Ketone miviri mumuginho chiratidzo chinotyisa, chinoratidza kuti kushanda kwakakomba kwakaitika mumuviri wemuviri. Tinofanira kutsvaga rubatsiro rwechiremba nekutevera zvinorayirwa nachiremba pasina mhosva. Dambudziko iri haigoni kusara kune imwe nguva, nokuti migumisiro inogona kutyisa.
Ketone miviri muurini - izvi zvinorevei?
Iri boka rezvinhu rinosanganisira zvinhu zvakawanda: acetoacetic uye beta-hydroxybutyric acid, acetone. Izvo zvinhu zvinowanzoitika zvekuora. Zvisinei, kana mumigumisiro yechirwere chemuongorori chiremba anoona kuvepo kwezvinhu izvi, achaita zvimwe zvekuongorora uye anopa kurapa. Nokuda kwechikonzero ichi zvinonzwisisika kuva neshungu kune izvo ketone miviri mumurini inoreva. Zviratidzo izvi zvinogona kutaura zvakawanda.
Ndezvipi zvitinha?
Izvo zvinhu zvinoonekwa sezvibereko zvemetabolism zvakagadzirwa muropa. Zvinoratidzika panguva yekuparara kwemafuta, uyewo mukuita kwekugadzirwa kweglucose. Kana muviri uchishanda zvakanaka, ketoni mumuguta hauna kuonekwa. Zvinenge zvisingachaiti zvachose, kuparadzaniswa mumvura uye carbon dioxide. Acetonuria (aka ketonuria) inokudzwa yakakura yezvinhu zvakadaro. Izvi zvinokonzerwa nehutano hunoitika kune vose vakuru nevana.
Ketone miviri mumurini - inowanzo
Zuva roga roga kubva mumuviri wemunhu mukuru ane urini, kusvika 50 mg yeAcetone zvinhu zvakanyanyiswa. Sezvo izvi zvigadzirwa zvemetabolism zvabuda zvachose, hazvigone kuonekwa ne laboratory. Mune maitiro nemigumisiro yezvidzidzo zvekliniki, chiratidzo cheKET chinoshandiswa kuratidza miviri ye ketone. Kazhinji zvinyorwa zvinowanikwa kubva kune 0 kusvika 0.05 mmol / l. Maitiro akadaro emitumbi yemaketoni mumuguta inoonekwa seasingakoshi. Nemigumisiro iyi, muviri unoshanda zvakanaka.
Ketonuria - Zvinokonzera
Pasi pemaitiro anoshanda, muviri wevanhu unogamuchira simba kubva paglucose uye kuchengetedzwa kunowanikwa muropa - glycogen. Izvi zvakakwanira kuti ashande pamwechete pamwe chete. Zvisinei, pane mamiriro ezvinhu akawanda apo muviri wakawedzera simba rekushandisa. Parizvino, magly gogcogen anobuda, uye muviri unotanga kushandura mafuta awo masero. Pakati pemaitiro akadaro emitambo inonzi ketone miviri inoumbwa. "Zvose" zvinowanikwa mumuginhi.
Kana ketone miviri inowanikwa muurini, zvikonzero zveizvi zvinogona kunge zvakadai:
- basa rakasimba remuviri;
- pamuviri;
- kunyanya kunetseka;
- supercooling;
- chirwere cheshuga mellitus ;
- kupararira kwemapuroteni nemafuta ekudya muzvokudya;
- kudya kwakasimba;
- zvinetso murotori gland;
- hormonal failure ;
- chikafu chekudya;
- Kuoma mvura, kunokonzerwa nekugara kwenguva refu mu solarium kana sauna;
- kudhakwa kwemuviri nedoro;
- kukura anemia;
- leukemia ;
- zvirwere zvinotapukira uye zvehutachiona.
Ketonuria mune chirwere cheshuga cheshuga
Kubudiriro yehutano hwakadaro hunoita kuti uwedzere zvakakosha muhuwandu hweglucose muropa. Somugumisiro, muviri unoona kupererwa kwakanyanya. Izvi zvinowanzoitika kana muyero we insulini usina kusarudzwa nenzira isina kunaka. Zvisinei, ketonuria muchirwere chechipiri chirwere cheshuga mellitus chinoitikawo. Izvi zvinokonzerwa nekushandiswa kwezvakakora zvemafuta kana kushaya nzara kwenguva refu.
