

Chofunikira: Ngati chimodzi mwazizindikiro zomwe zalembedwa zikuwoneka, muyenera kufunsa dokotala.

Chithandizo cha acetone yowonjezereka mwa mwana

Ndi mawonekedwe ofooka a acetone, chithandizo chitha kuchitika kunja, ndiye kuti, popanda kumuika kuchipatala.

Chithandizo mwana wokhala ndi ma acetone okwera Zimatsika choyambirira ndikupereka thupi lake ndi kuchuluka kwamadzi, glucose ndikuchotsa matupi a ketone posachedwa.

Afunika kupatsidwa madzi ambiri akumwa, kuphatikizapo madzi okoma. Tayi yokhala ndi supuni zingapo za shuga kapena uchi, yankho la shuga asanu peresenti, imapangidwa kuchokera ku zipatso zosiyanasiyana zouma, komanso mphamvu yamafuta, imakulitsa shuga m'magazi. Madzi okoma nthawi zina amasinthidwa ndi mchere wamchere wamchere kapena msuzi wa mpunga.

Popeza ndi acetone yowonjezereka, pafupifupi madzi aliwonse angapangitse kusanza, ana amawupatsa iwo ochepa kwambiri, osapitilira supuni, koma nthawi zambiri wokwanira - kamodzi pafupifupi mphindi zisanu.

Chofunika: mankhwalawa apetone wokwanira, ndikofunikira kuti wogulitsa mwana asangokhala masana, komanso usiku.

Nthawi zina, kumwa zamadzimadzi zambiri ndikuwonjezera kuchuluka kwa shuga kumakhala kokwanira kuchepetsa acetone m'magazi, koma nthawi zambiri izi sizibweretsa zotsatira zomwe zimafunidwa, kenako ndikofunikira kuchita njira zochotsera ma ketones.

Kwa izi, ma enterosorbents monga Polysorb, Smecta, Enterosgel, Filtrum, Polyfipan ndi ena amagwiritsidwa ntchito, komanso enemas. Mtundu wa kuyeretsa ukhoza kukonzedwa kuchokera supuni imodzi ya koloko yowotchera mu lita imodzi ya madzi otentha owiritsa.

Chisamaliro chochuluka chiyenera kulipiridwa pakudya kwa mwana. Popeza kulibe kudya, simuyenera "kuyika" chakudya ndi mwana, komanso simuyenera kumukakamiza kuti afe ndi njala, chifukwa izi zimapangitsa kukomoka komanso kutopa. Ndibwino kuti muzitsatira zakudya zopepuka, zopatsa mphamvu. Zotsatirazi zingalimbikitsidwe motere:

Semolina phala
Oatmeal
Mbatata zosenda,
Karoti puree
Masamba ophika masamba
Maapulo ophika
Masikono owuma.

Muyenera kutsatira zakudya zoterezi kwa milungu ingapo mpaka mwana atakhazikika bwino, chilakolako chake chobwezeretsedwa, ndipo acetone yafupika. Kuphatikiza mitundu yazakudya zanu, mutha kusintha mndandanda sabata iliyonse. Mwachitsanzo, kumayambiriro kwa mankhwalawa, mudyetseni ana mbatata yambiri, kenako mumakonda zakudya zamphesa ndi masamba.

Chofunikira: mbatata zosenda ndi chimanga kwa mwana wokhala ndi acetone yayikulu ziyenera kukonzekera m'madzi okha!

Mwana akayamba kumva bwino mu sabata lachiwiri kapena lachitatu la chakudyacho, mutha kuwonjezera nyama yopendekera (yophika kapena yophika) ndi mkate wopanda pake pazinthu zomwe zatchulidwazi. Ndikusintha kwina kwa mwana, amatha kupatsidwa tomato, sauerkraut (wopanda acid), masamba atsopano ndi masamba.

Pochiza vuto la acetone, sikokwanira kutsitsa kuchuluka kwa acetone m'magazi, ndikofunikanso kuchita zonse zomwe zingatheke kuti vutoli lisabwerenso.

Choyamba, ndikofunikira kuyeserera mozama, kuzindikira chifukwa chake kuchuluka kwa acetone m'magazi kwachuluka, ndikuyesera kuchotsa muzu wavutoli.

Kuti izi zitheke, madokotala nthawi zambiri amathandizira kudziwa kuti ali ndi thupi liti la mwana, makamaka:

Kuwerengera magazi kwathunthu
Urinalysis
Kuyesa kwa shuga,
Kuphatikiza kwamwazi
Kuyesa kwa Ultrasound (ultrasound) kwa chiwindi,
Ultrasound wa kapamba ndi mayeso ena.

Ngati mwana wawonjezera acetone kumachitika mobwerezabwereza, pali chifukwa chowunikiranso momwe timakhalira ndi zakudya. Choyamba, muyenera kulabadira zamachitidwe ndi kupumula.

