Kodi zimatanthawuza chiyani ngati matupi a ketone akupezeka mkodzo?

Matupi a Ketone ndi zinthu za metabolic zomwe zimapangidwa m'chiwindi pakuwonongeka kwamafuta ndikupanga glucose. Mwa munthu wathanzi, ma ketoni amapangidwa mu zinthu zosafunikira kwambiri, samasinthidwa mwachangu ndikuchotseredwa pakukonzekera, osadziwika ndi mayeso wamba.

Ndi mawonekedwe awo okwera kwamikodzo, katswiriyo amamuzindikira wodwalayo kuti ndi "ketonuria" - chikhalidwe chomwe chimafuna chidwi chochulukirapo komanso chithandizo choyenera.

Zimayambitsa ndi mapangidwe a mawonekedwe a ma ketones

Ma ketones ndi awa:

• acetone;
• acetoacetic acid;
• beta hydroxybutyric acid.

Chifukwa chachikulu chopitilira kulimba kwa matupi a ketone mu mkodzo ndikuphwanya (ndiko kuti, kuthamanga) kwa metabolism yamafuta, komanso kuphatikiza shuga wambiri, komwe ndikofunikira kuti mphamvu ndi thupi lonse lizigwira ntchito. Kodi izi zikutanthauza chiyani?

Ngati chakudya chamafuta chikutha kuchokera kunja ndi chakudya, njira zomwe zimagwiritsidwa ntchito pokonza glycogen m'chiwindi zimasokonekera, kapena zimatha zonse - thupi limayamba kuwachotsa mu adipocytes (ma cell amafuta), ndikuwonjezera kuchuluka kwa kuwonongeka kwawo.

Mulingo wapakati pa kuchuluka kwa glucose ndi ma ketoni amasintha kwambiri chakumapeto, chiwindi sichikhala ndi nthawi yoti chiwalepheretse ndipo pamapeto pake pali kuchuluka kwa matupi a acetone m'mwazi ndi kulowa kwawo mkodzo - chodabwitsa cha ketonuria (kapena acetonuria) chimachitika.

Pankhaniyi, ketonuria yochepa komanso yosakhazikika ndiye chofala. Mkhalidwe wa munthu umakhala wokha pakapita kanthawi kochepa (malinga ngati alibe matenda obisika).

Komabe, nthawi zambiri izi zimayambitsidwa ndi matenda akulu.

Mavuto a lipid ndi carbohydrate metabolism amayamba chifukwa cha matenda monga:

1. Matenda a shuga (mu nkhani iyi, matupi ambiri a acetone amawonetsa kuti ali ndi vuto la kukomoka kwa hyperglycemic coma).
2. Ma neoplasms ndi njira zotupa m'matumbo (pali kuphwanya mayamwidwe a michere m'mimba).
3. Matenda a chiwindi (ku chiwindi, kuledzera).
4. Matenda a ma virus omwe amayambitsidwa ndi malungo.
5. Zovuta za chithokomiro cha chithokomiro (chithokomiro cha chithokomiro chimadziwika ndi kagayidwe kachakudya ka glucose), ma neoplasms omwe amapezeka m'magazi a adrenal (metabolism yamafuta imathandizira).
6. Mwa akazi, ketonuria imatha kuchitika chifukwa cha toxosis pa nthawi yapakati (thupi la mayiyo limapereka mphamvu zake zonse kufikira mwana wosabadwayo).
7. Matenda am'magazi am'magazi (kuchepa kwa magazi, kuchepera magazi, ndi zina).

Zizindikiro zakukula kwa matendawa kwa akulu ndi ana

Kuwonetsedwa kwa acetonuria kulibe chithunzi chotsimikizika kumayambiriro kwa matendawo.

Zizindikiro zimafanana ndi mawonetseredwe azachipatala a banal matumbo:

1. Matenda a wodwalayo amachepa, chakudya chimapangitsa kunyansidwa.
2. Pali kulumpha lakuthwa kwazizindikiro za kutentha.
3. Mukatha kudya, wodwalayo amadwala kapena kusanza.

