Acetone i loko o ka mimi: ke kumu o ka poʻe pākeke, ka huli ʻana transcript
I kēia mau makahiki i hala iho nei, ke loaʻa nei nā ʻenehana hana noiʻi i ka acetone i loko o ka pahu o nā pākeke a me nā keiki. E pono anei ʻo ia ma laila? He aha nā kumu no kēia hoʻololi i ka ʻano ōpina? E ʻike nā mea heluhelu i nā pane ma kēia mau nīnau a i nīnau ʻia.
Hōʻikeʻike Acetonuria
ʻO kahi ʻano hana i hāpai ʻia i nā kino ketone e mau ana i ka urine, kāhea nā kauka i ka acetonuria a i ke ketonuria paha. ʻO nā kino ketone nā huahana i kūkulu ʻia i ka wā piha o ka protein (protein) a me nā momona (lipids) i ke kino. ʻO kaʻili kūikawā, ʻo ka acetone ponoʻī, acetoacetic a me nā waikena hydroxybutyric. Acetone aia i loko o ka urine kanaka o kekahi makahiki. ʻO ka mea nui ka manaʻo o ka neʻe ʻana i ka hana i ka palena (mai ka iwakālua a i kanalima milligrams i kēlā me kēia lā). Mai ke kino, e hoʻomau mau ʻia e nā keiki. Akā inā he nui loa ka nui o ka acetone e koi ʻia, a laila wikiwiki ia e hana i nā hana no ka hōʻailona e hoʻouna ai ke kino.
ʻO nā hōʻailona "hōʻailona" e pili ana i ka nui o ka acetone i loko o ka urine.
ʻano ʻalaʻoko i ka wā urination
ka ʻā o ka acetone e hele mai ana i ka waha
ʻehaʻeha, lethargy.
I nā keiki, ʻokoʻa paha nā hōʻailona:
hoole ana i ka ai,
momona o ka acetone e puka mai ana mai ka urine, poni, mai ka waha,
ninini
ʻeha ʻana i ka pōʻeha,
kaʻiʻi ʻana ma hope o ka ʻai ʻana a i ʻole ʻai ʻana.
elelo e leʻaleʻa
nāwaliwali
huhū, hoʻololi koke ʻia e ka hiamoe a me ka lethargy.
Nā kumu no ke ʻano o ka "overetetet" acetone ma loko o ka pāʻai
I nā pākeke, hiki i kēia ʻano mea leʻaleʻa hiki ke hōʻeha i kēia mau hihia:
- Inā ka hoʻomau ʻia nā meaʻai o kēlā me kēia lā e nā meaʻai me ka nui o nā momona a me nā lako, inā hiki ʻole i ke kino ke wāwahi iā lākou i lalo. Inā ʻaʻole ʻai nui ka ʻai i ka nui o nā kākoi.
- Hiki ke hoʻoponopono ʻia ke kūlana me ka ʻole o nā lāʻau lapaʻau, ma ke kaupaona ʻana i ka meaʻai, ka hoʻopuka ʻana i nā calcium i ka papa ʻaina o kēlā me kēia lā.
- ʻO kekahi kumu nui ʻē aʻe ka hoʻomaʻamaʻa ʻana a i ʻole hana kino kino. A laila, i ke hoʻoponopono i nā kikoʻī, pono ia e hoʻoponopono i ka pae o ka ukana i hiki i ke kino ke hiki.
- ʻO ke kolu - ka lōʻihi ka hoʻoku ʻana, "e noho ana" ma luna o kaʻai paʻakikī. No ka hoʻihoʻi hou i ke olakino, pono ʻoe i ke kōkua o kahi mea ʻai, ke hōʻole o ka pōloli.
- ʻO ka ʻehā - ʻo ka hemo o ka pancreas, ʻano 1 diabetes mellitus, a i ʻole type 2 diabetes mellitus, e ulu ana i mau makahiki he nui. Hōʻike ia ʻaʻole lawa ka nui o ka mau momi me ka kalapona o ka hoʻopiha piha o nā lipid a me nā huahana protein. ʻOi aku ka ulu ʻana o kēia kūlana, ʻoi aku ka pilikia ma mua o ka manawa e loaʻa ka maʻi maʻi koma.
Hiki i ke acetone hou ke hoʻonui me ka:
- Hoʻokele ka hypoglycemia, ka mea i hoʻonā ʻia e ka nui o ke kō o ka insulin i ke koko,
- kiʻekiʻe ke kiʻekiʻe
- maʻi maʻi pāpaʻi (scarlet fever, flu, meningitis),
- ma hope o kekahi ʻano anesthesia,
- tirekaxosis
- make wai make,
- coma cerebral
- kūlana precomatous
- ka waiho nui ʻana o ke kino,
- anemia kaumaha
- stenosis (ʻāʻī) o ka esophagus, ʻōpū o ka ʻōpū,
- ka molowa i ka hopena o nā wahine hāpai,
- maʻi pākuʻi kino, e ulu ana i kekahi mau wahine i nā lā hope loa o ka maʻi gestation,
- ma hope o nā hōʻeha e hiki aku ana i ka hanaʻino i ka pūnaehana poʻomanaʻo.