Ketonuria mukuzvitakura
Mhuka yemukadzi anotarisira inotakura mutoro unorema. Haana nguva dzose nguva yekugadzirisa zvakananga kune kuchinja kunoitika mukati make. Mumwedzi yokutanga yehutumbi, kuwedzera mumitumbi yemakone mumuguta wevakadzi inowanzoitika. Nechinetso ichi kakawanda kazhinji vanaamai vari kusangana, kutanga nevhiki yegumi nemanomwe. Zvisinei, kunyange munguva iyi, nekuwedzera zvishoma muzviratidzo izvi, pamuviri unogona kutaridzirwa wakajairika. Kana iyo acetone mumuginhi yakawedzera zvakanyanya, zvikonzero zveizvi zvinogona kunge zvakadai:
- hormonal disorder;
- gestosis;
- poisoning;
- chiropa chiropa;
- incological formations;
- nzara;
- zvirwere zvinotapukira, pamwe chete nekuwedzera kwekushisa kwemuviri uye kudhakwa kwemuviri;
- dehydration .
Kana ketone miviri mumuguta wemukadzi ane pamuviri yakakwirira, unofanirwa kuita chimwe chinhu pakarepo. Muchiitiko ichi, vose amai vemangwana uye fetus ari pangozi. Mukusabatwa kwehutano hwakanaka panguva yakakodzera, zvinetso izvi zvinogona kutevera:
- kudhakwa kwakanyanya kwemukadzi uye fetus;
- kupererwa kwepamuviri;
- coma;
- fatal outcome.
Ketonuria - Symptoms
Mukududzirwa kweAcetonuria, zvikamu zvitatu zvakasiyana, chimwe nechimwe chine kliniki yake chaiyo. Fomu iri munyoro inofambidzana nezviratidzo zvinotevera:
- nyota yakasimba;
- kurwadziwa kwepamuviri;
- kunobata uye kunowanzocheka;
- Kubva mumuromo unogona kunhuwa kunhuhwirira kweAcetone.
Chirwere chepfungwa chemukati wepakati chinoratidzwa zviratidzo zvakadai:
- inoderedza kuwanda kwemuti;
- inowira muropa;
- Mukoti unofuta seAcetone;
- kune chirwere chiri mudumbu rekudya (diarrhea, pamwe chete nekurutsira).
Iyo yakaoma maitiro eAcetonuria inoratidza zviratidzo zvakadaro:
- achifema kana achifema;
- kurasikirwa kwekuziva;
- kurwadziwa pameso;
- kuomeswa kwemukati membrane;
- kuwedzera kwechiropa muhukuru;
- ganda rinotarisa;
- kuwedzera kwekushisa kwemuviri;
- inenge yakamira zvachose kumira.
Kutsunga kweketone miviri mumuguta
Zviratidzo izvo zvinoitwa neAcetonuria, batsira nenzira yakakodzera panguva yakakodzera kurira inzwi. Zvisinei, zvinobvira kuona mikononi yeketone mumuginho chete nekubatsirwa kwekutsvaga kwakananga. Izvo zvose zvinoitwa muchipatara, saka kumba. Uye mune yekutanga, uye muchiitiko chechipiri, kana ukawana chiitiko chakanaka, iwe unofanira kubva waonana nachiremba. Kudzora ketonuria kunofanira kupiwa kune chiremba ane ruzivo. Kune chii chatinofanira kutaurira chiremba-kunobva pane zvinoitika zvekasa reAcetonuria:
- pakudenga kukuru, kumurapa kana muhutachiona;
- kana ketone miviri inowedzerwa mumurini inopesana nemamiriro ekushuga kwechirwere cheshuga - kumugumo wemagokoriko;
- apo acetone inotsamwiswa nedoro rinonyangadza - kune narcologist;
- pakuberekwa - kune gynecologist;
- kana kunhuwidza kweAcetone mumuguta kuchionekwa nekuda kwehupfu hunopisa nehutu hwehutachiona - kune wexicopist;
- pamwe nechepamusoro peganda uye kuomeswa kwemukati-membrane - kune hematologist.
Urine kuongororwa kwemakona emakone
Mune ma laboratory, acetone mumugini inoonekwa uchishandisa samuenzaniso chaiyo. Mhinduro yacho inotsanangurwa nenzira iyi:
- (-) - ketone zvinhu hazviwaniki;
- (+) - zvaanoita hazvina simba;
- (++) uye (+++) - chiitiko chakanaka;
- (++++) - zvinopindura zvakanaka.
Kuti uone kuvepo kwemitumbi yemakone mumuguta, zvinhu zvehupenyu zvinofanira kugohwa zvakakodzera. Iwe unogona kuzviita sezvizvi:
- Mangwanani mangwanani murwere anofanira kunyatsogezwa.
- Biological material (guru 70-100 mL) inofanira kuunganidzwa mumudziyo usingakonzerwi uye pakarepo yakafukidzwa nechifukidziro.
