Zomwe zimayambitsa acetone mu mkodzo panthawi yoyembekezera - bwanji pali zovuta

A urinalysis sikuti amangotsimikizira kuti akuwazindikira, komanso imakupatsani mwayi wazidziwitso zam'magazi, ngakhale mawonekedwe a matenda asanafike. Izi ndizofunikira makamaka pakakhala pakati. Chizindikiro cha kuyankha kwakanthawi kachipatala ndicho kuzindikira kwa acetone (ketonuria).

Mu thupi, zinthu za metabolic zimapangidwa, zomwe zimatchedwa matupi a ketone. Izi zikuphatikiza acetone, acetoacetic ndi beta-hydroxybutyric acid. Koma pakuwunika, kuwerengera zinthu zoyambirira kumachitika.

Ketone Thupi Metabolism

Nthawi zambiri, matupi ochepa a ketone amapezeka m'magazi a munthu. Mankhwalawa ndi oopsa ku ubongo, motero ma metabolism awo amachitika m'maselo mpaka atasinthidwa kwathunthu. Acetone ndi chinthu chosalanda. Izi zikutanthauza kuti safunika kukhathamiritsa kwambiri kuti alowe mkodzo. Pang'onopang'ono kudzikundikira m'madzi am'madzi, imadutsa mawonekedwe a impso ndipo imasungidwa mwachilengedwe. Chifukwa chake, ngati zonse zili bwino, pakuwunika kwa mayi wapakati palibe zotsatirazi.

Matupi a Ketone amagwira ntchito ngati gawo lapansi la minofu ndi impso. Amalepheretsa kusamukira kwakukulu kwa lipids kuchokera kumayikidwe a mafuta. Pakuperewera chakudya chamagulu, ma ketoni amakhala ngati gwero lamphamvu la ubongo. Zitha kupangidwira m'chiwindi, koma mulibe ma enzymus omwe amathera ndikugwiritsa ntchito mwamphamvu.

Zifukwa zopatuka

Kwa mayi woyembekezera, izi zimawopseza zotsatira zoyipa. Pangozi sikungokhala thanzi lake lokha, komanso la mwana. Zifukwa zomwe zingakhalepo ndi izi:

• toxosis woyambirira
• preeclampsia
• kusala
• chakudya chopatsa thanzi
• kusanza kosamveka
• matenda oopsa ndi kuledzera,
• matenda a chiwindi
• kuvulala
• matenda ashuga.

Chizindikiro cha matenda ashuga

Nthawi zina mayeso opanda pake amawonetsa kukula kwa matenda ashuga. Acetonuria ikhoza kukhala chifukwa chakuchulukirachulukira kwa matenda omwe alipo. Koma mwa amayi ena, ndimimba yomwe imakhala choyambira: imayamba kusokonekera kapena kwa nthawi yoyamba matenda enieni a shuga amadzimva. Pachiwonetsero chachiwiri, kuzindikira kumapitirirabe pambuyo pobadwa kwa mwana.

Mwa makina a chitukuko, matenda a shuga akakhala pafupi ndi mtundu wachiwiri wowona. Kusintha kwa mahormoni kumabweretsa kukula kwa insulin kukana. Izi zikutanthauza kuti glucose, yemwe amalowetsedwa m'magazi, sangalowe m'maselo, amakhala ndi mphamvu. Chifukwa chake, njira zina za metabolic zimayambitsa. Thupi limayesetsa kutulutsa mphamvu m'matupi a ketone, zomwe zimapangitsa kuti azikhala ndi chidwi. Izi zikuwonetsa kuti njira yayikulu ya matenda, imafunika yankho kuchokera kwa madokotala.

Zizindikiro zoyambira matenda:

Malinga ndi zotsatira za kusanthula, kuwonjezera pa matupi a ketone, shuga wowonjezera amapezekanso mkodzo. Chizindikiro cha mkhalidwe ndi kupuma kwa acetone.

Matenda a shuga, omwe amapezeka pa nthawi ya bere, nthawi zambiri amakhala ndi gestosis yoyambirira (amapezeka kale masabata 20 mpaka 22). Kukula kwa vutolo, adokotala amatha kudziwa tebulo la Savelyeva. Zimatengera osati nthawi yowonetsera zizindikiro zoyambirira, komanso proteinuria, kuthamanga kwa magazi, edema ndi zizindikiro zina.

Zakudya zamankhwala

Kusintha kwa zotsatira za mayeso kumatheka pokhapokha ngati zifukwa zopatuka zikakhazikitsidwa molondola. Nthawi zambiri, amayi apakati omwe ali ndi vutoli amalimbikitsidwa kuti azigonekedwa kuchipatala kuti azindikire. Gawo loyamba la chithandizo ndi chakudya. Koma kusankha kwa malonda kumatengera chifukwa chomwe ketonuria idapangidwira.

• Matenda Zakudya zakunja, zomwe zimatha kuyambitsa matumbo, zimakwiyitsa. Izi ndi masamba osaphika ndi zipatso, komanso zinthu zamkaka.
• Toxicosis. Wodwala amayenera kudya pafupipafupi, koma m'magawo ang'onoang'ono - kwenikweni ochepa mafuta ochepa nthawi. Izi sizidzadzaza m'mimba. Pewani chinsinsi chomwe chimalimbikitsa kudya.
• Matendawa. Ndikofunikira kupatula kapena kuchepetsa mchere momwe mungathere. Kutsindika pamasamba ndi mafuta ochepa, kuchuluka kwa mapuloteni ndi chakudya.
• Matenda a shuga. Zakudya zamafuta osavuta, shuga, zakudya zokhuthala, zakudya zilizonse zothamanga ndizoletsedwa. Zakudya ndiye maziko othandizira matenda a shuga. Nthawi zambiri, chithandizo chamankhwala chimangokhala ndi zakudya zoyenera zokha.

