Komarovsky acetone a cikin fitsari na yaro yana haifar da alamun bayyanar cututtuka Komarovsky
A yadda aka saba, yaro kada ya fitar da wani warin waje daga bakinsa, amma akwai yanayi idan warin waje ya bayyana. Wannan a zahiri tsoratar da iyayen yara da kuma kyakkyawan dalili.
Idan ƙanshi na acetone ya fito daga bakin, to, wannan alama ce ta kai tsaye na acetonuria, i.e. bayyanar ketones a cikin fitsari kuma, a sakamakon haka, haɓakar acetone a cikin yaro.
Sanadin faruwa
Menene acetone yana nufin fitsari? Wannan shine abun haɓaka abubuwan ketones a jiki. Ketones abubuwa ne na abubuwan sunadarai daga mai da furotin.
Tare da aiki na jiki na yau da kullun, adadinsu na al'ada ne, amma idan akwai matsaloli tare da ƙwayar gastrointestinal da kuma hanyoyin tafiyar da hanzari, akwai ketones da yawa kuma suna fara lalata jikin da gubobi.
Saboda haka, ɗayan alamun farko na cututtukan acetone shine ƙanshin ƙurar acetone a cikin fitsarin yaro.
Akwai dalilai da yawa da ke haifar da ƙwayar acetone a cikin fitsari:
- ciwon sukari mellitus
- rashin lafiyar jiki ko akasari mai zafi,
- dabi'ar gado
- bushewa
- Abincin da ba shi da lafiya wanda ke da wadataccen carbohydrates,
- mai narkewa a cikin uric acid metabolism,
- rushewa daga hanta,
- kuka da tantrums na yaro ne dogon,
- increasedarin damuwa da damuwa a jiki
- hoto ko bidiyo mai zagaya yanar gizo da sauri cututtuka
- take hakkin lipid da carbon metabolism,
- anemia
- danniya
- kwanan nan raunin da ya faru
- lokaci bayan tiyata
- wuce haddi allurai na rigakafi,
- yunwa
- wuce gona da iri
- cututtukan oncological
Bayyanar cututtuka da ke faruwa
Abu mafi mahimmanci shine kada a rasa alamun farko na bayyanar ƙwayar acetone kuma fara magani akan lokaci.
Bari mu kalli jerin wadannan alamu:
- ƙanshi na acetone daga bakin,
- warin acetone daga fitsari,
- amai
- ƙarancin ciki
- zazzabi
- janar gaba daya na jiki,
- ciwon ciki
- ciwon kai
- bushe harshe
- rashin hawaye lokacin kuka,
- urin yin kasa da lokacin 1 na tsawon awanni 6,
- nutsuwa
- asarar nauyi
- rashin bacci
- saurin numfashi
- zuciya palpitations.
Bayyanar cutar acetone a gida
Tare da kowane alamar kama da acetone mai ɗorewa a cikin yaro, zaku iya bincika ko ƙimar ta gaskiya ce ko a'a.
Yanzu a cikin kowane kantin magani zaka iya siyan dunƙule na acetone-gwajin, wanda akan sanya reagent na musamman, don gano adadin ketones a cikin fitsari na yara.
Hanyar aikace-aikacen abu ne mai sauqi, kuna buƙatar runtse tsirin gwajin a cikin akwati tare da fitsari na ɗan lokaci kaɗan kuma za'a fentin shi a cikin launi da ake so.
An zana furannin furanni akan kunshin, kuma kowane launi yana nufin mai nuna alamar acetone a cikin fitsari na yara.
A al'ada, bai kamata a sami acetone a cikin fitsari ba, amma idan akwai guda ɗaya, za a iya tsayar da zafin yanayin ta hanyar amfani da tsinke gwaji.
- ɓace | Kasa da 0.5 mmol / l | Baby lafiya |
+ Digiri mai haske | Har zuwa 1.5 mmol / l | Ana gudanar da jiyya a gida. |
++ Matsakaici | Har zuwa 4 mmol / l | Wataƙila magani a gida, amma idan yanayin ya tsananta, ana buƙatar taimako mai cancanta |
+++ Mai tsananin | Har zuwa 10 mmol / l | Ana buƙatar shigar da asibiti cikin gaggawa |
Jiyya don tasirin acetone
Ya danganta da tsananin yanayin, za a tsara zaɓuɓɓukan magani guda biyu:
- a asibiti
- a gida.
Lokacin yin jiyya a asibiti, za a tsara hanyoyin da za a bi:
- glucose,
- inje na rigakafin magungunan,
- enema
- shan mafita wanda zai daidaita ma'aunin electrolytes.
- maganin antispasmodic
- enzyme ci
- liyafar sihiri,
- magungunan antidiarrheal
- shirye-shirye don kiyaye ayyukan zuciya (idan ya cancanta).
A gida ya hada da:
- shan lemo mai yawa na raisins da sauran 'ya'yan itatuwa bushe,
- sayayya da ruwan warkarwa (Borjomi, Essentuki 4 (17),
- shan abin sha mai sha mara nauyi,
- liyafar sihiri (mai, Atoxil, Enterosgel),
- shan kwayoyi don dawo da ma'aunin lantarki (Regidron),
- Ciwan enzyme (Creon, Pancreatin).
Hadarin da ya haifar da acetone a cikin fitsari
Increasearin acetone a cikin yaro a cikin fitsari baya buƙatar watsi da shi, tun da ba'asin magani, ko rashinsa, na iya haifar da mummunan sakamako kamar:
- hadarin kamuwa da ciwon siga,
- hauhawar jini
- na rayuwa rashi
- Mai aiki da kodan da hanta,
- hadarin kamuwa da cutar gallstone,
- hadin gwiwa cututtuka
- tsananin rashin ruwa
- lalacewar sel da kuma kwakwalwa.
Tsarin shan abinci tare da haɓakar acetone a cikin yaro
A lokacin rashin lafiya da murmurewa bayan tsalle-tsalle a cikin matakin acetone a jikin yarinyar, mutum bai kamata ya manta game da tsarin kula da shan ruwan daidai ba.
Sakamakon yawan asarar ruwa sakamakon gudawa da amai, gudawa yakan faru, amma bai kamata a bai wa yaron sha da yawa ba, saboda yawan ruwa mai yawa na iya haifar da kai ruwa a koda yaushe.
Volumearancin da ake buƙata na ruwa shine lita 1.5-2 kowace rana. Yakamata a shayar da shi a wani tsumma biyu kowane mintuna 15-20, saboda haka jiki zai samu lokacin da zai sha ruwan ba tare da ya kakkarye shi ba.
Likitocin sun ba da shawarar bayar da abubuwan sha masu zuwa:
- share har yanzu ruwa
- ba shayi mai shayi ba
- 'ya'yan itace da aka bushe (na ƙara yawan glucose),
- decoction na raisins (ya hada da babban adadin fructose),
- alkaline na warkar da ruwa (Borjomi, Essentuki 4 ko 17),
- magunguna na musamman kantin magani na lantarki (Regidron).
Yana da mahimmanci cewa compotes da kayan kwalliya sunyi dadi, amma adadin yau da kullun yakamata ya zama bai wuce 5 MG ba 1 kilogram na nauyin yaran.
Hanyar gabatarwar samfurori a cikin farkon kwanakin bayan sake dawowa
A farkon zamanin, wataƙila yaro zai ƙi abinci gaba ɗaya. Kar ku damu, wannan cikakkiyar al'ada ce. Kar ku tilasta masa ya ci da karfi, zaku iya tsokanar maimaita gag reflex. Amma kar ku manta da shan ɗan.
Bayan yaro ya zama ɗan ɗanyi kaɗan ko kuma tsutsa na tsayawa, yana da kyau fara fara gabatar da samfurori bisa ga wannan tsarin:
- Kwana 1 Alkama ko hatsin rai burodi crumbs.
- Kwana 2. Brothara kwanukan shinkafa da gyada mai dafa.
- 3 rana. Sanya garin tafasasshen shinkafa da aka dafa sosai (zaku iya niƙa tare da buhunan shinkafa ko gyada kofi).
- 4 rana. Kuna iya bayar da miya a cikin kayan lambu, babban abinda yake shine shine ba mai shafawa bane kuma baya ɗauke da abinci mai nauyi.
- 5 rana. Kuna iya sannu a hankali canza zuwa abinci uku na yau da kullun daidai da abincin da aka ba da shawarar acetone.
Abincin tare da babban acetone
Tare da haɓakar acetone, yana da matuƙar mahimmanci a bi abin da ake ci don rage haɗarin sake dawowa da inganta yanayin yarinyar yayin lokacin kulawa.
Yakamata fifita ga waɗannan samfuran da kwanonin:
- kayan miya
- hatsi ba tare da mai ba,
- busassun 'ya'yan itace compotes (mafi kyau daga apples),
- 'ya'yan itatuwa marasa acidic
- naman alade da kifi,
- raw, dafaffen kayan lambu ko dankalin turawa (dankali, kabeji, kabewa, karas, gwoza),
- kayayyakin kiba mai-mai,
- bishiyoyi da mahaukata,
- marmalade, marshmallows.
Tabbas, bin abinci, musamman ga yaro, abu ne mai wahala, amma duk da haka za ku daina wasu abinci na ɗan lokaci:
- carbonated zaki da ruwa
- Semi-gama kayayyakin
- mai kitse
- abincin teku
- kiyayewa
- kyafaffen nama / kifi / sausages, da sauransu.
- 'ya'yan itãcen marmari
- mai kitse
- Tumatir
- soyayyen abinci
- yaji jita-jita
- burodin alkama,
- yin burodi
- Kayan kwalliya
- biredi
- kwakwalwan kwamfuta, ƙwaya, da sauransu.
Yana da kyau a lura cewa baku buƙatar shigar da jikin yaron nan da nan tare da abinci da yawa. Wajibi ne a gabatar da samfurori a hankali, kowane lokaci dan ƙara ƙara rabo.
Wajibi ne a bi ka'idodin tsarin abinci mai narkewa na wani lokaci. Dole ne a bayar da kayan lambu rak a kowane abinci don firinji ya shiga jiki. Abincin dare ma bai kamata ya makara ba, da misalin karfe 18.00.
Tsarin menu na ranar zai iya zama kamar haka:
- Zabin lamba 1:
- 08,00 karin kumallo. Oatmeal a cikin madara, rabin apple, guda biyu. kukis ɗin biski da shayi mai baƙi.
- 10 a.m. Abin ci. Pear
- 13.00. Abincin rana Kayan lambu miyan, yanki na tafasasshen naman sa, ma'aurata biyu da busassun 'ya'yan itace compote.
- 3 p.m. Abin ci. Bunan ƙaramin inabi.
- 5 p.m. Buckwheat porridge tare da yanki na tafasasshen nono, coleslaw, marmalade 2 inji mai kwakwalwa. kuma ba a sha shayi ba.
- Zabi lamba 2:
- 08.00. Karin kumallo. Semolina porridge tare da cokali na matsawa. Banana Shayi wanda ba a sani ba.
- 10 a.m. Galetny kukis da kuma girkin zabibi.
- 13.00. Abincin rana Secondary kaza broth miya, Boiled kwai, stewed kabeji, unsweetened shayi.
- 3 p.m. Abin ci. Gasa apple.
- 5 p.m. Rice porridge tare da yanki na tafasasshen pollock, marshmallows 2, shayi marar shayi.
