Alurar Ketones
Jikin Ketone (jikin acetone) samfurin lalata ne na halitta. An kafa su a cikin jinin jini na mutum a koyaushe. A cikin ƙoshin lafiya, abubuwan da suke samarwa sunada ƙanana sosai cewa ba su cutar da cuta.
Jikunan Ketone suna shiga kodan ta hanyar tsarin tace jini. Zai iya yiwuwa a gano adadi kaɗan daga cikinsu a cikin dakin gwaje-gwaje. Amma idan karuwa a jikin ketone a cikin bincike na fitsari yana da mahimmanci, wannan yana nuna wani tsari ne na jikin mutum.
Tsarin jikin ketone a cikin fitsari (ketonuria), yana faruwa ne a cikin jikin sabanin karancin glucose. Wannan halin ana iya haifar dashi ta hanyar abubuwa daban-daban: ciwon sukari, azumi, karuwar halayyar tunani-da damuwa na jiki, maye giya, guba.
Idan an samo ketones a cikin fitsari, abubuwan da ba a san dalilin su ba, yana da gaggawa a dauki matakan cire su daga jiki kuma a kafa abin da ya haifar da ketonuria. Wannan zai ba da damar ingantaccen aikin jiyya da kuma daidaita yanayin acetone cikin fitsari.
Jikin Ketone a cikin fitsari: me ake nufi
Ketonuria a cikin manya shine mafi yawan lokuta alama ce ta ci gaban ciwon sukari. Amma wannan yanayin na iya samun wasu dalilai. A cikin 90% na lokuta, ketones a cikin fitsari sun bayyana a cikin mata masu juna biyu da yara a ƙarƙashin shekaru 12.
Ketonuria ba abin tsoro bane ga yara idan acetone a cikin fitsari ya ɓace tare da gwaji na biyu. Yawancin lokaci, likita ya tsara abinci na musamman da kwayoyi don tsabtace jiki, kuma bayan wasu kwanaki bayan an sake maimaita binciken. Idan babu cututtukan ƙwayar cuta, acetone a cikin fitsari ba a sake gano shi ba.
Tsofaffi ba wuya su yi tunanin menene jikin ketone suke cikin fitsari, amma idan irin waɗannan alamu suka bayyana a cikin binciken, wannan yana nuna ci gaban yanayin cutar kuma yana buƙatar matakan gyara da gaggawa. Acetone, wanda ya tara hanta a cikin manya, na iya zama barazana ga rayuwa.
A cikin nazarin fitsari, kasancewar alamun ketone yana nuna alamun alamun KET. Za'a nuna adadin abin da ya wuce fitsari a cikin fitsari wanda a cikin shi KET ya fi 0.5 MG.
Hanyar bayyana don sanin ko ketones an haɓaka fitsari kuma ana samarwa a gida. Pharmacies suna sayar da gwaje-gwaje don gano kansa na cutar fitsari pH. Tsarin gwajin da aka yi da fitsari a gaban ketones yana da launi a cikin launi wanda dole sai an kwatanta shi da ma'aunin launi.
Lokacin da acetone ya bayyana a cikin fitsari, kewayon yiwuwar tabarau a kan tsarar gwajin ya bambanta daga ruwan hoda mai haske zuwa lilac. Mafi yawan launi, da karfi acidified fitsari, wanda kai tsaye yana nuna ƙara abun ciki na jikin ketone.
Yana da mahimmanci a san cewa za a nuna cewa ciwon sukari ba kawai ta yawan taro na jikin ketone a cikin fitsari ba, har ma da wuce haddi na glucose.
Wani ciwan ketoacidosis mai ciwon sukari zai nuna ta hanyar urinalysis tare da ƙara ƙimar ket akan asalin abin da ke cikin sukari mai yawa. Wannan yanayin yana nuna raunin insulin tsawan lokaci da kuma yawan haɓakar samfuran metabolism.
Sanadin Ketonuria
Increasedarin abun ciki na acetone a cikin fitsari na iya nuna ɓarnar wani lokaci na wasu matakai a jikin, kazalika da cutar sankara. Ana samun nau'ikan ketones a cikin fitsari a cikin manya da yara game da waɗannan halaye:
- azumi da abinci mai tsawo,
- take hakkin mai da carbohydrate metabolism,
- tsananin aiki,
- hauhawar jini ko zafin jiki,
- haɓakawar anemia
- hoto ko bidiyo mai zagaya yanar gizo da sauri da cututtuka,
- ciwon sukari mellitus
- bashin jini, cutar sankarar bargo,
- neoplasms a cikin kwakwalwa,
- oncological cututtuka na narkewa kamar,
- maye tare da salts na karafa masu nauyi,
- shan wasu magunguna
- amai
- gurbataccen barasa, yana haifar da canje-canje mai lalacewa a cikin hanta.
Dalilin bayyanar KET a cikin bincike na fitsari na iya zama abincin da babu abinci mai narkewa a jiki, zazzabi mai guba, guba da cututtuka na hanji.
Marasa lafiya bayan tiyata suma suna cikin haɗari, saboda rushewar garkuwar jini yana ƙaruwa a cikin raunin rauni, kuma anaemia sakamakon zubar jini na iya tsananta aikin. Ketones a cikin fitsari na iya bayyana ga yanayin rashin isasshen ruwa, da kuma lokacin cin abinci mai yawa na dabbobi.
Amma wannan ba cikakken jerin dalilan da yasa ketone jikin zai iya bayyana a fitsari. Yawancin wasu cututtukan cututtukan cuta na iya haifar da acidosis, sabili da haka, ba shi yiwuwa a kusantar da yanke shawara ba tare da jarrabawa da shawarwari na ƙwararru ba
Menene jikin ketone?
Babban tushen samar da makamashi ga jiki shine glucose da glycogen. Glucose yana shiga jiki da abinci. Lokacin da ya shiga cikin hanta, insulin yana adana wuce haddi dashi ta hanyar granules, wanda a cikin harshe na ƙwararrun ake kira glycogen. Tare da rage yawan glucose da abun cikin glycogen, aiki mai na mai zai fara.
Lokacin da aka lalata lipids a cikin hanta, kayan samfurori na lalata, jikin ketone, fara farawa da karfi. Kwakwalwar zuciya, kwakwalwa, da wasu bangarori da yawa suna tsinkaye wannan bangaren a matsayin tushen sashin makamashi na biyu. Hakanan, ƙwayoyin hanta koyaushe suna samar da abubuwa masu zuwa waɗanda suke cikin jini da fitsari:
- rauni hydroxybutyric acid (kusan kashi 70%),
- acid din mai karfi acetoacetic (kimanin kashi 26%),
- acetone (kusan 4%).
A cikin magungunan ƙasa, duk waɗannan abubuwan ana kiransu ta hanyar janar ɗaya - acetone. Raba cikin abubuwa daban daban yawanci basa aiwatar dashi. A cikin bincike na asibiti, alamun Ketones a cikin fitsari an gano su ta raguwa ta hanyar KET. Idan aka nuna alamar fanko akan fom, to, yana nuna kasancewar ƙunshin fitsari.
Jikin mutumin da yake lafiya a kowace rana yana ɗaukar kimanin 50 MG. ketones, kuma wannan tsari ba zai iya tsayawa a cikin binciken bincike ba. A yadda aka saba, ketones yakamata ya kasance a cikin jini kawai, yayin da adadinsu bai wuce 0.2 mmol / l ba., A cikin fitsari ya kamata su kasance ba su nan.
Me yasa ketonuria ke faruwa a cikin yara
A cikin makarantan makarantan nasare, ketones a cikin fitsari yafi sau da yawa akan banbancin aikin yi ko tsawan lokaci. Wadannan dalilai masu zuwa na iya tayar da wannan yanayin:
- rashin kwanciyar hankali
- doguwar tafiya
- cututtuka, tare da zazzabi da tsananin amai (musamman hanji),
- rashin daidaita abinci mai gina jiki
- rage rigakafi,
- amfani da maganin rigakafi na dogon lokaci,
- isasshen yawan shan ruwa a jiki.
