Isikhathi se-perinatal yisikhathi esisebenza kakhulu kumama nengane. Noma yikuphi ukukhulelwa kungaphansi kokuqashwa kedokotela.
Umama okhulelwe ngalesi sikhathi ubhekana nezinqubo eziningi ezidingekayo futhi uphumelela ovivinyweni oluningi. Phakathi kwabo kukhona ukuhlolwa okubaluleke kakhulu - ukuthola i-acetone kumchamo.
Futhi uma le nto enobuthi itholakele, ukwelashwa kufanele kuqale ngokushesha. Yiziphi izizathu zokuba khona kwe-acetone emchameni wabesifazane abakhulelwe?
Kungani i-acetone ivela umchamo ngesikhathi sokukhulelwa: izimbangela
Iqiniso ngukuthi konke ukudla okungena emzimbeni kwenzeka kuhlobo lokuguqulwa: kuyahlukaniswa, kudliwe, futhi ingxenye engadingekile iyadedelwa.Uma ngesizathu esithile inqubo ye-metabolic ingahambi kahle, khona-ke imikhiqizo yokuwoola ngokweqile (ama-toxins) iyaqongelela.
Isibonelo, ngenxa ye-oxidation engapheleli yamakhompiyutha eningi esibindini, kwakhiwa ama-ketones okuthiwa ama-ketones.
Lokhu kufaka i-acetone. Esikhathini esizayo, ekugcineni kufanele ihlehlise, futhi izinsalela zayo ezingasho lutho kufanele zishiye umzimba nomchamo. Imvamisa, izinga layo liyi-4% kuphela.
Kepha kwesinye isikhathi imizimba ye-ketone yakhiwa ngesilinganiso sokuthi isibindi asinaso isikhathi sokuyicubungula. Inani lemikhiqizo ephuma kumchamo okhulelwe liyanda, okusho ukuthi lilimaza umzimba.
Ukudla okungenampilo
Ngokwesaba ukukhuluphala ngokweqile, abanye besifazane baqala ukuzilolonga ngokudla okuqinile.
Awukwazi ukudla ngokwezigaba ngesikhathi sokukhulelwa, ngoba ingane ibulawa yindlala kanye nawe, futhi lokhu kusongela impilo yakhe ngqo.
Ngokuntuleka kokudla okunempilo, kwakheka ushukela egazini emzimbeni, futhi umphumela we-insulin uyanqamuka. Ukusabela okuvikayo kuyashukunyiswa - i-glucagon ye-hormone ikhishwa iye egazini, ngenxa yalokho ukuqalwa kwezitolo ze-glycogen kuqala (iningi lazo esibindini).
Kepha lapho lo mthombo uphela, kuvela amandla omzimba. Ngokuhlukanisa kwabo, kwakheka ama-ketones.
Amafutha amaningi kanye neProtein
Lokhu kwenzeka uma owesifazane ephula ukudla okunconyelwe udokotela. Ukudla okunamafutha amaningi noma amaprotheni ngeke kwehlukaniswe ngokuphelele futhi nezinga le-acetone liyakhuphuka.
Ukuntuleka kwamanzi
Ukuhlanza kaningi (uphawu lwe-toxicosis) kukhombisa ukuvela kwe-acetone emchameni kamama. Ngenxa yalokhu, umzimba ulahlekelwa umswakama obalulekile kanye nama-dehydrate.
Uma lokhu kwenzeka kuwe, zama ukuphuza kakhulu, kodwa ngama-sips amancane. Le ndlela ukuphela kwendlela yokugwema ukuphinda uhlasele.
Isinqumo esihle kuleli cala yi-Borjomi-uhlobo minvoda futhi, impela, amanzi angenalutho. Uma kungenashukela, khona-ke ungaphuza uketshezi olunoshukela.
Sesha nge-carbohydrate
Ukweqisa kwabo (okungaphezulu kwama-50% kokudla) nakho kuholela ketonuria.
