Kusho ukuthini ukuthi i-acetone kumchamo kushukela kanye nakumuntu ophilile: izimbangela kanye nokwelashwa kwe-acetonuria

Ukuhlaziywa okujwayelekile komchamo kusiza odokotela ukuthi bazi ngesimo sempilo yomuntu, kuphakamisa isifo esithile.

Kwesinye isikhathi abasizi belabhoratholi bathola i-acetone engxenyeni ye-fluid fluid.

Kusho ukuthini ukuthi i-acetone kumchamo, ikhulisa ngaphansi kwaziphi izindlela, nokuthi ungayinciphisa kanjani, isihloko sizotshela.

Ushukela ne-acetone kumchamo: kusho ukuthini?

Imvamisa, ushukela ne-acetone kumchamo akufanele. Ushukela uqondwa njengohlobo olujwayelekile lwe-carbohydrate, olusebenza njenge substrate ekhiqiza amandla.

I-Acetone - imizimba ye-ketone ekhiqizwa yisibindi ngenxa yokucutshungulwa kwamakhemikhali namaprotheni.

Isimo sikashukela kumchamo wabesilisa nabesifazane ngu-0.06-0.083 mmol / l. Izinga elamukelekayo le-glycemia kumntwana ngu-0.07-0.08 mmol / L. Ezinganeni, ushukela omchini akufanele ube khona.

Isikhombi esijwayelekile se-acetone kumchamo wabantu abadala yi-0.3-0.5 mmol / L, ezinganeni ngu-0.3-1.5 mmol / L. Ukuqunjelwa okuphezulu koshukela kumchamo emithini kuthiwa yi-glucosuria, ne-ketone - acetonuria. Ukuba khona kweshukela ne-acetone kumchamo kusho inqubo ye-pathological emzimbeni.

Imvamisa, lo mphumela wokuhlaziya ukhombisa ubukhona bezinkinga ngama-pancreas, izinso, kukhombisa ukuthuthukiswa kwesifo sikashukela esincike emsini.

Uma i-glucose kumchamo ingaphezu kwe-3%, okuqukethwe kwemizimba ye-ketone kuyakhuphuka. Kodwa i-acetone nayo ingaba khona nge-glycemia ephansi.

I-Glucosuria ne-acetonuria ibonwa ngesikhathi sokukhulelwa (i-trimester engu-2-3) enesifo sikashukela sokukhulelwa.

Imizimba yeKetone: iyini futhi ifani?

Zenziwe ngesibindi. Imelelwe yi-acetone, beta-hydroxybutyric kanye ne-acetoacetic acid.

Qondanisa ukukhishwa kwamandla ngesikhathi sokuqhekeka kwezinto ezinamafutha. Izidumbu zeKetone emzimbeni wengane noma wabantu abadala zivame ukuguqulwa.

Ngokukhiqizwa kwe-insulin okunganele, amaseli we-pancreatic wezitho zomzimba aqala ukuba nenkinga yokushoda kwe-glucose, i-glycogen inqwabelana esibindini.

Ngemuva kokuthi umzimba uphelelwe yizindawo zokugcina i-glycogen, amafutha aqala ukuwohloka. Uma i-lipid metabolism ikhulu, khona-ke i-acetone yakhiwa ngokushesha kunokuba ibhujiswe. Ngakho-ke, izinga layo kumchamo liyakhuphuka.

Kusho ukuthini ukuba khona kwamaprotheni akhuphukile emchini?

Amaprotheni amaningi emzimbeni wengxenye yansuku zonke yomchamo abizwa ngodokotela odokotela be-proteinuria. Lesi simo sikhombisa ukuba khona kokwephulwa okukhulu emzimbeni. Imbangela ye-proteinuria ingaba ubuthi obukhulu, ukushiswa, ukulimala, i-systemic pathologies.

Amaphrotheni akhuphukile emchini angakhuluma ngawo:

• ukusebenza ngokweqile komzimba;
• ukuhlukunyezwa kokudla kwamaprotheni;
• i-hypothermia yomzimba;
• isimo esicindezelayo;
• ukuthatha imishanguzo ethile ekhemisi;
• ukuthuthukiswa komzimba;
• esisanda kudlulisela isifo esithathelwanayo nesisusa ukuvuvukala.

Ngesikhathi sokuzala kwesibeletho kwabesifazane, ukuqondana kwezinso ngesibeletho esandayo kungabonakala. Kuholela futhi ku-proteinuria.

Ukwanda kwamaprotheni kumchamo kuvame ukubonwa ngama-renal pathologies:

• i-nephroptosis;
• i-pyelonephritis;
• glomerulonephritis;
• ukungakwaneli emsebenzini womzimba.

