Impilo kamama esizayo iyindaba yokunakekelwa okukhethekile. Futhi uma owesifazane ekhononda ngokuzizwa egula, udokotela uzomdlulisa ngokushesha ayohlolwa.
Ngenxa yalokhu, i-acetone ingabonakala emchameni wabesifazane abakhulelwe, okuvame ukwenzeka ngokudakwa isikhathi eside. Futhi le yinkinga ebaluleke kakhulu ebeka usongo kumama nengane.
I-acetone noshukela emchameni: kusho ukuthini?
Ivelaphi i-acetone kumchamo okhulelwe? Iqiniso ngukuthi umzimba wethu uhlala udinga amandla owuthola ekudleni. Uma ngasizathu simbe ushukela akwanele, inqubo yokuphindisela ephuthumayo yethulwa.
Ukucutshungulwa kwamafutha abekwe ngumzimba "esitokisini" kuyaqala. Ngenxa yale nqubo yamakhemikhali, ama-organic by-product (ama-ketones) ahlanganisiwe. Lokhu kufaka i-acetone.
Emzimbeni ophilile, leli khompiyutha elinobuthi likhona ngemali encane ngaso sonke isikhathi. Ngesikhathi sokukhulelwa ngenxa yokuphazamiseka kwe-hormonal noma ngenxa yokungondleki, i-acetone inqwabelana egazini ngokweqile, uhlelo lokuchama alunaso isikhathi sokulusebenzisa ngokuphelele, futhi ukubhujiswa kwamangqamuzana enempilo izicubu kuyaqala (ukudakwa).
Lesi simo, esibizwa nge-ketonuria (noma i-acetonuria), sifaka ukomisa futhi sisongela ukukhula kwengane. Kepha isizathu kungenzeka sibe sesifo sikashukela sokukhulelwa. Ngakho-ke, umama okhulelwe, ngaphezu kokuhlaziywa kwe-acetone, ngokuqinisekile uzodinga ukunikela ngegazi nomchamo ngoshukela.
Imvamisa, ukukhuphuka okuncane kokusebenza kungabhekwa njengokuphendula okujwayelekile komzimba, okungeyona ingozi kumama nengane. Kodwa uma ukubuyiselwa okuphindaphindiwe kukhombisa amanani ezinoshukela aphezulu, khona-ke i-pathology ikhona.
Imvelo yokukhulelwa
I-acetone esemzimbeni ophilile ihlala ikhona ngamanani amancane futhi ikhishwa ngokuphelele kumchamo kanye nesithukuthuku. Okujwayelekile kuthathwa njengenani lama-ketones 1-2 mg nge-100 ml yegazi.
Leli volumu lisetshenziswa ngokuphelele ngumzimba. Uma ukunyuka okuncane kokubandakanyeka kwe-acetone kutholakala kowesifazane obelethayo, akufanele wesabe.
Uzocelwa futhi ukuthi enze ucwaningo lwelabhoratri ukuze kuqedwe amaphutha. Kepha uma kunokuvela okukhulu kwama-ketones (15-59 mg / dl), bathi nge-ketonuria. Ngasikhathi sinye, owesifazane uzwakala kahle ukunambitheka kwe-acetone emlonyeni wakhe.
Ukhathele ngokuhlanza, futhi umzimba uphelelwa ngamanzi emzimbeni. Ukuba khona koshukela omningi kumchamo womama kuvame ukukhombisa isifo sikashukela esingelapheki (HD).
Kunezindlela ezi-3 zokuhlola amazinga we-umchamo we-urine:
- uma ushukela ungaphansi kwe-1.7 mmol / l - lokhu kuyinto evamile;
- ngaphakathi kwe-1.7-2.7 mmol / l - kukhona iminonjana ye-glucose, kepha phakathi kobubanzi obamukelekayo;
- ngaphezu kwe-2.8 mmol / l - okweqile kwesilinganiso. Kutholwe nge-glucosuria.
Ungapheli amandla uma ukuhlaziywa kokuqala kukhombise amanani aphezulu. Udokotela uzokuthumela ukuthi ubuyise futhi bese uthola iziphetho.
Imbangela yoshukela omningi kumchamo ingaba yi-HD kuphela. Zikhona nezinye izizathu:
- izifo ze-endocrine;
- ukungasebenzi kwe-pancreatic;
- i-nephropathy;
- i-hepatosis;
- ukulimala ekhanda.
I-acetone ephakanyisiwe emchameni ngesikhathi sokukhulelwa
Ezigabeni zokuqala
Ama-ketones kule nkathi ahlala avela ngenxa ye-toxicosis elinganiselayo noma enzima. Lapho ukuhlaselwa kwezimpawu zemvelo kuvama ukufika kweziqephu ezingama-5-10 ngosuku, umfazi akadli.