Idan karuwa a matakin ketones a cikin fitsari na ɗan yara ba shi da mahimmanci, wannan mafi yawanci yana nuna rashin halayen cutar kuma yana da saurin ingantawa zuwa gyara. Amma a kowane yanayi, lokacin da aka gano wani sashi, ana buƙatar cikakken ganewar asali, tunda kasancewar acetone a cikin fitsari na iya zama alama ta cututtuka masu haɗari, alal misali, ciwon sukari mellitus ko dysfunction thyroid.
Ketonuria yayin daukar ciki
A yadda aka saba, mata masu juna biyu kada su sami ketones a fitsari. Idan bincike ya tabbatar da kasancewar bangaren, a mafi yawan lokuta, likitoci suna ba da shawarar gawar mahaifiyar da ta je asibiti har sai an gano sanadin cutar. Bayan cikakken bincike, likita zai gaya maka menene kasancewar ketones ya nuna da kuma haɗarin wannan yanayin ga yaran da matar da kanta.
A cikin mata masu juna biyu, ketonuria galibi yakan haifar da asalin cutar guba, tare da amai. Hakanan, yanayi mai kama da wannan na iya haɓaka saboda gestosis da canje-canje a cikin yanayin hormonal.
Hakanan, mutum ba zai iya ware yiwuwar cewa cutar ta tashi a bangon irin wannan take hakkin ba:
- ƙwayoyin cuta da cututtuka na kwayan cuta,
- ciwon sukari mellitus (GDM),
- yawan wuce haddi na abinci tare da sunadarai na dabbobi,
- lalacewar hanta
- cututtukan oncological
Ba shi yiwuwa a yi watsi da kasancewar ketonuria a lokacin daukar ciki, tunda wannan yanayin yana barazanar ba kawai rayuwar yaran ba, har ma da lafiyar mahaifiyar. Ketonuria galibi yakan haifar da haihuwa yayin haihuwa kuma ya zama sanadin fadawa cikin rashin lafiya.
Ketonuria a cikin yara
Sanadin gano acetone a cikin fitsari a cikin yara shine yawan aiki, damuwa, hauhawar tunani, da tafiya mai tsawo. Acidosis kuma yana faruwa ne akan asalin hoto ko bidiyo mai zagaya yanar gizo da sauri, cututtuka masu saurin kamuwa da cuta, cututtukan hanji, musamman idan cutar tana tare da zazzabi ko amai da yawa
Bugu da kari, ketones a cikin fitsari a cikin yara ‘yan kasa da shekaru 12 na nuna isasshen abinci mai narkewa a jiki, da rashin abinci mai inganci da rashin daidaituwa.
Sauƙaƙe na ɗan lokaci da ɗan ƙarami a cikin matakan jikin jikin ketone a cikin yara yana da sauƙin gyara kuma mafi yawan lokuta ba sa haifar da mummunan cuta.
Koyaya, ketonuria a cikin yara na iya nuna mummunar rikicewa a cikin jiki, kamar ƙwaƙwalwar ƙwaƙwalwa, rashin aiki a cikin hanta, ciwon sukari, da dysfunction thyroid. Sabili da haka, yana da mahimmanci lokacin da aka samo mai nuna KET a cikin gwajin fitsari na yara don gudanar da karatun akai-akai don hana ci gaban cututtukan.
Me ke haifar da acetonuria?
Tare da metabolism na al'ada a cikin fitsari, ba'a gano jikin ketone ba, tunda jiki yana fitar da glucose da yake buƙata daga abinci mai shigowa. Hakanan, mutum yana karɓar wannan carbohydrate yayin lalata glycogen, wani abu wanda aka adana shi kuma ya adana a cikin hanta. Tare da hanyoyin bincike da kuma rashin glucose, jiki dole ne ya fitar dashi daga wurin ajiyar kitse. Sakamakon lalata ƙwayoyin mai, yawancin samfuran acetone an saki su cikin jini. Bayan wucewa ta tubules na koda, waɗannan abubuwan suna cikin fitsari. Bayyanan jikin ketone a cikin fitsari galibi sakamakon rikice-rikice ne na jiki - shi ne carbohydrate da mai mai.
Dalilai na karuwar matakin wadannan abubuwan a cikin sirrin mai haƙuri sune kamar haka:
- Haihuwa - a wannan yanayin, samuwar kayayyakin ketone ya kasance ne sakamakon cutar guba. Idan tayin da ke haɓaka bashi da glucose, to jikin uwar zai iya ba da ajiyar kitse don samar da abubuwan da ake buƙata na ɗan da ba a haifa ba.
- Cutar gubar dake tattare da gabobin jini - ana kashe dumbin kuzari a kan cutar kuturta da cutar kuturta. Cutar na ci gaba da sauri kuma tana raunana jikin mai haƙuri.
- Ciwon sukari mellitus - a cikin irin wannan mara lafiya, karuwar ketones a cikin fitsari galibi yana nuna tsananin cutar. Idan alamun waɗannan abubuwan sun haɓaka zuwa mm mm goma, alamun hyma na cutar mahaifa na iya faruwa ba da daɗewa ba.
- Neoplasms na thyroid gland shine yake da glandon adrenal - lalacewar glandon endocrine yana haifar da rashin daidaituwa na hormones. A lokaci guda, abubuwa masu sinadarin ketone sun fara bayyana a cikin fitsari saboda haɓakar kitse mai narkewa a cikin jiki, wanda shine sakamakon karuwar adadin corticosteroids a cikin jini. Game da batun ci gaban thyrotoxicosis a cikin maza da mata, ana lura da yawan glucose.
- Rashin wadataccen carbohydrates tare da abinci - ana iya gano gawar ketone a cikin gwajin fitsari yayin rasa nauyi, abinci mai gina jiki, azumi, da tsarin abinci.
- Cutar cututtukan hanta - haifar da rudani a cikin aiki na wannan sashin ƙwayar cuta (ƙwaƙwalwar ƙwayar cuta).
- Tsarin kumburi da ciwan ciki da hanji - ke haifar da karuwa a jikin ketone a cikin fitsari saboda karancin abinci mai gina jiki. A cikin irin waɗannan yanayi, yawan narkewar carbohydrates, sunadarai da mai sun lalace.
- Kwayoyin cuta da na kwayan cuta - irin waɗannan cututtukan sau da yawa suna faruwa tare da zazzabi mai zafi, wanda ke buƙatar tsadar kuzari mai ƙarfi.
- Mummunan maye - a cikin wannan yanayin, alamomin ketones a cikin fitsari suna nuna guba tare da ƙarfe mai nauyi ko atropine.
A cikin yanayin al'ada, yawan glucose na iya ƙaruwa sosai idan ana maganar hypothermia, tare da aiki mai ƙarfi na jiki. Amma yawanta na yau da kullun yawanci daga 5 MG zuwa 15 MG. Tare da irin wannan ƙaramin adadin acetone, ba a yin canje-canje a cikin lafiyar mutum.
Mahimmanci! Kwayar cutar ketonuria galibi tana shafar matan da suka ɗanɗana karancin carbohydrates, suna cin abinci na musamman, ko kuma matsananciyar yunwa. A cikin maza, wannan matsalar ta taso ne yayin shiga wasanni masu rauni - ginin jiki, yin nauyi. A cikin irin wannan halin, jikin ketone a cikin fitsari yawanci sakamako ne na hankali na yawan kuzarin kuzari, kuma ba wani nau'in cutar ba.
Yaya ake bayyana ketonuria?
Idan alamomin acetone a cikin jiki suna ƙaruwa - wannan koyaushe yana rinjayar da lafiyar haƙuri. Anara yawan adadin ketones na iya haifar da rikice-rikice masu zuwa:
- Akwai ƙanshi mara kyau na acetone daga bakin ciki, a mafi yawan lokuta ma mara lafiyar yana jin warin fitsari da gumi.