Yin rigakafin faruwar cutar acetone a cikin fitsarin yaro
Don rage yiwuwar karuwar acetone a cikin fitsari, kuna buƙatar bin rulesan dokoki kaɗan masu sauƙi:
- lura da tsarin yau da kullun daidai
- kawar da abinci mai guba,
- don kunna wasanni ko ma sau da yawa don kasancewa cikin cikin iska mai kyau,
- shirye-shiryen multivitamin
- hardening
- abinci mai kyau, wariya ta rage yawan adadin kuzari,
- guji yawan zafi da yawan shan ruwa,
- a gaban cututtukan da ke tattare da cuta, ziyartar likita na yau da kullun da aiwatar da duk shawarwarinsa,
- Kai magani banda
Komarovsky akan karuwar acetone
A matsakaici, ana lura da acetone na jini a cikin 20% na ƙananan yara. Sun same shi, a matsayin mai mulkin, bayan sun sami urinalysis, tare da warin halayyar da ke fitowa daga bakin ko lokacin urination. Likitocin ba su ba da shawarar yin watsi da wannan yanayin ba, amma a hanzarta a ɗauki mataki, tunda alamu masu girman gaske na iya yin barazana ga rayuwar yaran.
Acetone a cikin yaro: sanadin, bayyanar cututtuka, magani
Acetone mai tsayi a cikin yara ba koyaushe yana nufin kasancewar wani mummunan ciwo ba. Likitocin suna magana game da shi a matsayin wata alama da ke nuna halayen ƙetarewar ƙwayoyin carbohydrates da hanyoyin haɓakawa a jikin yarinyar. Hakanan, wannan alamar na iya nuna matsanancin aiki kuma ya bayyana lokaci guda tare da wasu alamun. Ya kamata a lura cewa acetone mai ɗorewa na iya zama sakamakon sakamakon kamuwa da cuta na hanji na kwanan nan.
Idan akwai matsala - acetone a cikin yara, yadda za a bi? Komarovsky Evgeny Olegovich yana da nasa ra'ayi kan wannan batun. Acetone shine kayan lalacewa a cikin hadawar hadawar kitse. Gaskiyar ita ce cewa jikinmu yana buƙatar makamashi don aiki na yau da kullun, kuma yana ɗaukar shi a cikin adadin da ake buƙata daga glucose, tushen abin da yake carbohydrates.
Babban adadin waɗannan abubuwan ba yana nufin makamashi zai ƙaruwa ba: yawan glucose mai yawa ba shi yiwuwa a ajiye shi a jiki kamar glycogen. Yaro zai sami isassun ajiyar kuɗi na dogon lokaci, amma ga yara wannan adadin bai isa ba. Yaro yana buƙatar kusan sau 2 fiye da makamashi.
Don haka, yayin wahala, yawan aiki, aiki mai karfi na jiki, jiki zai zauna don samun makamashi daga kitsen da yake ajiyar shi. Oxidizing, waɗannan abubuwa suna haifar ba kawai glucose ba, amma har ma da acetone.
Ya kamata a sani cewa, a cikin al'ada na yaro, lokacin da ake yin urinalysis, matakin acetone ya zama sifili ko ƙanƙanta wanda hakan ba zai cutar da lafiyar jaririn ba. Smallarancin acetone ana keɓance shi da kansa ta hanyar tsarin numfashi, huhu kuma ana sarrafa shi ta amfani da ƙwayoyin jijiya.
Alamomin Acetone Acetone
Komarovsky yayi magana game da acetone a cikin yara a matsayin alama ce mai haɗari (ba shakka, wannan ya shafi lamuran lokacin da ya dace).
Don haka, alamar farko da ke nuna cewa yaro ba shi da isasshen glucose shine ƙanshin acetone daga bakin yaron. Idan an samo mai nuna alamar damuwa a cikin jini, to, suna magana game da kasancewar cutar acetonemic. Idan kamshin da ke fitowa daga fitsari ne, to a wannan yanayin suna koka game da acetonuria.
Menene kuma zai iya nufin ƙara yawan acetone a cikin yara? Ta yaya za mu bi? Komarovsky Yevgeny Olegovich yayi gargadin cewa matakin mai tsayi na iya bayyana bayan zazzabi mai zafi, cututtukan hanji mai yaduwa, da kuma a cikin garken jiki tare da helminths.
Cutar sakandare na iya faruwa saboda kasancewar endocrine, cututtuka, tiyata da cututtukan somatic.
Da wuya, akwai masu ciwon suga tare da rashi insulin. Manuniya na iya tashi ko da saboda rashin daidaitaccen tsarin abinci, wato, tare da doguwar hutu tsakanin abinci, har da lokacin cin abinci mai ɗumbin yawa da kuma a cikin kima na carbohydrates.
Dangane da manyan alamomin, a wannan yanayin, ana iya samun matsala, da jujjuyawa cikin juya hali, da kuma bijirewa. Zafin ciki, amai, zazzabi har zuwa 38.5 na iya kasancewa tare da matakan acetone masu tsayi.
Yaya za a tantance matakin acetone a gida?
A halin yanzu, ƙayyade adadin acetone a cikin yaro a cikin fitsari shima zai yiwu a gida. Don wannan, ana siyar da kayan kwalliya na musamman a kowane kantin magani. Ana lura da mafi yawan lokuta da ba'a kula da su ba lokacin da abubuwa uku 3 suka bayyana akan mai binciken. A wannan yanayin, yaron yana buƙatar asibiti mai gaggawa.
Abincin abinci don acetone a cikin fitsari a cikin yara: jerin samfura
Mene ne acetone a cikin yara, yadda za a bi, Komarovsky Evgeny Olegovich ya faɗi dalla dalla. Wace irin abinci ne sanannen likita ya bayar da shawarar a cikin matakan haɓaka?
Don haka, don rage yawan adadin ketone a jikin yarinyar, ya kamata mutum ya fara da lura da tsarin shaye-shayen. A wannan yanayin, Komarovsky ya ba da shawarar yin shayar da yaron tare da busassun 'ya'yan itace. Wadannan abubuwan sha ne zasu iya kara yawan glucose a jiki. 'Ya'yan itãcen marmari na Stewed su zama masu daɗi da dumi.
Tabbatar ku ba ɗanku fructose a kullun. A cewar Dr. Komarovsky, ana ɗaukar cikin sauri fiye da sucrose. Bugu da ƙari, tare da taimakon fructose, matakin glucose yana ƙaruwa a hankali kuma a ko'ina, ba tare da ɓarkewa ba zato ba tsammani.
Af, babban adadin wannan bangaren yana cikin raisins. A dinka 'ya'yan itatuwa da aka bushe ya kamata a zubo da su da ruwan zãfi sannan nace na mintina 15, sannan a tace sau biyu tare da gwanayen kuma a bai wa ɗan.
Amsar glucose a cikin ampoules ba zai tsoma baki ba. Wannan hanyar tana da amfani sosai idan yaro ya koka da zazzabin cizon sauro, amai da zafin ciki bayan tsananin aiki. Glucose a cikin ampoules (40%) zai hana tashin zuciya da amai.
Tabbatar cinye ruwan alkaline. Rashin ma'adinai ba tare da gas ko Regidron ya dace a wannan yanayin. Ya kamata a lura cewa zafin jiki na ruwa ya zama daidai da zazzabi na jikin yaron. Wannan zai bada damar amfani da abubuwanda zasu amfane su cikin jini cikin sauri.
Abincin yau da kullun
Don haka, idan likita ya ba da shawarar abincinku ga ɗanku, to, a ranar farko ku gwada kada ku ciyar da shi wani abu, kawai ku sha a cikin ƙananan sips kowane minti 5. Idan yana son cin abinci - bayar da compote na 'ya'yan itatuwa da aka bushe ko kuma kayan miya. Idan yaro yana son cin abinci, ba shi fasa busassun kayan gida.
A rana ta biyu, zaku iya ba da garin shinkafa da garin gasa. Tabbatar sha kamar yadda ya yiwu, bayar da glucose a cikin ampoules. A rana ta uku zai zama da amfani a ba ɗan kwandon shara a cikin ruwa. Daga cikin hatsi, ya fi dacewa a dafa shinkafa, oatmeal ko buckwheat.
Bayan haka, shirya ɗan abincin miya tare da kayan lambu da kuma ƙara tasa tare da kuki biski ko kuma roƙon gurasar. A kowane hali ka shagaltar da yaranka kuma kada ka tilasta cin abinci.
Me ba a ba da shawarar don ciyar ba?
Idan irin wannan yanayin ya faru da yaro, to Dr. Komarovsky ya san tabbas yadda za a bi da acetone. Ta hanyar hanyar likita sanannun likitan yara, mutane da yawa sun riga sun kawar da wannan alamar, wanda da yawa suna gode masa.Don haka, ba a ba da shawarar a hada a cikin abincin yaro ba:
- namomin kaza, naman kaza,
- nama, broths kifi,
- kyafaffen abinci
- biredi, kayan yaji, mayonnaise
- mai kitse da kayayyakin madara mai tsami,
- sabo
- Sweets, cakulan.
Ya kamata a cire abinci mai yaji, daɗaɗɗun dafa abinci, har ma da kwakwalwan kwamfuta, busasshen, ruwan soda da ruwan sha.
Menene yakamata a haɗa a menu tare da haɓakar acetone?
Babban acetone da raguwa a ciki yana yiwuwa idan an bi abincin daidai. Tsarin menu ya hada da:
- kaza da qwai quail,
- berries marasa tushe na acidic,
- naman zomo, turkey, kaza, naman maroƙi,
- gida cuku, yogurt, kefir (mai kitse),
- madara da kayan miya.
Hakanan sarrafa abinci yana da mahimmanci a wannan yanayin. Duk abinci ya kamata a steamed ko gasa.
Lokacin yin amai, ya kamata a bai wa yaron magani mai talla - Enterosgel, Atoxil, White Coal.
Muna fatan cewa lokacin da aka yi tambaya game da abin da acetone yake a cikin yara, yadda za a bi da shi, Komarovsky Evgeny Olegovich ya amsa ta hanya mai sauƙi da iko. Lafiya yayanku!
Menene acetone a cikin fitsarin yaro
Game da take hakkin kan aiwatar da shaye-shaye na carbohydrate da mai mai, ana lura da karuwar hankali a hankali na ketones. Wannan cutar tana da sunaye da yawa: acetonemia, acetonuria ko ketonuria. A cikin yanayin al'ada, jiki yana samar da ƙaramin adadin abubuwan ketone, waɗanda suke buƙatar rayuwar mutum. Wadannan mahadi sunadarai ana yin su ne a cikin hanta daga abubuwan abinci masu shigowa - fats da sunadarai, wadanda sun karye zuwa acetone da acetoacetic acid ta wata hanya ta zahiri.
Ketones sune tushen ƙarfi, amma babban adadin waɗannan abubuwan zasu iya samun sakamako mai guba a jikin gabobin da tsarin tsakiyar juyayi. Ofaya daga cikin alamun irin wannan maye shine amai, wanda yakan faru saboda haushi daga cikin mucous membranes na gastrointestinal fili a kan tushen asalin raunin ruwa a jikin yaron. Increasedarin yawan abubuwan jikin ketone yana tsokanar cibiyar vomiting a cikin kwakwalwa, wanda ke haifar da tashin zuciya da zafi sosai a ciki.
