Cov Tshuaj Acetone rau Cov Ntshav Qab Zib

4 feeb Tshaj Tawm los ntawm Lyubov Dobretsova 856

Ntau zaus, cov neeg mob ntshav qab zib tau kam nrog qhov mob hu ua ketonuria. Qhov kev mob tshwm sim hauv lub cev tam sim no yog tus cwj pwm ntawm lub cev tsis muaj dab tsi ntawm ketone lub cev (lossis acetone) hauv kev tso zis.

Thaum tsis muaj kev kho mob kom raws sij hawm, cov theem ntawm cov tshuaj lom cov organic tuaj yeem ncav cuag cov txiaj ntsig txaus ntshai, uas ua rau muaj kev pheej hmoo ntau ntxiv ntawm kev muaj mob hnyav thiab kev tuag. Yog li, kev txheeb xyuas cov cim qhia ceeb toom yuav tsum yog lub caij nyoog rau kev sib cuag nrog cov kws tshwj xeeb.

Ketones ua li cas hauv lub cev?

Cov tshuaj kua hauv cov zis nrog cov ntshav qab zib yog tsim raws ntau yam kev xav hauv lub cev vim muaj 2 yam khoom tseem ceeb koom nrog - piam thaj thiab insulin. Thawj yog qhov tseem ceeb tshaj plaws ntawm lub zog hauv daim ntawv ntawm monosaccharide (yooj yim carbohydrate). Thiab insulin (pancreatic hormone) tswj cov piam thaj.

Thaum twg, vim muaj qhov ua tsis zoo ntawm cov txheej txheem endocrine, cov kua dej hauv lub cev poob qis zuj zus, cov piam thaj pib nce pathologically, hla dhau qib qub. Ib qho tseem ceeb ntawm cov khoom noj tsis tau carbohydrates yuav tsis nqus los ntawm lub cev, yog li ntawd, cov ntaub so ntswg thiab cov qauv ntawm tes muaj kev tshaib plab lub zog.

Lub paj hlwb khaws lub suab ceeb toom los ntawm ntau qhov chaw ntawm lub cev uas xav tau cov as-ham. Sim ua kom ruaj khov rau qhov tsis txaus ntseeg, nws tso cai rau koj hloov mus rau hom kev ua kom rov qab lub zog, spare. Cov kauj ruam tom ntej yog qhov tawg ntawm lipids (cov roj ntsha rog) ntau dua li cov piam thaj. Txawm li cas los xij, ua ke nrog ib qho me me ntawm tso monosaccharides, ib-by-product, lom acetone, raug tso tawm.

Tej zaum Cov Ua Rau Acetone Synthesis

Tej zaum yuav muaj ob peb yam ua rau cov neeg tsis txaus siab ntawm insulin thiab vim li ntawd, cov txheej txheem ntawm cov tshuaj acetone tso tawm. Tshaj yog cov hauv qab no:

lub caij nyoog ntxhov siab
zaub mov tsis zoo
eclampsia (mob hnyav ntawm kev mob lub cev thaum cev tes taw),
ua txhaum ntawm cov sijhawm teem tseg rau txhaj tshuaj insulin rau hauv cov ntshav,
ultra siab lub cev,
hnub ci ntsa iab
mob siab los yog lub raum kawg,
siv yeeb tshuaj
cov qog formations
lub cev qhuav dej
kev poob plig rau hauv nruab nrab lub paj hlwb (lub paj hlwb nruab nrab),
haus dej caw muaj xwm yeem,
carbohydrate tsis muaj nyob hauv cov zaub mov,
zawv plab
noj ntau dhau ntawm cov protein thiab rog,
kev phais
noj cov tshuaj uas artificially nce glycemic Performance index,
kis kab mob
hnyav hlau lom,
anemia

Nws yog tsim nyog sau cia tias feem ntau cov tshuaj acetone tau tsim nyob rau hauv cov zis nrog cov ntshav qab zib, yog tias tsis tu ncua cov tshuaj insulin tsis zoo.

Ketonuria Cov tsos mob zoo li cas?

Kab mob tuaj yeem txheeb tau los ntawm tus xeeb ceem ntawm lub cev yam ntxwv, uas suav nrog:

kub nce
feem ntau tsis muaj zog
nquag tso zis
luv luv tsaus muag
mob nqhis dej
tsis meej pem,
ua tsis taus pa (txawm hais tias qhov tsis muaj ntau ntxiv),
kiv taub hau
arrhythmia,
constricting mob taub hau
qaug cawv
tsaug zog
hnov tsw ntawm acetone los ntawm lub cev,
hlab hlwb
daim tawv nqaij qhuav
mob plab
qhov ncauj qhuav.

