Kev noj zaub mov rau mob acetonemic syndrome hauv cov menyuam yaus

Cov ntsiab lus ntawm cov tsos mob acetonemic yog ua rau tus me nyuam tsis qab los noj mov, rov qab lossis qog tsis haum rau 1-2 hnub, qee zaum ntxiv, pallor ntawm daim tawv nqaij nrog lub ntsej muag plhu ntawm lub plhu, tsis muaj zog, ua tsis tau dab tsi, tsaug zog, mob ntaws, thiab ua rau lub cev kub mus rau 37-38. 5 Cov Qib. Tab sis qhov tshwj xeeb tshaj plaws thiab pab ua kom paub tseeb txog tus mob no yog qhov tsis hnov tsw ntawm acetone los ntawm lub qhov ncauj. Nws tseem tuaj yeem txiav txim siab acetone hauv zis, ntshav, ntuav.

Acetonemic syndrome, los yog kev kub ntxhov, yog qhov qhia ntawm kev mob ntawm lub cev hauv lub cev. Ntxiv mus, tsis muaj qhov txuas tshwj xeeb hauv cov metabolism. Nws tuaj yeem qhia ntau cov kab mob pathological, feem ntau cuam tshuam nrog kev cuam tshuam cov metabolism hauv cov rog thiab carbohydrates. Kev tawm tsam ntawm ntuav ntau zaus rau cov menyuam ntuav thaum menyuam yaus yog qhov ntau heev nrog kev txhim kho ntawm ntau yam teeb meem metabolic tsis txaus thaum twb muaj hnub nyoog ntau dua. Piv txwv, hom 1 mob ntshav qab zib mellitus (insulin-dependant), gout, rog rog, urolithiasis, cholelithiasis, urate diathesis, neuroarthritic diathesis, thiab lwm yam tuaj yeem tsim kho.

Cov niam txiv yuav tsum paub txog ntawm cov ntsiab lus uas ua rau muaj kev phom sij ntawm acetone. Cov no suav nrog:

mob hnyav, ntxhov siab,
yuam noj
kev tsim txom ntawm cov nqaij thiab cov khoom noj muaj roj,
kev siv cov qhob noom xim kasfes, kas fes, cocoa thiab taum.

Kev noj zaub mov noj haus rau cov mob acetonemic syndrome muaj cov lus qhia txog kev noj zaub mov zoo thaum lub sij hawm muaj kev ntxhov siab ntawm Acetone (kev mob uas yuav tsum tau txais kev pab sai) thiab ntxiv cov lus qhia ntev mus rau kev noj zaub mov tshwj xeeb.

Kev noj haus rau cov tshuaj acetone:

Thoob plaws hauv kev mob, nws yog ib qho tseem ceeb rau tus menyuam haus ntau zaus, tab sis hauv feem me me. Tej dej qab zib yog qhov tsim nyog - tshuaj yej, compote, kua txiv thiab lwm yam.

Nrog rau cov tsos mob thawj zaug, muab rau tus me nyuam tshuaj yej qab zib, kua txiv tshiab tshiab, thaum lub caij ntuj sov koj tuaj yeem muab kua txiv cev los yog txiv ntseej. Hauv qhov xwm txheej no, koj tuaj yeem siv dej ntog tawm. Coca-Cola pab tshwj xeeb tshaj yog zoo (paradoxical raws li nws lub suab), lub ntsiab yog kom tsis txhob ua phem rau nws, ib nrab lub khob yuav txaus. Ntxiv mus peb yuav tham txog qhov tseeb tias dej ntws tawm ntawm lub cev yog sib txawv hauv cov menyuam yaus uas muaj kev hloov hauv acetone ntau, tab sis nws yog thaum pib ntawm kev tawm tsam uas lub cev xav tau cov piam thaj - lub hauv paus ntawm lub zog. Tag nrho cov txheej txheem ntawm kev txhim kho ntawm cov tshuaj acetonemic syndrome yog qhov nyuaj heev, nws yog raws li cov txheej txheem biochemical uas nyuaj heev rau tus neeg uas nyob deb ntawm kev tshawb nrhiav kom nkag siab, thiab tsis muaj ib yam dab tsi rau nws. Nws txaus los nkag siab tias nrog lub cev tsis muaj cov piam thaj hauv lub cev (hu ua, nws muab lub cev nrog lub zog), cov txheej txheem rau kev them rov qab tau muab rau, uas yog tsom tau lub zog ua ntej los ntawm cov rog thiab tsuas yog nrog huab tsis txaus los ntawm cov nqaijrog. Thaum cov rog tawg, lub zog thiab lwm yam khoom tso tawm, ib qho yog ketone lub cev, uas txiav txim siab cov tsos mob tau piav qhia saum toj no. Yog li ntawd, thawj qhov yog los muab lub cev nrog lub zog (qabzib), thiab txhua yam dej qab zib yog qhov haum rau qhov no.
Nquag haus cawv txhua lub sijhawm ntawm kev kub ntxhov uas siv cov dej ntxhia tseem tsis xws luag (Borjomi, piv txwv), cov txiv hmab txiv ntoo qhuav compote, npaj tshwj xeeb rau lub cev dej (rov qab ua cov ntim ntawm cov kua dej uas tau ploj) - Humana-Electrolyte, Bio-gay, Hip-Ors. Xws li kev daws teeb meem tuaj yeem npaj ntawm nws tus kheej. Txhawm rau ua qhov no, nws yog ib qho tsim nyog yuav tsum tau yaj 1 teaspoon ntsev thiab 1 tablespoon suab thaj hauv ib liter dej, sib tov kom txog thaum yaj tag thiab muab rau me nyuam haus me ntsis txhua 10-15 feeb, yog tias tus me nyuam haus 1-2 diav ib zaug, qhov no txaus lawm.Hauv cov menyuam yaus nrog ntuav, qhov ntau ntawm cov kua dej ploj, thiab yog tias ntuav yog qhov tsis txaus ntseeg, raws li, cov kua dej ntau, uas yuav tsum tau ua kom sai li sai tau, txwv tsis pub qhov no yog qhov tsis zoo nrog kev txhim kho tsis nco qab, thiab kev kho mob yuav pib nrog kev saib xyuas mob hnyav.
Tus menyuam yuav tsum tsis txhob tshaib plab ntawm qhov tshwm sim ua ntej (tsis kam noj mov, nkees, xeev siab, tsis hnov ntxhiab tsw ntawm lub ncauj los ntawm lub qhov ncauj, mob taub hau, mob plab), tshwj tsis yog lub sijhawm thaum ntuav thiab pub mis rau tus me nyuam tsis tau. Nws yog tsim nyog muab kev nyiam rau cov khoom muaj cov zom zom carbohydrates, tab sis tib lub sijhawm tsawg kawg ntawm cov roj: tsawb, qos yaj ywm mos, zaub, mis, kefir, kua semolina. Tsis txhob yuam tus menyuam, tab sis kom ntxias nws noj.
Kev noj haus yog pom zoo uas siv cov khoom lag luam nrog qhov tsawg kawg nkaus ntawm ketone lub cev nyob rau 3-5 hnub: buckwheat, oatmeal, pob kws porridge, siav hauv dej, qos yaj ywm tsis muaj butter, ci qab txiv apples, ncuav qab zib biscuit.
Nrog rau kev txhim kho hauv cov xwm txheej dav dav tom qab txiav kev ntuav, kefir, mis, thiab zaub kua zaub tuaj yeem nkag mus rau hauv cov zaub mov noj.
Hauv 2-3 lub lis piam tom ntej no, koj yuav tsum ua raws li kev noj haus kom tsawg, tsis suav tag nrho cov nqaij marinades thiab cov nqaij uas haus luam yeeb. Cov khoom yuav tsum muab lo lossis rhaub. Pub mis rau menyuam yaus nyob txhua 2-3 teev.
Tom qab txiav tawm qhov teebmeem, nws raug nquahu kom siv cov tshuaj uas pab txhawb cov qib uric acid hauv cov ntshav, thiab cov tshuaj uas txhim kho cov txheej txheem hauv lub cev hauv lub cev.

Noj cov lus qhia txog kev noj haus rau cov menyuam yaus uas muaj mob raws sij hawm

Kev noj zaub mov zoo thiab kev ua neej nyob niaj hnub yog tus yuam sij rau kev vam meej rau kev kho mob ntawm feem ntau ntawm cov kab mob. Acetonemic syndrome tsis muaj kev zam.

Cov menyuam yaus yuav tsum muaj kev tiv thaiv los ntawm kev ntxhov siab ntawm lub hlwb, txwv saib TV, khoos phis tawj thiab sib txuas lus hauv kev sib tham. Siv tau (corny, tab sis tiag tiag li ntawd) ua si nyuaj, cov kis las lub teeb thiab tsuas yog nyob hauv cov huab cua ntshiab.

Qhov tseeb tseem ceeb yog tias muaj kev puas hlwb rau hauv cov menyuam yaus thaum hnub nyoog 9-11 xyoo. Yog li, tom qab rho tawm ntawm kev tawm tsam, tus me nyuam noj tsis tu ncua rau kev noj zaub mov kom txog thaum tiav hluas. Tom qab ntawd koj tuaj yeem tshem tawm tag nrho cov kev txwv.

Cov ntsiab cai kev noj haus hauv qab no yuav tsum ua raws:

Lub hauv paus ntsiab lus tseem ceeb yog kev tsis suav cov zaub mov uas muaj cov purine hauv paus los ntawm kev noj zaub mov noj thiab kev txwv cov zaub mov uas muaj cov rog. Lub hauv paus lim ntshav yog cov organic sib txuas uas ua cov nucleic acids.
Haus dej kom ntau siv cov dej alkaline ntxhia dej, tshuaj yej ntsuab.
Nquag noj zaub mov ntau ntau txog li 5-6 zaug hauv ib hnub.
Yuam kev, tus me nyuam yuav tsum tsis txhob pub, txawm tias qhov tseeb tias hauv cov menyuam yaus uas muaj kev cuam tshuam los ntawm acetone, qab los noj mov feem ntau raug txo.
Cia tus me nyuam xaiv lawv cov zaub mov raws li cov khoom noj tau piav tseg rau hauv.

Hauv kev noj haus yuav tsum muaj:

cov khoom noj siv mis: mis, kefir, tsis muaj roj-rog fermented ci mis, feta cheese, tawv tawv cheese,
zaub: kua zaub thiab borscht nrog zaub kua zaub, qos yaj ywm, beets, carrots, dos, zucchini, dib, zaub qhwv dawb, radish, zaub xam lav,
txiv hmab txiv ntoo: tsis muaj kua qaub txiv apple, txiv pears, dib liab, dib liab, apricots, txiv kab ntxwv qaub, txiv qaub, txiv ntoo,
cereals: buckwheat, mov, nplej, oat, millet, barley hlaws,
cov khoom lag luam: nqaij ntawm cov neeg laus (nqaij nyuj, nqaij ntshiv), qaib ntxhw, luav, qaib (1-2 zaug ib lim tiam), qe (ib hnub ib zaug hauv daim ntawv ua noj),
nqaij nruab deg: ntses hiav txwv, kale hiav txwv,
dej qab zib: freshly nyem kua txiv nrog pulp, kua txiv cranberry, txiv hmab txiv ntoo qhuav compote, tshuaj yej ntsuab.

Txwv cov nqaij, tshwj xeeb yog nqaij thiab nqaij nyug, nqaij ntses (kib, haus), cov nplais ntses, cov tsiaj rog, txiv kab ntxwv, tangerines, txiv tsawb, hnub, txiv lws suav, nplej zom, ncuav, muffins.

cov khoom lag luam: nqaij ntawm cov tub ntxhais hluas cov tsiaj (nqaij, nqaij qaib), cov nqaij npuas rog, os, jelly, muaj zog ntses thiab nqaij nqaij, nqaij hnyuv ntxwm, offal (nplooj siab, hlwb, raum),
cov nqaij nruab deg: caviar dub thiab liab, sprats, sardines, herring,
qee cov zaub: nceb (qhuav dawb), spinach, rhubarb, asparagus, sorrel, legumes, zaub txhwb qaib, zaub paj dawb,
khoom qab zib thiab dej qab zib: chocolate, kas fes, cocoa, muaj zog dub tshuaj yej, dej muaj zog thiab ncuav muffin,
ntxiv rau txhua yam khoom noj hauv kaus poom, txiv ntoo, khoom noj, nti, qab zib, kiwi.

Thaum tsaus ntuj, nws pom zoo kom muab cov khoom noj uas muaj cov khoom noj tsis muaj txiaj ntsig: rye cij, oatmeal thiab buckwheat porridge, qos yaj ywm.

Yog hais tias tus me nyuam zais noj ib yam dab tsi txwv tsis pub los ntawm nws niam thiab txiv thiab cov ua ntej ntawm kev daws teeb meem ntawm acetone yog pom tau, pib txoj kev pib dua. Nrog rau cov teeb meem tshwm sim heev, nws tsim nyog mus kuaj cov roj ntsha los txiav txim siab txog qib acetone. Qhov no yuav tso cai rau koj los tswj qib uas muaj acetone hauv cov ntshav thiab lub sijhawm tsim nyog pab tus menyuam, kom tsis txhob coj nws mus pw hauv tsev kho mob. Yog tias koj ua raws li kev noj qab haus huv lub neej thiab cov hauv paus ntsiab lus ntawm kev noj zaub mov kom raug, koj txoj kev kawm los ntawm koj tus menyuam yog dab tsi acetonemic syndrome ze rau xoom.

Txog acetone nyob rau hauv kev txheeb xyuas tus me nyuam thiab lwm cov yam ntxwv ntawm cov zis qhia qhov program "Tsev Kawm Ntawv ntawm Dr. Komarovsky":

Dab tsi yog qhov no

Acetonemic syndrome nyob rau hauv cov menyuam yaus tsis yog suav tias yog ib tus kab mob cais, nws yog qhov nyuaj ntawm cov tsos mob cuam tshuam nrog kev txuam nrog ketone lub cev hauv cov ntshav ntshav ntawm tus menyuam. Hauv cov tshuaj, cov kws kho mob muaj lwm lub npe, piv txwv li, tsis muaj ntshav qab zib ketoacidosis lossis mob ncauj plab.

Cov kab mob pathological tshwm sim feem ntau yog menyuam yaus, thiab yog li ntawd nws yog suav tias yog ib txwm raug kev mob tshwm sim thaum yauCov. Qee lub sij hawm tsis muaj lus piav qhia rau kev tawm tsam ntuav; tus mob tshwm sim yog idiopathic lossis thawj. Qhov no tshwm sim hauv kwv yees li 5% ntawm cov menyuam yaus hnub nyoog qis dua 12 xyoos. Tib lub sijhawm, cov menyuam ntxhais muaj qhov cuam tshuam ntau dua li cov menyuam tub.

Yog tias lub hauv paus ntawm cov tsos mob tshwm sim yog qee yam kab mob, tus mob hu ua theem nrab. Yuav ua li cas loj dav nws yog, cov kws kho mob thoob plaws ntiaj teb pom tias nws nyuaj los teb - cov txheeb cais tsuas tsis muaj nyob.

Ketone lub cev uas sib sau ua ke hauv cov ntshav ntshav hauv menyuam yog acetone, b-hydroxybutyric acid, acetoacetic acid. Yog hais tias tus mob yog tus neeg sab nraud idiopathic cov tsos mob nyuab, tom qab ntawd feem ntau acetone crises pib nrog lub sijhawm loj ntawm kev noj mov (ntawm lub plab khoob).

Secondary acetonemic syndrome tsim kev tiv thaiv keeb kwm ntawm tus kabmob ntshav qab zib tsis muaj txiaj ntsig, nrog cov kab mob ntawm cov thyroid caj pas, mob hlwb lub hlwb, muaj cov hlwb hlav, tom qab muaj tshuaj lom loj heev, yog tias muaj cov tshuaj lom rau lub siab, nrog rau kev sib kis mob ntshav siab, mob ntshav tawm.

Hais txog kev mob voos ntsig txog hnoos qeev, nws yuav tsum to taub qhov ntawd nws yog txhua yam hais txog idiopathic acetonemia, tsis muaj theem nrabCov. Yog tias kev txuam nrog ketone lub cev yog txuam nrog cov mob hauv qab, tom qab ntawd qhov kev piav qhia ntawm tus mob ua ib qho txawv ntawm cov tsos mob tsis muaj kev txiav txim siab - tus kab mob tau kuaj pom thiab kho nyob rau hauv txoj kev tshwj xeeb tus kab mob yuav tsum tau kho. Peb yuav tau tham txog qhov xwm txheej, thaum tus menyuam feem ntau noj qab nyob zoo, tab sis qee zaum nws niam nws txiv pom qhov tsis hnov tsw ntawm acetone los ntawm nws lub qhov ncauj, thiab tseem muaj kev ntuav ntuav, uas tsis tuaj yeem piav qhia.

Ketone lub cev tuaj yeem tshwm sim hauv cov ntshav ntshav ntawm cov menyuam yaus uas tau txais me ntsis carbohydrate nrog zaub mov noj. Tsis tas li lub hauv paus yuav muaj peev xwm ua tau ntau dhau ntawm cov rog. Hauv lub siab ntawm cov menyuam yaus, tsawg dua li cov enzymes tsim tawm uas tau koom nrog hauv kev ua kom muaj cov metabolism hauv oxidation. Tsis tas li, rau tag nrho cov menyuam yaus, vim yog lub hnub nyoog ntsig txog lub hnub nyoog, kev siv ntawm cov txheej txheem ntawm kev cais thiab rho tawm lub cev ketone raug txo qis.

Muaj ntau qhov kev tshawb xav ntawm lub hauv paus chiv keeb ntawm cov me nyuam yaus mob ua paug.Raws li ib qho kev ntuav, ntuav pib los ntawm qhov tseeb tias kev mloog zoo ntawm cov piam thaj hauv cov ntshav cov ntshav, yog tias nws tshaib plab thiab lub cev pib tsim cov peev txheej txuag - cov no yog lub cev ketone. Tab sis muaj ntau ntawm lawv ua rau intoxication thiab voos ntawm lub plab zom mov. Chaw pib qhov ntuav tshwm sim.

Raws li lwm qhov tshiab, kev xav txog cov piam thaj hauv lub cev ntawm tus menyuam yaus muaj peev xwm txo qis dua qib ntawm ketone lub cev, thiab yog li no qhov tsis txaus ntseeg tshwm sim.

Tab sis txhua tus kws tshawb fawb pom zoo tias qhov kev txhim kho oob khab feem ntau yog tshaib plab lossis muaj tus kab mob sib kis hauv cov mob hnyav. Cov kev ntxhov siab ntau, qhov kev xav ntawm lub hlwb, lub caij ntev ntev rau lub hnub ci, kev tshaib plab thiab kev siv lub cev ntau dhau, muaj protein ntau thiab rog ntau nyob rau thaum tsis muaj cov khoom noj carbohydrate txaus tuaj yeem ua rau muaj mob ntawm acetonemic ntuav.

Hauv cov menyuam tshiab, ntuav ntuav feem ntau cuam tshuam nrog qhov tseeb tias lawv cov niam tom qab kev txom nyem los ntawm preeclampsia thiab nephropathy.

