Cutar Acetonemic a cikin yara da manya

Tare da raunin glucose na jini, an sake tsara jikin don samar da makamashi daga wasu hanyoyin, yayin da ciwo na acetonemic ke haɓaka. Wannan yanayin yana dauke da ilimin halittar mutum, tunda yana tare da sakin gawarwakin ketone - acetone da keto acid, wanda da yawa yana haifar da maye gawar. Mafi sau da yawa, ciwo yana faruwa a cikin yara, manya tare da gajiya da kiba, marasa lafiya da ciwon sukari mellitus da sauran rikicewar endocrine. Increasearuwar maida hankali a cikin acetone yana haɗuwa da hucewa, amai, da rashin ruwa. Wannan yanayin yana da haɗari ga ƙananan yara da kuma mutanen da ke fama da raunin insulin.

Pathogenesis

Hanya mafi sauki ga jiki don biyan bukatun makamashi shine karya glucose. A cikin adadi kaɗan, koyaushe yana cikin jininmu; asalin abincinta shine dukkanin abinci tare da carbohydrates. Bayan cin abinci, matakin glucose na jini ya tashi cikin sauri, sannan kuma cikin sauri jini yana yada shi zuwa dukkanin sel na jiki.

Idan mutum bai ci abinci a kan lokaci ba, toshewar glycogen zai rufe shi. Polysaccharide shine adana a cikin hanta da tsokoki. Jikin tsoka zai iya adana har zuwa 400 g na glycogen. Ana amfani da wannan sukari a cikin gida, a wurin, kuma ba shi iya shiga cikin jini. Babu ƙasa da glycogen a cikin hanta - kimanin 100 g cikin manya da 50 g a cikin yara na makarantar firamare. An jefa shi cikin jini kuma ya bazu ko'ina cikin jiki. A karkashin yanayi na al'ada, wannan glycogen ya isa kusan kwana ɗaya, tare da motsa jiki ana kashe shi ƙasa da awa ɗaya. A cikin yara, glycogen yana cinyewa da sauri, saboda salon rayuwarsu yana da aiki fiye da na manya, kuma ajiyar ƙwayoyin polysaccharide ba su da ƙasa.

Ciwon sukari da hauhawar jini zai zama abin da ya wuce

• Normalization na sukari -95%
• Cirewa kan jijiyoyin mara wuya - 70%
• Cire zuciyar mai karfin zuciya -90%
• Rabu da cutar hawan jini - 92%
• Increasearuwar kuzarin rana, inganta bacci da dare -97%

Idan kantin sayar da glycogen ya lalace, kuma ba a karɓi sukari cikin jini ba, jiki ya haɗa da wata hanyar - lipolysis. Wannan shine aiwatar da rarrabuwar kitse zuwa kitse mai mai sannan kuma a cikin coenzyme A. A cikin halayen da suka biyo baya, ana fitar da kuzarin da jikin yake buƙata, ana amfani da sinadarin cholesterol da ketone. A cikin adadi kaɗan, ketones suna da haɗari, ana iya samun su cikin fitsari da jini, ba tare da haifar da lahani ba. Idan mai ya lalace cikin aiki, to rashin ruwa ko matsalolin koda, acetone bashi da lokacin da za'a share shi ya fara tarawa. A wannan yanayin, suna magana game da ciwo na acetonemic. Alamomin ta sune ci gaban ketones a cikin jini - acetonemia da fitowar su a cikin fitsari - acetonuria.

Muhimmi: Shin muna buƙatar jin tsoron acetone a cikin fitsari da kuma dalilai na karuwa, munyi magana game da wannan anan - karanta ƙarin

Sanadin Cutar

Rashin karancin glucose da cututtukan acetonemic da ke tattare da rikice-rikice na iya haifar da:

1. Rashin wadataccen carbohydrates tare da abinci, alal misali, ƙarancin abincin carb don asarar nauyi ko ga marasa lafiya da ke fama da ciwon sukari. Rashin carbohydrate na dogon lokaci yana rage ikon hanta don adana glycogen, don haka ciwo na acetonemic yana haɓaka tsakanin mabiyan irin wannan abincin da sauri fiye da mutanen da ke cin isasshen saccharides. A cikin yaro, ikon ƙirƙirar glycogen an kafa shi tun kafin haihuwa. Saboda ƙaramin lambarta, jarirai suna buƙatar ƙarin abinci akai-akai tare da m abun ciki na carbohydrate.
2. M, mai-furotin abinci tare da dangi rashin carbohydrates.
3. Yanayi tare da karuwar kuzarin kuzari. Cutar acetonemic saboda wannan dalili shine halayyar yara 'yan ƙasa da shekaru 8. Suna da damuwa, kamuwa da cuta, guba har ma tsallake abincin dare na iya haifar da samuwar ketones. Wasu daga cikin jariran suna da yanayin kamuwa da cutar acetonuria, galibi suna da bakin ciki, ta hannu, cikin sauƙi, tare da talaucin abinci da karamin wadatar glycogen. A cikin manya, ana fitar da acetone a cikin manyan ƙwayoyi bayan mummunan rauni, aiki, da kuma fita daga cikin mahaifa, don haka a wannan lokacin ana allurar glucose a ciki.
4. Tare da toxicosis ko preeclampsia, wanda ke haɗuwa da amai da rashin ci, mace mai ciki ba ta samun isasshen ƙwayoyin carbohydrates, don haka fats sun fara karyewa a cikin jikin kuma acetone yana ɓoye. Kamar yadda yake a cikin yara, sanadin ciwo a cikin mata masu juna biyu na iya zama kowace cuta da ƙwarewar motsa rai.
5. Tsarin tsoka mai ƙarfi mai ƙarfi yana ƙone ɗakunan glucose da glycogen, kuma yawan ciwan glucose ya ci gaba har zuwa wani lokaci bayan horo ko aiki na jiki. Don guje wa ciwo na acetonemic, ana bada shawara don amfani da carbohydrates bayan kaya - "rufe taga carbohydrate." Bayan haka kuma, idan manufar darasi ta rasa nauyi, bayan da ba a son ta kamar wasu awanni biyu, tunda a wannan lokacin ce mai take karyewa.
6. Cutar da samarda insulin a cikin nau'in 1 na ciwon suga. Idan babu kwayar kansa, sukari gaba daya yana rasa ikon shiga sel, saboda haka kitse yana rushewa musamman cikin sauri. Ciwon acetonemic yana haɓaka tare da farawa na ciwon sukari mellitus ko isasshen kashi na shirye-shiryen insulin kuma yana iya haɓaka cikin sauri cikin coma na ketoacidotic.
7. Decreasearin raguwa a cikin insulin kira a cikin matsanancin mataki na 2 nau'in ciwon sukari. A matsayinka na mai mulki, a wannan lokacin ana tura mai haƙuri zuwa asibitin insulin don magance cutar hyperglycemia da yunwar. Idan wannan bai faru ba, tare da haɓakar sukari na jini, ciwo na acetonemic yana haɓaka.
8. Resistancearfafa insulin mai ƙarfi a cikin marasa lafiya da ke fama da ciwon sukari na 2. A wannan yanayin, duka sukari da insulin sun isa cikin jini, amma membranes tantanin halitta baya barin su shiga. Babban dalilin juriya shine kiba da rashin motsi.
9. Yin amfani da giya akai-akai yana taimakawa rage yawan glycogen, wanda ke haɓaka ci gaban ciwo.

Bayyanar cututtukan Acetonemia

Na farko alamun yana hade da maye gurbin ketone. Za a iya jin rauni, gajiya, tashin zuciya, ciwon kai, nauyi, ko wasu rashin jin daɗi a cikin ciki.

