Izidumbu ze-Ketone emceni ziyisibonakaliso esabekayo, okubonisa ukuthi ukungasebenzi kahle okwenzekile emsebenzini womzimba. Sidinga ngokushesha ukuthola usizo lwezokwelapha futhi silandele izincomo zesidakamizwa nakanjani. Le nkinga ayikwazi ukushiywa ngengozi, ngoba imiphumela ingaba yingozi.
Izidumbu zikaKetone emcanu - kusho ukuthini lokhu?
Leli qembu lezici lihlanganisa izinto eziningana: i-acetoacetic ne-beta-hydroxybutyric acid, i-acetone. Ziyimikhiqizo yemvelo yokubola. Kodwa-ke, uma emiphumeleni yokuhlolwa kwesiguli udokotela ubona ukutholakala kwalezi zakhi, uzokwenza uhlolo olwengeziwe futhi anikeze ukwelashwa. Ngenxa yalesi sizathu kunengqondo ukuba nesithakazelo kulokho okushiwo yi-body ketone emcinini. Izinkomba ezinjalo zingatshela okuningi.
Ziyini imizimba ye-ketone?
Lezi zinto zibhekwa njengemikhiqizo ye-metabolism eyenziwe esibindi. Ziyabonakala ngesikhathi kuphuka amafutha, kanye nenqubo yokwakheka kwe-glucose. Uma umzimba usebenza kahle, amaketoni emcimbini awutholakali. Zichithwa ngokuphelele, zihlukanisa ngamanzi kanye ne-carbon dioxide. I-Acetonuria (aka ketonuria) yizinto eziphakeme kakhulu zomchamo wezinto ezinjalo. Lesi simo se-pathological senzeke kokubili abadala nabantwana.
Izidumbu ze-ketone emvini - evamile
Nsuku zonke kusukela emzimbeni womuntu omdala nge-urine, kufika ku-50 mg we-acetone izinto ziyadliwa. Njengoba le mikhiqizo ye-metabolism iphuma ngokuphelele, ayikwazi ukutholakala ngezindlela zokubhubhisa. Ngefomu ngemiphumela yezifundo zomtholampilo, uphawu lwe-KET lisetshenziselwa ukubeka imizimba ye-ketone. Ngokuvamile amanani abo okuqukethwe amanani avela ku-0 kuya ku-0.05 mmol / l. Izindlela ezinjalo zomzimba we-ketone emcimbini zibhekwa njengokungabi nalutho. Ngale miphumela, umzimba usebenza kahle.
Ketonuria - Izimbangela
Ngaphansi kokusebenza okujwayelekile, umzimba womuntu uthola amandla kusuka ku-glucose kanye nokugcina okutholakala esibindi - glycogen. Lokhu kwanele ukuba asebenze ndawonye ngokuvumelana. Kodwa-ke, kunezimo eziningi lapho umzimba ukhulise ukusetshenziswa kwamandla. Kuleli qophelo, izitolo ze-glycogen ziphelelwa yisikhathi, futhi umzimba uqala ukucubungula ama-fat cells. Ngesikhathi sezinqubo ezinjalo zokugcoba umzimba zakhiwa. "Insalela" yabo itholakala kumchamo.
Uma izidumbu ze-ketone zitholakala emcinini, izizathu zalokhu zingase zibe ngale ndlela:
- umsebenzi omzimba ojulile;
- ukukhulelwa;
- ukucindezeleka ngokweqile;
- i-supercooling;
- isifo sikashukela mellitus ;
- ukusabalalisa kwamaprotheni kanye nokudla okunamafutha ekudleni;
- ukudla okunzima;
- izinkinga ku-gland yegciwane;
- ukuhluleka kwe-hormone ;
- uketshezi kokudla;
- Ukwehla kwamanzi, okwenziwe ukuhlala isikhathi eside ku-solarium noma ku-sauna;
- ukudakwa komzimba ngotshwala;
- ukuthuthukisa i-anemia;
- i-leukemia ;
- izifo ezithathelwanayo nezifo.
I-ketonuria yesifo sikashukela
Ekuthuthukiseni isimo esinjalo se-pathological kuholela ekunciphiseni okubukhali ezingeni likaglucose egazini. Ngenxa yalokho, umzimba uhlangabezana nokuntuleka okukhulu. Lokhu kwenzeka njalo uma umthamo we-insulin ukhethwa ngokungafanele. Kodwa-ke, i-ketonuria ehlobo lwesifo sikashukela i-diabetes mellitus nayo iyenzeka. Lokhu kungenxa yokusetshenziswa kokudla okunamafutha amaningi noma ukulamba kwesikhathi eside.