Cov tsos mob thiab cov tsos mob

Txhawm rau ntau dua, raws li kev soj ntsuam ntawm cov kws kho mob menyuam yaus, cov menyuam yaus muaj qhov ua tau zoo nyob hauv lub koom haum ntawm cov leeg hlwb, cov menyuam yaus nyias nyob hauv tsev, uas ntshai txhua yam hauv ntiaj teb, muaj kev txom nyem los ntawm neurosis thiab ua tsis taus kev pw tsaug zog hmo ntuj, muaj feem ntau rau tus mob no. Qhov tshwm sim ntawm tus tsos mob yog qhov muaj teeb meem acetonemic - mob pathological uas tshwm sim nthawv thiab sai li sai tau lossis tom qab qhov tshwm sim ntawm "kev saib xyuas ua ntej" (qee tus menyuam yaus muaj lub zog ua ntej pib hnoos, tsis kam noj, yws txog mob taub hau).

Qhov teeb meem nws tus kheej yog qhov ntuav heev uas ua rau teb rau txhua qhov kev sim pub mis lossis haus dej rau tus menyuam.

Hauv qhov no, tsis hais ntuav nws tus kheej yog qhov txaus ntshai, tab sis qhov tseeb tias cov cim ntawm intoxication thiab lub cev qhuav dej yog sib zog heev - daim tawv nqaij yuav tsis zoo nkauj ntawm txiv laum huab xeeb, lub qog ua kua xoob tuaj yeem qhuav, nws quaj yam tsis muaj kua muag, daim tawv nqaij ua kom pom kev daj ntseg. Nrog rau kev mob hnyav, kev txhim kho ntawm tus mob huam tsis tuaj yeem tuaj yeem.

Lub cev kub nce mus txog 37.5-38.5 qib. Tus me nyuam yws tias mob plab, tej zaum yuav muaj quav tawv los yog tso quav uas ua tsis taus zoo. Feem ntau, qhov tshwm sim thawj zaug ntawm kev mob tshwm sim rau cov hnub nyoog 2-3 xyoos, yuav nce li ntawm 6-7 xyoo thiab ploj tag los ntawm lub sijhawm tus menyuam muaj 12 xyoos.

Acetonemia yog qhov txawv ntawm lwm qhov ntuav los ntawm tus yam ntxwv hnia dhau ntawm tus menyuam lub qhov ncauj - qee qhov piv nrog txiv ntsej muag zoo nkauj, qee qhov nrog fume. Qhov ntxhiab tsw ntxhiab ntawm acetone no yuav tshwm sim nyob rau ntawm kev muaj xwm txheej, uas yog, ua ntej pib ntuav. Nws tsis hnov tsw tsis yog los ntawm lub qhov ncauj, tab sis kuj los ntawm cov zisCov. Qee lub sij hawm hnov tsw yuav tsuas yog hauv qhov chaw ze ntawm tus menyuam, thiab qee zaum txawm tias nyob deb ntawm ob peb meters.

Yuav ua li cas

Nws yuav muaj kev ua kom tsis raug rau lwm yam kev lis kev cai thiab tsis txhais tau zoo. Nws yog qhov zoo dua los pib los ntawm kev mus ntsib tus kws kho menyuam yaus uas yuav paub meej tias hom pathology yog dab tsi - theem pib lossis theem nrab. Tus menyuam yuav raug kuaj nyob tom tsev kuaj. Hauv cov kab mob pathological no, cov kev kuaj ntshav feem ntau yog cim los ntawm leukocytosis, cov ntsiab lus ntawm neutrophils ntau ntxiv, thiab qhov nce ntawm erythrocyte sedimentation tus nqi. Ketone lub cev pom nyob hauv cov zis.

Nws yog ib qho tseem ceeb heev uas yuav tau mus ntsib kws kho mob nrog tus menyuam, vim tias cov tsos mob no zoo xws li mob hnyuv tws, mob peritonitis, mob rau daim npluag qhwv paj hlwb, mob hlwb, mob qog, mob hlwb thiab ua rau mob hnyuv. Tsuas yog cov kws muaj txuj ci kho mob muaj peev xwm paub qhov txawv ntawm ib qho.

Acetonemic syndrome yuav tsum tau kho kom to taub, thiab lub luag haujlwm tseem ceeb yog txoj kev raug tawm ntawm kev puas ntsoog thiab tiv thaiv kom tsis txhob rov ua mob. Yog tias tus me nyuam tseem me me, ces lub cev qhuav dej tuaj yeem tsim kev tuag taus rau nws. Yog li, nws raug nquahu kom mus pw hauv tsev kho mob menyuam yaus hauv tsev kho mob menyuam yaus, qhov chaw kho mob yuav tsis pub lub cev qhuav dej. Kev noj haus nrog cov mob acetonemic syndrome yuav tsum muaj kev txwv ntau dua nyob rau hauv cov zaub mov ntawm cov rog, tab sis nws raug nquahu kom noj cov khoom noj carbohydrates, uas tau nrawm nqus yam tsis muaj kev thauj khoom (los ntawm zaub mov, cereals). Cov ntawv qhia zaub mov yuav tsum muaj cov txheej txheem haus tshwj xeeb - koj yuav tsum haus ntau thiab tsawg los ntawm me.

Qee qhov ntawm lub cev ketone uas tau nkag mus rau hauv txoj hnyuv tuaj yeem tso tawm los ntawm kev siv cov tshuaj sodium sodium tawm los (sodium bicarbonate tov yog siv los npaj nws). Nrog rau mob voos vim tsis muaj acetonemic, tus me nyuam raug nquahu kom tswj hwm qhov ncauj ntawm cov neeg sawv cev rau lub cev qhuav dej (ntxiv cov dej-ntsev sib npaug). Rau qhov no, thov Regidron, Humana Electrolyteraws li zoo li alkaline dej ntxhia lossis dej qab ntsev hauv tsev raws li tus txheej txheem ntawm Dr. Komarovsky.

Antiemetics, xws li “Cerucal”, tshuaj antispasmodics, tshuaj ntsuab zoo. Nrog rau txoj hauv kev txuas nrog txhawm rau tshem tawm lub cev qhuav dej, cov tsos mob ntawm lub ntsoog cia rau 2-4 hnub.

Provocative yam

Ntau yam cuam tshuam rau lub cev ntawm tus menyuam los ntawm sab nraud kuj raug txheeb xyuas, uas tuaj yeem ua rau kev txhim kho mob hauv cov kab mob acetonemic hauv cov menyuam yaus:

1. Cov khoom noj tsis zoo, ua tiav rau lub tshaib plab rau lub sijhawm ntev.

2. Cov mob txhab.

3. Raug rau cov co toxins, suav nrog thaum muaj mob.

4. Ua txhaum ntawm lub plab zom mov uas tshwm sim los ntawm cov khoom noj tsis txaus.

5. Cov kev hloov ntawm nefropathic.

Hauv kev laus, qhov ua kom muaj kev txuam nrog ketone lub cev feem ntau yog ntshav qab zib. Ib qho nyiaj tsis txaus ntawm cov insulin inhibits kev nkag ntawm cov piam thaj ntawm cov organic keeb kwm mus rau hauv cov hlwb, uas ua rau nws cov kev txuam nrog hauv lub cev, suav nrog cov zis.

Kuj muaj ntau zaus, kev mob ntsws mob hlwb yuav tshwm sim rau cov menyuam yaus uas muaj cov kev cai tsis meej, uas pom los ntawm qhov tshwm sim ntawm neuro-arthritic diathesis. Hauv cov menyuam yaus tawm tsam keeb kwm ntawm xws li kev kuaj mob, nce siab thiab dhau ntawm lub hlwb poob siab, cov nqaij ntshiv, lub sijhawm, neurosis thiab cuam tshuam kev pw tsaug zog tau pom.

Nrog rau qhov no, tawm tsam cov keeb kwm ntawm neuro-arthritic tsis meej txoj cai, tus me nyuam kawm kev hais lus ceev dua, cim xeeb thiab lwm yam kev paub. Tawm tsam ntawm cov keeb kwm yav dhau los ntawm cov kab mob pathology, cov menyuam yaus pom kev cuam tshuam cov metabolism ntawm uric acid thiab purines, uas ua rau urolithiasis, mob caj dab, gout, rog, glomerulonephritis thiab ntshav qab zib mellitus hauv neeg laus.

Cov tsos mob tseem ceeb ntawm kev muaj acetone hauv cov menyuam yaus yog:

1. Cov tsos ntawm kev ua pa tsw phem, nco txog ntawm acetone. Daim tawv nqaij thiab zis ntawm tus menyuam pib hnov tsw zoo li qub.

2. Kev mob plab thiab lub cev qhuav dej, pallor ntawm daim tawv nqaij, qhov tshwm sim ntawm ntsej muag tsis zoo.

3. Lub siab xav ntuav ntau dua plaub zaug, feem ntau tshwm sim tom qab sim noj ib yam dab tsi lossis haus. Ntuav yog cov yam ntxwv ntawm thawj hnub ntawm kev txhim kho ntawm cov mob acetonemic.

4. Tachycardia, arrhythmia, kev ua suab nrov hauv lub siab.

5. Kev poob qab los noj mov kom txog thaum nws ua tiav tag.

6. Qhov nce hauv qhov kub ntawm lub cev tsis siab tshaj li 38.5 qib.

7. Thaum pib muaj teebmeem, tus menyuam yuav nyob tsis tswm thiab nyob siab. Nyob rau hauv lub neej tom ntej, muaj kev qaug zog, tsaug zog thiab tsis muaj zog. Muaj qee kis, mob huam vam huam tuaj.

8. Hauv plab zom mov muaj qhov ntswj mob-mob plab, xeev siab thiab tso quav.

Khoom noj khoom haus tsis muaj zog

Feem ntau, cov cim ntawm tus kab mob tshwm sim los ntawm kev noj zaub mov tsis zoo, thaum cov khoom noj carbohydrates yog qhov tsis tuaj ntawm tus menyuam kev noj haus thiab cov rog amino acids thiab ketogenic acids predominate. Kev zom zaub mov nyob hauv tus menyuam lub cev tau nrawm dua, thiab lub plab zom zaub mov tsis muaj txaus, uas ua rau ketolysis txo qis, thaum cov txheej txheem ntawm kev ua cov ketone lub cev tau qeeb qeeb.

Kev kuaj mob ua rau mob taub hau mob khaub thuas rau menyuam yaus

Cov niam txiv tuaj yeem ua qhov ywj pheej nthuav qhia kev kuaj mob rau kev kuaj pom ntawm acetone hauv cov zis.Hauv cov khw muag tshuaj, kev kuaj mob tshwj xeeb yog muag, uas yog ib daim hlab uas muab qis rau hauv cov zis. Qib theem ntawm acetone hauv cov zis yog txiav txim siab nyob rau qhov ntsuas tshwj xeeb.

Txij li thaum xyoo 1994, cov kws kho mob tau txiav txim siab txog cov txheej txheem los ntawm qhov kev kuaj pom tias mob acetonemic. Lub ntsiab tseem ceeb thiab ntxiv ntsuas tau qhia.

Yuav tsum ua cov txheej txheem

Tej yam yuav tsum muaj hauv kev kuaj mob yog:

1. Kev hu rau qhov ntuav yog qhov xwm txheej hauv qhov, thaum qhov ntau ntawm kev tawm tsam yog txawv.

2. Nruab nrab ntawm qaug dab peg, qhov xwm txheej ntawm tus me nyuam yog ib txwm zoo ib ntus.

3. Kev tawm tsam ntuav ntev dhau los ntawm ntau teev mus rau tsib hnub.

4. Cov txiaj ntsig ntawm kev kuaj, kev pom tseeb, xoo hluav taws xob thiab lwm yam kev tshuaj xyuas nyob rau hauv rooj plaub ntawm acetone kev ntxhov siab hauv menyuam yaus yog qhov tsis zoo. Yog li, qhov tseeb ntawm kev ua txhaum hauv kev ua haujlwm ntawm cov plab hnyuv siab raum ntawm lub plab zom mov tau paub tseeb.

Coob leej ntau tus xav tias qhov ntawd txhais tau li cas, nyob hauv cov zis. Nrog rau kev nce zuj zus ntxiv ntawm cov piam thaj hauv cov zis, chav kawm ntawm pathology lossis rov qab los rau qee yam kabmob tuaj yeem xav. Lub raum tsis tiv thaiv nrog kev ua suab thaj thiab ua rau nws nrog zis. Tus mob no yog hu ua glucosuria thiab yog tus qauv uas qhov ua tiav ntawm kev tiv thaiv mob ntshav qab zib tau txiav txim siab.

Qhov siab tshaj plaws rau cov piam thaj hauv cov zis ntawm tus menyuam yog 2.8 mmol / l. Ntawm tus nqi siab dua li cov qauv no, kev sim sab hauv yuav tsum tau ua. Cov kws kho menyuam yaus xa menyuam yaus rau kev kuaj ntshav kuaj zaum ob, raws li cov ntsiab lus uas nws yuav muaj peev xwm nkag siab tias qhov no yog tus qauv lossis xwm txheej.

Nws txhais li cas - cov piam thaj hauv kev tso zis, txhua tus yuav tsum paub.

Cov qauv ntxiv

Cov txheej txheem ntxiv rau kev kuaj mob daws teeb meem mob acetone hauv menyuam yog:

1. Ntuav yog stereotypical thiab tshwj xeeb. Lub sijhawm nruab nrab ntawm ntu yog tib yam, nrog rau kev siv thiab lub sijhawm ntuav. Hauv qhov no, kev tawm tsam lawv tus kheej tuaj yeem nres nthawv.

2. Ua ntej tso zis kom ntuav, xeev siab, mob hauv plab, mob taub hau. Tsis muaj zog, nkees thiab ntshai qhov kaj.

Kev kuaj mob tau ua tom qab tshem tawm ntawm cov mob ntshav qab zib ketoacidosis, uas yog ib qho mob ntxiv rau mob ntshav qab zib mellitus, ntxiv rau mob plab hnyuv, piv txwv li, mob hnyuv tws lossis mob peritonitis. Ib qho ntxiv, kev ntsuas kev soj ntsuam yuav tsum tsis suav cov kev mob neurosurgical, xws li mob hlwb, mob hlwb, mob txha caj qaum, nrog rau lom thiab kab mob ntawm cov keeb kwm kis tau.

Kev kho mob ntawm cov mob daws teeb meem me me

Yog tias muaj kev ua xyem xyav ntawm tus kab mob pathology hauv tus menyuam yaus, nws yuav tsum tau mus pw hauv tsev kho mob tam sim ntawd rau kev kho mob hauv tsev kho mob. Tus neeg mob tau noj txaus nrog rau kev noj zaub mov zoo, suav nrog ntau ntawm cov khoom noj tau yooj yim zom zom kom yooj yim thiab haus dej haus kom ntau. Cov pluas noj yuav tsum tau ua ntu zus thiab fractional, uas yuav ua kom cov kev zom zaub mov muaj sia. Tib yam mus rau haus.

Kev ntxuav hniav tawm

Nrog rau qhov mob hnyav ntawm cov tsos mob, ib txoj kev ntxuav tawm ntawm lub cev yog qhov ua tiav, uas yuav pab tshem tawm ib feem ntawm cov ketone ntau hauv lub cev tawm ntawm lub cev. Txhawm rau tiv thaiv lub cev qhuav dej ntawm lub keeb kwm yav dhau los ntawm ntuav, lub cev qhuav dej yog nqa tawm los ntawm kev siv cov kev daws teeb meem xws li "Regidron" lossis dej alkaline ntxhia.

Cov hauv paus ntsiab lus ntawm kev kho

Kev kho mob ntawm cov mob acetonemic syndrome hauv tus menyuam yaus tshwm sim ua raws li cov ntsiab cai hauv qab no:

1. Ua kom nruj nrog kev noj haus.

2. Kev noj tshuaj prokinetic, piv txwv li, Metoclopramide, Motilium, enzymes thiab cofactors ntawm carbohydrate metabolism. Cov tshuaj xws li pyridoxine, thiamine, cocarboxylase ua rau kom muaj kev cuam tshuam ntawm cov zaub mov sai thiab ua kom cov rog thiab cov metabolism.

3. Kev kho txoj kev lis ntshav.

4. Etiotropic kev kho mob yog tsim raws li kev ntsuas thiab suav nrog kev siv tshuaj tua kab mob thiab tshuaj tua kab mob.

Yog tias cov ntsiab lus hauv acetone hauv cov zis muaj ntsis thiab cov teeb meem acetone tsis yog nrog lub cev tsis txaus ntawm lub cev, lub cev tsis muaj dej thiab electrolyte tshuav, nrog rau cov ntuav uas tsis tuaj yeem tswj tau, kev kho yuav suav nrog lub qhov ncauj ntawm lub cev, kev noj zaub mov thiab prokinetics hauv kev noj tshuaj rau tus neeg mob lub hnub nyoog.

Txoj kev kho rau kev daws teeb meem acetonemic cuam tshuam nrog thawj zaug tshem tawm cov tsos mob. Kev saib xyuas mob siab ntxiv yuav pab txo qis dua qhov ua tau ntawm exacerbations.

Ua kev kho mob los ntawm infusion

Cov cim tseem ceeb rau kev qhia kev kho mob infusion nyob rau hauv rooj plaub ntawm kev daws teeb meem acetone yog:

1. Rov ua dua thiab pheej yaum kom ntuav, uas tsis nres tom qab siv cov tshuaj prokinetic.

2. Txheeb xyuas ntawm microcirculation teeb meem thiab hemodynamics.

3. Cov tsos mob ntawm kev tsis nco qab. Coj nyob rau hauv coma lossis stupor.

4. Kev haus dej hauv lub cev lossis hnyav.

5. Decompensated daim ntawv ntawm metabolic ketoacidosis nrog lub zog sij hawm ntau anionic.

6. Lub xub ntiag ntawm cov teeb meem nyuaj ntawm kev ua haujlwm lossis lub cev nqaij daim tawv thaum lub sijhawm lub cev qhuav dej. Qhov no tuaj yeem yog vim kev loj hlob tsis meej ntawm lub qhov ncauj ntawm lub qhov ncauj lossis cov pob txha pob txha ntawm lub ntsej muag, nrog rau cov hlab ntsha tsis zoo.

Kev kho txoj kev lis ntshav tso cai rau koj:

1. Ua kom sai ntawm lub cev qhuav dej, txhim kho microcirculation thiab perfusion.

2. Kev daws teeb meem alkalizing muaj nrog kev sib xyaw ntawm cov infusions, uas ua rau txoj kev ua kom rov qab los ntawm cov ntshav bicarbonate theem.

3. Hauv txoj kev lis ntshav, zom cov khoom noj carbohydrates yog tam sim no, uas yog metabolized los ntawm ib qho kev ua los ntawm insulin-ywj siab.

Ua ntej pib txoj kev kho mob infusion, kev nkag mus rau cov leeg yuav tsum tau muab, nrog rau qhov ntsuas ntawm dej-electrolyte thiab acid-puag qhov sib npaug thiab hemodynamics ntawm lub cev yuav tsum tau ntsuas.

Kev noj haus rau cov tshuaj muaj kabmob hnoos qeev rau menyuam yaus txhais li cas?