Mtsogolomo, ngati munthu apitiliza kuchedwetsa kupita kwa adotolo, pali zizindikiritso zambiri ndi zotchulidwa:

1. Kufooka kwathunthu, kuchepa kwa magwiridwe antchito, ulesi wa minofu.
2. Kuthetsa madzi m'thupi (khungu limakhala louma, louma, mawanga ofiira owopsa amadziwika m'masaya ndi masaya, lilime limakutidwa ndi zonona zoyera kapena zachikasu.
3. Zizindikiro za kupondereza kwamanjenje mkati mwa khunyu, kusintha kwachangu nthawi yakusokonekera ndi kusowa chidwi, muzovuta kwambiri - mpaka pakukomoka.
4. Kukulitsa chiwindi (kutsimikiziridwa ndi palpation).
5. Kupezeka kwa kununkhira kwa acetone (kumafanana ndi kununkhira kwa zipatso zowola) kuchokera pamkamwa ndikusanza. Mkodzo wa wodwalayo amanunkhiranso acetone.

Mwa ana aang'ono, zizindikiro zotsatirazi zimadziwikanso kuti:

1. Kusanza kwambiri pambuyo pa chakudya chilichonse (ngakhale mutamwa madzi), chifukwa chomwe ndicho kukana osati chakudya cholimba, komanso madzi.
2. Kuchepetsa ululu pamimba.
3. Anachepetsa khungu turgor, minofu kamvekedwe.

Kusanthula kwa mkodzo kwa acetone kunyumba

Kuyesedwa kofala kwambiri "kwakunyumba" kuti mupeze acetone mumkodzo kumayesedwa ngati kuyesa ndi ammonia. Mwanjira imeneyi, madontho ochepa ammonia amaponyedwa mumtsuko wokhala ndi mkodzo ndipo kusintha kwa mtundu wake kumawonedwa. Ngati mkodzo umasandulika wofiira, ndiye kuti matupi a ketone amapezekamo.

Komanso, nthawi zambiri, odwala amagwiritsa ntchito mayeso othamanga opanga osiyanasiyana, omwe ali ndi mikwingwirima yapadera kapena mapiritsi okhala ndi magengents omwe amawagwiritsa ntchito.

Pa mayeso, gawo mwatsopano la mkodzo limagwiritsidwa ntchito, pomwe pepala lowonetsera limaphatikizidwa kwa masekondi angapo. Chotsatira, muyenera kudikira mphindi zochepa mpaka kumapeto kwa chochitikacho ndikufanizira mtundu womaliza pamtunda ndi kuchuluka kwa zitsanzo paphukusi. Mukamakondwera kwambiri, mumakhala michere yambiri mumkodzo - komanso mosiyanasiyana.

Pankhani yogwiritsa ntchito piritsi yoyeserera, mkodzo umayikidwa mwachindunji kwa iwo. Pamaso pa matupi a acetone, piritsi lidzasintha mtundu.

Koma ziyenera kukumbukiridwa kuti kuwunika kwa ketonuria kunyumba sikothandiza komanso kudalirika monga kutsimikiza kwake kuchipatala. Nthawi zambiri, zimatha kupereka zotsatira zabodza kapena zabodza chifukwa wodwala amatenga mankhwala osiyanasiyana (mwachitsanzo, angiotensin kutembenuza enzyme inhibitors). Ndikulimbikitsidwa kuchita diagnostics oyambirira mu labotale, ndipo mtsogolomo, nthawi zonse muziyang'anira kuchuluka kwa acetone kunyumba - pogwiritsa ntchito njira zothandizira pamwambapa.

Momwe mungachotsere acetone?

Choyamba, ndikofunikira kuyesedwa kwathunthu ndi katswiri woyenera - kenako nkukhala pansi pa ulamuliro wake mpaka kumapeto kwa chithandizo ndipo nthawi yayitali ikwaniritsidwa. Zithandizo zamankhwala zimasiyana kwambiri kutengera zomwe zimayambitsa matendawa.

Chifukwa chake, pozindikira shuga, wodwalayo amapatsidwa jekeseni wa insulin kuti achepetse shuga. Ngati mankhwalawa akakhala osakwanira (munthawi ya ketonuria yowonjezereka komanso yolimba kwambiri), mlingo wa insulin ukuwonjezeka.

Mawonekedwe ochulukirapo a ketonuria amatsatana ndi acidosis ndikukhala wowopsa m'moyo, ndizosatheka kuyimitsa nokha, chifukwa chake akukakamizidwa kuyitanitsa ambulansi ndi chithandizo kuchipatala. Pamenepo, wodwalayo amapaka jekeseni wamchere wathanzi kuti athane ndi kusowa kwamadzi, mayankho a electrolyte amayendetsedwa, ndipo anticoagulants ndi maantibayotiki amagwiritsidwa ntchito.