- Urini inofanirwa kuendeswa ku laboratori ichiri kupisa.
Kusarudza kweketone miviri mumuginhi kuburikidza nekuedza micheka
Iyi nzira inoshandiswa kushandiswa kwemusha. Miedzo inoshandiswa pakutsunga kweaketone muurini inogona kutengwa pane chero mishonga yemishonga pasina mushonga. Nheyo yemugadziro iyi ndeyokuti apo acetone inobatanidza ne reagent, nzvimbo dzinotarisa nzvimbo. Iwe unogona kusarudza chigumisiro nekuenzanisa ruvara rwemuedzo unoyerera kuacetone mumuginhi nechiyero chiri mutikiti. Kuti uite zvakanaka kuongorora, unofanira kutevera mazano aya:
- Tora rimwe ruvara kubva muhubhu.
- Imedzei muedzo wemaminitsi mashomanana mumudziyo newaini itsva inounganidzwa.
- Ngwarira kubvisa zvinodhaka zvakanyanya kuburikidza nekushanda chidimbu pamucheto wezvidyo nemuyo.
- Sarudza mhinduro.
- Kana maitiro acho akanaka, unofanira kutsvaga rubatsiro rwechiremba.
Ketonuria - kurapwa
Therapy mune hutachiona hwehutachiona iyi yakaderedzwa kusvika pakuwedzerwa kweacetone kubva mumuviri. Izvi zvinogona kuwanikwa kuburikidza nekusimudzira mvura yakatarisa. Inwa kakawanda (gumi nemaminitsi gumi nemashanu) mudiki sips. Chinhu chakanakisisa chisarudzo chema alkaline asina-carbonated mvura uye decoction yemafuta. Kuti kuderedze huwandu hwemutumbi weketone muchipatara, kuvhiringidzika kwepachivande kunogadzirwa neine saline solution.
Kunatswa mumuviri kunobatsira zvinotevera zvinoshandiswa:
- Sorbeks;
- Enterosgel ;
- Polysorb MP;
- Smecta;
- Regidron;
- Orsol.
Kana ketone miviri mumuguta yakasimudzirwa uye ichi chiitiko chiri pamwe chete nekurutsira, majekiseni eCerulecal angasarudzwa. Murwere anofanira kusiya kudya musi iwoyo. Panguva imwecheteyo, zvakakosha kutarisira kuderedza mutoro pachiropa, izvo zvisati zvisingatarisi nekugadziriswa kwemitumbi ye ketone. Kuratidza kuti basa remuviri uyu wepanyama rinobatsira mishonga yakadaro:
- Gepabene;
- Karsil;
- Essentiale Forte.
Sechirongwa chekubatsira chinogona kukurudzirwa mishonga yevanhu. Sekuita sedative "drug" inowanzoshandiswa kugadziriswa kwemaitiro, semuenzaniso, kubva ku hawthorn kana valerian. Kubvisa kudhakwa kunobatsira maomomilei, berry michero yemichero uye compote yemichero yakaomeswa. Mukuwedzera, pamusha, unogona kuita enema yekuchenesa (nokuti 1 litre yemvura inotora 1 kiyiyo yepuni yemunyu).
Idya zve ketonuria
Kururamisa mamiriro ehutano uye kudzivirira kuwedzerwa kuwedzera kweacetone kunogona kuburikidza nekudya kwakakodzera. Kudya kunofanirwa kunyoreswa nechiremba anoenda. Apo painokurudzira chirongwa chekudya, achacherechedza zvikonzero zvinokonzera kuwedzera mumaketoni emakirini mumuginhi, uye mamiriro ezvinhu ehurwere. Ichi chikafu chakanyanya kuoma uye chinofanira kunyatsochengetwa. Zvirambidzwa zvinokonzerwa ne ketonuria:
- chingwa chitsva nechingwa;
- nyama, hove uye mushroom akazara broths;
- citrus fruit;
- tsvina;
- kofi;
- kirimu uye mafuta akazvigadzirira mafuta omukaka;
- sorele;
- tomato;
- zvokudya zvakakanyiwa;
- bananas;
- zvokudya zvekunamatira;
- Pickles;
- garlic;
- bhuruu eiii;
- offal.
Yakakurudzirwa kudya nehana yakanyanya mumuguta wemitumbi ye ketone:
- Mhuka yakakora yakakora yakabikwa, veal uye huku;
- kwete cheesy cheeses;
- hove yakabikwa kana yakabikwa;
- non-acidic sauerkraut;
- low-fat cottage cheese;
- akavhara miriwo;
- oatmeal uye buckwheat porridge;
- apulo zvakabikwa;
- mishonga yemvura;
- walnuts.