Okuqukethwe okweqile kwemizimba ye-ketone emchameni, kufaka phakathi i-acetone, kubantu abadala nasezinganeni kungakhombisa ubukhona bezinkinga ezithile ezinkulu emzimbeni. Ukuhlaziywa okufika ngesikhathi komchamo we-acetone kukuvumela ukuthi unqume ngokweqile kokuhlushwa okuvumelekile emzimbeni wale nto bese uqala ukwelashwa okuhlose ukwehlisa inani lawo ngamanani ajwayelekile.
Kusho ukuthini ukuthi i-glucose ne-acetone ku-urinalysis?
Isimo sesiguli okutholakale umchamo waso ngokweqile kwe-glucose ejwayelekile sibizwa ngokuthi yi-glucosuria. Ngokukhula okukhulu kokuhlushwa kwe-ketone emzimbeni emzimbeni, kwenzeka i-acetonuria (ketonuria).
Izinkomba ezibona ukuthi lezi zimo zilinganiswa ngamamilimitha ezinto kwilitha 1 loketshezi lokuhlola (mmol / l).
Uma izinkomba ziphakeme kakhulu kunokwejwayelekile, lokhu kukhombisa ukuthi izigaxa zezinso azisebenzi kahle, azenzi umsebenzi wazo, futhi neglucose eyeqile ikhishwa emchameni.
Uma inani elijwayelekile le-glucose alidlulwa kakhulu, khona-ke lokhu kungaba yinto yesikhashana ehambisana nokusetshenziswa ngokweqile kwama-carbohydrate. Ukuhlaziywa okuphindaphindwayo kungacacisa ubukhona / ukungabikho kwe-glucosuria.
Iziphi izimpawu ezisiza ekuboneni i-acetonuria ne-glucosuria?
Ukuba khona kwe-glucosuria kungaphakanyiswa yizimpawu ezilandelayo:
- isimo sokudakwa okungapheli;
- ukoma
- ukunciphisa umzimba ngaphandle kwesizathu esibonakalayo;
- imizwa evamile yokuchama;
- ukucasulwa kwezitho zangasese / ukulunywa;
- ukukhathala okungachazwanga;
- isikhumba esomile.
Noma ngabe esinye salezi zimpawu sikhona, lesi isikhathi sokuxhumana ngokushesha nochwepheshe futhi uhlolwe.
Ngemuva kwakho konke, isizathu esivame kakhulu sokwakhiwa kwe-glucosuria yisifo sikashukela, esifakwe yimiphumela emibi kuwo wonke umzimba. Izimpawu eziphakamisa ukuba khona kwe-acetonuria kubantu abadala nasezinganeni zihlukile.
Kubantu abadala, isizathu sokudlula kokuhlaziywa kungenzeka:
- iphunga le-acetone elisuka emlonyeni;
- iphunga lomchamo elingathandeki;
- ubuqili noma ukudangala kwengqondo ngaphandle kwesizathu esibonakalayo.
Ezinganeni, lezi zimpawu ezilandelayo ziyimpawu:
- kukhona njalo isicanucanu kanye ne-anorexia ehambisana nakho;
- cishe konke ukudla kuhambisana nokuhlanza;
- injabulo isheshe iphenduke ubuthi noma ubuthongo;
- ubuthakathaka buhlala buzwakala;
- ukukhononda kwekhanda;
- izinhlungu ezi-spastic zenzeka esiswini, ezivame ukwenziwa endaweni ethile enkabeni;
- kukhona ukwanda kwezinga lokushisa;
- ukuqubuka okungathandeki noma isikhumba ngokweqile kwesikhumba, ukoma kwaso kuyabonakala;
- kusuka emlonyeni nomchamo kunuka kakhulu i-acetone.
Ilungiselela ukunikela ngomchamo wakho
Kunezindlela ezimbili zokufunda umchamo we-glucose / imizimba ye-ketone ene-algorithm ehlukile yokucabanga ngemiphumela. Indlela yokuqala ifaka ukuqoqa ingxenye yomchamo wasekuseni kuphela, futhi okwesibili kuyadingeka ukuqoqa umchamo isikhathi esingamahora angama-24.Ukuqoqwa kwansuku zonke kufundisa kakhulu, ngoba kukuvumela ukuthi usungule inani ngqo le-glucose ne-acetone engena umchamo ngosuku futhi unqume ukuthi i-glucosuria / acetonuria iveze ngokuqinile kangakanani.
Ngaphambi kokuqala ukuqoqwa komchamo wansuku zonke, kubalulekile ukulungisa isitsha esifanele. Kungcono ukuqoqa umchamo ngqo ebhodleleni elinamalitha ama-3, ugezwe ngaso sonke isikhathi, ukhwezwe ngamanzi abilayo.
Lapho-ke kufanele ulungiselele isitsha esincane esingcolile lapho okuqoqiwe kuyothunyelwa elebhu.
Awukwazi ukudla amaswidi ngaphambi kokuhlolwa.
Ngaphambi kokuqoqa, kufanele ulandele ukudla okuthile bese ulahla imikhiqizo eshintsha umbala womchamo. Lokhu:
- izaqathe;
- ama-beet;
- i-buckwheat;
- izithelo ezisawolintshi;
- amaswidi.
Ungakudlulisela kanjani ukuhlolwa komchamo we-acetone noshukela?