Ngaphezu kwalokho, ikhefu phakathi kokudla liyanda. Ukusabela komzimba kulindeleke: ukwehlukana okusebenzayo kwama-lipids namaprotheni kuqala. Ngenxa yalokhu, owesifazane okhulelwe usheshe alahlekelwe isisindo, futhi ama-ketones avele umchamo.
Ngaphezu kwe-toxicosis kanye nesifiso sokudla esibi, imbangela ye-acetonuria kwabesifazane abakhulelwe ingaba:
- umsoco: okungalungile futhi okungajwayelekile. Lapho ukudla kugcwele amafutha kanye namaprotheni, owesifazane obelethayo akabekezeleli ukumuncwa kwawo. Umphumela: i-acetone emchameni;
- ukungabi namandla kokuzivikela. Kulesi simo, noma yikuphi ukutheleleka kubangela ukukhula kokuqanjwa kwemizimba ye-ketone;
- ukuntuleka kwamanzi. I-Toxicosis, ukuhlanza okuvusa umzimba, komisa umzimba kakhulu. Ngakho-ke, owesifazane okhulelwe kufanele azame ukuphuza kusuka kumalitha ayi-1.5 amanzi (noma yiluphi uketshezi) ngosuku. Kungcono ukukwenza lokhu ekuseni nakusihlwa. Futhi ntambama isiphuzo compotes noma itiye. Le ndlela yokudla okungamanzi, esatshalaliswa ngokuhamba kwesikhathi, izonciphisa ubungozi be-edema;
- ukucindezela ngokomzimba. Ngakho-ke, odokotela baphikelela ngohlobo olulinganiselayo, lapho ukusebenza komzimba kuhlangana nokuphumula;
- indlala. Owesifazane okhulelwe akufanele akwenze lokhu ngokwezigaba. Besaba ukuthuthuka ngokwedlulele, omama abakhulelwe babekela umkhawulo wokudla ngamabomu, bakhohlwe ukuthi ngokwenza lokhu bancisha ingane izinto ezibalulekile zokulandela umkhondo namavithamini. Lokhu kuyingozi enkulu, ngoba ukubulawa yindlala kungadala ukukhula kwama-pathologies enganeni engakazalwa.
Ngamagama sekwephuzile (ku-trimester yesithathu)
Ezigabeni zakamuva, i-ketonuria ivela ngenxa yezifo ze-gestosis nezesibindi.
Kepha izizathu zingaba prosaic impela: ngalesi sikhathi, abesifazane abaningi abasebenzayo babona ukwanda okukhulu kwesisindo. Odokotela batusa izinsuku zokuzila ukudla nokudla kwerayisi kwabesifazane abanjalo.
Uma ukudla okungalungile kungalandelwa, ukwanda kwe-acetone emchameni kungenzeka. Imvamisa lesi simo siholela esibhedlela.
I-Ketonuria ye-toxicosis
Imvamisa, i-acetone ephezulu kumchamo kamama ikhombisa ubuthi be-mapema. Isizathu salokhu ukuvumelana nomzimba womuntu wesifazane nesimo sakhe esisha.
Kuyingozi kakhulu lapho i-ketonuria ivela kowesifazane okhulelwe ngemuva kwamasonto angama-28. Isizathu singase sibe sekupheleni kwesikhathi. Futhi lokhu kuyingozi eyingozi kakhulu.
Ukwelashwa kuzoncika ezingeni lama-ketones. Uma inani labo lilincane, ukwelashwa okuphuma ngaphandle kwamukelekile.
Izimpawu nezimpawu ze-ketonuria
Izimpawu zesifo azihlali zibonakala. Kwowesifazane okhulelwe, i-toxicosis kufanele ibe yi-alamu. Musa ukulinda izimpawu eziphinyisiwe ze-ketonuria.
Bona udokotela wakho ngaso leso sikhathi uma ubona amaphuzu alandelayo:
- asikho isifiso sokudla. Futhi ukubona ukudla ngokushesha kubangela isicanucanu;
- umoya odonsa kanzima. Kuzwakala ngathi yi-acetone. Lesi yisibonakaliso esicacile sama-ketones okweqile egazini. Ezimweni eziningi, uphawu olufanayo ngesikhathi sokukhulelwa libonisa i-toxicosis yokuqala, futhi ngemuva kwamasonto angama-28 - i-gestosis noma isifo sikashukela esibolile;
- isikhumba esiswini. Lokhu kwenzeka lapho i-acetonuria ihambisana nesifo esikhulelwe esivele sikhona: ukutheleleka, isifo se-pancreatic, noma isifo sikashukela;
- ukweyisa nokubulala;
- ukomisa. Ama-ketones, athulwe ngokuphefumula, akhiphe ulwelwesi lwe-mucous lomlomo. Owesifazane okhulelwe uba nengubo emhlophe olimini lwakhe, isikhumba sakhe sikhanye.
