Ngosizo lwezinso, iningi lemikhiqizo yedoti ikhishwa emzimbeni, ngakho-ke i-urinalysis inokubaluleka okukhulu kokuxilongwa. Ku-mellitus yesifo sikashukela, umucu wokuhlola usetshenziswa njengendlela yokucacisa ukubakhona kwe-acetone emchameni. Ngenxa yabo, kungenzeka ukuthola i-acetone emizuzwini embalwa bese umisa i-ketoacidosis ekuqaleni kakhulu.
Ngokungezelela kwabanesifo sikashukela, imichilo yokuhlola izoba wusizo ekunqumeni ukugcwala kwezidumbu ze-ketone ezinganeni ezithambekele ku-acetonemia, kwabesifazane abakhulelwe, abantu ekudleni okuqinile. Le ndlela yokuhlaziya inembile impela futhi ayibizi, ngakho-ke ayisetshenziswa kuphela ekhaya, kodwa futhi nasezikhungweni zezokwelapha, ezibhedlela ngisho nakulabhorethri yokuxilonga imitholampilo.
Sikhulume nge-acetone emchini ngokuningiliziwe lapha. - //diabetiya.ru/analizy/aceton-v-moche-pri-saharnom-diabete.html
Imigqa yokuvivinya yenzelwe ini?
IGlucose ingumhlinzeki wamandla womhlaba wonke, ngenxa yokuqhekeka, amandla ethu asekelwa, nomsebenzi wezitho uyaqinisekiswa. Ngokuntuleka kwama-carbohydrate ekudleni, ukukhuphuka kwesidingo samandla, ukungabikho noma ukuntuleka okukhulu kwe-insulin, ukuphikiswa kwe-insulin, i-glucose enganele ingena kumaseli womzimba, ngakho-ke umzimba uqala ukondla ngamaprotheni namafutha awo.
Isifo sikashukela nokucindezela kuzoba yinto yesikhathi esedlule
- Ukwehlela ushukela -95%
- Ukuqedwa kwe-vein thrombosis - 70%
- Ukuqedwa kokushaya kwenhliziyo okuqinile -90%
- Ukuqeda umfutho wegazi ophakeme - 92%
- Ukwanda kwamandla ngesikhathi sosuku, ngcono ukulala ebusuku -97%
Ukuqhekeka kwamafutha kuhlale kuhambisana nokukhululwa kwezidumbu ze-ketone, ezibandakanya i-acetone. Umuntu akaboni ngisho nokuqhathaniswa okuningana kwama-ketones; kudlule ngempumelelo ukuphuma komchamo, ukuphefumula kanye nokujuluka.
Ukwedlulela kwezidumbu ze-ketone kungenzeka ngokwakhiwa kwazo okusebenzayo, ukungasebenzi kahle kwezinso, ukuntuleka kwamanzi. Ngasikhathi sinye, umuntu uzwa izimpawu zobuthi: ubuthakathaka, ukuhlanza, nobuhlungu besisu. I-Acetone inomphumela onobuthi kuwo wonke izicubu, kepha iyingozi kakhulu ohlelweni lwezinzwa. Ezimweni ezinzima kakhulu, ukukhula ngokushesha kwemizimba ye-ketone kungaholela ekhefeni le-ketoacidotic.
Uma i-acetone inqwabelana egazini, ngokungangabazeki ingena kumchamo. Umucu wokuhlola ukuvumela ukuthi ungagcini nje ngokuthola iqiniso lokuba khona kwama-ketones, ngokubekwa kwawo ngamakhasi futhi ungahlulela ukuqina kwawo okulinganayo.
Ukuphazamiseka okungaholela ekubeni khona kwe-acetone kumchamo:
- ukwehluleka kwesikhashana kwe-metabolic ezinganeni. Kuvame ukubonwa ezinsaneni ezisebenzayo, ezacile. Izinga lezidumbu ze-ketone kuzo zingakhula ngokushesha, zibangele ukudakwa kakhulu, ngakho-ke kubalulekile ukukhomba ubukhona bazo ekuqaleni kwesigaba;
- i-toxicosis ekuqaleni kokukhulelwa;
- i-mellitus engafakwanga ushukela;
- izifo ezithathelwanayo ngokungondleki noma ngesifo sikashukela;
- umkhuhlane ohlangene nokuphelelwa ngamanzi emzimbeni;
- Ukudla okuqinile kwe-carb, ukukhathala;
- ukungasebenzi kwe-pituitary gland;
- ukulimala okukhulu, isikhathi sokusebenza;
- ukweqiwa kwe-insulin okungabangelwa umuthi okweqile kwezidakamizwa sikashukela noma isimila esikhiqiza i-insulin.