- A halin buguwa yana da sauri.
- Sau da yawa akwai tashin zuciya, ana iya lura da amai akai-akai.
- Rashin rauni na tsoka, asthenia yana tasowa.
- Migraines da zafi a cikin ciki ana bayyana su koyaushe.
- Hanta yana haɓaka dan kadan a girma (waɗannan canje-canje na ɗan lokaci ne).
- Rashin hankalin hankali ya bayyana, yawan amsawar ya ragu.
- Increaseara yawan alamun zafin jiki yana haifar da haske mai haske a kan cheeks, bushewar fata da ƙwayoyin mucous, bushewar bakin ya zama sananne musamman.
- Wucewar hankali, matsananciyar nutsuwa yana bayyana.
- Abun ci yana iya kasancewa gabaɗaya, a wasu lokutan ma marasa lafiya sukan koka da rashin damuwa ga kowane abinci.
A wasu halaye, raguwa mai zaman kanta, raguwa maras kyau a matakin acetone a cikin ɓoyewa zuwa al'ada yana yiwuwa. Idan saki wadannan abubuwan tare da fitsari ya daina, to a hankali yanayin mutumin zai inganta.
Lokacin da ketones a cikin fitsari ya kai tsayi sosai, ƙarin alamun bayyanar cututtuka suna haɗuwa da manyan alamun cutar. Waɗannan sun haɗa da rashin ƙarfi, rashin ruwa, aikin nakasa mai rauni, lalacewar tsarin juyayi na tsakiya, rage ƙarfin aikin kodan, da ƙonewar jini (a wannan yanayin, alamomin pH suna motsawa zuwa acid). Mafi girman rikicewar acetonuria shine coma, bayan haka mutuwar mai haƙuri na iya biyo baya.
Hanyoyi don gano cutar
Eterayyade kasancewar jikin ketone a cikin fitsari a cikin dakin gwaje-gwaje. Har zuwa wannan, kwararru suna yin bincike na musamman na fitsari, wanda ke nuna matakin abubuwan acetone da ke ciki. Hanyoyin bincike na gaba suna ba da damar gano acetonuria:
- OAM - godiya ga urinalysis na gaba ɗaya, likita yana ganin ba kawai adadin abubuwan haɗin acetone ba, har ma da sauran abubuwan haɗin da aka fitar da haƙuri. A cikin fitsari, leukocytes, furotin, tarawa gamsai, sel jini. Anara yawan rabo daga abubuwan gina jiki galibi yana nuna kwanan nan hypothermia, ƙwaƙwalwar jiki. Idan adadin ƙwayar farin jinin yana haɓaka, ƙwayar cuta tana faruwa a cikin jikin mutum. Kasancewar sel jajayen jini na iya zama lalacewar koda. Hakanan, wata hanyar ganowa irin wannan tana ba ku damar kimanta pH na fitsari.
- Nazarin fitsari na yau da kullun - wannan bincike yana da fa'ida sosai. Sakamakon wannan cutar, likita ya kimanta duk fitsari da aka cire yayin rana. Bayan kwatanta bayanan da aka sani, an ƙaddara abubuwan ketone, kazalika da dalilan karuwar adadin waɗannan abubuwan a cikin fitsari mai haƙuri.
- Gwajin sauri - a wannan yanayin, ana gano abubuwan jikin ketone a cikin fitsari ta amfani da tsummoki ko allunan. Yakamata a gwada gwajin 1-2 na fitarwa. Idan abin da aka amsa ya kasance tabbatacce, kuma mutum yana da ketone a cikin fitsari, kwamfutar hannu ko tsiri ta canza launin (yana samun launi mai laushi).Dangane da tsananinsa, an ƙaddara matakin acetone - don wannan dalili, ana amfani da daidaitaccen launi. Mafi girman aikin wannan abun, mafi kyawun tsiri gwajin shine.
Hankali! Lokacin gudanar da bincike na gwaji akan jikin ketone, ya kamata ayi la'akari da raunin da ya shafi ƙwayar cuta a ciki. Lokacin da adadin waɗannan abubuwan suna kasancewa a cikin fitsari, sakamakon yana fitowa da sauri (minti 2-3). Idan abubuwan da ke cikin kayan acetone ba su da mahimmanci a cikin ɓoyewar, binciken yana ɗaukar minti 6 zuwa 10.
Pathology far
Game da batun karuwar adadin ketones a cikin fitsari, magani zai kasance don kawar da tushen abin da ya sa wannan cin zarafi. Da farko, magungunan enterosorbents zasu taimaka wajen rage alamun cutar da inganta halayyar mutum. Suna cikin sauri kuma yadda yakamata su cire samfuran ƙwayoyin cuta marasa guba da gubobi daga jiki - shahararrun kwayoyi daga wannan rukunin: Enterosgel, Polysorb, Black Coal, Regidron, Smecta, Phosphalugel, White Coal.
Idan ketones a cikin fitsari ya bayyana saboda kamuwa da ƙwayar ƙwayar cuta ta microflora, ana wajabta maganin rigakafi (Tetracycline, Doxycycline). Lokacin da sanadin wannan yanayin shine ciwon sukari, an ba wa mai haƙuri allurar insulin. Hakanan wajibi ne don mayar da ma'aunin ruwa da acid-base, don daidaita hypokalemia (raguwa a cikin adadin potassium a cikin jini). Likita ya zabi tsarin kulawa dashi daban-daban, gwargwadon alamun asibiti da kuma lafiyar mai haƙuri.
Babban mahimmanci a cikin irin wannan yanayin shine ingantaccen abinci mai gina jiki. Idan yunwa ta zama sanadin ketonuria, to yakamata a kawar. A wannan yanayin, kuna buƙatar cin abinci sau da yawa, amma ɓangarorinsa ya kamata ƙanana. A matsayin abin sha, ya fi kyau a yi amfani da ruwa mai ma'adinin ba tare da iskar gas ba, zai fi dacewa alkaline.
Don rage matakan ketone a cikin fitsari, ana ba da shawarar mutum ya rage yawan abincin da suke samu a cikin fitsari, a wani ɓangare ya maye gurbinsu da abincin furotin. Yayi jita-jita don irin wannan mai haƙuri yana buƙatar shirya shi daga 'ya'yan itace sabo da kayan marmari, kayan kiwo (madara mai dafaffen cuku, cuku mai ƙananan mai, yogurt da kefir), hatsi, miya suna cikakke. An ba da izinin abincin abinci kamar zomo, kaza da turkey.
Amma daga gidan burodi da kayan kwalliya na wani lokaci kana buƙatar ƙin. Lokaci-lokaci zaka iya ƙara biscuits a cikin abincin. A duk cutar, an bullo da irin wannan samfuran:
- Sweets
- cakulan
- 'ya'yan itatuwa Citrus
- Tumatir
- kofi
- zobo
- ayaba
- abincin gwangwani
- namomin kaza
- koko
- soda mai dadi
- masu fasa da kwakwalwan kwamfuta.
Hankali! Don kawar da ketonuria da sauri, ya kamata ku bi ka'idodin tsarin abinci mai gina jiki. A wasu halaye, wannan bai taimaka wajen rage matakin acetone a cikin ɓoye ba - a cikin wannan yanayin, kuna buƙatar ziyartar kwararrun kai tsaye don sanin dalilin da maganin wannan rashin lafiyar.
Yanzu kun san cewa karuwa a yawan jikin ketone sau da yawa yana nuna rashin lafiya. Guji mummunan tasirin acetonuria zai taimaka gwaje-gwaje na yau da kullun. Idan har yanzu ana samun gawar ketone a cikin fitsari, da farko tambayi likitan ku menene kuma yadda za'a bi da irin wannan cin zarafin.
