Acetone mu mkodzo wa shuga: zimayambitsa, mankhwala

Acetone mu matenda ashuga ndimwambo wamba. Kuti muthane ndi izi, tikukulimbikitsani kuti mumve zomwe zimayambitsa kupezeka kwake. Ndipo onaninso njira zakuchotsera.

Kudzikundikira kwa matupi a ketone (ketosis - osasunthika magazi pH, ketoacidosis - ndikusunthira mbali ya acid) mthupi chifukwa chophwanya carbohydrate, mapuloteni komanso mafuta a metabolism mu mankhwala amadziwika kuti acetone syndrome, omwe amadziwika kuti "acetone".

Dzinali silifotokoza bwino zomwe zikuchitika mthupi, chifukwa zinthu zomwe zimapangitsa kuti ma acetone omwewo sindiwo chinthu chotsiriza cha kagayidwe.

Ngati nchosavuta kusanthula momwe zimapangidwira matupi a ketone, omwe amakhalanso β-hydroxybutyric acid, zonse zimatsikira kuti chifukwa chotsimikizika (kusowa kwa magazi) kapena wachibale (kulephera kugwirizanitsa ndi kusowa kwa insulin) kusowa kwa chakudya, mafuta acids amakhala gwero lalikulu lamphamvu (LCD).

Mothandizidwa ndi ma enzymes ena, ma FAs nthawi zambiri amasintha kukhala acetyl-CoA, pomwe imakhala gwero la zinthu zambiri zomwe thupi lathu limafunikira. Chifukwa cha kusowa kwa chakudya chamafuta, zochitika zamagetsi onse amachepa ndipo acetyl-CoA sangathe kupitiliza masewera. Kukhazikika kwazinthuzi kumabweretsa kuti ma mamolekyulu ake amaphatikizana ndipo pamapeto pake amapanga gulu ngati acetoacetic acid, ndipo, imasinthika mosavuta kukhala matupi a ketone: acetone ndi β-hydroxybutyric acid.

Ndizinthu ziwiri zomaliza za kagayidwe kamene kamakhala chifukwa cha kuledzera komanso kukulitsa zizindikiro zonse zomwe timazitcha "acetone wokwera".

Kodi ndizomwe zimayambitsa kuchuluka kwa acetone?

Kusiyanitsa pakati pa pulayimale ndi sekondale ya acetonemic syndrome.
Poyamba imayimira patokha patokha yomwe imachitika chifukwa cha zovuta zobadwa nazo za metabolic ndipo nthawi zambiri imatchedwa cyclic kusanza syndrome. (Malinga ndi ziwerengero zamakono, pafupifupi mwana aliyense wachisanu wasukulu zoyambirira komanso wazaka zoyambira sukulu amakhala ndi mavuto obwerezabwereza omwe amapezeka nthawi ndi nthawi, omwe amasowa pakapita nthawi)
Sekondale acetonemic syndrome ndi chizindikiro chabe cha matenda ena oyamba: matenda a shuga m'magawo a kuwonongeka (nthawi zambiri mtundu wa 1) ndi zina endocrinological pathologies, matenda opatsirana, kuvulala koopsa kwa ubongo, kufa ndi njala, zina ndi zina.

Zizindikiro zakukula kwa acetone

Ngati ketosis imachitika chifukwa cha kuwonongeka kwa matenda ashuga, ndiye kuti zizindikiritso zoyambirira zizikhala zisonyezo zam shuga wambiri:

- kukodza mwachangu, kukakamiza usiku, kuchuluka kwamkodzo

- khungu louma ndi mucous nembanemba ...

Ndipo pokhapokha masiku 2-4 (osowa kwambiri), ngati vutolo silinasinthe, gwiritsani ntchito Zizindikiro za ketosisyomwe itha kugawidwa m'magulu atatu:

1. Zizindikiro za kuledzera kwathunthu ndi matupi a ketone: nseru, kusanza, kununkhira kwa acetone mu mpweya wotuluka ndi mkodzo, kupumira mwachangu.
2. Zizindikiro za kuwonongeka kwamitsempha yamagetsi yapakati: kupweteka mutu, kusokonekera, ulesi, chitukuko cha khosi komanso chikomokere.
3. Zizindikiro zam'mimba (zimagwirizanitsidwa ndi kukwiya kwa m'mimba): kupweteka kwam'mimba, kusokonezeka kwa khoma lakunja kwam'mimba.

