Fungo la acetone mu mkodzo: zomwe zimayambitsa matenda a shuga
Ngati munthu ali wathanzi, ndiye kuti mkodzo wake sufukika komanso fungo losasangalatsa, chifukwa chake ngati mkodzo umanunkhira acetone, izi ziyenera kuchenjeza. Koma simuyenera kuchita mantha nthawi yomweyo, chifukwa fungo la mkodzo limatha kuperekedwa ndi zakudya kapena mankhwala osiyanasiyana. Komabe, ngakhale palibe madandaulo ena azaumoyo, ndibwino kukaonana ndi dokotala kuti mudziwe chifukwa chake mkodzo umanunkhira ngati acetone.
Zoyambitsa Achikulire
Ketonuria imatha kuchitika pazifukwa zosiyanasiyana, kutengera mtundu wa shuga ndi kuchuluka kwa ma carbs omwe amadya tsiku lililonse. Ngati munthu ali ndi matenda ashuga amitundu iwiri ndipo thupi limapanga zochepa za insulin yake, ndiye kuti thupi limayamba kupanga ma ketones ambiri.
Ndiye kuti, thupi, posakhala ndi insulin yokwanira kuti ipeze mphamvu yama cell ake, limawononga minofu ya thupi (mafuta ndi minofu) kuti ipange ma ketones omwe angagwiritsidwe ntchito ngati mafuta.
Mtundu wachiwiri wa shuga, kununkhira kwa acetone mu mkodzo ndi chizindikiro cha kutopa ndikupanga insulin yanu, zotsatira zamatenda oyamba kapena kutenga ma diuretics, estrogens, cortisone ndi gestagens.
Ketonuria mwa ana
Fungo la acetone mu mkodzo mwa ana nthawi zambiri limamveka ndi matenda amtundu wa 2. Amadziwikanso kuti shuga mwana, chifukwa matendawa amapezeka pafupipafupi ndi ana, ngakhale amatha msinkhu uliwonse.
Mtundu woyamba wa shuga ndi matenda otchedwa autoimmune omwe amachititsa kuti ma cell a beta omwe amapanga insulin azitha kufa, ndipo thupi silingatulutse insulin yokwanira popanda iwo kuti azilamulira mokwanira shuga. Ketonuria imapezekanso nthawi yakutha msambo komanso munthawi ya kukula kwamphamvu kwa thupi mwa ana athanzi ndi achinyamata.
Pa nthawi yoyembekezera
Fungo la acetone mu mkodzo limakonda kupezeka mwa amayi apakati omwe alibe matenda a shuga. Ngakhale sichizindikiro choti mwana ali ndi vuto lalikulu, amatha kusokoneza mayi yemwe ali ndi nkhawa kale za thanzi lake komanso mkhalidwe wa mwana wosabadwayo.
Ketonuria pa nthawi yoyembekezera imawonetsa kuti maselo amthupi samalandira glucose wokwanira kuchokera ku magazi ndipo, chifukwa chake, mayi woyembekezera sangathe kupeza mphamvu zokwanira pakuwononga chakudya.
Pali zinthu zosiyanasiyana zomwe zimatsogolera kupezeka kwa ma ketones mu mkodzo, kuphatikiza:
- kusowa kwamadzi
- Zakudya zachilendo kapena zakudya zama calorie ochepa,
- Zizindikiro zina zachilengedwe za kutenga pakati, monga mseru, kusanza, zingayambenso kupanga ma ketoni.
Pomaliza, kununkhira kwa acetone mu mkodzo kumatha kuchitika ndi matenda ashuga azimayi apakati - kuchuluka kwa shuga m'magazi. Nthawi zambiri vutoli limatha pambuyo pobadwa, koma limatha kupitilizabe mwa mkazi pambuyo pake. Pangozi ndi azimayi omwe ali onenepa kwambiri (BMI kuyambira 25 mpaka 40), komanso azimayi achikulire kuposa zaka 25.