Rushewar mai mai yawa don sake biyan kuɗin kuzari tsari ne na halitta don jiki. Kamar yadda kuka sani, mafi yawan kuzarin da mutum yake samu daga glucose (glycogen), wanda yake tarawa a hanta. A cikin manya, ajiyar wannan abun yafi girma fiye da yara, don haka ana daukar acetonemia cuta ce ta kowa a tsakanin jarirai. Koyaya, ba kowane jariri bane yake da haɗari ga ketonuria, duk yana dogara ne akan halayen mutum na metabolism. A cikin wasu yara, acetone baya tarawa.
Sanadin ƙara urinary acetone a cikin yaro
Irin wannan tsari na cututtukan ƙwayar cuta kamar yadda acetonuria ba ya faruwa ba tare da takamaiman dalilai ba. Tsarin kirkiro jikin ketone yayin rushewar furotin da kitsen baya haifar da wata barazana ga jiki muddin ana fitar da abubuwan sikari ta hanyar tsarin urinary. Koda yake, idan adadin samuwar ketones ya wuce amfanin su, lalacewar kwayoyin kwakwalwa babu makawa. Hanyoyin tafiyar matakai na jiki suna ba da gudummawa ga asarar ruwa mai yawa, wanda ke haifar da canji a cikin matakin pH na jini zuwa gefen acidic.
Halin da ke sama a cikin aikin likita ana kiran shi metabolic acidosis. Idan babu magani na lokaci, sakamako mai yuwuwar yana yiwuwa. Yawancin yara suna fuskantar matsanancin rashin ruwa, wasu sun fara fama da rashin lafiyar zuciya, wasu sun fada cikin rashin lafiya. Likitocin sun bambanta manyan abubuwa guda uku na ci gaban acetonemia tsakanin jarirai:
- Dietarancin abinci mara daidaituwa tare da mahimmancin furotin da abinci mai ƙima. Rashin wadatar glucose a cikin jikin mutum yana aiki da tsarin gluconeogenesis, wanda zai baka damar samarda makamashi ga rayuwa ta hanyar rarraba abubuwan gina jiki da ke sama. Tare da raunin glycogen na tsawon lokaci, adadin ketone jikin da aka kafa bayan rushewar mai da sunadarai yana ƙaruwa cikin sauri. Halin da ake ciki yanzu yana haifar da hauhawar ƙwayar cuta zuwa matakin acetone a cikin jini.
- Rage yawan glucose na jini. Acetonemia a cikin yara yawanci yana tasowa ne sakamakon rashi na carbohydrates mai sauƙin narkewa, wanda dole ne ya zo da abinci. Wannan yanayin halayyar rashin daidaituwa ne na abinci ko tsawon azumin. Wani sanadin ketonuria shine rashi na enzymatic (take hakkin narkewar carbohydrates). Consumptionara yawan glucose na iya haifar da acetonuria, wannan na faruwa lokacin da:
- tsanani da na kullum cututtuka,
- babban zazzabi
- danniya
- overwork
- gagarumin damuwa ko damuwa a jiki,
- cututtuka
- tiyata
- yanayin zafi
- maye,
- raunin da ya faru.
- Ciwon sukari mellitus. Wannan cuta ana ganin ta zama sanadin rarrabewar acetonemia. Kasancewar ketoacidosis mai ciwon sukari ya hana aiki da glucose na yau da kullun saboda karancin insulin a cikin jini.
Bayyanar cututtuka na haɓakar acetone a cikin fitsarin yaro
Acetonemia yayin rashin ingantaccen magani zai ci gaba, wanda zai haifar da ci gaba da rikicewar acetone (ketosis). Kamshin acetone a cikin fitsari na yara ba shine kawai alamar kasancewar wannan cutar ba. Yawancin alamun cutar ketonuria sune: zawo, yawan zafin jiki, tashin zuciya, huhun ciki, da amai. Cutar Acetonemic cuta ce ta ƙuruciya wanda ba za a iya samu tsakanin manya ba. Wannan yanayin ilimin halittar cuta hadadden bayyanannun abubuwa ne da ke tattare da haɓaka matakin acetone a cikin jini. Alamun ketosis:
- Odarfin ƙamshin acetone a cikin huhun ciki da iska mai ƙuna.
- Guban ruwa tare da alamomin rakiyar (busassun fata ko harshe, idanuwan da suka bushe).
- Jin numfashi mai saurin baci, saurin bugun zuciya.
- Rashin rauni na jiki, rashin bacci, rawaya da fitowar mara kunya.
- Kasancewar babban zazzabi a cikin dogon lokaci.
- Cramps.
- Photophobia.
- Abun hanawa.
- Jin zafi a ciki.
- Vomit tare da gamsai, jini, ko bile.
- Yawan lokatai da yawan amai.
- Rashin ci.
Cutar Acetonemic (AS) tana da nau'i biyu - na farko da na sakandare, kowane ɗayan cututtukan suna haɓaka asalin tushen wasu dalilai. Misali, sakandare AS na faruwa ne yayin da jariri ya sami matsala na somatic (ciwon sukari mellitus, thyrotoxicosis, anemia) ko cututtukan cututtukan fata (tarin ƙwayoyin cuta, matsanancin huhun huhun huhun ciki, mura). Raunin raunin da ya gabata ko aiki zai iya ba da gudummawa ga bayyanar cututtukan acetonemic sakandare.
Primary AS sau da yawa yana haɓaka cikin yara tare da neuro-arthritic diathesis. Ba a la'akari da wannan yanayin cutar rashin lafiya ba; al'ada ce ta sanyata ga bayanan ɗan adam. Yaron da ke da irin wannan cutar yana fama da gazawar enzymatic da haɓaka ƙwararrun jijiyoyi. Wasu jariran suna fuskantar matsalar rashin abinci a hancin furotin. Wasu tasirin waje na iya zama abin ƙarfafawa game da faruwar faruwar cutar AS a tsakanin yara masu fama da cututtukan ƙwaƙwalwar jijiya:
- tsawan lokaci bayyanar rana
- rashin abinci mai kyau
- damuwa ta jiki
- ƙarfi tabbatacce ko korau motsin zuciyarmu.
Gwajin Acetone
Kuna iya bincika matakin wannan abu na kwayoyin a cikin jiki ba kawai a asibiti ba, har ma a gida. Don ƙaddara kasancewar acetone a cikin fitsari, ana amfani da tsararrun gwaji na musamman, waɗanda aka sayar a kowane kantin magani. Wannan hanyar bincike ta hanyar ka'idodin aiki yana da alaƙa da takaddun litmus tare da nuna alama ta musamman akan tip. Magungunan da ke jikinta suna kula da acetone, saboda haka hanya a sauƙaƙe tana taimakawa wajen gano yanayin jikin yarinyar. Tsarin aiki:
- Don ganewar asali, zaku buƙaci sabulu fitsari, wanda aka tara ba sa'o'i 4 da suka wuce.
- An saukar da tsirin gwajin a cikin ruwa na wasu 'yan dakikoki, bayan wannan ya kamata ku jira minti ɗaya ko biyu har sai sakamakon ya bayyana.
- Da zarar an gama amsawar, launi tsiri zai nuna matakin acetone a cikin fitsari.
- Sakamakon launi dole ne a kwatanta shi da ma'aunin launi akan kunshin. Colorarfin launi yana daidaitawa kai tsaye zuwa abun ketone.
Ka'idar acetone a cikin fitsari a cikin yaro yayi daidai da darajar daga 0.5 zuwa 1.5 mmol / l, amma irin waɗannan ketones na iya nuna kasancewar rashin lafiya mai laushi. A wannan yanayin, ana ba da izinin kulawa a gida bisa ga dukkan shawarar kwararrun masana. Haɓaka cikin mai nuna alama zuwa 4 mmol / l yana nuna cututtukan da tsananin zafin, lokaci ya yi da za a dauki dukkan matakan da suka wajaba don hana ci gaba da cutar. Ofimar 10 mmol / l tana nuna mummunar yanayin jariri, yakamata a gudanar da maganin kawai a cikin tsakaitattun wurare.
Acetone a cikin fitsari na yara ba koyaushe ba shine dalilai a gaban haɗarin cutar ƙwayar cuta. Tare da ƙarancin ketone, likitoci suna ba da maganin jiyya. Amincewa da bayyanannun shawarwarin kwararrun masani, matakin sinadarin yana raguwa zuwa al'ada, saboda jaririn ya murmure da sauri. Hadaddun hanyoyin sun kunshi matakai uku:
- hanjin kwalliya tare da soda enemas,
- alkaline abin sha
- da amfani da kwayoyi.
A matakin farko na cutar, yara sukan yi amai, saboda haka yakamata iyaye su yi amfani da enema don rage yanayin jariri. Nuoms:
- Wankewa da soda shine ɗayan hanyoyi mafi inganci don tsabtace hanji daga kowane irin guba.
- Don shirya mafita zaka buƙatar gilashin ruwa a zazzabi a ɗaki da cokali ɗaya na foda. Yawan adadin ruwan allurar ya dogara da shekaru.
- Yara har zuwa shekara zasu buƙaci daga 30 ml zuwa 150 ml na bayani, don yara daga shekara ɗaya zuwa 9, adadin 200-400 ml ya dace, kuma ɗan da ya girmi shekaru 10 zai buƙaci 0.5 l na ruwa don kammala aikin.
- Dole ne a saita enemas har sai bayyananniyar ruwa yana gudana daga dubura.
Tare da acetonemia, ana lura da rashin ruwa mai tsafta, tunda jikin ketone a cikin fitsari na yara yana haifar da lalacewa da yawan amai. Don kula da jiki a wannan matakin, ana buƙatar shayar da jariri a kowane minti na 15. An ba shi damar yin amfani da Borjomi ko wani ruwa mai ma'adinin ba tare da iskar gas ba, ko kuma za ku iya shirya ruwa mai ruwan alkaline da kansa. Don lita ɗaya na ruwa, kuna buƙatar cokali 0.5 na gishiri da soda - irin wannan maganin yana daidaita matakan tafiyar matakai da kuma tsaftace jiki.
Jiyya ba tare da amfani da magunguna na musamman ba zai zama da inganci a wannan cutar. Likitoci sun tsara Betargin da Regidron a layi daya. Magunguna suna hana shan ruwa sosai kuma suna asarar mahimman abubuwa masu mahimmanci da ke jikin jikin jariri. Bugu da ƙari, waɗannan magungunan na iya hana ci gaba da ci gaba na ketonuria.
Don shirya mafita, ya kamata ku ɗauki jaka ɗaya na "Regidron" kuma ƙara shi zuwa 1 lita na ruwa. Yaron ya kamata ya sha duk ruwan da aka karɓa lokacin rana, dole ne ruwan ya bugu a cikin kananan sips har sau 6 a cikin awa ɗaya. An ba da damar Betargin ga yara daga shekaru uku. An wajabta magungunan tare da abinci mai gina jiki don cimma sakamako mai zurfi. Magungunan sun ƙunshi abubuwa na musamman - betaine da arginine, waɗanda ke ƙarfafa tsarin rigakafi kuma daidaita matakan glucose na jini.