Yiziphi izifo ezibangela ukweqisa kwe-acetone kumchamo?

I-Acetonuria ibonwa nge-pathologies enjalo:

• uhlobo lokuqala noma lwesibili sikashukela;
• i-anemia
• ukulimala kwengqondo ebuhlungu;
• i-hyperthyroidism;
• ukudakwa ngenxa yethonya lamakhemikhali emzimbeni;
• Isifo sayo i-Itsenko-Cushing;
• izifo ezithathelwanayo (cystitis, meningitis, fever fever);
• i-cerebral coma;
• ubuthi botshwala;
• i-thyrotooticosis;
• ubuthi begazi;
• udayi;
• umdlavuza wesisu
• ukuphazamiseka ohlelweni lwezinzwa.

Zonke lezi zimo zibonakala ngokuntuleka kwamandla, lapho umzimba kufanele uzenzele izidingo zawo ngokusebenzisa izitolo ezinamafutha.

I-Acetonuria (ketonuria) kuhlobo lwe-mellitus yesifo sikashukela 1 no-2

I-acetone yomchamo kumuntu ohlobo lwesibili noma lokuqala lwesifo sikashukela ivame ukutholwa. I-Endocrinological disorder ayelapheki.

Isimo sesiguli sisekelwa amaphilisi anciphisa ushukela noma ukwelashwa okufakwa esikhundleni se-hormone nge-insulin. Ngokuphikisana nesizinda sikashukela, ibhalansi ye-acid-base iyaphazamiseka bese idlulela ohlangothini lwe-acid.

Ngakho-ke, izidumbu ze-ketone zitholakala umchamo kanye ne-serum. Lesi sifo sivame ukuhlanganiswa yinkimbacidosis, lapho ukukhushulwa kwe-acetone kukhuphuka kakhulu, ukuphazamiseka kwenzeka ohlelweni lwe-endocrine.

Yini eyingozi kwabanesifo sikashukela?

Izinga lemizimba ye-ketone incike esimweni sezitho zomzimba nezinhlelo, izici zokudla okunempilo, izinga lokucindezelwa okungokomzwelo.

Cishe ama-50% abantu abanohlobo lokuqala lwesifo sikashukela abonakaliswa yi-ketoacidosis. Uma ukugcwala kwe-acetone kungaphezu kuka-5 mmol / l, futhi okuqukethwe ushukela kungaphezu kuka-12 mmol / l, khona-ke lapho isifo sikashukela sikhula i-acidosis kanye ne-coma.

Lesi simo siyingozi ngoba ubuchopho, isibindi, izinso nohlelo oluphambili lwezinzwa kuyathinteka. Uma ungamsizi umuntu, ungasusi imizimba ye-ketone eyeqile kanye noshukela, isiguli singafa.

I-acetonuria njengomphumela wokuhlinzwa

Kwezinye iziguli, izidumbu ze-ketone zitholakala umchamo ngemuva kokuhlinzwa. Lesi simo sidalwa izinhlobo ezithile ze-anesthesia. Izidumbu zeKetone zidonswa ngokuzimela ngemuva kwezinsuku ezimbalwa. Imvamisa, i-acetonuria ivela ngemuva kokubulala izinzwa okujwayelekile.

Izimpawu nezivumelwano

I-Acetonuria ibonakala ngezimpawu ezinjalo:

• ukwenqatshwa kokudla, ukuphuza uketshezi;
• ukuvuka
• ubuthakathaka, ukukhathala;
• umkhuhlane;
• Ubuhlungu be-spastic esiswini;
• ukomisa komzimba;
• iphunga elishubile le-acetone elisuka emgodini womlomo;
• ukudangala okukhulu kwengqondo;
• isicanucanu nokuhlanza ngemuva kokudla ukudla;
• i-plaque emhlophe-ephuzi olimini;
• ubunzima bokuchama;
• ukubonakala kwephunga elingathandeki ngesikhathi sesenzo sokuchama.

Ungakuthola kanjani okuqukethwe okwengeziwe kwe-acetone, noma cha, ekhaya?

Ukunquma ukuhlangana kwe-acetone kumchamo ekhaya, kufanele uthenge isivivinyo esikhethekile. Ukuhlolwa kweKetur, iKetostix, i-Acetontest kunembe kakhulu. Lawa mathuluzi ahambisana nemiyalo enemininingwane yokusetshenziswa.

