Ketones a cikin fitsari - haddasawa. Ketones a cikin fitsari a lokacin daukar ciki

Don tabbatar da cewa mutane da dukan gabobin da makamashi, da jiki karya saukar glycogen da kuma samar da glucose. Domin aiki na kwakwalwa ne babban makamashi maroki. Abin baƙin ciki, glycogen reserves ne mai iyaka. Lokacin da suka gama, jiki ke zuwa sauran makamashi kafofin - ketones. A cikin fitsari na lafiya jinin mutum, kuma su ne kusan a can. Identification daga cikin wadannan abubuwa a cikin bincike ne da ke nuni Pathology.

Menene ketones

Sunan "ketone" da aka samu daga Jamus "acetone". Ketones ne abubuwa wanda kwayoyin da kwayoyin fili tare da hydrogen da oxygen, biyu daga cikin hydrocarbon m. Akwai da yawa iri ketones. Alal misali, ubiquinone, yana da muhimmanci ga aikin na zuciya. Dauke da wani ketone kungiyar duk aka sani fructose, menthone, wani ɓangare na shirye-shirye na baka kula, carvone amfani a cikin masana'antun sarrafa kayayyakin abinci, progesterone, cortisone, ko tetracycline. Mun kowane ketones ne ba a fitsari da kuma jini, a tsaye daga kullum a cikin adadin game 20-50 MG, of wadda 70% da rauni beta-hydroxybutyric acid, 36% zuwa wani karfi acid da kuma acetoacetic 4% - acetone. A karshe kashi na kalla domin za a iya saki daga jiki a lokacin numfasawa. Irin wannan ƙwauro adadin Lange samfurin ne shari'a da kuma sauran ba su nuna. Wannan shi ne dalilin da ya sa shi ne ya yi ĩmãni da cewa wani m mutum da kudi na ketones a cikin fitsari - su rashi.

Ketonuria da ketosis

A magani sun gano wani yawan yanayi hade da ketones. Lokacin da yawa daga cikinsu a cikin jini, sai ka ce ketonemia da fitsari - a kan ketonuria. A isasshe babban abun ciki na ketone jikinsu ya fara karya PH da kuma tasowa ketoacidosis. Idan ketones suna da yawa, amma a cikin jini yayin da electrolyte canje-canje ba fara magana game da ketosis. Ketonuria aka lura a mutane da cuta na gina jiki, mai, ko carbohydrate metabolism. Wannan yanayin sau da yawa yakan faru a cikin matasa da yara da kuma mata masu ciki.

Akwai da dama dalilai, a cikin abin da ketone aka samu a cikin fitsari. A dalilan su ne kamar haka:

- ciwon sukari.

- pancreatitis.

- buguwa .

- traumatic kwakwalwa rauni.

- hemorrhage.

- aiki a kan kwakwalwa membranes.

- wani karfi ruri daga cikin juyayi tsarin.

- mahara tsoka rauni.

- tsanani cututtuka.

- glycogen disturbances a jiki;

- hyperthyroidism.

- wuce kima motsa jiki.

- dysentery.

- frostbite.

- fevers.

- maye.

- ba daidai ba abinci (Multi-rana yajin cin abinci).

Ketones a cikin fitsari da yaro

A yara kasa da shekaru 13 da shekaru, amma mafi sau da yawa har zuwa shekaru 10 ketones iya excreted a cikin fitsari a manyan yawa. Idan ba a hade tare da ciwon sukari, a cikin hanyar zama wani take hakkin da acid-balance tushe. bayyanar cututtuka:

- wani karfi wari na acetone numfashin .

- tashin zuciya.

- wani rauni, wani lokacin rufe da mãgãgi.

- ciwon kai (ya auku hanzari).

- profuse amai.

- janar rauni.

- wani lokacin akwai sha raɗaɗin a ciki.

A lokacin hare-haren shi ne shawarar ba "Stimol", "Tsitrargenin" zaki sha (shayi, ruwan 'ya'yan itace, ruwan da syrup). Ikon wannan ya kamata yara su zama m rage cin abinci da gusar da m abinci, yin burodi, musamman tare da cakulan Additives, m 'ya'yan itatuwa da kayan lambu, m yanã shã. Lokacin da wani hari faruwa, jihar na baby zama fiye ko žasa barga. Kira da yaro iya ba m ketonuria m rage cin abinci, da azumi, da juyayi danniya a yara, wasu cututtuka.

Ketonuria a mata masu juna biyu

Ketones a cikin fitsari a lokacin daukar ciki na iya zama wani harbinger na farkon yawan guba, kazalika da takamaiman cuta kira gestational da ciwon sukari, na faruwa ne kawai a ciki. Yana auku a harka na take hakkin carbohydrate metabolism a cikin jikin nan gaba mahaifiyarsa da kuma sau da yawa sosai samu ne kawai a dakin gwaje-gwaje kima. The mace ba fuskanci wani pathological canje-canje. Duk da haka, wannan cuta da aka, a mafi yawan lokuta wucewa bayan haihuwa iya zama harbinger daga cikin saba ciwon sukari da kuma endocrine cuta. Idan bincike ya nuna urinary ketones, mace mai ciki ya kamata sha kara gwaje-gwaje don ware da kasancewar wani gaskiya ciwon sukari da kuma thyroid cututtuka. Yana da muhimmanci a tabbatar da ta dace daidaita cin abincin nasu, m magani na rana, gaba daya ya kawar da yin amfani da barasa, mai guba da kuma abubuwa masu cutarwa.