Kev kuaj mob

Feem ntau, yog tias muaj ketonuria xav tias tsam tsis txaus, tus kws kho mob koom nrog tshuaj tawm qhov kuaj zis tshwj xeeb kom paub cov ntsiab lus tseeb ntawm ketone cov ntsiab lus. Txawm li cas los xij, koj tuaj yeem ua txoj kev tshawb fawb koj tus kheej, rau qhov no muaj 2 txoj hauv kev tseem ceeb.

Kev siv cov ntawv xeem ntsuas (Uriket, Acetontest, thiab lwm yam). Koj tuaj yeem yuav tom lawv yuav luag txhua lub tsev muag tshuaj. Tom qab ua tib zoo kawm cov lus qhia, nws yuav tsum tau yug me nyuam ntau yam raws li cov cai, tom qab ntawd piv cov xim uas tshwm rau ntawm cov ntawv xeem nrog cov ntsuas ntawm cov ntsuas ntsuas. Yog hais tias qhov ntsuas kub ntau tshaj li 3.5 mmol / L (qhov muaj kev phom sij), koj yuav tsum yog tus kws kho mob tau txais kev pab sai li sai tau.
Ntxiv ntawm ammonia. Hais txog 10-15 ml ntawm ammonium hydroxide yuav tsum nkag rau hauv lub thawv huv nrog zis. Lub xub ntiag ntawm ketone lub cev yuav qhia los ntawm staining ntawm cov kua hauv caws pliav (lub teeb liab) xim.

Qhov tseeb, ketone lub cev nrog kev ua haujlwm ntawm ob tus neeg laus thiab tus menyuam lub cev yuav tsum tsis txhob tshwm sim thaum tso zis. Yog li no, txawm tias ib qho me me ntawm acetone yog lub teeb liab rau kev ua.

Puas yog nws muaj peev xwm tshem tawm cov teeb meem ntawm koj tus kheej

Raws li tau hais ua ntej, ketonuria tuaj yeem tshwm sim los ntawm ntau ntau yam, txhua tus muaj nws tus yam ntxwv. Nyob hauv tsev, ib tus neeg tuaj yeem tshawb pom lub cev ketone nyob hauv cov zis, tab sis nws tsis muaj peev xwm los txiav txim qhov tseeb ua rau kev sib txawv. Sim rau kev noj tshuaj rau tus kheej thaum noj ntxiv, ntxiv rau acetone pathology, lub cev tau cuam tshuam los ntawm cov ntshav qab zib, nws yog qhov txaus ntshai heev.

Nws yog qhov zoo tshaj plaws los sab laj nrog koj tus kws kho mob. Ua ntej, nws yuav muab cov lus qhia rau KLA (kev kuaj ntshav dav dav), kev kuaj mob tawm ntawm cov zis thiab biochemistry. Tom qab ntawd, tom qab kawm txog cov txiaj ntsig ntawm kev tshawb fawb, nws yuav txheeb xyuas txoj hauv kev tsim nyog ntxiv rau kev kho mob uas ua rau muaj kev nyab xeeb tshem tawm ntawm acetone tawm ntawm lub cev.

Kev ua Acetone

Tus txheej txheem ntawm kev ua kom muaj acetone tsim nyob rau hauv cov zis yog raws li nram no: lub cev tau txais lub zog los ntawm kev sib txuas ntawm cov piam thaj, uas yog, qab zib. Nws cov peev txheej hauv daim ntawv ntawm glycogen muaj nyob hauv lub siab thiab cov leeg. Ib tus neeg laus ib nrab muaj li 600 g khaws cia, uas yog txaus rau kev ua haujlwm hauv nruab nrog thiab lub nruab nrog ua haujlwm ntawm lub zog no li 24 teev.

Yog tias cov piam thaj tsis nkag mus rau hauv cov hlwb, thiab cov khw muag khoom glycogen twb tau dhau mus, tom qab ntawd lub cev yuav tsum nrhiav cov khoom siv ntxiv ntawm lub zog. Tom qab ntawd nws pib siv cov peev txheej ntawm cov rog, uas ua rau kev tsim cov acetone, nws cov zis ua ke nrog zis.

Ketonuria yog qhov muaj acetone hauv zis. Qhov tshwm sim no qhia tias tsis ua haujlwm hauv cov khoom noj metabolism. Tej zaum kev loj hlob ntawm ketonuria hauv ntshav qab zib mellitus tsuas yog thawj hom (insulin-dependant). Nrog cov kab mob no, lub peev xwm hlawv qab zib yog ploj. Txoj kev no xav tau cov tshuaj insulin. Ntawm cov ntshav qab zib ntawm thawj hom, qhov no tsis yooj yim sua, vim hais tias cov tshuaj insulin tsis tsim tawm, ib tug neeg yuav tsum ntxiv cov khoom neeg hloov pauv hloov. Kev siv tshuaj insulin thaum lub sijhawm tsis ncaj ncees tuaj yeem ua rau kom muaj kev tawg, cov tsos ntawm acetone hauv cov zis.

