Na ọrịa ndị metụtara metabolism na endocrine gland insufficiency, mgbanwe kemịkal na-eme n'ime ahụ. Otu n'ime ha bụ acetone n'ime mmamịrị maka ọrịa shuga.
Ebee ka acetone mmamiri si bia?
Ọdịdị nke acetone ozu (acetoacetate, hydroxybutyrate, acetone) na mmamịrị bụ nnọchi ma ọ bụ mmeghachi omume nke ahụ. Ihe omuma ya bu dika: aru n’enweta ike site na ikpo oku nke glucose (sugar), obu ya bu isi ya. N'ime ahụ mmadụ, enwere ikike glucose ─ glycogen, nke na-agbakọta n'imeju na akwara. Na nkezi, ọdịnaya ya na ndị okenye bụ 500-700 gr. Nke a bụ 2000-3000 kcal. Lydị glycogen dị otu a zuru ezu maka ahụ gị iji nweta ike dị mkpa n'ụbọchị.
Mgbe glucose abatabeghị n’akwara akwara, ike gwụkwara glycogen, ahụ ya na-amalite ịchọ ụzọ ndị ọzọ iji nweta ike ma mebisịa ihe ndị na-echekwa abụba. Intensekpa oke ha na-eduga n'ịbe acetone, nke apụrụ na mmamịrị ahụ.
N'ime ọrịa shuga mellitus nke 2, ọ nweghị acetone dị na mmamịrị.
Urine acetone na-arịa ọrịa shuga bụ ihe ịrịba ama na-adịghị mma
Ihe mgbaàmà bụ isi na ihe mgbagwoju anya
Mmadu ibido iku ume. Udiri na-adị ọkụ na paler. Isi ahụ na-abịa ọ bụghị naanị site na mmamịrị, kamakwa site na anụahụ. Ọnọdụ a dị ize ndụ. Ọ bụrụ na i were ọgwụ insulin nke ọma n'oge ọ bụla, n'oge nke a, ọ ga - agharịrị ịkpata nnukwu nsogbu.
A na-ahapụ ozu acetone na ọnụọgụ dị ukwuu n'ọnọdụ ndị a:
- ya na acidosis siri ike (mgbanwe pH na-eche ihu acidity);
- na steeti predomatous;
- ya na ketoacidotic (hyperglycemic) coma.
Nnukwu acetone na - eduga na ọnọdụ ala dịka mmiri. Ọ na-etolite na -ebelata ọnụ nke mgbanye glucose. Nke a gụnyere nchịkọta acetoacetic acid, nke na-agbanwe akụrụngwa nke ọbara, na-akpasu ogige iku ume, na-eme ka iku ume miri emi ma na -eme ugboro ugboro. Idụ ihe ọidụ canụ Acid nwere ike ibute mwepu kpamkpam mgbe nchekwa nke alkaline nke anụ ahụ na-agbadata na 15% (na ụkpụrụ 55-75%).
Uinere na ketoacidosis nwere isi isi ụfọdụ
Ndị na-akpụ akpụ akpụ akpụ:
- akpịrị ịkpọ nkụ, ire na-agwụ ike;
- nku anya anya dị nro n’ihi mmiri na-ahapụ anụ ahụ vitreous (ihe pụtara ìhè n’etiti retina na oghere kristal, mmiri 99%);
- enwere ihe iriba-ama nke ogwe-iru, ihe okpurukpu nke obia, obia ososo (akwara na akwara), na-abawanye nchapu nke iru;
- vomiting (acetone na-emetụta pasent emetic na ụbụrụ);
- ihe mgbu na mpaghara mpaghara n'ihi ịba ụba nke usoro akwara ma ọ bụ gastritis na-egbu egbu;
- na-agbadata mkpokọta diureis.
Ọtụtụ mgbe, Coma na-amalite nke nta nke nta, a naghị ahụ ya oge niile. Ọ nwere ike ịkpasu ọrụ karịrị akarị, mgbanwe ọnọdụ, ọrịa.
Ọ bụrụ na achọpụtaghị acetone mmamịrị n'oge, onye ọrịa ahụ nwere ike ịnwe hyperosmolar coma
Nchoputa na ọgwụgwọ nke ketoacidosis
N'ime shuga, ụdị ọgwụ mmamịrị ndị a ka edepụtara:
- adakarị (izugbe);
- nke Nechiporenko;
- ihe nlele-acha nke iko atọ;
- kwa ubochi.
Na akara mbụ nke mmụba nke acetone, ọ dị mkpa ị drinkụ iko iko tii na-atọ ụtọ ma dinara ntakịrị, ebe ọ bụ na izu ike ahụ ahụ chọrọ glucose dị ala.
Usoro nnwale nyocha nwere ike ịchọpụta ọnụnọ acetone n’ime mmamịrị ahụ n’ụlọ
Isi ọgwụgwọ bụ iwebata ọgwụ achọrọ insulin. Edere ya otu ụtụtụ, n'ihi na mgbe ụra gasịrị, carbohydrates na-anyụkwu nwayọ. N'ọnọdụ siri ike, a na-enye insulin ahụ ugboro abụọ: tupu nri ụtụtụ na nri abalị.
A na - eji insulin buru ibu iji na-emeso coma. Na myirịta, a na-enyocha akụkụ mmamịrị ọ bụla maka acetoacetic acid. Nke a na - enye gị ohere ịgbanwe ọgwụgwọ ahụ, na - eme ka ọ dị ike dịka enwere ike. A na -ebelata usoro onunu ogwu insulin n’obere opekempe mgbe omimi nke acid na-akwusi.
Iji wepu acetone, ọ dị mkpa iji belata akpịrị ịkpọ nkụ (ọbụlagodi 3-4 lita mmiri). Iji weghachite nguzozi nke pH, a na-enye ihe ọ alụkalụ alkaline, ọ na-enyere aka wepu acetone acid.
Iji gbochie ọdịdị acetone na mmamịrị, ịkwesịrị ilebara ọkwa ya anya, were insulin rụọ ọrụ n'oge, soro usoro nri.