Thandizo lakuchipatala

Komanso, zizindikiro za acetone zimasinthasintha mwadongosolo. Ndi gestosis, kuthamanga kwa magazi kumachepetsedwa ndi magnesia. Chitani zinthu zomwe zingathandize kusintha magazi. Kuchotsa poizoni ndikuchepetsa mphamvu za ma ketoni, ma dontho okhala ndi zothetsera za ma colloids ndi ma crystalloids amagwiritsidwa ntchito.

Matenda a shuga amathandizidwa molingana ndi mtundu wake. Yoyamba imafunikira kuikidwa kwa insulin. Pa nthawi yoyembekezera, munthu wobwerezabwereza yekha ndi amene angagwiritsidwe ntchito. Mankhwala omwewo amagwiritsidwa ntchito muyezo waukulu wa matenda a shuga.

Acetonuria imatha kupewedwa ndi kukonzekera bwino pakati pathupi komanso kuthana ndi mavuto amtsogolo omwe ali kale. Ndipo azimayi omwe ali ndi matenda ashuga nthawi yoyambirira ayenera kupita kuchipatala kuti akasinthe mlingo wa insulin kapena m'malo mankhwalawo.

Zoyambitsa mavuto

Mukanyamula mwana, ma acetone mu mkodzo sayenera kukhala. Kuyang'aniridwa kovomerezeka kumachokera ku mamilimita khumi mpaka makumi atatu. Ngati maphunziro apeza chizindikiro cha mamiligon fifitini mpaka makumi asanu ndi limodzi, ichi ndi chizindikiro chomveka cha matenda omwe amafunikira kukakamizidwa. Mwa zina zazikuluzikulu za kuchuluka kwa acetone mu mkodzo wa amayi apakati titha kuzindikira.

• Pali mipata yayikulu pakati pa chakudya
• zochita zolimbitsa thupi,
• kudya zakudya zamafuta ochepa,
• mapuloteni ochulukirapo
• matenda opatsirana omwe amabwera ndi kutentha kwambiri,
• zosokoneza kagayidwe,
• kusowa kwamadzi
• poyizoni wazakudya
• kuchepa magazi
• matenda ashuga
• matenda oncological.

Izi ndizosankha zomwe zimakonda kwambiri amayi omwe ali ndi pakati amawonjezera acetone mu mkodzo wawo. Chifukwa chake, muyenera kuyang'anira ndi thanzi lanu.

Chithunzi cha kuchipatala

Zizindikiro za kukhalapo kwa matupi a ketone sizingatheke kuzindikirika. Ngati sikokwanira, mayeso amkaka a Laborator okha ndi omwe angadziwitse vutoli. Ndi matenda opweteka kwambiri kapena vuto lalikulu la metabolic, zizindikiro za ketonuria zimatchulidwa. Pali mawonekedwe angapo:

1. Kununkhira kwa acetone - matupi a ketone amatulutsidwa palimodzi ndi mpweya wofowoka ndiye, chifukwa chake, ndikuwonjezeka kwa chiwerengero chawo, fungo labwino limabuka. Mu trimester yachitatu, akuwonetsa gestosis.
2. Kuperewera kwa chakudya - poyesera kudya, nseru ndi kusanza zimadziwika.
3. Kupweteka kwam'mimba - ndi ketonuria ndi kupezeka kwa concomitant pathology, kusapeza ngati spasms ndikotheka.
4. Kufooka ndi ulesi - pamene acetone imakwera mkodzo wa mayi wapakati, kusakhudzidwa ndi kutopa kumadziwika.
5. Zizindikiro za kusowa kwamadzi - kutuluka kwa chinyezi kosalekeza kumayambitsa pakamwa pouma, kuyimilira koyera kumawoneka pamalirime, khungu limakhala louma komanso louma.

Chonse mwazizindikirozizi ndi nthawi yopita kwa dokotala. Adzachita njira zonse zodziwitsira matenda ndikuthandizira kuthetsa vutoli.

Kodi ma acetone amatanthauza chiyani magawo azotsatira

Pakapita nthawi ngati mayi akutenga pakati, ma acetone mu mkodzo ndi wowopsa. Zikakhala zotere, mavuto mu chiwindi ndi matenda ashuga amakhala omwe amayambitsa mavutowo. Dzina lodziwika bwino kwa amayi ndi gestosis. Zochitika pa chiwindi zimachulukitsa katundu ndipo sizimagwirizana nthawi zonse ndi ntchito zake. Chifukwa cha izi, zinthu zomwe zimapanga payekha sizikuwonongeka, zomwe zimapangitsa kuti mulingo wa acetone uwonjezeke. Matenda a shuga a Gestational amathanso kuchitika. Zimachitika mwana akabadwa ndikusowa yekha atabadwa.

Matenda onsewa ndi owopsa kwa mwana wosabadwayo ndi mayi, choncho ayenera kuthandizidwa. Zomwe zimayambitsa matupi a ketone ndizakudya zopanda thanzi. Amakhumudwitsidwa ndi zokonda zachilendo zomwe mayi woyembekezera angachite, mwachitsanzo, kugwiritsa ntchito pafupipafupi zamafuta amchere komanso amchere.

Kodi acetone ndiwotani?

Kapangidwe ka thupi ka ketone mu mkodzo sikusonyeza kuti maliseche owoneka bwino ali mthupi la mkazi. Koma ngati zoterezi zimawonedwa nthawi zonse, zitha kuyambitsa mavuto akulu:

• ma acetone ndi oopsa m'matumbo a mwana,
• kuphwanya pH kwa magazi a mwana,
• kusintha kwa ntchito za placenta, zomwe zimatsogolera pakuperewera kwake,
• fetal hypoxia.

Matupi a Ketone ndi oopsa makamaka m'miyezi yoyambirira ya kubereka - nthawi ino ziwalo zonse za mwana wosabadwayo zimayikidwa ndi kupangidwa. Kapangidwe ka mankhwala a ketone m'thupi kumatha kuwonetsa kukula kwa vuto la kuchepa kwa magazi, khansa, kugaya chakudya ndi zakudya. Ngati acetone sichitha kuthandizidwa mwanjira iliyonse, kuchepa mphamvu kwa madzi m'thupi, kubadwa msanga komanso chikomokere ndikotheka.