Symptomatology
Yawan tarin ketone a jiki yana tare da alamomin halayyar mutum. Nan da nan tuntuɓi cibiyar likitanci kuma wuce fitsari don bincike idan kun sami irin waɗannan alamun:
- mummunan numfashi
- gajiya,
- yawan tashin zuciya da yawan tashin hankali,
- wuce haddi pallor na fata,
- rage aiki na jiki
- asarar ci.
Yadda ake gano fitsarin acetone
Hanyar mafi aminci da daidai don tantance ketones a cikin fitsari ita ce ƙetare halittar halittar zuwa wani binciken da ya dace. Kafin a aiwatar da aikin, likita zai gaya muku yadda ake yin shiri don auna matakin ketones da kuma irin ƙa'idodin da kuke buƙatar bi. Yawanci, yankewar binciken ba ya ɗaukar fiye da kwanaki 3, bayan wannan an ba da fom tare da sakamakon ga mai haƙuri a hannunsa.
Idan ya cancanta, za a iya yin nazarin fitsari don acetone a gida. Abinda ake buƙata kawai shine siyan raguna na musamman don ƙayyadaddun matakin ketone da ganga mai ruwa. Ana siyar da kayan gwaji daban-daban kuma a cikin fakitoci na 5, kuma zaku iya siyan su a kusan kowane kantin magani.
An gudanar da gwaje-gwaje gwargwadon aikin algorithm mai zuwa:
- Da safe, ya kamata a tattara kashi mai yawan fitsari a cikin ganga mai ruwa. Kafin hanyar, yana da kyau a gudanar da tsabtar ciki.
- Abu na gaba, kuna buƙatar buɗe kunshin tare da tsararran gwaji kuma ku rage mai nuna alama a cikin fitsari da aka tattara.
- Bayan minti 3-4, kuna buƙatar kimanta nawa takarda mai launin.
Ana aiwatar da sakamako na sakamakon yayin la'akari da matakin canza launin takarda. Idan tsirin gwajin ya samo launin toka mai duhu, dole ne a hanzarta tuntuɓi likita wanda, bayan kamuwa da cuta, zai gaya muku dalilin da yasa cutar ta bayyana, kuma zai ba da magani da ya dace.
Halin raunin azanci na irin waɗannan abubuwan yaɗa girma. Launin launinta yana canzawa, koda kuwa abun cikin ketones a cikin fitsari bai wuce 0.5 mmol / L ba. Matsakaicin matakin ganowa shine daga 10 mmol / l zuwa 15. Idan aka kwatanta da karatun dakin gwaje-gwaje, wannan alamar tana daidai da 3 da.
A gida, zaku iya tantance matakin ketones koda a cikin rabe-rabe na gwaji. Don yin wannan, tara fitsari a cikin akwati mai tauri kuma ƙara 2-5 na ammoniya a ciki. Idan launin ruwan ruwan ya canza kuma ya zama ja, to, akwai matsalolin kiwon lafiya.
Jikin Ketone a cikin fitsari - menene ma'anarsa
Ana samar da makamashi ga jiki ta hanyar glucose. Idan babu shi ko ɓacewa, ƙarin makamashi yana fara cinyewa. Don wannan, ana amfani da ajiyar kitsen mai, wanda ke samar da samfurori yayin rarrabe - ketone jikin. Aikin su shine samar da makamashi da hana haɓakar ɗumbin kitse mai yawan kitse daga wurin ajiyar abinci.
Mahimmanci! Galibi ana gano gawar Ketone ne kawai cikin jini a cikin ƙimantattun abubuwa. Lafiya mutum yakamata yaada jikunan ketone acikin fitsari.
Daga jini, acetone yana shiga fitsari ta hanjin kodan. Idan an samo shi a cikin fitsari, ya kamata ku nemi shawarar likita nan da nan don gano menene jikin ketone da yadda ake bi da su.
Urinary ketone abun ciki
Ana samar da Acetone ta hanyar fata na jiki da huhu lokacin numfashi. Ana gano gawar Ketone a cikin fitsari a cikin yanayin cututtukan fata. Yawan adadin jikin ketone a cikin jini ba su da mahimmanci, amma binciken da aka yiwa acetone ba a yin shi.
A cikin fom na canza bayanan babban fitsari, an rubuta jikin ketone kamar yadda ket. Idan an ƙaddara, likitan ya ba da izinin magani, gwargwadon yawan alamun da ke nuna ci gaban cutar. Don gano sakamakon, suna juya zuwa likitan kwantar da hankali, urologist.
Idan tsananin cutar ta yi sauki, ana yin jiyya a gida. Idan mai tsanani - a cikin asibiti.
Tebur mai tsananin acetonuria, ya danganta da karuwar jikin ketone a cikin fitsari.
Mai tsananin | Kwayar al'ada, mol / l |
---|---|
Mutum yana cikin koshin lafiya | 0 |
Sauki | 0,5-1,5 |
Matsakaici | 4 da ƙari |
Mai nauyi | Fiye da 10 |
Yaya ake gano cutar ketonuria?
Don bayyanar cututtuka na ketone a cikin fitsari, ana amfani da hanyoyi da yawa. Zabi ya dogara da tsananin.
- Yin amfani da tsaran gwaje-gwaje don nazarin fitsari don jikin ketone. Ana tattara fitsari a cikin kwantaccen ruwa. Babu wasu abubuwa na kasashen waje da microorganism a ciki, don haka sakamakon zai zama abin dogaro. Ana saukar da tsiri ɗaya cikin fitsari kuma nan da nan za'a fitar da shi. Mai nuna alamar ana fentin cikin launi daidai da sikelin akan kunshin. Yawan ketone an gano shi. Wajibi ne a yi gwaje-gwaje a kullun, idan aka maimaita sakamako mai kyau, mai haƙuri ya nemi likita.
- Nazarin Urinal Tare da shi, likita ya ƙayyade ba kawai abubuwan acetone a cikin fitsari ba, har ma da wasu alamomi waɗanda ƙimarsu a cikin mutum mai lafiya ba su da sifili ko kusa da shi: farin jini, sel jini, ja, furotin, gamsai. Tare da duk bayanan, likita zaiyi maganin gano daidai.
- Diuresis na yau da kullun, shine, yawan fitsari da ake tarawa kowace rana. Yana ba ku damar ƙayyade adadin ƙwayar ruwa da aka watsa ta cikin tsarin tatsar ƙodan.
- Eterayyade glucose na jini. Haɓakawarsa tare da ketone yana haifar da ciwon sukari, wanda ke ƙaruwa da haɓakar sukari na jini. Ketones a cikin fitsari a matakan glucose na yau da kullun ana haifar da wasu dalilai.
Alamun da ke nufin haɓaka jikin ketone a cikin fitsari
Akwai alamomin gaba daya na zazzabin cizon sauro, wanda a bayyane yake babu wanda cutar ta haifar da su, amma suna tare da acetonuria:
- malaise: rauni, gajiya, farin ciki,
- ƙishirwa hade da bushe bakin
- bayyanar cututtuka na dyspeptic: tashin zuciya, amai.
Alamun da zasu jagoranci likita ga ganewar cutar "ketonuria":
- ƙanshi na acetone daga bakin,
- hepatomegaly (haɓaka hanta),
- maye tare da zazzabi zuwa yanayin zazzabi mai zafi,
- tsananin rashin ruwa
- urination akai-akai
- neuralgia, cramps, ciwon kai, coma.
Mahimmanci! Idan mutum ya bunkasa ketonuria, alamomin suna tare tare. Coma yana faruwa ne lokacin da acetone ya shiga kwakwalwa.
Pathological ketonuria
- a bango daga asalin glucose,
- ba shi da alaƙa da sukari na jini (yana cikin adadin al'ada).