Kwa ana, kugona tulo tokwanira, komanso kupumula masana, kumawoneka ngati kwabwinobwino, chifukwa kusunthika kwawo kwamphamvu kumayambitsa kutopa msanga, komwe kungawononge kwambiri ntchito yolimbitsa thupi. Kuyenda kothandiza kwambiri mu mpweya wabwino. Amalimbikitsidwa makamaka kwa ana omwe amatha nthawi yawo yambiri akukhala pakompyuta.

Maola ochepa mu mpweya watsopano amatha kukhala ndi phindu lalikulu pa thanzi. Makanema apanthawi yayitali TV ndi masewera apakompyuta sayenera kupatula chilichonse chomwe mwana amakhala nacho. Kupsinjika kwambiri kwamaganizidwe kumatha kukhalanso vuto.

Ana omwe akuvutika ndi acetone yowonjezereka sayenera kupita ku makalasi owonjezera kusukulu ndikuchita zochitika zasayansi. Zochita zawo zolimbitsa thupi ziyeneranso kukhala zochepa. Ndikofunikira kupeza chiphaso kuchokera kwa dokotala, chomwe chimapereka ufulu wochita maphunziro a masewera olimbitsa thupi popanda kupsinjika pang'ono.

Komabe, siyofunikanso kupatula masewera ayi m'moyo. Kuletsa pankhaniyi kumakhazikitsidwa pamaphunziro a akatswiri omwe amafunikira kuchuluka kwakukulu ndikuchita nawo mpikisano osiyanasiyana. Masewera omwe amakonda kwambiri kwa ana omwe ali ndi acetone yayikulu ndikusambira, motero ndikofunika kulembetsa mwanayo m'dziwe.

Komanso, mwana ayenera kutsatira zakudya mosamalitsa. Ngakhale matenda atakhala bwino, simuyenera kuyambiranso kugwiritsa ntchito mankhwala oyipa. Izi zitha kubweretsanso kuchuluka kwa acetone m'magazi, komanso matendawa amafika kwambiri. Mafuta, osuta, zakudya wowawasa sayenera kuphatikizidwa kwathunthu kuchokera menyu. Mwanayo sayenera kuperekedwa:

Mafuta onenepa
Nsomba zamafuta
Zakudya zosiyanasiyana zautsi, kuphatikiza soseji yosuta,
Ma broth broth,
Bowa mumitundu yonse,
Zakudya zowuma
Wowawasa zonona
Kirimu
Sorelo
Tomato
Malalanje
Khofi
Chocolate
Zakumwa za kaboni
Zakudya zilizonse zothamanga
Chips,
Zopaka ndi zinthu zina zomwe zimakhala ndi utoto komanso utoto.

Palibe chifukwa chomwe mwana ayenera kupatsidwira zinthu zomwe zatha. Kutafuna chingamu kuyeneranso kuletsedwa. Kukhudzika kwa iwo kumatha kubweretsa gastritis ndi zovuta zina zazikulu zam'mimba.

Zakudya zopatsa mphamvu zamagalimoto monga michere, zipatso, ma cookie, uchi, shuga, bulosi jamu ndi zina zotero, m'malo mwake, zimalimbikitsidwa kwa ana. Poterepa, muyenera kudya zakumwa zambiri, kuphatikizapo zotsekemera, kuti muwonjezere kuchuluka kwa shuga m'magazi. Koma kuzolowera kwambiri maswiti sikulinso koyenera. Pankhaniyi, maswiti, makeke ndi zakumwa zozizilitsa kukhosi zimakhudza thupi, makamaka chiwindi ndi kapamba, m'malo mopindulitsa.

Osadzisilira!

Acetonemic syndrome kapena Acetone mwa mwana ndi vuto lomwe limayamba chifukwa cha kuchuluka kwa matupi a ketone m'magazi. Nthawi zambiri amadziwika ndi fungo la acetone kuchokera mkamwa mwa mwana, fungo losasimbika la mkodzo, mseru komanso kusanza. Zizindikiro zonsezi zikutanthauza kuti thupi la mwana lakhala kupitirira mulingo wa acetone, chifukwa chake limathiridwa mkodzo ndipo limayambitsa thupi, ndikupangitsa fungo mkamwa. Acetonemia ndivuto lalikulu, ngati simungathe kuthana ndi mavutowo, muyenera kupita kuchipatala. Ndi chithandizo choyenera, ndi msinkhu wa ana, acetone imabweza yachilendo. (Komarovsky).

Kusintha, nthawi zambiri mukatha kudya.
Mtundu wa pakhungu, wabuluu pansi pamaso.
Lethargy, kugona, kufooka kwa minofu.
Zowukira zam'matumbo.
Kutentha ndi madigiri 37 38.
Mkodzo, kusanza ndi kupuma zimakhala ndi fungo linalake kuchokera mkamwa, lofanana ndi acetone. Itha kufanana ndi fungo labwino, fungo la maapulo wowawasa.
Matupi a Ketone ali mkodzo (woyesedwa ndi zingwe zapadera).