Noj zaub mov

Cov khoom lag luam hauv qab no yog raug cais tawm ntawm cov menyuam yaus noj:

3. Qaub cream ntawm cov roj ua cov ntsiab lus.

4. Zaub ntsuab thiab sorrel.

5. Hluas nkauj mos.

6. Nqaij, nrog rau nqaij npuas thiab nqaij yaj.

7. Ua si, suav nrog roj, hlwb, ntsws, raum.

8. Cov nplua nuj nqaij thiab nceb nqaij kua zaub.

9. Cov zaub ntsuab thiab legumes.

10. Cov khoom lag luam luam yeeb, hnyuv ntxwm.

11. Cocoa, chocolate, nrog rau hauv cov qauv hauv cov dej haus.

Hauv cov menyuam txoj kev noj haus, nws yog ib qho tsim nyog yuav tsum suav nrog cov txhuv nplej, kua zaub raws cov kua zaub, qos yaj ywm ci. Yog hais tias cov tsos mob ntawm qhov teeb meem tsis rov qab hauv ib lub lis piam, maj mam qhia cov nqaij ntshiv, tshuaj ntsuab, zaub, kab nrib pleb raug tso cai rau hauv cov zaub mov noj.

Yog tias cov tsos mob ntawm mob rov qab los, koj tuaj yeem hloov kho kev noj haus thaum twg los tau. Yog tias muaj qhov tsis hnov tsw tsw nyob hauv koj lub qhov ncauj, koj yuav tsum haus dej ntau li ntau tau hauv feem me me.

Nyob rau thawj hnub ntawm tsev kho mob, tus me nyuam yuav tsum tsis txhob muab ib yam dab tsi tab sis rye pob zeb tawg. Hnub tom qab, cov kua ciab thiab cov kua txhuv ntxiv rau hauv cov zaub mov. Nws tsis pom zoo kom ua kom tiav cov pluas noj tam sim ntawd tom qab cov tsos mob tau daws. Nws yog ib qho tsim nyog yuav tsum ua raws li kev noj qab haus huv kho mob nruj me ntsis rau ib lub lim tiam. Tom qab lub sijhawm no, koj tuaj yeem ntxiv zaub ua kua zaub, ua mov ci lossis mov ci. Nyob ntawm seb tus me nyuam muaj mob li cas, buckwheat, zaub hau thiab txiv hmab txiv ntoo tshiab yog maj mam nkag mus rau hauv cov khoom noj no.

Qhov kwv yees rau tus menyuam uas muaj kev daws teeb meem acetone feem ntau yog qhov muaj txiaj ntsig. Thaum lawv laus zuj zus, los ze zog pub rau hauv cov nkauj tiav nraug, cov kabmob ntawm lub plab zom mov ntawm tus menyuam thaum kawg tsim, thiab qhov tsos mob ploj mus ntawm nws tus kheej.

Xaus

Yog tias cov niam txiv paub txog qhov ntxim nyiam ntawm kev tsim tshuaj acetone rau cov menyuam yaus, kev npaj ua ntej fructose thiab qabzib yog ib txwm nyob hauv lawv lub tsev tshuaj. Cov niam txiv yuav tsum tau them nyiaj tshwj xeeb rau kev noj zaub mov ntawm tus me nyuam, nws yuav tsum yog fractional thiab ua tib zoo sib npaug.Ntawm thawj lub cim ntawm kev nce qib hauv acetone, tus me nyuam yuav tsum tau muab tej yam qab zib, xws li txiv hmab txiv ntoo qhuav. Kev tiv thaiv kev tiv thaiv tseem tab tom ua, uas yuav pab tiv thaiv kom tsis txhob muaj cov kab mob acetonemic nyob rau yav tom ntej.

Nta thiab Cov Ntawv

Acetonemic syndrome (lwm lub npe: ketoacidosis uas tsis yog ntshav qab zib, tsis tu ncua lub cev kev mob hnoos qhuav) yog qhov tsis kis, mob uas tau txiav txim siab, uas yog los ntawm kev ua txhaum ntawm kev tshem tawm ntawm metabolites thiab residual nitrogen los ntawm cov ntshav. Lub pathogenesis ntawm tus kab mob yog vim kev ua txhaum ntawm cov metabolism ntawm fatty acids, amino acids ntawm txhua qhov.

Txoj kev txhim kho ntawm cov kab mob acetonemic nyob rau hauv cov menyuam yaus tau hais tias yog tias muaj kev tawm tsam ketoacidotic teebmeem feem ntau hloov kho ib leeg rau ib leeg. Nws muaj ob hom ntawv tseem ceeb ntawm tus kabmob no:

thawj ketoacidosis,
theem nrab kev loj hlob ntawm tus mob.

Lub ntsiab ntawm cov tsos mob acetonemic mob feem ntau yog idiopathic hauv qhov, yog tus kab mob ywj siab hauv kev kho mob hauv hlwb. Daim foos ob yog qhov kev rau txim lossis kev tsis txaus siab ntawm lub hauv paus ntawm lub hauv paus ua haujlwm. Tus kab mob tus mob rau ICD-10 yog R82.4 (acetonuria).

Yam tshwm sim

Qhov laj thawj tseem ceeb rau kev tsub zuj zuj ntawm cov pa nitrogen thiab acetonemia yog qhov tshaj ntawm lub hnub nyoog tso cai ntawm ketone lub cev thiab acetone hauv cov ntshav. Lub tswv yim ntawm kev txhim kho ntawm tus thawj cov tsos mob yog vim muaj kev ua txhaum kev sib deev ntawm cov metabolism hauv cov rog. Cov tsos mob ntawm tus kab mob ketoacidosis coj los tiv thaiv keeb kwm ntawm cov kab hauv qab no:

mob ntshav qab zib
tsis txaus los yog ua haujlwm ntawm cov thyroid caj pas (hypothyroidism, thyrotoxicosis, hyperparathyroidism),
mob hnyav ntawm lub plab zom mov,
mob leukemia
oncological hlav,
daim siab pathology
mob raum tsis ua hauj lwm
hlav hlwb.

Acetonemic mob ntuav ua rau muaj kev hluas rau cov menyuam ntxhais thiab cov tub hluas uas xyaum noj ntau yam zaub mov vim tsis zoo siab rau lawv qhov tsos. Kev tshaib plab, tsis muaj zaub mov txaus, zaub mov hnyav - tag nrho cov no pab txhawb kev txhim kho cov kab mob acetonemia hauv cov menyuam hnub nyoog qis dua 6-8 xyoo.

Cov tsos mob raug

Cov menyuam yaus kev txom nyem los ntawm cov mob xoos xoos lub cev yog tus cwj pwm los ntawm kev tawv nqaij, pallor ntawm daim tawv nqaij, neurotic. Lub paj hlwb ntawm cov neeg mob yog tau sai sai, lub xeev hloov pauv nrog kev xav zoo siab nrog rau kev nkees nkees.

Nws yog qhov tsim nyog tias cov menyuam yaus uas muaj ketoacidosis zoo dua li lwm tus menyuam yaus kawm, lawv tau tsim kev nco, hais lus. Cov tsos mob tshwm sim ntawm ntsoog yog:

malaise, tawm hws txias ntawm hauv pliaj,
mob subfebrile ntev,
xeev siab, ntuav nrog tsis hnov tsw ntawm acetone,
mob taub-xws li mob plab
pw taus ntxhov siab, qab los,
kev ncua sijhawm, kev xav hauv lub siab.

Mob nkees, muaj kev nyuaj siab ntawm cov tub ntxhais hluas feem ntau yog los ntawm kev ua haujlwm dhau hwv, nkees. Nrog rau cov xwm txheej tsis xwm yeem, qhov teeb meem tsis zoo rau tus menyuam yuav ua li cas: tsis meej pem, tshee tsog ntawm tus nqua. Cov menyuam yaus hnub nyoog yau dua uas muaj ketoacidosis, lawv haj yam mob siab los kho cov duab soj ntsuam. Cov tsos mob yuav tsum muaj kev sib txawv los ntawm kev lom, lom lom, muaj teeb meem kub siab, mob hnyav kis.

Acetonemic ntuav zuj zus thaum muaj teeb meem, uas ib txwm muaj rau cov ntshav qab zib hnyav, ua rau cov roj metabolism tsis zoo, ua rau poob siab. Ntawm kev pheej hmoo yog cov menyuam yaus mob urological pathologies, gouty mob caj dab, mob taub hau.

Kev kuaj mob

Cov tsos mob ntawm tus mob daws teeb meem txawv raws tus hnub nyoog ntawm tus me nyuam

Kev kuaj mob zaum kawg yog tsim los ntawm cov menyuam yaus qhov chaw kho mob thiab cov keeb kwm lub neej, kev tsis txaus siab, kuaj thiab kho cov cuab yeej. Ntawm qhov tseem ceeb hauv kev kuaj mob zaum kawg yog cov ntaub ntawv los ntawm kev kuaj sim:

kev kuaj ntshav hauv cov ntshav (nce me ntsis ntawm leukocytes, granulocytes, nrawm erythrocyte sedimentation tus nqi),
ntshav biochemistry (kev soj ntsuam zoo qhia txog kev nce ntxiv ntawm urea, creatinine, cov tshuaj nitrogen, protein, hypokalemia),
urinalysis (txiav txim los ntawm ketonuria).

Kev kuaj mob Acetonemic rau cov menyuam yaus hauv ib hnub. Yog tias qhov tseem ceeb ntawm + thiab ++ raug cim rau ntawm daim foos ntsuas kev tso zis, tom qab ntawd tus me nyuam muaj mob acidosis, uas tso cai kho mob hauv tsev. Nrog rau qhov tseem ceeb ntawm +++ thiab siab dua, lawv hais txog kev loj hlob ntawm ketoacidosis, qhov txaus ntshai ntawm tsis nco qab thiab muaj teeb meem loj. Tom qab ua qhov kev kuaj mob zaum kawg, qhov teeb meem etiological ntawm pathology raug txiav txim siab thiab kev coj ua raws li kev kho mob ntawm tus mob qis yog nqa tawm.

Thaum txheeb xyuas qhov tseeb qhov tseeb ua rau ntawm cov mob qib siab ntxiv, kev sib tham nrog tus kws kho mob otolaryngologist, kws kho mob plab, tus kws kho mob tshwj xeeb, tus kws kho mob hlwb, kws kho mob hlwb thiab kws kho paj hlwb yuav tsum tau.

Kho txheej txheem

Cov kev kho mob muaj nyob rau hauv ntxuav cov ntshav ntawm tshaj acetone thiab normalizing electrolyte tshuav nyiaj ntawm cov ntshav

Kab mob Ketoacidotic yog kho hauv tsev kho mob chaw. Kev mus pw hauv tsev kho mob yog qhov tsim nyog rau cov kev mob hnyav ntawm lub cev, qhov ua kom tsis meej. Txoj kev kho yog tsom mus rau kev ntxuav cov ntshav, rov qab ua dua ntawm cov khoom noj metabolic, nres cov tsos mob tsis zoo.

Kev kho mob suav nrog cov haujlwm hauv qab no:

hloov kev noj zaub mov, kev txwv ua kom rog rog nrog rau kev nce lub teeb carbohydrates,
koom haum ntawm kev haus dej haus ntau,
enemas nrog kev daws teeb meem raws li sodium bicarbonate, uas nruab nrab ketone lub cev,
cheem lub cev qhuav dej los ntawm kev tso ntshav qab zib, qab ntsev,
daws sab hauv rau alkalization ntawm cov ntshav.

Nrog kev kho kom haum thiab tsim nyog ntawm cov tshuaj daws tsis haum, lub zog ua kom tsis pub dhau ob peb hnub. Kev kho mob nrog cuam tshuam nrog kev teem sijhawm ntawm antiemetics, tshuaj tua kab mob, sedatives. Acetonemic syndrome tuaj yeem tiv thaiv tsuas yog kev rov ua kom rov qab noj haus, pw tsaug zog, sawv thiab kev paub tseeb ntawm txhua qhov kev pom zoo kho mob.

Ib txoj kev kho kom zoo yog ua tiav nrog cov kev kawm zaws, multivitamin complexes, enzymes, hepatoprotectors thiab kev siv tshuaj ntev sedative. Hauv kev mob ntsws mob ntev, cov niam txiv tuaj yeem ua cov kev kuaj mob hauv tsev rau cov ntsiab lus ntawm cov seem nyob hauv tus menyuam cov ntshav siv cov duab sib txawv tshwj xeeb.

Noj qab haus huv kho mob

Hauv cov menyuam yaus uas muaj kev zom zaub mov tsis txaus thiab ua kom tsis txhob muaj roj, noj zaub mov kom zoo thiab lub cev noj qab nyob zoo yog qhov tseem ceeb. Lub hauv paus ntsiab lus ntawm cov koom haum ntawm kev zom zaub mov yog tsom rau txo lub nra rau lub siab, ob lub raum, lub plab zom mov. Los ntawm cov khoom noj tsis suav:

cov khoom noj muaj roj,
rog nqaij, ntses, offal thiab cov khoom noj uas tov los ntawm lawv cov nqaij,
cov kua txob, tshwj xeeb mayonnaise, ketchup,
legumes: taum, pob kws, taum pauv, taum pauv,
cov nqaij haus luam yeeb, pickles, pickles.

Cov zaub mov yuav tsum ua zaub mov los ntawm kev ua noj, muab cub, muab cub. Nws yog ib qho tseem ceeb tias kev noj haus suav nrog cov zaub tshiab thiab txiv hmab txiv ntoo, suav nrog cov txiv hmab txiv ntoo hauv lub txiv.

Nws raug nquahu kom haus dej ntau (txog 1.5-2 litres ib hnub). Tshwj xeeb tshaj yog siv tau yog unsweetened Berry txiv hmab txiv ntoo haus, txiv hmab txiv ntoo qhuav compotes, decoctions ntawm rosehip berries. Nws pom zoo kom dilute cov kua txiv qaub nrog dej sov hauv qhov sib piv ntawm 1: 1.

Nws tsis pom zoo kom cais cov rog hauv cov zaub mov ntawm tus me nyuam, txawm li cas los xij, yog tias ua tau, hloov cov rog tsiaj nrog nqaij rog. Daim qauv ntawv qhia zaub mov rau nruab hnub suav nrog:

oatmeal nrog raspberries, tshuaj yej nrog mis nyuj, cracker,
nqaij qaib kua zaub nrog ua noodles, mas qos yaj, nqaij ntshiv zaub,
txiv pos nphuab, hlais, pob kws flakes,
zaub stew nrog zaub ntsuab, txiv tsawb, kua txiv cranberry.

Tus kws kho plab zom mov thiab tus kws qhia zaub mov muaj peev xwm pab tau hauv kev npaj cov zaub mov noj txhua hnub. Kev noj haus yog kev hloov kho. Nquag noj mov rau hauv chaw me me kom ua. Haus yuav tsum yog 20-30 feeb ua ntej lossis tom qab noj mov.

Qhov kwv yees rau cov mob acetonemia muaj txiaj ntsig. Thaum menyuam yaus lig, nws feem ntau ploj nws tus kheej.Nrog cov ntawv thib ob ntawm pathology, nws yog ib qho tseem ceeb kom tshem tawm cov mob qis.

Ib qhov kev tsis txaus ntseeg tau pom nyob rau qhov tsis muaj kev kho kom txaus, kev kho zaub mov thiab tshuaj kho, ketoacidotic ntau qhov teeb meem. Nrog cov tshuaj tiv thaiv kab mob hauv lub cev, muaj kev mob hnyav tshwm sim los ntawm cov khoom nruab nrog sab hauv thiab cov hauv nruab nrog cev, nce mus txog kev txhim kho ntawm cov kab mob acidotic tsis zoo thiab kev tuag ntawm tus neeg mob.

Acetonemic syndrome hauv ib tug menyuam yaus: kev kho mob ntuav hauv cov menyuam yaus, kev noj zaub mov rau kev kub ntxhov

Yog li, kev mob tshwm sim ntawm qib acetonemic syndrome muaj cov tsos mob xws li mob ntuav, thiab nws rov ua dua thiab tsis tu ncua. Tsis tas li ntawd, kev tawm tsam ntawm ntuav pib nyob rau hauv tus menyuam, tsis tsuas yog tom qab noj mov, tab sis kuj tom qab nws haus kua. Tus mob no yog mob hnyav heev, vim nws ua rau lub cev qhuav dej.

Ntxiv nrog rau kev tawm tsam ntawm ntuav tas mus li, cov tsos mob acetonemic tau tshwm sim los ntawm toxicosis, uas yog exacerbated los ntawm lub cev qhuav dej. Ntxiv mus, tus neeg mob daim tawv nqaij daj ntseg, thiab qhov ntsej tsis pom ntsej tsis zoo tshwm ntawm sab plhu, mob leeg nqaij qis thiab qhov kev xav ntawm lub zog tsis muaj zog.

Video (nyem mus ua si).

Tus menyuam nyob hauv ib lub xeev siab, nrog quaj thiab qw. Qhov tshwm sim no yog hloov los ntawm kev qaug zog thiab tsaug zog. Hauv qhov no, cov qog ua pa (qhov muag, qhov ncauj) thiab tawv nqaij ua kom qhuav.

Tsis tas li, cov kab mob acetonemic yog nrog lub cev kub nce ntxiv - 38-39 degrees.

Qee qhov xwm txheej, vim lub cev qhuav dej thiab mob toxicosis, qhov kub thiab txias tuaj yeem ncav cuag 40 degrees. Nyob rau tib lub sijhawm, tus menyuam lub cev ua rau muaj qhov tsis hnov tsw, tsis nco qab txog qhov tsis hnov tsw ntawm acetone lossis solvent.

Ua tib zoo mloog! Cov niam txiv yuav tsum paub tias kev mob ncauj plab ua paug rau menyuam yaus tsis tshwm sim yam tsis muaj laj thawj dabtsi. Yog li, nws yog qhov yuav tsum tau ua hauv kev txheeb xyuas meej ntawm lub xeev yav dhau los thiab kev coj cwj pwm ntawm tus menyuam.

Raws li txoj cai, hnoos qeev muaj tshwm sim los ntawm kev ntxhov siab lossis cev nqaij daim tawv dhau. Feem ntau tus mob no loj zuj zus tom qab cov hnub so lossis noj zaub mov muaj roj thiab qab zib.

Tsis tas li, kev ua xua acetonemic tuaj yeem tiv thaiv keeb kwm ntawm ntau yam kab mob, xws li mob khaub thuas.

Raws li txoj cai, cov niam txiv tau ceev faj muaj peev xwm paub cov cim uas ua rau ntuav. Cov phiajcim hauv qab no qhia tias tus menyuam yuav muaj kev daws teebmeem:

kua muag poob
siab ntsws
mob plab
tsis kam noj (txawm tias koj nyiam khoom noj),
mob taub hau
tsis muaj zog
chim los yog xoob quav,
qhov tsis hnov tsw ntawm acetone emanates los ntawm lub qhov ncauj kab noj hniav.

Koj tseem tuaj yeem txiav txim siab txog acetone cov ntsiab lus hauv cov zis siv cov ntawv ntsuas tshwj xeeb.

Nws yuav tsum raug sau tseg tias cov niam txiv uas muaj kev tiv thaiv tuaj yeem tiv thaiv kev mob voos, vim tias qhov xwm txheej ntawm tus menyuam no yooj yim txhawb thiab txawm tias qhov tshwm sim ntawm ntuav yog tiv thaiv. Qee qhov xwm txheej, qhov teeb meem yuav dhau los sai thiab yooj yim, tsis muaj teeb meem.