Dogaro da etiology (sanadin) na cutar:
- na farko saboda karancin glucose (ciwon sukari mellitus, thyrotoxicosis),
- sakandare, lalacewa ta hanyar bayyanuwa ga abubuwan da ke haifar da jikin mutum (yunwa, kamuwa da cuta, ƙwaƙwalwar jiki).
Jiyya da abinci don gano jikin ketone a cikin fitsari
Jiyya da gyara sun dogara da sanadin yanayin jijiyoyin jini da kuma tsananin rauni.
- Ciwon sukari mellitus. Ana kula dasu tare da amfani da insulin na din-din-din. Acetone an keɓe idan glucose ya bayyana a cikin jini, wanda ya maye gurbinsa.
- Fitsari. Sauya gurasar ruwa ruwa ta amfani da ɗimbin ƙwayar ruwan sha. A cikin lokuta masu tsanani, ana ba da magunguna (alal misali, rehydron).
- Vomiting (saboda kamuwa da cuta, ciki, neuralgia). Bayar da magunguna waɗanda ke rage murhun ciki (alal misali, cerucal).
- Rushewar yanayin asalin hormonal (cututtukan glandar thyroid, glandon adrenal). Yi amfani da kwayoyi waɗanda ke daidaita matakin hormones.
- Damuwa, bakin ciki. Adana magungunan, magungunan ƙwayoyin cuta, maganin bitamin.
- Kamuwa da cuta Aiwatar da maganin rigakafi, masu sihiri (abubuwan da ke amfani da kayan abinci mai guba).
Abincin da ke rage matakin acetone a cikin fitsari ya ƙunshi adadin ruwa mai ƙonewa, 'ya'yan itatuwa masu bushewa, magungunan ganye na diuretic (brothhip broth).
Wajibi ne a ware barasa, abinci mai shan taba, kyawawan kayan abinci, mai kitse da abinci mai soyayyen. Abincin yana daidai da likitan halartar.
Duk da haramcin, ya kamata a bambanta abinci da tebur don kula da duk metabolism.
Hasashen cutar na da inganci idan mutum ya ziyarci likita kan lokaci kuma zai gudanar da cikakken bincike game da fitsari da jini lokaci-lokaci don duba lafiya. Acetonuria yana da haɗari lokacin da ketone jikin suka shiga kwakwalwa, wanda hakan zai haifar da edema da coma. Idan an ƙaddara maganin cutar, to ya kamata ku bi abin da ake ci a duk rayuwarku don guje wa sake komawa ciki.
Sanadin acetone a cikin fitsari
Idan mutum yana da koshin lafiya, to acid zai rushe zuwa carbon dioxide da ruwa. Koyaya, a cikin cututtukan cututtukan cututtukan cuta, irin su ciwon sukari, haɓakar insulin ya ragu, sabili da haka acid ɗin mai, da amino acid, ba za'a iya yin garkuwa gaba ɗaya ba. Irin wannan kayan da aka gina a jiki shine ketones.
An kafa shi ne ta hanyar binciken gabaɗaya, ketones a cikin fitsari ba su da yawa a cikin jiki idan jikin yana da lafiya. Koyaya, idan an gano karuwar jikin ketone a cikin fitsari, menene wannan yake nufi? Daga ra'ayi na likita, wannan wani irin gargaɗi ne wanda kuke buƙatar daidaita salon rayuwar ku.
Idan warin fitsari yana ba da acetone zuwa acetone, wannan yana nuna cewa fitsarin ɗan adam ya ƙunshi ƙara yawan abubuwan jikin jikin ketone. Misali, yawan ketones a cikin fitsari ana iya samu a cikin masu ciwon sukari. Idan ƙanshi na acetone yana da ƙarfi kuma yana kama da 'ya'yan itace, apple, to, akwai matakan glucose mafi girma. Hakanan yana da mahimmanci a lura cewa ketonuria ba tare da glucosuria ya fitar da ciwon sukari ba. Wato, idan acetone ba tare da glucose an samo shi a cikin mutum ba, to wannan cutar ba ta wata alaƙa da cutar ciwon suga. Tare da ciwon sukari a cikin fitsari, akwai cin zarafin ƙimar abubuwan acetone da sukari.
Don haka, likitoci sun ce tare da ciwon sukari akwai nau'ikan 2 na cutar. Ketonuria na manya yana aiki a matsayin mai nuna alama wanda ke ba da rahoton cewa ba shi da kyau, kuma wannan yana da alaƙa da aikin insulin mara kyau. Wannan yana nuna ci gaban nau'in ciwon sukari na 1, ko bayyanar wani nau'in cuta mai rarrafe na cutar nau'in ta biyu. Koyaya, a kowane hali, kuna buƙatar bincika tare da likita, saboda mummunan sakamako na iya faruwa - ƙaddarar jikin ketone a cikin fitsari yayi gargaɗi game da canjin cutar zuwa wani mummunan yanayi mai haɗari, lokacin da ko da cutar hyperglycemic na iya faruwa. Yaya za a tantance musabbabin cutar?
Abubuwanda ke haifar da cutar ketonuria sune:
- hauhawar jiki da damuwa
- tsawaita azumi, guba,
- hoto ko bidiyo mai zagaya yanar gizo da sauri cututtuka, gami da mura
- anemia
- raunin da ya faru
- ciwon sukari mellitus
- barasa
- ƙarancin abincin carb
- ciki
- ilmin dabbobi
- Yawan cin abinci mai gina jiki.
Zai yuwu ana samun ketones a cikin fitsari wanda ya girma da yaro. Abin sha'awa shine, kasancewar jikin ketone a cikin fitsari yana faruwa ne saboda dalilai da yawa, waɗanda aka nuna a sama. Idan mai nuna alama yana da girma, to, zai iya ƙaruwa a gaba, sabili da haka yana da matukar muhimmanci a gano hanyoyin ketones.
Bayyanar ketones a cikin fitsarin yaro
Wataƙila kowa ya san yanayin da ketones a cikin fitsari a cikin yara ke bayyana ta hanyar amai da ƙanshin acetone. Abubuwan da ke haifar da cutar a cikin yaro mai yiwuwa ne, irin su rashin abinci mai gina jiki da yawan shan abinci mai narkewa, matsaloli tare da kiba mai narkewa, tare da huhu. Idan an lura da irin waɗannan bayyanar a cikin yara, to ya kamata ku je asibiti, saboda jikin yaron yana nuna alamun rashin nasara.
Babban dalilan bayyanar ketones a cikin fitsari sune kamar haka:
- babban zazzabi
- gado na gado
- diathesis
- rage rigakafi
- dysentery
- maganin rashin lafiya
- danniya
- shan maganin rigakafi
- tsutsotsi
- mai wuce haddi mai da abubuwan gina jiki,
- karancin enzyme
- kan aiki, a cikin yara masu aiki,
- cututtuka da suka gabata
- mummunan cututtukan da ke haifar da cutar acetonuria,
- azumi da abinci mai kyau,
Mene ne yanayin ketones a cikin mutum mai lafiya?
A cikin binciken asibiti na fitsari gaba ɗaya, ketones ana nuna shi ta raguwa ta hanyar KET. A cikin yanayin yau da kullun, ana cire milligrams hamsin na ketones a cikin rana, waɗanda ba su dace ba don ganowa a cikin dakin gwaje-gwaje. Eterayyade zai iya faruwa ta amfani da hanyoyin bincike guda biyu: gwaji na Lestrade ko Lange. Wannan binciken ya dogara ne akan amfanin alamomi na musamman waɗanda ke amsa acetone - wannan shine ƙaddarar ƙaddara.
Nazarin Urinal - Taro na Ketone
Kuna iya bincika da sarrafa matakin acetone a gida. Ya kamata ku san cewa don sanin ketones a cikin fitsari kuna buƙatar gwajin da za'a iya samu a cikin magunguna. Su ne madaukai na musamman don tantance acetone. Gwajin Keto wani nau'in nuna alama ne, godiya ga wanda aka gwada fitsari don ketones. Don bincika wasan kwaikwayon, muna bada shawara a sayi madafan gwaji da yawa lokaci guda.