Isifo sikashukela i-mellitus nezinye izifo
Iglucose ngokweqile kanye nokuntuleka kwe-insulin ngesikhathi esisodwa (okusobala ukuthi isifo sikashukela) kubhekwa ngumzimba njengokubulawa yindlala futhi bafuna ngentshiseko “ukonga uphethiloli”.
Kuba izicubu ze-adipose, ukuwohloka kwazo okwakha ama-ketones ngokweqile. Isimo singalungiswa kuphela ngokufakwa kwe-insulin.
Ngaphezu kwalokho, i-acetone kumchamo ingabangelwa yisifo sikashukela sokukhulelwa, i-eclampsia, noma isifo se-pancreatic.
Izimpawu ezihambisana nazo
I-acetone ephezulu yomchamo ngesikhathi se-perinatal ayibonakali njalo ebonakalayo. Inani elincane lama-ketones, ngaphandle kwezimo zelebhu, alitholakali nakancane. Izimpawu ze-ketonuria zivela kuphela njengomphumela wokuphazamiseka okukhulu kwe-metabolic noma phambi kwezifo ezinkulu.
Imvamisa, abesifazane abasebenzayo bakhathazeka kakhulu:
- obuthakathaka kanye nokubabaza;
- iphunga le-acetone. Lokhu kwenzeka ngoba ama-ketones aphuma emzimbeni hhayi ngokuchama kuphela, kodwa nangomoya oxoshwe kanye nesithukuthuku. Ekuhlushweni okuphezulu, ungazizwa unephunga eliyisimilo eliphuma emlonyeni kanye nesikhumba. Ezimweni eziningi, kubonisa i-toxicosis yokuqala. Futhi uma kuvela emavikini okugcina okukhulelwa, khona-ke nge-gestosis;
- ukwehla kwesifiso sokudla. Njengoba owesifazane evame ukuzizwa egula, ngisho nomcabango wokudla awumujabulisi;
- Ubuhlungu besisu. Kungenzeka nge-ketonuria eyinkimbinkimbi, ngokwesibonelo, ngokutheleleka noma isifo sikashukela;
- ukoma.
Imiphumela ye-ketonuria kowesifazane okhulelwe kanye no-fetus
I-acetone kumchamo, yize inobuthi ngokwayo, ayikwazi ukulimaza owesifazane okhulelwe nengane.
I-ketone ethe xaxa ithululela isibindi, okuthi ngesikhathi sokukhulelwa isebenze emibili manje. Kodwa ingozi enkulu ye-ketonuria ukuthi kukhombisa izinkinga emzimbeni wowesifazane lapho ebeletha.
Uma kungokokuqala ukuthi kutholakale i-acetone kumchamo esikhathini somzimba, khona-ke isifo sikashukela sokukhulelwa sikhonziwe. Futhi lokhu kuyisibonakaliso sokuthi ngokuhamba kwesikhathi (ngemuva kokubeletha) lesi sifo singakhula sibe yisifo sikashukela esidala kunina noma enganeni. Ngaphezu kwalokho, i-ketonuria ngesikhathi sokukhulelwa ibonisa ukuthi kungenzeka umdlavuza noma i-anemia.
Uma inani lama-ketones kumchamo lingaphezu kuka-3-15 ml, khona-ke ubunzima obunjalo buyenzeka:
- i-jade;
- ukuntuleka kwe-calcium;
- I-osteoporosis ne-ketoacidosis yesifo sikashukela.
Izindlela Zokuxilonga
Zingaba elebhu noma zenziwe ekhaya ngokuzimela.
Kusuka ezifundweni zaselabhorethri, kufanele kuphawulwe:
- ukuhlaziywa komchamo we-acetone;
- ukuhlolwa kwegazi okujwayelekile. Nge-ketonuria, kutholakala i-ESR ephezulu namaseli amhlophe egazi;
- igazi le-biochemistry;
- ukuhlaziywa kwamakhemikhali
Izinga lama-ketones lingalinganiswa ekhaya. Ukuze wenze lokhu, wasungula imichilo yokuhlola (etholakala ekhemisi).