Kuwerengera BMI ndikosavuta, kutenga kulemera kwamakilogalamu ndikugawa ndikukula kwa m². Titha kudziwa kuti kuchuluka kwa ma ketoni sikukhudza mwana wosabadwayo, koma ketonuria ikhoza kukhala yoopsa kwa mwana wosabadwayo, komanso kungasonyeze matenda a shuga. Kafukufuku wina akuwonetsa kuti ana obadwa kwa amayi omwe ali ndi ketonuria amatha kukhala ndi IQ yotsika komanso mavuto ophunzirira mtsogolo.
Zizindikiro zakuchuluka kwa ma ketones, kuwonjezera pa kununkhira kwa acetone mu mkodzo, akuphatikiza:
- Wanjala.
- Kuyamwa mwachangu.
- Kuchepetsa mseru.
- Kuthetsa madzi m'thupi.
- Kupuma kwambiri.
- Kuzindikira koperewera (zosowa).
- Wodwala wa ketonuria nthawi zina amatha kununkhira lokoma kapena wowawasa kuchokera mkamwa.
Njira Zodziwitsira
Kuzindikira kwa ketonuria ndikotheka osati kuchipatala kokha, komanso kunyumba, chifukwa chaichi pali magawo oyesera omwe angagulidwe ku pharmacy iliyonse. Amakhala ndi mankhwala omwe amawonongeka ndi acetone ngati kusintha mtundu. Wand umayikidwa mu mkodzo poyesa kusintha kwa mitundu.
Kusintha kumeneku ndikuyerekeza ndi kukula kwa mtundu. Kuti mupeze mayeso a labotale, muyenera kupititsa mayeso a mkodzo m'mawa Nthawi zambiri, ma ketoni mumkodzo samakhalapo kapena amapezeka ochepa.
Nambala iyi ikuwonetsedwa ndi ma pluses:
- Kuphatikizanso kwina ndikuchita chofooka cha mkodzo ku acetone.
- Kuchokera pa 2 mpaka 3 pluses - njira yabwino, imafunikira kukambirana ndi katswiri kapena gynecologist (kwa mayi woyembekezera).
- Ma ploses anayi - kuchuluka kwa ma ketoni mumkodzo, izi zimafunikira kuchipatala mwachangu.
Mimbulu imanunkhiza ngati acetone: mankhwala, zakudya, ndi wowerengeka azitsamba
Kafukufuku akuwonetsa kuti acetonuria imatha kuyambitsa magazi acidity, omwe amadziwika kuti amayambitsa ketoacidosis - kuphwanya kwa kagayidwe kazachilengedwe. Izi, zimabweretsa mavuto osiyanasiyana omwe amatha kukhala pachiwopsezo cha moyo, monga matenda ashuga, matenda otupa, kusowa chikumbumtima ndi kufa. Chifukwa chake, ndikofunikira kukonzekera chithandizo chamankhwala msanga momwe ma ketoni akwera pamwamba pazachilendo.
Chithandizo cha mankhwala:
- Mtsempha wamadzi kulowetsedwa. Chimodzi mwazizindikiro za ketoacidosis ndiko kukodza pafupipafupi, komwe pamapeto pake kumapangitsa kuti madzi asungunuke m'thupi. Chifukwa chake, amafunika kuti apange chiwonongekachi mwa kulowetsedwa kwa mtsempha.
- Kubwezeretsanso ma elekitrodiya ogwiritsa ntchito donter a Ringer. Nthawi zina, kuchuluka kwa electrolyte m'thupi la odwala matenda ashuga ndi ketoacidosis kumakhala otsika kwambiri. Zina mwa zamagetsi zimaphatikizapo sodium, chloride, ndi potaziyamu. Ngati kutayika kwa maelekitirodi amtunduwu ndikokulirapo, mtima ndi minofu sizingagwire bwino ntchito.
