Thanzi la mayi wamtsogolo ndi mutu wa chisamaliro chapadera chamankhwala. Ndipo ngati mayi akudandaula kuti akudwala, dokotala amutumiza kuti akamupime.
Zotsatira zake, acetone imatha kupezeka mkodzo wa amayi apakati, zomwe zimachitika kawirikawiri ndi kuledzera kwa nthawi yayitali. Ndipo ili ndi vuto lalikulu lomwe limabweretsa chiwopsezo kwa mayi ndi mwana.
Acetone ndi shuga mumkodzo: zikutanthauza chiyani?
Kodi acetone mumkodzo wapakati amachokera kuti? Chowonadi ndi chakuti thupi lathu limafunikira nthawi zonse mphamvu zomwe limalandira kuchokera ku chakudya. Ngati pazifukwa zina shuga sikokwanira, njira yobwezeretsanso ngozi imakhazikitsidwa.
Kufufuza mafuta osungidwa ndi thupi "posungira" kumayamba. Chifukwa cha njirayi, michere ndi michere (ma ketones) amapangidwa. Izi zimaphatikizapo acetone.
Mu thupi lathanzi, mankhwala oopsawa amapezeka ochepa nthawi zonse. Pa nthawi ya gestation chifukwa cha kusokonezeka kwa mahomoni kapena chifukwa cha kuperewera kwa zakudya m'thupi, acetone imadziunjikira m'magazi kwambiri, dongosolo la kwamikodzo ilibe nthawi yoti mugwiritse ntchito mokwanira, ndikuwonongeka kwa maselo amoyo wathanzi kumayamba (kuledzera).
Vutoli, lomwe limatchedwa ketonuria (kapena acetonuria), limasowa madzi m'thupi ndipo likuwopseza kukula kwa fetal. Koma chifukwa chake chikuvuta. Chifukwa chake, amayi oyembekezera, kuwonjezera pa kusanthula acetone, adzafunika kupereka magazi ndi mkodzo wa shuga.
Nthawi zambiri, kuwonjezeka pang'ono kwa magonedwe kumatha kuonedwa ngati kuyenera kwa thupi, osati koopsa kwa mayi ndi mwana. Koma ngati kubwereza mobwerezabwereza kumawonetsa kukhazikika kwa shuga, ndiye kuti matenda alipo.
Nthawi zonse ngati muli ndi pakati
Acetone m'thupi lathanzi nthawi zonse imakhalapo yaying'ono ndipo imachotsedwa mu mkodzo ndi thukuta. Muyezo amatengedwa monga kuchuluka kwa ma ketoni 1-2 mg pa 100 ml ya magazi.
Voliyumu iyi imagwiritsidwa ntchito kwathunthu ndi thupi. Ngati kuchuluka kwapakati pa acetone kukupezeka mwa mkazi yemwe akubereka, simuyenera kuchita mantha.
Adzapemphedwanso kuti achite kafukufuku wa zasayansi kuti athetse zolakwika. Koma ngati pali ma ketones ofunika kwambiri (15-59 mg / dl), amatero za ketonuria. Nthawi yomweyo, mzimayi akumva kukoma kwa acetone mkamwa mwake.
Amatopa ndikusanza, ndipo thupi limadzuka ndi madzi msanga. Kukhalapo kwa shuga wambiri mumkodzo wa amayi nthawi zambiri kumawonetsa matenda osokoneza bongo omwe amayambitsa matenda a shuga (HD).
Pali njira zitatu zowunikira kuchuluka kwa shuga mumkodzo:
- ngati shuga ali ochepera 1.7 mmol / l - Umu ndiye momwe zimakhalira;
- mkati 1.7-2.7 mmol / l - pali zovuta za glucose, koma mkati mwa njira zovomerezeka;
- opitilira 2.8 mmol / l - owonjezera mwazonse. Amadziwika ndi glucosuria.
Musataye mtima ngati kusanthula koyamba kunawonetsa ziwerengero zapamwamba. Dokotala angakutumizireni kuti mudzayesenso koma mukatero azingomaliza.
Zomwe zimayambitsa shuga kwambiri mumkodzo sizingokhala HD zokha. Pali zifukwa zina:
- matenda a endocrine;
- kukanika kwa pancreatic;
- nephropathy;
- hepatosis;
- kuvulala kumutu.
Akwezedwa okwera mumkodzo nthawi yapakati
Mu magawo oyambilira
Ma ketoni mu nthawi imeneyi nthawi zambiri amawoneka ngati chifukwa cha kawopsedwe kapena kawopsedwe. Mavuto a emetic akapezeka pafupipafupi mpaka mpaka 5 mpaka 10 patsiku, mkazi samadya.