Umchamo wasekuseni uthathwa isampula. Umhloli wehliselwa kuyo. Bese beyikhipha, bayisuse bese belinda imizuzu embalwa. Ngombala womucu, ungahlulela izinga le-ketonuria.
Uma umucu usuthole umbala opinki - ama-ketones akhona. Futhi uma iphenduka i-violet emnyama - kune-acetone eningi kakhulu kumchamo, hha. Ukuqeda amaphutha, inqubo yenziwa izinsuku ezintathu zilandelana.
Okufanele ukwenze
Lapho ukuhlaziya kuveza okuqukethwe okuphezulu kwama-ketones, owesifazane osenkingeni kufanele alalele izeluleko zikadokotela. Uzohlinzeka ngohlelo lokwelashwa olufaka:
- ukudla ejwayelekile. Isikhathi sokudla singamahora amathathu;
- ukuphuza kakhulu;
- ngesikhathi sokudla kwakusihlwa, gxila emaprotheni noma ekudleni okunesitashi, ngeke kuvume ukuthi ama-carbohydrate akhishwe ngokushesha;
- isikhathi sokulala: amahora we-9-10;
- ama-droppers (uma kwenzeka kune-toxicosis).
Uma i-ketonuria icasulwa yizifo ezikhona, ukwelashwa ngaphansi kokuqashwa kwezokwelapha kufanele kuhlale sonke isikhathi se-perinatal.
Ukudla komama abakhulelwe
Ukudla kowesifazane okhulelwe one-acetone ephezulu kuphakamisa inani elincane lokudla kwe-carbohydrate.
Kungumbuzo wokunciphisa lokho kudla, hhayi ukukhishwa okuphelele kwama-carbohydrate kwimenyu yakho. Umama olindelekile udinga ukwenqaba ukubhaka nokudla okuthosiwe.
Yidla imifino eminingi (ngaphandle kwamatamatisi) nezithelo. Okusuka enyameni, kunconywa izinhlobo ezingewona amafutha. Izitsha ezinhle kakhulu isobho lemifino, okusanhlamvu emanzini kanye nemifino ethosiwe.
Ukuvimbela I-Ketonuria
Ukwelashwa kwalesi sifo kungenzeka ekhaya, uma inani le-acetone lincane, futhi lowesifazane obelethayo uzizwa evamile.Ukuvimbela kulula kakhulu: ukudla nokuphuza.
Okokugcina kubaluleke kakhulu ngoba akugcini nje ngokusindisa umzimba emzimbeni, kepha futhi kuthuthukisa ukuqhekeka kwamaprotheni kanye ne-lipids. Ungaphuza noma yiluphi uketshezi olungenakhabhoni: amajusi nama-compotes, amanzi amaminerali netiye.
Into esemqoka okufanele uyikhumbule umthetho: phuza uketshezi ngezingcosana (15 g) sips. Uma kunobungozi bokudakwa, udokotela angakunquma ukuthi ngabe ngubani odonsayo. Uma kunesidingo, ukuhlolwa kabusha kuyadingeka.
Ngokusekelwe emiphumeleni yabo, i-gynecologist izoncoma umama okhulelwe ukuthi ahlolwe ezinye izazi, ngokwesibonelo, udokotela wezinhlwathi noma i-endocrinologist.
Amavidiyo ahlobene
Mayelana nokuthi yini okufanele uyenze lapho uthola i-acetone kumchamo, kuvidiyo:
I-acetone kumchamo ingabonakala kokubili ngokucindezela ngokomzimba nangokwephula ekudleni. Lokhu akuyona njalo inkomba ye-pathology. Ama-ketones aphezulu kuphela akhombisa lesi sifo. Uchwepheshe kuphela ongababuyisela emuva kokujwayelekile. Mthembe udokotela wakho futhi ungakhathazeki ngemithi yokuzelapha!