Ana nuna yara ɗaya fakiti na Betargin kowace rana, dole ne a dillanci samfurin a cikin 100 ml na ruwan da aka dafa kuma a bai wa jariri sau da yawa a rana. An ba shi izinin amfani da ampoules tare da miyagun ƙwayoyi, abubuwan da ke cikin kwalba ɗaya ya kamata a zuba cikin gilashin ruwa. Awararren masani ne kaɗai ke da 'yancin rubuta takaddara kan aikin jiyya da ainihin sashi - maganin rashin ilimin likita na iya haifar da bayyanar rikice-rikice maras kyau.
Idan akwai warin acetone daga bakin, ya zama dole a samar wa jariri isasshen adadin glucose. Don cike gurbin wannan abun, ana amfani da samfura kamar cakulan, kayan lefe, kuki ko shayi mai zaki. Dukkansu suna ɗauke da adadin glucose mai yawa, wanda ke taimakawa haɓaka tasirin kuzari na yaro. Idan jaririn ya ƙi shan Sweets, an ba shi damar amfani da maganin glucose 5 ko 10%. Ya kamata a bai wa miyagun ƙwayoyi sama da sau 10 a rana, a lokaci ya kamata ɗan ya sha 5 ml na ruwa.
Amfani da ampoules tare da 40% na glucose a cikin maganin ketonuria. Don yin wannan, ana tattara abubuwan da ke cikin ampoule a cikin sirinji mai warwarewa, sannan sai a sanyaya a zazzabi ɗakin. Yara ana ba su 0.5-1 teaspoon na mai maida hankali ne a koyaushe a koyaushe a cikin kullun. Wani lokacin ana bai wa jarirai allunan glucose. Mafi kyawun sashi shine rabin ko kwamfutar hannu ɗaya kowace rana.
Abinci da rayuwa
Acetone a cikin fitsari na yaro baya fitowa kwatsam - yanayin cuta yana faruwa ne ta hanyar rashin daidaitaccen abinci da ingantaccen tsarin rayuwa. Don hana ci gaban acetonemia, likitoci sun ba da shawara su kafa tsarin ranar jariri, daidai suke rarraba lokaci tsakanin wasanni da bacci. Rashin damuwa koyaushe da motsin rai mara kyau wanda zai haifar da cutar.
Don kiyaye lafiya, dole ne yara su tabbata cewa suna samun isasshen hutawa don murmurewa cikakke. Yana da mahimmanci don warware duk wani rikici a cikin dangi cikin lokaci, domin jaririn ya sami kwanciyar hankali da kwanciyar hankali. Masana sun ba da shawarar ban da wasu abinci daga abincin yaran da za su iya tsananta yanayin jariri:
- abinci mai sauri
- mai nama da kifi,
- lemu
- offal,
- tumatir
- cakulan
- babban mai kayan kiwo.
Rigakafin cutar
Zai yuwu a hana ci gaban acetonemia bisa wasu ka'idoji. Yara basu iya sarrafa sha'awowin su ba, saboda haka duk alhakin lafiyar su yana tare da iyayen. Manya yakamata su tabbatar cewa jariri ya bi tsarin aikin yau da kullun kuma ya ci yadda yakamata, in ba haka ba yiwuwar rikice-rikice yana da girma. Bugu da ƙari, waɗannan masu mahimman bayanai ne don rigakafin ketonuria:
- Yana tafiya a cikin iska mai kyau,
- Sakamakon gwajin shekara-shekara (jini, fitsari, duban dan tayi na gabobin ciki),
- ci bitamin
- matsakaici na jiki
- hanyoyin kulawa na yau da kullun
- rashin yanayin damuwa
- lafiya abinci
- wurin dima jiki magani.
Samuwar acetone a jiki
An tsara jikin yara da tsofaffi kusan iri ɗaya. Abubuwan carbohydrates wanda mutum ya ci suna narkewa a cikin ciki kuma glucose ya shiga cikin jini. Wani sashi daga ciki yana karɓar makamashi, sauran kashi an sanya shi a cikin hanta azaman glycogen.
Hanta wani irin shago ne na glucose. Tare da amfani da karfi mai ƙarfi: ciwo, damuwa ko matsanancin motsa jiki, yana taimakawa jiki kuma yana fitar da glycogen cikin jini, wanda aka canza zuwa makamashi.
A wasu yara, sashin na da ajiyar ƙasa mai kyau, kuma basa cikin haɗari. Sauran yara basu da sa'a, hantarsu zata iya tara adadin glycogen. Bayan ya kare, hanta zata fara jefa kitse cikin jini. Lokacin da suka lalace, an samar da karamin adadin makamashi, amma tare da wannan ketones ana yin su.
Da farko, ana samun acetone a cikin yaro a cikin fitsari kuma ba lallai ba ne a dauki bincike a dakin gwaje-gwaje don tantance shi. Ya isa a sami tsararraki na gwaji na musamman a cikin gidan maganin gida. Idan a wannan lokacin mara lafiya yana karbar ruwa kadan, jikin ketone ba zai tsinke a cikin fitsari ba kuma zai shiga cikin jini. Acetone yana tsokani haushi na mucosa na ciki kuma yana haifar da amai. Irin wannan amai ana kiranta acetonemic.Sakamakon ya zama mummunan da'ira: vomiting - saboda rashin glycogen a cikin hanta, da kuma rashin samun carbohydrates a cikin ciki saboda amai.
Sanadin acetone a cikin yaro
Cikakken abinci yana da mahimmanci ga kowane mutum. Tsarin narkewa na yara ƙanana ba ya aiki sosai, saboda haka yana da mahimmanci musamman a ciyar da su da abinci madaidaiciya.
A bisa ga al'ada, jikin ketone yana haɓaka a cikin mutum - waɗannan samfurori na rayuwa ne wanda aka kirkira a cikin hanta, amma adadinsu ƙarami ne. Yin amfani da carbohydrates yana hana samuwar su. Ta wata hanyar, ta cinye dukkanin abubuwan gina jiki a cikin adadin da ya dace, ketones zasu samar a cikin kewayon al'ada.
Likitoci sun gano wasu dalilai na sanadin acetone a cikin jinin yaro:
- Yawan wuce ketones. Yana faruwa idan mutum yana da abinci mai ɗimbin yawa a cikin abincinsa. Iyaye su tuna cewa yara suna da ƙarancin damar narke abinci na mai, don haka cutar acetonemic na iya faruwa bayan cin abinci mai ɗaya.
- Contentarancin carbohydrate. Yana haifar da rikice-rikice na rayuwa tare da hadawan abu da iskar shaka na mai da kuma samar da jikin ketone.
- Ketogenic amino acid na ci.
- Na ciki ko rashi na enzymes wajibi ne don metabolism na al'ada.
- Cutar cututtuka, musamman waɗanda ke da alaƙa da amai da gudawa, suna haifar da matsananciyar yunwar, wanda ke haifar da ƙwayar cuta.
- Cututtuka, hanyar da acetone yake rikitarwa. Waɗannan sun haɗa da nau'in 1 na ciwon sukari da kuma cututtukan neuro-arthritic diathesis.
Acetone magana ce mai munin gaske duk iyaye suna tsoron ji. Dr. Komarovsky zai gaya muku menene acetone, daga ina ya fito da yadda za'a magance shi.
Bayyanar cutar acetone a cikin yara
A cewar kididdigar, a karon farko wata cuta ta bayyana kanta a cikin mutumin da ke da shekaru 2-3. Da shekaru bakwai, tsawan na iya zama sau da yawa, amma har zuwa shekara 13, yawanci suna dainawa.
Babban alamar acetone a cikin yaro shine amai, wanda zai iya wucewa daga kwana 1 zuwa 5. Duk wani ruwa, abinci, wani lokacin kamshin sa, yakan sa yaro yayi amai. A cikin marasa lafiya da ke fama da cutar acetonemic mai tazara:
- sautin zuciya yana raunana,
- zuciya tashin hankali zai yiwu,
- palpitations,
- kara girman hanta.
Mayar da girman yana faruwa makonni 1 ko 2 bayan dakatar da harin.
Lokacin nazarin jinin mai haƙuri, za a rage matakin glucose a cikin jini, adadin leukocytes zai karu, kazalika da haɓaka ESR.
Babban alamun acetone a cikin yaro sun haɗa da:
- tashin zuciya da amai yawanci yakan haifar da bushewa,
- plaque a cikin harshe
- ciwon ciki
- rauni
- fata bushe,
- zazzabi
- warin da aka gasa apples daga bakin,
- karamin adadin ko rashin fitsari.
A cikin mawuyacin hali, acetone yana da illa mai kyau a cikin kwakwalwa, yana haifar da barcin rai da asarar hankali. A wannan yanayin, zama a gida yana contraindicated. Marasa lafiya na bukatar asibiti, in ba haka ba yanayin na iya jujjuyawa.
Ana gano cututtukan Acetonemic ga wani yaro wanda ya sami yawan aukuwar varin acetonemic a duk shekara. A wannan yanayin, iyayen sun riga sun san yadda ake nuna hali da kuma menene taimako don samar da ɗan su mara lafiya. Idan acetone ya bayyana a karon farko, tabbas ya kamata ka nemi likita. Likita ya kayyade abubuwan da ke haifar da wannan yanayin, tsananin matsalar kuma ya ba da magani.
Hanyoyi don rage acetone a jikin jarirai
Iyayen irin waɗannan yaran ya kamata su san yadda ake cire acetone daga jiki. A cikin kayan taimakon farko yakamata su kasance:
- fitsari acetone gwajin tube,
- glucose a cikin allunan
- 40% maganin glucose a cikin ampoules,
- 5% glucose a cikin vials.
Kula da acetone a cikin yara ya ƙunshi cire ketones daga jiki da kuma cike shi da glucose. A saboda wannan dalili, an sanya mara lafiya:
- shan ruwa mai yawa
- da amfani da enterosorbents,
- Yana tsarkake enema.
Domin sake juyar da kayan hanta, ya zama dole don madadin ruwa a fili da abin sha. Wadannan sun hada da:
- shayi da sukari ko zuma,
- compote
- glucose
Bugu da kari, akwai magunguna na musamman wadanda zasu sake cike gishirin da aka rasa tare da amai. Wadannan sun hada da:
Ba za ku iya tilasta mai haƙuri ya sha manyan kima a lokaci guda. Lokacin yin amai, yawan ruwan ya kamata ya wuce cokali ɗaya a cikin mintuna 5-10. Idan amai ba shi da amfani, kuma ba a shan ruwa mai maye, ana iya yin allurar rigakafi. Zai kawo kwanciyar hankali na sa'o'i da yawa, a wannan lokacin ne yaron ya buƙaci ya bugu.
Bayan dakatar da rikicin acetone, manya bai kamata su shakata ba. Suna buƙatar sake nazarin tsarin yau da kullun, ayyukan jiki da abinci mai gina jiki na ɗan su.
Yara kanana ga bayyanar acetone yakamata su bi tsarin abinci. Kada su kasance cikin rana na dogon lokaci, kuma su sami motsin zuciyarmu da yawa - komai tabbatacce ko mara kyau. Babban biki, wasannin motsa jiki, wasannin olympiads ya kamata a gudanar da su kawai tare da ingantaccen abinci mai gina jiki, kuma a wasu lokuta, ya fi kyau watsi da su gaba ɗaya.
Don inganta yanayin tsarin juyayi da metabolism, an nuna yaron:
- tausa
- gidan wanka
- yoga yara
- tafiya a cikin sabo iska.