Ngati ketosis imayamba pazifukwa zina kupatula matenda ashuga, imayang'aniridwa ndi zomwe zimayambitsa matenda.
Ndikofunika kwambiri kuti musaphonye "oyambira" a ketosis mu ana ndikuwunika mosamala kusintha kwa momwe mwana akuwonera ndikuwunika kuchuluka kwa shuga m'magazi.

Acetone mu mkodzo: ndizowopsa?

Sitinganene kuti ma acetone ndi matupi ena a ketone ndi owopsa mthupi lathu ngati palibe zosokoneza paumoyo komanso zopatuka zina, monga kuchuluka kwa magazi m'magazi. Kukhalapo kwa kuchuluka kwa zinthu izi ndikwabwinobwino ndipo kumadalira chakudyacho (zakudya zama carb ochepa, zakudya zamafuta ndi mapuloteni, zina zambiri), thanzi lanu lonse, malingaliro a psycho Koma ngakhale zisonyezo zina zonse ndizabwinobwino ndipo sizivutika, palibe chodandaula, ngakhale zingakhale ma ketoni ziwonetsere 2-3 pluses.

Kodi chiwopsezo cha ketoacidosis ndi chiyani?

Zotsatira zosasangalatsa kwambiri za acetonemic syndrome ndi chikomokere. Iyi ndi njira yovuta yochokera chifukwa cha kuwonjezeka kwa glucose (pamwambapa 13 mmol / L), acidization wamagazi, ndi mphamvu yoletsa ma ketones ku ubongo (5 mmol / L ndi pamwamba). Chifukwa chake, ngati acetone yowonjezereka ikuphatikizidwa ndi shuga wambiri, muyenera kusamala ndikusintha posachedwa.

Chithandizo cha mkodzo Acetone

Tikumbutsanso kuti pakufunika kuganizira osati zamankhwala amfumu a ketone okha, komanso kuchuluka kwa thanzi komanso kuchuluka kwa shuga m'magazi. Ngati muli ndi shuga wambiri, muyenera kubwezeretsa mwachangu momwe mungathere, kuyang'anira shuga pafupipafupi komanso nthawi zambiri.

Udindo waukulu umachitika ndi kuledzera. Chifukwa matupi a ketone amuchotseredwa ndi impso (ma ketoni SALI owopsa kwa impso). Ndikwabwino kugwiritsa ntchito madzi osavuta a alkali (Borjomi, Polyana Kvasova, etc.), njira zapadongosolo zakakonzedwe ka mchere kapena uzvar.

Ngati kusanza kwambiri kumayamba, kumwa kwambiri kumangokulitsa vutolo. Zikatero, ndikofunikira kumwa sip pakapita mphindi 10 zilizonse. Chinthu chachikulu: musachulukitse luso lanu ndipo ngati inunso mukuwona kuti simukumva bwino, kuchuluka kwa shuga sikutsika, ndipo ketoacidosis ikukula, kapena mwana wanu akufunika, ndiye kuti muyenera kufunafuna thandizo kuchipatala mwachangu.

Shuga ndi acetone mu mkodzo: zikutanthauza chiyani?

Nthawi zambiri, shuga ndi acetone mu mkodzo siziyenera kukhala. Shuga amamvetsedwa ngati mtundu wina wachilengedwe wopatsa mphamvu, womwe umagwira ngati gawo lapansi lopanga mphamvu.

Acetone - matupi a ketone opangidwa ndi chiwindi chifukwa cha kukonzekera kwa ma protein ndi mafuta.

Mulingo wofanana ndi shuga mumkodzo wa amuna ndi akazi ndi 0.06-0.083 mmol / l. Mlingo wovomerezeka wa glycemia kwa mwana ndi 0,07-0.08 mmol / L. Mu makanda, shuga mu mkodzo sayenera kupezeka.

Mwamba wabwinobwino wa acetone mu mkodzo wa achikulire ndi 0,3-0,5 mmol / L, kwa ana ndi 0.3-1.5 mmol / L. Kuchuluka kwa shuga mu mkodzo mu mankhwala kumatchedwa glucosuria, ndi ketone - acetonuria. Kukhalapo kwa shuga ndi acetone mu mkodzo kumatanthauza njira yothandizira thupi.

Nthawi zambiri, kuwunika kumeneku kumawonetsa kukhalapo kwa mavuto ndi kapamba, impso, kumawonetsa chitukuko cha matenda a shuga a insulin.

Ngati shuga mumkodzo ndi woposa 3%, zomwe matupi a ketone amakula. Koma acetone amathanso kukhalapo ndi glycemia wotsika.

