Izidumbu ze-ketone emcini zibonisa isibonakaliso esichaphazelayo, esibonisa ukuba ukungasebenzi kakubi kwenzeka kumsebenzi womzimba. Sidinga ukukhawuleza senze uncedo lwezonyango size silandele iingcebiso zegqirha ngokungenakwenzeka. Le ngxaki ayikwazi ukushiywa ngethuba, kuba imiphumo ingaba yingozi.
Izidumbu zeKetone emcanjeni - ukuthini oku kuthetha ntoni?
Eli qela lezinto lidibanisa izinto ezininzi: i-acetoacetic kunye ne-beta-hydroxybutyric acid, i-acetone. Ziyimveliso yendalo yokubola. Nangona kunjalo, ukuba kwiziphumo zesigulane isigulane ugqirha ubona ubukho bezinto, uza kwenza uviwo olongezelelweyo aze anike unyango. Ngesi sizathu kuba kunengqiqo ukuba nomdla kwii-ketone izidumbu zomlambo zithetha. Ezi zikhombisi zikwazi ukuxelela ezininzi.
Ziyiphi imizimba ye-ketone?
Ezi zinto zibhekwa njengemveliso ye-metabolism eyenziwe kwisibindi. Ziyabonakala ngexesha lokuphuka kwamafutha, kunye nenkqubo yokwenziwa kwe-glucose. Ukuba umzimba usebenza kakuhle, i-ketoni emcinini ayitholakali. Ziyacinywa ngokupheleleyo, zidibanisa kumanzi kunye ne-carbon dioxide. I-Acetonuria (aka ketonuria) ngumxholo ophezulu we-urinary wezinto ezinjalo. Le meko yentsholongwane ivela kubini abadala kunye nabantwana.
Izidumbu zikaKetone emvini
Nsuku zonke ukusuka emzimbeni womntu omdala umchamo, ukuya kwi-50 mg yezinto ze-acetone ziyadityaniswa. Njengoko ezi mveliso ze-metabolism ziphuma ngokupheleleyo, azikwazi ukufunyanwa ngelabhoratri. Ngolu hlobo kunye neziphumo zezifundo zeklinikhi, uphawu lwe-KET lusetyenziswa ukukhetha imizimba ye-ketone. Ngokuqhelekileyo umxholo wabo wokubala usuka kwi-0 ukuya kwi-0.05 mmol / l. Iimpawu ezinjalo zamalungu e-ketone emcanjeni zibhekwa njengento engenakulinganiswa. Ngale miphumo, umzimba usebenza kakuhle.
Ketonuria - Izizathu
Phantsi komsebenzi oqhelekileyo, umzimba womntu ufumana amandla kwi-glucose kunye nokugcinwa kwamanzi kwi-fox - glycogen. Oku kwanele ukuba asebenzisane ngokuvisisanayo. Nangona kunjalo, kukho iimeko ezininzi xa umzimba unyuse ukusetyenziswa kwamandla. Kule ngongoma, i-glycogen igcina iphuma, kwaye umzimba uqala ukuqhuba iiseli zayo ezinamafutha. Ngethuba lolo hlobo lwezityalo ze-ketone zenziwa. "I-surplus" yabo ivela kumchamo.
Ukuba izidumbu ze-ketone zifumaneka kumchamo, izizathu zezi zinto zinoku:
- umsebenzi owenzela umzimba;
- khulelwa;
- uxinzelelo olunzulu;
- i-supercooling;
- isifo sikashukela ;
- ukuxhaphaka kweeprotheni kunye nokutya okunamafutha ekudleni;
- ukutya okunzima;
- iingxaki kwi-thyroid gland;
- ukuhluleka kwehomoni ;
- ukutya okunetyhefu;
- Ukungcoliswa kwamanzi, ukucaphukisa ngokuhlala ixesha elide kwi-solarium okanye kwi-sauna;
- ukuxiliswa komzimba ngotywala;
- ukuphuhlisa i-anemia;
- leukemia ;
- izifo ezithathelwanayo kunye neentsholongwane.
Ketonuria kwi-diabetes mellitus
Ukuphuhliswa kwesimo sengqondo esinjalo kubangela ukuhla okubukhali kwizinga le-glucose egazini. Ngenxa yoko, umzimba uhlangabezana nokunqongophala okukhulu. Oku kuya kwenzeka ukuba i-insulin ikhethwe ngokuchanekileyo. Nangona kunjalo, i-ketonuria edidiyweni 2 isifo sikashukela sinokuthi senzeke. Oku kubangelwa kukusetyenziswa kokutya okunamafutha amaninzi okanye ukulamba kwexesha elide.
