Matupi a urine a ketone

Mphindi 8 Wolemba Lyubov Dobretsova 1218

Matupi a Ketone kapena acetone ndi zinthu zachilengedwe zowola, zomwe zimapangidwa chifukwa chakuchita kwa ziwalo zamkati ndi machitidwe. Zinthuzi zimapangidwa nthawi zonse m'magazi am'magazi, ndipo kuphatikiza kwawo ndizochepa kwambiri kotero kuti sikuvulaza thupi. Vutoli limasiyana mosiyanasiyana ngati matupi a ketone amapezeka mumkodzo, popeza kupezeka kwawo pafupifupi nthawi zonse kumawonetsa kukhalapo kwa matenda a metabolism ndipo nthawi zambiri amawonedwa ndi kusowa kwa glucose.

Kodi matupi a ketone ndi chiyani?

Mphamvu yayikulu yopanga thupi ndi glucose ndi glycogen. Glucose amalowa mthupi ndi chakudya. Ikadutsa m'chiwindi, insulin imasunga zowonjezera zake m'magulu a granules, omwe mu chilankhulo cha akatswiri amatchedwa glycogen. Ndi kuchepa kwa glucose ndi glycogen, kugwira mafuta kumayamba.

Pamene lipids ikasweka m'chiwindi, zopangidwa ndi kuwola, matupi a ketone, zimayamba kupanga mwachangu. Minofu ya mtima, ubongo, ndi ziwalo zina zambiri zimawona gawo ili ngati gawo lachiwiri lamphamvu. Komanso, maselo a chiwindi amapanga zinthu zotsatirazi zomwe zimapezeka m'magazi ndi mkodzo:

• ofooka hydroxybutyric acid (pafupifupi 70%),
• asidi acetoacetic wamphamvu (pafupifupi 26%),
• acetone (pafupifupi 4%).

Mankhwala apadziko lonse lapansi, zinthu zonsezi zimatchedwa ndi term imodzi - acetone. Kulekanitsa magawo awiri nthawi zambiri sikuchitika. Pakufufuza kwamankhwala, ma ketoni amkodzo amadziwika ndi chidule cha KET. Ngati zotsalazo zalembedwapo, zikusonyeza kukhalapo kwa chinthu mu mkodzo.

Thupi la munthu wathanzi tsiku lililonse limachotsa pafupifupi 50 mg. ma ketoni, ndipo njirayi singakhazikike mu kafukufuku wazofufuza. Nthawi zambiri, ma ketones amayenera kupezeka mu seramu yamagazi okha, pomwe kuchuluka kwawo sikuyenera kupitirira 0,2 mmol / l., Mumkodzo sayenera kupezeka.

Zoyambitsa za ketonuria

Madokotala amachenjeza kuti ngati matupi a ketone akapezeka mumkodzo wa mwana kapena wamkulu, izi sizoyambitsa nkhawa. Kuchita koteroko sikuti nthawi zonse kumakhala kukuwonetsa kukhalapo kwa ma pathologies owopsa ndipo kumayambitsidwa ndi zovuta zosakhalitsa.

Nthawi zambiri zimachitika ma keton mu mkodzo mwa achikulire ndipo ana amapezeka motere:

• kusala kudya kwanthawi yayitali komanso kugwiritsa ntchito mankhwala osokoneza bongo mwachangu,
• masewera olimbitsa thupi mopitirira muyeso, masewera olimbitsa thupi (makamaka ngati akuphatikizidwa ndi kudya kwambiri mapuloteni),
• ma virus, matenda opatsirana,
• Matenda limodzi ndi kusanza kwanthawi yayitali,
• kuphwanya mafuta ndi chakudya
• Hypothermia kapena stroke yamatenda,
• kuchepa magazi
• matenda a magazi (ketonuria nthawi zambiri ndi chizindikiro cha leukemia),
• matenda ashuga
• kapangidwe ka zotupa mu ubongo kapena ziwalo za m'mimba zodyera (m'mimba),
• kugwiritsa ntchito mankhwala kwakanthawi
• poyizoni wazitsulo,
• uchidakwa (kudalira mowa kwambiri kumapangitsa kusintha kwa chiwindi).

Komanso omwe ali pachiwopsezo cha kupezeka kwa ma ketoni mumkodzo ndi anthu omwe apanga opaleshoni posachedwapa. Izi ndichifukwa choti kusweka kwa mapuloteni amwazi kumatheka pachilonda, ndipo kuchepa kwa magazi komwe kumachitika motsutsana ndi maziko akumataya magazi nthawi ya opareshoni, kumakulitsa njirayo.

Komanso, kuchuluka ndi kupezeka kwa zigawo za mkodzo nthawi zambiri zimapezeka mwa anthu omwe amamwa mafuta osakwanira tsiku lililonse kapena amadya nyama zambiri. Tiyenera kumvetsetsa kuti ndizosatheka kudziwa chomwe chimayambitsa matenda pachokha, chitha kukhazikitsidwa mothandizidwa ndi kuzindikira kwathunthu.

Chifukwa chiyani ketonuria imachitika mwa ana

Mu ana asukulu zam'mbuyo, ma ketoni mumkodzo nthawi zambiri amawonekera motsutsana ndi kuchuluka kwa ntchito yayitali kapena kupsinjika kwakutali. Zifukwa zotsatirazi zingayambitsenso izi:

• kusakhazikika mtima
• ulendo wautali
• matenda opatsirana, limodzi ndi malungo ndi kusanza kwambiri (makamaka matumbo),
• zakudya zopanda thanzi
• kuchepa chitetezo chokwanira,
• kugwiritsa ntchito mankhwala kwa nthawi yayitali,
• kudya kosakwanira kwamadzi m'thupi.

Ngati kuchuluka kwa ma ketoni mu mkodzo wa mwana ndi kopanda tanthauzo, izi zimawonetsa kusowa kwa matenda ndipo zimathanso kusintha. Koma mulimonsemo, gawo likapezeka, kufufuza kokwanira kumafunika, popeza kukhalapo kwa acetone mu mkodzo kumatha kukhala chizindikiro cha matenda owopsa, mwachitsanzo, matenda a shuga kapena chithokomiro.

Ketonuria pa mimba

Nthawi zambiri, amayi apakati sayenera kukhala ndi ma keton mu mkodzo. Ngati kuwunika kunatsimikizira kukhalapo kwa chinthucho, nthawi zambiri, madokotala amalimbikitsa mayi woyembekezera kuti apite kuchipatala mpaka chomwe chimayambitsa matendawo. Pambuyo pakuwunika kokwanira, dokotala adzakuuzani zomwe kupezeka kwa ma ketones kukuwonetsa komanso momwe ngoziyi iliri kwa mwana ndi mkazi yemwe.

Mwa amayi apakati, ketonuria nthawi zambiri imayamba kutsutsana ndi maziko a kwambiri toxosis, limodzi ndi kusanza. Komanso, vuto lofananalo limatha kukhazikika chifukwa cha gestosis komanso kusintha kwa ma Horomu.

Komanso, munthu sangathe kupatula zotheka kuti matendawo adatulukira komwe adayambitsa kuphwanya lamulo:

• ma virus ndi matenda a bacteria,
• Matenda a shuga (gDM),
• Zakudya zambiri zama protein a nyama,
• kuwonongeka kwa chiwindi
• matenda oncological.

Ndizosatheka kunyalanyaza kukhalapo kwa ketonuria panthawi yapakati, popeza mkhalidwewu umawopseza osati moyo wa mwana, komanso thanzi la amayi. Ketonuria nthawi zambiri imabweretsa kubadwa msanga ndipo imakhala chifukwa chogwa.