Dab tsi yuav tsum yog cov pabcuam pabcuam ua ntej rau kev mob ua paug rau menyuam yaus?

Thaum me nyuam muaj teeb meem, yuav tsum ua kiag tam sim txhawm rau txhim kho kev nyob zoo ntawm tus neeg mob. Cov niam txiv uas tsis muaj kev paub txog kev ua kom tsis txhob mob syndromes yuav tsum hu kws kho mob hauv tsev. Tshwj xeeb, kev pab kho mob yog qhov tseem ceeb yog tias muaj mob hawb pob nyob hauv menyuam yaus (1-4 xyoos).

Yog tias tsis paub tseeb, nws tseem yuav tsum tau hu rau lub tsheb thauj neeg mob, vim hais tias cov tsos mob acetonemic feem ntau tau sib nkag siab nrog ntau yam kev sib kis, uas yog txaus ntshai heev. Thiab tus kws kho mob uas tau tuaj hauv xov tooj yuav tsim kom paub seb puas yuav tsum tau mus pw hauv tsev kho mob thiab teem sijhawm kho mob ntxiv.

Cov kev kho mob thawj zaug muaj nyob rau hauv desoldering tus me nyuam, uas yog, nws yuav tsum haus dej haus ntau. Cov tshuaj yej muaj zog yuav yog qhov cuab yeej zoo, txawm li cas los xij, nws yuav tsum haus dej kom qeeb thiab hauv cov nqaj me me, kom tsis txhob ua rau ntuav.

Ib qho kev nqus kua dej yog nqus tau zoo los ntawm lub cev, thiab haus dej haus cawv ntau tuaj yeem ua rau pom qhov ntuav ntuav. Nyob rau tib lub sijhawm, qhov kub ntawm tshuaj yej los yog compote yuav tsum sib npaug nrog lub cev qhov kub, lossis qis dua me ntsis. Thiab yog tias ntuav heev, nws nquahu kom haus dej txias, tab sis tsis txhob haus cov dej khov.

Yog tias tus me nyuam muaj lub siab xav noj, ces koj tuaj yeem muab nws daim me me ntawm cov qhob cij stale lossis cov cracker dawb rau nws. Tab sis, yog tias tus neeg mob tsis kam noj zaub mov, ces koj tsis tas yuav yuam nws.

Nrog ib txwm nqus ntawm cov kua, koj tuaj yeem muab rau tus neeg mob tshuaj ntsuab ntawm oregano lossis mint, lossis muab nws sov ntxhia dej tsis muaj roj.

Yuav tsum ua raws li cov khoom noj tshwj xeeb, suav nrogkuv suav nrog cov txiv hmab txiv ntoo thiab zaub haus cov dej ntshiab thiab qab zib-mis haus.

Kho mob Acetonemic mob rau menyuam yaus yog kho ob yam:

kev kho mob ntawm cov kab mob acetonemic, nrog rau toxicosis thiab ntuav,
kev kho mob thiab kev kho dua tshiab ntawm kev chua leeg kom txo tau cov zaus thiab cov teeb meem nyuaj ntawm exacerbations.

Kev kho mob thaum qaug dab peg yog heev thiab nquag. Cov txheej txheem raug xaiv raws li qhov xwm txheej tshwj xeeb thiab kev saib xyuas ntawm acetone hauv cov zis thaum lub sijhawm exacerbation. Thaum muaj mob me me mus rau qaug dab peg nrog acetone txog 2 tus ntoo khaub lig, kev kho mob tuaj yeem nqa tawm hauv tsev, tab sis nyob rau kev kho mob thiab niam txiv kev saib xyuas, thiab hauv cov xwm txheej nyuaj, tus neeg mob tau pw hauv tsev kho mob.

Acetonemic teebmeem feem ntau kho tau los ntawm kev tiv thaiv lub cev qhuav dej thiab rov ua kua dej dua tom qab ntuav ntev.

Tsis tas li, kev kho mob yog txhawm rau tshem tawm cov kev phiv los ntawm ketone lub cev rau ntawm cov menyuam yaus lub cev (tshwj xeeb hauv txoj hlab hlwb) thiab tshem tawm ntuav nws tus kheej.

Ntxiv mus, noj cov zaub mov tshwj xeeb tau ua raws thiab qee kis ntxiv cov txheej txheem kho tau siv.

Kev noj zaub mov tshwj xeeb yog tsim rau txhua tus menyuam yaus uas muaj kev daws teebmeem, nrog rau ntuav. Ua ntej tshaj plaws, cov teeb carbohydrates (qab zib, piam thaj) thiab haus cawv ntau yuav tsum muaj nyob hauv menyuam yaus kev noj haus. Tab sis kev siv cov khoom noj muaj roj yuav tsum tau txwv.

Nyob rau ntawm thawj cov tsos mob ntawm tus mob, tus menyuam yuav tsum raug muag tam sim ntawd. Ntawd yog, nws xav tau muab dej sov rau hauv, qhov ntim ntawm yog los ntawm 5-15 ml. Haus dej txhua 5-10 feeb kom cheem ntuav.

Ua tib zoo mloog! Nws yog qhov zoo dua rau yaj tus me nyuam nrog dej alkaline ntxhia dej (tseem) los yog muaj zog tshuaj yej.

Nyob rau theem pib ntawm tus kabmob, tus neeg mob lub qab los noj mov tsawg zuj zus, vim li no koj yuav tsum tsis txhob pub nws noj dhau. Nws tsis zoo txaus yog tias nws noj khoom qab zib lossis crackers. Thaum ntuav tsis tuaj lawm (hnub ob), tus menyuam tuaj yeem muab kua, ua cov kua zaub txhuv, hau rau hauv dej, thiab kua zaub. Nyob rau tib lub sijhawm, cov ntu yuav tsum tsawg, thiab lub caij nyoog nruab nrab ntawm kev noj mov yuav tsum raug txo kom tsawg.

Muaj cov zaubmov tshwjxeeb rau cov menyuam mos. Cov menyuam yuav tsum raug siv rau lub mis kom ntau li ntau tau, thiab cov menyuam uas noj niam mis yuav tsum tau muab cov kua sib tov, kua mis thiab haus dej kom ntau li ntau tau.

Yog tias qhov ntuav rov qab thiab lub cev pib nqus cov zaub mov kom zoo, tom qab ntawv cov menyuam yaus cov zaub mov tuaj yeem nthuav dav me ntsis los ntawm kev ntxiv cov khoom lag luam uas muaj cov carbohydrates rau hauv nws:

nqaij ntses lossis nqaij ntses ua noj
buckwheat porridge
oatmeal
nplej nplej.

Txhawm rau tiv thaiv qhov tshwm sim ntawm qaug dab peg rau yav tom ntej tom qab lawv tsum, koj yuav tsum ua raws li qee yam kev noj haus. Tus me nyuam noj tsis tau:

nqaij menyuam nyuj
nqaij qaib
pauj niam
txiv lws suav
rog thiab lwm cov khoom noj muaj roj,
muab nqaij noj
cov kaus poom khoom
nplua nuj broths
taum
kas fes
Qhob noom xim kasfes

Qhov kev xaiv yuav tsum muab rau cov khoom noj siv mis, cereals, qos yaj ywm, txiv hmab txiv ntoo, qe thiab zaub.

Cov teeb meem tseem ceeb ntawm cov teeb meem acetone yog lub cev qhuav dej, yog li kev kho yuav tsum tau dav.Nrog cov tshuaj acetonemia me me thiab mob nruab nrab (1-2 cross-acetone hauv zis), qhov ncauj ntawm qhov ncauj tawm (tso tawm zuj zus) siv cov txheej txheem ntxiv yog txaus.

Ua ntej tshaj plaws, koj yuav tsum tshem tawm qhov tshaj ntawm acetone thiab lwm yam khoom kom lwj thiab ua kom lub cev ntxhua khaub ncaws, vim tias cov dej qab zib ua kom lub cev ketone thiab ntxuav cov hnyuv, thiaj li txhim kho tus me nyuam cov mob. Feem ntau, cov txheej txheem no yog nqa tawm siv cov tshuaj alkaline. Daim ntawv qhia rau nws kev npaj yog yooj yim: 1 tsp. dej qab zib yog yaj hauv 200 ml dej sov.

Thaum xws li kev kho mob yuav nqa tawm, tus menyuam yuav tsum quag cawv nrog kev qhia ntawm cov kua dej nrog kev suav ntawm 100 ml ib 1 kg ntawm lub cev qhov hnyav. Thiab tom qab txhua qhov ntuav, nws yuav tsum haus dej kom txog li 150 ml ntawm cov kua.

Txawm li cas los xij, txoj kev xaiv kua dej yuav tsum tau sab laj nrog koj tus kws kho mob. Txawm li cas los xij, yog tias tsis muaj ib lub sijhawm los sab laj nrog kws kho mob, ces koj yuav tsum siv txoj kev daws qhov teebmeem no. Tom qab txhua 5 feeb tus menyuam yuav tsum haus 5-10 ml ntawm cov kua los ntawm ib rab diav.

Sov tshuaj yej qab zib nrog txiv qaub lossis zib ntab, dej qab zib tov, cov dej tsis muaj carbonine kua txiv yog zoo meej li dej haus. Koj tseem tuaj yeem siv cov kev daws teeb meem rau qhov dej lub qhov ncauj, yog tias muaj nyob hauv koj cov tshuaj hauv tsev.

Ib lub hnab ntawm cov khoom lag luam yog yaj hauv 1 liter dej, thiab tom qab ntawd lawv yuav qaug cawv los ntawm ib rab diav thaum nruab hnub. Cov tshuaj noj zoo tshaj plaws rau tus menyuam yog ORS-200, Oralit, Glucosolan, lossis Regidron.

Ib tug menyuam yaus raug kuaj pom tias muaj kev daws teebmeem hnyav, tus kws kho mob cov ntawv menyuam yaus thiab tshuaj xyuas nws tus mob tas li. Kev tiv thaiv kev kho mob kuj tau sau tseg, txawm hais tias tsis muaj chua leeg.

Ua ntej tshaj plaws, tus kws kho mob kho cov menyuam cov zaub mov noj. Qhov no tseem ceeb heev, vim tias khoom noj khoom haus yuav tsum tau txwv, vim tias thaum noj ntau dhau thiab noj cov zaub mov uas tsis pub noj, cov neeg mob yuav ua kom tsis zoo thiab ntuav ntxiv yuav tshwm sim dua.

Tsis tas li, ob zaug ib xyoos, tus kws kho mob sau cov tshuaj kho vitamin, feem ntau nyob rau lub caij nplooj zeeg thiab caij nplooj ntoo hlav. Ib qho ntxiv, txoj kev kho mob spa yuav muaj txiaj ntsig zoo rau tus menyuam.

Txhawm rau txhawm rau txhim kho kev ua haujlwm ntawm lub siab, tsom mus rau lub cev tsis sib haum xeeb ketone, tus kws kho mob tau sau ntawv rau kev noj cov lipotropic thiab hepatoprotectors. Cov tshuaj no pab ua rau daim siab ua kom lub cev tsis muaj roj thiab txhim kho nws txoj haujlwm.

Yog tias nyob rau hauv kev txheeb xyuas ntawm cov quav muaj qhov hloov pauv uas qhia tias muaj kev ua tsis zoo ntawm tus txiav, tom qab ntawd tus kws kho mob sau ib chav ntawm cov enzymes. Lub sijhawm tiv thaiv ntawm kev kho mob yog li 1 mus txog 2 hlis.

Ib tug menyuam yaus muaj qhov zoo siab ntawm qhov kev tiv thaiv cov hlab hlwb tau sau tseg ib txoj kev kho mob, suav nrog kev npaj kho niam kho thiab cov tshuaj ua kom lub siab ntev, cov tshuaj ua kom tsaug zog, kho da dej thiab ua zaws. Chav kawm ntawm txoj kev kho no rov qab ua ob peb zaug hauv ib lub xyoo.

Txhawm rau soj ntsuam kom tsis txhob muaj cov tshuaj Acetone hauv cov zis hauv lub chaw muag tshuaj, koj tuaj yeem yuav cov ntawv xeem. Kev kuaj zis rau cov tshuaj acetone yuav tsum tau nqa tawm ntawm thawj lub hlis tom qab muaj mob acetonemic syndrome tau tshwm sim. Thiab, yog tias niam txiv xav tias lawv tus menyuam qib acetone qis qis vim kev ntxhov siab thiab mob khaub thuas, kev tshawb fawb yog tsim nyog.

Yog tias qhov ntsuas tau txiav txim siab pom muaj acetone hauv tso zis, tom qab ntawd koj tuaj yeem ua raws li tag nrho cov txheej txheem saum toj no kom tus menyuam tus mob nyob ruaj khov thiab ntuav tsis tshwm. Los ntawm txoj kev, kab ntawv ntsuas kuj tseem tso cai rau koj soj ntsuam kom zoo dua ntawm kev kho.

Hmoov tsis zoo, kev daws teebmeem acetonemic tuaj yeem ua rau kev txhim kho ntshav qab zib txuas ntxiv. Yog li no, cov menyuam yaus uas muaj cov pathologies endocrinologist tso rau hauv lub tsev kawm ntawv tus lej sau cia. Tsis tas li, tus menyuam nyob rau txhua xyoo txhawm rau soj ntsuam seb muaj suab thaj nyob rau hauv ntshav licas.

Nrog rau kev kho kom zoo thiab rov ua kom rov zoo li qub, kev tawm tsam mob ua paug rov qab los ntawm 12-15 xyoo ntawm lub neej. Tab sis hauv cov menyuam yaus uas muaj sia nyob nrog kev kub ntxhov, ntau tus kabmob tuaj yeem tsim muaj (dystonia, gallstones, kub siab, thiab lwm yam).

Cov menyuam yaus no yuav tsum tau txais kev saib xyuas mob tsis tu ncua thiab niam txiv kev saib xyuas, tshwj xeeb, vim muaj kev ntxhov siab thiab cov kev tawm tsam tsis tu ncua. Lawv niaj hnub kuaj xyuas los ntawm cov kws kho mob thiab tau soj ntsuam kom paub txog lub sijhawm nyuam qhuav pib mob lossis kev loj hlob ntawm cov teeb meem.

Ntxiv mus, txhawm rau zam dhau lub txim, nws yog ib qho tsim nyog yuav tsum tiv thaiv tus kab mob ua pa thiab mob khaub thuas. Yog li, ua raws txhua cov lus qhia khomob thiab soj ntsuam kev noj zaub mov kom zoo, kev nyuaj siab hauv menyuam yaus tuaj yeem thim rov qab mus ib txhis.

Kev muaj mob Acetonemic rau menyuam yaus: ua rau mob, tshwm sim, kuaj thiab kho

Txoj kev loj hlob ntawm kev paub daws teeb meem me me hauv cov menyuam yaus yog lub cim ntawm cov khoom hauv lub cev hauv lub cev. Tus kab mob kis tau nws tus kheej los ntawm kev sib txuam ntawm ketone lub cev hauv cov ntshav. Acetonemic teebmeem muaj nrog ntuav, ua kom lub cev qhuav dej, ua kom lub cev tsis huv, ua pa ntawm qhov ncauj tsis zoo ntawm lub qhov ncauj thiab lub plab.

Tus kab mob yog kuaj tau los ntawm kev sib txuam nrog cov tsos mob, nrog rau cov txiaj ntsig ntawm kev tshuaj xyuas, suav nrog ntsuas ntawm urea, electrolyte tshuav nyiaj li cas, thiab los ntawm ketonuria qhia tawm.

Nrog rau kev muaj teebmeem kev mob nkeeg ntawm menyuam yaus, nws yog ib qho tseem ceeb uas yuav tsum tau ua thaum muaj kev kub ntxhov rau kev kho mob sai sai, kev tso tshuaj, thiab ua rau tus menyuam noj zaub mov noj raws li kev siv cov khoom noj ua kom muaj cov zom tau yooj yim.

Acetonemic syndrome yog ib qho kev mob thaum cov teeb meem metabolic tshwm sim hauv lub cev, uas yog, tsis txaus ntseeg hauv cov metabolism hauv. Tawm tsam keeb kwm ntawm tus kab mob, malformations hauv nruab nrog cev thiab kab ke, lawv cov qauv tsis kuaj. Nyob rau tib lub sijhawm, kev ua haujlwm ntawm lub siab thiab tus tub rog siv tsis xwm yeem.

Qhov teeb meem mob acetonemic nyob rau hauv cov menyuam yaus hauv nws tus kheej yog qhov cim ntawm qhov muaj qhov txawv txav ntawm txoj cai ntawm lub cev ntawm cov kev ua kom muaj arthritic, yav tas los hu ua neuro-arthritic diathesis. Cov kab mob no yog txheej txheej cov yam ntxwv nrog rau kev ua haujlwm ntawm lub paj hlwb thiab cov plab hnyuv siab raum ntawm tus menyuam raws li qee lub algorithm.

Feem ntau, cov kev mob acetone hauv cov menyuam yaus raug txheeb xyuas, txawm li cas los xij, hauv cov neeg laus cov neeg mob, tus kabmob kuj tseem tshwm sim. Cov ua rau tus mob yog:

1. Kab mob ntawm lub raum, suav nrog lawv tsis txaus.

2. Tsis muaj cov enzymes hauv kev zom zaub mov hauv lub cev, uas tej zaum yuav kis tau los yog roj raws roj ntsha.

3. Qhov cuam tshuam nyob rau hauv kev ua haujlwm ntawm cov kab mob endocrine, suav nrog cov neeg nriav thiab caj ces.

4. Diathesis ntawm arthritic lossis neurogenic hom.

5. Dyskinesia ntawm cov kua tsib lub raj.

Qhov ua rau muaj kev phom sij ntawm acetone hauv menyuam yaus yuav tsum yog txiav txim los ntawm kws kho mob.

Hauv cov menyuam mos, kab mob pathology tuaj yeem qhia pom qhov pom ntawm tus mob gestosis lig thaum cev xeeb tub lossis hloov nephropathic.

Ntau yam cuam tshuam rau lub cev ntawm tus menyuam los ntawm sab nraud kuj raug txheeb xyuas, uas tuaj yeem ua rau kev txhim kho mob hauv cov kab mob acetonemic hauv cov menyuam yaus:

1. Cov khoom noj tsis zoo, ua tiav rau lub tshaib plab rau lub sijhawm ntev.

2. Cov mob txhab.

3. Raug rau cov co toxins, suav nrog thaum muaj mob.

4. Ua txhaum ntawm lub plab zom mov uas tshwm sim los ntawm cov khoom noj tsis txaus.

5. Cov kev hloov ntawm nefropathic.

Nrog rau qhov no, tawm tsam cov keeb kwm ntawm neuro-arthritic tsis meej txoj cai, tus me nyuam kawm kev hais lus ceev dua, cim xeeb thiab lwm yam kev paub.Tawm tsam ntawm cov keeb kwm yav dhau los ntawm cov kab mob pathology, cov menyuam yaus pom kev cuam tshuam cov metabolism ntawm uric acid thiab purines, uas ua rau urolithiasis, mob caj dab, gout, rog, glomerulonephritis thiab ntshav qab zib mellitus hauv neeg laus.