Matenda kunyumba

Mutha kudziwidwa ndi acetone mu mkodzo nokha - pogwiritsa ntchito zingwe zapadera zoyesa. Ndiosavuta kugwiritsa ntchito, ogwira ntchito ndipo amawonetsa kupatuka mwachangu. Ndikokwanira kuponya kachidutswa ka pepala mu mkodzo, womwe umadzazidwa ndi njira yapadera. Mukamayanjana ndi mankhwala a ketone, kuyesako kumasintha mtundu wake, ndipo sikelo imakupatsani mwayi wodziwa kukhalapo kwa acetone.

Njirayi ili ndi zabwino zingapo komanso zovuta zake. Zoyambazo zimaphatikizapo kukwera mtengo, kugwiritsa ntchito mosavuta komanso mtengo wotsika. Mutha kugula chidziwitso ku pharmacy iliyonse. Kuphatikiza pa acetone, imazindikira shuga ndi zinthu zina. Koma palinso zovuta - kusanthuleku kumatilola kuti tipeze deta ya kukhalapo kwa ma ketones, koma osati kuchuluka kwawo. Kuphatikiza apo, njira yowonetsera ndiyopanda pake ndipo sangathe kuzindikira kusintha pang'ono kwa zizindikiro. Ngati acetone wapezeka mumkodzo kunyumba, muyenera kufunsa dokotala, chifukwa kudzipereka muzochitika zambiri kumalephera.

Ngati urinalysis ikuwonetsa kuwonjezeka kwa matupi a ketone, ndikofunikira kukhazikitsa zomwe zimayambitsa matendawa komanso kupatula matenda oopsa.

Therapy zotchulidwa kuganizira zovuta zovuta za matenda. Ngati thanzi la mayi wapakati lili lokhazikika, kuchipatala sikofunikira. Zizindikiro zosasangalatsa zingathetsedwe ndikusintha zakudya zomwe ndimakonda komanso kumwa. Kuchulukana pafupipafupi kwa acetone kumawonetsa kuphwanya njira yogawa chakudya. Chifukwa chake, ndikofunikira kuti mayi wamtsogolo ayesere magazi magazi.

Panthawi yovuta, mayi amatumizidwa kuchipatala, komwe amalandira mankhwala omwe amafunika. Amathandizira maphunziro a zamatenda ndikupanga kusowa kwamadzi m'thupi.

Mankhwala othandizira

Njira imodzi yochotsera acetone mu mkodzo womwe umawoneka nthawi yapakati ndikusintha zakudya zomwe mumadya. Nthawi zambiri izi zimakwanira. Malonda oletsedwa alembedwa pagome:

Zakudya zonse zovulaza, makamaka zakudya zamafuta ndi sodas, ziyenera kuphatikizidwanso. Kumwa ndimu ndikofunikira kwambiri - amadzimadzawo atulutsa mwachangu ma acetone m'magazi. Ndikulimbikitsidwa kumwa pafupifupi malita ndi theka a madzi oyera pa tsiku.

Mankhwala

Ngati kuchuluka kwa acetone mu mkodzo kumachepetsa thanzi la mkazi, mankhwala amalembedwa kuti azitha kusintha matendawa:

1. Kulowetsedwa mankhwala - amachotsa kuchepa kwa madzi ndipo kumapereka shuga yowonjezera.
2. Enterosorbents - amatenga acetone, yomwe imawoneka m'matumbo, imathandizira kupukusa kwake, ndikuchepetsa zizindikiro. Itha kukhazikitsidwa kaboni, Smecta, Enterosgel.
3. Malipiro a matenda osachiritsika - matenda a shuga, matenda a chiwindi kapena kapamba, ndikofunikira kuchitira izi matenda.

Ngati mayi wapezeka ndi gestosis, amamuyika mankhwala osokoneza bongo, mankhwala kuti azitha kufalikira, komanso mankhwala omwe amachepetsa kuthamanga kwa magazi. Ndi zovuta kuthandizira komanso kudya, mkodzo umasinthidwa. Kupanda kutero, kubadwa msanga ndikotheka.

Kupewa

Pofuna kupewa kuchuluka kwa acetone mu mkodzo, ndikofunikira kuzindikira matenda omwe alipo ndikuwachiritsa. Mayi woyembekezera amayenera kupita ku gynecologist ndikumayesedwa. Kuphatikiza apo, muyenera kudziwitsa dokotala wanu za toxosis yoopsa, kufooka ndi zovuta zina.

Njira yofunikira yodzitetezera ndi kadyedwe kabwino. Menyuyi muyenera kukhala ndi chakudya chokwanira. Ali ndi masamba, chimanga ndi mkate, zipatso. Kuchuluka kwa maswiti kumafunika kuchepetsedwa. Ndikofunika kuphatikiza nyama yokhala ndi mafuta ochepa komanso mkaka, chimanga, ndi sopo zamasamba menyu.

Ngati acetone wapezeka mumkodzo nthawi yapakati, ndikofunikira kukhazikitsa chomwe chimayambitsa. Mavuto amatheka ndi vuto lakudya, matenda ena akuluakulu komanso zovuta zina zokhudzana ndi kubereka mwana. Ndikofunika kulumikizana ndi dokotala munthawi yake ndikutsatira malingaliro ake onse.

Chifukwa chiyani amayi oyembekezera amayesa kupeza acetone mu mkodzo wawo

Chimodzi mwazinthu zomaliza zomanga thupi m'thupi la munthu ndi acetone. Amayi omwe anayiwala maphunziro a umisukulu yasukulu, komabe, amadziwa kuti yankho la chinthu limathandiza kuchotsa kupukutira kwa misomali.

Acetone amatchedwa madzi osasinthika amtundu wokhala ndi fungo labwino, cholengedwa choyimira choyimira gulu la ma ketones. Chimodzi mwazinthu zotchuka kwambiri - zomwe zimagwiritsidwa ntchito pomanga, mafakitale azakudya, mankhwala opangira mankhwala, mu Mlingo wofunikira, acetone imayambitsa poizoni wa mankhwala ndikuwonongeka kwa dongosolo lamkati mwa anthu.