Hakanan wajibi ne don iyakance lokacin da aka ciyar a gaban TV da kwamfuta. Barcin irin waɗannan yaran ya kamata ya zama aƙalla 8 a rana.
Ya kamata yara da ke da nakasa su shayar da kansu na dogon lokaci. Gabatar da abinci mai ɗorewa yakamata ya kasance mai ladabi kuma ya makara sosai. Uwar irin wannan jariri yakamata ta ajiye ajiyar kayan abinci, wanda zai nuna nau'in abinci mai cike da kari da kuma martanin da ake dashi.
A cikin abinci ya kamata kasance:
- nama mai laushi
- kifayen teku da algae,
- kiwo da kuma kayayyakin kiwo,
- Fresh kayan lambu da 'ya'yan itatuwa
- porridge
- jam, zuma, kwayoyi a cikin adadi kaɗan.
Abubuwan da aka hana, amfani da su yakamata a taƙaice:
- nama mai kitse
- abinci mai sauri
- Semi-gama kayayyakin
- m kifi
- ruwa mai walƙiya, kofi,
- buns
- kirim mai tsami, mayonnaise, mustard,
- abincin gwangwani
- legumes, radishes, radish, namomin kaza, turnips.
Acetone a cikin yara alama ce ta rayuwa mara kyau. Rikicin Acetonemic ya kamata sau ɗaya kuma don canza rayuwar yaro. Babban aiki a cikin waɗannan canje-canjen iyayen ne ke wasa. Dole ne su samar masa da:
- daidaitaccen abinci mai gina jiki
- matsakaici na jiki,
- hanyoyin da ke ƙarfafa tsarin mai juyayi.
Duk waɗannan matakan zasu taimaka wajen rage yawan abubuwan da ke faruwa tare da samar wa yaro cikakken rayuwa da koshin lafiya.
Acetone a cikin yara: yadda za a bi da (Komarovsky). Shawarwarin da hanyoyi masu tasiri
Acetone a cikin yaro yanayi ne wanda ya haifar da karuwa a jikin ketone a cikin jini. A lokaci guda, alamomin halayyar suna nan, suna fitowa ne da ƙamshin fitsari, tashin zuciya da amai. Tare da kulawa da dacewa da dacewa, acetone ya dawo al'ada. A cikin labarin za muyi magana game da abin da ya ƙunshi ƙara yawan acetone a cikin yaro, yadda za a bi da wannan yanayin.
Sanadin acetone a cikin yara
Abinda ake kira "acetone", a zahiri, adadi mai yawa na jikin ketone a cikin jini kuma, gwargwadon haka, fitsari a cikin yara. Lokaci na ƙaruwa a matakan acetone sama da na al'ada tare da tabarbarewa cikin ƙoshin lafiya kuma bayyanar takamaiman alamun alamun ana kiranta ciwo acetone. Wannan yana haifar da halayen mai guba daga tsarin juyayi, ƙwayar jijiyoyin jiki, wanda aka bayyana a matsayin amai, zazzabi, ƙanshin ƙashi na acetone.
Jikin Ketone, tare da metabolism na yau da kullun, suna nan a cikin jikin mutum ta hanyar sakaci. Suna ɗaya daga cikin kayan lalacewa na ƙoshin mai tare da ƙaddamar da ruwa da makamashi. Matsakaicin su a cikin metabolism ba kawai mummunan bane: binciken da aka yi kwanan nan ya nuna cewa ketones abubuwa ne masu mahimmanci na ma'aunin kuzarin jiki. A wane dalili ne ya sa yawancinsu suke tasiri jin daɗin rayuwa?
Abubuwan da ke haifar da bayyanar acetone a cikin fitsari sun sha bamban, ana bambanta su da nau'ikan cututtukan acetone:
- Farko Idan sanadin hauhawar matakin acetone shine yawan aiki, damuwa ta jiki ko ta hankali, take hakkin cin abincin.
- Secondary Lokacin da yanayin ya haifar da wata cuta: kamuwa da cuta ko bidiyo mai ratsa jiki, cuta na rayuwa, cututtukan endocrine daban-daban.
Yawancin waɗannan yanayin suna haɓaka cikin ƙuruciya. Haka kuma, a cikin jariri, ciwo na farko baya faruwa. Har zuwa watanni 10, jikin yaron ya ƙunshi enzymes waɗanda suke fitar da makamashi daga ketones. Rashin wadatar glucose mai tsawo ba ya haifar da tara su, wanda ke nufin cewa ba shi iya haifar da karuwar matakin acetone a cikin jariri. A cikin yara da suka girmi shekara guda, irin wannan enzymes kusan ba ya nan.
Childrena beginan tsofaffi sun fara motsawa da yawa, suna nuna motsin zuciyarmu, suna kashe dumbin kuzari. Na farko, “mafi sauri” tushen kuzari ga sel shine glucose. Don haka sai ta ciyar a kan samar da irin wannan rayuwa mai kuzari.
Glucose na jini a cikin yaro bai isa ba na dogon lokaci. Don haka, idan jariri na sa'o'i da yawa yana kuka ko tsawa, gudu ko tsalle, to, ya kashe duk wadatar kan wannan. Ana amfani da glucose musamman da sauri a lokuta masu zazzabi. Idan wadataccen abinci ko abin sha bai cika sau ɗaya ba, jiki zai canza zuwa amfani da makamashi daga matakin na gaba.
Tushen na gaba shine glycogen (samar da glucose a cikin hanta), yawan sa kuma yana iyakance: a cikin yara yana da 10 sau ƙasa da yadda zai kasance cikin balaga. Yin amfani da shi, jiki ya canza zuwa mai. Sai kawai a wannan matakin acetone ya bayyana a matsayin samfuri na lalacewa daga hadaddun ƙwayoyin mai.
Tsarin da aka yi la’akari da shi yana nuna ci gaban ci gaba na asalin ciwo na acetonemic. Sakandare ya tashi sakamakon mummunan cuta ko na kullum kuma yana iya haɓaka bisa ga wani yanayin.
Don haka, tare da ciwon sukari, glucose yanzu yana da yawa, amma ba zai iya shiga cikin sel ba kuma ana amfani dashi saboda rashin insulin. Duk abin da dalili, alamun waje tare da ƙara acetone a cikin fitsari na yara zai zama iri ɗaya.
Kwayar cutar dake rakiyar acetone a cikin fitsari
Akwai alamu da yawa na rashin glucose, wanda ke nufin tarin ketones. Motherswararrun iyaye mata da suka taɓa fuskantar irin wannan bayyanuwar za su iya lura da alamun haɓaka da sauri kuma su ɗauki mataki cikin lokaci.
Mafi kyawun alamar halayyar da ke bayyana kanta a cikin 90% na yara shine amai. Ba zai yiwu ba, rikicewar rikicewar lokaci har ma suna da nasu suna - amaiƙar acetonemic. Ketones a adadi mai guba ga jiki. Suna haushi da ƙarshen jijiyoyi, haifar da gag reflex da duk bayyanar da alaƙa. Haka kuma, amai ba ita ce farkon cutar da ta kasance wani abu na acetone.
Alamomin acetone a cikin fitsarin yaro yayin da suke ƙaruwa:
- Sharparƙan dakatar da aiki bayan tashin hankali, wasan, damuwa.
- Fata mara kan gado, kazantar bakin ciki, rashin ci.
- Rateara yawan zuciya, ƙarfin numfashi.
- Ciwon ciki, matsanancin tashin zuciya, zawo yana faruwa, ko kuma maƙarƙashiya.
- Risean ƙara tashi zuwa zazzabi mai yiwuwa ko har zuwa 38.5 °.
- “Mouthanshi na acetone” daga baki, daga jikin yaron (cutar tana da rauni dabam).
Increasewararrawar hanzari a cikin bayyanar cututtuka, rashin ruwa a sanadin amai, tasirin guba na abubuwan ketones akan tsarin juyayi na tsakiya na iya haifar da fitsari, ƙyamar, acetone coma.
Kula!Kasancewar takamaiman warin acetone a cikin fitsari da jiki ya dogara da tsananin girman maye. Tare da ƙananan matakan acetone,wari mai yiwuwa ba za a ji ba, da sauran alamu na yanzu.
Vomiting na iya faruwa a kowane mataki, ya dogara da hankalin mutum na masu karɓar ƙwayoyin acetone. Iyaye masu ƙwarewa na iya gane cutar a farkon. Ta hanyar ɗaukar matakan da suka dace a cikin lokaci, ana iya hana yin amai, wanda ke haifar da rikicewar jiyya, da sauri bushewar jiki.
Idan bayyanar cututtuka ta faru a cikin jariri, ya kamata a hanzarta nuna wa likita. Cututtuka masu yawa ko cututtukan cikinku na iya zama sanadin acetone a irin wannan tsufa.
Alurar Acetone Dalilin
Akwai abubuwan da ake buƙata da yawa don acetonuria, lokacin da ƙanshi na acetone, amai, zazzabi na iya bayyana kuma ya ɓace, kasancewar fasalin jikin mutum ne ko bambancin al'ada, ba tare da canje-canje na kwayoyin ko cututtuka ba. Manyan sune:
- shekaru daga 1 zuwa shekaru 12: mafi yawan lokuta, alamun farko na cutar sun bayyana ne kusan shekaru 4-5,
- yara masu hannu da shuni waɗanda ke da lafiyayyen kwakwalwa, cututtukan fuka-fukan asthenic suna annabta zuwa hauhawar yau da kullun a matakin acetone
- dogon hutu tsakanin abinci ko abinci mara daidaituwa na iya haifar da acetone,
- gado na asali ga acetonuria, kasancewar kusancin dangi da ke fama da cutar sankara, ƙarancin ƙwayoyin cuta.
Abubuwa daban-daban na iya tayar da haɓakar acetone a cikin fitsari, amma dukkansu zasu haɗu da haɓaka haɓakar kuzari ko rashin ƙarfin kuzari.
- Damuwa A yau, masana sun sanya tushen damuwa mai juyayi a farkon a tsakanin tsoffin fitowar bayyanar acetone a cikin fitsari na yara.
- Rayuwa ta zaman kanta, da kuma wuce gona da iri, sune abubuwanda ke haifar da haɗari.
- Increasedarin abubuwan da ke haɓaka sunadarai da ƙoshin abinci a cikin abinci, tare da rashin ƙwayar carbohydrates, yana haifar da tushen rashin glucose. Yin amfani da dyes masu guba da yawa, abubuwan adanawa, maganin kansar tare da abinci na iya haifar da tsari.
- Kwayar cutar ta kwayar cuta, kowane cuta wanda ke faruwa tare da ƙaruwa mai yawa a cikin zafin jiki, a zahiri yana zubar da glucose a yara. M maye yana cutar da yaro.
A hukumance, likitoci sun bada shawarar zuwa asibiti a farkon alamar aiwatar da hanyoyin cututtukan. A kowane hali, iyaye mata dole ne su san hanyoyin gida na sarrafa matakin acetone don ba da taimako a kan lokaci ga yaro, wanda ke taimakawa don guje wa shigarwar abubuwa cikin 50% na lokuta.
Jiyya na acetonuria a cikin yara
Mayar da hankali kan zargin acetonuria ba wai kawai ƙanshin acetone bane. Akwai wata hanyar zamani don tantance matakin jikkunan ketone a gida. Takaddun gwaji na musamman suna ba da zarafi don gani da ƙima game da ci gaban ilimin halayyar cuta da yanke hukunci wane nau'in magani ake buƙata a kowane yanayi. Kuna iya ɗaukar wasu matakai masu sauƙi a gida ko ya kamata ku nemi taimakon da ya cancanta.