Zizindikiro

Kuchuluka kwambiri kwa matupi a ketone m'thupi kumayendera limodzi ndi zizindikiro. Nthawi yomweyo funsani kuchipatala ndikuwonjezera mkodzo kuti muwunike ngati mukukumana ndi zotsatirazi:

• mpweya wabwino
• kutopa,
• pafupipafupi mseru komanso kusanza,
• kukoka kwambiri kwa khungu,
• kuchepa thupi
• kusowa kwa chakudya.

Momwe ma mkozo acetone amadziwika

Njira yodalirika komanso yolondola yodziwira ma ketoni mu mkodzo ndikuwunthawuzira pazopezeka koyenera. Pamaso pa njirayi, dokotala adzakuwuzani momwe mungakonzekerere kuyeza kuchuluka kwa ma ketoni ndi malamulo omwe muyenera kutsatira. Nthawi zambiri, kuwongola kwa kusantaku kumatenga masiku osapitilira atatu, pambuyo pake mawonekedwe omwe amapezeka ndi zotsalazo amaperekedwa kwa wodwala m'manja.

Ngati ndi kotheka, kafukufuku wa mkodzo wa acetone ungachitike kunyumba. Zomwe zimafunikira ndikugula mizere yapadera kuti mudziwe kuchuluka kwa matupi a ketone ndi chidebe chosalimba. Zingwe zoyesa zimagulitsidwa payekhapayekha komanso mumaphukusi a 5, ndipo mutha kuzigula mu pafupifupi mankhwala onse.

Kuyesa kumachitika molingana ndi algorithm otsatirawa:

1. M'mawa, gawo limodzi la mkodzo limayenera kusungidwa mu chidebe chosawilitsidwa. Pamaso pa njirayi, ndikofunikira kuchita ukhondo.
2. Chotsatira, muyenera kutsegula phukusi ndi mizere yoyesera ndikutsitsa chizindikirocho mumkodzo womwe wasungidwa.
3. Pambuyo pa mphindi 3-4, muyenera kuwunika kuchuluka kwa pepalalo.

Kusintha kwa zotsatira kumachitika poganizira kuchuluka kwa mapepala. Ngati Mzere wa mayeso wapeza mtundu wofiirira wakhungu, muyenera kufunsa dokotala yemwe, atazindikira, akupangireni chifukwa chomwe matenda awonekera, ndipo akupatseni mankhwala oyenera.

Kuzindikira kwa gawo lamalingaliro amizere yotere ndikwapamwamba kwambiri. Mtundu wake umasintha, ngakhale momwe ma ketoni mumkodzo sapitilira 0,5 mmol / L. Malowa owoneka bwino kwambiri ndi kuyambira 10 mmol / l mpaka 15. Poyerekeza ndi maphunziro a labotale, chizindikiro ichi ndi chofanana ndi ma pluses atatu.

Kunyumba, mutha kudziwa mulingo wa ma ketoni ngakhale mutapanda kuyesedwa. Kuti muchite izi, sonkhanitsani mkodzo mumtsuko wosabala ndikuwonjezera madontho 2-5 ammonia. Mtundu wa madziwo ukasintha ndipo umatembenuka ofiira, ndiye kuti pali mavuto azaumoyo.

Zizindikiro

Kuyesedwa kwa matupi a ketone ndi njira yomwe imakuthandizani kuti muone kuchuluka kwa kuledzera kwa thupi ndi asetone. Madokotala amachenjeza kuti ketonuria yolimba imatha kuvulaza kwambiri thanzi, chifukwa chake ngati acetone amapezeka mkodzo, ndikofunikira kuti nthawi yomweyo azindikire matenda, omwe athandizire kuzindikira zomwe zidapangitsa kuti mbaliyo ichulukane.

Kutanthauzira komaliza kwa kusanthula kuyenera kuchitika kokha ndi katswiri woyenera. Potere, adotolo amawunika osati zidziwitso zomwe zapezeka pakuwerenga mkodzo, komanso kuganizira zotsatira za kuyesedwa kwa magazi, komwe kungatheke kudziwa zonse zomwe zili m'thupi.

Pambuyo popanga maphunziro owonjezera, adokotala amatha kunena molondola ngati shuga ndi yomwe imayambitsa kupezeka kwa ma ketones mumkodzo, kapena ngati vutoli limayambitsidwa ndi matenda ena. Ngati kuwunika kukuwonetsa kuti gawo la chigawocho limaposa 0,5 mmol / L, Izi zikuwonetsa dziko lamalire ndipo limagwira monga chifukwa chowunikiranso wodwalayo.

Njira zochizira

Cholinga chachikulu cha chithandizo cha mankhwala ndi ketonuria ndikuti muchotse zotsatira za acetone mthupi posachedwa. Nthawi zambiri, amuna ndi akazi omwe ali ndi vuto lotere amapatsidwa mankhwala, omwe ndi gawo limodzi lofunikira kwambiri lomwe ndi kulowetsedwa ndi saline. Ngati ma ketones omwe ali mumkodzo sakhala otsutsa, chithandizo chitha kuchitika kunyumba.

Choyambirira chomwe chikufunika kuchitidwa kuti muchepetse zomwe zili m'matumbo a ketone ndikuyenda ndi ma sorbets ndikupangitsa madzi kukhala opanda malire. Komanso, wodwalayo amafunika kuwunika zakudya zake ndikutsatira zakudya zapadera zomwe zithandizenso kuchotsa acetone m'thupi ndikupewa kuwonjezereka.

Zakudya zimaphatikizapo kutsatira malamulo awa:

• wodwalayo ayenera kuchepetsa kudya nyama yamafuta, mafuta amkaka okhala ndi mafuta ambiri, mafuta osuta komanso chakudya mwachangu,
• ndizoletsedwa kudya maswiti (chokoleti, maswiti, kupanikizana, marshmallow),
• ndizoletsedwa kumwa zakumwa zoledzeretsa,
• Ndikulimbikitsidwa kuti muchotse zipatso, zipatso ndi bowa kuchokera muzakudya.

Pazakudya za tsiku ndi tsiku munthu ayenera kupezeka zakudya zokhala ndi fiber, mitundu yonse ya mbewu monga chimanga ndi masamba. Komanso, ndi ketonuria, ma compote ndi zakumwa za zipatso kuchokera ku zipatso zatsopano ndi zipatso zouma ndizothandiza kwambiri.

Pomaliza

Kuchita kuwunika pamlingo wa matupi a ketone ndizofunikira kwambiri pakufufuza komwe kumathandiza kuzindikira kuphwanya kachitidwe ka ziwalo zamkati ndi machitidwe. Pogwiritsa ntchito chipangizochi mopitirira muyeso, wodwalayo amapatsidwa mankhwala azakudya ndi mankhwala. Njirazi zimathandizira kuchotsa acetone kuchokera mthupi komanso kupewa kutulutsa zovuta zowopsa.

Chizindikiro cha matupi a ketone mumkodzo mwa akazi, amuna, ana

Matupi a Ketone mu mkodzo - izi zikutanthauza kuti thupi limasowa mphamvu chifukwa chosowa glucose. Kukhalapo kwa matupi mthupi la ana ndi amayi apakati kungakhale kupatuka kwakanthawi, komwe kumachotsedwa ndikusintha zakudya, osamwa mankhwala.

Nthawi zambiri, chizindikiro cha matupi a ketone sayenera kupitirira 0.5 mmol / L. Ndi ndalama iyi, iwo sangayang'anitsidwe mwa njira yochitira ma urinalysis. Ndi kuwonjezeka, katswiri amayamba kale kuyesa wodwalayo molingana ndi kuuma.

Kwa akulu, amayi oyembekezera ndi ana, zikhalidwe ndizofanana. Mutha kudziwa kukhalapo kwa matupi mumkodzo mukamayesa mayeso ku laboratori komanso kunyumba (izi zidzafotokozedwera pansipa). Pakachitika zolakwika, kukambirana ndi dokotala / dokotala ndikofunikira. M'momwe zidziwitso zam'mbuyomu zimadziwika, ndipamenenso mwayi wowachira kwathunthu.

