Urine Acetone wa Matenda A shuga

Mphindi 4 Wolemba Lyubov Dobretsova 856

Nthawi zambiri, odwala matenda ashuga amayenera kuthana ndi matenda otchedwa ketonuria. Kuipa kwazinthu izi kumadziwika ndi maonekedwe opanda pake a matupi a ketone (kapena acetone) mkodzo.

Popanda chithandizo chanthawi yake, kuchuluka kwa zinthu zoopsa zokhala m'magazi kumatha kufika pamavuto owopsa, zomwe zimapangitsa kuti pakhale zovuta zambiri komanso kufa. Chifukwa chake, kuzindikirika kwa zizindikiro zowopsa kuyenera kukhala nthawi yolumikizana nthawi yomweyo ndi akatswiri.

Kodi ma ketoni amapangidwa bwanji m'thupi?

Acetone mu mkodzo ndi matenda a shuga amapangidwa molingana ndi zochita zingapo zachilengedwe momwe zinthu zazikulu 2 zimakhudzira - glucose ndi insulin. Yoyamba ndi gwero lofunikira kwambiri lamphamvu mwanjira ya monosaccharide (chakudya chosavuta). Ndipo insulin (pancreatic hormone) imalamulira glucose.

Pamene, chifukwa cha kusayenda bwino kulikonse mu dongosolo la endocrine, kuchuluka kwa insulini kumachepera kwambiri, msinkhu wa shuga umayamba kukula, kudutsa mulingo wamba. Gawo lalikulu lama carbohydrate osavuta sangatengeke ndi thupi, chifukwa chake, zimakhala ndi ma cell amapanga njala.

Ubongo umatenga ma alamu azigawo kuchokera kumagawo osiyanasiyana amthupi omwe amafunikira michere. Kuyesera kukhazikika pamlingo womwe wasokonezedwa, kumakupatsani mwayi kuti musinthe njira yatsopano yobwezeretsera mphamvu, yopuma. Gawo lotsatira ndikuphwanya kwa lipids (maselo amafuta) m'malo mwa glucose. Komabe, limodzi ndi ochepa a monosaccharides, omwe amapangidwa, omwe amapezeka ndi poizoni, amamasulidwa.

Zoyambitsa za Acetone Synthesis

Pangakhale zinthu zingapo zomwe zimayambitsa kusowa kwa insulin ndipo, monga chotulukapo chake, njira yotulutsira acetone. Zodziwika kwambiri ndi izi:

• kupsinjika kwanthawi yayitali
• kuperewera kwa chakudya
• eclampsia (mtundu woopsa wa poizoni pakamwa),
• kuphwanya dongosolo la jakisoni wa insulin m'magazi,
• zolimbitsa thupi kwambiri,
• kulowa kwa dzuwa
• chiwindi kapena vuto la impso,
• kugwiritsa ntchito mankhwala osokoneza bongo
• zotupa
• kusowa kwamadzi
• kuvulala kwamanjenje (chapakati chamanjenje),
• kumwa pafupipafupi zakumwa zoledzeretsa,
• kuperewera kwa chakudya m'thupi,
• kutsegula m'mimba
• kudya protein yambiri ndi mafuta,
• opaleshoni odziwa ntchito
• kumwa mankhwala omwe amachulukitsa chidziwitso cha glycemic,
• matenda opatsirana
• poyizoni wazitsulo,
• kuchepa magazi

Ndikofunikira kudziwa kuti nthawi zambiri acetone imapangidwa mu mkodzo ndi matenda a shuga, ngati insulin nthawi zonse imakhala yolakwika.

Kodi zizindikiro za ketonuria ndi ziti?

Matendawa amatha kuzindikiridwa ndi maonekedwe a thupi, monga:

• kutentha kuwonjezeka
• kufooka wamba
• kukodza pafupipafupi
• kukomoka kwakanthawi
• ludzu losatha
• chisokonezo,
• kupuma pang'ono (ngakhale pakalibe zochulukirapo),
• chizungulire
• arrhasmia,
• kupukusa mutu
• kuledzera
• kugona
• Fungo la acetone lochokera m'thupi,
• neurosis
• khungu lowuma
• kupweteka m'mimba
• kamwa yowuma.