- Wodwala yemwe ali ndi matenda ashuga akamanunkha mkodzo ndi acetone, dokotalayo amatha kukupatsani mankhwala omwe amatha kuyamwa ndikuchotsa poizoni m'thupi. Mankhwalawa ndi monga: Smecta, Enterosgel, ndi mapiritsi okhazikika a kaboni.
- Mankhwala a insulin ndi imodzi mwanjira zazikulu zolimbanirana ndi acetonuria. Insulin imathandizira kukhutitsa maselo ndi glucose, potero amapatsa mphamvu thupi. Nthawi zambiri, jakisoni imodzi ya insulin patsiku yokwanira. Komabe, nthawi zina, dokotala angalimbikitse wodwala kuti atenge jakisoni awiri - m'mawa ndi madzulo.
Zakudya zamankhwala
Chakudya chopatsa thanzi, chopatsa thanzi chingathandize kuwongolera zomwe zimayambitsidwa ndi kuchuluka kwa ma ketoni m'thupi. Ndikofunikira kupatula zakudya zamafuta ochepa omwe amapezeka mu chakudya, komanso zakudya zomwe zimakhala ndi sulufule. Zakudya zamafuta ambiri zimatsata njala, kotero thupi limayesetsa kupeza njira zina zopezera mphamvu. Zipatso ndi masamba atsopano ziyenera kuphatikizidwa ndi zakudya za odwala matenda ashuga. Kuwona zakudya zochepa za glycemic index (GI) kungathandize kupewa kapena kuchepetsa ketonuria.
Izi ndi monga:
- nkhaka
- anyezi
- kabichi yoyera
- biringanya
- mapichesi
- ma apricots
- maapulo
- kolifulawa
- radishi
- tsabola wofiyira
- tsabola wokoma.
Simuyenera kupitiliza kudya ngati kuchuluka kwa ma ketoni mumkodzo kuli okwera. Pankhaniyi, chithandizo cha insulin ndi chikwangwani chidzafunika kuti chiwongolere shuga m'magazi.
Amayi oyembekezera komanso azimayi owala mkaka omwe fungo lawo la mkhutu limalangizidwa kuti aphatikize mu zipatso zabwino, masamba, zinthu mkaka ndi chimanga.
Ana amafunika kumamwa zipatso zouma, ndikugwiritsa ntchito fructose m'malo mwa shuga. Komanso, mogwirizana ndi dokotala wa ana, mwana ayenera kupatsidwa vitamini nicotinamide, yemwe amathandizira kuyendetsa kagayidwe ka glucose.
Amayambitsa ndi zizindikiro za acetonuria
Mitsempha iyi ndi madzi am'madzi am'madzi am'madziwo, zinthu zomwe thupi sizifunikira zimasonkhanitsidwa mmenemo. Acetone imatha kulowa mkodzo pokhapokha ngati pali zochulukirapo m'magazi. Izi zimatchedwa ketonemia, ndipo acetone mumkodzo amatchedwa ketonuria kapena acetonuria.
Ngati mkodzo umanunkhira acetone, ndiye kuti itha kukhala poyizoni wa mowa, poyizoni wazitsulo. Nthawi zambiri, ketonuria imapezeka mwa munthu yemwe wachita opaleshoni, makamaka ngati chloroform yakhala ikugwiritsidwa ntchito. Pa kutentha kwambiri, zofananazi zimawonedwa.
Acetonuria imatha kuchitika ngati munthu adya zakudya zochokera pamapuloteni a nyama. Njirayi imathandizira kuphwanya boma la zakumwa, kuchepa madzi m'thupi komanso kuchuluka kwa zochitika zolimbitsa thupi. Nthawi zambiri mulingo wa acetone m'magazi, kutanthauza kuti mumkodzo, mumatuluka azimayi omwe amakhala ndi zakudya zamafuta kapena zakudya zama carb ochepa.