Ketonuria ekukhulelwe
Umzimba womama olindelekile uhlangabezana nomthwalo osindayo. Akanayo njalo isikhathi sokuzivumelanisa ngokushesha nezinguquko ezenzeka ngaphakathi kuye. Ezinyangeni zokuqala zokukhulelwa, ukwanda kwezidumbu ze-ketone emcimbini wabesifazane kuyinto engavamile. Nale nkinga kaningi kaningi omama abhekana nabo, kusukela ngeviki leshumi nesikhombisa. Kodwa-ke, phakathi nale nkathi, ukwanda kancane kule nkhomba, ukukhulelwa kungabhekwa njengokujwayelekile. Uma i-acetone emcinini isanda kakhulu, izizathu zalokhu zingaba kanje:
- i-hormonal disorder;
- i-gestosis;
- inhlamba;
- isifo sesibindi;
- ukuhlelwa kwemvelo;
- indlala;
- izifo ezithathelwanayo, ezihambisana nokwanda kokushisa komzimba nokudakwa komzimba;
- ukuphelelwa amandla kwamanzi .
Uma umzimba we-ketone emcinini wesifazane okhulelwe uphakeme, udinga ukwenza ngokushesha. Kulokhu, bobabili umama ozayo kanye nomntwana osengcupheni basengozini. Uma kungekho ukunakekelwa kwezempilo okufika ngesikhathi, izinkinga ezinjalo zingalandela:
- ukuphuza ngokweqile owesifazane nomntwana;
- ukukhulelwa kwesisu;
- i-coma;
- imiphumela ebulalayo.
Ketonuria - Izimpawu
Ekuthuthukiseni i-acetonuria, izigaba ezintathu zivelele, ngasinye esinesithombe sayo somtholampilo. Ifomu eliphansi lihambisana nalezi zimpawu ezilandelayo:
- ukoma okunamandla;
- ubuhlungu besisu;
- ukugcoba nokuvuthwa njalo;
- Kusukela emlonyeni ungakwazi ukuhogela iphunga elicashile le-acetone.
Isimo se-pathological yesimo esiphakathi sibonakala ngezibonakaliso ezinjalo:
- kunciphisa inani lomchamo;
- iwela egazini legazi;
- umchamo uzwa njenge-acetone;
- kukhona ukuphazamiseka emgodleni wokugaya (isifo sohudo, sihambisana nokuhlanza).
Uhlobo olunzima lwe-acetonuria lubonakala ngezibonakaliso ezinjalo:
- ukuqhuma lapho uphefumula;
- ukulahlekelwa kokuqonda;
- ubuhlungu emehlweni;
- Ukomiswa kwamagundane amancane;
- Ukwandiswa kwesibindi ngesayizi;
- isikhumba sibheke;
- ukushisa komzimba okwandisiwe;
- cishe cishe uyeka ngokuphelele ukuchama.
Ukunqunywa komzimba we-ketone emcinini
Izimpawu eziwuphawu lwe-acetonuria, kusiza ngesikhathi esifanele ukuzwakala i-alamu. Nokho, kungenzeka ukuthola izidumbu ze-ketone emcinini kuphela ngosizo lokuhlaziywa okukhethekile. Kwenziwa kokubili esikhungweni sezokwelapha, ngakho-ke ekhaya. Futhi kokuqala, futhi esimweni sesibili, uma uthole imiphumela emihle, kufanele uthintane nodokotela ngokushesha. Ukulawulwa kwe-ketonuria kufanele kuphathwe udokotela onolwazi. Kumelwe uthathe kudokotela - kuncike ezintweni ze-acetonuria:
- ekushiseni okuphezulu, kumthandi wezinkinga noma ukutheleleka;
- uma izidumbu zomzimba zikhuphuka emcimbini ngokumelene nesizinda sesifo sikashukela - ku-endocrinologist;
- lapho i-acetone ishukunyiswa utshwala obuthiwa utshwala - ku-narcologist;
- ngesikhathi sokukhulelwa - kumjozi wezifo;
- uma iphunga le-acetone emcimbini livela ngenxa yobuthi obuyingozi ngemithi enobuthi - ku-toxicologist;
- nge-pallor yesikhumba kanye nokomiswa kwamabhungane amancane - ku-hematologist.
Ukuhlaziywa kwama-urine imizimba ye-ketone
Ezimweni zokubhubhisa, i-acetone emcinini itholakala usebenzisa isampula ekhethekile. Imiphumela ihunyushwa kanje:
- (-) - ketone izinto azitholakali;
- (+) - ukusabela kubuthakathaka;
- (++) futhi (+++) - umphumela omuhle;
- (++++) - ukusabela kuhle kakhulu.
Ukuze unqume ukuthi kukhona umzimba we-ketone emcinini, izinto eziphilayo kufanele zivunwe kahle. Ungakwenza lokhu kanje:
- Ekuseni isiguli kufanele sihlanzwe kahle.
- Izinto eziphilayo (ivolumu 70-100 ml) kufanele ziqoqwe esitsheni esisinyumba futhi ngokushesha zimbozwe isembozo.