Zizindikiro

Nthawi zambiri, ngati ketonuria ikukayikiridwa, dokotala yemwe amakupatsayo amapereka urinalysis yapadera yomwe imawulula zenizeni za zinthu za ketone. Komabe, mutha kuchititsa phunzirolo nokha, chifukwa pali njira ziwiri zazikulu.

• Kugwiritsa ntchito ma strips oyesa (Uriket, Acetontest, etc.). Mutha kuzigula pa mankhwala aliwonse. Pambuyo pophunzira mosamala malangizowo, pamafunika kuberekanso zochita zingapo motsatira malamulo, kenako yerekezerani ndi mtundu womwe umawoneka pachiwonetsero ndi zomwe zikuwonetsa pamiyeso. Ngati chizindikirochi ndichoposa 3.5 mmol / L (kuchuluka koopsa), muyenera kutengera thandizo la madokotala posachedwa.
• Kuphatikizidwa kwa ammonia. Pafupifupi 10-15 ml ya ammonium hydroxide iyenera kuyambitsidwa mu chidebe choyera ndi mkodzo. Kukhalapo kwa matupi a ketone kudzawonetsedwa ndi kusintha kwa madzi mumtundu wofiyira (wofiyira).

M'malo mwake, matupi a ketone okhala ndi magwiridwe antchito a onse akulu ndi a mwana sayenera kuwonetsedwa pokodza. Chifukwa chake, ngakhale pang'ono acetone ndi chizindikiro choti achitepo kanthu.

Kodi ndizotheka kuthana ndi vutoli nokha

Monga tanena kale, ketonuria imatha kuyambitsidwa ndi zinthu zambiri, chilichonse chomwe chimakhala ndi zake. Kunyumba, munthu amatha kuwona matupi a ketone mu mkodzo, koma alibe nzeru yodziwikiratu. Kuyesera kudzilimbitsa nokha, kuphatikiza pa acetone pathology, thupi limakhudzidwa ndi matenda a shuga, ndizowopsa.

Ndi bwino kuonana ndi dokotala. Choyamba, adzapereka mayendedwe ku KLA (kuyesa kwa magazi kambiri), kuwonetsa mkodzo ndi zamankhwala osokoneza bongo. Kenako, mutatha kuphunzira zotsatira za kafukufuku, zizindikiritsa njira yoyenera yoyenera yomwe imathandizira kuti acetone achotse thupi.

Njira ya acetone

Kapangidwe ka kapangidwe ka acetone mu mkodzo ndi motere: thupi limalandira mphamvu kuchokera pakuphatikizana ndi shuga, ndiye kuti, shuga. Zosungidwa zake monga glycogen zimapezeka m'chiwindi ndi minofu. Wachikulire wazaka zapakati amakhala ndi pafupifupi g g yosungidwa, zomwe ndizokwanira kuti ziwalo zamkati ndi machitidwe azitha kugwira ntchito pa mphamvu izi kwa maola 24.

Ngati glucose salowa m'maselo, ndipo masitolo a glycogen atha kale, ndiye kuti thupi liyenera kufunafuna mphamvu zowonjezera. Kenako amayamba kugwiritsa ntchito mafuta omwe amasungidwa, omwe amatsogolera pakupanga acetone, zotulutsa zake limodzi ndi mkodzo.

Ketonuria ndi kukhalapo kwa acetone mu mkodzo. Izi zimawonetsa kulephera mu chakudya cha carbohydrate. Mwina chitukuko cha ketonuria mu matenda a shuga ndi mtundu woyamba (wodalira insulin). Ndi matenda amenewa, mphamvu yotentha shuga imatha. Izi zimafunika insulin. Mu matenda ashuga amtundu woyamba, izi sizingatheke, chifukwa insulin siyipangidwa, munthu amayenera kuwonjezera cholowa m'malo. Kutenga insulin panthawi yolakwika kumatha kupangitsa kuti mafuta asokonekera, mawonekedwe a acetone mkodzo.