Ketonuria: zoyambitsa

Ketonuria imadziwika ndi zambiri za matupi a ketone. Ndi chithandizo chamwadzidzidzi, matendawa amatha kupha wodwala. Wothandizira / dokotala amatha kupereka chithandizo pokhapokha atazindikira chomwe chikuwonjezera matupi a ketone.

Mfundo zazikulu:

1. Kukhalapo kwa matenda ashuga. Mutha kuzindikira matendawa popereka magazi kwa shuga. Kuwerenga kwa shuga pamwambapa 5.5 mmol / L kumatanthauza kupezeka kwa matenda. Mu matenda a shuga, insulin siyipangidwa kapena kunyalanyazidwa. Zimathandizira kuyamwa kwa shuga. Mphamvu zofunika zimapangidwa kuchokera ku mafuta ndi mapuloteni, chifukwa cha matupi a ketone awa amasulidwa.
2. Kugwiritsa ntchito kwambiri mafuta komanso mapuloteni zakudya komanso kunyalanyaza chakudya. Izi zimasokoneza ntchito yopanga mphamvu, kuwonongeka kwa mapuloteni ndi mafuta kumachitika ndikutulutsa matupi a ketone,
3. Kutsatira zakudya kwakatalikirana kumapangitsa kuti thupi liziwoneka bwino.
4. Zotsatira zoyipa zosagwirizana ndi mankhwala.
5. Kuperewera kwa madzi amadzimadzi patsiku.
6. Toxicosis pa nthawi yoyembekezera, thupi silitenga chakudya chonse. Kulephera kwa kagayidwe kachakudya kumakwiya.
7. Kupanda kupanga kwa michere yokwanira kumakwiyitsa mafuta osakwanira a chakudya.
8. Matenda opatsirana a ziwalo zam'mimba. Makamaka amakhudzidwa ndikuphwanya chiwindi.
9. Matenda a chithokomiro.
10. Kuchuluka kwa thupi ndi tiziromboti.
11. Ma tumor ndi zotupa njira mu chakudya chamagaya.
12. Kugwiritsa ntchito mankhwala okhala ndi zakumwa zochepa kapena poyizoni wa chakudya.
13. Poizoni wamankhwala.
14. Kuthetsa thupi mwamphamvu komanso kwamanjenje, panthawi iyi kumwa shuga kumachulukitsidwa kwambiri.
15. Ndi hypothermia ndi kulimbitsa thupi kwambiri, mphamvu zambiri zimagwiritsidwa ntchito, shuga sangakhale wokwanira kuibwezeretsa. Kenako thupi limatulutsa kuchokera kumafuta ndi mapuloteni.

Kwa ana ochepera zaka 11 mpaka 13, pali zifukwa zowonjezera za ketonuria.

Izi ndichifukwa choti thupi likupangika:

• thupi lilibe mafuta okwanira a glucose, chifukwa chake kuchepa kwake kumawonetsedwa ndikupatuka pakuwunika,
• Ana amakhala ndi moyo wovuta kwambiri ndipo amakhala ndi mphamvu zambiri, ngati mulibe shuga wokwanira, thupi limakakamizidwa kuti lizichotse m'malo osungirako mafuta ndi mapuloteni,
• kapamba amapangidwa zaka 12, kotero nthawi zina amatha kulephera pantchito yake. Kuperewera kwa insulin kumakhudza kuyamwa kwa glucose ndi thupi.

Ndikofunika kuti makolo awonetsetse kuti chakudya cha mwana chikwanira ndikuwonjezeranso mphamvu zofunika. Kuperewera kwa zakudya m'thupi mwa mwana kumapangitsa kuti thupi lizioneka mkodzo. Amachotsedwa posintha zakudya.

Ketonuria: Zizindikiro

Matupi a Ketone mumkodzo (izi sizitanthauza kuti ndi matenda oopsa) nthawi zina amapezeka chifukwa cha vuto losayenera, makamaka paubwana komanso nthawi yomwe ali ndi pakati. Zizindikiro zimatha kudziwa kukhalapo kwa zopatuka mthupi.

Zizindikiro za ketonuria:

1. Wodwalayo amayamba kukana chakudya ndi madzi.Mukatha kudya, mumakhala ndi mseru komanso kusanza kwambiri,
2. Ululu wam'mimba umawoneka mwadzidzidzi komanso modzidzimutsa
3. Kuchuluka kwa kutentha kwa thupi kufika pa 38.8-39,5,
4. Kuledzera kwakukulu kwa thupi ndi madzi am'madzi. Izi zimaphatikizidwa ndi pallor ndi khungu louma, kuphatikizapo lilime. Vuto lofiira limawonekera pamasaya.
5. Kugwira ntchito kwamanjenje kumasokonekera, izi zimadziwika ndi kusiyanasiyana kwamakhalidwe, kusinthika kungasinthidwe mwachangu ndi kufuna kugona. Wodwalayo amakhala nthawi yayitali mu loto. Mwina kuwoneka ngati kugwidwa miyendo.
6. Wodwalayo amanunkhiza acetone. Fungo limatha kupuma, kuchokera mkodzo komanso pakhungu. Mitembo ya Ketone imatuluka ndi thukuta.
7. Chiwindi chifukwa cha kuchuluka kwambiri chimakwera.
8. Kuthamanga kwa mtima kumachitika mwachangu
9. Kupirira mutu
10. Kulephera pakupuma
11. Kutsika kwa zochitika muubongo kumakhudza kuchepa kwa chidwi ndi kukumbukira,
12. Zambiri za shuga
13. Kukhazikika kwa matendawa kumadziwika ndi kukoka pafupipafupi, komwe pang'onopang'ono kumayamba kuchepa.

Wodwalayo akachulukitsa kununkhira kwa acetone ndipo vutoli likukula kwambiri, kufunikira kuchipatala mwachangu ndikofunikira. Wodwalayo amatha kugona kapena kugona koopsa. Imfa siyipatula. Ngati munthu ali ndi zomwe tafotokozazi, ndikofunikira kukaonana ndi othandizira kuti amvetsetse za matendawo komanso zomwe zimayambitsa matendawa.

Njira zodziwira matupi a ketone mumkodzo

Matupi a Ketone mu mkodzo amatsimikiza pogwiritsa ntchito zingwe zoyeserera. Akatsitsidwa mumkodzo, amasintha mtundu kutengera kuchuluka kwa zomwe zimakhala ndi thupi (tsatanetsatane wazogwiritsidwa ntchito zidzafotokozedwera pansipa). Kapena mutha kukhala munjira yantchito. Ngati pali zotsatira zabwino, zikutanthauza kuti ndikofunikira kuyamba kulandira chithandizo.

Kuti mudziwe kupezeka kwa matupi, mumamwa mkodzo m'mawa kapena tsiku lililonse. Malinga ndi kusanthula kwa tsiku ndi tsiku, zotsatira za kafukufukuyu zidzakwaniritsidwa. Pa iwo mutha kuzindikira zomwe zinayambitsa kuwonjezeka kwa matupi. M'magawo am'mawa, matenda ashuga amangokhazikitsidwa pokhapokha ngati wodwala sangakhale acidic.

Popanda kusanthula, matendawa amapereka fungo labwino la mkodzo, limanunkhira kwambiri kapena kufooka ndi acetone. Pambuyo pa izi, ndibwino kuti mutenge gawo la tsiku ndi tsiku kuti mupange kuzindikira koyenera.

