Acetone mumkodzo wokhala ndi matenda a shuga ndi foni yoyamba kuwopsa yokhudza ketoacidosis - chikhalidwe chowopsa chomwe chimafuna chisamaliro chamankhwala. Pofuna kupewa zovuta zoyipa izi, aliyense wodwala matenda ashuga ndi banja lake ayenera kudziwa momwe ma acetone amapangidwira thupi, momwe limakhalira owopsa, komanso njira zomwe zilipo kuti athetse vutoli.
Limagwirira kupanga acetone mu shuga
DM ndi njira yosachiritsika ya autoimmune pathology, ndipo kuchuluka kwaimfa chifukwa cha zovuta zake kukukula mwachangu masiku ano. Chimodzi mwazotsatira zoyipa izi ndi ketoacidosis, yomwe imayamba kuphwanya kagayidwe kazachilengedwe. Chizindikiro chodziwika bwino cha vuto ndi kupezeka kwa matupi a ketone (kwa osagwirizana - acetone) m'magazi a matenda ashuga komanso mkodzo.
Kuti mumvetsetse zakumbuyo ndi kapangidwe kake popanga acetone, muyenera kumvetsetsa zamomwe michere imachitikira m'thupi. Gwero lalikulu lamphamvu lolowetsa ziwalo kuchokera kunja ndikupanga thupi palokha ndi glucose. Kuyamwa kwathunthu ndikotheka ndikuchita ndi insulin, yomwe imapanga kapamba. Ndi kuchepa kwake kapena kugwira ntchito kochepa, shuga samatengeka kwathunthu, ndipo maselo amakhala ndi njala.
Ubongo umadandaula za kuchepa mphamvu popanda glucose. Ndipo maselo amayesa kupanga mafuta ndi mapuloteni potulutsa matupi a ketone. Amawonetsedwa ngati:
- Propanone;
- β-hydroxybutyrate;
- Acetoacetate.
Kuzungulira kwa ma ketones kwa anthu athanzi kumakhala mpaka 0,5 mmol / l. Zapamwamba zake zimawopseza odwala matenda ashuga ndi ketoacidosis, vuto lalikulu pamene kufanana kwa asidi ndi zamchere zimasunthira kumbali ya asidi. Popanda kuchipatala mwachangu, kuukira kungayambitse matenda ashuga komanso kufa.
Mwa zina:
- Kutalika kwa m'mimba komanso kusanza ndi madzi am'madzi;
- Zakudya zochepa za carb komanso kusala kudya
- Matenda akulu a matenda opatsirana okhala ndi zizindikiro za kusowa kwamadzi;
- Mankhwala poyizoni ndi kuphatikiza.
Ngati kuphwanya carbohydrate kagayidwe, zinthu zotere zimachitika kawiri kawiri:
- Ndi hyperglycemia yoyambitsidwa ndi kuperewera kwa insulin, pamene shuga osaphunzitsidwa agwera m'mafuta okhala ndi mapuloteni komanso ma acetone omwe amawoneka, chiwindi sichitha kugwiritsa ntchito. Tatha kuthana ndi zotchinga, a matupi a ketone ali mkodzo.
- Ndi hypoglycemia, pamene kuchuluka kwa acetone kukwera chifukwa cha kuchepa kwa shuga kapena kuchuluka kwa insulin. Ngati palibe mphamvu, thupi limalandiranso mwanjira ina.
Zizindikiro za ketoacidosis ndi gulu
Kutseguka kwa shuga ndi ma acetone okhutira m'mayeso a shuga kumayambitsa magwiridwe antchito a ziwalo. Matendawa amakula kupitirira tsiku limodzi, thanzi la wodwalayo limakulirakulira pang'onopang'ono, ndipo zizindikiro za ketoacidosis ziyenera kuwunikira potengera zovuta za matenda: wodekha, wofatsa, woopsa, wovuta.
Gawo loyamba, dziwani:
- Kufooka, kuchepa mphamvu, kulephera kugwira ntchito, kuwonongeka pakuyang'aniridwa.
- Kuuma pamlomo wamkamwa, ludzu losalekeza, limodzi ndi kupukusa komanso kukodza pafupipafupi. Usiku, zizindikilo zotere zimatchulidwanso kuposa pamenepo.
Pambuyo pake, zizindikiro za dyspeptic zimawonekera, fungo lodziwika bwino la acetone mu shuga limagwidwa kuchokera mkamwa.
Fomu yapakati imadziwika ndi:
- Dontho mu kuthamanga kwa magazi;
- Khungu loyera;
- Kuyankha koperewera kwa ophunzira
- Zovuta zamkati zamanjenje;
- Kumva kupweteka kwam'mimba, kuphwanya mkangano wa defecation, kusanza, ndi mavuto ena a dyspeptic;
- Kuchepa kwa kutulutsa mkodzo tsiku ndi tsiku kumatsatiridwa ndi kusowa kwamadzi.