Ketonuria a ciwon sukari

A insulin-dogara mutane ketones a cikin fitsari ne ba kullum a cikin adadin 50 g Wannan jiha yana zuwa da za a canja a cikin shugabanci da wani gagarumin raguwa sosai da sauri, ba fiye da kwanaki 2. Wannan aka samu da gyara na insulin allurai. Fitsari domin gudanar da bincike wajibi ne a dauki kowane 4 hours. Musamman m bayyanuwar ketonuria a marasa lafiya tare da ciwon sukari mellitus yara. Domin game da 10% na su shi ƙare a mutuwa. Mafi sau da yawa ketonuria aka lura a marasa lafiya tare da irin na da ciwon sukari, watau insulin-dogara. All sauran masu ciwon sukari kara ketones faruwa ga wadannan dalilai:

- kasa insulin kashi.

- rasa injections ko m insulin (kare).

- dauke da kwayar cutar da kuma colds (sinusitis, ciwon huhu, meningitis, da dai sauransu).

- thyroid matsaloli da kuma related cuta.

- ciwon zuciya, bugun jini.

- rauni, tiyata.

- danniya.

- hormonal hana.

Ketones, da ciwon sukari da kuma daukar ciki

Indisputable nuna alama na gaban ciwon sukari shi ne don gano, tare da ketones a cikin fitsari glucose. Idan biyu abubuwa suna gano a cikin ta farko trimester, akwai wani babban rabo daga cikin yiwuwa cewa wata mace ne ba da gaskiya ciwon sukari da cewa ya wanzu kafin daukar ciki. Wannan jiha ne sosai unfavorable duka biyu expectant uwa da kuma masu tasowa tayin. Yana razana mace hydramnios, rikitarwa haihuwa, cuta, da qarancin ruwa da sinking da tayin, da zubar da ciki, farkon da kuma marigayi preeclampsia, toxemia a mai tsanani form. A yaro iya haife tare da daban-daban anomalies. Gādon cutar da ake lura a 1.3% na yara idan insulin-inna, da kuma 6.1% - idan uba ba shi da lafiya. Idan ketones aka samu a cikin fitsari a lokacin daukar ciki, da kuma ganewar asali ne yawanci tabbatar da ciwon sukari, expectant uwa dole ne dole je ta ganin likita far da kuma tafi a kan wani m rage cin abinci.

hanyoyin da ganewar asali

Tabbatar da dalilin da ketones a cikin fitsari za a iya za'ayi dakin gwaje-gwaje da kuma a cikin gida. Jama'a gwajin ne shari'a. Domin da aiwatar musamman tsiri impregnated da wani alkaline abu da kuma sodium nitroprusside, aka sanya a cikin fitsari for 1 minti daya. Kadarorin impregnating mafita ne irin wannan cewa gaban a fitsari na kara rabo daga ketones sun canja launi daga fari zuwa ruwan kasa-ja. A haske da launi na more dauke ketones. Ga adadinsu, da wannan gwajin ya nuna kawai m. Domin a more daidai Figures dauka a jini gwajin. Amma da gwajin ne shari'a da wata babbar riba - za a iya yi da kanka m sau. Sanya shi ga masu ciwon sukari, mata masu ciki, yara da ciwo atsetonemicheskim. Lokacin zalunta kwayoyi sulfhydryl kungiyar ( "Captopril", "Capoten" da sauran) da gwajin ne ba wajaba a kansa kuma iya bayar da wani ƙarya sakamakon.

Magani da kuma rigakafin

Ketosis iya da za a bi a gida. Babban taron na haƙuri - mai tsananin rage cin abinci. Na kwayoyi wajabta nufin "kokarboksilazu", "Essentiale", "splenin", "Methionine". Don ketones a cikin fitsari ba ya karu, shi ne haramta yin amfani da wadannan kayayyakin:

- miya ko miya a kan kashi, kifi, naman kaza broth.

- by-kayayyakin.

- kyafaffen.

- pickles.

- ruwa tare kifi (sai dai Pike da zander).

- crayfish.

- m abinci, ciki har da yoghurt kuma cuku.

- m apples, Citrus, cherries;

- wasu kayan lambu (tumatir, barkono, eggplant, alayyafo, rhubarb).

- namomin kaza.

- miya (mayonnaise, ketchup, adjika).

- cream cakes, cakulan, pastries.

- kofi, sodas, black teas.

Foods cewa bukatar da za a ƙayyade:

- gwangwani nama.

- cin abincin teku.

- herring.

- legumes.

- taliya.

- cakes, biscuits.

- wasu 'ya'yan itãcen marmari (ayaba, kiwi).

- kirim mai tsami.

Tare da m ketosis da ketoacidosis magani ne na kullum. Rigakafin wadannan yanayi ne dace abinci mai gina jiki da kuma ikon ceto yanayin da rana, da kuma masu ciwon sukari - a dace allura na insulin da kuma na yau da kullum saka idanu na ketones a cikin fitsari.