Mu labotale, kuwunika kungachitike mosiyanasiyana:

• Chitsanzo Lange. Ngati m'matupi muli mkodzo, mphete yofiirira.
• Chitsanzo Rothera. Ngati zotsatira zake zili zabwino, mphete ya red-violet imawonekera, kuopsa kwa matendawa kumatsimikiziridwa ndi kukula kwa utoto.
• Zitsanzo Mwalamulo. Kukhalapo kwa zonyansa kumatsimikizika ndi momwe mkodzo umasinthira utoto kukhala reagent. Ngati pali matupi, ndiye kuti mkodzo umasanduka ofiira kapena wapinki.
• Zitsanzo Lestrade. Madontho a reagent amayesedwa mukakumana ndi mkodzo. Ofiira ndi ofiira amawonetsa kupatuka.

Mu zotsatira za kusanthula, nthawi zambiri ziwerengero sizinawonetsedwa. Ngati palibe zopatuka, ndiye kuti pali mzere mutsogolo. Ngati alipo, padzakhala ma ploses kuyambira 1 mpaka 3, akuwonetsa kuzunzika kwa wodwalayo. Mkhalidwe wowopsa umaganiziridwa ngati zotsatira za kusanthula ndi 3 pluses.

Matupi a Ketone, ndi chiyani?

Glycogen ndi glucose amaonedwa kuti ndi gwero lamphamvu zopatsira minofu yathupi, lomwe limakhala ndi zosowa zambiri m'chiwindi. Kutsika kwakanthawi pamlingo wawo kumatsogolera pakupanga mafuta.

Mukusweka kwa lipid mu chiwindi, mapangidwe azinthu zimachitika - kuwonjezeka kwa kuchuluka kwa matupi a ketone. Minofu ya mtima, ubongo, ndi impso zimagwiritsa ntchito ngati gwero lachiwiri lamphamvu.

Zinthu zoterezi zimapangidwa nthawi zonse ndi ma cell a chiwindi, zimapezeka mkodzo ndi magazi. Zomwe zimapangidwira zimaperekedwa:

• ofooka beta-hydroxybutyric acid - 70%,
• wamphamvu acetoacetic acid kapena acetoacetate - 26%
• acetone - 4%.

Zochita zamankhwala zimagwiritsa ntchito mawu akuti "acetone", osagawa chizindikirocho padera, zomwe zili pamwambapa. Poyamba, zimawonekera poyesa magazi, koma zimapezeka kudzera mu kuyeserera kwamankhwala mumalungo. Kafukufuku wokhudza mkodzo - amatanthauza magawo osavuta komanso othandiza opezako chidziwitso chokhudza thupi.

Ketonuria atakula amayamba kupangika chifukwa cha matenda opatsirana kapena a shuga.

Urinalysis ndi zizindikiro zake

Zotsatira za matupi a ketone mu kusanthula kwamkodzo nthawi zambiri zimasonyezedwa mwa mawonekedwe a ket. Ndi mawu akuti "trace ket", labotale ikunena za kutsimikiza kwa matupi a ketone mumkodzo.

Munthawi yabwinobwino, thupi limachotsa ma 50 a ma ketoni masana - njirayi singakhazikike mu kafukufuku wazofufuza. Kutsimikiza kwa zosayesa zizindikiro za acetone mu mkodzo kumachitika pogwiritsa ntchito njira ziwiri zodziwika - mayeso a Lange, Lestrade. Zizindikiro zapadera zimayankha kukhalapo kwake - ichi ndiye maziko otsimikizira kupatuka kwa matenda.

Malangizo pokonzekera njirayi

Makhalidwe oyambira mkodzo amakhudzidwa ndi zinthu zambiri:

• chakudya chobwera, zakumwa,
• mkhalidwe wamavuto amisala, kutengera mtundu wa nkhawa,
• zolimbitsa thupi,
• ankamwa mankhwala osokoneza bongo
• zakudya zamagulu osiyanasiyana.

Popewa kupotoza zotsatira, akatswiri amalimbikitsa kukonzekera kuyesedwa kwamkodzo kwamankhwala:

• tsiku loti adye chakudya chofunikira, wodwala amaletsedwa kugwiritsa ntchito zinthu zomwe zimapangitsa kuti mitundu isinthe - utoto wazipatso, masamba, osuta, okoma, osankhika.
• mowa, zakumwa zoledzeretsa zambiri, maultivitamini, zowonjezera zowonjezera, okodzetsa, khofi,
• ngati kuli kofunika kumwa mankhwala - ayenera kuuzidwa ndi dotolo asanapite,
• Kuletsa kuli ndi kulimbitsa thupi mwamphamvu, kuyendera zipinda za nthunzi, malo osambira, saunas,
• pambuyo pa cystoscopy, mayesowa samatulutsidwa kale kuposa sabata pambuyo podzinyenga komaliza.

Kusokoneza kwa zotsatira zakuzindikira kumayambitsa chifukwa cha matenda opatsirana, kuchuluka kwa kutentha kwa thupi, kusamba, ndi kuthamanga kwa magazi. Kukhalapo kwa kupatuka kumeneku kumabweretsa kufunika kochulukitsa nthawi yopereka zitsanzo zosanja.

Akuluakulu kwamikodzo kwamkodzo

Zizindikiro zodziwika za acetone mu labotale zowerengera zimayambira 10 mpaka 30 mg pa lita imodzi patsiku - mwa anthu akuluakulu. Zotsatira zotere ndizosatheka kuzindikirika ndi kusanthula kwakanthawi.

Kudziwitsa kuchuluka kwa matupi a ketone mu mkodzo ndi nthawi yowonjezera, kuyezetsa thupi mozama

Zomwe sizoyambitsa matenda

Zomwe zimayambitsa vutoli zikuyimiridwa ndi izi:

• kuledzera kwa pachimake,
• poyizoni wowopsa wazakudya zama mankhwala osiyanasiyana, zitsulo zolemera,
• zolimbitsa thupi nthawi yayitali,
• mavuto obwera chifukwa cha mankhwala, zotsatira zoyipa chifukwa chogwiritsa ntchito,
• kukomoka kwa thupi - chakudya, kusala kudya.

Kupatuka kuzisonyezo zodziwika bwino kumatha kuwonedwa panthawi yomwe muli ndi pakati kapena mukangobala kumene.

Matenda a shuga

Kupatuka kwa pathological kumatsutsidwa ndi dontho lakuthwa mumagazi a glucose omwe ali m'magazi. Thupi limakumana ndi vuto lalikulu la chinthu, anomaly amapangidwa ndi ma insulin osankhidwa bwino.

Ketonuria mu shuga ndimwadzidzidzi. Vutoli limapangidwa mothandizidwa ndi kusala kudya kwanthawi yayitali, kudya zakudya zosavomerezeka zamafuta.

Zina zomwe zingatheke

Kuyesa kwa mkodzo kumatha kulengeza zotsatira zosagwirizana ndi matenda otsatirawa:

Mtengo wowonjezereka wa matupi a ketone mumkodzo umapangidwa ndi kuchepetsedwa kwa michere kudzera m'makoma a gawo la m'mimba. Matenda omwe amapita m'matumbo am'mimba amabweretsa vutoli.

Njira zopangira tumor mu chithokomiro cha chithokomiro komanso tiziwungu tambiri timatulutsa timene timapangitsa kuti mafuta achepe, kupangika kwa glucose kuchokera ku lipids.

Zovuta zam'matenda mu chithokomiro cha chithokomiro zimayambitsa kuphwanya kagayidwe kazakudya - kuchepa kwa msanga kumachitika chifukwa chakufulumira kwamachitidwe amtunduwu, kuchuluka kwa zinthu kuchokera m'magazi. Kuphatikizika kwa matupi a ketone kumawonjezeka chifukwa cha kuwola, kutembenuka kwa lipid.