Milandu yayikulu, pamakhala madandaulo:
- Kukomoka kosalekeza;
- Minyewa imanyezimira, komanso momwe zochita za ophunzira zimayendera pang'onopang'ono;
- Chiwindi chimakulitsidwa;
- Kupumira pang'onopang'ono, limodzi ndi phokoso;
- Mlingo wa acetone ndi glucose pakuwunika kumadutsa malire onse.
Ngati acetone sichitha mwachangu panthawiyi, wozunzidwayo amakhala ndi chitsimikizo cha matenda ashuga, ndipo mwina amwalira.
Njira Zodziwitsira
Kodi chiwopsezo cha ketonuria ndi chiani? Payokha, acetone pakuwunika sikunayambitse mantha. Koma ngati acidization wa thupi saletsa, acidity imayamba kukula mpaka 7.3, pomwe ubongo sukulandila zakudya zoyenera ndiku "zimitsa "ma neurocytes.
Popanda chisamaliro chachikulu komanso kuwongolera pH, zotsatirapo zake zingakhale zoopsa.
Musanapange regimen yothandizira, ndikofunikira kukhazikitsa zenizeni zamatumbo a ketone mumkodzo ndi magazi. Mayeso ofananawo amatha kuchitika kunyumba, ngati mutagula mayeso "Acetontest", "Ketonstiks", "Uriket." Zingwe zofanizira zoyeserera zimagwiritsidwa ntchito ndi ma laboratori azidziwitso. Kuphweka komanso kupezeka kwa njirayi kungathandize kudziwa kufunika koyezetsa kuchipatala.
Kodi odwala matenda ashuga amachotsa bwanji acetone
Momwe mungachepetse zisonyezo za ketoacidosis ngati kapamba sakugwirizana ndi ntchito yake yopanga insulin yonse ya mahomoni? Lulu lenileni la anthu ofooka ndi njala lidzakhala jakisoni wa insulin. Dokotala amasankha kuchuluka ndi kuonetsetsa zomwe zimagwiritsidwa ntchito pakuwunika deta ya kusanthula ndi gawo la matendawa. Mlingo uliwonse wa mahomoni (mwina pangafunikire kuwonjezera kuchuluka kwake) udzakwaniritsa maselo omwe ali ndi njala ndi kaboni, ndipo ma acetone pamapeto pake amasiya madzi achilengedwe.
Kuphatikiza apo, wodwalayo amapatsidwa njira:
- Kubwezeretsa bwino mulingo wa acid ndi zamchere;
- Kupewa matenda opatsirana;
- Kukonzanso madzi m'thupi;
- Chotsani hypokalemia.
Nthawi zina ma enterosorbents amawonjezeranso: smecta, Polysorb, Polyphepan, komanso jekeseni wovomerezeka wa 0.9% NaCl yothetsera kubwezeretsanso bwino kwa electrolyte. Choyambitsa matendawa nthawi zambiri chimakhala chinyezi, ndikofunika kuwonjezera kuchuluka kwa madzi omwe amamwa.
Wodwala atha kutuluka mpungwepungwe, kuti asathenso kuyambiranso, ayenera kuwerenganso zizolowezi zake.
Pamene ketonuria imatha kudziwika ngati yokhazikika
Masiku ano, madokotala ali ndi mitundu yambiri ya mankhwalawa kuti achepetse hyperglycemia komanso kupewa acidosis. Mkhalidwe waukulu wa chiphuphu chokhazikika cha shuga ndi chakudya chamagulu.
Masiku ano, palibe mgwirizano pakati pa endocrinologists onena za zakudya zomwe zili bwino kwa odwala matenda ashuga: okhala ndi zopatsa mphamvu zambiri komanso kupatula zakudya zamitundu yonse zomwe zimaletsedwa mwachangu monga zakudya zomwe zimaletsedwa mwachangu.
Mbali yoyamba, glycemia imakhala yotsika kwambiri ndipo thupi limayenera kupereka mphamvu kuchokera ku mafuta amkati, kwinaku akupanga acetone. Ndi njirayi, ketonuria ndichizolowezi, ndipo chizindikirocho sichifuna chithandizo chamankhwala.
Njira zopewera
Kodi ma ketoni amakhala oopsa nthawi zonse? Mawonekedwe awo amatha kujambulidwa m'moyo watsiku ndi tsiku, ndipo izi ndi zotsatira chabe za kusintha kwakanthawi kwa metabolic.
Malangizo apakati a endocrinologist:
- Kubwezeretsanso pafupipafupi kwa insulin ndi kuwerengera magawo a mkate;
- Kutsatira ndi zakudya zama carb ochepa;
- Kuwongolera zizolowezi zoipa;
- Kuchita masewera olimbitsa thupi pafupipafupi;
- Kuyesedwa kwakanthawi kachipatala.
Ngati mikhalidwe yonse ikwaniritsidwa komanso kulipira chokhazikika kwa shuga kumatheka, wodwala matenda ashuga amatha kukhala ndi moyo wautali kuposa omwe alibe zovuta pakadali pano, koma atenge thanzi lawo mopepuka.