Kuphatikiza apo, kupuma pakati pa chakudya kukuchulukirachulukira. Machitidwe a thupi amayembekezeredwa: kuwonongeka kwamphamvu kwa lipids ndi mapuloteni kumayamba. Zotsatira zake, mayi woyembekezera amataya msanga, ndipo ma ketoni amawonekera mkodzo.
Kuphatikiza pa toxosis komanso kusadya bwino, chifukwa cha acetonuria mwa amayi apakati chikhoza kukhala:
- zakudya: zosayenera komanso zosasangalatsa. Zakudya zikakhala ndi mafuta ambiri komanso mapuloteni, mkazi yemwe ali ndi vuto samadwala chifukwa cha mayamwidwe ake. Zotsatira: acetone mu mkodzo;
- kufooka chitetezo. Pankhaniyi, matenda aliwonse amachititsa kukula kwa matupi a ketone;
- kusowa kwa madzi. Toxicosis, kusambitsa kusanza, kumatha thupi kwambiri. Chifukwa chake, mayi woyembekezera amayenera kumwa madzi 1.5 malita (kapena madzi aliwonse) patsiku. Ndikwabwino kuchita izi m'mawa komanso madzulo. Ndipo masana kumwa compotes kapena tiyi. Njira iyi yamadzi akumwa, omwe amagawilidwa nthawi yambiri, adzachepetsa chiopsezo cha edema;
- kupsinjika kwakuthupi. Chifukwa chake, madokotala amalimbikitsa mtundu wabwino, pamene zochitika zolimbitsa thupi zisinthana ndi kupuma;
- Njala. Mayi woyembekezera sayenera kuchita izi m'magulu. Poopa kuti abwereranso, amayi oyembekezera amaiwaliratu zakudya, kuiwala kuti pochita izi amalepheretsa mwana zinthu zofunika kupeza ndi mavitamini. Izi ndizowopsa, chifukwa kufa ndi njala kumatha kuchititsa kuti mwana akhale wosabadwa.
Pomaliza pake (m'nthawi yachitatu)
Mu magawo apambuyo, ketonuria imawoneka chifukwa cha matenda a gestosis ndi chiwindi.
Koma zifukwa zingakhale prosaic: pakadali pano, azimayi ambiri ogwira ntchito amakhala ndi kuwonjezeka kwakukulu. Madokotala amalimbikitsa masiku osala kudya komanso zakudya zamafuta a mpunga kwa amayi otere.
Ngati zakudya zoyenera sizitsatiridwa, kuwonjezeka kwa acetone mu mkodzo ndikotheka. Nthawi zambiri izi zimabweretsa kuchipatala.
Ketonuria wa toxosis
Nthawi zambiri, ma acetone okwera mu mkodzo wa amayi amawonetsa toxosis yoyambirira. Cholinga cha izi ndikusinthasintha kwa thupi lachikazi kuti likhale latsopano.
Ndiowopsa kwambiri pamene ketonuria imawonekera mwa mayi wapakati pambuyo pa masabata 28. Chifukwa chake chikhoza kukhala mochedwa gestosis. Ndipo izi ndizowopsa zowopsa.
Chithandizocho chidzatengera mtundu wa ma ketones. Ngati chiwerengero chawo chili chochepa, chithandizo chamankhwala chovomerezeka ndichovomerezeka.
Zizindikiro ndi ketonuria
Zizindikiro za matendawa sizimawoneka nthawi zonse. Kwa mayi woyembekezera, toxicosis iyenera kukhala alarm. Osadikirira chizindikiro cha ketonuria.
Onani dokotala nthawi yomweyo ngati mungapeze mfundo zotsatirazi:
- wopanda chidwi. Ndipo kuwona chakudya nthawi yomweyo kumayambitsa nseru;
- mpweya wabwino. Chimamveka ngati acetone. Ichi ndi chizindikiro chomveka bwino cha ma ketones owonjezera m'magazi. Nthawi zambiri, chizindikiro chofanana pakubala chimawonetsa toxosis yoyambirira, ndipo patatha milungu 28 - gestosis kapena matenda a shuga;
- m'mimba kukokana. Izi zimachitika pamene acetonuria imayendera limodzi ndi matenda apakati omwe alipo kale: matenda, kapamba, kapena matenda a shuga;
- ulesi ndi ulesi;
- kusowa kwamadzi. Ma ketoni, otulutsidwa ndi kupuma, amakhetsa mucous nembanemba mkamwa. Mayi woyembekezera amakhala ndi chovala choyera pa lilime lake, ndipo khungu lake limang'ambika.