Hauv cov ntshav qab zib mellitus, hom tshuaj insulin thib ob yog tsim txaus, qee kis ntau dua li ib txwm muaj. Cov ua rau lub pathology txawv. Yog vim li cas ketonuria tsis ua lub ntsej muag nrog hom ntshav qab zib no.

Cov tshwm sim thiab cov cim ntawm pathology

Nrog ntshav qab zib, muaj ntau ntau cov laj thawj rau cov tsos ntawm acetone:

insulin txhaj tsis ua haujlwm
tsis muaj khoom noj khoom haus carbohydrate,
ntev, tas mus li yoo mov,
cov kab mob endocrine system
kev nyuaj siab, lub caij nyoog ntxhov siab,
txo cov khoom noj ib hnub,
kev faib tawm ntawm lub cev,
kev raug mob
kev tsim txom los ntawm cov khoom noj rog thiab protein.

Acetone accumulates maj hauv cov zis. Ua ntej, koj hnov ntxhiab los ntawm lub qhov ncauj, los ntawm cov tawv nqaij saum npoo, tom qab ntawd los ntawm cov zis. Cov kua qaub-lub hauv paus qis tshuav tsis sib xws, yog li cov ntshav qab zib tau nqhis dej tas li. Dryness yog tas li xav tias nyob rau hauv lub qhov ncauj kab noj hniav, zoo li yog tus nplaig adheres rau lub qhov ncauj qhuav.

Kev ua pa yuav nquag, tus neeg mob tuaj yeem nqa 20 pa / ua pa rau ib feeb. Ua raws li qib ntawm acetone, cov piam thaj hauv cov ntshav yuav nce ntxiv. Muaj kev pheej hmoo ntawm lub cev qhuav dej, uas yog qhov muaj kev phom sij heev - ua mob tsis nco qab. Los ntawm lub cev qhuav dej, daim tawv nqaij ntawm lub ntsej muag txom nyem nrawm tshaj plaws - nws ua kom qhuav, ua rau tawv nqaij.

Lwm cov tsos mob kuj tseem muaj - tsis muaj zog, nkees, qaug zog. Tus kab mob no nrog rau kev tawm tsam ntawm xeev ntuav thiab ntuav (feem ntau tsis meej pem nrog kev lom los yog kab mob hauv plab), tso zis ua ntau zaus (txawm tias thaum hmo ntuj).

Koj yuav tsum tau ua tib zoo saib xyuas koj txoj kev noj qab haus huv. Yog tias muaj ntshav qab zib mellitus tus neeg tau txais insulin, tab sis tsis hnov ntxhiab ntawm cov tshuaj acetone hauv cov zis tseem nyob, ces qhov ua rau yuav tsum tau tsim kho sai. Nws yuav yog:

xaiv tus nqi insulin tsis raug,
muaj kev ua txhaum ntawm kev tswj hwm tshuaj,
insulin tas sij hawm, ua tau zoo.

Txhua txhua hnub, kev noj qab haus huv ntawm tus neeg mob yuav dhau los. Cov cim ntawm pathology yuav dhau los ua kev paub.

Kev kuaj mob

Ua ntej tshem tawm acetone, nws yog qhov yuav tsum tau lees tias nws muaj, txiav txim siab npaum li cas. Hauv chav kuaj, tus kws kho mob tau sau ib qho kev kuaj ntshav dav dav thiab biochemical, tso zis tshwj xeeb (tag nrho, cov ntim txhua hnub, Nechiporenko tsom, kuaj peb-iav).

Qib Acetone tau yooj yim los kuaj xyuas hauv tsev. Hauv cov khw muag tshuaj muaj cov tshuaj rau qhov ntsuas tus kheej - Ketostiks, Acetontest, Ketur-Test. Nrog rau cov lus tim khawv rau hauv cov zis ntau dua 3.5 mmol / L, yuav tsum tau mus pw hauv tsev kho mob tam sim.

Kho kev ntsuas

Qhov kev kho mob rau tus mob no yog tshem tawm cov laj thawj uas ua rau kom pom ntawm acetone hauv zis. Tus Kws Tshaj Lij - tus kws qhia noj zaub mov yuav pab kho kev noj haus. Tus kws endocrinologist yuav pab koj xaiv qhov koob tshuaj insulin, muab kev pom zoo.