Yayin da tattara abubuwan ketones ke ƙaruwa, ana lura da abubuwa masu zuwa:

• m vomiting. Haƙiƙa na iya ɗaukar sa'o'i da yawa, a wannan lokacin ne mai haƙuri ya ɓace duk ruwan da aka cinye lokacin wannan lokacin. Vomit yana fitar da ƙanshin acetone. Matsalar amai da gudawa ko jini;
• wari guda daya ake ji daga numfashin mara lafiyar, wani lokacin kuma daga fatarsa;
• zafi a cikin peritoneum, sau da yawa yana kama da alamomin mummunan ciki: kaifi, tsananta bayan matsin lamba. Zazzabin cizon sauro na yiwuwa;
• rauni da sauri. Yaron ya ta'allaka ne kuma ya mayar da martani ga abubuwan da suka gabata a gare shi;
• photophobia - mai haƙuri ya nemi kashe haske, ya zana labulen, ya yi gunaguni da zafi a idanun;
• zazzabi na iya tashi;
• fitsari saboda yawan amai da gudawa, mai haƙuri yana da busassun lebe, ƙanƙanin yau, ana fitar fitsari a cikin ƙaramin abu, duhu mai launi.

Idan yaro yana da cutar cututtukan acetonemic, yana da alamu guda ɗaya lokaci zuwa lokaci. Bayan wasu abubuwa biyu na acetonemia, iyaye sun koyi hanzarta ganewa da dakatar da wannan yanayin. Jiyya a gida yana yiwuwa tare da alamun farko na cutar. Idan jariri ya ɗan sha kadan kuma yana iya zama urin uri, tunda duk ruwan da yake fitowa tare da amai, kuna buƙatar kira likita. Theara ƙaramin yaro, da sauri yana ci gaba da bushewa.

Hadari da yiwu sakamakon

Mafi yawancin lokuta, ana kirkiro gawar ketone a cikin karamin karami, wanda kodan da huhu ke bankawa kuma basu da alaƙa da haɗarin kiwon lafiya. Cutar Acetonemic tana da haɗari ga yara, marassa lafiya da masu ciwon sukari.

A cikin yara, saboda ƙananan nauyin su, tarowar ketones yakan tashi cikin sauri, amai yana farawa kuma rashin ruwa mai haɗari yana tasowa. A cikin wannan halin, ba shi yiwuwa a gare su su ba da carbohydrates a cikin abinci, saboda haka ana buƙatar asibiti da haɗarin infusions na glucose.

A cikin ciwon sukari, acetone ba shi da haɗari idan an haifar da shi ta hanyar abinci mai ƙarancin carb ko aikin jiki. Amma idan cututtukan acetonemic yana haɗuwa da sukari mai jini, haɗarin yana ƙaruwa sosai. A wannan yanayin, ana lura da polyuria - wuce kima na fitsari, wanda ke haifar da bushewa. Jiki yana amsa rashin ruwa ta hanyar riƙe fitsari, kuma daga nan ketones. Zuwa tarawar acetone zai iya haifarda cutar sankarar mahaifa, tare da gazawar koda. Increasearuwar yawan ketones yana ƙaruwa da yawan jini da acidity. Hadaddun wannan cuta da ke sama ana kiranta ketoacidosis mai ciwon sukari. Idan baku dakatar da shi a cikin lokaci ba, ketoacidosis yana haifar da cutar hyperglycemic.

Binciko

Yawancin lokaci ba shi da wahala a san dalilin jin daɗin haƙuri a cikin masu ciwon sukari idan yana amfani da glucometer a kai a kai kuma yana kula da lafiyarsa. Zai fi wahala a bincika farkon abin da ya faru na ciwo na acetonemic a cikin yaro, yawanci jariran da ke da alamomin halayen suna asibiti a cikin ƙwayar cuta, kuma bayan an gano madaidaiciyar ƙwayar cuta, an tura su zuwa sashin gastroenterological don magani. Nan gaba, iyaye za su iya siyan kayan aikin don tantance acetone a gida, kuma su binciko tare da dakatar da ciwo a cikin lokaci ba tare da taimakon likitoci ba.

Hanyoyin dakin gwaje-gwaje

A asibiti, ana ɗaukar jini da fitsari don gano ketones. A cikin fitsari, acetone an ƙaddara ta hanyar daɗaɗɗen ƙwayar cuta, sakamakon wannan bincike yana daga 1 zuwa 4 ƙari. A mafi girma maida hankali, da more taraes.