Choyambitsa chachikulu ndichakudya chopanda thanzi. Ana amangofunika michere yambiri kuposa akulu. Ngati sikokwanira, ndiye kuchuluka kwa matupi a ketone, acetone imalowa m'magazi (imayambitsa fungo la pakamwa komanso zotupa zina. Matendawa amatha kubweretsa mwadzidzidzi, mwachitsanzo, pa "masiku osala kudya". (Komarovsky).

Ngati thupi lanu likugwira ntchito moyenera, chiwindi chake chimayamba kugwira mafuta ndi mapuloteni m'matumbo. Chiwindi chimasunga chakudya ichi monga chosungira m'njira ya glycogen. Ndi zovuta zina za chiwindi mwa ana (ndi kunenepa kwambiri, etc.), zizindikiro zitha kuwoneka: zimanunkhira ngati acetone pakamwa, kutentha, etc. (Komarovsky).

PANG'ONO DYSBACTERIOSIS

Njira zothimbirana zimachitika dysbiosis ya mwana. Chifukwa cha izi, gawo lama chakudya omwe amapezeka muzakudya limasweka m'matumbo, popanda phindu. Ngati izi zikuchitika, ndiye kuti ana azikhala ndi vuto lama chakudya, omwe sangathe kuwongoleredwa ndi chakudya - padzakhala zizindikiro za AS, fungo la acetone kuchokera mkamwa. (Komarovsky).

Kapamba

Izi gland imakulitsa chimbudzi cha chakudya, imakhala ovechtsya kwa shuga mu dongosolo. Ngati ntchito yake yasokonekera, ana amatha kukhala ndi acetonemic syndrome ndi matenda ashuga, zilonda zamlomo ndi ziwalo za mucous. (Komarovsky).

Gome la mankhwala kwa ana omwe ali ndi acetone syndrome

Zimayambitsa kuchuluka kwamikodzo kwamkati mwa mwana

Njira yothandizira monga acetonuria sizimachitika popanda zifukwa zomveka. Kapangidwe ka matupi a ketone panthawi yakusokonekera kwa mapuloteni ndi mafuta sikuwopseza thupi pokhapokha ngati zinthu zowola zimatulutsidwa kudzera mu kwamkodzo. Komabe, ngati chiwopsezo cha mapangidwe a ma ketones amaposa kugwiritsidwa ntchito kwawo, kuwonongeka kwa maselo aubongo ndi kosapeweka. Machitidwe a metabolic a thupi amathandizira kuti madzi ambiri atayika, zomwe zimapangitsa kuti magazi asinthe kwambiri pH.

Mkhalidwe womwe uli pamwambapa wazachipatala umatchedwa metabolic acidosis. Pakakhala chithandizo chapanthawi yake, zotsatira zoyipa ndizotheka. Ana ambiri amakhala ndi vuto losowa madzi m'thupi, ena amayamba kudwala matenda a mtima, ena amagwa. Madokotala amasiyanitsa zinthu zitatu zomwe zimayambitsa kukula kwa acetonemia pakati pa makanda:

Chakudya chopanda malire ndi kuchuluka kwa mapuloteni komanso zakudya zamafuta. Kudya kosakwanira kwa glucose mthupi kumakhudzana ndi gluconeogeneis, womwe umakupatsani mphamvu yamoyo chifukwa chogawa michere yomwe ili pamwambapa. Kusakhalapo kwa glycogen kwa nthawi yayitali, kuchuluka kwa matupi a ketone opangidwa pambuyo pa kuwonongeka kwamafuta ndi mapuloteni kumawonjezeka mofulumira. Zomwe zilipo pakalipano zimabweretsa kuchuluka kwa ma acetone m'magazi.
Anachepetsa magazi a shuga. Acetonemia mu ana nthawi zambiri amakula chifukwa cha kuchepa kwa chakudya cham'mimba chambiri, chomwe chimayenera kubwera ndi chakudya. Vutoli limadziwika ndi zakudya zopanda malire kapena kusala kudya kwakutali. Vuto linanso la ketonuria ndikusowa kwa enzymatic (kuphwanya chimbudzi cha chakudya). Kuchuluka kwa shuga m'magazi kungayambenso acetonuria, izi zimachitika:
- kuchuluka kwa matenda osachiritsika,
- kutentha kwambiri
- kupsinjika
- kugwira ntchito mopitirira muyeso
- kupsinjika kwakukulu m'malingaliro kapena thupi,
- matenda opatsirana
- opareshoni
- nyengo yotentha
- kuledzera,
- kuvulala.
Matenda a shuga. Matendawa amawonedwa ngati chifukwa chosiyana acetonemia. Kukhalapo kwa matenda ashuga a ketoacidosis amalepheretsa mtundu wamba wama glucose chifukwa chosowa insulin m'magazi.