I ke wā kamaliʻi, ʻike ʻia ka acetone i ka urine ma muli o ka hoʻopiha ʻana o ka pancreas. Inā ʻaʻole hoʻokūkū ka pancreas i kāna hana, a laila e hoʻōla i ka nui o nā enzyme.
Nā kumu no ke kūkulu ʻana i ka ketonuria haʻahaʻa (acetonuria):
- ka hoʻoluhi nui ʻana, nā hala i loko o ka meaʻai, ka hiki ʻana o nā mea mālama, nā mea kuono, nā ʻono ʻono i ka hoʻonohonoho ʻana o nā huahana,
- nā manaʻo koʻikoʻi, hoʻonui ʻia i ka pēpē
- luhi, luhi, hanai,
- ka pale ʻole ʻana i nā lāʻau mai ka hui o ka hui
- hypothermia
- kiʻekiʻe kiʻekiʻe ka wela
- disentery, ka manawa o ka helminthic infestations, diathesis.
Nā hopena kūkā
- Hoʻohana pololei ka mālama ʻia ketonuria i nā kumu o ka acetone i loko o ka urine a me ka paʻakikī o ke kaʻina.
- ʻO kekahi manawa lawa wale ia i ka hoʻoponopono ʻana i ka meaʻai, hana i nā loli i ka papa helu i kēlā me kēia lā.
- Inā kiʻekiʻe loa ka acetone, a laila hoʻouna ʻia ka mea maʻi i kahi haukapila.
- Hoʻokomo ka hana Therapeutic i nā mea i loaʻa i ke ʻano o nā acetone i ka pāʻai. Inā hemo nā kumu, a laila e holomua nā noiʻi.
No laila, hoʻomaka e hoʻomaka me kahi meaʻai paʻa a inu i ka wai nui. Lawe ʻia ia he mea liʻiliʻi, akā pinepine. Hāʻawi ʻia nā keiki i kēlā me kēia mau minuke he hapa (ʻo ia ka 5 ml). Kūpono ʻia nā hana i mākaukau ʻia i loko o kahi kīkē, no ka laʻana, ʻo Regidron, Orsol, he mea pono Hāʻawi ʻia e inu i ka wai minima (me ʻole ka hau), kahi decoction raisins a i ʻole nā hua maloʻo ʻē aʻe, kahi kuʻi o ka chamomile.
Inā pilikia nui ka mea maʻi, a laila kuhikuhi ke kauka i ka hoʻomaka ʻana o nā hoʻonā ma o kahi puna wai intravenous. Hoʻohana ʻia ka Metoclopramide (Cerucal) e hoʻomaha ai i ka luaʻi.
I kekahi mau pilikia, e hoʻomaikaʻi i ke ʻano o ka pepona, ʻo Essentiale, Methionine, ka waiū kohu i kau ʻia.
E hoʻolōʻihi i ka hoʻopauʻana i nā toxins, ʻahuʻula ʻia "White", Sorbex, carbon activated, Polyphepan, Polysorb, Enterosgel.
ʻO kahi mea e pili ana i ka meaʻono
E like me ka PoMedicine i hōʻike mua ʻia, me ka hiʻohiʻona o ka acetone i ka urine He mea nui ia e hahai i kahi kīkēpē. He mea maikaʻi e ʻai i nā ʻano mea kanu meaʻai, cereals, nā iʻa iʻa (haʻahaʻa-momona). ʻAe ʻia ka ʻai ʻana i nā ʻai liʻiliʻi o ka turkey, konipi, pipi, veal. Manila ʻia e kuke i ka ʻai, ʻaila a ʻū paha i ka umu.
Hoʻihoʻi hou i ka kaulike o ka wai, hoʻopiha i ke kino me nā huaora e kōkua i nā huaʻai, nā lau ʻai, nā ʻono (me ka ʻūke ʻia hou), nā hua inu hua, nā inu hua ʻona.
He kūpono ke hōʻole wale i ka momona momona, nā meaʻai kalala, nā meaʻai i kālai ʻia, ka iʻa ʻōpala, ka koko, kofe, nā mea ʻala, nā ʻahuʻulu, a me nā ʻano, a me ka maiʻa, nā hua kanu.
Inā manaʻo ka urination humuhumu o ka acetone, a laila hōʻike kēia i kekahi mau pilikia i loko o ke kino. Inā hōʻike pololei ke kauka i ke kumu o ke kumu o ka hoʻonui i nā mea ketone i ka pāʻai, e kuhikuhi ʻo ia i kahi mālama kūpono a hōʻike i nā loli e pono ai i ka ʻai.
ʻO nā kumu o kahi mea i ka wai
ʻO kahi pono e pili ana i nā pūʻulu hui he nui i waena o nā mea maʻi e waiho mau i ke kumu inā ʻike ka acetone i loko o ka urine.