- I-urine kufanele ihanjiswe esibhedlela.
Ukunqunywa kwamagciwane e-ketone emcimbini ngama-test strips
Le ndlela isebenza ukusetshenziswa kwekhaya. Amathrekhi okuhlola ukuzimisela kwe-acetone emcintini angathengwa kunoma iyiphi ikhemisi ngaphandle kwemithi. Isimiso sale ndlela yukuthi lapho i-acetone ixhumana ne-reagent, izoni zomkhakha wezinkomba. Ungakwazi ukunquma umphumela ngokuqhathanisa umbala we-strip test kuya i-acetone emcintini ngesilinganiso esikhwameni. Ukuqhuba kahle ukuhlaziywa, udinga ukulandela lezi zincomo:
- Thola umdwebo owodwa kusuka kwibhubhu.
- Gcwalisa ukuhlolwa kwamasekhondi ambalwa esitsheni nge-urine esanda kuqoqwa.
- Susa ngokucophelela uketshezi okwedlulele ngokusebenzisa umdwebo ekugcineni kwezingubo ngomchamo.
- Misa imiphumela.
- Uma ukusabela kuhle, udinga ukuthola usizo lwezokwelapha.
Ketonuria - ukwelashwa
Ukwelapha kule ndawo yokugula kuncishiswe ukuba kube yi-acetone emzimbeni. Lokhu kungazuzwa ngokujwayelekile ukulinganisela kwamanzi. Phuza ngokuvamile (njalo imizuzu engu-10-15) ngama-sips amancane. Okukhethwa kukho okulungile yi-alkaline amanzi angenawo carbon and decoction of omisiwe. Ukuze unciphise izidumbu ze-ketone esibhedlela, i-infusions e-intravenous yenziwa ngesisombululo saline.
Ukuhlambulula umzimba kuzokusiza ukungena okulandelayo:
- AmaSulumane;
- I-Enterosgel ;
- I-MP i-Polysorb;
- Smecta;
- Regidron;
- I-Orsol.
Uma izidumbu zomchamo emcinini ziphakanyisiwe futhi lesi simo sihambisana nokuhlanza, ukujola kwama-Cerulecal kungenziwa kunqunywe. Isiguli kumele sishiye ukudla ngalolo suku. Ngesikhathi esifanayo, kubalulekile ukunakekelwa ukunciphisa umthwalo esibindi, esivele singabhekene nokucubungula imizimba ye-ketone. Ukuqedela umsebenzi walo mzimba wangaphakathi kuzosiza izidakamizwa ezinjalo:
- I-Gepabene;
- I-Karsil;
- Essentiale Forte.
Njengoba ukwelashwa okusizayo kunganconywa amakhambi abantu. Njengoba "isidakamizwa" sokudambisa ngokuvamile kuvame ukusetshenziswa kwe-decoctions yokwelashwa, isibonelo, kusuka ku-hawthorn noma ku-valerian. Ukukhipha ukuphuza kuzosiza itiye, i-berry iziphuzo zezithelo kanye ne-compote yezithelo ezomile. Ngaphezu kwalokho, ekhaya, ungenza i-enema yokuhlanza (i-1 litre yamanzi ithatha isipuni 1 sosawoti).
Ukudla nge-ketonuria
Lungisa isimo sesiguli futhi uvimbele ukwanda okuqhubekayo kwe-acetone kungenziwa ngokudla okunempilo. Ukudla kumele kumiswe udokotela oya khona. Lapho ehlakulela uhlelo lokudla, uzakucabangela izimbangela ezenza ukwanda kwamaketoni emcinini, kanye nesimo esijwayelekile sesiguli. Lokhu kudla kunzima kakhulu futhi kumele kugcinwe ngokucophelela. Imikhiqizo engavinjelwe ye-ketonuria:
- isinkwa esimhlophe nesinkwa;
- inyama, inhlanzi nama-mushroom ama-broths acebile;
- izithelo ze-citrus;
- imikhiqizo yokubhema;
- ikhofi;
- ukhilimu kanye ukhilimu omuncu owenziwe ngamafutha;
- i-sorrel;
- utamatisi;
- ukudla okuphekiwe;
- ubhanana;
- ukudla okusemathinini;
- Ama-Pickles;
- i-garlic;
- anyanisi oluhlaza;
- offal.
Ukunconywa okunconywe nge-concentration ephakeme emcimbini wemzimba ye-ketone:
- I-fat-fat oiled ephuziwe, i-veal kanye nenkukhu;
- ama-cheeses angewona amnandi;
- izinhlanzi ezibilisiwe noma ezibhakabhaka;
- i-sauerkraut engeyona i-acidic;
- i-fat cottage shizi encane;
- imifino esetshenziwe;
- ipulaji ye-oatmeal ne-buckwheat;
- ama-apula abikiwe;
- isobho semifino;
- ama-walnuts.