Njira yayitali yauchidakwa imapweteketsa chiwindi kugwira ntchito, kuwonongeka kwa maselo a hepatic cell.

Matenda a impso amayambitsa kuchuluka kwa mkodzo, kutupa kwa minofu, kusokonezeka kwa metabolic m'thupi.

Maziko othandizira matendawa amasintha m'moyo wa wodwala, pankhani ya ketonuria yomwe si yoyambitsa matenda. Chithandizo cha mankhwala osokoneza bongo chimakhazikitsidwa ndi kuponderezedwa kwa zomwe zimayambitsa matenda. Musanaganize zofunikira zamankhwala othandizira, kupenda mkodzo, magazi, ndi mayeso okhudzana ndiumwini ndizofunikira.

Kuti muchepetse kuchuluka kwa matupi a ketone omwe alipo, wodwalayo akulimbikitsidwa kuti asinthe kukhala othandizira kudya. Zakudya za tsiku ndi tsiku zimaphatikizapo nkhuku, kalulu, ng'ombe, msuzi wamasamba, sopo, zipatso, mabulosi, misuzi ya zipatso, masamba, zipatso, nsomba ndi mafuta ochepa.

Kuletsa kwamphamvu kumaphatikizapo:

• zakumwa zoledzeretsa, zakumwa zoledzeretsa,
• zipatso ndi zipatso,
• khofi zakumwa, khofi,
• mitundu yonse ya bowa,
• tomato
• lokoma
• wolakwa,
• mafuta amkaka,
• nyama yayikulu mafuta ndi nsomba,
• mbale zodyera zodyera mwachangu.

Mankhwala

Chithandizo cha mankhwala osokoneza bongo chimaphatikizapo kugwiritsa ntchito:

Adsorbents - akatswiri amalimbikitsa kugwiritsa ntchito kaboni yoyambitsa. Mankhwala amakulolani kuyeretsa thupi pogwiritsa ntchito mankhwala oopsa. Nthawi imodzi, mpaka magalamu 30 a zinthu angagwiritsidwe ntchito: potengera "piritsi limodzi pa kilogalamu imodzi ya kulemera kwa thupi". Mankhwalawa sayambitsa zovuta, mankhwala osokoneza bongo ndi osatheka.

Pofuna kuthana ndi kusowa kwamadzi - pofuna kubwezeretsanso madzi pogwiritsa ntchito njira za shuga, saline sodium chloride.

Pofuna kuthamangitsa ntchito yamatumbo, kupondereza kusanza, Cerucal, Motilium, Metoclopramide, Ganaton, Motilak amagwiritsidwa ntchito. Mankhwala amalembedwa monga mapiritsi, njira zovomerezeka.

Neutralization, kuchotsa kwa poizoni - tikulimbikitsidwa kugwiritsa ntchito Polyphepan, Lignosorb, Entegnin, Polyfan, Diosmektit, Enterodez, Enterosorb.

Ma multivitamin ma protein, ma proiotic, prebiotic - kukonza gawo logaya chakudya, magwiridwe antchito amkati. Kusankhidwa kwa mankhwala ofunikira kumachitika ndi katswiri aliyense payekhapayekha, kutengera mawonekedwe ake.

Momwe mungachotsere acetone owonjezera mthupi? Kunyumba, tikulimbikitsidwa kuti muwonjezere kuchuluka kwa madzi obwera - madzi akumwa oyera. Mu chipatala, njira zimachitika pogwiritsa ntchito otsitsira, ovuta, odwala amatsuka enemas.

Kodi ma ketoni mumkodzo ndi chiyani?

Ndi pathological zikhalidwe za thupi, matupi a ketone amapezeka pakuwunika. Mwa munthu wathanzi, amapezeka pang'ono, koma ochepa, motero sangawonekere. Matupi a Ketone achotsedwa:

1. kudzera thukuta
2. kudzera mu mpweya wotuluka
3. ndi mkodzo.

Ma ketones ndi zinthu za metabolic zomwe zimapangidwa m'chiwindi (beta-hydroxybutyric acid, beta-hydroxybutyrate, acetoacetic acid, acetone) kudzera mukuwonongeka kwa mafuta kapena kupanga shuga. Pogwira ntchito moyenera ndi thupi, matupi a ketone amakhala osagwira popanda kuvulaza maselo oyandikana nawo. Kodi ma acetone mu mkodzo amatanthauza chiyani:

• Ngati ketone mu mkodzo ilipo nthawi yayitali kwambiri, ndiye kuti kugwira ntchito mwamphamvu kwamthupi kumakhala pachiwopsezo.
• Pakuwonjezeka kwa metabolism yamafuta, mapangidwe a ma ketoni amapezeka mwachangu kuposa momwe chiwindi chimatha kuwathetsa.
• Mankhwala, matenda a metabolic amatchedwa "ketosis" ndipo amatsogolera ku njira ya "acidization" ya magazi.

Zimayambitsa acetone mu mkodzo

Thupi labwinobwino lilibe kuchuluka kwa ma ketones omwe amatha kutsimikiziridwa ndi kusanthula kofikira. Maonekedwe awo kapena fungo la mkodzo pang'onopang'ono lingathe kuwopseza moyo wabwinobwino. Izi ndi chenjezo: muyenera kusintha moyo wanu. Mwachitsanzo, mwa odwala omwe ali ndi matenda ashuga, matenda amtunduwu amatha kudziwika. Mutha kuchotsa chizindikirocho ndi zakudya zoyenera. Ngati fungo la mkodzo likufotokozedwa mwamphamvu ndikufanana ndi apulo kapena zipatso, ndiye kuti odwala matenda a shuga amakhala ndi kuchuluka kwa shuga.

Zotsatira zake zimakhala zazikulu kwambiri - kudziwika kwa ma ketoni angakuchenjezeni za kusintha kwa matendawo kukhala gawo loopsa, mpaka kukomoka kwa hyperglycemic. Ngati mukupeza acetone wopanda shuga, ndiye kuti matenda ndi omwe samagwirizanitsidwa ndi shuga. Zomwe zimayambitsa ketonuria:

• oncology
• kusala kudya kwanthawi yayitali
• kuchepa magazi
• Zakudya zamoto zochepa
• kuchuluka kwa mapuloteni
• zolimbitsa thupi,
• chimfine ndi ma virus
• mimba

Kukonzekera kwa kusanthula

Kukonzekera kumachita mbali yofunika kwambiri pakuwonetsa bwino zizindikiro. Pali zinthu zomwe zingakhudze zotsatira. Asanakhazikitsidwe kwa njira yosonkhanitsa mkodzo, othandizira amafotokoza za kukonzekera:

• Chakudya chopatsa thanzi chimasinthidwa maola 24 kusanachitike. Kuchokera pachakudya amachotsedwa:

1. zopaka utoto (malalanje, kaloti, beets),
2. maswiti (chokoleti, maswiti, makeke),
3. zakumwa zokhala ndi mafuta ndi mowa,
4. tiyi ndi khofi wamphamvu,
5. kusuta, mchere komanso zakudya zamafuta.

• Kwa tsiku, zowonjezera zakudya, mavitamini ovuta komanso okodzetsa ziyenera kusiyidwa.
• Ngati pali matenda osachiritsika omwe amafunikira chithandizo chanthawi zonse ndipo sangathe kuimitsidwa, ndiye kuti ndikofunikira kudziwitsa opaleshoni / dokotala.
• Sizoletsedwa kupsinjika kwathupi.
• Zotsatira zake zitha kupotozedwa ngati panali alendo kupita ku bafa kapena sauna musanagonjere.
• Zotsatirazi zimakhudzidwa ndi kusala bwino kwamalingaliro (kupsinjika, kusangalala kwakukulu).
• Ngati panali kufufuzidwa kwa chikhodzodzo pogwiritsa ntchito endoscopy, ndiye kuti simungapereke mkodzo kale kuposa masiku 7-8.
• Ngati pali kuwonjezeka kwa kutentha ndi kukakamiza, kuyesedwa kumayimitsidwa. Komanso, njirayi iyenera kusiyidwa pamasiku ovuta ndikupereka mkodzo itatha.