Kupanga kwa chinthu mu mkodzo

Pa nthawi yomwe mayi ali ndi pakati, thupi la mayi limasinthira ku "zochitika" zogwira ntchito: machitidwe ndi ziwalo zimagwira ntchito molimbika - kuthamanga kwa magazi, kugunda kwa mtima, komanso metabolism imathandizira. Chiwindi chimatulutsa glycogen mokwanira - polysaccharide, gwero la glucose, mwana m'mimba amafunika mphamvu kuti apangidwe, motero kumwa glycogen kumawonjezeka. Pomwe, pazifukwa zina, zosungiramo katundu zimatha, thupi limafunafuna mphamvu zina kenako pamapeto pake limatengedwa kuti liphulitse mapuloteni ndi mafuta, zomwe siziyenera kudyedwa mwa nthawi zonse. Zotsatira zakusokonekera kwa minofu ya adipose, zinthu zakupha zimapangidwa:

• acetone
• acetoacetic acid - mankhwala osakhazikika,
• beta-hydroxybutyric acid ndi chinthu chapakatikati cha oxidation chamafuta acids.

Mankhwalawa amalowa m'madzi am'magazi, amayenda mthupi lonse ndipo kumapeto kwake amakhala impso, ndipo atatha kupanga magazi ndi chiwalo chophatikizika, mkodzo.

Tiyenera kudziwa kuti acetone amapezeka mumkodzo wa mayi aliyense woyembekezera, koma mulingo wake suwoneka - mpaka ma milligram 50 pa lita, sikuti urinalysis aliyense angatsimikizire kuchuluka kochepa kotere. Chifukwa chake, mawu akuti "kupezeka kwa acetone mu mkodzo" adawoneka - kutanthauza kuti, reagent akuwoneka kuti apeza chinthu, koma sizikupanga nzeru kuphatikiza ngati gawo lathunthu.

Ndipo pokhapokha ngati ma acetone omwe ali mumkodzo amachokera mamiligalamu 50 mpaka 500 pa lita imodzi, ndi nthawi yolankhula za acetonuria - chizindikiro choopsa cha matenda omwe amayamba chifukwa cha kusokonekera kwa metabolic. Ngati mulingo wa matupi a ketone mumkodzo uposa 500 mg / l, mkhalidwe wowopsa wamoyo umachitika.

Zimayambitsa acetonuria mwa amayi apakati

Kuzindikiritsa acetone mu mkodzo kumawonetsa kuopsa kwa matenda osokoneza bongo a m'mimba, omwe amawonekera pokhapokha pakukonzekera - mawu oti "gestation" amatanthauza kutenga pakati - ndipo amadutsa mwana akangobadwa. Matenda a shuga oterewa amapezeka pambuyo pake, kuphwanya kwa kagayidwe kazakudya kumachepetsa mphamvu ya thupi yopanga insulin - mahomoni omwe amalamulira kaphatikizidwe ndi kusweka kwa zinthu zofunika kwambiri. Matenda a amayi awopseza mwana wosabadwayo:

• Hypoxia - njala ya okosijeni, yomwe imayambitsa kuchepa kwa fetus, komanso ovuta kwambiri kufa.
• macrosomia - wonenepa kwambiri, mwana amabadwa ndi makina osakhazikika - zamkati, kupuma, kugaya, kufa kwa ana awa ndikokwera,
• kubadwa msanga.

Nthenda ina yomwe imawoneka mwa amayi apakati mu magawo apambuyo - gestosis, kapena mochedwa toxicosis - imathandizidwanso ndi kuwonjezeka kwa kuchuluka kwa acetone mu mkodzo. Kuwonjezeka kwa kuthamanga kwa magazi, komwe sikungatheke panthawi ya gestosis, kumayambitsa kuchepa kwa mpweya m'maselo, thupi limayesetsa kupeza mphamvu kuchokera kumalo osungirako - kuwonongeka kwa mafuta, ndikutulutsidwa kwa acetone. Mwapadera, gestosis imawopseza moyo wa mayi wapakati (kukomoka, matenda a edema, chikomokere kuonekera), mwana amathanso kufa kapena kubadwa pasadakhale, limodzi ndi vuto losakhazikika.

Koma mu 1 trimester, acetonuria imawoneka chifukwa cha toxicosis. Choyambitsa chachikulu ndikusanza, chifukwa chomwe mayi woyembekezera amataya michere mwachangu. Sizigwira ntchito kuti mupeze atsopano - chakudya chilichonse chimakhala ndi kukakamiza kwina kuti "mutembenuke mkati." Chifukwa chake, thupi limakakamizidwa kulipirira kuchepa kwa chakudya champhamvu ndi "osapakika" kumwa kwa adipose minofu - ndi komwe angapite pamene mwana wosabadwayo akufunika mphamvu kuti akule ndikukula. Chifukwa chake chizindikiro choopsa chimapezeka mkodzo la mayi wamtsogolo - acetone. Toxicosis koyambirira, komanso poyizoni wa chakudya amayambitsa kusanza kwambiri, ndikupangitsa kuti amayi apakati asiye madzi amadzimadzi ndi zina zopindulitsa

Matenda ena mwa amayi apakati, Zizindikiro zake zomwe ndi acetonuria:

• kutupa komwe kumayambitsa matenda - gawo la ma virus (beta-streptococci, virus virus) imabweretsa kulephera kwa metabolic, kuphatikiza mphamvu ya metabolism, komanso chitetezo chodzitetemera chimabweranso kunkhondo - kupanga ma antibodies kumawonjezera, komwe kumafunikira mphamvu yayikulu mphamvu ngati kunalibe glycogen yokwanira, "mafuta" tumizani mafuta Matenda pa nthawi ya pakati amasokoneza kagayidwe, kamene kamayambitsa ma acetonuria
• Matenda a chithokomiro (mwachitsanzo, Bazedova) - amaphatikizidwa ndi kulephera kwa kagayidwe kazakudya ndi kuchepa kwamafuta,
• pathologies a adrenal glands, omwe amadziwika ndi kuchuluka kwa mahomoni cortisol, omwe amachititsa kuwonjezeka kwa glucose, komanso kupulumutsa minofu ya adipose ngati gwero lamphamvu.
• matenda am'mimba, momwe mayamwidwe azinthu zopindulitsa kudzera m'makina am'mimba amachepetsa, chifukwa, shuga sokwanira ndipo kuthamanga kwamafuta kumayamba,
• mafuta hepatosis kapena kunenepa kwambiri kwa chiwindi - kumayendera limodzi ndi kuphwanya kagayidwe kazakudya zama protein,
• kuledzera kwa thupi ndi mercury, phosphorous, lead - kumayambitsa kusokonezeka kwa metabolic, ndipo ngakhale maonekedwe a acetone mumkodzo amayamba chifukwa cha mankhwala ochita kupanga chloroform.

