Sanadin karuwar jikin ketone a cikin fitsarin yaro

Ketones sune samfurori na musamman waɗanda ke bayyana yayin metabolism kuma an kafa su a cikin hanta.

Yawan adadin waɗannan mahadi suna haifar da ci gaba na acetonuria, har ma da rikicewar juyayi da cuta na rayuwa.

Ana gano gawar Ketone lokacin da aka sami matsala daban-daban a jikin mutum, don haka bai kamata ya kasance cikin mutum mai lafiya ba. Idan waɗannan mahadi sun bayyana a cikin yaro, ana buƙatar tuntuɓi ƙwararrun masani kusa.

Sanadin ketones

Jikin Ketone yana nuna faruwar cutar acetonemic. Ana nuna shi ta bayyanar da hadaddun alamu sakamakon karuwar taro na samfurori da aka kirkira lokacin iskar shaye shaye.

Cutar na tare da haɓaka adadin ketones a cikin fitsari (ketonuria). Ana gano irin wannan ciwo a cikin 5% na yara kuma galibi yakan faru ne kafin farkon shekaru 13.

Yawancin irin wadannan abubuwan yana bayyana a jikin mutum sakamakon karancin carbohydrates dinsa ko kuma yawan shan glucose. Sanadin acetonuria ya dogara da halaye na metabolism na yaro.

Akwai dalilai da yawa waɗanda zasu iya tsokani ketonuria:

• dogon lokaci tsakanin abinci;
• dogon cin abinci;
• asarar sha'awa cikin abinci;
• danniya
• karancin insulin;
• sakamakon bayan ayyukan;
• cututtuka;
• ciwon sukari mellitus, da sauran cututtukan cututtukan cututtukan endocrine;
• Mafi yawan kitse da furotin a cikin abinci.

Rashin ciyarwa na iya haifar da bayyanar adadin ketones a cikin jariri.

Hanyar acidosis

Lokacin da kitse yake oxidized, samfuran masu zuwa suna kasancewa:

• acid na acetoacetic;
• acetone;
• beta hydroxybutyric acid.

Duk waɗannan abubuwa suna cikin canzawa a cikin hanta, sannan kuma su fita ba tare da cutar da jiki tare da fitsari ba. Haɓaka kowane tsari na cuta yana ba da gudummawa ga karuwar ketones, wanda da farko ya haɗu a cikin jini, sannan ya shiga fitsari. Ana kiran wannan yanayin ketonuria (acetonuria).

Ko da kuwa dalilan da suka haifar da haifar da rashi a cikin matsananciyar motsa jiki, ana sarrafa mai mai a yayin aiwatar da amfani da makamashi, a sakamakon hakan ne ake fitar da mitsitsin acid daga cikin ajiyar jikin. Wadannan abubuwa suna tarawa a cikin hanta, inda ake canza su zuwa Acetoacetic acid, wanda ake amfani dashi azaman madadin glucose. Ragowar sa an canza shi zuwa cholesterol kuma a canza shi zuwa ketones.

Ara yawan abubuwan da ke tattare da acid na acetoacetic na iya mummunar shafar metabolism na makamashi dangane da ɓarnatar da aikin enzyme, wanda ke ba da gudummawa ga haɓakar saurin. A sakamakon haka, zaɓi ɗaya don cirewa shine samarwa da ketone. Wannan yanayin yana haɗuwa da sakamakon guba na acetone.

Tasirin ketoacidosis a jiki

Keacidosis yana faruwa ne saboda dalilai da yawa waɗanda ke haifar da bayyanar cututtuka masu yawa. Iyaye su san wannan halin a gaba don ɗaukar matakan da suka dace don daidaita wannan tsari, tare da hana mummunan sakamako.

Duk mutane suyi hankali da sakamakon abubuwan jikin ketone, gami da ma'anar wannan ga jikin da yadda ake bayyana shi.

Sakamakon yaro:

1. Idan matakin ketones da aka gano yana haɓaka, ketoacidosis yana faruwa. Duk wani yunƙuri na sake sarrafa alkaline ɗin da ya ɓace yana haifar da kawar da jikin carbon dioxide. Wannan ya faru ne saboda tsananin zafin huhun huhun, wanda zai haifar da jijiyoyin jiki da ke shafar tasoshin kwakwalwa.
2. Yawan kwatancen ketones yana rage yawan motsawar jijiyoyi, kuma a wasu halayen yakan haifar da ci gaba na ci.
3. Hangen nesa yana lalata saboda rashin isashshen oxygen, wanda aka yi amfani da shi sosai don kawar da jikin ketone.
4. Abubuwan cikin mucous na hanji da ciki suna cikin damuwa, wanda hakan ke haifar da harin amai da jin zafi a ciki.
5. Kwayoyin salula sun lalace.

Wadannan canje-canjen mara kyau suna faruwa a cikin yanayi wanda akwai adadin ketones da yawa idan aka kwatanta su da matsayin su a cikin mutum mai lafiya (ƙa'idar ba ta wuce 50 mg / l).

Alamomin cutar

Ana daukar Acetonuria alama ce ta wata cuta. Dalilin wannan yanayin yana da alaƙa da haɓakar cutar kansa. Dogaro da tushen, ciwo na acetonuria na iya samun alamun farko ko sakandare.

Ana la'akari da ciwo na farko a cikin yaro a sakamakon ci gaban neuro-arthritic diathesis. Yana faruwa saboda cututtukan ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta kuma yana nufin ƙayyadadden halayen halayen haushi don sabawa mutane da yawa.

Yaran da ke da irin wannan sha'awar galibi sune:

• tausayawa
• m
• m;
• ma m.

