Mitundu yonse ya kagayidwe m'thupi lathu imalumikizana. Kuphwanya mphamvu mu kagayidwe kazakudya, omwe amadziwika ndi matenda osokoneza bongo, mosasintha amapanga kusintha kwa metabolidi ya lipid. Chifukwa cha kusowa kwa insulin, kugwiritsa ntchito mankhwala osokoneza bongo ochepetsa shuga, kuperewera kwa zakudya m'thupi, ma acetone amawoneka m'magazi, mkodzo wa wodwalayo ndikupuma amapezeka ndi fungo labwino.
Acetone ndi chochitika chakutha kwa mafuta, pang'ono sizimakhudza thupi ndipo zimachotsedwa mwachangu kwa izo. Ngati atapangidwa kwambiri, zotsatirapo za odwala matenda ashuga zimatha kukhala zachisoni: ketoacidosis imayamba, ndikutsatiridwa ndi ketoacidotic chikomokere. Tidzamvetsetsa pamene acetone mu mkodzo amawopseza thanzi, komanso momwe tingapewere kudzikundikira kwake m'magazi.
Kodi acetone amapangidwa bwanji ndipo ndi chifukwa chiyani?
Gluu m'magazi athu ndi ofunikira kuti muzimitse thupi. Mothandizidwa ndi kutuluka kwa magazi, imalowa mu khungu lililonse la thupi lathu, imalowamo, ndipo pomwepo imang'ambika, ndikutulutsa mphamvu. Hormoni yapadera yotchedwa insulin, yomwe imapangidwa mchira wa kapamba, imayitanitsidwa kuti athandize shuga kuthana ndi nembanemba ya cell. Mu shuga mellitus, njirayi imalephera, insulini imasiya kutulutsidwa m'magazi konse (mtundu 1 wa matendawa), kapena kuchuluka kwake kumatsika kwambiri (mtundu 2). Kuphatikiza pa kuchepa kwa mahomoni, maselo sangalandire zakudya pazifukwa zina - chifukwa cha kukana insulini. Umu ndi momwe mumalowera insulini m'magazi, koma ma cell a cell amakana "kuzindikira", chifukwa chake musalole glucose kulowa.
Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale
- Matenda a shuga -95%
- Kuthetsa kwa mitsempha thrombosis - 70%
- Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
- Kuthana ndi kuthamanga kwa magazi - 92%
- Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%
Muzochitika zonsezi, minofu imakhala ndi njala, ubongo umalandira chidziwitso cha choopsa ndikuchitapo kanthu mwachangu: imayamba kaphatikizidwe ka mahomoni omwe amachititsa kuti lipase lipangidwe. Ichi ndi puloteni yomwe imaphatikizapo njira ya lipolysis - mafuta oyaka. Mukukonzekera kuvunda kwawo, mphamvu zomwe zimafunikira pakadali pano zimatulutsidwa.
Acetone ndi amodzi mwa matupi a ketone omwe amapanga mafuta ataphwanyidwa. Kwa anthu, mankhwalawa amakhala ndi poizoni wocheperapo, pomwe amadzaza m'magazi, nseru, kutopa, komanso kusowa chilakolako chokwanira. Thupi limafunafuna kuchotsa acetone m'njira zonse zomwe zingatheke: gawo lalikulu - ndi mkodzo, pang'ono - ndi mpweya wotulutsidwa kenako.
Ngati acetone yochuluka ikapangidwa, kapena ngati pali kulephera kwa impso, kuyika kwake m'magazi kungakhale koopsa. Ma asidi a Keto, omwe amapangidwa nthawi imodzi ndi acetone, amakhalanso ndi vuto. Amakhudza gawo lofunikira la magazi - acidity.
Mafuta acetone ndi keto ochulukirapo m'magazi amatchedwa ketoacidosis. Izi zovuta za matenda ashuga zimatha kupweteka komanso kufa.
Mawerengeredwe a kuchuluka kwa ma acetone m'magazi:
Mkhalidwe | Acetone ndende, mg / l |
Yodziwika bwino yozungulira | 10-30 |
Njala mwa munthu wopanda matenda a shuga | 50 |
Uchidakwa wambiri | 40-150 |
Kuzunza koopsa | 200-400 |
Ketoacidosis mu shuga | 325-450 |
Kuzunzidwa kwa Lethal | > 500 |
Zimayambitsa acetone mthupi
Mwa anthu omwe ali ndi kagayidwe kamene kamapanga kagayidwe kakang'ono, mwayi wopanga ndi kudziunjikira kwa acetone m'magazi ndiwokwera kuposa wathanzi. Kuwonjezeka koopsa kwa ndende yake kumatha kuwonekedwa mothandizidwa ndi zingwe zoyeserera, zomwe zimatsitsidwa mkodzo wa wodwala.