Cov tsos mob tseem ceeb ntawm kev muaj acetone hauv cov menyuam yaus yog:

1. Cov tsos ntawm kev ua pa tsw phem, nco txog ntawm acetone. Daim tawv nqaij thiab zis ntawm tus menyuam pib hnov tsw zoo li qub.

2. Kev mob plab thiab lub cev qhuav dej, pallor ntawm daim tawv nqaij, qhov tshwm sim ntawm ntsej muag tsis zoo.

3. Lub siab xav ntuav ntau dua plaub zaug, feem ntau tshwm sim tom qab sim noj ib yam dab tsi lossis haus. Ntuav yog cov yam ntxwv ntawm thawj hnub ntawm kev txhim kho ntawm cov mob acetonemic.

4. Tachycardia, arrhythmia, kev ua suab nrov hauv lub siab.

5. Kev poob qab los noj mov kom txog thaum nws ua tiav tag.

6. Qhov nce hauv qhov kub ntawm lub cev tsis siab tshaj li 38.5 qib.

7. Thaum pib muaj teebmeem, tus menyuam yuav nyob tsis tswm thiab nyob siab. Nyob rau hauv lub neej tom ntej, muaj kev qaug zog, tsaug zog thiab tsis muaj zog. Muaj qee kis, mob huam vam huam tuaj.

8. Hauv plab zom mov muaj qhov ntswj mob-mob plab, xeev siab thiab tso quav.

Cov niam txiv tuaj yeem ua qhov ywj pheej nthuav qhia kev kuaj mob rau kev kuaj pom ntawm acetone hauv cov zis. Hauv cov khw muag tshuaj, kev kuaj mob tshwj xeeb yog muag, uas yog ib daim hlab uas muab qis rau hauv cov zis. Qib theem ntawm acetone hauv cov zis yog txiav txim siab nyob rau qhov ntsuas tshwj xeeb.

Txij li thaum xyoo 1994, cov kws kho mob tau txiav txim siab txog cov txheej txheem los ntawm qhov kev kuaj pom tias mob acetonemic. Lub ntsiab tseem ceeb thiab ntxiv ntsuas tau qhia.

Tej yam yuav tsum muaj hauv kev kuaj mob yog:

1. Kev hu rau qhov ntuav yog qhov xwm txheej hauv qhov, thaum qhov ntau ntawm kev tawm tsam yog txawv.

2. Nruab nrab ntawm qaug dab peg, qhov xwm txheej ntawm tus me nyuam yog ib txwm zoo ib ntus.

3. Kev tawm tsam ntuav ntev dhau los ntawm ntau teev mus rau tsib hnub.

Nws txhais li cas - cov piam thaj hauv kev tso zis, txhua tus yuav tsum paub.

Cov txheej txheem ntxiv rau kev kuaj mob daws teeb meem mob acetone hauv menyuam yog:

1. Ntuav yog stereotypical thiab tshwj xeeb. Lub sijhawm nruab nrab ntawm ntu yog tib yam, nrog rau kev siv thiab lub sijhawm ntuav. Hauv qhov no, kev tawm tsam lawv tus kheej tuaj yeem nres nthawv.

2. Ua ntej tso zis kom ntuav, xeev siab, mob hauv plab, mob taub hau. Tsis muaj zog, nkees thiab ntshai qhov kaj.

Kev kuaj mob tau ua tom qab tshem tawm ntawm cov mob ntshav qab zib ketoacidosis, uas yog ib qho mob ntxiv rau mob ntshav qab zib mellitus, ntxiv rau mob plab hnyuv, piv txwv li, mob hnyuv tws lossis mob peritonitis.Ib qho ntxiv, kev ntsuas kev soj ntsuam yuav tsum tsis suav cov kev mob neurosurgical, xws li mob hlwb, mob hlwb, mob txha caj qaum, nrog rau lom thiab kab mob ntawm cov keeb kwm kis tau.

Kev kho mob ntawm cov mob acetonemic syndrome hauv tus menyuam yaus tshwm sim ua raws li cov ntsiab cai hauv qab no:

1. Ua kom nruj nrog kev noj haus.

3. Kev kho txoj kev lis ntshav.

4. Etiotropic kev kho mob yog tsim raws li kev ntsuas thiab suav nrog kev siv tshuaj tua kab mob thiab tshuaj tua kab mob.

Txoj kev kho rau kev daws teeb meem acetonemic cuam tshuam nrog thawj zaug tshem tawm cov tsos mob. Kev saib xyuas mob siab ntxiv yuav pab txo qis dua qhov ua tau ntawm exacerbations.

Cov cim tseem ceeb rau kev qhia kev kho mob infusion nyob rau hauv rooj plaub ntawm kev daws teeb meem acetone yog:

1. Rov ua dua thiab pheej yaum kom ntuav, uas tsis nres tom qab siv cov tshuaj prokinetic.

2. Txheeb xyuas ntawm microcirculation teeb meem thiab hemodynamics.

3. Cov tsos mob ntawm kev tsis nco qab. Coj nyob rau hauv coma lossis stupor.

4. Kev haus dej hauv lub cev lossis hnyav.

5. Decompensated daim ntawv ntawm metabolic ketoacidosis nrog lub zog sij hawm ntau anionic.

Kev kho txoj kev lis ntshav tso cai rau koj:

1. Ua kom sai ntawm lub cev qhuav dej, txhim kho microcirculation thiab perfusion.

2. Kev daws teeb meem alkalizing muaj nrog kev sib xyaw ntawm cov infusions, uas ua rau txoj kev ua kom rov qab los ntawm cov ntshav bicarbonate theem.

3. Hauv txoj kev lis ntshav, zom cov khoom noj carbohydrates yog tam sim no, uas yog metabolized los ntawm ib qho kev ua los ntawm insulin-ywj siab.

Kev noj haus rau cov tshuaj muaj kabmob hnoos qeev rau menyuam yaus txhais li cas?

Cov khoom lag luam hauv qab no yog raug cais tawm ntawm cov menyuam yaus noj:

3. Qaub cream ntawm cov roj ua cov ntsiab lus.

4. Zaub ntsuab thiab sorrel.

5. Hluas nkauj mos.

6. Nqaij, nrog rau nqaij npuas thiab nqaij yaj.

7. Ua si, suav nrog roj, hlwb, ntsws, raum.

8. Cov nplua nuj nqaij thiab nceb nqaij kua zaub.

9. Cov zaub ntsuab thiab legumes.

10. Cov khoom lag luam luam yeeb, hnyuv ntxwm.

11. Cocoa, chocolate, nrog rau hauv cov qauv hauv cov dej haus.

Hauv cov menyuam txoj kev noj haus, nws yog ib qho tsim nyog yuav tsum suav nrog cov txhuv nplej, kua zaub raws cov kua zaub, qos yaj ywm ci.Yog hais tias cov tsos mob ntawm qhov teeb meem tsis rov qab hauv ib lub lis piam, maj mam qhia cov nqaij ntshiv, tshuaj ntsuab, zaub, kab nrib pleb raug tso cai rau hauv cov zaub mov noj.

Yog tias cov niam txiv paub txog qhov ntxim nyiam ntawm kev tsim tshuaj acetone rau cov menyuam yaus, kev npaj ua ntej fructose thiab qabzib yog ib txwm nyob hauv lawv lub tsev tshuaj. Cov niam txiv yuav tsum tau them nyiaj tshwj xeeb rau kev noj zaub mov ntawm tus me nyuam, nws yuav tsum yog fractional thiab ua tib zoo sib npaug. Ntawm thawj lub cim ntawm kev nce qib hauv acetone, tus me nyuam yuav tsum tau muab tej yam qab zib, xws li txiv hmab txiv ntoo qhuav. Kev tiv thaiv kev tiv thaiv tseem tab tom ua, uas yuav pab tiv thaiv kom tsis txhob muaj cov kab mob acetonemic nyob rau yav tom ntej.

Kev piav qhia cuam tshuam rau 28.06.2017

Efficiency: kho cov nyhuv tom qab 14 hnub
Cov Hnub: los ntawm 3 lub hlis thiab ntau dua
Tus nqi khoom: 1300-1400 rubles toj ib as thiv

Acetonemic mob tshwm sim rau cov menyuam yaus uas muaj cov kab mob kis, kab mob ntawm lub plab zom mov lossis hauv cov xwm txheej ntxhov siab. Ntau dhau ntawm lub cev thiab lub siab thiab kev noj haus yuam kev ua rau lawv npau taws. Thaum qhov kev thov rau muaj piam thaj, raws li lub zog siv, dhau nws cov khoom, cov khw muag khoom ntawm glycogen hauv lub siab hloov mus rau hauv cov kua nplaum thiab yog sai sai. Cov menyuam muaj lub cev tsis muaj zog thiab lub cev tsis muaj glycogen txaus rau lub siab xav tau cov rog thiab cov rog hauv cov metabolism, thiab thaum lawv tawg, ketone lub cev raug tsim.

Hauv kev pom ntawm qhov tsis txaus ntseeg ntawm cov kab mob enzyme hauv cov menyuam yaus (tsis muaj enzyme uas ketone lub cev metabolize), lawv tsub zuj zuj. Yog tsim tshuaj mob ntsws (ntshav hloov mus rau sab acidic) thiab ua kev tsis haum rau lub cev, uas yog nrog los ntawm kev tawm tsam ntuav thiab tsis muaj zog. Acetone ua tawm hauv cov zis thaum ua pa nrog cua thiab hla ntawm daim tawv nqaij ntawm menyuam yaus. Cov kev tsis txaus siab tseem ceeb yog kev tawm tsam ntawm xeev ntuav, ntuav (3-8 zaug hauv ib hnub), ntxhov siab, uas ua kom tsis muaj zog, mob hauv plab, hnia cov acetone tawm ntawm lub qhov ncauj, thiab qee zaum muaj qhov kub nce.

Kev Mob Acetonemic Syndrome - Qhov no tsis yog kab mob, tab sis tsab ntawv tshaj tawm qhov tseeb tias cov khw muag khoom qabzib sab hauv lub cev. Yog li, tib txoj kev kho mob yog dej qab zib thiab kev noj haus zoo tom qab kev tawm tsam.

Kev noj haus rau cov mob xoos xoos hauv cov menyuam yaus yuav tsum muaj:

Kev zom cov zaub mov tau yooj yim thiab muaj cov qab zib uas muaj qab zib, tsev cheese, txiv hmab txiv ntoo purees, compotes thiab qab zib jelly.
Ib cov kua dej txaus (1-1.5 litres ib hnub).
Cov khoom lag luam uas txhawb cov tshuaj tiv thaiv alkaline ntawm cov zis: txiv qaub kua txiv, prunes, hnub tim, figs, qab zib, txiv hmab txiv ntoo, beets, carrots. Cov qe, nqaij, ntses, mov ci ua rau acidification thiab qhia rau hauv 2-3 hnub xwb. Qaub txiv hmab txiv ntoo (kiwi, rosehip broth, currants) yuav tsum tau txwv.

Rau cov menyuam yaus raug cov mob nrawm nrawm, feem ntau ntawm cov zaub mov tsis tuaj yeem lees txais. Koj yuav tsum paub tias tus mob no tuaj yeem ua rau kis mob lossis catarrhal, yog li ua mob hnyav ua pa ntawm tus neeg mob, khoom noj khoom haus yuav tsum yog lub teeb thiab muaj cov khoom noj uas yooj yim.

Cov zaub mov dab tsi tuaj yeem noj tau tom qab kev tawm tsam? Tam sim ntawd tom qab qhov tsis muaj kab noj, koj tuaj yeem muab dej qab zib (tshuaj yej, compote, kua txiv, kua qabzib). Thaum tus me nyuam muaj peev xwm noj tau, thiab qhov no tuaj yeem yog hnub thib ob, kev noj zaub mov muaj txiaj ntsig zoo hauv cov khoom noj muaj txiaj ntsig thiab tau txais cov zaub mov me me:

kua zaub txhuv (buckwheat, mov, pob kws, oat) tsis muaj qab zib thiab ntsev,
txiv mousses thiab jelly
biscuit ncuav qab zib
ci kua
zaub thiab txiv hmab txiv ntoo rau qab zib.

Txij hnub peb mus txog hnub plaub:

zaub kua zaub
tsis tshua muaj rog tsev cheese
nqaij soufflé, tais diav ntawm qaib cov txwv, luav, hiav txwv ntses,
nqaij qaib qe (ntuag qe, hau muag-rhaub),
Cov khoom siv mis nyuj ua haujlwm yam tsis muaj kev txuag kabmob thiab thev.

Nrog rau cov normalization ntawm acetone rau lub sijhawm tsawg kawg ib hlis, kho cov tshuaj Rooj ntawv 1Cov. Cov zaub mov yuav tsum muaj ntsis noj kom zoo rau lub plab (tsis suav cov cav, tshuaj thiab kub). Lauj kaub tais diav yuav tsum tsis txhob ua rau lub plab ntawm lub plab hnyuv thiab tsis muaj cov khoom lag luam (turnip, radish, asparagus, taum, radishes, peas). Cov zaub mov yuav tsum sov.

Kev noj zaub mov rau acetone nyob rau hauv cov zis hauv cov menyuam yaus muab rau cov zaub mov tsis zoo (txog 6 zaug hauv ib hnub), hauv qee qhov me me. Nws yog ib qho tseem ceeb tias qhov sib nrug nruab nrab ntawm cov zaub mov tsis pub tshaj 3 teev. Yog hais tias tus me nyuam tsis kam noj, cia nws haus ib khob kua txiv hmab txiv ntoo los yog compote nrog zib ntab, noj cov txiv ntoo qab zib, txiv hmab txiv ntoo qhuav (prunes, hnub tim, qhuav apricots) lossis ncuav qab zib. Tab sis tom qab ib pliag koj yuav tsum muab su noj tag lossis noj hmo dua.

Tom qab ntuav, cov hnoos qeev ntawm lub plab thiab txoj hlab pas ua rau ntau dua lossis tsawg dua cuam tshuam, yog li nws yuav zoo dua yog tias cov zaub mov muaj kua thiab gruel. Yog tias koj muab cov tais diav ntawm qhov sib xws tas li, tom qab ntawd nws yog qhov zoo dua los so lawv. Nws tseem tsim nyog teev tias cov tais diav ua noj siav (faus), koj tuaj yeem ci, tab sis kib tsis suav nrog.

Txij li thaum nce acetone hauv cov zis tseem cuam tshuam nrog cov roj metabolism tsis zoo thiab kev siv cov khoom noj muaj roj, cov zaub mov muaj roj tsawg thiab nqaij nqaij yuav tsum muaj nyob hauv cov zaub mov noj. Nws tsis tuaj yeem tsis kam noj cov zaub mov kib, roj nqaij nqaij ua si, qab zib, noj nqaij, thiab zaub mov hauv kaus poom.

Cov tsos ntawm acetone hauv cov zis nrog ntawm cev xeeb tub kuj muaj ntau qhov tshwm sim, yog li tus poj niam ib txwm muaj los kuaj cov zis rau ketone lub cev. Cov ua kom muaj ntau ntau cov roj ntsha hauv plab thaum cev xeeb tub yuav yog qee qhov kab mob lossis kev noj haus tsis zoo. Tab sis ntau zaus - ib daim foos hnyav mob toxicosis nrog kev ntuav thiab tsis qab los noj mov. Thaum ntuav ploj, kua thiab electrolytes ploj, thiab thaum lub sij hawm tshaib plab, cov protein thiab cov rog hauv cov metabolism, cov khoom lwj uas yog ketone lub cev (acetone) pom nyob hauv cov zis. Kev noj zaub mov tsis zoo, uas siv cov khoom noj muaj roj thiab cov nqaij muaj ntau, yuav ua rau cov tsos ntawm acetone hauv cov zis. Nws yuav tsum raug sau tseg tias ntau dhau los "mob siab rau" rau khoom qab zib kuj tuaj yeem nrog cov kev ua txhaum no.

Nrog rau cov tshuaj acetone nyob rau hauv cov zis ntawm cov poj niam cev xeeb tub cuam tshuam nrog toxicosis, kev haus dej haus yog tau sau tseg - kev siv dej alkaline ntxhia dej (Borjomi) hauv me me sips, thiaj li tsis ua rau ua kom ntuav. Koj yuav tsum haus dej kom ntev txog 1.5 litres ntawm cov dej rau ib hnub. Nrog rau qhov ploj ntawm kev xeev siab thiab ntuav, koj yuav tsum pib noj zaub mov me me ntawm cov zaub nyoos, txiv hmab txiv ntoo, zaub kua zaub, kua txiv, cereals. Nws tsis pom zoo rau kev tshaib plab, uas tuaj yeem rov ua dua qhov xwm txheej.

Yog tias nyob rau theem pib tshwm sim nyob rau hauv cov zis ntawm acetone hauv cov poj niam cev xeeb tub tuaj yeem yog los ntawm toxicosis, tom qab ntawd tom qab theem, koj tuaj yeem xav txog qhov muaj mob ntshav qab zib gestationalCov. Thiab qhov no txhais tau tias tus poj niam yuav muaj kev kuaj ntau dua los ntawm tus kws endocrinologist.

Dab tsi yog cov teeb meem kev mob tshwm sim hauv cov menyuam yaus?

Acetonemic mob rau menyuam yaus tshwm sim nws tus kheej, raws li txoj cai, ua ntej hnub nyoog 5 xyoo. Pathology tshwm sim tawm tsam tom qab ntawm cov khoom noj tsis haum ntawm lub cev hauv lub cevtshwj xeeb uas tsis muaj cov piam thaj hauv.

Raws li qhov ua txhaum cai no, ketone lub cev pib khaws ntau ntxiv rau hauv tus menyuam lub cev. Yog tias lawv muaj pes tsawg tus yig tshaj qhov kev cai, tus neeg mob me me muaj cov tsos mob tsis haum heev, xws li xeev siab, ntuav nquag, tsis muaj zog.

Yog tias nyob rau lub sijhawm kom tshem tawm cov laj thawj uas ua rau muaj kev tsim kho ntawm tus kabmob, tus mob no tsis muaj xwm txheej, thiab, tsis ntev, tus menyuam muaj mob.

Txawm li cas los xij, lub caij nyoog ntev ntawm tus kab mob tuaj yeem ua rau lub cev hnyav ntawm lub cev tsis txaus, pathology ntawm cov khoom nruab nrog sab hauv, kev noj qab haus huv tsis zoo, kev cuam tshuam tsis zoo rau kev noj qab haus huv, tsis muaj zog.

Ntawm carbohydrate metabolism lub cev txo qis hauv cov qib ntawm cov piam thaj, yam khoom uas lub cev tau txais lub zog nws xav tau.

Hauv qhov no, lub cev pib tsim kom muaj lub zog los ntawm lwm lub peev nyiaj tsis npaj rau qhov no.

Feem ntau pom daim siab ua tshuaj tiv thaivCov. Cov kabmob no muaj ib qho Tshuag ntawm glycogen, los ntawm cov kua nplaum nyob hauv lub sijhawm qee qhov kev rov ua haujlwm.