Glucosuria ndi acetonuria zimawonedwa pa nthawi yoyembekezera (2-3 trimester) omwe ali ndi matenda osokoneza bongo.

Kuchepetsa urinalysis nthawi zina kumatanthauza poizoni woopsa.

Matupi a Ketone: ndi chiyani ndipo chimadziwika ndi chiyani?

Matupi a Ketone ndi apakatikati.

Amapangidwa m'chiwindi. Choyimiriridwa ndi acetone, beta-hydroxybutyric ndi acetoacetic acids.

Fotokozani za kutulutsidwa kwa mphamvu pa nthawi yakukokolola kwa zinthu zamafuta. Matupi a Ketone mthupi la mwana kapena wamkulu amasinthidwa nthawi zambiri.

Ndi osakwanira insulin yopanga ma cell a pancreatic, ziwalo zimayamba kuvutika ndi vuto la shuga, glycogen imadziunjikira m'chiwindi.

Thupi litatha madzi glycogen, mafuta amayamba kusweka. Ngati kagayidwe ka lipid kali kwambiri, ndiye kuti acetone imapangidwa mwachangu kuposa momwe imawonongera. Chifukwa chake, mulingo wake mumkodzo umakwera.

Kodi kupezeka kwa mapuloteni mu mkodzo kumawonetsa chiyani?

Mapuloteni ochulukirapo mu gawo limodzi la mkodzo amatchedwa madokotala madokotala proteinuria. Izi zimawonetsa kukhalapo kwa kuphwanya kwakukulu mthupi. Zomwe zimayambitsa proteinuria zimatha kukhala poyizoni, kupsa, kuvulala, ma systemic pathologies.

Mapuloteni okwera mumkodzo amatha kuyankhula:

ntchito yayikulu
kuvutitsidwa kwa mapuloteni
Hypothermia wa thupi,
mkhalidwe wopsinjika
kumwa mankhwala ena ogulitsa mankhwala,
ziwengo
posachedwapa anasamutsa matenda opatsirana komanso kutupa.

Pakupewa, azimayi amatha kukumana ndi impso ndi chiberekero chokulirapo. Zimatithandizanso kukhala ndi proteinuria.

Kuwonjezeka kwa mapuloteni mumkodzo nthawi zambiri kumachitika ndi aimpso:

nephroptosis,
pyelonephritis,
glomerulonephritis,
kusakwanira mu ntchito ya thupi.

Matenda a impso angawononge kawonedwe kake ka mthupi lonse. Chifukwa chake, matenda a impso amayenera kuthandizidwa.

Ndi matenda ati omwe ali ndi acetone owonjezera mumkodzo?

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Acetonuria imawonedwa ndi zotere:

mtundu woyamba kapena wachiwiri wa matenda ashuga,
kuchepa magazi
kuvulala kumutu
hyperthyroidism
kuledzera chifukwa cha mphamvu ya mankhwala pakhungu,
Matenda a Itsenko-Cushing,
matenda opatsirana (cystitis, meningitis, malungo ofiira),
matenda osokoneza bongo
poyizoni wa mowa
thyrotoxicosis,
magazi poyizoni
kamwazi
khansa yam'mimba
zosokoneza m'mitsempha yamanjenje.

Zonsezi zimadziwika ndi kusowa kwa mphamvu, komwe thupi limayenera kupanga zosowa zake kudzera m'mafuta.

Acetonuria (ketonuria) yamtundu 1 ndi matenda ashuga 2

Acetone mumkodzo mwa munthu wokhala ndi mtundu wachiwiri kapena woyamba wa shuga amadziwika nthawi zambiri. Endocrinological matenda samachiritsidwa.

Mkhalidwe wa wodwalayo umathandizidwa ndi mapiritsi ochepetsera shuga kapena mankhwala obwezeretsa ma cell omwe ali ndi insulin. Kutengera zakumbuyo za matenda ashuga, momwe mulingo wa asidi umasokonezekera ndikusunthidwa mbali ya acid.

Chifukwa chake, matupi a ketone amapezeka mu mkodzo ndi seramu. Matendawa nthawi zambiri amakumana ndi ketoacidosis, momwe mumakhala kuchuluka kwa acetone, zovuta zimachitika mu endocrine system.

Acetonuria mu shuga amawonetsa kuphwanya mapuloteni ndi mafuta kagayidwe.

Kodi owopsa ali ndi vuto lotani?

Kuchuluka kwa matupi a ketone kumadalira mkhalidwe wa ziwalo ndi machitidwe, mawonekedwe a zakudya, mulingo wa nkhawa.