Zomwe zimayambitsa acetone mu mkodzo wa shuga ndi shuga:
- kusala kudya kwanthawi yayitali, osayambitsa vuto;
- poyizoni, matumbo kapena toxicosis ya amayi apakati, yomwe imayendetsedwa ndi kusanza, kuperewera kwa madzi, komanso kuchepa kwa mkodzo;
- hypoglycemia chifukwa cha kuchuluka kwa mankhwala ochepetsa shuga a shuga ndi kukonzekera kwa insulin;
- Zakudya zama carb ochepa ndi kuchepa kwa kuchuluka kwa chakudya cha pansi pazosowa za thupi - za pano;
- shuga wambiri ndi insulin m'magazi, chifukwa cha izi zimayamba kukana kwambiri insulin;
- kusakwanira, kutsata kosayenera kapena kudumpha kwa insulin mu mtundu 1 wa shuga;
- kuchepa kwakukulu kwa kaphatikizidwe ka insulin mu mtundu 2 wa shuga.
Mwazinthu zitatu zomaliza, kupangika kwa acetone kumayendetsedwa ndi hyperglycemia. Izi ndizowopsa kwa matenda ashuga. Pazakudya zama glucose zopitilira 13 mmol / l, kuchepa kwamadzi kumachitika mwachangu kwa odwala, kuchuluka kwa acetone kumawonjezeka, ndipo mawonekedwe a magazi amasintha kwambiri.
Njira zochotsera acetone
Milandu yonse ya hyperglycemia mu matenda osokoneza bongo imayenera kupezeka ndikuyimitsidwa munthawi yake. Ngati wodwala akumva kutopa kwambiri, zizindikiro za kuledzera, kununkhira kwa acetone kumawoneka, kugwiritsa ntchito madzi ndi kutuluka kwa mkodzo, amafunika mwachangu matenda a shuga ndikuchotsa acetone. Ngati kuphwanyidwaku kuli kofatsa, azitha kupirira panyumba.
Ngati wodwala matenda ashuga ali ndi kugona, kufooka kwakanthawi, kupuma mozama, muyenera kuyimba ambulansi. Matendawa ndi oopsa pamoyo, ndipo ayenera kuyimitsidwa kuchipatala.
Kuchotsa acetone m'thupi, kuchipatala, njira zotsatirazi zimagwiritsidwa ntchito:
- Kugwetsa mchere ndi mchere kuti ubwezeretse kuwonongeka kwa madzimadzi ndikuthandizira kuchotsa ma acetone mu mkodzo. Wodwala akayamba kumva bwino, amapatsidwa mankhwala othandizira kumwa, kuwongolera kupezeka kwa mkodzo.
- Mothandizidwa kulowetsedwa kwa insulin mpaka shuga m'magazi akhale atasokonekera. Insulin samangothandiza kutuluka kwa glucose m'maselo, komanso kusokoneza njira ya lipolysis. Amalembedwa kwa onse omwe ali ndi matenda ashuga, ngakhale adachitidwapo kale ndi iye. Zinthu zikakhala bwino, jakisoni wamkati umalowetsedwa ndi jakisoni wamkati, kenako ndikuzimitsa kapena kubwereranso njira yotsimikizika ya insulin.
- Madontho okhala ndi shuga amawayikidwa pambuyo pa matenda a glycemia, ngati wodwalayo sangadye yekha. Posachedwa, wodwala matenda ashuga amasamutsidwa ku zakudya zabwino. Choyamba, payenera kukhala zakudya zochulukirapo mmenemo, ndiye kuti zochulukazo zimachepetsedwa malinga ndi zakudya zam'mbuyomu.
- Ngati wodwala wayamba kukhala chikomokere, mankhwala amatha kutumikiridwa kuti athetse magazi acid, maantibayotiki kuti apewe mabakiteriya, maanticoagulants kuti muchepetse thrombosis.
Zitha kuchitidwa kunyumba
Mfundo zakuchotsa acetone m'nyumba ndizofanana kuchipatala. Ndikofunikira kupereka mkodzo wambiri, kuchepetsa shuga, kuganizira zazomwe zimayambitsa kupsinjika, Sinthani njira yamoyo ndi chithandizo cha matenda a shuga poganizira zolakwika zomwe zapezeka.
Chithandizo cha kunyumba chimaphatikizapo kumwa zamadzi zambiri komanso kuphatikiza matenda a glycemia. Kumwa kuyenera kukhala wopanda shuga, kutentha kwa chipinda. Ngati acetone mu mkodzo amakhala ndi glucose wambiri, kukodza kwambiri kapena kusanza mobwerezabwereza, ndibwino kuti mugule ufa wowonjezera madzi mu mankhwala, muupange molingana ndi malangizo a phukusili ndikupanga kutayika kwa madzimadzi.