Mu shuga mellitus, mtundu wachiwiri wa insulin umapangidwa wokwanira, nthawi zina kuposa momwe zimakhalira. Zomwe zimayambitsa matenda ndizosiyanasiyana. Ichi ndichifukwa chake ketonuria simupanga ndi mtundu uwu wa matenda ashuga.

Zomwe zimayambitsa ndi chizindikiro cha matenda

Ndi matenda a shuga, pali zifukwa zingapo zowonekera za acetone:

• insulin kulephera
• kusowa kwa chakudya chamafuta,
• kusala kudya kwanthawi zonse,
• matenda a endocrine
• kupsinjika, kuda nkhawa kwanthawi yayitali,
• kuchepetsa kuchuluka kwa chakudya patsiku,
• zolimbitsa thupi
• kuvulala
• kuvutitsidwa kwa zakudya zamafuta ndi mapuloteni.

Acetone imadziunjikira pang'onopang'ono mumkodzo. Choyamba, mumanunkhiza kuchokera mkamwa, kuchokera pakhungu, kenako kuchokera mkodzo. Mulingo wa acid-base umasokonezeka, kotero odwala matenda ashuga nthawi zonse amakhala ndi ludzu. Kuuma kumamveka pafupipafupi pakamwa, ngati kuti lilime limamamatira pakamwa pouma.

Kupuma kumakhala pafupipafupi, wodwala amatha kupuma 20 / mphindi imodzi pamphindi. Kutengera kuchuluka kwa acetone, kuchuluka kwa shuga m'magazi kumawonjezeka. Pali chiopsezo chakusowa kwamadzi, komwe kumakhala koopsa - kukomoka kwa matenda ashuga. Kuchokera pakusowa kwamadzi, khungu la nkhope limavutika kwambiri - limakhala louma, limakwinya.

Zizindikiro zina zilipo - kufooka, kutopa, ulesi. Matendawa amaphatikizidwa ndi kusemphana mseru ndi kusanza (nthawi zambiri amasokonezedwa ndi poyizoni kapena matumbo), kukodza kumakhala pafupipafupi (ngakhale usiku).

Muyenera kuyang'anira kwambiri thanzi lanu. Ngati ndi matenda a shuga a shuga munthu amalandila insulini, koma fungo la acetone mkodzo limapezekabe, ndiye kuti ziyenera kukhazikitsidwa mwachangu. Itha kukhala:

• Mulingo wosankhidwa bwino wa insulin,
• ndikuphwanya malamulo a mankhwala,
• insulin idatha, yotsika mtengo.

Tsiku lililonse, thanzi la munthu wodwala limakulirakulira. Zizindikiro zamatenda azinthu zimawonekera kwambiri.

Zizindikiro

Musanachotse acetone, ndikofunikira kutsimikizira kupezeka kwake, kudziwa kuchuluka kwake. Mu labotale, dokotala amafotokozera kuyesa kwa magazi ndi zamankhwala ambiri, kuyesa kwapadera kwa mkodzo (okwana, kuchuluka kwa tsiku ndi tsiku, kusanthula kwa Nechiporenko, mayeso atatu agalasi)

Miyezo ya acetone ndiyosavuta kuyang'ana kunyumba. Mumafakitala mumapezeka mankhwala oti mudziwe nokha - Ketostiks, Acetontest, Ketur-Test. Ndi umboni wa acetone mu mkodzo woposa 3.5 mmol / L, kugonekedwa kwa chipatala mwachangu kumafunika.

Njira zochizira

Chithandizo cha mankhwalawa ndikuchotsa zomwe zidapangitsa kuti azioneka mkodzo. Katswiri - katswiri wazakudya athandizira kusintha zakudya. A endocrinologist angakuthandizeni kusankha mlingo wa insulin, perekani malangizo.