Komanso acetonuria amakwiya chifukwa cha zovuta zomwe mayi amakhala nazo pazakudya ndi moyo wake, mwachitsanzo:

• Chakudya choperewera - chakudya chosakwanira m'thupi pamene mayi wapakati amadya chakudya chokhazikika - nthawi zambiri zimakhala zosakwanira, kupatsa mphamvu thupi limayamba "kudya" mafuta osungika, kumasula kwambiri matupi a ketone,
• kuvutitsidwa kwa zakudya zamafuta kapena zakudya zopatsa mphamvu m'mapuloteni (mazira, nyama zosuta, zakudya yokazinga), mulingo wa asidi-womwe umasokonekera - mumayendedwe a acid - omwe amachititsa kuti metabolism ayambe kuchepa. Kukonda kwa amayi am'tsogolo kwa makeke amafuta kumasandulika kukhala kosagwira bwino m'thupi la ma acid ndi alkali, pali chowopseza cha acetonuria
• poizoni wa chakudya - amayambitsa kusanza, kusowa kwamadzi, chifukwa - kuchepa kwa chakudya,
• katundu wowonjezereka (kulimbikira, masewera), kuchuluka kwa chakudya chamafuta kuti ulipirire mphamvu zamagetsi, thupi limawononga mafuta.

Amayi am'tsogolo omwe amakhala ndi nkhawa, mavuto a mahomoni, okhala ndi chitetezo chochepa mphamvu amakhalanso m'gulu lowopsa. Ndikwabwino kuti amayi oyembekezera atuluke kumalo osowa zachilengedwe ngati kungatheke - chilengedwe choipitsidwa chimadetsa thupi, chomwe chimawopseza kuti muchepetse kagayidwe komanso mawonekedwe a matenda omwe amayenda ndi acetonuria.

Momwe mungazindikire matenda a zam'mimba, zowopsa kwa mayi ndi mwana wosabadwayo

Monga ma pathologies ambiri, acetonuria imapezeka m'mitundu itatu - yofatsa, yolimbitsa komanso yolimba. Iliyonse ili ndi zizindikiro zake:

• ndi mawonekedwe ochepetsetsa, chithunzi cha chipatala ndichosokonezeka: chizungulire, kupweteka mutu, mseru - zonsezi zimagwirizana ndi mimba iliyonse, zizindikiro zowonjezera - pafupipafupi kupita kuchimbudzi "pang'ono" ndi ludzu,
• pafupifupi digiri imakhala ndi zizindikiro zapadera - mkodzo umayamba kununkhira ngati acetone, kupweteka mutu kumavuta kulekerera, kusanza ndikotheka, thanzi likuipiraipira,
• acetonuria yayikulu imayendera limodzi ndi kusanza kwambiri ndi fungo la acetone, kupweteka kwa mutu ndikosapweteka, kufooka kumamveka, khungu limakhala louma, nthawi zina mbali yakumanja imaphulika chifukwa cha chiwindi.

Acetone yomwe "imayenda momasuka kudutsa ziwalo ndi ziwalo, sikuti mayi wokhayo amavutika kusanza, komanso ndimayendedwe owopsa, thanzi ngakhale moyo wa mayiyo umakhala pachiwopsezo, chifukwa:

• chiwindi ndi kupukusira kwa m'mimba zakwiya,
• thupi lilibe madzi, chitetezo cha mthupi chachepa,
• magaziwo amakhala ofanana kwambiri, omwe amabweretsa mapangidwe a edema, magazi amawonekera m'mitsempha,
• kupanikizika kumakwera, ntchito zamtima zasokonekera,
• Nthawi zina, matenda a ubongo amatuluka,
• acetone imakhudza maselo amtundu waubongo, nthawi zina imadza ndi kutuluka kwa magazi,
• ntchito ya chapakati mantha amachepetsa kwambiri, kulephera kwamkati kwamanjenje kuchita ntchito zake kumabweretsa imfa.

Kwa mwana wosabadwa, maonekedwe a acetone mthupi la amayi ake akuwopseza kuti atembenuke:

• kuphwanya chitukuko cha dongosolo lamanjenje, lomwe limatsogolera ku zovuta zazikulu,
• kukula kwamitsempha,
• pokhapokha - poizoni ndi acetone, amene amakhala m'magazi a amayi, chifukwa, mwana wosabadwayo amwalira,
• kutaya kapena kubadwa msanga.

Zokonzedweratu komanso zowonjezera

Kwa nthawi yoyamba, mayi woyembekezera amapereka mayeso a mkodzo wapakati polembetsa kuti akhale ndi pakati. Pambuyo,, ngati kubereka kwa mwana wosabadwayo kumachitika popanda matenda, kumabweretsa kuchipatala mtsuko wa zinyalala zamadzimadzi malinga ndi dongosolo lotsatira:

• mu 1 trimester - kamodzi pamwezi,
• mu trimester yachiwiri - kawiri pamwezi,
• mu 3 trimester - kamodzi pa sabata.