Pafupifupi 50% ya anthu omwe ali ndi mtundu woyamba wa shuga amakhala ndikuwonetsa ketoacidosis. Ngati kuchuluka kwa acetone kudutsa 5 mmol / l, ndipo shuga wambiri kuposa 12 mmol / l, ndiye kuti wodwalayo amakula acidosis ndi chikomokere.

Matendawa ndi owopsa chifukwa ubongo, chiwindi, impso, ndi dongosolo lamanjenje zimakhudzidwa. Ngati simukuthandizira munthu, musachotse matupi a ketone owonjezera ndi shuga, wodwalayo akhoza kufa.

Matenda a matenda ashuga amakula chifukwa chosowa mankhwalawa. Amadziwika ndi chisokonezo, fungo linalake la acetone kuchokera mkamwa.

Zizindikiro zofananira

Acetonuria amadziwika ndi zizindikiro zotere:

kukana chakudya, madzi akumwa,
chisangalalo
kufooka, kutopa,
kutentha kuwonjezeka
zopweteka zam'mimba.
kusowa kwamadzi
fungo labwino la acetone kuchokera pamlomo wamkamwa,
kupsinjika kwamisala
mseru ndi kusanza mutadya chakudya,
chikwangwani choyera pachilime,
kukodza pokodza,
kuwoneka ngati fungo losasangalatsa panthawi yochita kukodza.

Kuphatikiza kwa magazi kumawonetsa chloride ndi glucose wotsika kwambiri. Kukumana kwa lipoproteins, cholesterol, matupi a ketone amakula. Zomwe leukocytes ndi ESR zimawonjezeka.

Mungamve bwanji zowonjezera za acetone, kapena ayi, kunyumba?

Kuti mudziwe kuchuluka kwa acetone mu mkodzo kunyumba, muyenera kugula kuyesedwa kwapadera. Mayeso a Ketur, Ketostix, Acetontest ndi olondola kwambiri. Izi zida limodzi ndi malangizo atsatanetsatane kuti mugwiritse ntchito.

Algorithm yowerengera mkodzo kupezeka kwa acetone:

sonkhanitsani mkodzo tsiku lililonse
tulutsani gawo loyeserera ndikutsitsa mumtsuko wokhala ndi mkodzo,
Pambuyo pa masekondi angapo, tulukani ndi kudikirira kwakanthawi,
chizindikirocho chidzapakidwa utoto womwe umagwirizana ndi mulingo wa matupi a ketone.

Kuwona bwino kwa zotsatirazi kumadalira njira yolondola, nthawi yosonkhanitsa gawo la mkodzo ndi moyo wa alumali pamizere yoyeserera.

Mumkodzo wam'mawa, acetone ndiwokwera kuposa madzulo kapena tsiku ndi tsiku.

Mfundo zachithandizo

Kuchotsa kwa acetone m'thupi kumachitika ndi njira zosiyanasiyana.

Mfundo zazikuluzikulu zochizira ketoacidosis ndi:

kuchitira chithandizo chachikulu cha matenda omwe amachititsa kuwonjezeka kwa matupi a ketone m'thupi (mwachitsanzo, ndi kulephera kwa aimpso hemodialysis kapena opaleshoni, okhala ndi insulin yayikulu ya magazi),
kugwiritsa ntchito mankhwala omwe amabwezeretsa acid-base balance,
Chithandizo cha matenda opatsirana
kusankha mtundu wa insulin mankhwala,
njira zoteteza kupewa hypoglycemia,
kumwa patsiku kuyambira 2 mpaka 3 malita a madzi oyeretsedwa,
kugwiritsa ntchito maphikidwe a anthu,
kudya.

Ngati acetone ichulukitsa mkodzo pang'ono, ndiye kuti madokotala amakupatsani mankhwala othandizira ndipo amalimbikitsa zakudya zina. Kuti achepetse kuchuluka kwa matupi a ketone mu mkodzo, madokotala amapereka Regidron, Oxol.

Pamaso pa kusanza kwambiri, jakisoni wa Cerucal amasonyezedwa. Mwa othandizira othandizira, Multisorb, Enterosgel, Polysorb, Malasha oyera kapena Lactofiltrum amagwiritsidwa ntchito.

Ngati pali magazi m'thupi, ndiye kuti zowonjezera pazitsulo zimayikidwa. Kuonjezera hemoglobin, tikulimbikitsidwa kugwiritsa ntchito buckwheat, maapulo, chokeberry.