Kodi chiwopsezo cha ketonuria pa nthawi yapakati ndi chiyani?
Ngati acetone mu mkodzo sanachuluke kwambiri, ndipo izi zinachitika kamodzi - mayi alibe chifukwa chodera nkhawa. Izi sizingavulaze iye kapena mwana.
Mkhalidwe wowopsa kwambiri ndi pamene ketonuria imatchulidwa: acetone ndi yayitali ndipo imatenga nthawi yayitali. Pankhaniyi, ntchito ya dokotala ndikumvetsetsa zomwe zimayambitsa kuledzera.
Kukayikira kumaphatikiza matenda monga:
- oncology;
- matenda ashuga
- kuchepa magazi
- matenda a chiwindi.
Kuchedwa kuzindikiritsa kwazinthu sikovomerezeka - thanzi la amayi ndi mwana lili pachiwopsezo.
Ngati vuto silithetsa, zovuta zotsatirazi ndizotheka:
- chiwopsezo chakusokonekera;
- poyizoni ndi matupi a ketone a thupi la mzimayi amene akubereka ndi mwana wosabadwayo;
- kufooka thupi ngakhalenso kukomoka.
Zoyenera kuchita
Ketonuria ayenera kuthandizidwa kuchipatala. Pano mayi wapakati amayenera kuchita mayeso otsatirawa:
- kuyesa mkhalidwe wa ziwalo - kuyezetsa magazi ndi zamankhwala amitundu yambiri;
- Ultrasound ya chithokomiro England;
- kusanthula kwa mkodzo kwa acetone;
- magazi a shuga.
Kutengera ndi zotsatira za kusanthula, chithandizo chotsatira chimatsimikiza.
Mankhwala
Ngati gestosis idakhala chifukwa cha acetonuria, wodwalayo adalembedwa:
- Valerian ndi Mayiwort;
- mankhwala antispasmodic monga Papaverine kapena Theophylline. Kuphatikiza pa iwo, adrenergic blockers amagwiritsidwa ntchito;
- amatanthauza kuchepetsa kukakamiza.
Pamene ketonuria si imagwirizana ndi pathologies, chithandizo chimaphatikizapo:
- kulandila kwa adsorbents;
- antiemetics;
- kuthanso kwamadzi;
- opinya;
- mavitamini;
- chakumwa chochuluka.
Zakudya
Ichi ndi chikhalidwe chofunikira kwambiri pochiza ketonuria.
Chakudya chopatsa thanzi chizikhala chama carb ambiri ndipo chikuphatikiza:
- nyama yokonda ndi nsomba yokonda. Ayenera kudyedwa ndi mphodza. Frying ndizoletsedwa;
- mbewu zamphesa ndi masamba;
- timadziti ndi ma compotes;
- masamba ndi zipatso (zatsopano).
Malonda Oletsedwa:
- chakudya chilichonse chamafuta ndi zonunkhira;
- ma pickles ndikudya nyama;
- nthochi
- zonunkhira;
- zipatso za malalanje;
- khofi ndi mowa.
Zithandizo za anthu
Mutha kulangiza:
- siyani kusanza nthawi zambiri m'magawo ochepa a madzi kapena zipatso zoperewera. Amwe kumwa 1 tbsp. l Nthawiyo ndi mphindi 10;
- phunzirani kuchita kudziyeretsa nokha;
- kumwa ndi ndimu ndi uchi kumathandizanso. Kukula: 2 tbsp. l uchi pa lita imodzi yamadzi. Onjezani mandimu kuti mulawe. Chidacho chikuyenera kuledzeretsedwanso m'magawo: 1 tbsp. ndi gawo la mphindi 10-15;
- mutha kumwa yankho la soda: 1 tsp sakani bwino mu kapu yamadzi ndikutenga pamwamba;
- kumwa mankhwala osokoneza bongo: zipatso kapena maluwa a hawthorn, valerian.
Makanema okhudzana nawo
Zoyenera kuchita ngati acetone wapezeka mu mkodzo? Mayankho mu kanema:
Okondedwa akazi, yang'anirani thanzi lanu mosamala. Pitani mayeso onse okonzekereratu ndipo mverani mosamalitsa malingaliro a adotolo: palimodzi mutha kuchotsa acetone mosamala komanso mwachangu.