Okudingayo ukuze ulungiselele ukuhlaziya
Ukuhlaziywa komchamo uzodinga:
- Isitsha esihlanzekile, kodwa hhayi esingenamkhawulo sokuqoqa umchamo yisitsha sengilazi noma isitsha sokhemisi. Imicu yokuhlola akumele igobeke. Uma isiguli sinamanzi futhi kunomchamo omncane, udinga ukulungisa ibeki elincane elincanyana.
- Isicubu esingabhaliwe noma iphepha lasendlini ukuze simanzise umucu wokuhlola.
- Ukupakisha ngemichilo yokuhlola enesilinganiso esinyathelisiwe kuyo.
Imichilo yokuhlola ithengiswa ngamashubhu epulasitiki noma awensimbi, imvamisa angama-50 lilinye, kepha akhona amanye amaphakheji. Imichilo imvamisa iyipulasitiki, incane kaningi - iphepha. Kuyo yonke into ethola inzwa iphathwa ngamakhemikhali. Lapho umswakama uphezulu, ama-reagents ayonakala, ngakho-ke ukuvikelwa komswakama kunikezwa ku-tube. I-silica gel desiccant itholakala esivalweni noma esikhwameni esihlukile. Ngemuva kokusetshenziswa ngakunye, isitsha kufanele sivalwe ngokuqinile ukuvikela umoya ukuthi ungangeni. Ngaphandle kokufakwa efektri, imichilo yokuhlola ayikwazi ukulondolozwa isikhathi esingaphezu kwehora.
Imichilo yokuhlola ingaba nezinzwa ezimbili: ekunqumeni kwemizimba ye-ketone kanye noshukela. Ushukela ubonakala kumchamo uma ukusebenza kwezinso kukhubazekile noma ku-mellitus yesifo sikashukela lapho izinga legazi lakhe lingaphezulu kwe-10-11 mmol / L. Kukhona imivimbo etholakalayo yokuthengisa yokuhlaziywa komchamo eyinkimbinkimbi, enezinzwa ezifika ku-13, kufaka phakathi ukunqunywa kwe-acetone.
Ukuzwela kwendawo yezinzwa kuphezulu kakhulu. Ishintsha umbala lapho ama-ketones emchini engu-0.5 mmol / L kuphela. Umkhawulo obonakalayo omkhulu yi-10-15 mmol / l, ohambelana nezinzuzo ezintathu ekuhlolweni kwelebhu yomchamo.
Imiyalo esetshenziswa ekhaya
Ukuze usebenzise imichilo yokuhlola yokunqunywa kwe-acetone kumchamo kanye nencazelo efanele yemiphumela ayidingi noma yiluphi ulwazi lwezokwelapha, imininingwane eyanele evela kulo mbhalo. Kuyadingeka futhi ukutadisha imiyalo yephepha efakwe emaphepheni ekhadibhodi. Abanye abakhiqizi bahlukile ngesikhathi sokuvezwa kwesikhombi kumchamo nesikhathi esidingekayo sokushintsha umbala we-strip.
Inqubo
- Qoqa umchamo esitsheni ebesilungiselelwe ngaphambilini. Akufanele ibe neminonjana yoshukela, isoda, okokuhlanza noma wezibulala-magciwane. Ngaphambi kokuhlaziywa, umchamo akufanele ugcinwe amahora angaphezu kwama-2. Ungathatha noma iyiphi ingxenye yomchamo, kepha ucwaningo olunolwazi kakhulu lwasekuseni. Ngokwemiyalo, inani eliphansi lomchamo lingu-5 ml. Uma ukuhlaziya kungenziwa ngokushesha, okubhalwe kuwo kugcinwa endaweni emnyama endaweni yokushisa yasekamelweni. Umchamo uhlanganiswa ngaphambi kokufaka umucu wokuhlola kuwo.
- Susa umucu wokuhlola, vala ngokuqinile ibhubhu.