Don bincika, kuna buƙatar saukar da mai nuna alama a cikin akwati tare da fitsari safe don minti uku. A dauki na iya zama mara kyau ko rauni rauni. Yawancin lokaci, idan jikin ketone a cikin fitsari al'ada ne, ba a gano cutar ba. Mun mai da hankali kan gaskiyar cewa akwai wata hanya mafi sauƙi don ƙayyade jikin ketone a cikin fitsari - ta amfani da ammoniya.An saukad da giya ana maye kawai cikin fitsari. Idan akwai matsala, ruwan zai koma ja.
Menene ketones urinary?
Ma'anar fassarar ƙarshe, da kuma yiwuwar nazarin sakamakon, zai dogara kai tsaye kan hanyar aiwatarwa. Za'a iya yin cikakken bincike game da likita.
Samfuran gidaje masu gwaji suna ba da sakamako mai nuna alama, bayan rage girman tsiri a cikin fitsari, sashin alamar yana karɓar launi, wanda ke nuna sakamakon, duk da haka, har yanzu kuna buƙatar sake gwajin fitsari a cikin dakin gwaje-gwaje. A lokacin gwaji, an gano taro daga sifili zuwa 15 mmol / L, duk da haka, ba a samun cikakkun bayanai a wannan yanayin.
Lokacin da aka bayyana launin shuɗi mai haske, lamarin zai zama mai mahimmanci. Lokacin da aka gwada shi da ammoniya, launin fitsari na iya yin ja, wanda a cikin sa akwai tabbas akwai ketones a jiki. A cikin binciken gaba daya na fitsari, zaka iya ganin abubuwa da yawa, gami da furotin, nitrites, farin jini, sel jini. Amma kawai likita tare da gwaninta na iya faɗi abin da waɗannan alamun ke nufi idan an sami ƙarin halayen jikin ketone a cikin binciken.
Nazarin a cikin dakin gwaje-gwaje ya sa ya yiwu a bincika haɓaka ko ƙimar ketone na al'ada. Don gano ketoacidosis mai ciwon sukari, ba gaba ɗaya ba, amma ana amfani da gwajin jini na musamman don gano adadi mai yawa na ketones. A wannan yanayin, wajibi ne don gudanar da gwaji tare da halartar acid wanda ake kira beta-hydroxybutyric acid. A wannan yanayin, rukuni da aka ƙaddara shi ne naúrar mmol / L. Idan abun da ke cikin acid ya tashi daga sifili zuwa 0,5 mmol / L, wannan al'ada ce, amma idan aka nuna darajar 0.5 mmol / L, to wannan haɓakar ƙa'ida ce. Wannan halin ya riga ya zama iyaka, kuma yana nuna yiwuwar haɓaka cutar. Sabili da haka, lokacin da aka gano beto-hydroxybutyric acid a taro na 0.5 mmol / L, kuna buƙatar sake yin nazarin don ƙara yawan damar samun ingantaccen ganewar asali. Idan alamun alamu na gaba sun yi ƙasa, to wannan ya zama sakamako na al'ada.
Yadda za a cire jikin ketone?
Idan matakan jini a cikin mata, har ma da maza, suna iya ƙaruwa, to ya kamata a ɗauki matakan da suka wajaba don rage matakin ketones. Domin nuna ingancin tsarin aikin, yakamata a yi gwaje-gwajen kowace sa'a uku. Idan an samo acetone a cikin fitsari, to, da farko, ya kamata ku nemi shawara tare da likitoci. Don kawar da wannan cutar, kuna buƙatar bin tsarin da ya dace - abincin da ketonuria ana ɗaukar shi a matsayin tilas. A wannan yanayin, yana da matukar muhimmanci kada ku ci abinci masu nauyi da mai ƙiba, yi tunani sosai kuma ku kula da lafiya.
Jiyya Acetonuria
Yaya ake maganin acetonuria? Tsarin aikin jiyya yana da sauƙi. Tare da waɗannan alamun, ya zama dole don rage acetone a cikin fitsari. Maganin jiyya kamar haka ne, da farko, kuna buƙatar cin abinci mai ƙoshin lafiya a tare tare da ingantaccen tsarin gudanar da ayyukan yau da kullun. Idan alamu na matakin acetone yana ƙaruwa kuma yana ƙaruwa da yawa, to, asibiti yana yiwuwa. A asibiti, likita ya ba da izini don magani, ciki har da abinci da shan ruwa mai ƙarfi, wannan shine doka ta farko kuma mafi mahimmanci. Ya kamata a sha ruwan sha ɗaya a cikin kowane minti na goma sha biyar - sannan bayan ɗan lokaci kaɗan dukkanin abubuwan da ke tattare da Acetone an keɓe su.
Jikin Ketone a cikin fitsari - Menene ma'anarsa?
Wannan rukunin abubuwan sun hada abubuwa da yawa: acetoacetic da beta-hydroxybutyric acid, acetone. Su samfuran lalata na halitta ne. Koyaya, idan likita ya ga kasancewar waɗannan abubuwan a cikin sakamakon gwaje-gwajen da mai haƙuri ya gabatar, zai tilasta shi yin ƙarin gwaje-gwaje kuma ya ba da magani. A saboda wannan dalili, yana da hankali mutum ya kasance da sha'awar abin da jikin ketone a cikin fitsari yake nufi. Irin waɗannan alamun suna iya faɗi da yawa.
Jikin kuliyoyin ciki na al'ada
Har zuwa 50 MG na acetone ana keɓe kullun daga jikin tsoho tare da fitsari. Tun da waɗannan samfuran metabolism ke fita gabaɗaya, ba shi yiwuwa a tantance su a dakin gwaje-gwaje. Sakamakon gwaji na asibiti yana amfani da alamar KET don nuna jikin ketone. A yadda aka saba, yawan adadinsu yana daga 0 zuwa 0.05 mmol / L. Irin waɗannan halayen jikin ketone a cikin fitsari ana ɗaukar su sakaci. Tare da waɗannan sakamakon, jiki yana aiki daidai.
Ketonuria - sanadin
Yayin aiki na yau da kullun, jikin mutum yana karɓar makamashi daga glucose da ajiyar ajiyar abubuwa a cikin hanta - glycogen. Wannan ya ishe shi ga aiki ingantacce. Koyaya, akwai yanayi da yawa lokacin da jiki ya kara farashin makamashi. A wannan gaba, shagunan glycogen sun ƙare, kuma jikin ya fara aiwatar da ƙwayoyin mai mai kansa. Yayin aiwatar da irin wannan tafiyar matakai na rayuwa, an kirkiro sassan jikin ketone. Yawan su "wuce haddi" an fesa a fitsari.
Idan ana samun gawar ketone a cikin fitsari, dalilan wannan na iya zama kamar haka:
- tsananin aiki,
- ciki
- matsananciyar damuwa
- maganin rashin lafiya
- ciwon sukari mellitus
- yawancin furotin da mai abinci mai mahimmanci a cikin abincin,
- m abinci
- matsalolin thyroid
- gazawar hormonal
- abinci mai guba
- rashin ruwa mai lalacewa ta hanyar tsawan lokaci a cikin solarium ko sauna,
- maye na jiki tare da barasa,
- haɓakawar anemia
- cutar kuturta
- cututtuka da hoto ko bidiyo mai zagaya yanar gizo da sauri.
Ketonuria a cikin ciwon sukari
Raguwar raguwa a matakin glucose a cikin jini yana haifar da haɓaka irin wannan yanayin cutar. Sakamakon haka, jiki yana fuskantar rashi mara nauyi. Wannan yakan faru ne idan aka zaɓi sashi na insulin da bai dace ba. Koyaya, ketonuria tare da nau'in ciwon sukari na 2 shima yana faruwa. Wannan na faruwa ne sakamakon yawan cin kitse ko kuma tsawan azumi.