Ngaphambi kokuqoqa, geza izitho zangasese usebenzisa insipho. Bese uyomisa ngethawula lephepha.
Uma lo msebenzi ungenziwa ngokucophelela, imiphumela yokuhlaziywa ingahlanekezelwa ngenxa yamagciwane angena ezintweni zokuhlola. Ingxenye yokuqala yomchamo iyaphuthelwa, bese ukuqoqwa kuqala ngokuchama okulandelayo.
Umchamo uqoqwa kusukela ekuseni wosuku loku-1 kuze kube kusekuseni kwe-2nd phakathi namahora angama-24. Izinto eziqoqwe ngale ndlela zigcinwa esiqandisini, izinga lokushisa lazo okufanele libe phakathi kuka-4-8 ° C.
Akuvunyelwe ukufriza umchamo oqoqiwe. Ngemuva kwalokho, iqoqo elilungiselelwe lixubeke kahle bese kuthi i-150-200 mg ithululelwe esitsheni esilungiselelwe ukuthuthwa elebhu.
Ngasikhathi sinye nezinto eziqoqiwe, kubalulekile ukunikeza ifomu imininingwane elandelayo:
- isikhathi sokuqala ukuqoqa umchamo;
- umthamo ophelele otholwe ngosuku;
- ukuphakama / isisindo sesiguli.
Imikhuba yabantu abadala nezingane
Imvelo yokuqukethwe kwe-glucose, kungakhathalekile iminyaka yobudala, ngu-0,06-0.08 mmol / L.
Ebantwini abehlukene, ikakhulukazi ekugugeni, kungashintshashintsha, kepha kuze kufike ku-1,7 mmol / l, inkomba ibhekwa njengejwayelekile. Okuqukethwe okuvumelekile kwe-acetone kumchamo nakho akuxhomekile eminyakeni yobudala futhi ngu-10-30 mg ngosuku.
Uma inani lansuku zonke lidlula i-50 mg, khona-ke ukuhlolwa okwengeziwe komzimba kuyadingeka.
Ukuthola imiphumela yocwaningo nezimbangela zokuphambuka
Ukuhlaziywa kuhlonishwe futhi ukuba khona kwesifo sikashukela kunqunywa yile mikhakha elandelayo:
- iphunga elimnandi lomchamo;
- i-pH ephezulu (ngaphezulu kwe-7);
- inani le-acetone elidlule;
- Ushukela ngokweqile.
Uma inani le-glucose lingaphezulu kwe-8.8-10 mmol / L ("renal threshold"), khona-ke lokhu kubonisa isifo sezinso sesiguli, noma sinesifo sikashukela.
Uma i-glucose eyeqile incane, singakhuluma nge-glucosuria yomzimba.
I-glucosuria yomzimba ingakhula njengendlela yokusabela ku:
- udla ama-carbohydrate amaningi lapho umzimba ungasakwazi ukuwafunda;
- ukweqisa ngokomzwelo noma izimo ezicindezelayo;
- ukuthatha imishanguzo ethile (i-caffeine, i-phenamine, njll).
Ngokuvamile, i-glucosuria ibonwa kwabesifazane abakhulelwe. Imvamisa kuziveza ku-3rd trimester yokukhulelwa, lapho umzimba sowesifazane umelana ngokuqinile nokukhiqizwa kwe-insulin ngokweqile.
Kubo, ukuhlangana kwe-glucose okufika ku-2.7 mmol / L kubhekwa njengokujwayelekile. Uma ngabe le nkomba idluliwe, kudingeka ezinye izifundo.
Ukuzimisela kwe-algorithm ngendlela ye-expression ekhaya
Ukuhlolwa komchamo we-acetone kungenziwa ekhaya. Ukuze wenze lokhu, kukhona imichilo yokuhlola eshintsha umbala ngokusho kokuxineka kwemizimba ye-ketone umchamo. Umbala womucu ngemuva kokuntywiliselwa kumchamo osanda kuqoqwa uqhathaniswa nezinga lemibala ephaketheni.
Ukuhunyushwa kwemiphumela yokuhlaziya kungokulandelayo:
- uphawu lokuhlanganisa olulodwa lukhombisa ukuba khona komchamo wemizimba ye-ketone engu-1.5 mmol / l. Leli yi-acetonuria ethambile. Kulokhu, ukwelashwa ekhaya kwanele ukuqeda lesi simo;
- ama-pluses amabili ahambelana nokuqothulwa kuze kufike ku-4 mmol / l nesifo esilinganiselayo, ukwelashwa kwako kwenziwa kangcono ezikhungweni zezokwelapha;
- ama-pluses amathathu akhombisa ubukhona be-10 mmol / l yale nto. Lokhu kusho ukuthi isiguli sisesigabeni esibi sesi sifo, lokhu kwelashwa kudingekile esibhedlela kuphela.
Ukungabikho kwama-pluses kubonisa isimo esivamile somzimba.
Amavidiyo ahlobene
Mayelana nezimbangela ze-acetone umchamo onesifo sikashukela kuvidiyo:
Kunoma iziphi izimpawu ezingenhla, kufanele uthathe ukuhlolwa komchamo kwe-glucose / acetone. Uma isifo sitholakala masisha sisebenzisa lokhu, kuzoba lula ukusula.