Zizindikiro za acetone yowonjezereka mkodzo la mwana

Acetonemia pakakhala kuti palibe chithandizo choyenera chamankhwala chidzapita patsogolo, zomwe zidzatsogolera kukukula kwa vuto la acetone (ketosis). Fungo la acetone mu mkodzo wa mwana sichizindikiro chokha cha kukhalapo kwa matendawa. Zizindikiro zina za ketonuria ndi: kutsekula m'mimba, kutentha kwambiri kwa thupi, nseru, kukokana kwam'mimba, ndi kusanza. Acetonemic syndrome ndi matenda aubwana omwe sangapezeke pakati pa akuluakulu. Mkhalidwe wamtunduwu ndi zovuta za mawonekedwe owoneka bwino omwe amayenda limodzi ndi kuchuluka kwa acetone m'magazi. Zizindikiro za ketosis:

Fungo lamphamvu la acetone m'masanzi ndi mpweya wotuluka.
Kuthetsa madzi m'thupi ndi zizindikiro zotsatana (khungu lowuma kapena lilime, maso owala).
Kupumira mwakuya komanso kopanda phokoso, kuthamanga kwa mtima.
Kufooka kwakuthupi, kugona, mawonekedwe amtundu komanso owoneka ngati wopusa.
Kukhalapo kwa kutentha kwambiri kwanthawi yayitali.
Zingwe.
Photophobia.
Kuletsa.
Ululu pamimba.
Vomit ndi ntchofu, magazi, kapena ndulu.
Kuyendera pafupipafupi komanso kuchuluka kwa kusanza.
Kupanda chilimbikitso.

Acetonemic syndrome (AS) ndi yamitundu iwiri - yoyamba komanso yachiwiri, matenda aliwonse amakula motsutsana ndi maziko azifukwa zina. Mwachitsanzo, sekondale AS imachitika mwana akakhala ndi somatic (matenda a shuga, chithokomiro, kuchepa kwa magazi) kapena matenda opatsirana. Kuvulala kwambiri kapena kuthandizira m'mbuyomu kumathandizanso kuti kuwonekere kwachiwiri kwa matenda acetonemic.

Pulayimale AS imakonda kukhazikika mwa ana okhala ndi neuro-arthritic diathesis. Vutoli silimawoneka ngati matenda; ndichizolowezi kunena kuti ndizosagwirizana ndi malamulo a anthu. Mwana amene ali ndi matenda amtunduwu amadwala chifukwa cha kulephera kwa enzymatic ndipo amawonjezera mantha m'thupi. Ana ena amakumana ndi vuto la protein ndi mafuta metabolism. Zisonkhezero zina zakunja zimatha kukhala ngati cholimbikitsa pakuchitika kwa ana oyamba a AS pakati pa ana omwe ali ndi neuro-arthritic diathesis:

kuyang'ana dzuwa nthawi yayitali
kudya kosayenera
kupsinjika kwakuthupi
zolimbikitsa kapena zolimbikitsa.

Kuyesa kwa Urine Acetone

Mutha kuwunika kuchuluka kwa zinthu zachilengedwe m'thupi osati kuchipatala, komanso kunyumba. Kuti mudziwe kupezeka kwa acetone mu mkodzo, zingwe zapadera zoyeserera zimagwiritsidwa ntchito, zomwe zimagulitsidwa pa pharmacy iliyonse. Njira iyi yowunikira pogwiritsa ntchito mfundo za machitidwe ikugwirizana ndi mapepala a litmus okhala ndi chisonyezo chapadera pamutu. Ma reagents omwe amapezekapo amakhudzidwa ndi acetone, chifukwa chake njirayi imathandizira mosavuta kuzindikira momwe thupi la mwanayo lilili. Ntchito:

Pofuna kudziwa za matendawa, mungafunike mkodzo watsopano, womwe sunatenge maola opitilira 4.
Mzere woyezera umayikidwa m'madzi kwa masekondi angapo, kenako muyenera kudikirira mphindi imodzi kapena ziwiri mpaka zotsatira ziziwoneka.
Kuthekera kukatha, mtundu wa mzere umawonetsa mulingo wa acetone mkodzo.
Mtundu womwe udalipo uyenera kufananizidwa ndi mtundu wa phukusi. Kukula kwa utoto ndiogwirizana mwachindunji ndi zomwe zimakhala za ketone.

Machitidwe a acetone mumkodzo mwa mwana amafanana ndi 0,5 mpaka 1.5 mmol / l, koma ma ketoni angapo oterewa amawonetsanso kupezeka kwa matenda ofatsa. Mwanjira imeneyi, chithandizo kunyumba chimaloledwa kutsatira malangizo onse a katswiri. Kuwonjezeka kwa chizindikiritso cha 4 mmol / l kumawonetsa matenda oyenda mwamphamvu, ndi nthawi yofunika kuchita zonse zofunika kuti matendawa asapitirire. Mtengo wa 10 mmol / l umawonetsa kuti mwana ali ndi vuto lalikulu, chithandizo chake chiyenera kuchitika pokhapokha pokhazikika.