Yanayin da ke buƙatar likita na gaggawa:
- Tsarin gwajin yana nuna matakin acetone +++.
- Vomiting yana wuce sama da rana ko ana maimaita shi sau daya awa daya.
- Ciwon yana tare da raunin bugun zuciya, gajeriyar numfashi, pallor, da cyanosis na fata.
- Gag reflex baya barin yaro ya sha cikakke - akwai haɗarin bushewa a jiki.
- Mai tsananin hana, wauta, fainting, rashi.
Likitocin za su iya dakatar da matsanancin cutar ta hanyar shan magunguna kuma su gudanar da wani bincike na gaba don kauda mummunan cutar.
A cewar Dokta Komarovsky, yanayi da yawa, ban da waɗanda aka lissafa a sama, za'a iya gyara su a gida. Mafi sauki, mafi inganci matakan dawo da ma'aunin makamashi:
- samar da jiki 'mai saurin sukari': bayar da Sweets, raisins,
- abin sha mai yawa (zaki shayi, compote), wanda dole ne a cinye shi da dumi,
- idan ba kwa son sha ko amai, zuba magudin glucose a cikin bakin yaron ko kuma karamin shayi a minti 10. Kuna iya amfani da sirinji na allura ba tare da allura ba.
Idan acetone a cikin fitsari na yara bai bayyana a karo na farko ba, shirye-shiryen glucose 10% da 40% ya kamata su kasance a cikin ɗakin maganin gida. Ko da tare da m shan abin sha ko matsanancin yawanci, maganin 40% na iya, a cikin ƙananan allurai, don haifar da sauƙin kai. Rage tashin hankali, ya zama mai yiwuwa a cikakken "solder" yaron.
Yawancin lokaci, likitoci suna ba da shawarar nan da nan ta amfani da ruwan alkaline na ruwa (ba tare da iskar gas ba) don kawar da acid da sauri. Ba koyaushe yaro zai iya shan isasshen abin sha ba. Neutralization ba ya faruwa da sauri, an ba da shawarar yin amfani da shi tare da ƙarin murmurewa.
Abincin da ake amfani da acetone a cikin fitsari, lokacin da yanayin ya kasance mai muni, mai sauƙin sauƙaƙe ne: mafi ƙarancin abinci da mafi yawan abin sha mai ɗumi. Daga baya, kuna buƙatar saka idanu akan ingantaccen abinci mai mahimmanci.
Abincin tare da hali na acetonuria a cikin yaro
Shawarwarin yau da kullun na maganin gargajiya don rage cin abinci tare da acetone a cikin fitsari shine cikakkiyar wariyar wasu abinci daga abincin. Yi la'akari da waɗannan haramcin:
- nama broths, nama na yara dabbobi da kaji, shan taba, sausages,
- kifi broths, mai kifi,
- kayan marmari da kayan marmari, cakulan,
- m cuku, cuku gida, yogurt shop,
- dukkan 'ya'yan itatuwa masu tsami da kayan marmari masu haske
- kowane abin sha mai sha, mai shayi mai ƙarfi, kofi,
- na yaji da siyayya na shayi: ketchup, mustard, mayonnaise,
- stewed 'ya'yan itace, magani kayan ado tare da babban abun ciki na acid.
An ba da shawarar iyakance duk abincin gwangwani, marinades, pickles. A zahiri, yawancin iyakance sun dace da tsarin abinci wanda ya dace da shekaru. Irin wannan abincin a cikin mai yawa ba shi da amfani ga yara, matasa da ma manya.
A cewar Komarovsky, ba a buƙatar abinci na musamman don ketonuria. Hanya mai ma'ana da kyau ga abinci mai gina jiki gabaɗaya, ba tare da la'akari da cututtukan cututtuka da yanayin ciwo ba.
Tabbas, abincin yarinyar tare da komawar yau da kullun na acetonemia bai kamata a sarrafa shi da tsayayye ba, amma har yanzu akwai wasu fasaloli a cikin abincin tare da acetone a cikin fitsari:
- Rashin abinci mai gina jiki, rashin daidaituwa na tsawon lokaci tsakanin manyan abinci, da kuma lokutan wuce gona da iri.
- Bayan horo na motsa jiki, matsanancin ƙoƙari na jiki ko damuwa, yana da mahimmanci don sake cike glucose da ajiyar ruwa.
- Fatarancin mai da abinci mai gina jiki - ƙarin carbohydrates: hatsi, 'ya'yan itatuwa da kayan marmari sun fi dacewa ga abubuwan tarawa, nama, nau'in mai mai mai.
- Yara za su iya karuwa zuwa matakan acetone ana iya basu damar cinye Sweets sau da yawa. Wasu nau'ikan Sweets (caramel da alewa mafi kyau fiye da cakulan), marmalade, jelly, stewed 'ya'yan itace, busassun' ya'yan itatuwa.
- Abinci mai sauri, kyafaffen, kwakwalwan kwamfuta yakamata a iyakance shi. Duk wani samfuran shagon da yake ɗauke da daskararrun kayan gargajiya, abubuwan adanawa, kayan haɓaka kayan dandano na iya haifar da komawar acetonuria.
Kula!Raisins na yau da kullun sun bambanta da sauran 'ya'yan itatuwa da bushe da Sweets a cikin cewa suna ɗauke da yawancin fructose. Sabanin sucrose, wannan kayan yana canzawa zuwa makamashi kusan nan take, ba tare da buƙatar tsawan aiki ba a cikin jiki. Smallarin adadin raisins ko dumi na jigilar berries na iya bayar da taimako cikin gaggawa ga yaro a farkon alamar karuwar matakin acetone. Tare da haƙuri mai kyau, ana ɗaukar zuma guda magani ɗaya.
Abincin da ake amfani da shi na acetone a cikin fitsari, a ma’anarsa, ya ginu ne bisa ka’idodin tsarin abinci mai inganci kuma yana hana wasu rikice-rikice da yawa cikin jikin girma. Cutar cutar sankara, cuta ta hanji, dysbiosis, haɓakawa daga yanayin rashin abinci mai gina jiki, suna da haɗari a cikin kansu kuma suna iya zama ƙasa mai haɓaka don haɓaka ciwo na acetonemic syndrome.
Komarovsky game da acetone a cikin fitsari na yaro
Ra'ayoyin magunguna na hukuma game da acetone a cikin fitsari na yara ba uniform bane. Wasu kwararrun masana suna tsoratar da iyayensu da mummunan sakamako, yayin da wasu ke kiran wannan yanayin dabi'ar dabi'a, kamar Dr. Komarovsky.
Za'a iya samun bayanai masu yawa masu ban sha'awa game da hanyoyin ci gaba da ciwo da kuma shawara kan kulawa da kai daga shirin "Makaranta na Dr. Komarovsky" wanda aka sadaukar da shi ga wannan batun.
Gaskiya, kamar yadda koyaushe, ke tsakiyar. Idan sake dawowa ya faru akai-akai ko kuma yana da wahala, kuma rage cin abinci da tsarin ba su inganta halin da ake ciki ba, ya kamata ka tabbata cewa acetone bai karu ba saboda mummunan cututtuka: sarrafa sukari na jini, kawar da cutar sankara da cututtukan hanji da cuta.
Hankali!Ana buƙatar ingantaccen tsarin kulawa lokacin gano alamun a cikin jariri da kuma maimaita yanayin ciwo na acetonemic bayan shekaru 13. Wannan halin ya wuce matsayin al'ada kuma yana buƙatar hankalin likitan yara.
Idan babu cututtukan cuta masu haɗari, zaku iya amfani da maganin lafiya a gida. Bayani mai kyau, rage cin abinci, yi ƙoƙarin kare ɗan daga damuwa mara amfani, kawar da fargaba na yara da sauran abubuwanda ke haifar da abubuwa.
Hanyar da ta dace, kuma mafi mahimmancin kwanciyar hankali, zata kubutar da yaro daga rikice-rikice da takaddun likita mara amfani. Amincewa da cewa babu cututtukan da ba a rasa ba wanda zai ba iyaye damar kwantar da hankalin lamarin.
Tsarin ci gaba na Acetonomy
Haɓaka acetonomy yana faruwa ne saboda samuwar cikin jinin ketone - acetoacetic acid, acetone da beta-hydroxybutyric acid. An samar da jikin Ketone sakamakon rashin daidaituwar metabolism. Don haka, don tabbatar da rayuwar jikin ɗan adam yana buƙatar makamashi, kuma asalinsa shine glucose. Idan matakin abin da yake ciki ya ragu, to jiki, don gyara don karancin glucose, zai fara aiwatar da rarrabe kayan jikinta da mai. Rushewar su na ba da gudummawa ga ƙirƙirar jikkunan ketone mai guba, waɗanda, ana yin abubuwa da ƙaiƙari a cikin kyallen da canza abubuwa masu haɗari, ana fitar da su daga fitsari tare da fitsari. A wannan yanayin, fitsari na yara yana da ƙanshi na acetone, kuma, tun da yake ana fitar da ketones tare da iska mai ƙuna, ƙanshin acetone kuma daga bakin ana iya samun sa a cikin yara.
Idan an kirkiro ketones cikin sauri, kuma jiki bashi da lokaci don cire su, to, sai su fara shafar ƙwayoyin kwakwalwa, yayin da haushi da ƙwayar mucous na narkewa. Sakamakon haka, amai da gudawa suna farawa. Duk wannan yana haifar da ci gaban rikice-rikice na rayuwa: motsi a cikin amsawar jini zuwa gefen acid da haɓakar metabolic acidosis. Idan yaro bai bayar da cikakken taimako akan lokaci ba, to yana iya fadawa cikin rashin lafiya kuma ya mutu.
Dalilai don haɓakar acetonymy
Don fahimtar abin da ya sa jariri ya juya ya ƙara yawan acetone, kuna buƙatar sanin dalilan da zasu iya haifar da wannan yanayin.
- Rationarancin ƙwayar glucose na jini - wannan yanayin na iya faruwa idan yaro ya ci ba daidai ba kuma ba zai dace ba, ko kuma idan yana fama da rashi na enzymatic kuma yana da ƙarancin narkewar carbohydrates. Hakanan, raguwa a cikin matakan glucose na iya lalacewa ta hanyar damuwa, cututtukan cututtuka, babban damuwa na damuwa ko ta jiki, tiyata ko rauni. Ofayan mahimman matakan hana ci gaban acetonomy a cikin yara shine abinci wanda ke samar da isasshen adadin carbohydrates mai sauƙin narkewa.
- Excessaci mai da mai sunadarai a abinci, ko wata damuwa ta narkewar abinci. Sakamakon haka, jikin ya fara rarrabuwa sosai, don haka ya samar da ketones.
- Ciwon sukari mellitus - tare da wannan cuta a cikin yara marasa lafiya akwai matakin al'ada na glucose a cikin jini, amma, karancin insulin yana haifar da gaskiyar cewa jiki baya iya fitar da glucose kwata-kwata.
Bugu da kari, alamomin acetonomy kuma ana iya haifar da su ta dalilai kamar su daukar lokaci mai tsawo zuwa rana, gazawar hanta, hanji ko hanji, da dysbiosis.