Mkhalidwe waukulu wakuchira bwino ndi njira yolondola masana, kukonza zolimbitsa thupi. Ndi milingo yayikulu ya acetone yamunthu, amagonekedwa m'chipatala ndipo thupi limatsukidwa.

Zakudya zapadera zimathandizira kupewa kukula kwa ketoacidosis. Madokotala amalimbikitsa:

phatikizani zakudya zomwe zimalowa pang'onopang'ono m'matumbo,
kuchuluka kwa chakudya kuti agwirizane ndi mlingo wa insulin,
patsani zakudya menyu ndi CHIKWANGWANI,
chotsani chakudya chamafuta othamangitsa kudya komanso kudya mafuta.

Ndi mulingo wambiri wa acetone, zotsatirazi ndizovomerezeka:

kudya nyama
mazira
zipatso
buledi wathunthu
chipatso
chimanga
tiyi
ma compotes, zakumwa za zipatso, zakudya,
amadyera
skim mkaka
mkate wa chinangwa
zopangidwa mkaka,
masamba.

Zoletsedwa kwa odwala:

ankasuta nyama
marinade
khofi
buns
masoseji
mikate yoyera
mafuta amkaka,
zakumwa zoledzeretsa
nkhumba
Confectionery
kuphika mafakitale
maapulo
madzi owala
pasitala
zipatso zouma.

Makanema okhudzana nawo

Pazomwe zimayambitsa ndi njira zochizira ma acetone okwera mumkodzo ndi shuga mu kanema:

Chifukwa chake, acetone mumkodzo amaloledwa, koma pang'ono. Kuwonjezeka kwa zomwe matupi a ketone amadziwika mu ma pathologies osiyanasiyana. Nthawi zambiri, acidosis imakamba za insulin yomwe imadalira shuga.

Mitundu yofatsa ya acetonuria imachiritsidwa pang'onopang'ono ndi ziphuphu ndi zakudya, ndipo mitundu yoopsa imachizidwa pang'onopang'ono, poyeretsa thupi. Kuchuluka kwambiri kwa matupi a ketone kumawopseza wodwala chikomokere.

Acetonuria mu shuga mellitus: zimayambitsa

Acentone mumkodzo umachitika chifukwa malo ogulitsira a glycogen amakhala osakwanira kuti asunge mphamvu yofunikira, ndipo pachifukwa ichi thupi limayamba kuphwanya malo ogulitsa mafuta omwe alipo. Acetone ndendende chipangizochi.

Choyamba, muyenera kumvetsetsa kuti acetone mu mkodzo imatha kukhala chizindikiro cha kubadwa kwa matenda kapena chotsatira cha matenda, mwa ife, matenda a shuga.Mu mtundu woyamba wa matenda, kupanga acetone kumachitika pamene wodwala satenga kukonzekera kwa insulin panthawi, ndikupangitsa kuti thupi liyambe kuwononga mafuta. Zomwe zimayambitsa zingakhale mulingo woyipa wa insulin. Pankhaniyi, thupi liyeneranso kuyang'ana magwero ena a glycogen. Mtundu wachiwiri wa matenda ashuga, mumkodzo mulibe acetone.

Zochitika zosiyanasiyana zimatha kupangitsanso kutulutsa kwa matupi a ketone, omwe amaphatikizapo acetone. Izi zikuphatikiza:

Kusanza kwanthawi yayitali
Kutsegula m'mimba
Kuthetsa madzi m'thupi
Kuwononga thupi ndi mankhwala, zitsulo zolemera, utsi wapoizoni,
Njala, komanso zakudya zamafuta zopanda michere,
Kutentha kwambiri
Maganizo osakhazikika: kupsinjika, kukhumudwa,
Kudya zakudya zamafuta ambiri, nyama zotsekemera,
Kulephera kwam'mimba, komwe kukuwonetsa kulephera kugaya lipids kwathunthu,
Pathology ya genitourinary system,
Zotsatira za opaleshoni.

Kuchepa kwa thupi kumatha kuyambitsa acetonuria

Zomwe zimayambitsa acetoneuria zimatha kukhala zochulukirapo m'thupi komanso kugwiritsa ntchito zizolowezi zoipa.

Zizindikiro zamankhwala

Zizindikiro zowonetsa kukhalapo kwa acetone mu mkodzo ndizogwirizana ndi mawonetsedwe am'chipatala omwe adawakwiyitsa. Pankhani ya matenda a shuga, wodwalayo amayamba kuona zinthu monga matenda:

Kumva ludzu
Kuchulukana kwa khungu ndi mucous nembanemba,
Kukodza pafupipafupi.