Acetonuria imapezeka ndikuwunika kosanthula. Ngati mayeso a acetone ali abwino, ogwira ntchito pamalowo amapereka lingaliro ndi mafutawo, ndi kuchuluka kwa momwe amawerengera kuchuluka kwa poizoni wa mkodzo. Chifukwa chake:

• kuphatikiza kumodzi - pali acetone ochepa kwambiri,
• ma pluses awiri - mulingo ukuwonjezeka, koma pang'ono - izi zimachitika nthawi ya toxosis kapena zakudya zosayenera,
• ma pluses atatu - zinthu zake nzowopsa, makamaka zomwe zimayambitsa matendawa mkodzo ndi njala,
• ma pluses anayi - mulingo wambiri wa chinthu, chizindikiro cha matenda amiseche kapena chodwala china.

Matendawa akuti "++++" ndi chifukwa chabwino chomuwalitsira mayi woyembekezera kuti amupatse chithandizo kuchipatala - apo ayi chithandizo chake sichingakhale ntchito.

Zimachitika kuti pali ma pluse mu lingaliro la akatswiri, koma thanzi la mayi wapakati ndilabwinobwino. Kenako adotolo atumiza mayiyo kuti akamupimenso.

Kuti afotokozere zomwe zimayambitsa matenda, dotolo amamuwonetsa mayeso owonjezera ndi mayeso kwa wodwala, kuphatikizapo:

• magazi kuyesa kwa zamankhwala amuzolengedwa - kudziwa kuchuluka kwa shuga ndi kutsimikizira kapena kutsutsa matenda a shuga, chitetezo cha chiwindi chimawunikanso pogwiritsa ntchito kuyesa kwa magazi. Kuyezetsa magazi kwa biochemical amadziwika kuti ndi njira yodalirika kwambiri, mayi woyembekezera amatenga 5 ml amadzimadzi kuchokera mu mtsempha wa ana kuti akafufuze
• kuyezetsa magazi kwa mahomoni - kufufuza kuthekera kwa chithokomiro chamtundu ndi chithokomiro cha adrenal,
• kupanikizika kwa mayesero - kwa matenda a gestosis kapena matenda opatsirana m'thupi.

Komanso, wodwalayo amatha kutumizidwa kuti akupanga ziwalo zamkati - mwachitsanzo, England.

Zingwe zoyeserera

Mkazi amathanso kuzindikira acetonuria kunyumba. Kuti muchite izi, pitani ku malo ogulitsira mankhwala ndikugula masamba ochepa kuti mupeze matenda anu. Mzere uliwonse umakhala ndi totmus ndipo umayikidwa mwaudindo wapadera.

Kuyeza kumeneku kumapangitsa kukhalapo kwa acetone, komanso kuchuluka kwa chinthu chomwe chili mumkodzo. Mupeza malangizo mu phukusi lomwe limafotokoza mwatsatanetsatane momwe mungagwiritsire ntchito zingwe.

Mowa umasonkhanitsidwa m'mbale yonyowa m'mawa. Mzere umatsitsidwa mu chikasu chamadzimadzi - mpaka mulingo womwe ukusonyezedwa. Pakatha masekondi awiri, kuyezetsa kumayesedwa, komwe, kutengera kuchuluka kwa acetone, kudzapakidwa utoto utatha mphindi ziwiri. Ngati mzere watembenukira chikasu, ndinu mwayi - ma acetone ndi abwinobwino (ndiye kuti, amapezeka mwanjira ya "trace"), mtundu wa violet umawonetsa kuchuluka kwa poizoni m'kodzo. Mndandanda wa zomwe zikutsimikizidwa zikuwonetsedwa mu malangizowo. Ndi mtundu wa mzere woyeserera utatha kulowa mkodzo, kupezeka kapena kusowa kwa acetonuria kumaweruzidwa

Malangizo ogwiritsa ntchito poyesa kuti mumenyetsetse mumtsempha:

• pewani kukhudza zokhudzira za chisonyezo,
• mutachotsa thumba poikidwa, gwiritsani ntchito ola limodzi,
• chidebe chomwe chili ndi zingwe chiyenera kutsekedwa mwamphamvu
• gwiritsani ntchito mkodzo poyesa kwa maola awiri,
• kuyesa kutentha kwa firiji kuchokera +15 mpaka +30 ° C.

Nthawi zina zingwe zoyeserera zimapakidwa utoto zomwe sizili pamalowo - izi zikutanthauza kuyesa kopanda tanthauzo. Ngati Mzere umakhala utoto kokha mbali, zinthu za mankhwala omwe ali mthupi zitha kukhudzidwa.

Mulimonsemo, kuti mupeze matenda olondola, komanso zomwe zimayambitsa acetonuria yemwe wapezeka ndi zingwe zoyeserera, mukufunikabe kupita kwa dokotala.

Kusanza kwambiri ndi chimodzi mwazizindikiro za acetonuria, kumabweretsa vuto lakumaso, komanso kumachulukitsa kale kuchuluka kwa acetone mu mkodzo.

Momwe mungalipire chifukwa cha kusowa kwa madzi mthupi

Choyamba, mzimayi amasintha ku zakumwa zowonjezera zakumwa, zakumwa ndi zakumwa za shuga zomwe sizabwino - izi timamwa madzi oyera, tiyi wobiriwira, mpaka malita awiri patsiku. Sikulimbikitsidwa kukhetsa kapu kapena chikho mu gulp imodzi, mwinanso mudzayambitsa kusanza kwina. Thirani madzi pang'onopang'ono, pang'ono. Madzi amalipirira kuchepa kwa madzimadzi mthupi pambuyo kusanza kwambiri, kumeza pang'ono, pang'onopang'ono

Pamodzi ndi madzi ophatikizira pakasanza, ma electrolyte amachotsedwa m'thupi - mchere wa calcium, potaziyamu, sodium, magnesium. Zinthu izi ndizomwe zimayendetsa magwiridwe antchito amanjenje - zimafalitsa zomwe zimapangitsa mitsempha. Kuphwanya mulingo wamchere kumatha kuwopseza ziwalo zina. Mayi woyembekezera amadzimva kuti watopa kwathunthu, nthawi zina amalephera ngakhale kutsika pa sofa, malingaliro ake amasokonezeka. Mwana amene ali m'mimba amakhalanso ndi thanzi labwino chifukwa cha mayi ake.