A wannan yanayin, jiki yana fuskantar matsaloli kamar:

• rashin enzymatic damar hanta;
• cututtukan endocrine;
• rikice rikice a cikin metabolism na carbohydrates, uric acid, fats.

Cutar sakandare ta haɗu da asalin tashin hankali a cikin yaro ko tsarin ilimin cututtukan cuta. Tare da kulawar likitanci na lokaci-lokaci, zaka iya tantance dalilin da yasa wannan cutar ta tashi, kuma ka tsara tsarin kulawa don kauda alamun cutar ketoacidosis.

Alamun acetonuria na biyu:

• yawan amai ko tashin zuciya;
• kamshi na acetone;
• bari;
• asarar nauyi
• bushe fata
• jin zafi a ciki;
• asarar ci
• numfashi mai karfi
• haushi;
• saurin bugun zuciya;
• zazzabi.

Cutar a farkon mataki ba wuya tare da alamu masu tsanani, saboda haka tana ci gaba da kula da yarinyar da iyayenta. A cikin dan kankanin lokaci, alamun bayyanar cututtukan cututtukan ya zama mafi tsananin ƙarfi, kai ga mahimman ƙima.

Bidiyo daga sanannen likitan yara na Komarovsky game da acetone a cikin yara:

Kwayar cutar sankara

Binciken cutar ya samo asali ne daga ka'idodi 3:

• sane da tarihin marasa lafiya da nazarinsa;
• nazarin alamun yarinyar, tarin gunaguni;
• sakamakon gwaje-gwaje na dakin gwaje-gwaje.

Yakamata yakamata ayi cutarwar ta amfani da wani tsarin na daban. Wannan yana ba mu damar ware sauran hanyoyin cututtukan cututtukan cututtukan da ke faruwa tare da alamu masu kama.

Irin wadannan cututtukan sun hada da:

• ciwan ciki a cikin kwakwalwa;
• cututtuka
• m yanayi na bukatar tiyata;
• narkewa tsarin pathologies.

Hanyoyin gwaje-gwaje na dakin gwaje-gwaje sun haɗa, da farko, wajen gudanar da gwajin jini, da fitsari.

Rashin canje-canje a cikin su, galibi yana haifar da ci gaban ketoacidosis, yana sa ya yiwu a gano asalin bayyanar cutar asedotic.

Yayin fassarar sakamakon da aka samu, masana sun ba da hankali ga sigogi masu zuwa:

1. Kasancewar ketones (a cikin fitsari), wanda adadinsa ya wuce 50 mg / l.
2. Valuesara yawan uric acid gami da haɓakar furotin.
3. Gano glucose.

Increaseara yawan sukari na jini baya nuna ciwon sukari. Wannan yanayin yawanci yakan faru ne bayan gudanarwar glucose a cikin jiki don ramawa saboda karancin carbohydrates.

Hanyoyin jiyya

Ana yin maganin cutar don yin la’akari da rikice-rikice na jiki da cuta.

Ya ƙunshi waɗannan ayyukan:

1. Fatuntatawa mai
2. Carbohydara yawan shan abinci mai narkewa.
3. Yawan cin abinci na enzymes wanda ke taimaka inganta narkewar abinci da kuma karɓar carbohydrates (alal misali, bitamin B, cocarbaxylase).
4. Gudun cikin jijiyar sodium chloride. Iya warware matsalar wajibi ne don motsa jiki don fitar da ruwa da tasirin alkinta akan jikin mai rauni.
5. Gabatarwar glucose (a cikin jijiya), wanda yake wajibi ne don kawar da raunin carbohydrate.
6. Yin amfani da magungunan ƙwayoyin cuta a gaban alamun da suka dace.
7. Maganin rage cin abinci tare da yin amfani da magunguna waɗanda zasu iya samun sakamako mai narkewa. Wannan hanyar magani za a iya amfani dashi ba kawai a asibiti ba, har ma a gida. Babban abu shi ne cewa babu wani mummunan takewa, wanda aka bayyana a cikin nau'ikan hare-hare na kusanci na amai da abubuwan da ke jikin jikin ketone fiye da 500 mg / l.

Kasancewar cututtukan neuro-arthritic syndrome a cikin yaro yana buƙatar waɗannan matakan:

• yarda da ƙuntatawa na abinci;
• Tsara lokacin da aka ware don abinci;
• wariyar da dogon hutu tsakanin abubuwan ciye-ciye.

Gano ƙarancin halayen kirki zuwa ketones ba dalili bane na wajabta asibiti. A irin waɗannan halaye, ana ba da izinin yin ayyukan jiyya a gida.

Shawarwarin abinci mai gina jiki:

• yawancin sauƙi na narkewa a cikin abinci (don hana karancin glucose);
• kitsen mai;
• ƙarancin abinci;
• abin sha mai yawa (zaka iya amfani da shayi mai ɗumi mai dadi, alkaline da ruwan ma'adinai).

A yayin kai hare-hare na lalata da amai akai-akai, ana buƙatar shafa mai gishiri da ruwa akai-akai tare da mafitsara a cikin yini. Idan yaro bai iya shan ruwan kansa ba, sai a bashi ruwa tare da sirinji a cikin adadin da aka lissafta gwargwadon nauyi (ana buƙatar kowane kilogram 120).

Bidiyo daga Dr. Komarovsky game da shan yaro yayin acetone da amai:

Tare da hanyar da ta dace don magani, hadarin kamuwa da cututtukan acetonemic zai ragu tare da farawar lokacin balaga, wato lokacin da yaron ya kai shekaru 14. Ayyukan da suka dace na lokaci-lokaci suna hana ci gaba da cututtukan acetonemic kuma suna taimakawa dakatar da bayyanannunsa.