Pambuyo pa masiku 3-4, Zizindikiro zimayamba kutchulidwa. Atha kujowina:

Mutu, womwe umakonda kwambiri,
Kutopa ndi kutopa,
Khungu loyera kapena, mosiyana, mawonekedwe a burgundy mawanga,
Kuchepetsa chidwi cha chakudya, chifukwa cha izi, kuchepa thupi.
Zosangalatsa pamtima
Kukhazikika kwa malingaliro am'maganizo, kusintha kwa zochitika,
Kusokonezeka kwa kukumbukira ndi chisamaliro,
Mankhwala otentha kwambiri,
Kutaya chikumbumtima.

Kutopa ndi kutopa ndi chizindikiro cha acetonuria

Chizindikiro chimodzi chochititsa chidwi kwambiri cha acetoneuria ndimawonekedwe a fungo linalake la acetone kuchokera mkamwa mwa wodwalayo. Monga lamulo, zizindikiro zimamveka kwambiri usiku.

Ndizofunikanso kudziwa kuti mkhalidwe wamtunduwu umapezeka nthawi zambiri mwa amayi omwe ali ndi matenda osokoneza bongo panthawi yomwe ali ndi pakati.

Kukula kwa acetonuria

Zizindikiro za acetonuria mwachindunji zimatengera kuopsa kwa matenda. Pazonse, ndichizolowezi kusiyanitsa magawo anayi akuluakulu: ofatsa, odziletsa, okhwima komanso odekha. Matendawa akamakula, kuchuluka kwa zizindikiro kumakulirakulira, ndipo kuchuluka kwa mkodzo kumathandizidwa, m'malo mwake, kumakhala kochepa.

Posakhalitsa kupezeka kwa acetone mu mkodzo kumapezeka, ndiye kuti ndikotheka kumuchotsa popanda zovuta zovuta kwa thupi.

Ndi mawonekedwe ofatsa, wodwalayo sangamve chilichonse mwanjira iliyonse ndikuwonetsa kuphwanya kwa thupi mosasokoneza panthawi ya urinalysis. Odwala ena amatha kuwona kusintha monga kutopa, kusweka kwapafupipafupi, ndi ludzu. Komanso, panthawiyi, kukodza pafupipafupi komanso fungo lokhazikika la mkamwa kutulutsa.

Mulingo wapakati wamatenda a pathological amadziwika ndi kuthamanga kwa magazi, ndipo, chifukwa chake, khungu limatsika. Kuphatikiza apo, wodwala akhoza kufotokozedwa:

Zosokoneza pakugwira ntchito kwamanjenje yapakati,
Ululu pamimba
Kusanza, kusanza,
Zovuta za Stool: kutsekula m'mimba, kudzimbidwa,
Imachepa pafupipafupi pokodza.

Kuyankhula za kuchuluka kwa acetonuria kungathenso kuchepetsedwa ndi kusintha kwa minofu ya wodwalayo komanso kuchepetsedwa kapena kusapezeka kwathunthu kwa ophunzira kukhala kuwala kowala.

Kuchuluka kwa acetonuria ndi vuto lalikulu kwambiri la thupi, lomwe limafunikira kuchipatala msanga. Pakadali pano, wodwalayo amatha kumva ngati:

Kulephera kopindulitsa
Nthawi yolumikizira
Fungo lonena za acetone kuchokera mkamwa,
Kuchepetsa magalimoto ndi zowonera,
Kukodza kocheperako kwambiri, komwe nthawi zina kumakhala kulibe.

Kulephera koyankha kungakhale chizindikiro cha kuchuluka kwa acetonuria

Kafukufuku wopezeka panthawiyi akhoza kuwonetsa kukula kwa chiwindi ndi milingo yayikulu ya acetone ndi glucose m'magazi.

Mkhalidwe

Wodwala yemwe ali ndi acetone yambiri m'magazi amatha kugwa. Poyerekeza ndi izi, chilengedwe chamchere mu thupi la wodwalayo chimachepera kwambiri mpaka 50%. Chifukwa chake, acidity imachuluka kwambiri.

Pali zizindikiro zingapo zomwe zingakhale zolaula za chikomokere. Izi zikuphatikiza:

Kuthetsa madzi kwambiri,
Kutayika kwa zotchingira maso,
Lilime louma
Kuchepa kwa chosangalatsa,
Kufika pamtima
Kuthamanga kwa magazi
Kusanza pafupipafupi komanso kwadzaoneni
Ululu m'mimba ndi kapamba,
Modutsa mkodzo potulutsa.