Nthawi zambiri, acetonuria sufuna kulandira chithandizo, muyenera kungowunika zakudya zanu ndikutsatira mulingo woyenera wamadzi. Koma si mavuto onse omwe amathetsedwa ndi madzi okwanira komanso zakudya zoyenera.
Pozindikira mkodzo wathanzi, matupi a ketone sakupezeka, amatha kuyang'aniridwa mu matenda a shuga, mimba, yomwe imayendera limodzi ndi toxosis, komanso zovuta m'matumbo ndi matenda ena ndi matenda am'mimba.
Ketonuria wa matenda ashuga
Mu thupi lathanzi, ma asidi onse amawonongeka m'madzi ndi kaboni diokosijeni, koma mu shuga mellitus insulin imapangidwa mopanda kuchuluka kwake, ndipo pankhaniyi, mafuta acids ndi amino acid samakhala ndi okosijeni kwathunthu, zotsalira izi zimakhala matupi a ketone.
Matupi a ketone akapezeka mumkodzo wa wodwala yemwe ali ndi matenda osokoneza bongo, ndiye kuti madokotala amati matendawo akupita patsogolo, ndipo kusintha kwake kukhala kovuta kwambiri ndikotheka. Kuphatikiza apo, ndi izi, chiopsezo cha kukomoka kwa hyperglycemic chikukwera, kotero wodwala amafunika kuthandizidwa mwachangu.
Matenda a chiwindi
Ngati ntchito ya chiwindi imakhala yosakwanira, kagayidwe kake kangakhale kolemekezeka, ndipo ma ketoni amadzisonkhana m'magazi ndi mkodzo. Chifukwa cha zovuta zingapo, chiwindi chimatha kuwonongeka. Pali kulephera kwa chiwindi. Nthawi yomweyo, ntchito zonse za chiwindi zimatha kusokonezeka nthawi imodzi, kapena kamodzi. Matendawa ali ndi magawo angapo, owopsa kwambiri ndi kulephera kwa chiwindi. Amawonetsa kufooka kwa wodwalayo, kuchepa kwa chilakolako cha thupi, kuwonetseredwa ndi jaundice ndi mseru, madzimadzi amadzaza pamimba, zomwe zimabweretsa kutsekeka ndi kutupa. Mimbulu imatha kununkhira acetone. Mkhalidwe wodwalayo umatha kukhala chifukwa cha hepatosis, cirrhosis, hepatitis, poizoni (kuphatikizapo mowa). Ngati chithandizo sichichitika pa nthawi yake, ndiye kuti zotsatira zake zakupha.
Acetone mu mkodzo mwa akazi
Kuwonjezeka kwa ma ketoni m'mwazi ndi mkodzo mwa amayi kumatha kuphatikizidwa ndi kusintha kwa mahomoni kapena ndi toxosis yayikulu panthawi yapakati. M'masabata oyamba ali ndi pakati, thupi la mzimayi liyenera kuzolowera komanso kusintha momwe limakhalira, ndipo nthawi zina amakhala alibe nthawi yolimbana ndi mapuloteni akuwuka. Ngati vuto la kuchuluka kwa ma ketones likuwoneka m'gawo lotsatira, ndiye kuti zotsatirapo zake zingakhale zazikulu, chifukwa mwina uwu ndi mtundu woopsa wa hepatosis.
Ngati fungo la acetone lawonekera mkodzo, mkazi ayenera kuwunika zakudya zake, ndiye kuti, azidya zakudya zabwino. Mwa njira, mkodzo umatha kununkhira acetone chifukwa cha njala, pankhaniyi, chifukwa chosowa mafuta komanso chakudya, thupi limayamba kugwiritsa ntchito mapuloteni m'malo mwake.
Ngati amayi apakati ali ndi matenda opatsirana, ndiye kuti mkodzo wake umayambanso kununkhira ngati acetone. Mimba imachepetsa chitetezo cha mthupi, chomwe chitha kukulitsa matenda oopsa - mavuto a chiwindi, chithokomiro cha chithokomiro, komanso toxicosis, zidzakhala zomwe zimayambitsa kusintha kwamkodzo mumkodzo.