Acetone mu mkodzo wa mwana sikuti nthawi zonse zimapangitsa kuti pakhale matenda oopsa. Pokhala ndi zochepa za ketone, madokotala amapereka mankhwala othandizira kunyumba.Kutengera malangizo omwe katswiri amamuuza, kuchuluka kwake kwa zinthu kumatsikira kukhala koyenera, kotero kuti mwana amachira msanga. Kuphatikizika kwa njira kumakhala magawo atatu:

matumbo pakamwa ndi enemas,
zakumwa zamchere
kugwiritsa ntchito mankhwala osokoneza bongo.

Pa gawo loyamba la matendawa, ana nthawi zambiri amasanza, motero makolo ayenera kugwiritsa ntchito enema kuti athetse vuto la mwana. Nuances:

Kusamba ndi koloko ndi imodzi mwa njira zothandiza kwambiri poyeretsa matumbo kuzinthu zilizonse za poizoni.
Kuti mukonzekere yankho mufunika kapu yamadzi kutentha kwa firiji ndi supuni imodzi ya ufa. Kuchuluka kwa madzimadzi obayira kumatengera zaka.
Ana mpaka chaka adzafunika kuchokera pa 30 ml mpaka 150 ml yankho, kwa ana a zaka zoyambira 9 mpaka 9, voliyumu ya 200-400 ml ndi yoyenera, ndipo mwana wazaka zosaposa zaka 10 adzafunika 0,5 l yamadzi kuti atsirize njirayi.
Ma Enemas amafunika kukhazikitsidwa mpaka madzi atuluka kuchokera ku anus.

Ndi acetonemia, kuchepa mphamvu kwa madzi m'thupi kumawonedwa, chifukwa matupi a ketone mumkodzo wa mwana amachititsa kwambiri komanso kusanza pafupipafupi. Kuti thupi likhalebe panthawiyi, mwana amayenera kupatsidwa chakumwa pakatha mphindi 15 zilizonse. Amaloledwa kugwiritsa ntchito Borjomi kapena madzi amchere ena popanda mpweya, kapena mutha kukonzekera mwaumwini zakumwa zamchere zamchere. Pa lita imodzi yamadzi, muyenera 0,5 supuni ya mchere ndi koloko - yankho lotere limachepetsa njira za metabolic ndikuyeretsa thupi.

Kuchiza popanda kugwiritsa ntchito mankhwala apadera sikungathandize mu matendawa. Madokotala amapereka Betargin ndi Regidron mofanananira. Mankhwala amathandizira kupewa kuchepa kwa madzi m'thupi ndipo amatayika pakufunika kwa zinthu zofunika kuzitsatira zofunika mthupi la mwana. Kuphatikiza apo, mankhwalawa amatha kuletsa kupititsa patsogolo kwa ketonuria.

Kukonzekera yankho, mutenge chikwama chimodzi cha "Regidron" ndikuwonjezera 1 lita imodzi yamadzi. Mwanayo amwe madzi onse omwe adalandira masana, madziwo amayenera kuledzera m'misempha yaying'ono mpaka 6 pa ola limodzi. Betargin amaloledwa kuperekedwa kwa ana azaka zitatu. Mankhwalawa amadziwitsidwa limodzi ndi zakudya kuti akwaniritse zotsatira zabwino za mankhwala. Mankhwalawa ali ndi zinthu zapadera - betaine ndi arginine, zomwe zimalimbitsa chitetezo cha mthupi komanso zimapangitsa matenda a shuga.

Ana akuwonetsedwa paketi imodzi ya Betargin patsiku, mankhwalawo amayenera kuchepetsedwa mu 100 ml ya madzi owiritsa ndikupatsidwa kwa mwana kangapo patsiku. Amaloledwa kugwiritsa ntchito ma ampoules ndi mankhwalawa, zomwe zili m'botolo limodzi ziyenera kuthiridwa mu kapu yamadzi. Katswiri wokhawo yemwe ali ndi ufulu wofotokozera njira ya mankhwalawa komanso mlingo wokwanira - mankhwala osaphunzira sangayambitse kuwonekera kwa zovuta zosafunikira.

Ngati pali fungo la acetone kuchokera mkamwa, ndikofunikira kuti mwana apatse shuga wokwanira. Kubwezeretsanso ndalama zomwe zidasungidwa, zinthu monga chokoleti, maswiti, makeke kapena tiyi wokoma amagwiritsidwa ntchito. Zonse zimakhala ndi kuchuluka kwa glucose, komwe kumathandiza kuwonjezera mphamvu zamphamvu za mwana. Mwana akakana kutenga maswiti, amaloledwa kugwiritsa ntchito njira ya shuga kapena 10%. Mankhwala sayenera kuperekedwa mopitilira 10 pa tsiku, panthawi yomwe mwana ayenera kumwa 5 ml amadzimadzi.