Kuti abwezeretse bwino nthawi yamagetsi yamagetsi, mzimayi adzafunika njira yothetsanso madzi m'thupi. Mayankho amakamwa amagulitsidwa m'mafakisi. Nawa ena, ndi otetezeka kwa iwo omwe amabereka mwana wosabadwa:

• Regidron ndi ufa m'matumba pokonzekera yankho, umakhala ndi mchere wofunikira, komanso dextrose, womwe umathandizira kuti zinthuzo zimveke, chikwama chimodzi chimasungunuka mu lita imodzi ya madzi owiritsa ophika, oledzera masana, m'magawo ang'onoang'ono, popanda zowonjezera zilizonse, njira ya makonzedwe ndi masiku 3-4, vuto la kusowa kwam'madzi kapena kusanza kwambiri, Regidron sayenera kuledzera, mankhwala osokoneza bongo amawopseza chisokonezo, vuto la mtima,
• Gastrolyte ndi ufa wophatikizidwa m'matumba, kuphatikiza ma elekitirodi, amakhala ndi chamomile kuchotsera (kuthana ndi kutupa) ndi glucose (chomwe sichabwino kwambiri kwa odwala matenda ashuga), thumba la Gastrolit linapangidwa kapu yamadzi otentha otentha, muyenera kumwa magalasi 4-5 patsiku - pafupifupi lita, nthawi yovomerezeka ndi masiku 3-4, ndizoletsedwa ngati vuto la impso siligwirizana ndi zigawo zina,
• Citroglucosolan ndi ufa m'matumba amtundu wosiyanasiyana: 2.39 g imasungunuka mu 100 ml ya madzi ofunda, 11.95 g mu 500 ml, ndi 23,9 g mu lita imodzi yamadzi, iwo amamwa magawo ang'onoang'ono, kwa theka la ora - mpaka 900 ml, aliyense Mphindi 40, mankhwalawa amabwerezedwa, mpaka 80 ml ya madzi amachiritso amatengedwa patsiku, kutengera kilogalamu iliyonse ya kulemera kwa thupi,
• Glucosolan - imapezeka m'mitundu iwiri ya mapiritsi - omwe ali ndi mchere komanso ndi shuga, mutamwa mapiritsi 1 a shuga, amasungunuka mu 100 ml ya madzi, kumwa chimodzimodzi ndi Citroglucosolan, onsewa ali ndi contraindication imodzi - ziwopsezo zamagawo.

Njira zakuthanso madzi am'mimba zimayamba kutengedwa ngati woyamba kutulutsa madzi m'thupi (kufooka, chizungulire pambuyo kusanza), kwakukulu, kuchuluka kwa madzi amagetsi amagetsi omwe amwedwa kuyenera kukhala kamodzi ndi theka zomwe thupi lataya. Rehydron mu pharmacies yaku Russia ndi njira yodziwika kwambiri yobwezeretsanso zamagetsi pamagetsi

Pamene chifukwa cha acetonuria ndi matenda osokoneza bongo, mayi woyembekezerayo adzayenera kubweretsa kuchuluka kwa glucose. Pazakudya musatchule:

• chokoleti ndi zida zina
• zakumwa zotsekemera ndi mpweya,
• zakudya zokazinga
• mankhwala omalizidwa
• mafuta amkaka,
• mazira.

Ngati acetone mu mkodzo akuwonekera chifukwa cha njala, kudya ndi chakudya sikuletsedwa. Komabe, ndikofunikira kukumbukira kuti panthawi yomwe muli ndi pakati, mafuta, mchere, zakudya zokazinga, kuyika pang'ono, sizipindulitsa thanzi la mayi ndi mwana wosabadwa.

Munthawi zonse za acetonuria, wodwalayo amalimbikitsidwa kudya:

• supu zamasamba, momwe mungayikeko nyama yopendekera,
• Nyama yophika, yophika kapena yophika ya mitundu yamafuta ochepa (nkhuku, nkhuku),
• chimanga - sikuletsedwa kuwonjezera chidutswa chaching'ono cha batala pambale,
• tchizi chamafuta ochepa
• masikono owuma
• maapulo.

Pambuyo masiku atatu a chakudya chotere, chimaloledwa kuphatikiza pang'onopang'ono zinthu zina mkaka mumenyu.

Akayamba kumwa mankhwala

Pankhani yowonjezereka pang'ono pamlingo wa acetone mu mkodzo, zakudya ndi mayankho okhala ndi ma electrolyte ndi okwanira kulandira chithandizo. Koma ngati kusanza sikuleka, Rehydron yemweyo ilibe ntchito, pomwe mkaziyo amayikidwa mu chipatala ndipo amadzala amawaika ndi mchere. Kuphatikizikako kumaphatikizapo madzi oyera, komanso ayodini ndi chlorine. Mafuta a saline amadziwika kuti alibe vuto kwa amayi apakati, ngakhale milandu yaubala siyinadziwike. Mothandizidwa ndi mtsempha wa magazi amachotsa kusowa kwa mchere wofunikira, amachotsa poizoni.

Pofuna kusiya kusanza komanso kubwezeretsa matumbo m'chipatala, odwala omwe ali ndi acetonuria amapatsidwa mankhwala osokoneza bongo a Cerucal. Mankhwalawa amachepetsa chidwi cha mitsempha yomwe imapereka kufalikira kumalo opatsirana komwe kuli mu ubongo, komanso kumakulitsa kamvekedwe ka m'mimba ndi matumbo. Popeza Tserukal ali ndi zoyipa zambiri, ndizoletsedwa kugwiritsa ntchito trimester yoyamba, ndipo m'magawo apambuyo amagwiritsidwa ntchito pokhapokha ngati awopseza moyo wa mayiyo. Mankhwala othandizira antiemetic Cerucal amaperekedwa kwa amayi apakati mosamala, kokha pazifukwa zaumoyo

Ma sorbeta monga Smecta, Enterosgel, amathandizira kuchotsa thupi poizoni - kuphatikizapo acetone. Wosasinthika wosasinthika, ndikuchotsa ziphe. Malangizo a mankhwalawa akuwonetsa kuti ndi otetezeka kwa amayi oyembekezera. Komabe, amalephera kumwa zakumwa popanda kuvomerezedwa ndi dokotala. Smecta yogwira sorbent imamangiriza ndikuchotsa bwino ma virus okhala ndi poizoni m'thupi

Zochizira matenda ndi zinthu zomwe zimayendetsedwa ndi acetonuria, ntchito:

• pa matenda a shuga - mankhwala omwe amachepetsa shuga, ngati zotsatira zake ndi zofooka, yambani insulini.
• ndi kuthamanga kwa magazi, otsikira ndi magnesia angathandize,
• ndi matenda a chithokomiro - mahomoni opanga.