Ya kamata ku san cewa warin da ketones ke samarwa ana ɗaukarsu wani sabon abu ne wanda zai iya inganta shi. Haka kuma, wadannan ketones na iya zama tushen makamashi. Amma saboda wannan, isasshen adadin enzymes da ke rushe su dole ne su kasance cikin jiki. A cikin yara na shekara ta farko rayuwa akwai irin wannan enzymes masu yawa, don haka jarirai ba sa shan wahala daga acetonomy. A cikin manya da yara da suka girmi shekara guda, waɗannan enzymes ɗin basu isa ba. A matsayinka na mulkin, alamun acetonomy ya ɓace ba tare da wata alama ba daga shekaru 8-10. (Komarovsky).
Me yasa kamshin acetone ya zama ruwan dare a cikin yara fiye da manya? Gaskiyar ita ce cewa jikin yarinyar ya bambanta da manya a cikin halaye da yawa na kayan aikin da za su iya yin tasirin ci gaban acetonomy.
Waɗannan alamun suna nuna kasancewar acetonomy a cikin yara:
- Vomiting bayan kowane abinci ko abin sha.
- Mai haƙuri ya ƙi sha kuma ya ci.
- Kasancewar ciwon ciki na ciki.
- Ciki da bushewa: bushewa, bushewar fata, rauni na gaba ɗaya, cheeks ja, rashin fitar urination na dogon lokaci.
- Rage zafin jiki.
- Kwayar cutar dake nuna lalacewar tsarin mai juyayi: a matakin farko, yara sun karu da haushi, kuma bayan wani lokaci sai su zama masu kasala, bacci, watakila haɓaka ƙwaƙwalwa, amai.
- Asedara yawan hanta.
- Sakamakon bincike ya nuna raguwar chlorides da glucose, wani matakin karuwar lipoproteins, cholesterol, leukocytes, ESR.
- Fitsari na warin Acetone, kuma amai da fitsari suna da ƙamari iri ɗaya.
Mai haƙuri ba lalle ba ne nan da nan ya bayyana duk alamun da ke sama, - a matakin acetone wanda ba koyaushe yana haɗuwa da ciwon ciki, zazzabi, amai, ko kuma cikakken rashin fitar fitsari. Iyaye su tuna cewa ba da jimawa ba sun gano alamun acetonomy, zai kasance mafi sauƙi gare su cire acetone daga jikin jaririn, ta haka zai hana varin ciki da kuma rikita halin.
Eterayyade matakin acetone
Iyaye za su iya a gida su tantance idan jaririn yana da haɓakar matakin acetone. Don wannan, ana amfani da tsararren gwaji na musamman. Irin waɗannan launuka masu launin shuɗi ne, kuma idan aka nutsu cikin fitsari, zasu iya juya ruwan hoda (idan akwai ƙananan alamun acetone a cikin fitsari), ko shunayya (wannan yana nuna cewa matakin acetone yana daɗaɗa yawa). Ya kamata a maimaita gwajin aƙalla a cikin kowane sa'o'i uku.
An bambanta matakan digiri na ketones a cikin fitsari:
- 0.5-1.5 Mmol / L (+) - wannan matakin maida hankali yana nuna ƙarancin tasirin acetonomy. A wannan yanayin, ana iya yin magani a gida.
- 4-10 Mmol / L (++) - idan sakamakon gwajin ya nuna ƙari biyu, to mai haƙuri yana buƙatar magani mai wahala a asibiti.
- Daga 10 Mmol / L (+++) - yanayin yana da matukar muhimmanci, asibiti cikin gaggawa kuma magani ya dace.
Ya kamata a tuna cewa irin wannan abu kamar al'ada na abubuwan acetone a cikin fitsari ba ya wanzu, tun da bai kamata akwai ketones a jiki kwata-kwata. Wannan shine, al'ada shine cikakken rashi acetone a cikin jiki. (Komarovsky).
A cikin manya da yara da suka girmi shekara guda, babu isasshen enzymes na narkewa, amma suna fitowa a cikin jini kwana 4-5 bayan fara alamun farko na acetonomy. Idan matakin ketones yana ƙaruwa sosai, mara lafiya yana fama da rashin ruwa, saboda ba zai iya shan ruwan ba. Don haka, babban aikin iyaye shine su hana bayyanar ketones da kuma maida hankali a manyan adadi. (Komarovsky).
Kula da wani karamin digo na acetonomy kamar haka: idan fitsarin yarinyar ya ji ƙyamar acetone, nan da nan za a ba shi Sweets - alewa, shayi mai tsami, ruwan 'ya'yan itace, da sauransu. Don hana rashin ruwa, bayar da mai haƙuri gwargwadon iko. Idan ya ƙi sha, bai yi awoyi sama da awanni 4 ba kuma ya fara amai, don haka ana buƙatar asibiti mai gaggawa. A cikin asibiti, yaro zaiyi allura ta hanyar glucose-da-digo-digo-digo, wanda hakan ya sa yawan ketones zai ragu. Hakanan ana amfani da tsabtace enema don hanzarta cire ketones.
Bayan ƙari ga farin ciki da enemas, ƙara yawan acetone a cikin fitsari a cikin yaro an ware shi da taimakon enterosorbents (Smecta, Filtrum, Polysorb, Enterosgel). Wajibi ne a sami hauhawar yawan fitsari. Don yin wannan, ana sayar da yara tare da abin sha mai ban sha'awa a madadinsu da ruwa (ma'adinan alkaline) ko kuma shinkafa.
A cikin asibiti, likitan da ke halartar ya kamata ya ware kasancewar ciwon sukari mellitus ta hanyar gwajin sukari na jini, kuma kawai bayan haka ya ba da maganin da ya dace. Idan aka sami yawancin glucose a cikin jini, wanda ba za a iya shan shi ba saboda rashi na insulin horon, to yaron zai kamu da ciwon sukari.
Bayan rikicin acetone ya ƙare, dole ne a ɗauki matakai don taimakawa hana sake fuskantar rikicin. Irin waɗannan matakan sun haɗa da abinci, daidaitaccen tsarin rayuwar yau, bacci mai kyau da hutawa, isasshen zama a cikin iska mai kyau.
Kwana uku na farko bayan rikicin, yakamata a lura da tsayayyen abincin: yakamata a bawa mai haƙuri sha, yalwar apples, garin shinkafa da hatsi, busasshe, busar biski. Bayan kwana uku, ana iya haɓaka abincin tare da kefir, oatmeal, miyar abinci, kifi, ƙwanƙwallan nama da miyan ƙwallon nama da aka yi da naman da aka yanka.
Idan rikice-rikice na yaro sun sake dawowa akai-akai, to, ana bada shawarar rage cin abinci na dindindin, ban da mai, kyafaffen abinci, kofi, tumatir, 'ya'yan itacen citta, namomin kaza da zobo.
Babban abin da ke haifar da syndromes na acetonemic sakandare shine sanyi da cututtuka masu yaduwa. Sabili da haka, ya zama dole ba kawai don magance cutar ba, har ma don ɗaukar matakan hana sake rikici. Irin waɗannan matakan sun haɗa da: abinci, tsaftataccen tsarin sha, samar da haƙuri ga tushen glucose.
Dokta Komarovsky ya ba da shawarar koyaushe samun babban maganin glucose, glucose a cikin allunan, ko raisins don shirya kayan ado. Komarovsky ya kuma yi imanin cewa abincin ba shi da alaƙa da rashin glucose a jiki: “Ku ciyar da yaranku abinci na yau da kullun, kamar koyaushe, amma a lokaci guda ku ba shi wani abu mai daɗi. Acetone ba alama ce ta kowane irin cuta ba, yanayin yanayi ne na yara da ƙarancin kuzari wanda ke faruwa sakamakon raunin carbohydrates. Tare da acetone, yana da mahimmanci a fahimci cewa tafarnuwa (shine, carbohydrates) ya fi mahimmanci fiye da nama mai dauke da sunadarai. ”
Jikin yarinyar yana da yawa hanyoyi daban-daban daga jikin tsofaffi kuma an bayyana wannan ba cikin ƙarancin ƙarfi ko mai saurin kamuwa da cututtukan cututtuka ba, wasu halayen suna gado ne kawai cikin jarirai saboda bambance-bambance na tsarin mulki ko ƙarancin gabobin ciki.
Ofaya daga cikin waɗannan sifofin shine acetone a cikin fitsari na yaro, wanda aka samo a cikin 20% na yara a kai a kai tare da babban urinalysis, alhali ga babban mutum, irin waɗannan alamu ba su da ɗanɗano kuma suna nuna mummunan cututtuka. Amma koda kuwa kun gano cewa yarinyar tana ƙanshin acetone a cikin yanayin aminci, to ya kamata kuyi watsi da waɗannan alamun, tunda babban tara wannan abun a jikin zai iya haifar da acetonuria - cuta wacce rayuwar rayuwar yarinyar ke cikin haɗari.
Sanadin acetone a cikin yara
Acarin acetone a cikin yaro ba yana nufin wata cuta ba, alama ce da ke nuna ɗayan abubuwan da ke haifar da rikicewar metabolism a cikin jiki ko matsanancin aiki. Irin wannan ƙararrawa na iya faruwa a cikin haɗin tare da wasu alamu ko kuma sakamakon raunin hanji na kwanan nan, amma abu na farko da iyaye suka kula da shi shine ƙanshin acetone daga bakin yarinyar. Daga ina ya fito daga jikin yara?
Amsar mai sauki ce - acetone samfurin lalata ne a cikin hadawan dabbobin fata na kitse. Jikin ɗan adam yana buƙatar makamashi mai yawa wanda yake ɗaukar daga glucose don rayuwarsa, tushen shine carbohydrates. Lokacin da aka ƙone carbohydrates, glucose da ruwa ne kawai suke haɗu a cikin jiki.
Yawan carbohydrates a cikin abincin ba ya haifar da karuwa a cikin makamashi, ana saka glucose mai yawa a cikin nau'i na glycogen a cikin ƙwayar tsoka da hanta kuma ana cinye shi bisa ga bukatun jiki.Wani dattijo yana da isasshen ajiyar glycogen na dogon lokaci, amma a cikin yara bai isa ba, duk da cewa yana buƙatar kusan makamashi kusan sau biyu. Yayin babban aiki na jiki, matsananciyar damuwa tare da karancin glucose, jiki ba shi da zabi illa ya ware shi daga abin da yake ajiyar mai ko furotin. A lokaci guda, ana yin oxidized, waɗannan samfuran suna samar da glucose ba kawai, amma har da jikin ketone, gami da acetone. A bisa ga al'ada, acetone na jini a cikin yaro, kamar yadda yake a cikin bincike, fitsari ba komai bane ko kuma alamomin sa sunada ƙaranci har ba su iya cutar da lafiyar jaririn, tunda suna ficewa daga jiki ta hanyar huhu da kuma numfashi, kuma wasu ɓangarorin jijiyoyi suna sarrafa su.
Komarovsky ya kira warin acetone daga bakin yaron alamar farko ta rashin karancin glucose, yayin watsawarsa yayi bayani dalla-dalla ga dalilan bayyanarsa da hanyoyin magani.
A yayin da jikin mutum yake samar da ketone a cikin adadin da ya wuce abinsu a cikin huhu, acetone yana shiga jini da fitsari, yayin da yake lalata jikin. A cikin irin waɗannan halayen, ya kamata muyi magana game da ciwo acetone lokacin da aka gano acetone a cikin jini da acetonuria, lokacin da waɗannan abubuwa ke ficewa cikin fitsari.