Ndikofunikira kuchotsa acetone mu mkodzo molondola kuti izi zisakhudze thanzi. Ndikofunika kumwa zamadzi zambiri. M`pofunika kumwa akadali mchere madzi. Lamulo loterolo likakhala lovuta kukwaniritsa chifukwa chosanza nthawi zonse, muyenera kuyamwa kumwa pang'ono, koma nthawi zambiri mukapumira.

Zakudya zoyenera zimathandiza kuthana ndi acetone. Pa tsiku loyamba muyenera kuchepetsa zakudya. Njira yogaya chakudya imakhala yosavuta kuthana ndi kuledzera. Chotsatira, muyenera kumamatira ku chakudya. Zakudya zokhazikika zomwe zimakhala ndi magawo ang'onoang'ono zimathandizira kugaya chakudya. Kusapezeka kwamafuta a nyama kumatha kukhala ndi zotsatira zabwino pakupanga chimbudzi.

Mutha kugwiritsa ntchito yankho la soda. Sungunulani 5 magalamu a koloko mu kapu yamadzi, imwani osakaniza awa patsiku. Pazizindikiro zoyambirira za acetone, muyenera kumwa kapu ya tiyi wotsekemera. Onetsetsani kuti mukupuma pabedi, popumula ndizosavuta kuthana ndi zovuta.

Ngati, kutsatira malangizowo, sizingatheke kukonza vutoli, kuchepetsa acetone wambiri mumkodzo mkati mwa masiku awiri, muyenera kufunsa dokotala. Muthanso kuyimbira foni dokotala nthawi yomweyo ngati wodwalayo ali ndi kusanza komwe sikumulola kumwa madzi. Nthawi zina, acetone imatha kuchotsedwa mu mkodzo pokhapokha mothandizidwa ndi otsikira ndi mchere.

Ndikotheka kuchitira mawonekedwe a acetone ndi njira zina mothandizidwa ndi dokotala. Kugwiritsa ntchito sauerkraut tsiku lililonse kwa miyezi iwiri kumatha kuchotsa ma acetone mu mkodzo. Ochiritsa amtundu wa Garlic amapereka pogaya pansi pa utolankhani, kuphika momwe amamwa tiyi ndikugwiritsa ntchito zakumwa zotere nthawi zonse. Tiyi yokhala ndi maluwa a linden ndiyothandiza kwa odwala onse omwe ali ndi matenda ashuga, chifukwa amathandizira kuti shuga azikhazikika m'magazi.

Chithandizo chachikulu cha matenda a shuga 1 ndikuyambitsa insulini nthawi zonse. Ndi kulandila kwanthaere kwa mahomoni, acetone imachotsedwa m'thupi. Nthawi zina, pochotsa ma acetone kwathunthu komanso mwachangu, ma enterosorbents amalembedwa - Smecta, Polysorb, Polyphepan.

Mavuto oyipa

Acetone imakhala ndi poizoni m'thupi. Zotsatira zowopsa za matenda a shuga ndi ketonemia - mawonekedwe a acetone m'magazi. Zizindikiro zake ndi chizungulire, kupweteka pamimba, nseru, chisokonezo, komanso kukomoka. Wodwala kwambiri, amadwala.

Mkodzo umakhala wopanda fungo labwino, losasangalatsa. Koma ngati ikhala pang'ono, imapeza mtundu wa ammonia hue, womwe umapangidwa chifukwa cha kupsa kwamchere. Pamaso pa acetone mu mkodzo padzakhala fungo losatha la maapulo wowawasa.

Zotsatira za ketonuria wa nthawi yayitali ndi imfa chifukwa chomangidwa ndi mtima, kupuma, kapena matenda a mtima. Ichi ndichifukwa chake pazizindikiro zoyambirira za matenda awa muyenera kulumikizana ndi dokotala. Ndi matenda a shuga, muyenera kuyang'anitsitsa thanzi lanu.