Nws yog ib qho tsim nyog yuav tsum tau tshem tawm cov tshuaj acetone tawm ntawm cov zis tso tawm kom yog li qhov no tsis cuam tshuam rau kev noj qab haus huv. Nws yog ib qho tseem ceeb kom haus dej kom ntau. Nws raug nquahu kom haus dej tseem muaj dej. Thaum txoj cai zoo li no nyuaj rau kev ua tiav vim ntuav tas li, koj yuav tsum sim haus me me hauv qab, tab sis feem ntau tom qab so so.

Noj zaub mov kom zoo yuav pab kom tshem tau cov tshuaj acetone. Thawj hnub koj yuav tsum tau txwv kev noj zaub mov kom tsawg. Lub plab zom mov yuav yooj yim dua los tiv nrog intoxication. Tom ntej no, koj yuav tsum tau lo rau zaub mov noj. Nquag noj mov nrog qhov me me thiaj li yuav ua rau lub plab zom mov. Qhov tsis muaj cov tsiaj rog ua haujlwm yuav muaj kev cuam tshuam zoo ntawm cov txheej txheem kev zom.

Koj tuaj yeem siv kua dej qab zib. Dissolve 5 gram ntawm cov dej qab zib hauv ib khob dej, haus dej sib tov no ib hnub. Ntawm thawj cov tsos mob ntawm acetone, koj yuav tsum haus ib khob dej qab zib sov. Nco ntsoov soj ntsuam qhov chaw pw, thaum so nws yuav yooj yim dua rau kev nyuaj.

Yog tias, ua raws li cov lus pom zoo, nws tsis muaj peev xwm kho qhov teeb meem no, kom txo cov ntsiab lus acetone hauv cov zis nyob hauv 2 hnub, koj yuav tsum sab laj nrog kws kho mob. Koj tseem tuaj yeem hu kws kho mob yog tias tus neeg mob tau ntuav tsis tu ncua, uas tsis tso cai rau nws haus dej. Qee qhov xwm txheej, acetone tuaj yeem tshem tawm ntawm cov zis tsuas yog nrog kev pab ntawm dej ntws nrog qab ntsev.

Nws yog qhov ua tau los kho cov tsos ntawm acetone nrog lwm txoj hauv kev nrog kev pom zoo ntawm tus kws kho mob. Kev siv cov sauerkraut txhua hnub rau ob hlis tuaj yeem tshem tawm acetone tawm ntawm cov zis. Qej pej xeem kws kho mob pub rau zom hauv qab cov xovxwm, mus rau brew nyob rau hauv daim ntawv ntawm cov tshuaj yej thiab tas li siv xws li haus. Tshuaj yej nrog linden blossom yog qhov muaj txiaj ntsig zoo rau txhua tus neeg mob ntshav qab zib, vim nws pab tswj cov qib qab zib kom ruaj ntseg hauv cov ntshav.

Kev kho mob tseem ceeb rau hom ntshav qab zib hom 1 yog kev tswj hwm cov tshuaj insulin xwm yeem. Nrog tas li tau txais cov tshuaj hormones, acetone yuav tawm ntawm lub cev. Qee zaum, txhawm rau ua kom tiav thiab tshem cov acetone, enterosorbents raug kho - Smecta, Polysorb, Polyphepan.

Kev phiv tsis zoo

Acetone muaj cov nyhuv hauv lub cev tsis zoo. Qhov phom sij tshaj plaws ntawm cov ntshav qab zib yog ketonemia - qhov pom ntawm acetone hauv cov ntshav. Nws cov tsos mob yog kiv taub hau, mob plab, xeev siab, tsis meej pem, thiab tsaus muag. Nyob rau hauv cov mob hnyav, ib tug neeg mob poob mus rau hauv សន្លប់.

Zis feem ntau tsis muaj pungent, tsw tsis hnov tsw. Tab sis yog hais tias nws nyob qis qis me ntsis, nws kis tau lub teeb ammonia hue, uas tau tsim vim muaj alkaline fermentation. Nyob rau hauv muaj acetone nyob rau hauv zis yuav muaj tus ntxhiab tsw ntawm qaub txiv ntoo.

Cov txiaj ntsig ntawm kev ncua ntev ketonuria yog kev tuag los ntawm lub plawv ntes, ua pa, lossis mob rau lub hlwb. Yog vim li no thaum thawj cov tsos mob ntawm tus kab mob no koj yuav tsum hu rau koj tus kws kho mob. Mob ntshav qab zib, koj yuav tsum tau ua tib zoo saib xyuas koj txoj kev noj qab haus huv.