Cov peev txheej ntawm glycogen hauv lub siab yog qhov me me heev, thiab cov txheej txheem ntawm nws cov kev sib cais yog ua tiav lub sijhawm luv luv. Raws li qhov tshwm sim, cov txheej txheem hauv lub cev hauv lub siab tau cuam tshuam, cov kev ua haujlwm ntawm cov khoom no muaj tsawg.

Tom qab lub glycogen khw muag khoom tag lawm, lub cev pib cov txheej txheem ntawm lipolysis, uas yog, kev tawg ntawm cov rog, uas los ntawm lub cev tawm lub zog nws xav tau. Raws li qhov tshwm sim ntawm cov kev hloov no, tsis tsuas yog lub zog tsim tawm, tab sis kuj lub byproduct yog ketoneuas nkag rau hauv cov hlab ntshav.

Ketone yog ib qho tshuaj tsis zoo rau lub cev, uas, qee qhov me me, tsis muaj qhov tsis zoo, vim tias nws raug tawm sai ntawm lub cev los ntawm lub raum. Yog tias cov ntsiab lus ntawm ketone lub cev nce ntxiv, qhov no tuaj yeem cuam tshuam loj rau kev noj qab haus huv ntawm tus menyuam.

Ketone lub cev tsis pom hauv cov menyuam tshiab, vim nws lub cev muaj cov enzymes tshwj xeeb rau lawv cov kev sib tawg. Txawm li cas los xij los ntawm 10 lub hlis, qhov ntau ntawm cov enzymes no txoRaws li qhov tshwm sim, ketone lub cev, nyob rau ntawm qhov muaj qee yam, tuaj yeem ceev cia.

Muaj 2 daim ntawv ntawm tus kab mob: thawj (nthuav dav raws li tus kab mob kev ywj pheej), thiab theem nrab (tshwm sim tawm tsam keeb kwm ntawm lwm yam kab mob). Tus mob acetonemia muaj tshwm sim rau cov menyuam yaus hnub nyoog 1-13 xyoos, ua rau muaj kev tsis haum tshuaj.

Ib daim ntawv theem nrab ntawm cov kab mob pathology tshwm sim tawm tsam keeb kwm ntawm cov kab mob endocrine, mob siab pathology, mob hlwb lossis mob qog nqaij hlav. Rau kev loj hlob ntawm tus kab mob ntawm daim ntawv no tuaj yeem ua rau lub cev tsis zoo (hauv kev tshwj xeeb, yoo mov, cov zaub mov tsis xwm yeem), cov kab mob ntawm lub plab zom mov.

Dab tsi yog asphyxia hauv menyuam mos thiab nws yog dab tsi? Tshawb nrhiav lo lus teb tam sim no.

Txhawm rau kom muaj kev vam meej kho tus kab mob, nws yog ib qho tsim nyog los txiav txim qhov tseeb uas ua rau nws txoj kev txhim kho.

Ntawm cov phiv cuam tshuam nrog:

Tsis muaj glycogen nyob rau hauv daim siab. Qhov xwm txheej no tshwm sim feem ntau yog menyuam yaus (ntau dua 10 lub hlis) uas tau pub niam mis. Hauv lub siab ntawm tus menyuam yaus, glycogen tsis sib ntxiv, thiab thaum pub mis, tus menyuam tsis tau txais cov vitamins thiab cov ntsiab lus tseem ceeb.
Khoom noj khoom haus tsis muaj zogtshwj xeeb, kev noj ntau dhau ntawm cov khoom noj muaj roj thiab protein ntau. Hauv cov txheej txheem ntawm kev zom zaub mov, cov protein thiab cov rog yog tawg, hauv cov txheej txheem ntawm cov tshuaj tiv thaiv no ib qho nyiaj hauv lub cev ketone nkag mus rau hauv cov ntshav, uas, thaum muaj qhov tsis zoo, muaj peev xwm nthuav tawm.
Ib ce muaj zog dhaunyob rau hauv uas lub cev xav tau ntau lub zog ntau dua li ntawm so. Raws li qhov no, lub cev rho tawm lub zog no los ntawm cov rog, uas ua rau kev tsim cov ketones.
Cov khoom noj nyuaj, yoo movCov. Lub hauv paus ntsiab lus ntawm kev ua yog tib yam: qhov muaj txiaj ntsig tsis txaus ntawm lub cev tsis nkag mus rau hauv lub cev, qhov tshuaj tiv thaiv ntawm kev sib cais ntawm cov rog pib, thiab, yog li, kev tsim cov ketone lub cev.
Tus kabmob Pancreaticcuam tshuam nrog kev ntshaus plab hauv lub cev.

Raws li cov laj thawj no, nws muaj peev xwm xaus lus tias cov menyuam yaus hnub nyoog 1-3 xyoos, raug mob los ntawm cov kab mob ntawm cov kabmob hauv nruab nrog cev, lossis tus uas tau raug hnyav thiab nquag ua haujlwm lub cev yog qhov muaj kev pheej hmoo.

Ntawm qhov tseem ceeb yog qhov khoom noj zoo, nrog rau cov zaub mov li ib txwm.

Cov lus qhia kho kom raug

Muaj ntau cov lus xaus hais txog kev phom sij ntawm kev ntxuav cov tshuaj pleev ib ce. Hmoov tsis zoo, tsis yog txhua tus mummies tshiab mloog lawv. Hauv 97% ntawm cov menyuam yaus zawv plaub hau, cov tshuaj txaus ntshai Sodium Lauryl Sulfate (SLS) lossis nws siv tshuaj ntxiv. Ntau cov ntawv sau tau sau txog cov teebmeem ntawm cov tshuaj lom neeg no ua rau kev noj qab haus huv ntawm menyuam yaus thiab cov neeg laus. Ntawm qhov kev thov ntawm peb cov neeg nyeem, peb tau sim ntau hom npe nrov. Cov txiaj ntsig tau dhau los ua tsis txaus siab - cov tuam txhab tshaj tawm tshaj tawm pom muaj cov muaj feem cuam tshuam. Txhawm rau kom tsis txhob ua txhaum txoj cai ntawm cov tuam ntxhab, peb tsis tuaj yeem sau cov npe khoom tshwj xeeb. Mulsan Cosmetic, tsuas yog lub tuam txhab dhau los ntawm txhua qhov kev xeem, tau txais 10 lub ntsiab lus tseem ceeb ntawm 10. Txhua yam khoom yog tsim los ntawm cov khoom xyaw ntuj, ua tiav kev nyab xeeb thiab hypoallergenic. Tsis pub leej twg paub pom zoo kom lub khw online online mulsan.ru. Yog tias koj tsis ntseeg qhov natural ntawm koj cov tshuaj pleev ib ce, xyuas lub sijhawm tas sij hawm, nws yuav tsum tsis pub tshaj 10 hli. Ua tib zoo xaiv cov tshuaj pleev ib ce, qhov no tseem ceeb heev rau koj thiab koj tus menyuam.

Nws paub tias tib neeg lub cev xav tau lub zog. Nws tau txais nws hauv txheej txheem kev faib cov khoom noj (rog, protein, carbohydrates) uas tuaj nrog zaub mov noj.

Raws li qhov tshwm sim ntawm no, cov piam thaj tsim hauv lub cev, uas accumulates hauv daim siab ua tshuaj - glycogenCov. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias glycogen khw muag khoom hauv lub siab yog qhov tsawg heev, thiab tuaj yeem noj nws lub sijhawm luv luv.

Yog tias qhov khoom noj tsis txaus rau hauv lub cev, nws pib siv cov peev txheej ua ntej ntau dhau los, thawj glycogen, tom qab ntawd cov rog, kom tau txais lub zog. Raws li qhov tshwm sim ntawm cov rog, cov roj ntsha yog tsim nyob hauv lub cev.

Lawv nkag mus rau hauv daim siab, qhov twg hloov mus rau hauv ketone lub cevCov. Ua haujlwm dhau sijhawm, ketone lub cev tau hloov mus rau hauv cov tshuaj lom neeg tshwj xeeb (beta-hydroxybutyric acid, acetoacetic acid, acetone).

Ntxiv mus, cov tshuaj no nrog cov ntshav ncig yog nqa thoob plaws lub cev, suav nrog cov uas nkag rau hauv lub hlwb. Thiab yog tias cov ntsiab lus ntawm keto acids muaj ntau dhau, qhov no tuaj yeem ua rau nkag mus rau hauv lub cev, uas ua rau nquag ntuav thiab ntuav.

Thaum tsis muaj kev kho kom raug, qhov teeb meem loj heev yog qhov ua tau, ua rau pom tseeb, tshwj xeeb, los ntawm kev cuam tshuam tsis zoo hauv kev ua haujlwm ntawm cov kabmob sab hauv los ntawm kev siv lub cev ntev.

Yuav ua li cas thiaj pom muaj cov kab mob acetonemia? Tus kab mob muaj ib tug xov tooj ntawm cov yam ntxwv ntawm tus muaj mob. Cov no suav nrog:

daim tawv nqaij qhuav. Kev ntuav ntau heev ua rau lub cev qhuav dej ntawm lub cev, ua txhaum ntawm cov txheej txheem ntawm lub cev zom zaub mov, ua rau ntawm daim tawv nqaij ua kom noo noo,
thaum lub sijhawm tseem ceeb yog pom daim siab ua ntugCov. Qhov tsos mob no tseem mob siab rau ib lub lim tiam tom qab nres kev tawm tsam,
raws li kev tshwm sim ntawm lub caij nyoog intoxication ntawm lub cev yog cai kev cuam tshuam dav dav hauv txoj kev nyob zoo ntawm tus menyuamtsis muaj zog, lethargy. Nyob rau hauv cov mob hnyav, lethargy yog ua tau,
kev cuam tshuam ntawm cov hlab plawv system, manifested nyob rau hauv daim ntawv ntawm arrhythmias, tachycardia, nce ntshav siab,
nquag thiab cem ntuav ntuavtsis tshua muaj qab los noj mov, tso quav tsis xis nyob, ua kom pom ntawm mob hauv plab,
pes nrab npaws lub cev
kev hnov ntxhiab tsw ntxhiab ntawm acetone
kev kuaj sim qhia pom tsis zoo nce hauv ESR, cov ntsiab lus ntawm neutrophils thiab leukocytes nce (qee qhov, cov ntsuas no tseem nyob li qub). Theem qabzib, ntawm qhov tsis tooj, yog poob zuj zus.

Nyeem txog yuav ua li cas kho mob asthenic syndrome hauv menyuam yaus tom qab mob.

Ib txoj hauv kev kuaj mob tseem ceeb yog kev soj ntsuam cov duab hauv chaw soj ntsuam kab mob. Yog li peb tuaj yeem tham txog kev muaj acetonemia nyob rau hauv rooj plaub thaum:

kev txhaws qa yog rov ua dua ntau zaug,
tawm tsam muaj lub sijhawm ntev dua,
rov ua yam tsawg 2 zaug nyob rau ib asthiv,
hloov ua ke nrog ncua sijhawm ntawm kev zam txim, thaum tus neeg mob hnov zoo li qub,
kev tawm tsam muaj tib txoj kev kawm (tus kheej rau txhua tus neeg mob),
tshwm sim thiab tuag tawm nthawv.

Txhawm rau txhawm rau ntsuas qhov tseeb, ntau qhov kev kuaj yuav tsum yog:

Kuaj ntshav (Cov lus qhia muaj ntau ntawm cov piam thaj, leukocytes, neutrophils, thiab tseem ESR yog kwv yees).
Mob Lub Hlaus txhawm rau txiav txim siab theem ntawm cov ntsiab lus ntawm ketone lub cev (tus naj npawb tau qhia los ntawm + kos npe, ntsuas yuav txawv ntawm + txog ++++).
Kev tshawb nrhiav hluav taws xob txhawm rau txiav txim siab qhov tsis txaus ntawm lub cev qhuav dej, kom paub txog dab tsi ntawm cov dej (ntsev los yog tsis tau dej) nws feem ntau poob.

Kev ntsuas kho mob txhawm rau tshem tawm cov laj thawj thiab cov tsos mob ntawm cov mob acetonemia tau muab faib ua 2 qib: nyem ntawm cov teeb meem mob acetonemic (nqa tawm thaum lub caij chua leeg) thiab kev kho mob nyob nruab nrab ntawm kev tawm tsam.

Txoj kev ntuav ntau heev ua rau muaj kev rau txim loj cuam tshuam nrog cov teeb meem hauv lub cev hauv lub cev, poob dej, uas cuam tshuam rau qhov mob ntawm txhua yam hauv nruab nrog cev thiab cov kab ke ntawm tus menyuam. Yog li, txhaws qa ntuav yuav tsum ua kom tiv thaiv thiab tawg.

Thaum lub sij hawm chua leeg, nws yog qhov yuav tsum tau ua kom paub tseeb tias tus me nyuam haus cov dej txaus, uas yuav tso cai rov ntim dej li qub kab mob muaj sia, tshem tawm cov co toxins thiab co toxins.

Nws yog ib qho tsim nyog yuav tsum tau haus ntau, tab sis hauv qee qhov me me, thiaj li tsis ua rau kev tawm tsam tshiab ntawm ntuav.

Ib qho kev daws teeb meem yog qhov zoo tsim nyog rau kev txiav txim siab Rehydron, tshuaj ntsuab teas, vitamin txiv hmab txiv ntoo haus, ntxhia tseem dej.

Tus neeg mob hauv tsev kho mob tau txais kev kho mob infusion (kev qhia txog kev daws teeb meem siv cov kua roj). Kev kho txoj kev lis ntshav aims ntawm:

Kev tshem tawm cov dej tsis haum hauv lub cev, tshem tawm cov pa phem, txhim kho cov txheej txheem hauv lub cev thiab microcirculation.
Rov qab kho kom lub cev li qub acid - pib kev sib npaug ntawm lub cev.
Kev muab lub cev nrog cov zom zom zom kom muaj cov khoom noj kom ruaj khov.

Yuav kom lub cev tsis xws li qub, tshem tawm qhov ua rau thiab tshwm sim ntawm tus kab mob tus me nyuam xav tau:

Ua enzyme npaj uas txhim kho txoj kev zom zaub mov, rov qab muaj cov metabolism hauv ib txwm ua.
Ua kom tau raws li cov khoom noj.
Txais tos ntawm cov tshuaj tua kab mob thiab tshuaj tua kab mob (nqa tawm nruj raws li kws kho mob tau hais tseg).
Noj tshuaj loog (yog tias tus neeg mob yws mob plab).
Kev ntxuav huv kev tso quav kom huv hauv lub cev.

Kawm txog cov tsos mob thiab kho mob mob caj dab hauv cov menyuam los ntawm peb tsab xov xwm.

Ib qho ntawm cov laj thawj rau kev loj hlob ntawm acetonemia yog khoom noj khoom haus tsis muaj zog.

Yog li, nyob rau lub sijhawm kho mob, nrog rau kev tiv thaiv kom tsis txhob rov huam mob rau yav tom ntej, tus menyuam yuav tsum ua raws cov zaub mov tshwj xeeb.

Hauv particular, cov khoom noj muaj preservatives, ntau npaum li cas ntawm cov rogCov. Koj yuav tsum tso tseg kev siv cov dej qab zib, tej daim, cov khoom noj kom ceev. Nws raug nquahu kom txwv tsis pub noj cov zaub mov kib.

Noj cov zaub mov thaum kho tau tsuas yog kwv yees li 2-3 lub lis piam. Thawj lub sijhawm tom qab kev tawm tsam, nws raug nquahu kom suav nrog menyuam hauv daim ntawv qhia ua noj mov nplej, zaub kua zaub, zaub qos.

Yog hais tias kev tawm tsam tsis rov tshwm sim thaum lub sijhawm noj zaub mov no rau ob peb hnub, cov zaub mov tuaj yeem hloov me ntsis, suav nrog nqaij qaib hau (tsis muaj daim tawv nqaij), zaub ntsuab, zaub ntsuab. Mov ci yog zoo tshaj plaws nyob rau hauv qhuav daim ntawv.

Sijhawm dhau sijhawm, yog tias cov tsos mob ntawm tus kabmob tsis rov qab, koj tuaj yeem muab rau koj tus menyuam buckwheat porridge, ntses tsis muaj roj, khoom noj siv mis.

Kev mob Acetonemia yog suav tias yog qhov phom sij heev rau tus menyuam lub cev, cuam tshuam rau nws ib txwm muaj kev loj hlob thiab loj hlob. Kev tawm tsam ntawm tus kabmob cuam tshuam tsis zoo rau lub neej zoo ntawm tus neeg mob me, ua rau muaj kev cuam tshuam ntev rau lub neej zoo, xiam oob khab.

Yog li no Nws yog qhov tseem ceeb heev rau kev tiv thaiv kev txhim kho ntawm cov tsos mob tsis zoo noCov. Ntxiv mus, nws tsis yog qhov nyuaj ua li no. Nws yog ib qho tsim nyog los saib xyuas kev noj qab haus huv ntawm tus menyuam, nws cov zaub mov kom raug, ua raws cov qauv ntawm kev ua neej nyob nyab xeeb.

Koj tuaj yeem kawm paub txog yuav ua li cas thiaj li paub tshawb nrhiav pom tus mob ua mob rau hauv tus menyuam los ntawm cov yeeb yaj kiab:

Peb zoo thov koj tsis txhob muab tshuaj rau tus kheej. Sau npe tus kws kho mob!

Onipko, V.D. Phau ntawv rau cov neeg mob ntshav qab zib mellitus / V.D. Onipko. - Moscow: Teeb, 2001 .-- 192 p.
Knyazev Yu.A., Nikberg I.I. Mob ntshav qab zib mellitus. Moscow, luam tawm lub tsev "Tshuaj" 1989, 143 nplooj ntawv, ncig 200,000 daim ntawv luam.
Balabolkin M. I., Lukyanchikov V. S. Cov chaw kho mob thiab kev kho mob ntawm cov mob tseem ceeb hauv endocrinology, Zdorov'ya - M., 2011. - 150 p.

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau dua 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, yuav tsum tau sab laj nrog tus kws kho mob tshwj xeeb.

Kev kuaj mob thiab kev kho mob ntawm cov mob "acetonemic syndrome" hauv cov menyuam yaus.

Feem ntau cov niam txiv txhawj xeeb, hu kws kho mob tom tsev, tham txog qhov tseeb uas tus me nyuam muaj kev noj qab haus huv tiag tiag ntuav heev tshwm sim thaum tsaus ntuj lossis sawv ntxov. Thiab tus neeg mob me me nws tus kheej tsis muaj zog, nkees thiab tsis xav noj. Feem ntau cov mob no tau ua yuam kev rau kev mob plab hnyuv, xa tus menyuam mus rau tom tsev kho mob kis mob. Thiab tam sim ntawd, hauv kev txheeb xyuas ntawm kev tso zis, acetone pom. Thiab tus kws kho mob hais qhia rau cov niam txiv uas ceeb toom tias tus menyuam muaj "mob ua mob".

Peb sim saib seb qhov kev ua txhaum yog dab tsi, yuav coj li cas rau niam txiv, ua dab tsi thiab yuav ua li cas tiv thaiv kom tsis txhob rov ua txhaum ntxiv.