I-algorithm yocwaningo lomchamo ngobukhona be-acetone:

• ukuqoqa umchamo nsuku zonke;
• ukuthola umucu wokuhlola bese kwehlisa esitsheni esinomchamo;
• ngemuva kwemizuzwana embalwa, khipha bese ulinda isikhashana;
• inkomba izodwetshwa ngombala ohambelana nezinga lemizimba ye-ketone.

Ukunemba komphumela kuncike kwinqubo eyiyo, isikhathi sokuqoqwa kwengxenye yomchamo nempilo eshalofini yemichilo yokuhlola.

Izimiso zokwelashwa

Ukususwa kwe-acetone emzimbeni kwenziwa ngezindlela ezihlukile.

Izimiso eziphambili zokwelashwa kwe-ketoacidosis yilezi:

• ukwenza ukwelashwa kwe-pathology eyinhloko ebangele ukwanda kwemizimba ye-ketone emzimbeni (ngokwesibonelo, ngokwehluleka kwe-hemodialysis noma ukuhlinzwa kwe-rezin, nge-insulin ephezulu yegazi)
• ukusetshenziswa kwezidakamizwa ezibuyisela ukulinganisela kwe-acid-base;
• ukwelashwa kwezifo ezithathelwanayo;
• ukukhethwa kwerejimeni yokwelapha ye-insulin;
• ukwenza izindlela zokuvimbela ukuvimbela i-hypoglycemia;
• ukusetshenziswa ngosuku kusuka kumalitha amabili kuya kwamathathu amanzi ahlanziwe;
• ukusetshenziswa kwezindlela zokupheka zabantu;
• ekudleni.

Uma i-acetone inyuka kancane emchini, khona-ke odokotela banquma ukunakwa kwama-sorbents futhi batusa ukudla okuthile.Ukwehlisa ukuhlangana kwemizimba ye-ketone emchameni, odokotela banquma iRegidron, i-Oxol.

Umuthi yiRegidron,

Lapho kukhona ukugabha okukhulu, kukhonjiswa imijovo yeCerucal. Kwabasebenza ngokuthakatha, iMultisorb, Enterosgel, Polysorb, amalahle amhlophe noma iLactofiltrum asetshenziswa.

Uma kukhona i-anemia, khona-ke izithasiselo zensimbi zinqunywe. Ukuze wandise i-hemoglobin, kunconyelwa ukusebenzisa ama-buckwheat, ama-aphula, i-chokeberry.

Ukudla

Ukudla okukhethekile kuzosiza ukuvikela ukukhula kwe-ketoacidosis. Odokotela batusa:

• faka ekudleni okudla okufakwa kancane kancane emgudwini wokugaya ukudla;
• isilinganiso sama-carbohydrate ukuze ahambisane nomthamo we-insulin;
• ithuthukise imenyu ngefayibha;
• khipha ukusetshenziswa kwama-carbohydrate ashesha ukugaya kanye namafutha we-trans.

Ngezinga eliphakeme le-acetone, imikhiqizo elandelayo ivunyelwe:

• inyama enciphile;
• amaqanda
• amajikijolo;
• isinkwa esiphelele sokusanhlamvu;
• izithelo
• okusanhlamvu;
• Tea
• amakhompiyutha, iziphuzo zezithelo, ijeli;
• imifino;
• ubisi lwe-skim;
• isinkwa se-bran;
• imikhiqizo yobisi;
• imifino.

Kuvinjelwe iziguli:

• ukubhema inyama;
• ama-marinade;
• ikhofi
• izinduku zebhotela;
• amasoseji;
• isinkwa esimhlophe;
• imikhiqizo yobisi enamafutha;
• iziphuzo ezidakayo;
• ingulube
• I-Confectionery
• ukubhaka kwezimboni;
• ukhukhamba;
• amanzi acwebezelayo;
• I-pasta
• izithelo ezomisiwe.

Amavidiyo ahlobene

Mayelana nezimbangela nezindlela zokwelapha i-acetone ephakeme umchamo onesifo sikashukela kuvidiyo:

Ngakho-ke, i-acetone kumchamo ivumelekile, kepha ngamanani amancane kakhulu. Ukwanda kokuqukethwe kwemizimba ye-ketone kuwuphawu lwama-pathologies ahlukahlukene. Imvamisa, i-acidosis ikhuluma ngohlobo lwe-insulin oluncike ku-insulin.

Izinhlobo ezinomusa ze-acetonuria ziphathwa ngaphandle kwezinkomba nokudla, futhi amafomu aqatha aphathwa ngokungemthetho, ngokuhlanza umzimba. Ukugcwala okukhulu kakhulu kwemizimba ye-ketone kusongela isiguli ngokukhohlisa.