Ukwembiwa kwe-acetone kumchamo kuthiwa yi-acetonuria. I-acetone iyinto enezinto ezinobuthi kusuka ekuqhekekeni kwamaprotheni engaphelele.
Isilinganiso esivumelekile sansuku zonke esivumelekile sebanga le-acetone sisuka ku-20-50 mg, kepha iningi lochwepheshe linombono wokuthi le nkomba ngokuqinisekile kufanele ibe zero.
Yiziphi izimbangela ze-acetone emchameni? Uma ngaphambili lokhu bekuyinto eyivelakancane, namuhla akutholakali ezigulini kuphela, kodwa futhi nakubantu abaphilile ngokuphelele ngaphansi kwethonya lezinto ezahlukahlukene ezivusayo. Imbangela esheshayo ye-acetonuria yi-acetonemia. Leli gama lisho ukwakheka egazini lezidumbu ze-ketone, ezikhishwe emchanjeni.
Ngakho-ke, igama elibaluleke kakhulu ngokomtholampilo li-acetonemia. I-Ketonuria yisimo esisongela impilo. Ithuthuka ngokushesha okukhulu, yinkimbinkimbi ngokuthinteka kwenhliziyo, umsebenzi wokuphefumula, i-edema yamakhemikhali nokufa.
Imiphumela elandelayo iyenzeka:
- ukulimala kobuchopho ngezinto ezinobuthi;
- ukuthuthukiswa kwenhliziyo kanye (noma) nokuhluleka kwezinso;
- ukulimala kolwelwesi lwe-mucous lomgudu wesisu;
- ukomisa kakhulu;
- ushintsho oluyingozi egazini lesiguli.
Kungani i-acetone ivela emchameni?
Kunezici eziningana ezibangela ukuvela kwama-ketones emchameni.
Ukungondleki njengembangela ye-acetonuria
Lesi sehlakalo esijwayelekile. Ukulandela ukudla okusha okusha (akumele kudidaniswe nokudla okuhle!) Kuholela ezinkingeni ezinkulu zempilo. Ikakhulu, ukudla okune-carb ephansi kuyingozi.
Kwezinye izimo, ukuzama ukuqeda amakhilogremu eqiniso (noma aqoshwe kude), abantu abayinaki ngokuphelele i-carbohydrate, engamukeleki.
Ukuhlukumezeka kokudla okunamaprotheni amaningi futhi okunamafutha nakho kuyingozi. Lokhu kungadala i-acetonuria kubantu abaphilile. Icala elikhethekile leenkinga zokudla okukhulunywe ngalo phambilini ukuzila ukudla okungalawuleki "okwelaphayo" ngokusho kwezincomo "kodokotela" nabalaphi bendawo.
Ukuzivocavoca ngokweqile
Lesi ngesinye sezici ezingenza ukubonwa kwe-acetone emchameni.
Ukuqina kwengqondo okuqinile kuholela emiphumeleni efanayo.
Kodwa-ke, ngemuva kokuthi umuntu alale kahle futhi aphumule ebusuku, lezi zigameko zidlula ngokuphelele ngaphandle kwemiphumela.
Yini enye i-acetonuria evela?
Kunezimo eziningana ezibangela i-acetonemia.
Nazi izimo kanye nezifo ezibonakaliswa iphunga lomchamo we-acetone:
- ukukhuphuka kokushisa komzimba isikhathi eside. Lokhu kuholela ekumiselweni komzimba kanye nokuphazamiseka kwenkambiso yezinqubo ze-biochemical;
- okulinganiselwe kuya ekhulelwe i-toxicosis enkulu;
- izifo ze-yegilo, ezihlanganiswa nokuphazamiseka okuhlukahlukene kwe-metabolic;
- Isimo se-pathological emva kokususwa okuyingxenye kwesisu noma i-duodenum, ukunciphisa noma isicucu se-esophagus;
- ubuthi obunezinto ezahlukahlukene, kufaka phakathi i-ethyl alcohol noma i-surrogates;
- ama-neoplasms amabi. I-acetone ingenye yezingxenye zokuqhekeka okukhulu kwamaprotheni.
Uma umchamo unuka okuvela enganeni nakowesifazane okhulelwe, lokhu kungakhuluma ngani?
Ukuvela kwephunga lomchamo ezingafakwanga ezinganeni nakwabesifazane abakhulelwe kubonisa ukuba khona kwe-pathology. Akukhathazi kuphela i-acetonuria.