Sikulimbikitsidwa kuti musinthe zakudya zomwe mumadya ndi tsiku ndi tsiku kupatula zomwe zalembedwazo. Komanso kugwiritsa ntchito madzi ochulukirapo. Kupanda kutero, zotsatira za kuwunikirako sizikhala zokwanira.

Urinalysis pamatumbo a ketone: kuyendetsa

Matupi a Ketone mumkodzo - izi nthawi zina amatanthauza njira yolakwika yosonkera zinthu. Kupatuka pang'ono pakupanga mkodzo kumatha kuwononga zotsatira zake.

Kupewa kusokonekera, tikulimbikitsidwa kutsatira malamulo:

1. Musanatulutsire mkodzo, ndikofunikira kutsuka maliseche (osagwiritsa ntchito mafuta owonjezera, sopo wamwana wokwanira), ndikutsatira ndikupukuta ndi thaulo loyera.
2. Chidebecho chiyenera kukhala choyera komanso chowuma. Ngati mkodzo sunatengedwe mumtsuko kuchokera ku mankhwala, ndiye kuti mbale ziyenera kuwiritsa ndiku ziuma.
3. Mukakodza, maliseche sayenera kukumana ndi chidebe.
4. Ngati mayi ali ndi msambo, koma kuwunikirako kuyenera kutengedwa mwachangu, ndiye kuti nyanjayo imalumikizidwa ndi swab kapena mkodzo amatengedwa pogwiritsa ntchito catheter.
5. Kuwunikaku kuyenera kupita ku labotale mkati mwa 2 maola.
6. Pokolola gawo la m'mawa, madontho oyamba a mkodzo sayenera kugwera mumtsuko.
7. Kusanthula kwa tsiku ndi tsiku kumasonkhanitsidwa mkati mwa maola 24. Izi zikufunika:

• chidebe choyera ndi chowuma chokhala ndi pafupifupi malita atatu,
• gawo loyamba, m'mawa silofunika,
• Kutulutsa mkodzo kumayamba ndi chilimbikitso chachiwiri kupita kuchimbudzi. Simuyenera kuiwala za kusamba.
• Pakutola tsiku ndi tsiku, chidebe chimasungidwa kuzizira, kutentha kwa madigiri 2-8,
• itatha zonse, mkodzo umasakanikirana ndikuthira mumtsuko wa 150-200 ml,
• zambiri zokhudzana ndi wodwalayo (kutalika, kulemera) ziyenera kuyikidwa paziwonetserozo, komanso nthawi yomwe kusonkhanitsa zinthu kunayamba, kuchuluka kwa madzi omwe adamwa tsiku limodzi komanso kuchuluka kwa mkodzo wambiri.

8. Mtsuko suyenera kukhala wolumikizana ndi mpweya kwanthawi yayitali, chifukwa chake, chotengera chiyenera kutsekedwa mwamphamvu.

Po sonkhanitsa mkodzo mwa ana, ndikofunikira kutsatira malamulo omwewo. Kuti muchite bwino, mutha kugwiritsa ntchito mkodzo kapena thumba la pulasitiki loyera. Kupitilira apo, mkodzo umathiridwa mumtsuko kuti ukaperekedwe. Ndikakonzekera bwino ndikusonkha, zotsatira zake zidzakhala zolondola 100%.

Kutsimikiza kwa matupi a ketone mumkodzo ndi zingwe zoyeserera

Zingwe zoyeserera zimatha kugwiritsidwa ntchito kunyumba, komanso zimagwiritsidwa ntchito kuzipatala ndikuwonetsa malo ogwira ntchito kuti apange zotsatira mofulumira. Maonekedwe, awa ndi mikwingiri yoyera momwe timakhala ndi reagent. Amagulitsidwa m'matumba apadera mu mankhwala.

Kuti muwagwiritse ntchito, muyenera kukonzekera ndi kutolera bwino mkodzo. Musanagwiritse ntchito, muyenera kuzolowera malangizo a momwe mzere umayenera kusungidwira mkodzo ndipo mutatha kuwunika zotsatira zake.

Kunja kwa chubu, Mzere ndioyenera kugwiritsidwa ntchito mkati mwa ola limodzi. Popeza chimatenga msanga chinyezi kuchokera kumlengalenga ndikuwalumikizana ndi mpweya, zotsatira zake zimakhala zolondola. Chidebe chomwe chili ndi zingwe zoyesera chimayenera kuti chizikhala chotseka kwambiri.

Kuti mudziwe kupezeka kwa matupi a ketone, mzerewo umayenera kutsitsidwira mumkodzo ndikuwugwirira mpaka utakhuta kwathunthu. Kenako, Mzere umayikidwa pouma komanso pansi. Pafupifupi, zotsatira zake zimatsimikiziridwa pambuyo mphindi ziwiri. Mwa kukula kwa mtundu wa mzere, mutha kuweruza kuchuluka kwa matupi a mkodzo.

Nthawi zambiri, Mzere umapangidwa utoto:

• pinki imatanthawuza zinthu zotalika mpaka 1.5 mmol / l,
• ofiira mpaka 4 mmol / l,
• utoto wowala umaonetsa kukhalapo kwa matupi opitilira 10 mmol / l, kufunsira kuchipatala ndikofunikira.

Ngati Mzere sunasinthe mtundu, ndiye kuti kuchuluka kwa matupi a ketone sikupitilira muyeso. Kuti mugwiritse ntchito molondola timizere ndi kudziwa chomwe chotsatira, malangizo ndi tebulo lokhazikika zimaphatikizidwa kwa iwo. Mipira ikusonyeza kukhalapo kwa matupi, ndikofunikira kuti mupereke kuyesa kwamkodzo molondola kwambiri ku labotale ndikuyang'ana kuti mupeze chithandizo kuchokera kwa ochiritsira / dokotala.

Simungagwiritse ntchito mzerewo, chifukwa ma reagents adatha mphamvu zawo. Komanso mukamayesa, sibwino kuti muzingotenga mkoko, womwe umatsitsidwa mkodzo, izi zitha kuwononga kulondola kwa zotsatira zake. Mlingo wa mkodzo uzikhala wokwanira kuti mukulitse mzere, osachepera 15-20 ml.

M'mafakitala, zingwe zoyesa zimagulitsidwa pamitundu iyi:

1. Ketogluk-1. Mzere umazindikira matupi a ketone mumkodzo ndi glucose. Pambuyo pakutsegula zingwe ziyenera kugwiritsidwa ntchito mkati mwa miyezi iwiri, ndiye kuti ataya katundu wawo. Mukamagwiritsa ntchito, Mzere umasintha mtundu kuchoka pa pinki kukhala wofiyira.
2. Ketofan. Pogwiritsa ntchito mizera, mutha kuzindikira matupi. Pambuyo pakutsegulira, ziyenera kugwiritsidwa ntchito mkati mwa mwezi umodzi. Mtundu umasintha kuchokera ku pinki kupita papo.
3. Acetontest. Mfundo zoyendetsera ntchito ndi moyo wa alumali ndizofanana. Kuzindikira kochepa kwa matupi. Zotsatira zake zalembedwa pamaso pa 1 mmol / l mkodzo.
4. Uriket-1. Kuzindikira kwakukulu pamatupi a ketone. Pambuyo kutsegula, kusungidwa mpaka miyezi iwiri. Kusintha kwa utoto kuchokera ku pinki kupita papo.