Pofuna kuchiza ketonuria, muyenera kupeza kaye chifukwa chomwe zidawonekera. Nthawi yomweyo, ziyenera kukumbukiridwa kuti azimayi oyembekezera nthawi zambiri amakumana ndi vutoli, ndipo nthawi zina zimabweretsa kukula kwa matenda ashuga. Chifukwa chake, madotolo amapatsa mayiyo kuchipatala komanso kulandira chithandizo ndi mankhwala kuti achepetse ndikukhazikika kwa matupi a ketone m'mwazi ndi mkodzo.
Monga matenda aliwonse, ketonuria ndiyosavuta kupewa kuposa kuchiza. Chifukwa chake, mayi woyembekezera ayenera kudya moyenera komanso nthawi zambiri, kugona kwa maola 8-10, ndipo chakudya chamadzulo chizikhala ndi mapuloteni komanso zakudya zina. Ndikofunikira kwambiri panthawi yoyembekezera kuti muyesere mayeso munthawi yake kuti mudziwe zomwe zimapangitsa kuti thupi lizisowa chifukwa cha kusintha kwa mahomoni.
Matenda a Ketonuria
Kuti mupeze ketonuria, sikofunikira kupita kuchipatala. Ndikokwanira kugula zingwe zoyeserera zomwe zimagulitsidwa ku pharmacy. Ayenera kutsitsidwa mkodzo ndikuwona ngati mzerewo watembenukira pinki, ndiye kuti izi zikutanthauza kuti mumkodzo mumapundika, ndi kuchuluka kwa acetone, mzere umatembenukira utoto. Ngati simungagule timiyeso tomwe timayesa, ndiye kuti mutha kuthira mkodzo mumtsuko ndikuwonjezera ammonia pang'ono, ngati mkodzo umasanduka wofiyira, ndiye kuti pamakhala matupi a ketone.
Chithandizo cha ketonuria
Kuchiza ndi kuchuluka kwa ma ketoni mu mkodzo cholinga chake ndikuchotsa chomwe chimayambitsa izi. Dokotalayo amatha kupereka mankhwala pokhapokha wodwalayo atamufufuza mozama ndipo wapezeka kuti ali ndi vutoli.
Ponena za ketonuria mwa amayi omwe ali ndi maudindo, mwa ichi, kufunsira kwa dokotala ndikofunikira. Ndikofunikira kudziwa chomwe chimayambitsa toxosis yayikulu, yomwe idapangitsa kuwonjezeka kwa ma ketoni mumkodzo. Ndi milandu yapamwamba, ketonuria imatha kubweretsa vuto la acetone.
Poterepa, muyenera kudya kwambiri. Patsiku loyamba, kumwa kwambiri kumaloledwa, ngati palibe mseru, ndiye kuti mutha kudya kachakudya kakang'ono. Tsiku lotsatira, muyeneranso kumwa zamadzimadzi zambiri, kuphika mpunga ndi kumwa decoction wake, komanso kudya apulo wophika. Pa tsiku lachitatu, imwani msuzi wa mpunga, idyani apulo ndipo mutha kuphika phala la mpunga pang'ono. Pa tsiku lachinayi, mutha kuwonjezera masikono pazonsezi pamwambapa ndikupanga msuzi wamasamba, ndikuwonjezera 1 tbsp. l mafuta a masamba. Kuyambira kuyambira tsiku lachisanu, mutha kuwonjezera zakudya zonse zoletsedwa, koma onetsetsani kuti thupi silinasefuke mopitirira muyeso.
Simuyenera kudzipangira nokha komanso kuchedwa kukaonana ndi adokotala, izi zimangokulitsa zinthu. Ndi matenda anthawi yake komanso nthawi yoyenera, mutha kukwaniritsa zotsatira zabwino kwambiri pochiza matendawa.