Bayani na bincike:

An ƙaddara ketones na jini a cikin mmol / l, al'ada shine a daga 0.4 zuwa 1.7, gwargwadon hanyar da aka yi amfani da ita a cikin bincike. An lura da haɓaka zuwa 100-170 mmol / l ƙimar ketoacidotic.

Bayyana hanyoyin

A gida, acetone a cikin fitsari ana iya gano shi da sauƙi ta hanyar tsararren gwaje-gwaje na musamman waɗanda ke aiki akan ka'idodin takaddun litmus. Mafi na kowa sune Ketogluk (kwafsa 50 na 240 rubles), Uriket (150 rubles), Ketofan (200 rubles). An tabbatar da maida hankali ne game da matsayin karancin gwajin gwaji bayan nutsewa cikin fitsari.

Sharuɗɗan amfani:

1. A tattara fitsari a cikin kwandon shara. Don bincike, fitsari ya zama sabo, ba za a iya ajiye shi sama da awanni 2 ba.
2. Samu tsiri gwajin. Rufe akwati nan da nan, saboda ragowar raguna suna taɓarɓuwa daga hulɗa da iska.
3. Partashin ɓangaren tsiri tare da nuna alama a cikin fitsari na tsawan 5 seconds.
4. Outauki fitar da tsiri. Ta taɓa gefenta a adiko na goge baki domin a sha fitar da fitsari da yawa.
5. Bayan mintuna 2, kwatanta launi na mai nuna alama tare da sikelin akan kunshin kuma ƙayyade matakin ketones. Yawancin cikakken launi, acetone mafi girma.

Marasa lafiya tare da ciwon sukari na iya amfani da samfuran glucometer waɗanda zasu iya gano duka sukari da ketones jini. Don gano acetone, zaku sayi abubuwa daban.

Jinyar ciwon Acetonemic

Dokar gabaɗaya don magance cututtukan acetonemic shine kawar da bushewa. Ana buƙatar ba da haƙuri sau da yawa, amma kaɗan kaɗan, ruwa. Idan aka lura da maimaita akai-akai, zaku sha cokali ɗaya a kowane minti 5 har sai alamun rashin ruwa ya ɓace kuma fitsari zai fara fita daidai gwargwado. A lokaci guda, dole ne a kawar da tushen acetonemia.

A cikin marasa lafiya da ciwon sukari

Idan acetone ya bayyana a cikin ciwon sukari, abu na farko da ya kamata ka yi shine auna glucose jini. Idan an ƙara girma sosai (> 13 mmol / L), haɗarin ketoacidosis yana da girma. Don rage glucose, kuna buƙatar shan Metformin, ware carbohydrates daga abincin, ko yin allurar insulin daidai.

Acetone zai fara raguwa kawai bayan an dawo da urination na al'ada. Don yin wannan, kuna buƙatar shan abin sha marar amfani, mafi kyawun dukkanin talakawa har yanzu ruwa a zazzabi a ɗakin. Tare da tsawanta na huda, ana amfani da mafita na musamman game da farfadowa - Regidron, Trisol, Hydrovit. Abinci da abin sha tare da carbohydrates ana ba da izinin kawai bayan daidaituwa na glycemia.

A cikin asibiti, mara lafiya za a saukar da sukari na jini tare da taimakon insulin therapy, droppers zai dawo da yawan ruwa a jiki. Tare da isa ga likitoci a kan kari, cutar acetonemic ba ta haifar da lahani ga jiki.

A cikin yara

Cutar Acetonemic cuta ce da ta zama ruwan dare a cikin yara, galibi ana iya dakatar da shi da sauri. Wasu jariran suna “bada” acetone ga kowane cuta, kamar mura ko amai guda ɗaya, har ma ga yanayi sabuwa garesu ko wasannin da suka yi yawa. Wannan bai cancanci tsoro ba, ta hanyar samartaka, shagunan glycogen zasu karu, kuma cutar ba zata daina damuwa ba.