Acetone a cikin yara na iya samun dalilai na biyu, misali, lokacin da jiki ke cike da helminths, tare da matsanancin hanji, da kuma bayan tsananin zafi. Acetone a cikin fitsari na yaro, kamar yadda Komarovsky yayi kashedin, na iya faruwa tare da haɓakar ciwon sukari.
Bayyanar cututtukan acetone a cikin yaro
Lokacin da jikkunan ketone suka shiga cikin jini, suna yaduwa da sauri ta jiki, suna guba shi, saboda haka acetone a cikin yara yana haushi da cibiyar vomiting, wanda ke haifar da amai ko da yaushe ba tare da alamun guba ba. Tsarin juyayi, tsarin narkewa yana wahala, gazawar jijiyoyin jini na iya haɓaka. Acetone a cikin yara yana da alamu masu zuwa:
- Ciwon ciki
- Amai
- Rashin ƙarfi, rushewa.
- Kamshin acetone a cikin yaro. Jariri mai ɗumi yana da ɗanɗano taushi ko ƙanshi na 'ya'yan lemo mara kyau. A lokaci guda, yaro yana warin acetone daga bakinsa, musamman bayan bacci.
- Fitsari
- Ciwon kai.
- Cramping a cikin cibiya.
- -Arancin zafin jiki.
Bayyanar cutar acetone a cikin yara
Don haka, amsar tambayar dalilin da yasa yaro yaji ƙanshi na acetone daga bakin, mun ware, yanzu yakamata mu amsa tambayar yadda haɗarin yake da yadda ake gano cutar acetonuria a cikin jariri ta hanyar nazarin fitsari.
Iyaye, fuskantar irin wannan cutar a karon farko ya kamata su nemi likita don neman taimakon likita da kuma ƙaddamar da gwajin jini gaba ɗaya da fitsari don tantance adadin jikin ketone. Idan adadinsu ya wuce na yau da kullun, kuma yanayin jaririn ya tsananta, to ya zama dole a yi jinya a asibiti, inda da alama za a rubuta wa jariri kwano da shirye-shiryen glucose.
Game da cewa acetone na ɗan yaro ya zama ruwan dare gama gari, iyaye sun riga sun san abin da zasu yi kuma suyi gwajin bayyani a gida, ta hanyar amfani da wasu abubuwa na musamman da ke nuna abubuwan acetone a cikin fitsari. Treatmentarin kulawa da jariri ya dogara da sakamakon gwajin.
Jiyya don cututtukan acetonemic a cikin yara
Idan an gano cewa yaro yana jin ƙurar acetone daga bakin, to ya kamata ku wuce gwajin nan da nan don abubuwan da ke tattare da ketones a cikin jini da fitsari, tare da jan hankali sosai, jikin ba zai iya cire su da kansa ba, komai dalilin bayyanarsu. A wannan yanayin, ana yin ƙarin gwaji don mellitus na ciwon sukari don ware irin wannan sanadin cutar, kuma ana tsabtace jiki ta amfani da digo da shirye-shiryen sha.
Don dawo da daidaitattun gishiri-gishiri, likita na iya ba da Regidron, Orasept, Humana-rikicin, wanda dole ne a bai wa jariri tsakanin allurai na ruwa bayyananne. Abin kawai ya zama dole don narke jariri, kamar yadda ruwa ke cire gubobi daga jikin da ke lalata shi. Hakanan, don kula da matakin glucose, ana tsara shirye-shiryen da ke kunshe da shi, kazalika da kayan ado na raisins, bushewar 'ya'yan itace.
Abincin da ake amfani da shi na acetone a cikin yara ya ƙunshi kitse mai nauyi da mai nauyi, kayan abinci na nama, kofi na shayi, koko, koko. Tun da pancreas kuma yana fama da mummunan guba, ya kamata a steamed abinci ba tare da kayan ƙanshi ba da hakoran mucous. A tsawon lokaci, za a iya fadada menu, amma kar a manta cewa cutar ta acetonemic ta ɓace a cikin yara bayan shekaru 13 - 14 kuma ana iya yin ɓarna kafin wannan zamanin. Wannan shine dalilin da ya sa yara suke ba da wannan bayyanuwar kada su kasance masu juyayi, ciwon kai, da motsin rai, cin abinci mai ƙima.
Menene acetone a cikin yara?
"Acetone a cikin yara," ko "acetonemic syndrome," shine abin da suke kira yawan karuwa a yawan jikin ketone a cikin jini. Wadannan jikuna sune hadadarai masu guba wadanda suke samarda hanta daga abinci mai kitse da furotin.
Samuwar sassan jikin ketone wani tsari ne mai rikitarwa, wani bangare ne na tsarin makamashi. Lokacin da waɗannan samfuran metabolism suka fara tarawa a cikin hanta, irin waɗannan ƙwayoyin suna girma da sauri, kuma acetone a cikin yara yana ƙaruwa.
Yawancin lokaci ana nuna wannan yanayin ta alamu masu kama da guba ko SARS na yau da kullun, amma akwai bambanci ɗaya mai mahimmanci - ƙanshi ne mai kamshi. Ya bayyana ne daga baki da kuma fitsari daga yara masu fama da cututtukan acetonemic.
Acetone a cikin yara: dalilan da yasa ya hau
Kafin ci gaba da lura da acetone a cikin yara, ya kamata a ƙayyade abubuwan da ke haifar da bayyanar. Masana sun gano manyan dalilai 5 don wanene acetone a cikin yara ya karu sosai:
- raguwa a cikin glucose a cikin jini. Wannan na faruwa ne saboda tsawan bacci ko kuma kasa wadatar da dacewa da lafiyar jiki. Hakanan, raguwa a cikin matakan glucose na iya faruwa saboda rashin abinci mai gina jiki: kasancewar abubuwa masu lahani cikin abinci, abinci iri daban-daban da kuma yawan mayuka,
- take hakkin narkewa abinci. Wannan yana nuna matsalolin da suka danganci aiki mara kyau na narkewa, - don bincike da tabbatar da cutar, yakamata ku tuntuɓi kwararru a wannan filin kuma kuyi duban dan tayi,
- damuwa, cututtukan cututtukan da suka gabata, raunin da ya faru da kuma bayan aikin na iya zama sanadin yuwuwar haɓakar acetone. Glandar adrenal tana da alhakin "hormone damuwa" a cikin jiki, kuma idan yaro ya baci ko wani abu ya same shi, to wannan sashin da ke toshe aiki da carbohydrates kuma yana amfani da kitse maimakon, wanda hakan ke haifar da karuwar acetone a cikin yara,
- babban adadin furotin da mai a jiki. Ya kamata abinci yakamata ya daidaita, ya haɗa da abubuwanda aka gano iri ɗaya daidai gwargwado. Af, carbohydrates a cikin abincin yara ya kamata ya ƙunshi fiye da ƙima da furotin, tun da yake carbohydrates ne ke ɗaukar makamashi don haɓaka ƙananan abubuwan wuta. Idan kuka rage ko baku yara hadaddun carbohydrates, to acetone zai bayyana,
- ciwon sukari mellitus. Acetone a cikin yara na iya nuna kasancewar wata cuta kamar cutar sankarau. Wannan cuta ce mai tsananin gaske, don haka idan crumbs daga bakin ƙanshi na acetone ya saba sau da yawa, to, tabbatar da tuntuɓi likita don yin gwaje-gwajen da suka dace.
Acetone a cikin fitsarin yaro: sanadin da hanyoyin don kayyadewa
Lokacin da abun da ke jikin ketone ya wuce al'ada, suna tare da gubobi suna lalata jikin mutum, yana haifar da amai da gudawa baki ɗaya. Kasancewar acetone a cikin fitsarin yaro za'a iya tantancewa ba kawai ta wani ƙanshin ba, amma kuma godiya ga tsarar gwajin zamani.
Ya kamata ku sayi irin waɗannan gwaje-gwaje a kantin magunguna, tabbatar da duba ranar ƙirar da ranar karewa, wannan yana da mahimmanci.
Akwai koyarwa a cikin kowane akwati, karanta shi a hankali. A tsoma wani tsiri na musamman a cikin akwati tare da fitsarin yaran na dan lokaci kaɗan, sai a ga sakamakon.
Idan launi na gwajin ya nuna launi tare da darajar +/- (0.5 mmol / L) ko + (1.5 mmol / L), to, yanayin yarinyar ana ɗauka mai laushi ne. Tare da irin waɗannan alamun, ana iya bi da ku a gida.
Sakamakon ++ (4 mmol / L) ya nuna cewa yanayin yana da matsakaici kuma ya kamata a nemi shawara a asibiti don ganewar asali.
Alamar + +++ (10 mmol / L) lamari ne mai wahala, tunda kasancewar acetone a cikin fitsari yafi muhimmanci sama da na al'ada. Karka yi tunanin yadda zaka kula da yaranka a gida. Anan kuna buƙatar asibiti na gaggawa da gaggawa na likita.
Acetone a cikin yaro: alamun cututtukan wannan cutar suna da sauƙi
Akwai alamun cututtukan acetonemic a cikin yara, wanda ya kamata a auna matakin acetone, waɗannan sun haɗa da:
- matsewa ta yau da kullun, musamman lokacin ƙoƙarin cin wani abu,
- pallor na fata da kasancewar duhu da'ira karkashin idanun,
- nutsuwa, kasala da rauni a kafafu da makamai,
- m ciki zafi, na iya bi da ciki,
- tsananin farin ciki
- zazzabi 37-38 da sama,
- gaban warin acetone a cikin fitsari kuma daga bakin jariri.
Yaya za a kula da acetone mai ɗorewa a cikin yara?
Rashin daidaituwa na rayuwa a cikin jiki da kuma samar da jikin ketone a cikin adadin da ake wucewa ana kiranta "karuwar acetone a cikin yara." Jiyyarta kai tsaye ya dogara da tsananin yanayin da dalilin cutar.
A cikin lokuta masu laushi, zaku iya yi tare da rage cin abinci, iyakance amfani da samfura marasa kyau da cutarwa (duba hoto):
Ya kamata a ɗauki abinci a cikin ƙananan rabo, sau 5-6 a rana. Sha ruwa mai yawa, wannan zai cire abu mai cutarwa daga jiki. Bai kamata ku gwada karfi wajen ciyar da yaran ba, musamman ma a cikin matsanancin amai.
Irin waɗannan ayyukan za su iya lalata yanayin gaba ɗaya. Idan yaro da kansa ya ce yana jin yunwa, zaku iya ciyar da shi da carbohydrates mai sauƙi: banana, semolina ko oatmeal, amma ba tare da ƙari da kayan kiwo ba.
Idan matakin acetone a cikin fitsari ya sa ya bayyana sarai cewa yanayin yana buƙatar taimako, to tabbas hakan zai yiwu. Ya kamata a bincika yaro a cikin likitancin likita, gudanar da jerin matakai - inje-in-in-in-in-in-in-in-in-in-in-in-in-in-in-... (RA)
Bayan alƙawura da suka wajaba, za a iya tura crumbs zuwa jiyya a gida. Yana da mahimmanci kada a bayar da wasu magunguna ba tare da takardar likita ba, kamar yadda yanayin zai iya ƙaruwa!