Isibonelo, iphunga le-ammonia libonisa ukuvuvukala okungaba khona ohlelweni lwezitho zofuzo. Iphunga le-urine acetone kwabesifazane abakhulelwe libonisa isifo sikashukela esikhona.
Ukuba khona koshukela emchameni kanye nephunga le-acetone elisuka emlonyeni njengezibonakaliso zesifo sikashukela
Enye yezinto eziholela ekuthuthukisweni kwe-ketonuria isifo sikashukela esibi. Ngaphezu kwalokho, lokhu kusebenza kuzo zombili izinhlobo zezifo.
Ushukela wegazi owengeziwe awungenwa ngamangqamuzana. Lokhu kuwuphawu lokudala ukwehlukana kwamafutha namaprotheni.
I-drug overdose enciphisa ushukela wegazi, kufaka ne-insulin, nayo ingavusa isimo se-pathological. Kwesinye isikhathi isifo sikashukela sitholakala ngemuva kokutholakala kwama-ketones emchameni.
Izimpawu ezivumelanayo nezindlela zokuxilonga
Uma i-ketonuria iqhubeka ngendlela emnene, khona-ke ivame ukutholakala ocwaningweni lokuhlolwa komchamo. Akuzivezi nganoma iyiphi indlela noma, njengenketho, izimpawu azishiwongo.
Izimpawu ezibonakalayo kakhulu ze-acetonemia kubantu beminyaka ehlukile zinjengokulandelayo:
- iphunga le-acetone elivela esikhunjeni nasemlonyeni, futhi namandla alo usuku lonke awashintshi. Ukwanda kwephunga elingathandeki kuvela ngokudla isidlo esicebile ngamaprotheni;
- "i-acetone" iphunga lomchamo;
- ukugwaza, ukuqaqamba, noma ukuqinisa izinhlungu ekhanda;
- ukusebenza okunciphile, ukushintshana kwezikhathi zenjabulo nokubunta, ukunganaki, ukubekezela;
- izinhlungu ezi-spastic enkabeni;
- ukugabha okukhulu ngephunga le "acetone" ngemuva kokudla;
- ukonakala kwesifiso sokudla, futhi kwesinye isikhathi ukulahleka kwakho okuphelele.
Ngesikhathi sokuxilongwa, udokotela uthola izici zokudla okunesiguli, uhlobo lomsebenzi womzimba futhi (noma) ekhomba izifo eziholele ekubonakaleni kwama-ketones emchini. Ngokuvamile, isifo sikashukela. Ngenkambo ye-asymptomatic yalesi sifo, imininingwane edingekayo ingatholakala ngesisekelo sezifundo zaselebhu.
Ngemuva kokuthi iqiniso lokuba khona kwe-acetone kumchamo selisunguliwe, kwenziwa lezi zinhlobo ezilandelayo zokuxilonga:
- ukuhlolwa kwegazi nomchamo;
- ukuhlwanyela ukudonsa ngomchamo, uma kukhona izinsolo zezifo zokuvuvukala;
- Ukuhlolwa kwe-Ultrasound kwe-thyroid nama-pancreas, kanye nesibindi;
- iphrofayili ye-glycemic;
- I-FGDS.
Izimiso zokwelashwa
I-acetonemia kufanele ilashwe ngokushesha okukhulu. Lokhu kugwema ukusongela izinkinga. Abesifazane abakhulelwe nezingane batuswa ukuba belashwe esibhedlela.
Kodwa-ke, abazali abaningi bangayikhipha ingane yabo kulesi simo bodwa. Ngokwemvelo, uma kungekho zimpawu ezinjengokudideka, ukugoba, ubuthakathaka obukhulu noma ukugabha okungenakugwenywa.
Ukwelashwa kuqukethe imisebenzi elandelayo:
- lapho i-acetone ivela emchameni, kufanele kuthathwe ukuhlaziywa ukuze kuhlolwe amazinga kashukela wegazi ukuze aqinisekise noma awukhiphe ushukela;
- iphuzu elibalulekile ukususwa kwe-acetone. Ukusiza kulokhu ukusetshenziswa kwama-enterosorbents, anjenge-Atoxil, Enterosgel, iSmecta noma i-carbon ocushiwe, kanye ne-enema yokuhlanza;
- I-compote yezithelo ezomisiwe, hhayi itiye elimnandi kakhulu, isiza ukugcwalisa ukusweleka kwe-glucose. Kungenzeka futhi ukuthi uthathe isisombululo se-glucose esibuthakathaka noma ukwakheka kabusha komzimba (ngomlomo): I-Chlorazole, i-Regidron, i-Oralit, ne-Litrozole.