Kugwiritsa ntchito ma ampoules okhala ndi shuga 40% amaloledwa pa chithandizo cha ketonuria. Kuti izi zitheke, zomwe zili mumapulogalamuwo zimasonkhanitsidwa mu syringe yotaya, kenako ndikuwotha kutentha. Ana amapatsidwa supuni ya 0,5-1 ya yokhazikika nthawi zambiri tsiku lonse. Nthawi zina ana amapatsidwa miyala ya shuga. Mlingo woyenera ndi theka kapena piritsi limodzi patsiku.

Acetone mwa ana ndi akulu: choti achite?

Kuti muchepetse acetone wambiri, ndikofunikira kuti mudzaze thupi ndi shuga "woyenera". Chifukwa chake, mwana amatha kuperekedwa kuti adye zotsekemera zamtundu wina.Ngati mwana wadwala, ndikofunikira kuti apange tiyi wokoma pang'ono, compote yakumwa kapena chakumwa cha zipatso. Madzi okoma amaperekedwa kwa mwana supuni yaying'ono mphindi zisanu zilizonse.

Kusamala komanso kudya zakudya zoyenera sikuti kumangothandiza 'kuchotsa' ma acetone, komanso kupewa. Zakudya zopatsa thanzi zimapangidwira kupatula zakudya za ketogenic pazakudya.

Kuchokera pamenyu muyenera kupatula zinthu zomwe zimatha kuwonjezera zomwe zili m'matumbo a ketone. Kuletsedwaku kumaphatikizapo zakumwa zozizilitsa kukhosi, tchipisi, chakudya chofulumira komanso zakudya zina zomwe zimakhala ndi zakudya zambiri. Samalani zakudya monga zakudya nambala 5.

Ndi acetone, tikulimbikitsidwa kupatula izi:

Mafuta nsomba ndi mbale zam nyama.
Zakudya zakusuta.
Maphunziro oyambira mumabampu amafuta.
Marinades, mafuta wowawasa wowawasa, kirimu.
Malonda omalizidwa.
Zinthu zopangidwa ndi iCaffeine.
Malalanje, ma tangerine, mandimu.
Tomato, sorelo.

Pazakudya za akulu ndi ana muyenera kuphatikiza zipatso (kupatula zipatso za malalanje), uchi wachilengedwe, makeke, semolina, mbatata zosenda, msuzi wamasamba ndi zakudya zina zomwe zimalemedwa ndi chakudya chofunikira kwambiri.

Ndikofunikira kunena kuti enema yotsuka imathandizanso kuchotsa matupi a ketone. Ndipo makamaka m'malo ovuta kwambiri, kugonekedwa ku chipatala kumakhala kofunikira.

Pakufotokozera mwachidule, ziyenera kutsimikiziridwa kuti kudya mokwanira, zolimbitsa thupi zolimbitsa thupi, kuyenda kunja ndi njira yothandizira thanzi osati la mwana, komanso la munthu aliyense wamkulu.

Ndipo munachita bwanji ndi matupi a ketone mumkodzo ndi magazi, ndipo adokotala amalimbikitsa njira ziti? Gawani ndemanga ndi maupangiri kuti mupange kuwunikirako kukhala kopindulitsa momwe kungathekere!

Zopatsa thanzi komanso moyo

Acetone mu mkodzo wa mwana sikuwoneka mwachisawawa - mkhalidwe wamatsenga umayambitsidwa ndi kusowa kwa chakudya chamagulu komanso moyo wosayenera. Popewa kukula kwa acetonemia, madokotala amalangiza kukhazikitsa regimen ya tsiku la mwana, kugawa mofanananso nthawi pakati pa masewera ndi kugona. Kupsinjika mosalekeza ndi malingaliro osakhazikika omwe amayamba chifukwa chake zimakhudza matendawa.

Kuti akhale ndi thanzi labwino, ana ayenera kuonetsetsa kuti akupuma mokwanira kuti ayambire bwino. Ndikofunika kuthetsa kusamvana kulikonse m'banjamo pakapita nthawi, kuti mwana azimva bwino komanso wodekha. Akatswiri amalimbikitsa kupatula zakudya zina mu zakudya za ana zomwe zingakulitse mkhalidwe wa mwana:

amayenda mumweya watsopano,
Zotsatira zakuyesa pachaka (magazi, mkodzo, ma ultrasound a ziwalo zamkati),
kudya mavitamini
njira zochizira nthawi zonse
kusowa kwa zochitika zodetsa nkhawa
chakudya chopatsa thanzi
chithandizo cha spa.

Mwa mwana, uku sikukutanthauza matenda, koma mtundu winawake wa kagayidwe kamene kamapangitsa kuti zinthu ziwonongeke kwambiri komanso kuyambitsa kusanza kwa acetonemic. Ndi njira yoyenera, matendawa amatha kuchiritsidwa kunyumba. Koma ndikusanza kosalekeza komanso zizindikiro zowonongeka m'mitsempha, wodwala amawonetsedwa kuchipatala.