Kubwezeretsanso matumba a zinthu zofunikira zomwe zawuma mu fetus, azimayi oyembekezera amayikidwa muzipatala zokhala ndi shuga ndi mavitamini (ngati palibe zotsutsana).

Nthawi zina, ngakhale chithandizo cha odwala sichithandiza odwala - ndiye kuti palibe chomwe chatsalira koma kupititsa patsogolo kubadwa koyambirira.

Pewani acetone mu mkodzo wanu

Acetonuria ndichinthu chodabwitsa kwambiri m'njira zambiri kwa asayansi, chifukwa chake sichikudziwika kwenikweni chomwe chimayambitsa matenda - matenda okha ndi omwe adadziwika, chizindikiro chake ndicho.Koma acetone mu mkodzo amawonekera mwadzidzidzi azimayi oyembekezera omwe ali ndi thanzi labwino, kotero kuti mayi aliyense woyembekezera mpaka gawo limodzi kapena lina amagwera m'gulu lowopsa.

Komabe, mkaziyo amatha kuchepetsa kuopseza kwa acetonuria. Kuti muchite izi:

• Pitani ku dokotala wanu pafupipafupi, kuyezetsani ndi kumayesedwa nthawi,
• ndi anzanu komanso anzanu omwe ali ndi matenda, amalankhulana patelefoni kapenanso skype,
• mwachangu chiritsani matenda omwe amawopseza acetonuria,
• pewani kuchita masewera olimbitsa thupi,
• osakhala pachakudya chambiri panthawi yomwe muli ndi pakati (ndibwino kuiwalako za otere),
• osapatula zakudya zamafuta m'zakudya, osazunza zakudya, osafuna kudya maswiti,
• osasuta, osamwa zoledzeretsa,
• koma kumwa madzi oyera a thanzi - imodzi ndi theka mpaka malita awiri patsiku.

Ndimachokera kuchipatala kokha. Ndili ndi sabata la 16. Acetone idakwera kawiri m'miyezi iwiri, idatengedwa maulendo awiri ndi ambulansi, 1 nthawi ya gynecology, 2 nthawi yosamalidwa kwambiri. Nthawi yoyamba yomwe sindinamvetse chifukwa chomwe ndidadzuka ), chifukwa sanadziwitse komaliza, adati ayenera kulumikizana ndi endocrinologist. Koma poyamba ndikudziwa kuti muyenera kudya zakudya, osadya chilichonse cholemera, kumwa kwambiri.

Naffania

http://www.babyplan.ru/forums/topic/19638-atseton-v-moche-vo-vremya-beremennosti/

Ndinkakhala ndi acetone mu mkodzo wanga, koma monga adokotala ananena, "inali njala yam'mimba" chifukwa cha toxicosis (ndinatsala ndi makilogalamu 12). Palibe chomwe adatumizidwa. Adati - mudzayamba bwino ndipo zonse zikhala bwino. Pakufufuza kwotsatira, sanalipo.

Rosin

https://deti.mail.ru/forum/v_ozhidanii_chuda/beremennost/aceton_v_moche_1461399911/

Ndili ndi ma ketoni sabata 25, zonse zinali zokhudzana ndi matenda ashuga omwe amayambira, momwe ndimamvetsetsa. Mapiritsiwo sanathandize, adathandizidwa ndi zakudya ndi homeopathy, patatha milungu 32 zonse zidapita. Komanso samalani ndi kupsinjika kapena kupsinjika, ndibwino kuti musachite mantha komanso kusadzimangiriza ndi zinthu zosafunikira, zonse zatuluka pambuyo pamavuto ndi kusuntha, ndinatengera mabokosi ndekha, ndikukokera zonse pang'ono, ndinali wopusa ...

Ella

https://deti.mail.ru/forum/v_ozhidanii_chuda/beremennost/aceton_v_moche_1461399911/

Adagona pansi kuti asungidwe, ndipo munthawi imeneyi toxosis idayamba, adachepa m'masiku awiri, samatha ngakhale kumwa. Ndidapita kwa dotolo, ndikunena kuti chitani kena kake ndi ine. Izi zisanachitike, ndidadulira mkodzo ku acetone, ndipo adati mkulu, tidzataya. Ndipo oh mulungu wanga, nditadya koyamba woyamba kudya. Chifukwa chake, atsikana, ngati mukusanza kwambiri, musaganize kuti ziyenera kukhala choncho, monga aliyense adutsamo ... ngati simuchotsa acetone m'thupi, sipangakhale zotsatirapo zabwino kwambiri nanu komanso kwa mwana!

Julia

http://www.kazi.ru/kids/feeding/thread/4306145/

Acetone mu mkodzo wa amayi apakati ndiwosadziwopsa, koma imathandizidwa mwachangu pokhapokha ngati itachitika chifukwa cha toxicosis, njala kapena poyizoni wa chakudya. Nthawi zina, acetonuria amafunikira chithandizo kuchipatala, ndipo mayi woyembekezera sayenera kukana kulandira kuchipatala kuti asaike pachiwopsezo thanzi la mwana. Mverani thupi mosamala, idyani moyenera ndikuwongolera njira yoyenera - ndiye kuti ma acetone omwe amawunikira, nthawi zambiri, sawonekera.