Ngemuva kokuthi ukuhlaselwa kumisiwe, kubalulekile ukuthatha izinyathelo ukuze kungaphinde kubuye. Ukuze wenze lokhu, kufanele:
- thatha ukuhlolwa kwegazi nomchamo, uhambe kuzo zonke izinqubo zokuxilonga ezichazwe udokotela;
- funda ngokusebenza kwesibindi namanyikwe.
Kungenzeka ukuthi ukuvimbela ukuhlaselwa okuphindaphindiwe kwe-acetonemia kuzodinga ukulungiswa kwendlela yokuphila nokudla okuhlala njalo.
I-Enterosorbent Atoxil
Okokuqala, irejimeni eli-odiwe ngesikhathi sasemini nesikhathi sokulala nobusuku, kanye nokuhlala nsuku zonke emoyeni omusha. Ukungafakwa kwemidlalo yamakhompiyutha kanye nemikhawulo yokubuka izinhlelo zethelevishini nakho kuyathandeka.
Ukusebenza ngokweqile kwengqondo nangokomzimba akunconywa. Kepha ukuhambela ichibi nokulandela ukudla okukhethekile kusiza ukululama okusheshayo.
Ukudla kwe-acetonuria
Imikhiqizo “engavunyelwe” ku-acetonuria ifaka: izinhlobo ezinamafutha ezinhlanzi nenyama, inyama ebhemayo, imifino ethosiwe kanye namakhowe, izimpahla zekotini, umhluzi ocebile, utamatisi kanye nesigaxa.
Ngaphansi kokuvinjelwa imikhiqizo efana no-ukhilimu, okunamafutha e-cottage shizi no-ukhilimu omuncu. Ezithelo ze- "taboo" yizithelo zikabhince eziswini namabhanana. I-cocoa nekhofi kufanele kungafakwa ekudleni. Udinga ukwenqaba ukudla okusheshayo, iziphuzo ezinoshukela, izithako zokugada kanye nodayi.
Uhlu lwemikhiqizo "evunyelwe" likhulu ngokwanele ukwenza hhayi kuphela okumnandi, kepha futhi nokudla okunempilo:
- umhluzi wemifino;
- inyama ebambekayo: turkey, unogwaja. Ubuchwepheshe bokupheka: ukubila, ukubhaka kuhhavini noma ukuhambisa;
- okusanhlamvu;
- izithelo, ngaphandle kwama-citruse nobhanana. Ama-apula abhakwe awusizo kakhulu;
- ushukela, uju, ujamu (ngaphandle kokuhlukumezeka);
- kusuka eziphuzweni: ama-compotes wezithelo ezomisiwe, iziphuzo zezithelo, amanzi amaminerali we-alkaline;
- ama-crackers, amabhisikidi aqinile.
Ukuvikela ukwenzeka kwesimo esiyingozi, kubalulekile ukwazi ngezindlela zokuthibela:
- ukuhlolwa okujwayelekile komchamo negazi;
- ukuhambisana nombuso wokuphuza;
- uma uthatha isinqumo sokulwa nokukhuluphala, udinga ukubonisana ngokudliwayo. Indlala ende isiteleka nokudla okungenampilo akufanele kuvunyelwe;
- Ukulawulwa kwezinga lomsebenzi womzimba: gwema ukugcwala ngokweqile futhi uvikele ukungasebenzi ngokomzimba;
- "cha" umuthi ongalawulwa. Ikakhulu, uma kukhulunywa ngemithi enamandla
- indlela yokuphila enempilo, izinqubo zokuqina.
Amavidiyo ahlobene
Yini okufanele uyenze uma kutholakala i-acetone emchameni? Izimpendulo kuvidiyo:
Uma ukuhlaselwa kwenzeka okokuqala, udinga ukubonana nodokotela ozokutshela ukuthi uziphathe kanjani ukuze uvikele lokhu ukuthi kungenzeki ngokuzayo, futhi kuzokusiza ukuthola imbangela yesimo esibuhlungu.