Acetonemic syndrome yog ib qho mob uas tshwm sim thaum cov txheej txheem hauv lub cev hauv lub cev tawg, ua kom tawg, uas yog ib hom kev ua tsis zoo hauv cov txheej txheem hauv cov khoom noj hauv lub cev. Hauv qhov no, tsis muaj qhov tsis ua haujlwm ntawm lub plab hnyuv siab raum, kev tsis sib haum xeeb hauv lawv cov qauv heev tsis pom, tsuas yog ua haujlwm, piv txwv li, ntawm lub txiav thiab mob siab yog tsis tswj hwm. Cov tsos mob no nws tus kheej yog ib qho kev qhia ntawm lub npe hu ua neuro-arthritic anomaly ntawm tsab cai lij choj (neuro-arthritic diathesis yog lub npe qub rau tib yam mob). Nov yog qee yam ntawm cov cwjpwm kev coj ua ke nrog kev ua haujlwm tshwj xeeb ntawm cov kabmob sab hauv thiab cov hlab hlwb ntawm tus menyuam.

Acetonemic syndrome nyob rau hauv ntau cov ntawv nyeem tuaj yeem hu ua txoj kev sib txawv ntawm tus mob cyclic acetonemic ntuav, mob ntshav qab zib ketosis, ketoacidosis tsis mob ntshav qab zib, mob plab ntuav - txhua qhov kev kuaj mob no yog qhov tseem ceeb rau tib yam. Nws tsuas yog tias qee tus kws kho mob tau muab lub npe ntawm kev kuaj mob ua tus tsos mob ua ntej hauv cov duab hauv chaw kuaj mob - ntuav, thaum lwm tus - qhov ua rau nws tshwm sim - acetone. Yog li ntawd, kev tsis meej pem me ntsis tuaj yeem tshwm sim.

Qhov muaj cov mob tshwm sim hauv daim npav no yuav ua rau cov niam txiv xav tsis thoob. Tab sis koj tsis tas yuav ntshai tam sim ntawd - qhov tseeb, tus mob yog qhov tuaj yeem tswj tau thiab, nrog cov cai ntawm niam txiv tus cwj pwm, tuaj yeem kho tau zoo nkauj sai, thiab yog tias koj ua raws li txoj cai yooj yim, koj tuaj yeem tiv thaiv kev tawm tsam kiag li. Tam sim no hais txog txhua yam nyob rau hauv ntau dua kom meej.

Vim li cas muaj kev tawm tsam?

Yuav kom nkag siab qhov twg acetone los ntawm lub cev, koj yuav tsum digress me ntsis los ntawm kev piav qhia ntawm tus kab mob nws tus kheej thiab ua kev taug kev me me mus rau hauv physiology ntawm kev noj haus. Tag nrho peb cov kabmob thiab cov nqaij yuav tsum muaj lub zog rau kev loj hlob thiab kev ua haujlwm zoo. Nquag, rau lub hlwb ntawm yuav luag txhua yam plab hnyuv siab raum thiab cov ntaub so ntswg, cov khoom tseem ceeb ntawm lub zog yog carbohydrates, lossis theej qabzib. Lub cev tau txais nws los ntawm tag nrho cov carbohydrates uas los nrog zaub mov - hmoov txhuv nplej siab, sucrose, txiv hmab txiv ntoo qab zib thiab lwm tus. Txawm li cas los xij, nyob rau hauv kev ntxhov siab, nyob rau hauv cov kev mob ntawm kev tshaib plab, hauv cov kab mob, thiab qee zaum, carbohydrates ib leeg, raws li cov neeg muab cov piam thaj, tsis txaus. Tom qab ntawd lub cev pib txais cov piam thaj los ntawm kev hloov pauv hauv cov rog los ntawm cov rog. Thiab nyob rau hauv rooj plaub huab, thaum lub khw muag khoom muaj roj yog depleted, cov protein pib noj (hauv menyuam yaus, kom muaj kev xyiv fab heev, qhov no tshwm sim tsis tshua muaj neeg mob, hauv cov xwm txheej huab).

Zoo thiab zoo, koj hais los. Yog tias muaj qee yam los hloov qhov tsis muaj carbohydrates, ces dab tsi yog qhov sib txawv? Thiab qhov sib txawv lus ncaj qha nyob hauv qhov tseeb tias cov khoom noj carbohydrates yog ncaj qha los ua cov neeg muab cov piam thaj - lawv tau tawg tsuas yog nrog kev tsim cov piam thaj thiab qee zaum dej. Tab sis nyob rau hauv kev sib txuas ntawm cov kua nplaum los ntawm cov rog, qhov ntau ntawm nruab nrab thiab cov khoom lag luam yog tsim - lub npe hu ua ketone lub cev, uas suav nrog acetone, acetoacetic acid thiab β-hydroxybutyric acid. Lub cev me me ntawm ketone lub cev tau tsim nyob rau hauv ib txwm mob, lawv yog lub zog ntawm lub zog rau lub hlwb thiab cov hlab ntsha cov ntaub so ntswg, tab sis nyob rau hauv cov xwm txheej ntawm kev txhim kho ntawm cov kab mob acetonemic, lawv cov concentration nce mus txog ntawm qhov ntau.

Cov kws tshawb fawb ntseeg tias qhov laj thawj ntawm kev txhim kho ntawm cov tshuaj acetone yog kev ua haujlwm tsis zoo ntawm qee qhov ntawm lub hlwb - cov hypothalamus thiab pituitary caj pas, uas yog lub luag haujlwm rau endocrine system, tshwj xeeb tshaj yog rau cov metabolism hauv kev tsim nyog ntawm carbohydrates thiab cov rog. Muaj ntau qhov laj thawj rau qhov no - qhov no yog qhov kab mob kev xeeb tub thiab yug menyuam, thaum tus menyuam hauv plab thiab nws cov hlab ntsha tsis muaj pa oxygen, thiab cov keeb muaj keeb, thiab cov teeb meem hauv lub cev hauv lub cev yog crumbs, ntxhov siab, kis kab mob, thiab lwm tus.

Txhua qhov xwm txheej uas ua rau kev txhim kho ntuav yog kev ntxhov siab rau lub cev ntawm txiv laum huab xeeb. Thiab nyob hauv kev ntxhov siab, ntau cov tshuaj hormones pib ua kom tsis txhob zais (piv txwv li, glucagon, adrenaline thiab lwm tus), uas ua kom lub cev tsis sib txig sib luag, thiab lawv cov peev txheej muaj tsawg. Nws rub lawv ob peb teev, kom sai li sai tau rau lawv siv, muaj hloov mus rau cov rog kom tau raws li qhov xav tau ntawm lub cev. Tom qab ntawd muaj ntau lub ketone lub cev hauv lub cev, lawv tsis muaj sijhawm yuav raug hlawv los ntawm cov hlab ntsha hauv lub hlwb, pib nthuav tawm hauv tus menyuam lub cev, nkag rau cov hlab ntshav, nqa mus thoob plaws lub cev, ua kom muaj tshuaj lom rau ntawm lub hauv nruab nrab lub paj hlwb, lub raum, lub ntsws, lub siab thiab lwm yam kabmob. Yog lawm, lub cev tab tom sim tawm tsam, sib zog tshem cov ketones nrog cov zis thiab ntuav, nrog cov huab cua uas tas sij hawm thiab txawm tawv. Tias yog vim li cas qhov chaw mob menyuam mos, hnov tus yam ntxwv ntawm cov ntxhiab tsw ntxhiab ntawm Acetone, zoo li cov kws kho mob tau hais tias, tsw zoo li "txiv hmab txiv ntoo siav."

Ketones ua rau muaj kev cuam tshuam loj heev nyob rau hauv tus menyuam lub cev - qhov thiaj li hu ua metabolic acidosis tshwm sim, uas yog, ua rau acidification ntawm ib puag ncig sab hauv ntawm lub cev. Dab tsi ua rau muaj kev cuam tshuam ntawm txhua yam kabmob. Txhawm rau qee qhov pab lub cev, qhov system ntawm kev ua pa nrawm nrawm, ua kom ntshav khiav mus rau lub ntsws. Tab sis mus rau lwm lub nruab nrog cev thiab lub hlwb, qhov hloov zuj zus. Ketones ua ncaj nraim rau lub hlwb cov ntaub so ntswg, ua rau muaj kev cuam tshuam zoo sib xws rau ib qho tshuaj yeeb, nce mus txog tom qab. Yog li ntawd, menyuam yaus yuav tsis muaj zog, tiv thaiv tsis tau. Thiab muab hais tias acetone yog cov tshuaj tiv thaiv zoo, nws kuj ua txhaum kev ncaj ncees ntawm cov roj ntsha ntawm lub cev. Vim tias kev voos ntawm txoj hnyuv ntawm lub plab thiab txoj hnyuv nrog ketone lub cev, mob plab thiab ntuav tshwm sim.

Thaum twg thiaj xav kom nres?

Feem ntau, cov menyuam yaus raug kev txom nyem los ntawm cov mob acetonemic syndrome; nyob rau xyoo, qaug dab peg mus txog lawv qhov siab thiab feem ntau ploj los ntawm kev pib ua tiav nkauj nraug.

Tus mob acetonemic syndrome tau sau tseg nyob hauv 4-6% ntawm cov menyuam hnub nyoog 1 xyoos txog rau thiab ntau zaus nws tau rau npe rau cov menyuam ntxhais. Ntxiv mus, ib nrab ntawm cov neeg mob me uas muaj tus kab mob no yuav tsum tau pw hauv tsev kho mob thiab tso dej raws leeg.

Raws li qhov xwm txheej ib txwm, menyuam yaus lub cev uas muaj tus kab mob caj dab tsis txaus thiab ua kom cov leeg mob ua haujlwm zoo ib yam li lwm tus menyuam yaus, tabsis lub cev muaj nyiaj hauv cov menyuam yaus tsawg. Yog li, txawm tias qhov xwm txheej tseem ceeb rau cov menyuam yaus dog dig tuaj yeem tsim kev tawm tsam - mob ntshav qab zib, kev ntxhov siab, zaub mov tsis raug thiab ntau ntxiv.

Yog tias tus kws kho mob ua tib zoo nug tus niam, koj tuaj yeem nrhiav pom tias cov menyuam no tau yug menyuam, ua rau mob hlwb thaum ntxov hauv lub hlwb, thiab qee tus kws kho mob txawm xav tias qhov no yog ib hom kev tawm ntawm migraines Qee zaum cov mob ua paug hnoos qhuav pib nrog kev tiv thaiv kab mob ua pa, mob plab hnyuv, mob ntsws thiab mob ntsws.

Feem ntau cov feem ntau, kev tawm tsam yog ua los ntawm qhov yuam kev ntawm cov khoom noj khoom haus. Qhov tseeb, nws nyuaj heev kom piav qhia rau cov khoom tawg yog vim li cas ib tug tsis tuaj yeem noj qee yam khoom noj. Yog li, feem ntau yog cov niam nruj me ntsis saib xyuas lawv cov khoom noj khoom haus, tsuas yog tsis paub nrog tus menyuam nrog cov khoom lag luam uas muaj kev phom sij rau lawv. Cov teeb meem feem ntau tshwm sim thaum mus xyuas qhua, chaw noj mov lossis thaum tus me nyuam noj niam tais yawm txiv uas ntseeg tias lawv paub zoo tshaj lawv tus tub xeeb ntxwv uas lawv nyiam tuaj yeem ua. Mus txog lub hnub nyoog ntawm xyoo, lub peev xwm los nqus cov rog tsawg dua, thiab overfeeding nrog cov zaub mov muaj roj - cream, qaub cream, butter, roj pancakes thiab pies, kib cutlets - ua rau qaug dab peg.

Txawm hais tias nyob hauv kev ncaj ncees, peb nco ntsoov tias koj tsis tas yuav maj nrawm mus rau qhov tsis ntau - ntuav ntawm acetonemic tuaj yeem tshwm sim nrog kev txwv tsis pub noj zaub mov kom tsawg. Yog tias qhov kev nqus ntawm cov as-ham tsis yog tsis tu ncua lossis txo qis heev, lub cev yuav pib siv nws cov rog rog, thiab qhov ua kom muaj cov rog ntau ntxiv, zoo li peb tau pom, tsuas yog ua rau kev nkag mus ntawm ketones. Yog li, cov niam cov txiv, yog tias koj tus menyuam rog dhau, koj yuav tsum tsis txhob siv nws yoo mov hnub los yog muab zaub mov rau noj, thiab ntau dua qhov nws xav tau tshaib plab. Tus kws kho mob yuav tsum koom nrog kev hnyav rau tus menyuam hauv qab kev saib xyuas menyuam!

Nrhiav thiab neutralize

Cov tsos mob tshwm sim los ntawm qhov pom ntawm qee qhov kev qhia tau zoo - txhaws qes, rov qab npau taws, uas rov ua dua li thaum sim haus me nyuam. Nyob rau tib lub sijhawm, cov cim ntawm lub cev qhuav dej thiab qaug cawv tau sau tseg - pallor nrog lub ntsej muag ci ntsa iab ntawm lub puab tsaig, qhov txo qis ntawm cov leeg nqaij, pib zoo siab, uas tau hloov los ntawm kev nkees nkees, tsis muaj zog, ua kom tawv nqaij qhuav thiab ua qog ua kua. Feem ntau kub taub hau txog 38.5 ° C yog tsim, los ntawm tus menyuam thiab nws txoj hnyuv thiab ntuav, qhov tsis hnov ntxhiab ntawm acetone, thinner lossis "txiv hmab txiv ntoo siav" yog pom meej meej.

Peb twb paub hais tias kev tawm tsam tsis tshwm sim ib yam li ntawd, los ntawm kos. Nco ntsoov hauv txhua yam - tus menyuam tau noj dabtsi thiab nws ua dabtsi, yog tias pom tus mob khaub thuas. Feem ntau, ua ntej yuav tawm tsam, koj tuaj yeem txheeb xyuas tus kheej ua ntej ntawm qhov pib ntawm kev kub ntxhov - nyob rau hauv daim ntawv ntawm kev chim siab ntau dhau, los kua muag, tsis kam noj, tsis txaus siab ntawm mob taub hau. Feem ntau qhov teeb meem tshwm sim ua ntej los ntawm cov tsos mob dyspeptic thiab mob plab. Thiab qee zaum txawm tias ua ntej qhov pib ntawm kev tawm tsam ntawm menyuam yaus, koj tuaj yeem ntes tus txiv "txiv ntoo" tsw ntawm lub qhov ncauj thiab muaj acetone hauv cov zis tau txiav txim siab. Cov niam txiv uas paub zoo, paub txog cov tsos mob no, tuaj yeem tiv thaiv kev cuam tshuam ntau ntxiv ntawm tus menyuam mos tus mob thiab txo qis cov qaug dab peg.

Yog lawm, thaum muaj kev ua xyem xyav, muaj qhov tsis txaus siab tsis xws luag thiab txawm tias koj yog tus niam txiv uas tau ntsib dhau los, thiab tus menyuam qhov teebmeem tsis yog thawj zaug, koj tseem yuav hu rau kws kho mob hauv tsev. Tus mob no zoo ib yam li lwm yam mob. Yog li, rau kev kuaj kom paub tseeb, tus kws kho mob yuav tso siab rau qee yam kev kuaj mob, uas yuav yog tag nrho lossis tsuas yog ntawm ib lossis ob qhov kev zam.Tsis tas li ntawd, kev kub ntxhov txhua lub sijhawm yuav muaj qib sib txawv, thiab yuav tau noj tshuaj ntxiv.

Ua ntej tus kws kho mob tuaj txog, tam sim ntawd muab kua rau me nyuam ntau dua - feem ntau nws sov, muaj zog tshuaj yej nrog qab zib, tab sis koj yuav tsum haus nws rau hauv me me sips, maj mam. Haus sai thiab hauv cov kua dej ntau hauv lub cev tuaj yeem ua rau ntuav, thaum cov fractional ntawm cov kua sov ua rau lub cev qhuav dej. Yog tias tus menyuam xav tau, koj tuaj yeem muab tshuaj txhuam ib qho me me lossis ib daim khob cij dawb nrog tshuaj yej. Tab sis yog tias nws tsis xav, nws yuav tsum tsis raug yuam. Koj tuaj yeem ua npaus thiab tshuaj ntsuab kev noj qab haus huv nrog oregano lossis mint, koj tuaj yeem haus dej alkaline ntxhia dej xws li Essentuki-4, Shadrinskaya, Uralochka, tab sis ib txwm tsis muaj roj. Crumb noj thaum lub sijhawm nres yog feem ntau tsis zoo, tab sis yog tias koj tsis kam tsis noj zaub mov, muab nws txiv hmab txiv ntoo puree, ib rab diav ntawm zib ntab, qos yaj ywm tsis muaj butter, txias-rog tsis muaj kefir.

Feem ntau, cov kev mob tshwm sim ntawm cov mob xoos xoos hauv txoj kev tawm tsam ntuav ntawm tus menyuam nyob ntev txog 5 hnub, qhov ntau zaus ntawm kev tshem tawm yog nyob ntawm lub xeev ntawm tus menyuam txoj kev noj qab haus huv, niam txiv ua raws li tus menyuam kev noj haus thiab kev coj noj coj ua. Ntuav tuaj yeem yog ib leeg, tab sis ntau zaus nws tshwm sim ntau zaus, ua ntej tawm tsam ib hnub.

Kev kuaj mob ntawm tus mob

Cov niam txiv lawv tus kheej tuaj yeem nqa tawm sai sai los txiav txim siab cov acetone hauv cov zis - cov kab mob tshwj xeeb uas tau muag hauv lub tsev muag tshuaj tuaj yeem pab tau. Lawv yuav tsum tau ua kom qis qis rau hauv ib feem ntawm cov zis thiab, siv ntsuas qhov tshwj xeeb, txiav txim siab txog qib ntawm acetone. Hauv kev kuaj sim, hauv kev soj ntsuam kev soj ntsuam ntawm zis, qhov muaj ketones yog txiav txim siab los ntawm "ib qho ntxiv" (+) txog "plaub pluses" (++++). Lub teeb tawm tsam - qib ntawm ketones ntawm + lossis ++, tom qab ntawd tus menyuam tuaj yeem raug kho rau hauv tsev. "Peb pluses" sib raug rau qhov nce qib ntawm ketone lub cev hauv cov ntshav los ntawm 400 zaug, thiab plaub - 600 zaug. Hauv cov xwm txheej no, yuav tsum tau mus pw hauv tsev kho mob - xws li ntau npaum li cas ntawm acetone txaus ntshai rau kev txhim kho tsis nco qab thiab mob hlwb.

Tus kws kho mob yuav tsum txiav txim siab qhov tseeb ntawm cov mob acetone syndrome: seb nws yog thawj los yog theem nrab - tsim, piv txwv li, ua rau muaj kev cuam tshuam ntawm ntshav qab zib.

Ntawm qhov kev pom zoo thoob ntiaj teb kev pom zoo hauv xyoo 1994, cov kws kho mob tau txiav txim siab tshwj xeeb rau kev kuaj mob, lawv tau muab faib ua theem pib thiab ntxiv.

ntuav rov ua raws ntu, hauv qhov sib ntau ntawm qhov sib txawv,
nruab nrab ntawm kev tawm tsam muaj sij hawm sib txawv ntawm cov xwm txheej ib txwm ntawm tus menyuam,
lub sijhawm ua haujlwm ntawm crises yog los ntawm ob peb teev mus rau
kuaj tsis zoo, kev kuaj mob radiological thiab endoscopic tshawb pom qhov ua rau ntuav, raws li muaj kev cuam tshuam ntawm cov kab mob pathology ntawm txoj hnyuv.