Iyini ingozi ye-ketonuria ngesikhathi sokukhulelwa
Uma i-acetone yomchamo ingakhushulwa kakhulu, futhi lokhu kwenzeka kanye - umama akanasizathu sokukhathazeka. Isimo esinjalo ngeke simlimaze yena noma ingane.
Isimo esiyingozi kakhulu yilapho i-ketonuria iphinyiselwa khona: i-acetone iphakeme futhi ihlala isikhathi eside. Kulokhu, umsebenzi kadokotela ukuqonda ukuthi yini edala ukudakwa.
Izinsolo zifaka i-pathologies enjenge:
- i-oncology;
- isifo sikashukela
- i-anemia
- isifo sesibindi.
Ukubambezeleka kwezifo zokuxilonga akwamukeleki - impilo kamama nengane isengozini.
Uma inkinga ingaxazululwa, izinkinga ezilandelayo zingenzeka:
- usongo lokuphuphuma kwesisu;
- ubuthi yimithambo ye-ketone yomzimba wowesifazane obelethayo nengane;
- ukomisa ngisho nethambo.
Okufanele ukwenze
I-Ketonuria kufanele ilashwe esibhedlela. Lapha owesifazane okhulelwe kufanele aphumelele ovivinyweni olulandelayo:
- ukuhlola isimo sezitho zomzimba - ukuhlolwa kwegazi okujwayelekile kanye ne-biochemistry;
- I-Ultrasound ye-yegilo yegilo;
- ukuhlaziywa komchamo we-acetone;
- igazi loshukela.
Ngokusekelwe kwimiphumela yokuhlaziya, ukwelashwa okulandelayo kunqunywa.
Ukwelashwa ngezidakamizwa
Uma i-gestosis yaba imbangela ye-acetonuria, isiguli sinqunyelwe:
- UValerian noMamawort;
- izidakamizwa ze-antispasmodic ezifana nePapaverine noma iTheophylline. Ngaphezu kwazo, ama-block adrenergic asetshenziswa;
- kusho ukunciphisa ingcindezi.
Lapho i-ketonuria ingahlotshaniswa ne-pathologies, ukwelashwa kufaka:
- ukwamukelwa kwama-adsorbents;
- ama-antiemetics;
- izixazululo zokubuyisela emzimbeni;
- ama-painkiller;
- amavithamini;
- isiphuzo esiningi.
Ukudla
Lesi yisimo esibaluleke kakhulu ekwelapheni i-ketonuria.
Ukudla okufanele kufanele kube yi-carb ephezulu futhi kufaka:
- inyama ebusayo nenhlanzi ebusayo. Kufanele zidliwe kusitshulu. Ukugcoba akuvunyelwe;
- okusanhlamvu nezobho zemifino;
- ama-juices kanye nama-compotes;
- imifino nezithelo (okusha).
Imikhiqizo Evinjelwe:
- noma yikuphi ukudla okunamafutha nesipayisi;
- ukhukhamba kanye nenyama ebhemayo;
- ubhanana
- izinongo;
- izithelo ezisawolintshi;
- ikhofi notshwala.
Amakhambi esintu
Ungaxwayisa:
- yekani ukugabha kaningi ezingxenyeni ezincane zamanzi noma izithelo ezikhululekile. Kufanele aphuze 1 tbsp. l Isikhathi sokuphumula yimizuzu eyi-10;
- funda ukwenza i-enema yokuzihlanza ngokwakho;
- isiphuzo sikalamusi noju kuyasiza. Iziphakamiso: 2 tbsp. l uju ngelitha lamanzi ngalinye. Faka ujusi kalamula ukunambitha. Ithuluzi kufanele futhi lidakwe ngezingxenye: 1 tbsp. sokuphumula kwemizuzu engu-10-15;
- ungaphuza isisombululo se-soda: 1 tsp govuza kahle engilazini yamanzi bese uthatha okungenhla;
- phuza izidakamizwa zokuyenga: amajikijolo noma izimbali ze-hawthorn, valerian.
Amavidiyo ahlobene
Yini okufanele uyenze uma kutholakala i-acetone emchameni? Izimpendulo kuvidiyo:
Bafazi abathandekayo, qapha kahle inhlala-kahle yakho. Dlula kuzo zonke izivivinyo zezokwelapha ezihleliwe ulalele ngokucophelela izincomo zikadokotela: ngokubambisana ungasusa i-acetone ngokuphepha futhi ngokushesha.