Kupsinjika mwamphamvu kwamaganizidwe, kugwira ntchito molimbika kapena matenda opatsirana kumatha kupsinjitsa munthu.

Njira Zodziwitsira

Musanadzifunse momwe mungakhalire ndi matenda ashuga acetonuria, muyenera kukayezetsa ndikutsimikizira kupezeka kwa matenda. Njira zonse zodziwirira matenda pamenepa zimachepetsedwa ndikuwunika kwa mkodzo. Itha kukhala:

Kusanthula kambiri
Kusanthula kwa Nechiporenko,
Kusanthula kwama voliyumu tsiku ndi tsiku.

Urinalysis

Zachipatala kapena, mwa kuyankhula kwina, mkodzo umaphatikizanso kuwunika kwamkodzo ndi paranoleptic, biochemical, microbiological ndi physico-chemicals parameter.

Kuti zotsatira zake zikhale, molondola monga momwe zingathekere, wodwalayo ayenera kutenga gawo limodzi la mkodzo m'mawa pafupifupi 120-150 ml mu pulasitiki wosabala kapena galasi, lomwe liyenera kutsekedwa mosamala ndi chivindikiro. Pofuna kupewetsa kulowetsedwa kwa bakiteriya wakunja kulowa mkodzo, wodwalayo ayenera kukhala ndi ziwalo zamtundu. Sitikulimbikitsidwa kuti tisunge zinthu kwanthawi yayitali, ndibwino kuti muzipereke kwa zasayansi mkati mwa maola 1-2.

Urinalysis

Kusanthula kwa tsiku ndi tsiku kumadziwikanso kuti kuwunika katatu. Pankhaniyi, wodwalayo ayenera kupereka labotale zinthu zokhala ndi magawo atatu a mkodzo, nthawi yomwe ili pakati pakumwazidwa kumene kuli pafupifupi maola 3-4.

Ngati acetone mu mkodzo malinga ndi zotsatira za kuyesedwa kwa labotale sikupezeka, ndiye kuti pali mzere muzolemba. Pakapezeka, kuphatikiza kumayikidwa. Chiwerengero cha pluses chimatha kusintha kuchokera 1 mpaka 4. Chiwerengerochi chikuwonetsa kuchuluka kwa kuchuluka kwa acetone.

Zingwe zoyeserera

Mutha kudziwa kukhalapo kwa acetonuria kunyumba pogwiritsa ntchito mayeso ofotokozera. Zingwe zapadera zomwe zimakhala ndi zabwino zingapo: mtengo wotsika mtengo, kugwiritsa ntchito mosavuta, zotsatira zake mwachangu. Njira yogwiritsira ntchito ndi yosavuta:

Chitani zoyera zonse kumaliseche,
Sungani mkodzo woyambira m'mawa mumtsuko woyera,
Kwezani chingwe chomenyera mu mkodzo kukhala chizindikiro chomwe chasonyezedwacho kwa masekondi 3-5,
Zotsalira za mkodzo kuchokera kumunsi zimatha kuchotsedwa pang'ono pang'onopang'ono ndi thaulo loyera.

Acetonuria imatha kupezeka pogwiritsa ntchito mayeso othamanga.

Pambuyo pa mphindi 1-2, mutha kuwunika zotsatira. Ngati zonse zidachitidwa moyenera, chizindikiritso chitha kuwunikira Mzere, womwe ungawone kuchuluka kwa acetone mu mkodzo.

Zinthu za acetonuria mankhwala

Kuchotsa acetone mu mkodzo ndi matenda a shuga ndikotheka kokha mothandizidwa ndi njira zothandizira antidiabetesic. Njira yayikulu yomenyera nkhondo ikuyenera kukhala kumwa insulini. Ngati wodwala watenga kale mankhwala a insulin, koma nthawi yomweyo acetonuria imapangika, ndikofunikira kuwunika kuchuluka kwake, mwina sikokwanira. Insulin ikalowa m'thupi, imakwaniritsa maselo amthupi ndi kuchuluka kwa glucose. Pankhaniyi, kufunikira kwa kuwonongeka kwa mafuta kumatha, zomwe zikutanthauza kuti acetone imalekeranso kupanga. Mlingo wa insulin amawerengedwa aliyense payekha kwa wodwala aliyense potengera zotsatira za kusanthula. Nthawi zambiri, mankhwalawa amatengedwa 1 nthawi patsiku, koma pamavuto akulu kwambiri amatha kuwonjezereka mpaka 2. Mutha kuyang'anira zotsatira za mankhwalawa podutsa mkodzo pafupipafupi kuti muunikidwe. Mulingo wa acetone utatsika pamlingo wovomerezeka, insulin ikhoza kuchotsedwa kapena mlingo wake ungachepetsedwe monga momwe amavomerezera ndi adokotala.