Cov qauv ntxiv suav nrog:

Lub sijhawm ntu ntuav yog tus yam ntxwv thiab stereotypical, tom qab ntu zoo ib yam li cov qub dhau los hauv lub sijhawm, siv sijhawm thiab sijhawm, thiab kev tawm tsam lawv tus kheej tuaj yeem xaus nthawv.
ntuav tawm tsam muaj nrog xeev ntuav, mob plab, mob taub hau thiab tsis muaj zog, photophobia thiab nkees nkees.

Kev kuaj mob tseem ua nrog kev tshem tawm cov kab mob ntshav qab zib ketoacidosis (mob ntshav qab zib), mob plab, mob plab - peritonitis, mob hnyuv tws. Neurosurgical pathology (mob hlwb, txha caj qaum, mob hlwb txha caj qaum), kab mob sib kis thiab lom yog tseem tsis suav nrog.

Yuav kho cov mob acetonemic syndrome li cas?

Muaj ob qho lus qhia hauv kev kho mob - qhov no yog kev kho mob ntawm qaug dab peg lawv tus kheej thiab kev kho mob hauv cov caij nyoog nruab nrab, uas yog txhawm rau txo qis cov exacerbations.

Yog li, peb kho tus kab mob ntawm ntuav. Cov hau kev ntawm kev kho yuav nyob ntawm seb nws tso zis ntau npaum li cas nyob rau hauv cov zis - yog tias muaj teeb meem sib khuav me me (acetone hauv cov zis yog "+" lossis "++"), tus kws kho mob kho tus menyuam nyob hauv tsev nrog kev pab los ntawm nws niam nws txiv.

Lub hauv paus rau kev kho mob ntawm hnoos plab yog: kev kho lub cev qhuav dej los ntawm ntuav, kev tiv thaiv ntawm cov kuab lom rau lub cev ntawm lub cev thiab cov hlab ntsha, kev kho mob ntawm kev ntuav ntuav nws tus kheej, kev kho kev noj zaub mov thiab kev ntsuas ntsig.

Kev noj haus yog raug rau ib tus menyuam ntuav nrog ntuav. Cov zaub mov yuav tsum muaj feem ntau zom cov zaub mov carbohydrates, nws yuav tsum muaj dej ntau, thiab cov rog yog ua kom tsawg.Txawm hais tias thawj cov tsos mob ntawm qhov kev kub ntxhov, koj yuav tsum pib muag cov nqaij ntshiv - cov kua dej yuav tsum muab ib feem ntawm, 3-5-10 ml txhua qhov kom tsis txhob ua rau mob ntuav. Nws raug nquahu kom haus dej alkaline ntxhia dej tsis muaj roj, tab sis yog tias nws tsis nyob ntawm koj txhais tes, koj tuaj yeem muab dej qab zib rau koj cov menyuam.

Thawj hnub, cov menyuam cov zaub mov qab yuav raug txo kom tsawg, yog li nws tsis thov zaub mov, koj tsis txhob yuam kom noj, thiab hnub tom qab sim ua zoo muab cov khaub noom, ncuav ci, mov nplej hauv dej los yog ib nrab mis, kua zaub zaub - txawm li cas los xij, yuav tsum muaj zaub mov tsawg, thiab qhov sib nrug ntawm lawv yuav tsum raug txo kom tsawg. Zoo, yog hais tias tus menyuam tseem noj mis, tom qab ntawd tsuas yog pub niam mis rau nws ntau dua. Nrog kev ua siab ntev zoo ntawm thawj cov khoom, koj tuaj yeem nthuav cov zaub mov - muab cov buckwheat, oatmeal lossis nplej porridge, chav txiav ntses, ntses.

Txhawm rau tiv thaiv kev tawm tsam, koj yuav tsum ua raws li qee qhov kev qhia noj zaub mov - koj tsis tuaj yeem pub koj tus menyuam nrog nqaij qaib, nqaij nyuj, nqaij npuas, cov khoom noj muaj rog, kua zaub muaj zog, cov kaus poom thiab cov nqaij noj. Nws yog qhov tsim nyog los txwv kev noj ntawm legumes, sorrel, txiv lws suav - tshiab thiab kaus poom, muaj zog tshuaj yej, kas fes, chocolate thiab qab zib. Qhov nyiam siv rau hauv cov khoom noj khoom haus yuav tsum tau muab rau cov khoom noj siv mis, qe, qos yaj ywm, zaub, txiv hmab txiv ntoo, uas ua los ntawm cov zaub mov muaj rog.

Kev sib ntaus tawm tsam lub cev qhuav dej thiab mob toxicosis yog nqa tawm kom nkag siab. Hauv thawj theem thiab hauv kev kawm me mus rau theem nrab (acetone hauv cov zis rau "++"), koj tuaj yeem txwv koj tus kheej kom tsis muaj kev chim thiab qee qhov kev pom zoo.

Nyob rau thawj theem, kev ntxuav plab hnyuv nrog qhov kev tso quav uas muaj cov kua roj alkaline yog pom zoo, feem ntau ib me nyuam diav ntawm dej qab zib hauv ib khob dej sov. Ntxiv nrog rau kev tshem tawm ncaj qha ntawm cov tshuaj uas tsis tsim nyog, nws neutralizes ib feem ntawm ketone lub cev uas tau poob rau hauv plab hnyuv lumen, thiab me ntsis txo qhov mob ntawm tus menyuam.

Kev suav qhov ntau ntawm cov kua dej uas ib tug menyuam yuav tsum haus dej yog nqa ntawm tus nqi tsawg kawg 100 ml ib phaus ntawm lub cev qhov hnyav, tab sis muaj cov qauv yooj yim txawm suav - rau txhua qhov ntuav, tus menyuam yuav tsum haus dej tsawg kawg.

Nws yog qhov zoo dua rau kev tso siab rau kev xaiv dej rov qab rau cov kws kho mob, tab sis yog tias koj tsis muaj sijhawm tos kws kho mob lossis kev sib txuas lus nrog nws yog qhov nyuaj, koj tuaj yeem pib ua rau muag tus me nyuam. Haus los ntawm ib rab diav txhua feeb nrog tshuaj yej qab zib, koj tuaj yeem siv txiv qaub, tsis-carbonated alkaline ntxhia dej, tov 1-2% ntawm sodium bicarbonate (ci dej qab zib), cov kev daws teeb meem rau kev haus dej ntawm qhov ncauj - Regidron, Oralit, Glucosolan, Citorglucosolan Cov.

Yog tias tus menyuam tus mob tsis zoo li qub, ntuav tsis tu, lossis tus mob hnyav zuj zus, ces tus kws kho mob yuav hloov mus rau hauv cov dej txhaws, tab sis qhov no yuav nyob hauv tsev khomob. Tus menyuam mos yuav tau txais ib tee dej nrog cov kev daws teeb meem tshwj xeeb - lawv yuav pab tawm tsam ketone intoxication thiab lub cev qhuav dej. Yog li ntawd, tsis tas yuav muaj kev ntshai thiab tsis kam txais cov neeg thauj me nyuam.

Ntxiv rau txhua tus menyuam yaus no, lawv tuaj yeem siv tshuaj tiv thaiv kab mob antiemetic, muab tshuaj rau cov tshuaj uas pab ua kom cov metabolism hauv lub cev tsis zoo, thiab pab ua kom lub siab thiab cov hnyuv.

Sai li tus me nyuam nws xis nyob me ntsis, thiab nws tuaj yeem haus nws tus kheej, thiab ntuav tsum, nws yuav pauv mus rau qhov tsis muaj zog, thiab nws yuav maj mam pib noj nws tus kheej. Yog tias tus menyuam muaj mob plab, nws yuav tsum tau txhaj tshuaj antispasmodics (papaverine, platyphyllin, tsis muaj-shpa hauv kev siv tshuaj uas muaj hnub nyoog). Yog tias tus menyuam muaj siab, ntxhov siab heev, tus kws kho mob yuav pom zoo rau sedatives thiab kev haum xeeb - lawv yuav tshem tawm ntau dhau ntawm lub hlwb, qhov no yuav pab tau sai sai ntuav nrog ntuav.

Nrog txoj kev kho kom zoo thiab raws sijhawm, txhua tus mob puav leej nyob rau hnub ntawm tus kabmob. Hauv paus ntsiab lus, txawm tias muaj kev tawm tsam nyob rau lub sijhawm, uas kav rau ob peb hnub, tsis txhob hem lub neej ntawm cov kab nrib pleev, yog tias txhua yam ua tiav. Tab sis qhov no tsis txhais tau tias koj tsis xav tau tus kws kho mob thiab kev kho mob.Ntuav yuav tsum nres sai li sai tau hauv thawj thawj theem, vim tias nws lub cev tsis muaj zog tiv thaiv kab mob, ua rau lub cev qhuav dej. Thiab ketones ua rau lub raum mob rau lub raum, vim tias lawv muaj cov tshuaj tiv thaiv acid, lawv cov tsub zuj zuj ua txhaum cov kua qaub-lub hauv paus ntawm lub cev hauv kev coj ua kom muaj acidity thiab acidosis - dhau ntawm cov acids nyob rau hauv cov ntshav thiab lub cev nqaij. Qhov no hloov cov metabolism hauv lub cev ntau dua thiab ua phem rau cov xwm txheej ntawm tus menyuam: nyob rau hauv cov xwm txheej zoo li no, lub siab ua haujlwm nrog lub nro, lub hlwb cov kev txom nyem.

Yuav ua li cas thaum lub caij sib cav?

Feem ntau, tag nrho cov kev ua ub no ntawm tus kws kho mob thiab cov niam txiv muaj lub hom phiaj txhawm rau txo qis cov qaug dab peg thiab tiv thaiv kev ua kom tsis txhob muaj kab mob. Feem ntau, tus kws kho mob pom zoo tsawg kawg ob txoj kev tiv thaiv kev kho mob hauv ib xyoos, nyiam dua nyob rau hauv lub caij so - caij nplooj zeeg thiab caij nplooj ntoo hlav.

Txhawm rau pab tus menyuam nrog tus mob no, koj yuav tsum xav txog tus menyuam txoj kev ua neej. Lub hauv paus ntawm kev tiv thaiv yog, txawm li cas los xij peem suab, muaj kev noj qab nyob zoo. Qhov no suav nrog, ntawm chav kawm, ib txoj kev ua ntu zus thiab kev ncaj ncees nyob rau hauv huab cua huab cua, thiab nws yog qhov zoo dua los ua ke nws nrog kev ua si sab nraum zoov thiab kev ua si. Kev siv lub cev ua haujlwm tsis tu ncua thiab ua kom zoo li qub ua rau muaj qhov ib txwm ua rau cov roj carbohydrate thiab roj metabolism, tab sis ntawm no nws yog ib qho tseem ceeb kom tsis txhob ua nws ntxiv, kev ua haujlwm ntau dhau tuaj yeem ua rau muaj kev tawm tsam. Nco ntsoov suav nrog kev cai hauv dej nyob rau hauv txoj kev niaj hnub - chav dej, ib da dej sib piv, dousing ntawm nqaj lossis tag nrho lub cev. Cov txheej txheem no cob qhia lub cev, chim siab qhov nqig thiab cov metabolism hauv qhov xwm txheej. Tus menyuam xav tau kev pw tsaug zog txhua hnub, thiab cov menyuam pib kawm nrog kev pw tsaug zog nruab hnub. Zam lub sijhawm nyob ntev rau lub hnub thiab nco ntsoov ruaj txo koj txoj kev saib ntawm koj lub TV thiab computer.

Tiv thaiv koj tus menyuam los ntawm kev kis kab mob - cov menyuam yaus zoo li no tau pom tias txhua tus tau txais kev txhaj tshuaj tiv thaiv raws li daim ntawv qhia hnub txhaj tshuaj tiv thaiv thiab yog tias lawv mus kawm qib pib thiab ntxiv.

Cov kab mob mus ntev ua rau lub plab zom mov thiab lwm cov tshuab tuaj yeem ua rau lub plab zom mov thiab nqus cov zaub mov tsis zoo. Raws li qhov no, muaj qhov nce ntxiv ntawm kev siv cov rog rog, thiab qhov no ua rau kev txuam nrog ketone lub cev hauv cov ntshav.

Hauv koj cov khoom noj, txwv cov zaub mov muaj roj ntau thiab cov ketone uas muaj zaub mov. Txawm li cas los xij, cov kws kho mob tau hais tias nws tsis tsim nyog los muab cov rog tshem tawm ntawm cov khoom noj, lawv xav tau rau tus menyuam lub cev loj hlob - cov xovtooj ntawm tes ua tau los ntawm lawv. Yuav tsum tau muaj cov rog ntau, xws li nqaij npuas, nqaij yaj, thiab tais diav xws li ncuav ci thiab ncuav qab zib, os, nplua nuj kua zaub yuav tsum tau muab cais kom tas. Tab sis tsis txhob tshem tawm cov rog hauv cov zaub mov noj, lawv yuav tsum tau txwv, thiab hloov nrog ob feem peb ntawm cov roj zaub - paj noob hlis, txiv ntseej, mustard. Qhov feem ntawm cov protein, cov rog thiab carbohydrates yuav tsum nyob hauv qhov sib piv ntawm: 1: 1: 4. Nws yuav tsum txwv tsis pub cov khoom noj ntawm cov tsiaj ntawm cov tub ntxhais hluas thiab cov nqaij qaib, cov nqaij rog, cov khoom noj haus, offal, sorrel, rhubarb, zaub paj, txiv lws suav, txiv kab ntxwv thiab txiv tsawb dej haus muaj caffeine thiab dej qab zib.

Ib qho kev nyiam ntawm khoom noj khoom haus yuav tsum tau muab rau cov zaub-cov zaub mov muaj mis nyuj, cov kab mob lactic acid khoom, cov zaub mov, zaub tshiab, txiv hmab txiv ntoo yuav luag txhua lub sijhawm. Tsev cheese, ntses tsis tshua muaj rog, oatmeal, zaub roj, uas tuaj yeem pab txhawb kev nqus ntawm cov tsiaj rog, ua haujlwm zoo rau kev ua kom cov metabolism hauv lub cev tsis tu ncua, thiab hauv cov nyiaj nruab nrab nws tuaj yeem muab rau tus menyuam yaus ua ke nrog zaub - hauv zaub nyoos thiab vinaigrettes.

Rau cov menyuam yaus uas muaj mob acetonemic syndrome nyob rau hauv kev npaj zaub mov noj muaj txoj cai - "cov rog rog hlawv ntawm nplaim ntawm carbohydrates." Qhov no txhais tau tias cov rog tsuas tuaj yeem muab rau hauv kev sib xyaw nrog cov carbohydrates. Tso cov butter tso rau hauv cov yias lossis zaub kib, cov nqaij kib nqaij kib tsuas yog nrog zaub lossis zaub mov noj ua ke, zaub qab zib hauv zaub kua zaub, zaub lossis zaub txhwb nyuav xwb.Thaum txhim kho kev noj zaub mov noj, koj yuav tsum xav txog tus neeg nyiam noj mov thiab tus yam ntxwv ntawm tus menyuam, cov niam txiv tau ceeb toom sai sai seb cov zaub mov twg ua rau tus menyuam tsis zoo, thiab tsis suav nrog lossis txwv tsis pub ntau. Thawj thawj zaug, nws yuav yog qhov nyuaj me ntsis, tab sis sijhawm dhau sijhawm, koj thiab tus menyuam yuav siv rau qhov tshiab ntawm cov khoom noj khoom haus.

Tus kws kho mob yuav ua dab tsi?

Cov menyuam yaus uas muaj mob ua xaj yuav tsum tau sau npe nyob rau hauv qhov tsis muaj tseeb, thaum tus kws kho tsis zoo, tus kws kho mob yuav pom zoo kom muaj kev tiv thaiv. Ua ntej tshaj plaws, vim qhov tseeb tias kev txwv kev noj haus tau qhia, cov chav kawm ntawm multivitamins tau qhia ob zaug hauv ib xyoos - feem ntau yog caij nplooj ntoo hlav thiab lub caij nplooj zeeg. Pom zoo kho nyob rau hauv ib tug sanatorium.

Txhawm rau tswj lub siab ua haujlwm, cov chav kawm ntawm cov tshuaj yog kws kho - hepatoprotectors thiab lipotropic tshuaj - cov tshuaj no yuav txhim kho cov zaub mov noj thiab ua haujlwm ntawm lub siab ua haujlwm thiab tso cai rau cov rog metabolism hauv lub cev. Nrog rau kev hloov pauv ntawm coprogram uas tshwm sim tawm tsam keeb kwm yav dhau los ntawm tus kabmob tsis txaus, kev npaj tshuaj enzyme tau kho rau ib mus rau ob hlis nrog lawv cov tshem tawm maj mam.

Muab qhov pib tsis txaus ntseeg ntawm cov hlab hlwb hauv cov menyuam yaus raug kev txom nyem los ntawm tus mob no, lawv tau raug tso cai tawm ntawm kev kho mob sedative - ntau yam teas, kho ntawm valerian thiab motherwort, soothing chav da dej thiab zaws. Cov chav kawm tau kawm ntau zaus hauv ib lub xyoo.

Txhawm rau tswj cov zis acetone, tus kws kho mob yuav pom zoo kom yuav cov ntawv xeem. Nws raug nquahu kom tso zis rau txhua hnub rau cov tshuaj acetone uas yog siv cov khoom kuaj mob rau tsawg kawg ntawm thawj ib thiab ib nrab rau ob hlis. Kev paub txog ntxov ntawm cov tshuaj acetone hauv cov zis yuav tso cai rau peb kom ua tiav txoj kev kho ua ntej lawm. Hauv yav tom ntej, koj tuaj yeem siv cov kab txaij raws li qhov tsim nyog - yog tias koj xav tias muaj kev ua txhaum ntawm kev sib pauv.

Cov menyuam yaus uas muaj cov kab mob acetonemic yog suav tias yog kev pheej hmoo rau kev tshwm sim mob ntshav qab zib mellitus, yog li lawv tseem nyob hauv kev saib xyuas ntawm tus kws tshuaj endocrinologist. Lawv raug kuaj ntshav qab zib txhua xyoo.

Feem ntau, cov kab mob acetonemic crises ua kom tiav los ntawm puberty, txawm li cas los xij, lawv muaj peev xwm ntau dua li lwm tus menyuam yaus los tsim cov kab mob pathological xws li gout, mob pob zeb, lub raum puas, ntshav qab zib mellitus, ntshav siab ntau dua vascular, thiab ntshav txhaws. Cov menyuam yaus no xav tau kev kuaj mob txhua xyoo los ntawm tus kws kho menyuam yaus thiab cov kws kho mob tshwj xeeb, ultrasound ntawm lub raum thiab cov plab hnyuv plab hauv lub plab, thiab nyob rau hauv muaj cov ntsev hauv cov zis. Soj ntsuam nws txhua rau lub hlis.

Txawm li cas los xij, yog tias tag nrho cov kev tiv thaiv kev piav qhia tau ua raws tom qab, kev qaug dab peg tuaj yeem dhau los ua lub sijhawm ntev thiab tsawg dua.