Ketonuria yayin daukar ciki
Jikin mahaifiyar mai fata na cikin matsanancin damuwa. Ba koyaushe yana da lokacin da zai dace da sauye-sauyen da ake faruwa a cikin sa ba. A cikin farkon watanni na ciki, karuwa a jikin ketone a cikin fitsari mata, baƙon abu bane. Iyaye mata masu zuwa za su iya fuskantar wannan matsalar daga mako na goma sha bakwai. Koyaya, har ma a wannan lokacin, tare da ɗan ƙarami a cikin wannan alamar, ana iya ɗaukar ciki al'ada. Idan acetone a cikin fitsari yana ƙaruwa da yawa, dalilan wannan na iya zama kamar haka:
- rashin lafiyar hormonal
- kakkaria
- guba
- cutar hanta
- kayan aikin oncological
- azumi
- cututtuka tare da zazzabi da maye,
- bushewa.
Idan jikin ketone a cikin fitsarin mace mai ciki yana da girma, kuna buƙatar aiwatar da gaggawa. A wannan yanayin, duka mahaifi da mahaifiyar suna cikin haɗari. Idan babu kulawar likita a kan kari, masu rikitarwa masu zuwa na iya biyowa:
- maye mai yawa na mace da tayin,
- ɓata
- coma
- m sakamako.
Ketonuria - Bayyanar cututtuka
An bambanta matakai uku a cikin haɓakar acetonuria, kowannensu yana da hoto na asibiti. Tsarin mai laushi yana tare da alamu masu zuwa:
- matsananciyar ƙishirwa
- ciwon ciki
- profuse da kuma yawan urination,
- zaku iya jin ƙamshin ƙwayar acetone daga bakinku.
Halin cututtukan cututtukan yanayin tsakiya yana da irin waɗannan alamu:
- yawan fitsari yana raguwa
- saukar karfin jini
- fitsari na wari kamar acetone
- akwai cuta a cikin narkewar hancin ciki (gudawa, tare da amai).
Ana nuna mummunan nau'in acetonuria tare da alamu masu zuwa:
- lokacin motsa jiki
- asarar sani
- zafi a idanu
- bushewa da mucous membranes,
- yawaita hanta a girma,
- fata peeling
- zazzabi
- urination kusan gaba daya tsaya.
Eterayyade jikin ketone a cikin fitsari
Kwayar cutar cututtukan cututtukan cututtukan ƙwayar cuta ta acetonuria suna taimakawa wajen faɗakar ƙararrawa a kan kari. Koyaya, ana iya gano gawar ketone a cikin fitsari ta hanyar bincike kawai. Ana yin su duka a cikin likita da kuma a gida. Kuma a cikin na farko da na biyu, bayan an sami sakamako mai kyau, ya kamata ka nemi shawarar likita nan da nan. Ya kamata a danƙa ikon sarrafa Ketonuria ga ƙwararren likita. Wanne likita don tuntuɓar ya dogara da halayen aikin acetonuria:
- a babban zazzabi - ga mai ilimin hanyoyin kwantar da hankali ko ƙwararrun cututtukan cuta,
- idan jikin ketone yana faɗaɗa fitsari a kan cututtukan ƙwayar cuta ta mahaifa - zuwa ga endocrinologist,
- lokacin da acetone ke tsokani da giya mai giya - ga masanin ilimin fata,
- yayin daukar ciki - ga likitan mata,
- idan ƙanshi na acetone a cikin fitsari ya bayyana sakamakon guba tare da abubuwa masu guba - ga likitan toxico,
- tare da pallor na fata da bushewa daga cikin mucous membranes - ga likitan ilimin jini.
Nazarin mahaifa ga jikin ketone
A cikin yanayin dakin gwaje-gwaje, ana gano acetone a cikin fitsari ta amfani da gwaji na musamman. An fassara sakamakon kamar haka:
- (-) - Ba a gano abubuwa masu ketone ba,
- (+) - rauni mai kyau tasiri,
- (++) da (+++) - kyakkyawan sakamako,
- (++++) - amsawar tayi kyau kwarai da gaske.
Don ƙayyade kasancewar jikin ketone a cikin fitsari, dole ne a tattara kayan kayan da suka dace. Za ku iya yin wannan ta:
- Da safe, ya kamata mai haƙuri ya wanke sosai.
- Ya kamata a tattara kayan kayan halitta (70-100 ml) a cikin akwati mai tauri kuma a rufe shi nan da nan.
- Fitsari ya kamata a kawo shi zuwa dakin gwaje-gwaje har yanzu suna da ɗumi.
Ketonuria - jiyya
An rage jinya a cikin wannan yanayin tare da cire acetone daga jiki. Ana iya cimma wannan ta hanyar daidaita daidaiton ruwa. Kuna buƙatar sha sau da yawa (kowane minti na 10-15) a cikin kananan sips. Kyakkyawan zaɓi shine alkaline har yanzu ruwa da kwalliyar raisins. Don rage taro na jikin ketone a asibiti, an sanya infusions na ciki tare da saline.
Abubuwa masu zuwa na gaba zasu taimaka wajen tsarkake jikin:
Idan jikin ketone a cikin fitsari ya ɗaga sama kuma wannan yanayin yana haɗuwa da amai, ana iya yin allurar allurar Cerucal. Mai haƙuri yana buƙatar ƙin abinci a wannan rana. A lokaci guda, yana da mahimmanci a kula da rage nauyin a kan hanta, wanda tuni bai jimre da sarrafa sassan ketone ba. Normalize aikin wannan sashin na ciki zai taimaka wa irin wadannan kwayoyi:
A matsayin maganin ba da taimako, ana iya bada shawarar magungunan jama'a. Abubuwanda ke warkarwa, misali, daga hawthorn ko valerian, ana yawan amfani dasu azaman "shirin kwantar da hankali". Shayar shayi na Chamomile, ruwan sha na 'ya'yan itace da kuma ciyawar' ya'yan itace da aka bushe zasu taimaka wa maye. Bugu da kari, a gida, zaku iya yin enema mai tsarkakewa (a gareshi, an dauki 1 tablespoon na gishiri don lita 1 na ruwa).
Abincin abinci don ketonuria
Gyara yanayin haƙuri kuma ya hana ƙarin haɓakar acetone ta amfani da abinci mai kyau. Ya kamata likitan da ke halartar abincin su tsara shi. Lokacin ƙirƙirar tsarin abinci mai gina jiki, zaiyi la'akari da dalilan da suka haifar da haɓaka haɗarin ketones a cikin fitsari, da kuma yanayin mai haƙuri gaba ɗaya. Wannan abincin yana da tsayayye kuma dole ne a kiyaye shi sosai. Abubuwan da aka haramta don ketonuria:
- burodin farin burodin,
- nama, kifi da naman kaza mai daɗin ciyawa,
- 'ya'yan itatuwa Citrus
- kyafaffen nama
- kofi
- kirim da mai mai tsami mai tsami,
- zobo
- tumatir
- irin abincin da aka girka
- ayaba
- abincin gwangwani
- wani daskararre
- tafarnuwa
- albasarta kore
- offal.
Abincin da aka ba da shawarar tare da taro a cikin fitsari na jikin ketone:
- naman alade mai kitse mai kadan, naman maroƙi da kaza,
- m cheeses
- Boiled ko gasa mai mai mai,
- ba-acidic sauerkraut,
- cuku gida mai mai mai yawa
- stewed kayan lambu
- oatmeal da buckwheat hatsi,
- gasa burodi
- kayan miya
- walnuts.
Ketones a cikin fitsari yayin daukar ciki
A yadda aka saba, mace mai ciki bai kamata ta sami jikkunan ketone a cikin fitsari ba. Idan bincike ya nuna kasancewar KET a cikin fitsari, galibi mace mai ciki za a nuna ta a asibiti.