Kuti muchepetse shuga m'magazi, pangani jakisoni wowonjezera wa insulin. Kuchepetsa glycemia ndi 2 mmol / l, 1 unit ya mankhwala iyenera. Pambuyo poyambitsa, amadikirira maola awiri, ndipo atangomaliza ntchito jakisoni wachiwiri amapangidwa, ngati yoyamba sikokwanira. Pokhala ndi shuga osadalira insulini, shuga amatha kuchepetsedwa ndi piritsi yowonjezera la Metformin ndi zakudya zopanda chakudya zamagulu ochepa.
Pamene mkodzo acetone amachepetsa ndipo shuga m'magazi amachepa, thanzi la odwala matenda ashuga liyenda bwino. Pakadali pano, muyenera kuyesetsa kuti musachite mopitirira muyeso komanso osautsa hypoglycemia. Zizindikiro zofanana ndi zizindikiro za hypoglycemia zimatha kuonekanso ndi kuchepa kwa glucose okwera kwambiri kuzinthu zofunikira.
Mtundu wachiwiri wa matenda ashuga, madzi amathiridwa ndi chakumwa chachikulu cha vitamini C: kulowetsedwa kwa rosehip kapena mandimu ofinya kwambiri. Izi zikuthandizira kuchepetsa kukana kwa insulini, kotero kuti glucose amatha kulowa minofu ndipo acetone imaleka kupanga.
Kuphatikiza pa njira zomwe zili pamwambapa, kuti muchepetse kutulutsa kwa asidi mu mkodzo, mutha kumwa mankhwala azitsamba omwe ali ndi hypoglycemic zotsatira (Mirfazin, Arfazetin), tiyi wa chamomile, zipatso za masamba ndi masamba a mabulosi am'madzi, makungwa a assen.
Acetone ya hypoglycemia
Zomwe zimatulutsidwa kwa acetone mu mkodzo sizitha kungokhala hyper-, komanso hypoglycemia. Acetone yotereyi imatchedwa "njala", imapangidwa chifukwa chosowa shuga m'magazi.
Hypoglycemia ingayambitse:
- Kuperewera kwa chakudya m'zakudya. Nthawi zambiri, zimachitika pamene wodwala matenda ashuga amawerenga shuga onse omwe amadyedwa ndikuwonetsetsa kuti amuchotsere pachakudya chilichonse.
- Zambiri zolimbitsa thupi, nthawi zambiri pambuyo chakudya chochepa mu chakudya.
- Matenda aliwonse omwe amakhala ndi kusowa kudya komanso kusanza.
- Vuto lalikulu lamanjenje kapena kupsinjika kwa thupi, monga kuwawa kapena matenda akulu.
- Mavuto am'mimba: kupweteka kwa malabsorption kapena kusowa kwa michere.
- Ma tumor omwe amatha kutulutsa insulin - werengani za insulin.
- Mowa
Njala acetone siyowopsa; siyingathe kutsogolera ketoacidosis. Ngati impso zikugwira ntchito moyenera, acetone yotereyi itulutsidwa posachedwa. Kuletsa mapangidwe ake, muyenera kusintha glycemia. Njira yosavuta ndikumadya ma cubes angapo a shuga, kuyamwa pa caramel kapena kumwa pang'ono pang'ono kuwira theka la mug.
Ndi kusanza kwakukuru, muyenera kuyeza kuchuluka kwa shuga anu pafupipafupi. Pofuna kupewa hypoglycemia ndi acetone, kudya pafupipafupi zakudya zamagulu ochepa, mwachitsanzo, kuwononga tiyi zingapo mphindi 10 zilizonse, kungafunike.
Ana omwe ali ndi matenda ashuga komanso acetone am'madzi mu mkodzo ayenera kumwa, chifukwa amayamba kufooka. Amapatsidwa chakumwa chokoma kwambiri. Pofuna kuti glucose asiye ziwiyazo munthawi yake, milingo yochepa ya insulin imabwezedwa kangapo patsiku.
Kupewera kwa maonekedwe a acetone mu mkodzo
Acetone mu mkodzo ndi vuto losasangalatsa, ndipo ndi shuga wambiri ndilowopsa. Popewa kuchitika, ndikokwanira kutsatira malamulowo:
- kutsatira malangizo a dokotala, kutsatira zakudya, masewera olimbitsa thupi;
- ngati chakudyacho chimakupatsirani chakudya
- kangapo pachaka mumawunikira hemoglobin wa glycated, womwe umawulula shuga onse osakudziwika amatuluka;
- ngati mukukonzekera kuyesera mankhwalawa odwala matenda a shuga ndi wowerengeka azitsamba, osasiya kumwa mankhwala omwe kale ankakonda, nthawi zambiri mumayeza glucose komanso glycemia wolondola;
- pakuwonjezeka kulikonse kwa kutentha, shuga wamagazi amawonjezereka mosasamala kanthu Zakudya, panthawi yomweyo zowongolera zimafunikanso;
- ngati kunyumba sikunatheke kuthana ndi acetone mu mkodzo ndi shuga wambiri kwa maola 2, kapena mkhalidwe wa wodwalayo unayamba kukulira, funsani dokotala mwachangu.
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