Kunyumba, acetone amathandizidwa mwanjira zotsatirazi:

1. Imwani zambiri. Ndikwabwino kugwiritsa ntchito madzi amchere kapena kuchepetsedwa kapenanso zitsamba zouma. Ngati wodwalayo sangathe kumwa chifukwa choopa kusanza, mutha kuyesa kupereka madzi okwanira pakatha mphindi 10 mpaka 10 (ana ayenera kuyamwa kumwa syringe). Palibe chifukwa choti kuchepa kwamphamvu kwa wodwala kumaloledwa!
2. Njala tsiku loyamba - kotero thupi litha kuthana ndi kuledzera mwachangu.
3. Kutsatira kudya kwa pafupifupi masiku angapo otsatira.
4. Kugwiritsa ntchito koloko enemas ndi njira za koloko zothandizira pakamwa.

Pambuyo pokhazikika, muyenera kuwona dokotala wanu nthawi yomweyo kuti mulandire zowonjezereka.

Panthawi yovuta (komanso kupewa), ndikofunikira kutsatira zakudya zapadera.

Zakudya zake zoyenera zimaphatikizapo zakudya monga:

• nyama yodontha (nkhuku, nkhuku, kalulu, nyama yamphongo ndi ng'ombe) mu mawonekedwe owiritsa kapena adindo;
• mbale zokhala ndi madzi ambiri - sopo, broths (masamba);
• nsomba zamafuta ochepa;
• njere, masamba, zipatso;
• zipatso zakumwa, decoctions, timadziti, compotes, kupanikizana.

Patsiku loyamba la mavutowa, ndibwino kukana kudya, kudziletsa pang'ono. Ngati kusanza kulibe, mutha kudya zotsalira zomwe sizikupezeka.

Patsiku lachiwiri, maapulo, maapulo ophika, mpunga kapena mankhwala oat amaloledwa.

Pa tsiku lachitatu ndi lachinayi, chakudyacho chimakulitsidwa ndi chimanga chadzimadzi kapena cha grated, msuzi wofowoka masamba ndi mabisiketi.

Nyama yamafuta ndi nsomba, msuzi wamafuta olemera, chakudya chofulumira, confectionery, makeke, mkaka ndi mkaka wowawasa wowawasa, zakudya zonunkhira ndi zotsekemera zimayenera kusiyidwa kwathunthu kwakanthawi.

Ndikofunikira kuyambitsa chakudya chokhazikika pang'onopang'ono, pazigawo zochepa ndikutsatira mfundo zoyambirira za zakudya zoyenera.

Menyu pazochitika zonsezo zimapangidwa ndi katswiri, poganizira zosowa ndi mawonekedwe a wodwala aliyense.

Pali maupangiri angapo ofotokozedwa makamaka kwa anthu omwe ali ndi acetonuria:

1. Anthu onenepa kwambiri ayenera kudzikonzera okha masiku osala - izi zimachepetsa kwambiri vuto la acetone.
2. Kunyumba, ndikofunikira kuti muzisunga ma phukusi a mayeso kapena mapiritsi oyeserera - ndipo pakakhala zizindikilo monga, mwachitsanzo, kununkhira kwa acetone kuchokera mkamwa kapena kukoma kosakoma, nthawi yomweyo pangani chidziwitso chodziyimira pawokha. Ziyeso zimagulitsidwa ku pharmacy iliyonse.
3. Makamaka yang'anani mosamala mkhalidwe wa ana - pakagwa vuto, ndikofunikira kuyimba ambulansi.
4. Ngati ketonuria ikudziwoneka wodwala yemwe ali ndi matenda osokoneza bongo, ayenera kulumikizana ndi dokotala wake kuti athe kusankha njira ya insulin yolandirira, ndikukambirana zakudya - izi zithandiza kupewa zovuta.

Kanema kuchokera kwa Dr. Komarovsky pa vuto la acetonuria:

Maonekedwe a matupi a ketone mumkodzo ndi chizindikiritso chachikulu, chomwe chimayenera kutengedwa ndi udindo wonse. Ngati mukukayikira ketonuria, muyenera kufunsa katswiri posachedwa, yemwe angachite mayeso onse ofunikira ndikuwunika, amatenga anamnesis ndikuwunikira bwino kwambiri kuti adziwe matenda obisika omwe mwina anachititsa kuti ma ketoni asungidwe amkati.

Chithandizo chovuta chokha limodzi ndikuwunikira pafupipafupi matupi a acetone (mu labotore kapena kunyumba) ndizomwe zingathandize wodwalayo kuthana ndi matendawa ndikupewa vuto la acetone.