Mapangidwe acetone mthupi

Thupi la ana ndi akulu limakhazikitsidwa pafupifupi chimodzimodzi. Zakudya zamafuta zomwe munthu amadya zimayamwa m'mimba ndipo glucose amalowa m'magazi. Gawo limodzi la iwo limalandira mphamvu, gawo lina limayikidwa mu chiwindi monga glycogen.

Chiwindi ndimtundu wapadera yosungiramo shuga. Pogwiritsa ntchito mphamvu mwamphamvu: kudwala, kupsinjika kapena kuchita masewera olimbitsa thupi, imathandiza thupi ndikutulutsa glycogen m'magazi, omwe amasandulika mphamvu.

Mwa ana ena, chiwalo chimakhala ndi malo abwino osungirako, ndipo sizowopsa. Ana ena sapeza mwayi kwenikweni, ndipo chiwindi chawo chimatha kudziunjikira glycogen ochepa. Ikatha, chiwindi chimayamba kuponya mafuta m'magazi. Zikaola, mphamvu zochepa zimapangidwanso, koma pamodzi ndi ma ketoni amenewa zimapangidwa.

Poyamba, acetone mwana amapezeka mu mkodzo ndipo sikofunikira kuti awunike ku labotale kuti adziwe. Ndikukwanira kukhala ndi nduna yamankhwala kunyumba. Ngati panthawiyi wodwala atalandira madzi pang'ono, matupi a ketone sadzachotsedwamo mkodzo ndipo amalowa m'magazi. Acetone imakwiyitsa msana wa m'mimba ndipo imayambitsa kusanza. Kusanza kotereku kumatchedwa acetonemic. Zotsatira zake ndi bwalo loipa: kusanza - chifukwa cha kuchepa kwa glycogen m'chiwindi, komanso kulephera kulowa kwa chakudya m'mimba chifukwa chakusanza.

Zimayambitsa acetone mwa mwana

Zakudya zoyenera ndizofunikira kwa munthu aliyense. Njira yogaya chakudya ya ana aang'ono imagwira bwino ntchito, chifukwa chake ndikofunikira kuti adyetse zakudya zoyenera.

Nthawi zambiri, munthu amapangidwa - izi ndi zinthu za metabolic zopangidwa m'chiwindi, koma kuchuluka kwake ndizochepa. Kugwiritsa ntchito chakudya chamafuta kumathandiza kuti asapangidwe. Mwanjira ina, pakudya michere yonse muyezo woyenera, ma ketoni amapanga muyezo wamba.

Madokotala amazindikira zifukwa zingapo zoyambirira za maonekedwe a acetone m'magazi a mwana:

Kuchulukitsa kwa ma ketones. Zimachitika munthu akakhala ndi mafuta ambiri muzakudya zake. Makolo ayenera kukumbukira kuti ana ali ndi mphamvu yochepetsetsa yokumba mafuta, kotero kuwukira kwa acetonemic kumatha kuchitika pakatha mafuta amodzi.
Zakudya zamafuta ochepa. Zimabweretsa zovuta za metabolic ndi oxidation wotsatira wamafuta ndikupanga matupi a ketone.
Ketogenic amino acid wambiri.
Kubadwa kwatsopano kapena kuperewera kwa michere yofunikira kwa kagayidwe kachakudya.
Matenda opatsirana, makamaka omwe amaphatikizidwa ndi kusanza ndi kutsekula m'mimba, amachititsa kufa ndi njala, komwe kumayambitsa ketosis.
Matenda, njira yomwe nthawi zambiri imakhala yovuta ndi acetone. Izi zimaphatikizapo matenda amtundu 1 shuga ndi neuro-arthritic diathesis.

Acetone ndi mawu owopsa mwamphamvu kuti makolo onse amawopa kumva. Dr. Komarovsky akuwuzani kuti acetone ndi chiyani, komwe amachokera komanso momwe angathanirane nawo.

Zizindikiro za acetone mwa ana

Malinga ndi ziwerengero, kwa nthawi yoyamba matenda amawonekera mwa munthu wazaka 2-3. Pofika zaka 7, kukomoka kumatha kuchuluka, koma pofika zaka 13, nthawi zambiri amasiya.

Chizindikiro chachikulu cha acetone mwa mwana ndikusanza, komwe kumatha masiku 1 mpaka 5. Madzi aliwonse, chakudya, ndipo nthawi zina fungo lake, limapangitsa kuti mwanayo asambe. Odwala ndi proteted acetonemic syndrome:

mtima mawu ofooka,
kusinthasintha kwa mtima kumachitika.
palpitations,
kukulitsa chiwindi.

Kubwezeretsa ndi kukula kumachitika sabata 1 kapena 2 mutayimitsa kuukira.

Mukamayang'ana magazi a wodwala, kuchuluka kwa glucose m'magazi kumachepetsedwa, komanso kuthamanga kwa ESR.