Da zaran yarinyar tana da wani yanayi na daban - hawaye, ɓacin rai, nutsuwa, kuna buƙatar auna acetone a cikin fitsari nan da nan. Don yin wannan, ko da yaushe a gida gwajin gida. Idan har ma da ɗan ƙarami, to akwai matsalar rashin carbohydrates. Hanya mafi sauri ita ce yin amfani da ita tare da taimakon abin sha: mai, ko ruwan 'ya'yan itace, shayi. Bayan irin wannan jiyya, samuwar ketones yana tsayawa, ba za a sami amai ba.

Sau da yawa, ba za a iya hana cutar acetonemic ciwo a farkon ba. Yana faruwa cewa amai a cikin yaro yana farawa da sassafe, bayan bacci na dare. A wannan yanayin, dabarun iri ɗaya ne - muna kama jaririn. Zai fi kyau amfani da bushewar 'ya'yan itace compote, maganin glucose ko lemun tsami tare da zuma. Abin sha dole ne yayi ɗumi. Shaye-shayen Carbon abune da ba'a so ba, saboda suna iya kara yawan ciwon ciki. Idan ana maimaita vomiting, bayar da ruwa sau da yawa, ta shayi. Idan yaro yana da ciwon sukari, amma babu hyperglycemia, abin sha mai dadi ya kamata ya kasance tare da gabatarwar insulin.

A lokacin jiyya, kuna buƙatar saka idanu kasancewar urination. Tare da isasshen ƙwayar ƙwayar ruwa, yaro ya kamata ya shiga bayan gida aƙalla a kowane awanni 3, fitsari ya zama mai haske.

Kira motar asibiti don maganin cututtukan acetonemic a cikin yara a cikin waɗannan lambobin:

• jaririn da bai wuce watanni 4 ba;
• amai, duk da magani, ya zama mafi nauyi, duk ruwan da ya bugu ya baci;
• babu fitsari sama da awanni 6;
• amai ya ƙunshi ƙananan barbashi na launin ruwan kasa mai duhu;
• ana lura da rikicewar hankali ko halin da bai dace ba;
• wani bakon numfashi yana nan;
• ciwon mara na ciki baya tafiya bayan wani hari na amai.

Bayan bayyanar farko na ciwo, kuna buƙatar tuntuɓi likitan dabbobi don sanin dalilin. Don kawar da matsaloli tare da ɗaukar ƙwayar carbohydrates, zai tsara janar na gwaji na jini da fitsari, gwajin sukari.

Yadda za a hana sake dawo da acetone

Tare da ciwon sukari, ana iya hana cutar acetonemic kawai ta hanyar diyya mai kyau na cutar. Tare da glucose na jini na al'ada, sakin acetone ba mahimmanci bane, ba za ku iya kula da shi ba. A lokacin rashin lafiya ko damuwa, ana buƙatar auna glucose sau da yawa don gano ci gabansa cikin lokaci. A wannan lokacin, zaku buƙaci ƙara yawan adadin allunan sukari masu rage sukari da insulin.

Ciwon cututtukan dake haifar da tasirin acetonemic na yara a cikin yara na buƙatar ƙungiyar abun ciye-ciye na carbohydrate tsakanin abinci.Tabbatar saka idanu akan amfanin abincin, kamar yadda ciwo yake yawan farawa da dare. Rana ta farko bayan harin yana buƙatar abincin abinci - cracker ko biscuit tare da shayi, shinkafa tare da ruwan 'ya'yan itace. A rana mai zuwa za ku iya ba da abincin da aka saba. Ba a buƙatar abinci mai tsayayyen abinci ba. Dole ne a kiyaye dokoki 2 kawai: a ba da kitse tare da carbohydrates kuma a guji abinci tare da mai mai yawa.

Ba za ku iya kare waɗannan yara daga ƙoƙarin jiki ba, don haɓakar tsoka na al'ada da haɓaka adadin glycogen har ma suna ba da shawarar azuzuwan a sassan. Bayan horarwa, an bai wa jariri ruwan 'ya'yan itace ko ɗan cakulan. Don rage haɗarin cututtukan cututtukan fata, yin rigakafin wajibi ne.

Har yanzu da amfani don koyo:

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