Mapaketi amakhala ndi mizere 50 mpaka 100. Ndalamazi ndizokwanira kuwunika tsiku lililonse. Ndi ndondomeko yoyenera, zotsatirazi zikufanana ndi mayeso a labotale. Mukawona kuwonjezeka kwa matupi, ndikofunikira kufunsa othandizira kuti alandire kapena kusintha.

Chithandizo cha ketonuria

Matupi a Ketone mu mkodzo - izi zikutanthauza kuti thupi limakhala ndi zodetsa nkhawa zomwe zimafuna chithandizo chamanthawi. Kupanda mphamvu komanso kulimbitsa thupi kwambiri kumatha kubweretsa imfa.

Kuwonjezeka kwa matupi a ketone (izi zitha kuwonedwa ndi kuwonjezeka kwa fungo la acetone) kumafuna thandizo loyamba kwa wodwala. Choyamba, wodwalayo amapatsidwa enema kuti ayeretse thupi la poizoni. Pachifukwa ichi, wodwala amayenera kupatsidwa madzi akumwa ambiri. Ngati wodwala alibe matenda a shuga, ndiye kuti mutha kuwonjezera shuga m'madzi kapena kupereka compote. Muyenera kumwa ma sips 1-3 kuti kusanza kusachitike.

Kuti ayeretse ziphe, wodwalayo amapatsidwa makala okufa kapena polysorb. Imagwira ma sumu ndi matupi a ketone, kuphatikiza kwa mankhwalawa ndizosatheka. Chifukwa chake, amalimbikitsidwa kuti azigwiritsidwa ntchito ngakhale chifukwa chomwe mawonekedwe a matupi a ketone samadziwika.

Ngati wodwala akudziwika kuti ali ndi matenda a shuga, ndiye kuti insulin yoyenera iyenera kuchitika. Kuti muchite izi, muyenera choyamba kuyeza kuchuluka kwa shuga m'magazi. Kufotokozera bwino za mankhwalawa. Ambulansi imayitanidwa. Dokotala wopezekapo amapeza zifukwa zowonjezera shuga ndi matupi a ketone, ndipo chithandizo chikuwongoleredwanso.

Vutoli likakhala matenda opatsirana kapena ana, wodwalayo amapatsidwanso madzi ndi glucose komanso enema. Vutolo likadzabweranso, thandizo ladzidzidzi liyenera kuyitanidwanso.

Ngati chomwe chimayambitsa kuwoneka kwa matupi a ketone sichikudziwika, izi zidayamba kwa nthawi yoyamba. Kenako wodwalayo amatha kupatsidwa enema ndikupatsidwa polysorb kapena kumenya. Ngati mukumva kusowa, mufunika kuyitanidwa ndi dokotala mwachangu. Kupitilira apo, wothandizira kapena dokotala wa ana adziwa zomwe zimapangitsa kuti matupi awonekere ndipo chithandizo chake ndi mankhwala.

Zakudya za ketonuria

Mosasamala kanthu zomwe zimayambitsa matenda kumayambiriro, zakudya zimayikidwa ndi katswiri. Idzathandiza thupi kuchira msanga. Nthawi zina chithandizo chonsecho chimatha kukhala chokhazikika pakudya kwapadera, ngati chifukwa cha ketonuria sichiri matenda oopsa.

Patsiku loyamba, matupi akapezeka mkodzo, wodwalayo amaloledwa kumwa madzi ambiri ndipo thupi limatsukidwa ndi poizoni. Amaloledwa kugwiritsa ntchito decoctions a chamomile ndi timbewu (otentha ngati pokonzekera tiyi wamba). Zogwiritsidwa ntchito bwino za zipatso zouma, makamaka zoumba zouma.

Tsiku lotsatira, amaloledwa kale kugwiritsa ntchito sopo wopukutira, chimanga chamadzimadzi, msuzi wamafuta ochepa. Kuyambira tsiku lachitatu, mutha kuyambitsa pang'onopang'ono zinthu zatsopano zomwe zololedwa ndi dokotala.

Mndandanda wazinthu ndi mbale zomwe ziloledwa kulandira:

• Zipatso zonse kupatula zipatso za citrus ndizololedwa. Sabata yoyamba, ndikofunikira kuphika zipatso, osamadya watsopano,
• uchi, kupanikizana, shuga,
• nyama yophika kapena yophika kwambiri,
• achibaki ndi ma cookie olimba,
• zakumwa za zipatso, madzi amchere (makamaka Essentuki No. 17),
• mafuta amkaka ochepa.

Kuchuluka kwa madzimadzi oledzera patsiku kuyenera kukhala osachepera 2-2,5 malita. Chifukwa chake thupi limatsuka mwachangu ndipo limatha kugwira ntchito moyenera.

Zakudya zopanda pake sizimaphatikizidwa ndi zakudya: mowa, zakudya zamafuta ndi zakudya zopakidwa.

Matupi a Ketone mumkodzo ndi matenda. Mankhwalawa, ndikofunikira kuti mudziwe chifukwa chake, izi zikutanthauza kuti muyenera kulumikizana ndi akatswiri odziwa zamankhwala kapena mayeso kuti akuuzeni mayeso. Kudzichita nokha kumangowonjezera mavuto kwa wodwalayo.

Kapangidwe kake: Mila Friedan

Acetone mu mkodzo mwa akulu - zimayambitsa

Ndi ketonuria, pali kuchepa kwa zakudya zamafuta, zomwe ndizofunikira pakuwonongeka kwathunthu kwa mapuloteni ndi mafuta. Ngati acetone wopangidwa mu shuga, ndiye kuti kudya kungathandize. Kupititsa patsogolo kumbuyo kwa zakudya zoyenera sikuchitika? Kenako ndizotheka kuti wodwalayo ali ndi vuto lalikulu la metabolic. Kunyalanyaza chizindikirocho kungayambitse kudwala matenda ashuga. Ngati munthu alibe mtundu wa I ndi mtundu wa matenda ashuga 2, ndiye kuti pali zifukwa zina za acetone mu mkodzo mwa munthu wamkulu:

• kudya zakudya zambiri zama protein komanso zamafuta ambiri,
• kusowa kwa zakudya zopatsa thanzi
• zochita zolimbitsa thupi,
• kusala kudya kwanthawi yayitali.

Matupi a Ketone mumkodzo panthawi yapakati

Zowonjezera za ma ketones mwa mayi wapakati zimadziwika ndi zotsatira zoyipa za thupi. Momwe mungadziwire kupezeka kwa matenda komanso osavulaza mwana wosabadwa? Ndikofunikira kudutsa kuwunikira komwe kumatsimikizira ma ketones mumkodzo panthawi yapakati. Kutulutsidwa kwa zinthu zachilengedwe kumachitika mu 20-50 mg patsiku, zomwe zimachitika nthawi yonse yomwe ali ndi pakati. Obstetrician-gynecologists amalimbikitsa kuperekera mkodzo pafupipafupi pazifukwa.

Kutsatira lamuloli kudzakuthandizani kudziwa zovuta zomwe zingachitike ndikuthana nazo:

1. Kukhalapo kwa ma ketones mwa mayi wapakati kudzanenanso mavuto a chiwindi ndi chimbudzi chifukwa chazakudya zoperewera.
2. Ndi ma ketoni ochulukirapo, poyizoni wa thupi la mayi wamtsogolo wokhala ndi acetone amachitika, akusokoneza njira yobereka mwana wosabadwayo.
3. Zizindikiro zosavomerezeka zimatha kukhala ndi mzimayi amachepetsa thupi ndi miyezi itatu ya mimba.

Matupi a Ketone mu mkodzo wa mwana

Pafupifupi kholo lililonse limakumana ndi vutoli. Ma ketoni mumkodzo wa mwana amatha kuwonekera kudzera pakusanza, komwe kumanunkhira ngati acetone. Zina mwazomwe zimayambitsa ketonuria mwa mwana, kuperewera kwa kapamba, kuperewera kwa zakudya, kuchepa kwa chakudya ndi mafuta kagayidwe. Kuonjezera ntchito kumafuna dokotala. Thupi la mwanayo limalephera kulephera. Zomwe zimayambitsa maonekedwe a ketone m'mitsempha:

• kamwazi
• ntchito yolimbitsa thupi mu makanda oopsa,
• kutentha kwambiri
• hypothermia
• matenda akulu omwe amachititsa acetonuria,
• cholowa
• kugwiritsa ntchito mankhwala pafupipafupi
• kusowa kwa chakudya kapena kuperewera kwa zakudya m'thupi, zomwe zimapangitsa kuchepa kwa shuga.
• kapangidwe
• protein yambiri ndi mafuta,
• kuchuluka kwa thupi chifukwa cha matenda akale,
• kupsinjika
• nyongolotsi
• kuchepa kwa puloteni.

Kusanthula kwa mkodzo kwa acetone

Kuti muzindikire acetonuria, muyenera kulumikizana ndi katswiri wodziwa zamatsenga yemwe angalembe chilolezo kuti mupeze matenda amkati. Pamodzi ndi zizindikiro zina, zidzatha kudziwa kukhalapo ndi zomwe ma ketones amapezeka. Muyenera kuchita njirayi molingana ndi malamulo: sonkhanitsani mkodzo m'mawa mu mbale yoyera ndi youma, mutachita kale njira zaukhondo. Ndizosatheka kuzindikira acetone mwa njira zokhazikika za labotale, chifukwa ndende yake ndiyotsika kwambiri. Ngati urinalasis pamatumbo a ketone adawonetsa kupezeka kwa acetone, ndiye kuti kuchuluka kwake kudzawonetsedwa motere:

1. Ndi kuphatikiza kumodzi, zomwe zimachitika zimawonedwa ngati zopanda chiyembekezo.
2. Mpaka ma pluses atatu zomwe zachitika.
3. Ndi maubwino anayi, titha kuyankhula zakufunika kwachipatala msanga.

Chizolowezi cha acetone mu mkodzo

Thupi laumunthu limakhala ndi kuchuluka kwa ma acetone, koma chizolowezi cha matupi a ketone mumkodzo ndi kusakhalapo kwawo kwathunthu pakuwunika kwawogwiritsa ntchito. Pazotsatira, mitundu ya Gerhard, Lange, Lestrade, Legal amagwiritsidwa ntchito. Ngati zotsatira za kusanthulaku zili zabwino, ndiye kuti muyenera kudziwa kuchuluka kwa matupi a ketone omwe angakuthandizeni kudziwa matendawa:

1. Kuwonetsedwa pang'ono kwa acetone kumawonetsa ketonuria.
2. Ngati mtengo wa ma ketones umachokera 1 mpaka 3 mmol / l, ndiye kuti muli ndi ketonemia.
3. Zotsatira za 3 mmol / L zimawonetsa ketonosis mu shuga mellitus.

Momwe mungadziwire acetone mu mkodzo

Masiku ano, sikofunikira kuti muthe kugwiritsa ntchito njira zachipatala kuti muwone ndi kuwongolera acetone. Onani ma acetone omwe ali mkodzo kunyumba kungathandize kuyesa kuti adziwe matupi a ketone, omwe angagulidwe ku pharmacy payekha. Kuti muyese zizindikiro mu mphamvu, ndibwino kugula zingwe zingapo nthawi imodzi. Ndikofunikira kusakaniza mkodzo wam'mawa ndikunyowetsa gawo lazowongolera ndi izo.

Izi ndizosavuta kuchita ngati mungatenge koyamba zinthu zakutchire mumtsuko ndikungotsitsa mzere kwa mphindi zitatu. Njira inanso yodziwira kuchuluka kwa ma ketoni mumkodzo popanda kuyendera mabungwe azachipatala ndi yankho la ammonia. Madontho ochepa amayenera kuwonjezeredwa kumbale ndi mkodzo. Mavuto amawonetsedwa ndi kusintha kwa utoto kukhala ofiira owala.

Mitsempha ya testine ya urine

Mayeso a Keto ndi zingwe zoyeserera zomwe zimawoneka ngati zingwe za kukhudza (chizindikiro). Kugwiritsa ntchito, mutha kugwiritsa ntchito ma kachulukidwe kachulukidwe kakang'ono ndi koyenerera kwamatumbo mumkodzo. Zingwe zimapezeka m'matumba a 5 mpaka 100 ma PC. Kwa ma labotala azachipatala muli mapaketi a ma 200 ma PC. Mapaketi a ma 50 ma PC. zokwanira kuyang'ana acetone katatu patsiku kwa masabata awiri. Mizere yodziwira matupi a ketone ndibwino kugula muma pharmacies kuposa kuyitanitsa zotsika mtengo, koma zopanda umboni, zogulitsa.

Kodi matupi a ketone mumkodzo amatanthauza chiyani

Kutanthauzira kwa zotsatira za kuwunika kumadalira njira yomwe ikukhazikitsidwa. Kodi kutsika kwa mkodzo wa ketone kumatanthauza chiyani? Dokotala azidziwitsa yekha za dokotala. M'mayeso akunyumba, mutatha kuwonjezera mkodzo, gawo lowonetsera lidzapeza mtundu malinga ndi zotsatira zoyenera zomwe zimaperekedwa. Kuyesaku kukuwonetsa kuchuluka kwa ma ketones kuchokera pa 0 mpaka 15 mmol / l, koma simuwona manambala enieni. Ngati mukupeza utoto wofiirira pamtunda woyesera, vutolo ndilofunika. Ngati mkodzo umasandulika ofiira pamene madontho ammonia adawonjezeredwa, ndiye kuti pali ma ketoni.

Matupi a Ketone mumkodzo - choti achite

Ngati kuwunika kofotokozera zamakina kapena kuyesedwa kwawonekera kukuwonetsa kupezeka kwa ma ketones, ndiye njira zomwe zikuyenera kuchitidwa kuti muchepetse zizindikiro. Kuti muwone kuyendetsa bwino kwa njira zomwe zasankhidwa, ndikofunikira kubwereza kuzindikiritsa pambuyo pa maola atatu. Zoyenera kuchita ngati acetone ali mkodzo? Choyamba, pitani kwa dokotala ndikutsatira zakudya zomwe mwayambitsa, khalani ndi moyo wathanzi, yesetsani kuti musadye mafuta komanso zakudya zopatsa thanzi.

Momwe mungachotsere acetone mu mkodzo

Ndi acetonuria, muyenera kuyesa kuchepetsa acetone okwera mumkodzo. Mungachite bwanji? Ndikofunikira kuti muzikhala ndi moyo wabwino tsiku ndi tsiku komanso kudya zakudya zabwino. Ndi kuchuluka kwambiri, kuchipatala kwa wodwalayo kumasonyezedwa. Dokotalayo amatipatsa chithandizo, zakumwa zoledzeretsa, zakudya zopatsa thanzi. Muyenera kumwa madzi a 1 tsp. mphindi 15 zilizonse. Ngati munthu wamkulu kapena mwana sangathe kuchita izi chifukwa cha kusanza, ndiye kuti pofuna kupewa kutaya madzi, amataya madzi amkati. Zogulitsa ndi mankhwala monga:

• decoction wa zoumba ndi zipatso zina zouma,
• mayankho a mankhwala Orsol ndi Regidron,
• kulowetsedwa kwa chamomile,
• madzi amchere,
• jakisoni wa Tserukal,
• limayamwa Sorbex kapena malasha oyera,
• kuyeretsa enema (1 tbsp. L. mchere pa madzi okwanira 1 litre).