Ketonuria xa ukhulelwa
Umzimba womama onomdla ufumana umthwalo onzima. Akalisoloko ehlala nexesha lokuzivumelanisa ngokukhawuleza kwiinguqu ezenzeka ngaphakathi kuye. Kwiinyanga zokuqala zokukhulelwa, ukwanda kwimizimba ye-ketone emcinini wabasetyhini kuyinto engaqhelekanga. Ngaloo ngxaki kaninzi ngaba oomama baza kubonana, ngokuqala ngeveki yeshumi elinesixhenxe. Nangona kunjalo, ngeli xesha, ngokunyuka kancinane kwesi sibonakaliso, ukukhulelwa kungaqwalaselwa ngokuqhelekileyo. Ukuba i-acetone emcinini ikhulile ngokukhawuleza, izizathu zezi zinto zinoku:
- i-hormonal disorder;
- gestosis;
- utyhefu;
- isifo sesibindi;
- iifomological formations;
- indlala;
- izifo ezithathelwanayo, ezihamba kunye nokunyuka kokushisa komzimba kunye nokuxiliswa komzimba;
- ukupheliswa kwamanzi .
Ukuba umzimba we-ketone kumchamo wesifazane okhulelweyo uphakeme, kufuneka usebenze ngokukhawuleza. Kule meko, bobabili umama kunye nomntwana osemngciphekweni basengozini. Xa kungabikho unyango lwexesha elifanelekileyo, iingxaki ezinjalo zilandelayo:
- ukuxhatshazwa kowesifazane kunye nomntwana;
- ukukhulelwa kwesisu;
- coma;
- ziphumo ezimbi.
Ketonuria - Iimpawu
Ekuphuhlisweni kwe-acetonuria, izigaba ezintathu ziyaziwayo, ngasinye sinemifanekiso yaso. Ifom ehambayo ihamba kunye nale mpawu:
- ukoma okunzulu;
- intlungu yesisu;
- ukucoca ngokukhawuleza kwaye rhoqo;
- Ukususela emlonyeni unako ukuvumba iphunga le-acetone.
Isimo se-pathological yefom ephakathi sichazwe ngeempawu:
- unciphisa inani lomchamo;
- iwela kwingcinezelo yegazi;
- Umchamo ucola njenge-acetone;
- kukho ukuphazamiseka kwindlela yokugaya (isifo sohudo, sihamba kunye nokuhlanza).
Ifom ephezulu ye-acetonuria ibonakala ngezibonakaliso ezinjalo:
- ukuphefumula xa uphefumula;
- ukulahlekelwa kwengqondo;
- intlungu emehlweni;
- ukumiswa kweembrane ezinqabileyo;
- Ukwandiswa kwesibindi ngobukhulu;
- isikhumba;
- ukwanda kweqondo lomzimba;
- phantse ngokupheleleyo ukuyeka ukuhamba.
Ukunqunywa kwamalungu e-ketone kumchamo
Iimpawu eziphawulekayo ze-acetonuria, uncedo ngexesha elifanelekileyo ukulila i-alamu. Nangona kunjalo, kunokwenzeka ukufumana imizimba ye-ketone emcinini kuphela ngoncedo oluhlalutyo olukhethekileyo. Yenziwe kokubili kwisibonelelo sezonyango, ngoko ekhaya. Kwaye ngowokuqala, kwaye kwimeko yesibini, ukuba ufumana umphumo omuhle, kufuneka uqhagamshelane nodokotela ngokukhawuleza. Ulawulo lwe-ketonuria kufuneka luphathwe ngunyango onamava. Kufuneka uthathe ntoni kumgqirha - kuxhomekeke kwimpawu ze-acetonuria:
- kwiqondo eliphezulu lokushisa, ukuya kumgqirha okanye usulelayo;
- ukuba izidumbu ze-ketone zinyuka emcinini ngokubhekiselele kwimvelaphi yesifo sikashukela-kwi-endocrinologist;
- xa i-acetone ishukunyiswa ngetyhefu yotywala - kwi-narcologist;
- ekukhulelweni - kwi-gynecologist;
- ukuba ukuvumba kwe-acetone kumchamo kubonakala ngenxa yobuthi kunye nezinto ezinetyhefu - kwisifo sotywala;
- kunye ne-pallor yesikhumba kunye nokomisa kweembrane ezinqabileyo - kwi-hematologist.
Uhlalutyo lwe-Urine kumzimba we-ketone
Kwiimeko zebhubhoratri, i-acetone yomchamo ifunyenwe usebenzisa isampuli ekhethekileyo. Iziphumo zichazwa ngale ndlela:
- (-) - ketone izinto azifumaneki;
- (+) - impendulo iyancipha;
- (++) kunye (+++) - isiphumo esihle;
- (++++) - impendulo ibukhali ngokukhawuleza.
Ukucacisa ubukho bamalungu e-ketone kumchamo, izinto eziphilayo kufuneka zivunwe ngokufanelekileyo. Unokwenza oku:
- Ekuseni isigulane sifanele sihlambuluke.