Duk da gaskiyar cewa karuwar acetone a cikin mace mai ciki ba koyaushe yana nuna mummunar cutar ba, kawai tare da bincike na ciki-haƙuri, likitoci za su iya gano ainihin abin da wannan ke nufi da dalilin da yasa ake nuna alamar ket a cikin fitsari.
Yawancin lokaci a cikin mata masu juna biyu, yawan ketone na yau da kullun a cikin jiki yana faruwa ne akan asalin cutar guba, musamman tare da yawan amai.
Ko ketonuria na iya haɓaka da asalin gestosis (toxicosis na ƙarshen sati ɗaya) saboda canje-canje a matakan hormonal da kuma yawan abinci mai yawa a cikin sunadarai da mai. Kari akan haka, za a iya cudanya tsakanin juna biyu da wannan cuta saboda dalilai masu zuwa:
- hoto ko bidiyo mai zagaya yanar gizo da sauri da cututtuka na kwayan cuta,
- ciwon sukari mellitus
- lalacewar hanta
- cututtukan oncological
Kasancewar acetone a cikin fitsari na iya zama mai haɗari ga mace mai juna biyu. Ketonuria yana barazanar ba kawai rayuwar da lafiyar yaron ba, har ma da mahaifiyar.
Wannan halin na iya haifar da ashara, haihuwar haihuwa har ma da coma. Idan mace mai ciki ba ta da lafiya, ta lura mai rauni mai yawa, amai, kuma a lokaci guda, ana samun ketones a cikin fitsari, wannan yanayin yana buƙatar magani a asibiti.
Alama bayyanar cututtuka
Tsarin tarin ƙwayoyin ketone a cikin jiki yana tare da alamu waɗanda ba kai tsaye waɗanda suke da sauƙin ganewa kafin nazarin.
Wani wari mara dadi na acetone daga bakin ciki, wanda zai iya hade da kara gajiya, tashin zuciya, har ma da amai, zai nuna ketonuria.
Bayan waɗannan alamun, yara na iya samun alamun cutar sankarau kamar:
- raguwa a cikin aiki na jiki,
- pallor na fata,
- rage cin abinci
- ciwon ciki a cikin cibiya.
Abubuwan da aka lissafa ana lura dasu wasu lokuta akan asalin yanayin zafin jiki (37-39 digiri).
Binciko
Bayyanar jikin ketone a cikin fitsari muhimmin bincike ne na likita don gano matakin maye tare da acetone na jiki. Ketonuria a cikin yanayin da aka yi sakaci zai iya haifar da mummunar cutar ga mutane, saboda haka, idan an gano acetone a cikin fitsari, yana da muhimmanci a kafa ainihin dalilin wannan ilimin.
Ya kamata a yanke hukunci na ƙarshe game da fitsari a gaban jikin ketone a ciki wanda likita ne kawai za'ayi shi. Hanyoyi don gano gaban acetone a cikin jiki sun haɗa ba kawai gwajin fitsari ba, har ma da gwajin jini, godiya ga wanda zai yuwu don ƙayyade ƙayyadaddun matakin jikin ketone a cikin jini.
Dangane da ƙarin gwaje-gwaje na dakin gwaje-gwaje, likita zai iya tantance ko ciwon sukari shine dalilin da aka gano ketones a cikin fitsari, ko kuma wannan cutar ta taso ne daga asalin wata cutar.
Theimar iyaka, wanda ke zama alama don ƙarin saka idanu game da yanayin mai haƙuri, an ƙaddara shi a matakin 0.5 mmol / l a cikin gwajin jini. Mai nuna alamun fiye da 1-2 mmol / l zai nuna tsawan maye da ketones.
Don tabbatar da bayyanar cutar sankarar mellitus, ban da wani babban binciken akan matakin jikin ketone a fitsari da jini, ana yin gwajin jini don glucose. Idan ƙudurin glucose bai nuna yawan ƙa'idodin ba, za ku buƙaci neman wani sanadin cutar.
Kula da abinci da abinci na Ketonuria
Babban burin maganin warkewa don ketonuria shine cire acetone daga jiki. Matakan marasa haƙuri sun haɗa da jiko na ciki tare da saline da magani. Amma asibiti tare da ƙara yawan ketones a cikin fitsari ba koyaushe ake buƙata ba.
Kuna iya rage acetone a cikin fitsari a gida. Abu na farko da ake buƙata shine don dakatar da jiki ta hanyar taimakon enterosorbents, tare da dawo da ma'aunin ruwa.
Gyara yanayin da hana ƙarin karuwa a cikin ketones a cikin jini da fitsari yana da mahimmanci tare da abinci mai dacewa. Abincin abinci don ketonuria ya ƙunshi waɗannan shawarwari masu zuwa:
- Da farko dai, ya zama dole don ware nama mai kitse da kayayyakin kiwo, abincin gwangwani, kyafaffen nama da abinci mai sauri daga abincin,
- an haramta barasa, kofi, koko, cakulan,
- Yana da kyau a cire namomin kaza, tumatir, 'ya'yan itacen citta daga cikin menu,
- Yana da amfani a hada da kayan abinci na fiber a cikin abincin, tare da cinye ruwan lemo, ruwan 'ya'yan itace, compotes daga berries da' ya'yan itatuwa da aka bushe, da kuma hada abincin da hatsi.
Marasa lafiya da ciwon sukari ana rubanya allurai na insulin. Tare da cututtukan hanta, ana nuna magungunan da ke tallafawa aikin wannan sashin. Dukkanin marasa lafiya, ba tare da togiya ba, ana ba da shawarar yin amfani da ruwan alkaline (yin burodi soda).
Idan aka gano ketonuria a cikin lokaci, ana aiwatar da ingantaccen magani kuma abinci ya daidaita, ƙimar cutar cututtukan cututtukan cuta abu ne mai kyau.
Hanyoyin jiyya
Babban burin aikin jiyya tare da ketonuria shine a kawar da cutuka na acetone a cikin jiki da wuri-wuri. Mafi sau da yawa, maza da mata da ke da irin wannan cututtukan an tsara su ne ta hanyar magani, ɗayan mafi mahimman matakan wanzuwar ƙwayar cuta cikin ciki tare da saline. Idan abun cikin ketones a cikin fitsari bashi da mahimmanci, za'a iya aiwatar da maganin a gida.
Abu na farko da ake buƙatar ayi don rage abubuwan jikin jikin ketone shine a daina shawo kan sihiri tare da daidaita ma'aunin ruwa. Hakanan, mai haƙuri yana buƙatar sake duba abincinsa kuma ya bi wani abinci na musamman wanda zai taimaka cire acetone daga jiki kuma ya hana haɓakarsa.
Abinci ya ƙunshi bin waɗannan ƙa'idodi:
- dole ne mara lafiya ya rage amfani da mai kitse, kayan kiwo tare da mai mai yawan kima, da abinci mai guba da abinci mai sauri,
- haramun ne a ci Sweets (cakulan, Sweets, jam, marshmallow),
- haramun ne a sha giya,
- An bada shawara don cire 'ya'yan itacen Citrus, tumatir da namomin kaza daga abincin.
A cikin abincin yau da kullun mutum ya kamata ya kasance abinci mai wadataccen fiber, kowane irin hatsi da kayan miya. Hakanan, tare da ketonuria, compotes da ruwan 'ya'yan itace daga sabo ne da' ya'yan itatuwa masu bushe suna da amfani sosai.
Kammalawa
Gudanar da bincike kan matakin sassan jikin ketone shine mafi mahimmancin binciken bincike wanda ke taimakawa gano ƙetare cikin ayyukan gabobin ciki da tsarin. Tare da yawan wuce haddi na wannan bangaren, an wajabta mai haƙuri rage cin abinci da magani mai guba. Wadannan hanyoyin suna taimakawa wajen cire acetone daga jiki tare da hana ci gaban rikitarwa mai hatsari.