A cikin cututtukan da ke hade da metabolism da endocrine gland gland insufficiency, canje-canje sunadarai suna faruwa a cikin jikin mutum. Ofayansu shine acetone a cikin fitsari don ciwon sukari.
Daga ina fitsarin acetone yake fitowa?
Bayyanar jikin acetone (acetoacetate, hydroxybutyrate, acetone) a cikin fitsari wani gurbi ne ko kuma biyan diyya na jiki. Hakikaninsa shine kamar haka: jiki yana karɓar makamashi daga haɗarin glucose (sukari), shine asalinsa. A jikin mutum akwai tanadi na glucose ─ glycogen, wanda ya tara a cikin hanta da tsokoki. A matsakaici, abun ciki a cikin manya shine 500-700 gr. Wannan shine 2000-3000 kcal. Irin wannan wadatarwar glycogen ya isa jiki ya sami ƙarfin da ake buƙata yayin rana.
Lokacin da glucose ba ya shiga cikin sel kyallen takarda, kuma glycogen ya gaji, jiki ya fara neman wasu hanyoyin da za a samu makamashi kuma yana rushe shagunan mai. Yawan rarrabuwar su yana haifar da samuwar acetone, wanda aka fitar dashi a cikin fitsari.
A cikin cututtukan mellitus na 2, babu acetone a cikin fitsari.
Acine acetone a cikin ciwon sukari alama ce mara kyau
Babban bayyanar cututtuka da rikitarwa
Wani mutum yana haɓaka halayyar mara kyau. Fitsari ya zama mai haske da mai kashewa. Kamshin yana fitowa ba wai kawai daga fitsari ba, har ma da fata. Wannan yanayin yana da haɗari. Idan baku dauki matakin da ya dace ba na insulin a daidai lokacin, to wannan babu makawa zai haifar da rikitarwa.
Ana fitar da gawar Acetone a adadi mai yawa a cikin irin waɗannan halaye:
- tare da mummunan acidosis (matsakaicin ma'auni na pH zuwa acidity);
- a cikin yanayin predomatous;
- tare da ketoacidotic (hyperglycemic) coma.
Babban taro na acetone yana haifar da ƙasa mai ma'ana kamar coma. Yana ci gaba tare da raguwa mai yawa a cikin ƙona glucose. Wannan yana tattare da tarin acetoacetic acid, wanda ke canza kaddarorin jinin, yana damun cibiyar numfashi, yana haifar da zurfin numfashi. Acid guba na iya haifar da cikakkiyar asarar hankali lokacin da tushen alkaline na jiki ya ragu zuwa 15% (tare da ka'idar 55-75%).
Fitsari tare da ketoacidosis yana da takamaiman wari
Harcingers na coma:
- rashin ruwa, bushewar harshe;
- gashin ido yana da laushi saboda raunin da ke barin jikin mara lafiyar (abu ne mai ma'ana tsakanin retina da ruwan tabarau, ruwa kashi 99%);
- akwai alamun rushewa ─ yawan bugun fitsari, saurin bugun zuciya, raguwar matsin lamba (jijiya da jijiyoyi), kara jan fuska;
- vomiting (acetone yana shafan ƙwayar jini a cikin kwakwalwa);
- jin zafi a cikin yankin na ɓacin rai sakamakon wani ɓacin rai na aikin ƙwayar ƙwayar ƙwayar cuta ko gastritis mai guba;
- an rage adadin diureis gaba ɗaya.
Yawancin lokaci, momaji na tasowa a hankali kuma ba koyaushe ake lura dashi ba. Zai iya tsokanar aikin yi, canjin yanayin, kamuwa da cuta.
Idan ba a gano acetone fitsari a cikin lokaci ba, mai haƙuri na iya fuskantar coma na hyperosmolar
Bayyanar cututtuka da lura da ketoacidosis
A cikin ciwon sukari, an tsara irin wannan gwajin fitsari:
- asibiti (janar);
- da Nechiporenko;
- samfurin gilashi uku;
- girma na yau da kullun.
A farkon alamun karuwar acetone, ya zama dole a sha gilashin shayi mai daɗin sha da kwanciyar hankali kaɗan, tunda a sauran jiki jiki yana buƙatar ƙasa da glucose.
Takaddun gwajin ƙwayar cuta na iya gano gaban acetone a cikin fitsari koda a gida
Babban magani shine gabatarwar kashi da ake buƙata na insulin. An wajabta shi sau ɗaya da safe, saboda bayan barci, carbohydrates suna ƙonewa a hankali. A cikin lokuta masu rauni, an wajabta insulin sau biyu: kafin karin kumallo da abincin dare.
Ana amfani da insulin da yawa daga insulin. A layi daya, ana bincika kowane yanki na fitsari don maganin Acetoacetic acid. Wannan yana ba ku damar daidaita magani, yana sa ya zama mai amfani sosai. Sashi na insulin ya rage zuwa karamin lokacin da kwararar acid ke tsayawa.
Don cire acetone, ya zama dole don magance bushewa (aƙalla ruwa na ruwa 3-4). Don dawo da ma'auni na pH, an tsara alkaline abin sha, yana taimakawa cire acetone acid.
Don hana bayyanar acetone a cikin fitsari, kuna buƙatar saka idanu a kai a kai matakinsa, ɗaukar insulin a kan kari, bi abinci.