Zizindikiro zazikulu za acetone mu mwana zimaphatikizapo:

kusanza ndi kusanza pafupipafupi kumabweretsa vuto ladzimadzi,
zolembedwa m'chinenerocho
kupweteka m'mimba
kufooka
khungu lowuma,
malungo
Fungo la maapozi ophika mkamwa,
kuchuluka pang'ono kapena kusowa kwa mkodzo.

Milandu yayikulu, acetone imasokoneza ubongo, imapangitsa kuperewera komanso kusazindikira. Mwanjira imeneyi, kukhala kunyumba kumatsutsana. Wodwala amafunikira kuchipatala, mwinanso matendawa angasinthe.

Acetonemic syndrome imadziwika kwa mwana yemwe wakhala ndi magawo angapo a kusanza kwa acetonemic chaka chonse. Pankhaniyi, makolo amadziwa kale momwe angakhalire komanso momwe angathandizire kupatsa mwana wawo wodwala. Ngati acetone adawonekera koyamba, muyenera kufunsa dokotala. Dokotalayo ndi amene amachititsa zomwe zimayambitsa matendawa, kuopsa kwa maphunzirowa ndikuwapatsa mankhwala.

Njira zochepetsera acetone mthupi la ana

Makolo a ana otere ayenera kudziwa momwe angachotsere acetone m'thupi. Mu zida zoyambira zithandizo ziyenera kukhala:

mkodzo wa acetone amayesa,
shuga m'mapiritsi
40% yankho la glucose mu ampoules,
5% shuga m'mbale.

Chithandizo cha acetone mu ana chimakhala ndikuchotsa ma ketoni m'thupi ndikuwadzaza ndi shuga. Pachifukwa ichi, wodwala amapatsidwa:

kumwa kwambiri
kugwiritsa ntchito ma enterosorbents,
kuyeretsa enema.

Pofuna kubwezeretsanso nkhokwe zam'magazi, ndikofunikira kusintha madzi osapsa ndi chakumwa chokoma. Izi zikuphatikiza:

tiyi ndi shuga kapena uchi,
compote
shuga

Kuphatikiza apo, pali ma ufa apadera kuti mubwezeretsenso mchere womwe watayika ndi kusanza. Izi zikuphatikiza:

Simungakakamize wodwala kuti amwe ma voliyumu akulu nthawi. Mukasanza, kuchuluka kwa madzimadzi sikuyenera kupitilira supuni imodzi pakapita mphindi 5 mpaka 10. Ngati kusanza sikumatha, ndipo chidakwa sichidamwa, jakisoni wa antiemetic ungapangike. Zimabweretsa mpumulo kwa maola angapo, munthawi yomwe mwana amafunika kuledzera.

Pambuyo poletsa zovuta za acetone, akuluakulu sayenera kupuma. Afunika kuwunika zochitika zatsiku ndi tsiku, zochita zolimbitsa thupi ndi zakudya za mwana wawo.

Ana omwe amakonda kuwoneka ngati acetone ayenera kumamatira ku chakudya nthawi zonse. Sayenera kukhala padzuwa nthawi yayitali, komanso kumva zambiri - osatengera zabwino kapena zoyipa. Tchuthi chachikulu, zochitika zamasewera, olympiads ziyenera kuchitikira pokhapokha, ndipo nthawi zina, ndibwino kuzikana zonse.

Pofuna kukonza mkhalidwe wamanjenje ndi kagayidwe, mwana akuwonetsedwa:

kutikita minofu
dziwe
yoga ya ana
amayenda mumlengalenga.

M'pofunikanso kuchepetsa nthawi yomwe mumakhala pamaso pa TV ndi kompyuta. Kugona kwa ana otere kuyenera kukhala osachepera maola 8 patsiku.

Ana omwe ali ndi diathesis ayenera kuyamwitsidwa kwa nthawi yayitali. Kukhazikitsidwa kwa zakudya zowonjezera ziyenera kukhala zabwino komanso mochedwa kwambiri. Amayi a mwana wotere ayenera kusunga buku lolemba, lomwe liziwonetsa mtundu wa zakudya zowonjezera ndi momwe zimachitikira.

Mu chakudya muyenera kupezeka:

nyama yokonda
nsomba zam'nyanja ndi algae,
mkaka ndi mkaka,
Masamba atsopano ndi zipatso
phala
kupanikizana, wokondedwa, mtedza pang'ono.

Zakudya zoletsedwa, kugwiritsa ntchito ziyenera kukhala zochepa:

nyama yamafuta
chakudya chofulumira
mankhwala omalizidwa
nsomba zamafuta
madzi otentha, khofi,
buns
wowawasa zonona, mayonesi, mpiru,
chakudya chamzitini
nyemba, radish, radish, bowa, turnips.

Acetone mwa ana ndi chizindikiro cha moyo wopanda thanzi. Mavuto a acetonemic ayenera kusintha kamodzi kokha moyo wa mwana. Udindo waukulu pakusintha uku umaseweredwa ndi makolo. Amupatse izi: