Ukubonakala kokuphefumula okubi akuyona inkinga ebukeka kahle kuphela, kungavela ngenxa yokungasebenzi kahle emzimbeni, okufanele kunakwe kuqala.
Izizathu zingahluka ngokuphelele - lokhu kungaba ukunakekelwa komlomo okungafanele, ukuntuleka kwamathe, kanye nesifo sezitho zangaphakathi.
Ngakho-ke, ngezifo zesisu, iphunga le-acidic lizwakala, ngezifo zamathumbu - i-putrid.
Ezinsukwini zakudala, abelaphi bebengazazi izindlela zesimanje zokuthola lesi sifo. Ngakho-ke, njengokuxilongwa kwalesi sifo, izimpawu zesiguli bezilokhu zisetshenziswa njengokuphefumula okubi, ukuqumbeka kwesikhumba, ukuqubuka nezinye izimpawu.
Futhi namuhla, naphezu kobuningi bempumelelo yesayensi nemishini yezokwelapha, odokotela basasebenzisa izindlela ezindala zokuthola lesi sifo.
Ukwakheka kwezibonakaliso ezithile kuwuhlobo lwe-alamu, olukhombisa isidingo sokubonana nodokotela ukuze uthole usizo lodokotela. Enye yezimpawu ezinkulu yiphunga le-acetone eliphuma emlonyeni. Lokhu kubika ukuthi izinguquko ze-pathological zenzeka emzimbeni wesiguli.
Ngaphezu kwalokho, izimbangela zalolu phawu ezinganeni nakubantu abadala zingahluka.
Kungani i-acetone inuka emlonyeni?
Ukuhogela kwe-acetone kungavela ngezizathu ezahlukahlukene. Lokhu kungaba yisifo sesibindi, i-acetonemic syndrome, isifo esithathelwanayo.
Imvamisa, iphunga le-acetone elisuka emlonyeni lakhiwa ku-mellitus yesifo sikashukela futhi kuwuphawu lokuqala lwalesi sifo, okufanele sinake ukunakwa okukhethekile.
Njengoba wazi, isifo sikashukela ukwephulwa okukhulu kwe-carbohydrate metabolism ngenxa yokwehla kwenani le-insulin noma ngenxa yokwehla kokuzwela kwamaseli kuyo. Into efanayo ivame ukuhambisana nephunga eliyinqayizivele le-acetone.
- I-glucose yinto ebalulekile ebalulekile edingwa ngumzimba. Ingena egazini ngokudla ukudla okuthile. Ukuze kutholakale ngempumelelo ushukela, i-insulin ikhiqizwa kusetshenziswa amaseli we-pancreatic. Ngokuntuleka kwe-hormone, ushukela awukwazi ukungena ngokuphelele kumaseli, okuholela ekubulambeni kwawo.
- Ku-mellitus yesifo sikashukela sohlobo lokuqala, i-hormone inciphisa kakhulu noma i-insulin ayikho ngokuphelele. Lokhu kungenxa yokuhlukumezeka kumanyikwe, okuholela ekufeni kwamangqamuzana ahlinzeka nge-insulin. Kubandakanya imbangela yokwephulwa kungaba izinguquko zofuzo, ngenxa yokuthi i-pancreas ayikwazi ukukhiqiza i-hormone noma ihlanganise isakhiwo esingafanele se-insulin. Umkhuba ofanayo uvame ukubonwa ezinganeni.
- Ngenxa yokuntuleka kwe-insulin, ushukela awukwazi ukungena kumaseli. Ngalesi sizathu, ubuchopho buzama ukwenzela ukushoda kwe-hormone futhi kuvuselele ukukhiqizwa kwe-insulin evela emgodini we-gastrointestinal. Ngemuva kokuthi izinga likashukela wegazi likhuphuke kakhulu ngenxa yokuqunjelwa ushukela, ubuchopho buqala ukubheka eminye imithombo yamandla engathatha isikhundla se-insulin. Lokhu kuholela ekuqongeleleni egazini lezinto ze-ketone, ezibangela ukuphefumula okubi kwe-acetone ephuma emlonyeni, kumchamo wesikhumba nesikhumba.
- Isimo esifanayo siyabonakala ngesifo sikashukela sohlobo 2. Kubalulekile ukuqonda ukuthi into ye-acetone enobuthi, ngakho-ke, ukuqongelela ngokweqile kwemizimba ye-ketone emzimbeni kungaholela ekukholekeni.
Lapho uthatha izidakamizwa ezithile emgodleni womlomo, inani lamathe lingancipha, okuholela ekwandeni kwephunga.
Imithi enjalo ifaka phakathi i-sedative, ama-antihistamines, ama-hormone, ama-diuretics nama-antidepressants.
Izimbangela ze-Odor
Ngaphezu kwesifo sikashukela, iphunga le-acetone elisuka emlonyeni lingenzeka ngokusetshenziswa isikhathi eside kokudla okunokuqukethwe okuphezulu kwamafutha namaprotheni nama-carbohydrate aphansi. Kulokhu, iphunga lingavela hhayi esikhunjeni noma emlonyeni kuphela, kodwa nomchamo.
Ukulamba isikhathi eside kungadala nokukhuphuka kwenani le-acetone emzimbeni, ngenxa yalokho kunephunga elingathandeki eliphuma emlonyeni. Kulokhu, inqubo yokuqongelelwa kwezidumbu ze-ketone iyafana nesimo sikashukela.
Ngemuva kokuba umzimba uswele ukudla, ingqondo ithumela umyalo wokukhulisa inani likashukela emzimbeni. Ngemuva kosuku, ukuntuleka kwe-glycogen kuqala, ngenxa yokuthi umzimba uqala ukugcwala eminye imithombo yamandla, efaka amafutha namaprotheni. Ngenxa yokuqhekeka kwalezi zinto, iphunga le-acetone lakhiwa esikhunjeni nasemlonyeni. Uma isikhathi eside ukuzila ukudla, kunuka iphunga elinamandla.
Kubandakanya iphunga le-acetone elisuka emlonyeni livame ukusebenza njengophawu lwesifo se-thyroid. Lesi sifo sivame ukudala ukwanda kwama-hormone e-thyroid, okuholela ekwandeni kwezinga lokuqhekeka kwamaprotheni namafutha.
Ngokuthuthuka kokwehluleka kwe-renal, umzimba awukwazi ukususa ngokuphelele izinto eziqoqiwe, ngenxa yokuthi kwakhiwa iphunga le-acetone noma le-ammonia.
Ukwanda kokuxineka kwe-acetone kumchamo noma egazini kungadala ukungasebenzi kahle kwesibindi. Lapho amangqamuzana alesi sitho elimele, kwenzeka ukungalingani ekusebenzeni kwe-metabolism, okubangela ukunqwabelana kwe-acetone.
Ngesifo esithathe isikhathi eside, kuqhekeka kakhulu amaprotheni nokuqothuka komzimba. Lokhu kuholela ekwakhekeni kwephunga le-acetone eliphuma emlonyeni.
Ngokuvamile, into efana ne-acetone ngamanani amancane iyadingeka emzimbeni, kepha ngokukhuphuka okukhulu kokuxineka kwayo, ushintsho olubi ekulinganiselweni kwe-acid-base nokuphazamiseka kwe-metabolic.
Isimo esifanayo kwesinye isikhathi sikhombisa izimpawu zesifo sikashukela kwabesifazane nabesilisa.
Ukwakheka kwephunga labadala
Abantu abadala abanephunga le-acetone elisuka emilonyeni yabo kungenzeka kakhulu babe nesifo sikashukela sohlobo 2. Imbangela yokwakhiwa kwayo imvamisa ukukhuluphala. Ngenxa yokwanda kwamaseli wamafutha, izindonga zeseli ziyaqina futhi azikwazi ukumunca ngokuphelele i-insulin.
Ngakho-ke, lezi ziguli zivame ngokuyinhloko odokotela ukuthi banikeze isidlo esikhethekile sezokwelapha okuhloswe ngaso ukunciphisa isisindo ngokweqile, esiqukethe ekudleni ukudla okuqukethe inani eliphansi lama-carbohydrate angaphansi.
Okuqukethwe okujwayelekile kwezidumbu ze-ketone emzimbeni kungama-5-12 mg%. Ngokuthuthukiswa kwesifo sikashukela i-mellitus, le nkomba inyuka yaba ngu-50-80 mg%. Ngalesi sizathu, kunephunga elingathandeki eliqala ukukhishwa emlonyeni, futhi i-acetone iyatholakala nomchamo wesiguli.
Ukuqongelela okuphambili kwemizimba ye-ketone kungaholela esimweni esibucayi. Uma ukunakekelwa kwezokwelashwa kunganikezwa ngesikhathi, i-hyperglycemic coma iyakhula. Ngokukhuphuka okukhulu kwe-glucose egazini, usongo empilweni yeziguli luyenzeka. Lokhu kuvame ukuholela ekwehlulekeni kokulawula ekudleni kokudla kanye nokuntuleka kwe-insulin. I-Consciousness ibuyela esigulini ngokushesha ngemuva kokufakwa komthamo olahlekile we-hormone.
Ezigulini ezinesifo sikashukela, i-microcirculation yegazi kungenzeka ikhubazeke, okuholele ekushoneni okungasebenzi kahle kwe-salivation. Lokhu kubangela ukwephulwa kokuqanjwa koqweqwe lwawo lwamazinyo, ukwakheka kokulimala okuningi emgodini womlomo.
Izifo ezinjalo zibangela iphunga elingajabulisi le-hydrogen sulfide futhi zinciphise imiphumela ye-insulin emzimbeni. Ngenxa yokwanda kweshukela egazini kushukela, iphunga le-acetone libuye lakhiwa.
Kubandakanya abantu abadala, bangakwazi ukuhogela umoya omubi ovela ku-acetone ngenxa ye-anorexia nervosa, izinqubo zesimila, isifo se-thyroid nokudla okuqinile okungadingekile. Njengoba umzimba womuntu omdala uvumelana kakhulu nemvelo, iphunga le-acetone emlonyeni lingaqhubeka isikhathi eside ngaphandle kokubangela isimo esibucayi.
Izimpawu eziphambili zalesi sifo zibandakanya ukuvuvukala, ukuchama okungahambi kahle, izinhlungu emhlane ongezansi, ukukhuphuka komfutho wegazi. Uma iphunga elingathandeki liphuma emlonyeni ekuseni bese ubuso buvuvukala ngamandla, lokhu kukhombisa ukwephulwa kohlelo lwezinso.
Akunasizathu esingathi sína esingaba i-thyrotooticosis. Lesi yisifo sohlelo lwe-endocrine, lapho ukukhiqizwa kwama-hormone egilo kukhula khona. Lesi sifo kwesinye isikhathi sihambisana nokungabekezeleleki, ukujuluka ngokweqile, ukubonakala kwemizwa. Izandla zesiguli zivame ukuthuthumela, isikhumba some, izinwele ziphume bese ziyawa. Ukwehla kwesisindo okwenzeka ngokushesha kuyenzeka, naphezu kwesifiso esihle.
Izizathu ezinkulu zabantu abadala zingaba:
- Ukuba khona kwesifo sikashukela;
- Ukungondleki okungafanele noma ukuphazamiseka kokugaya ukudla;
- Izinkinga zesibindi
- Ukwephulwa kwendlala yegilo;
- Isifo sezinso
- Ukuba khona kwesifo esithathelwanayo.
Uma iphunga le-acetone livele kungazelelwe, kufanele ubonane nodokotela ngokushesha, uhlolwe ngokuphelele futhi uthole ukuthi yini ebangele ukwanda kwezinga le-ketone emzimbeni.
Ukwakhiwa kwe-odor ezinganeni
Ezinganeni, njengomthetho, iphunga elingathandeki le-acetone livela ngesifo sikashukela sohlobo 1. Lolu hlobo lwesifo luvame ukutholwa ngokumelene nesizinda sokuphazamiseka kofuzo ekwakhiweni kwamanyikwe.
Futhi, isizathu singalala ekuqubukeni kwanoma yisiphi isifo esithathelwanayo esigcwalisa umzimba umzimba futhi sinciphise ukwehla kwemikhiqizo yokungcola. Njengoba wazi, izifo ezithathelwanayo ziholela ekuwohlokeni kwamaphrotheni okusebenzayo, njengoba umzimba ulwa nokutheleleka.
Ngokuntuleka okunamandla kokudla kanye nokubulawa yindlala isikhathi eside, ingane ingahlakulela i-acetonemic syndrome eyisisekelo. Isifo seSekondale kwesinye isikhathi senziwa ngesifo esithathelwanayo noma esingatheleleki.
Kwenzeka into efanayo ezinganeni ngenxa yokuqina kokuqina kwemizimba ye-ketone, engeke ikhululwe ngokuphelele ngenxa yesibindi sokulimala nokusebenza kwezinso. Imvamisa, izimpawu ziyanyamalala ebusheni.
Ngakho-ke, isizathu esiyinhloko singabizwa:
- Ukuba khona kokutheleleka;
- Ukudla okungondleki kahle;
- Ukuhlangenwe nakho okuhlangenwe nakho;
- Ukusebenza ngokweqile komzimba;
- Izifo zesistimu ye-Endocrine;
- Ukwephulwa kohlelo lwezinzwa;
- Ukwephulwa komsebenzi wezitho zangaphakathi.
Njengoba umzimba wengane uzwela kakhulu ekwakhekeni kwe-acetone emzimbeni, iphunga elingathandeki enganeni livela ngokushesha.
Lapho kuvela uphawu olufanayo lwalesi sifo, kufanele ushayele i-ambulensi ngokushesha ukugwema isimo esibucayi.
Ungasusa kanjani iphunga
Isiguli esinephunga lomlomo kufanele sibonane nesazi se-endocrinologist ukuthola izeluleko. Udokotela uzonikeza ukuhlolwa kwegazi kanye nomchamo ushukela kanye nokuba khona kwezidumbu ze-ketone.
Ukusetshenziswa njalo kwenani eluketshezi oludingekayo kuzokwenzela ukuntuleka kwamathe futhi kusize ekugwemeni ukwakheka kwephunga elingafuneki. Ukuphuza amanzi akudingekile, kungavele kuhlanze umlomo wakho, ngaphandle kokugwinya uketshezi.
Kubandakanya udinga ukukhumbula ngokudla okufanele, ukubambelela ekudleni okwelaphayo kanye nokuphatha njalo i-insulin emzimbeni.