- Yehlisa umucu wokuhlola ungene kumchamo imizuzwana emi-5, uqiniseke ukuthi zonke izinkomba zingena kuwo.
- Thatha umucu wokuhlola bese ubeka umphetho wawo ngethanyana ukuze ukhiphe umchamo owedlulele.
- Okwemizuzu engu-2, beka umucu wokuhlola endaweni eyomile enezinzwa phezulu. Ngalesi sikhathi, izindlela zamakhemikhali eziningana ezilandelanayo zizovela kulo. Uma kukhona i-acetone kumchamo, inzwa yokuzimisela kwayo izoshintsha umbala wayo.
- Qhathanisa umbala we-sensor nesilinganiso esiku-tube bese unquma izinga elifanelekile lemizimba ye-ketone. Lapho umbala ubukhali khona, kuphakama ukugcwala kwe-acetone.
Ukuthola imiphumela enokwethenjelwa, ukuhlaziya kwenziwa ekushiseni kuka-15-30 ° C. Ukuhlaziywa kuzobe kungalungile uma umchamo ugcinwe isikhathi eside noma upendiwe ngombala okhanyayo. Isizathu salokhu kugcona kungenzeka kube yimithi ethile nokudla, njengama-beet.
Ukuhunyushwa kwemiphumela:
| Imizimba yeKeto, mmol / l | Ukuhambisana ne-urinalysis | Incazelo |
| 0,5-1,5 | + | Mild acetonuria, ingalashwa ngokwayo. |
| 4-10 | ++ | I-Medium degree. Ngokuphuza njalo, ukucwilisa okwejwayelekile komchamo kanye nokungabikho kokuhlanza okungalapheki, ungabhekana nakho ekhaya. Izingane ezincane kanye neziguli ezinoshukela wegazi ophezulu zingadinga usizo lukadokotela. |
| > 10 | +++ | Iziqu ezikhulu. Dinga ukulashwa ngokuphuthumayo esibhedlela. Uma izinga eliphezulu likashukela libuye lutholakale kumchamo, futhi isimo sesiguli siba sibi kakhulu, kungaba nehlaya le-hyperglycemic. |
Ungayithenga kuphi nentengo
Ungathenga imichilo yokuhlola ubukhona be-acetone kunoma yiliphi ikhemisi, umuthi wabo awudingekile. Lapho uthenga, naka usuku lokuphelelwa yisikhathi, ngaphambi kokuphela kwalo kufanele kube ngaphezu kwezinyanga eziyisithupha. Yilezi zinkomba ezingaki ezigcina imisebenzi yazo ngemuva kokuvula iphakheji.
I-assortment yemivimbo yokuhlolwa kumakhemisi aseRussia:
| Izinkomba | Uphawu lwentengiso | Umkhiqizi | Inani ngepakethe ngalinye, hlikihla. | Inani ngepakethe ngalinye | Intengo ye-1 strip, rub. |
| Izidumbu zeKetone kuphela | Ketofan | ILahema, Czech Republic | 200 | 50 | 4 |
| I-Uriket-1 | I-Biosensor, eRussia | 150 | 50 | 3 | |
| Ama-ketones we-Bioscan | I-Bioscan, eRussia | 115 | 50 | 2,3 | |
| Imizimba yeKetone noshukela | I-Ketogluk-1 | I-Biosensor, eRussia | 240 | 50 | 4,8 |
| I-Bioscan glucose kanye nama-ketones | I-Bioscan, eRussia | 155 | 50 | 3,1 | |
| UDiaphane | ILahema, Czech Republic | 400 | 50 | 8 | |
| Amapharamitha ayi-5, kufaka phakathi ama-ketones | I-Bioscan Penta | I-Bioscan, eRussia | 310 | 50 | 6,2 |
| 10 imingcele yomchamo | I-UrineRS A10 | Ubuchwepheshe obuphezulu, e-USA | 670 | 100 | 6,7 |
| I-Agency Stick 10EA | U-Arkrey, eJapan | 1900 | 100 | 19 | |
| Izinkomba eziyi-12 zomchamo ngaphezu kwe-acetone | Dirui h13-cr | IDirui, China | 950 | 100 | 9,5 |
Ngokwengeziwe, ungafunda:
>> Ukuhlaziywa komchamo ngokusho kweNechiporenko - izici nemithetho.