Kuti mankhwalawa akhale othandiza, wodwalayo ayenera kutsatira njira zotsatirazi:

Imwani madzi akumwa okwanira, pafupifupi malita 2-2,5 tsiku lililonse,
Tsatirani zakudya
Yang'anirani mulingo woyenera wa thupi,
Pewani kukula kwa matenda opatsirana, opatsirana,
Sungani chitetezo chathupi mothandizidwa ndi mavitamini, kulimbitsa thupi.

Kuchokera njira za wowerengeka zitha kuperekedwa kwa decoctions motengera chamomile, zoumba, zipatso zouma, komanso kugwiritsa ntchito madzi amchere. Ngati wodwala sangamwe madzi okwanira chifukwa chosanza kwambiri, atha kupatsidwa chithandizo chogwiritsa ntchito madontho.

Zovuta zotheka

Kachulukidwe kakang'ono kamkodzo mumkodzo sikubweretsa ngozi yayikulu, koma ngati mulingo wake ukuyamba kuwonjezeka, njira zoyenera ziyenera kuchitidwa. Popanda mankhwala oyenera a acetonuria omwe ali ndi matenda ashuga, amatha kuyambitsa mavuto monga:

Hypotension
Matenda a mtima
Kukula kwa chiwindi
Kuchepa kwa impso komanso kutupa kwambiri,
Kuphwanya kwamanjenje.

Zotsatira zoyipa kwambiri ndi chikomokere, chomwe, popanda chithandizo chamankhwala, chitha kupangitsa kuti wodwalayo afe.

Kupewa

Kuti chithandizo chamankhwala chisakhale chopanda pake komanso kuchuluka kwa acetone kuti asadzukenso, wodwalayo ayenera kutsatira njira zopewera. Choyamba, muyenera kumvetsera kwa dokotala ndikutsatira malangizo ake onse. Amatha kutenga mankhwala, komanso kuchita zina zake.

Kuphatikiza apo, shuga ndikulimbikitsidwa:

Kukhala ndi moyo wathanzi, kusiya zizolowezi zoipa,
Khalani ndi nthawi yakunja
Chitani zolimbitsa thupi zosavuta.

Chisamaliro chapadera chikuyenera kulipidwa pazakudya. Zakudya za munthu yemwe ali ndi matenda ashuga ziyenera kuphatikizapo zakudya zopatsa thanzi komanso kupatula zakudya zolemetsa, zotsekemera, zosuta. Iyeneranso kutsatira mfundo izi:

Chakudya chizikhala ndi nthawi yomveka,
Chiwerengero cha chakudya chizikhala chambiri komanso chabwino kuti chikhale chochepa kwambiri,
Chakudya choyambirira komanso chomaliza, chomwe ndi chakudya cham'mawa komanso chamadzulo chimayenera kukhala ndi zakudya zosapatsa thanzi zopatsa thanzi,
Zoyimira zakudya ziyenera kukhala zakudya zomwe zili ndi michere yambiri komanso zovuta zamagulu,
Kuchuluka kwa insulin yomwe imayendetsedwa iyenera kuwerengedwa potengera kuchuluka kwa chakudya chamafuta.

Amapatula kwathunthu: zakumwa zoledzeretsa, zokometsera, chakudya cham'mimba, trans mafuta, mayonesi. Ndikofunika kuti musamagwiritse ntchito maswiti, makeke, zipatso, zakumwa zozizilitsa khofi, khofi ndi mkaka wokhala ndi mafuta ambiri. Ndizoyenera kudziwa kuti ngakhale zipatso zouma zosawoneka bwino zimatha kukhala ndi shuga wambiri, zomwe zimapangitsa kuti nawonso akhale osayenera kudya.

Wodwalayo amayeneranso kukhala ndi mayeso a mkodzo pafupipafupi. Ngati sizotheka kupita pafupipafupi ku labotale, mutha kugwiritsa ntchito mayeso ofulumira kunyumba. Ndipo chosafunikanso kwambiri ndikupewa wa chitukuko cha matenda opatsirana, osakhazikika. Pazizindikiro zawo zoyambirira, muyenera kufunsa dokotala kuti akuthandizeni kuchipatala.