- Izinto eziphilayo (umthamo wama-70-100 ml) kufuneka ziqokelelwe kwisitya esingasinyumba kwaye sasihlanganiswe ngokukhawuleza.
- I-Urine kufuneka ifakwe kwi-laboratory ishushu.
Ukunqunywa kwamalungu e-ketone kumchamo ngamacwecwe okuvavanya
Le ndlela isebenza ekusebenziseni ikhaya. Iimvavanyo zokuqhawula ukuzimisela kwe-acetone kumchamo zingathengwa nakwephi na ikhemisi ngaphandle kwemithi. Umgaqo wale ndlela kukuba xa i-acetone idibana ne-reagent, i-stain zone zone stains. Unokumisela umphumo ngokuthelekisa umbala we-strip test kwi-acetone kumchamo kunye nesilinganisi kwikiti. Ukuqhuba kakuhle uhlalutyo, kufuneka ulandele ezi ngcebiso:
- Fumana umhlubo omnye kwi-tube.
- Gxininisa ukuvavanya imizuzwana embalwa kwisitya kunye ne-urine.
- Ukunyamekela ngokukhawuleza uketshezi oluninzi ngokusebenzisa umgca kumaphethelo weesitya ngomchamo.
- Misela i ziphumo.
- Ukuba impendulo iyakhawuleka, kufuneka ufune uncedo lwezokwelapha.
Ketonuria - unyango
Ulwaphulo lwalolu hlobo lwezempilo luyancitshiswa ukuba lugqithise i-acetone emzimbeni. Oku kuya kufumaneka ngokumisela ukulinganisela kwamanzi. Phuza rhoqo (nganye imizuzu eyi-10-15) kwiipps ezincinane. Inketho efanelekileyo yi-alkali non-carbonated water and decoction of grains. Ukunciphisa uxinzelelo lwemizimba ye-ketone esibhedlele, ukunyonywa kwe-intravenous kwenziwa ngesisombululo saline.
Ukuhlambulula umzimba kuya kunceda ezi zilandelayo:
- AmaSybek;
- Enterosgel ;
- IPolysorb MP;
- Smecta;
- Regidron;
- Orsol.
Xa i-ketone imizimba emcinini iphakanyisiwe kwaye le meko ihambelana nokuhlanza, iilenki ze-Cerulecal zinokumiselwa . Isigulane kufuneka sishiye ukutya ngaloo mini. Ngelo xesha, kubalulekile ukunyamekela ukunciphisa umthwalo kwisibindi, esele ikwazi ukuhlangabezana nokucwangciswa kwamalungu e-ketone. Ukulungelelanisa umsebenzi walo mzimba wangaphakathi kuya kunceda ezinjalo iziyobisi:
- Gepabene;
- Karsil;
- Essentiale Forte.
Njengoko unyango olungancedayo lunokunconywa amakhambi abantu. Njengoko isilwanyana "sedative" sisoloko sisebenzisa i-decoctions yokukhusela, umzekelo, ukusuka ku-hawthorn okanye kwi-valerian. Ukususa utywala kuya kunceda ukunqanda itiye, iziphuzo zeziqhamo zeziqhamo kunye neziqhamo ezomileyo. Ukongeza, ekhaya, unokwenza i-enema yokuhlanza (i-1 litre yamanzi ithathe isipuni sesityuli esingu-1).
Ukutya nge ketonuria
Ukulungisa imeko yesigulane kunye nokuthintela ukwanda okwenyuka kwi-acetone kunokutya ngokufanelekileyo. Ukutya kufuneka kubekwe ngumgqirha oya kwiindawo. Xa kuphuhliswa isicwangciso sokutya, uya kuthatha ingqalelo kwizinto ezibangele ukwanda kweetoni zamanzi emzimbeni, kunye nomqathango jikelele wesigulane. Ukutya okunzima kakhulu kwaye kufuneka kugcinwe ngokugqithiseleyo. Iimveliso ezingavinjelwe kwi ketonuria:
- isonka esimhlophe kunye namabhinki amhlophe;
- inyama, intlanzi kunye nama-mushroom ocebileyo;
- izithelo ze citrus;
- iimveliso zokutshaya;
- ikhofi;
- ukhilimu kunye ukhilimu omuncu owenziwe ngamanzi;
- sirrel;
- utamatisi;
- zokutya;
- ibhanana;
- ukutya okusemgangathweni;
- Pickles;
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- anyanisi eluhlaza;
- ukucima.
Ukunconywa ukutya kunye nexinzelelo ephezulu kumchamo wamalungu e-ketone:
- I-fat fried boiled, veal and inkukhu;
- i-cheesy cheeses;
- ientlanzi eziphekiweyo okanye eziphekiweyo;
- i-sauerkraut engekho-acidic;
- i-fat cottage cheese ephantsi;
- wongela imifuno;
- iphalaji ye-oatmeal kunye ne-buckwheat;
- kupheka iipulo;
- isobho semifuno;
- iilnuts.