Ma kahi maʻamau, ʻaʻole pono o nā kiko o nā mea e pono ai ma mua o 0.5 mmol / L.
ʻO ka wehe i ka waiwai maʻamau ke hiki i ka hopena o nā maʻi a me nā kūlana āpau. Acetonuria e pili ana i ka wā pākeke a me nā keiki.
I ka hoʻonui ʻia o ka nui o ka acetone i loko o ka pāʻai i ka pākeke, nā kāne a me nā wahine, hiki ke ʻano i nā kumu nui:
- ʻAiʻai maikaʻi maikaʻi ʻana. ^ E Ha yM. ʻO ka hemahema i kaʻai o nā palaka, ʻo ka mākaʻi o nā protein a me nā lipid e alakaʻi i ka hana kūlike o nā kaʻina metabola. He mea nui nō ia e ʻai i nā meaʻai e hōʻalo ai i nā maʻi kūloko. No kēia, lawe ʻia kahi hōʻike koko, e hoʻoholo ana i ka hakakā ʻana o ka meaʻai.
- Hoʻohana pilikino. ^ E Ha yM. I kekahi manawa hana hoʻonā hiki ke alakaʻi i acetonuria. A laila pono ka hoʻoponopono ʻana i ka hana kino.
- Hoʻonui kūleʻa a me nā meaʻai paʻakikī. ^ E Ha yM. I kēlā mau kūlana, pono ʻoe e huli i kahi mea lapaʻau no ke kōkua a hoʻomohala i kahi meaʻai kūpono.
- Naʻi maʻi mellitus. ^ E Ha yM. ʻO Acetonuria paha ma muli o ka hōʻemi ʻana o ka pancreatic i nā maʻi non-insulin-hilinaʻi a ʻole i ka maʻi diabetes-hilinaʻi.
- Thyrotoxicosis. ^ E Ha yM. Me ka hoʻonuiʻana o ka pae o ka hormone thyroid, hiki ke loaʻa i kahi nui o nā kino ketone.
- Hāpopu Hyperinsulinism. ^ E Ha yM. Ke hoʻonui nei i ka neʻe o ka insulin e alakaʻi i kahi kahe nui o ka glucose o ke koko (hypoglycemia), e alakaʻi ana i ka acetonuria.
- Nā maʻi ʻōnaehana digestive. ^ E Ha yM. ʻO kēia ka stenosis o ka pylorus o ka esophagus a i ʻole ʻōpū, ka loaʻa ʻana o nā mea maʻi cancer.
- Nā mau kumu ʻē aʻe - ke inu waiʻona, kolohe ka cerebral, hyperthermia, toxicosis i ka wā hapai, anesthesia, hōʻeha o ka ʻōnaehana o ka hanana, nā maʻi puʻuwai, anemia, cachexia, nā mea make me nā metala kaumaha a me ka hoʻopiʻi.
I ke kula mua a me ka ʻōpio, ulu ka maʻi ma lalo o ka mana o nā ʻano.
- kuhihewa i ka ʻai,
- ʻoihana hana,
- ka hana kino ikaika,
- hypothermia,
- kūlana paʻakikī,
- huhū,
- hyperthermia,
- helestthic infestations,
- disedery a me ka diathesis,
- lawe i nā antibiotics.
I ka wā hapai, ka pili o ka acetone i loko o ka urine e pili ana me kahi kūlana psycho-emotional, ka hopena maikaʻiʻole o nā hopena waho i waho, nā meaʻino, hoʻoneʻe i ka pale ʻole, a i ka ʻai ʻana o nā huahana me nā mea wai, nā mea kanu, nā mea mālama, a me nā mea pono.
Wikiō: Acetone i loko o ka mimi: nā kumu, nā hōʻailona, mālama, kaʻai
I nā kikoʻī e pili ana i ka acetonuria
ʻO ke kumu mua e nānā i nā hiʻohiʻona a me nā ʻano o nā kino ketone - ʻo ia ke kōkua i kahi hoʻomaopopo piha loa i ka pōʻino o ka acetonuria. E wehewehe pū aku nō ke kumu e loaʻa ai ka maʻi koʻikoʻi o kēia haipule i ka mālama koke. ʻO ka hoʻohana pinepine ʻia no ka ketones, ʻoi aku hoʻi i waena o nā kauka (e hoʻohālikelike ʻia i ka jargon loea (slang), ʻo ia ka acetone. Lawe kēia huaʻōlelo i kāna kumu mai ka Latin "acetum", e unuhi i ka waikawa.
Mea ʻoiaʻiʻo ka moʻolelo ʻO Leopold Gmelin (Leopold Gmelin) - ke kaukaʻi ʻana i ka ʻekekema a me ka lāʻau lapaʻau mai Kelemānia mai ka makahiki 1848 i hoʻolauna ai i ka hua ʻōlelo ma ka hoʻohana ʻana i ka huaʻōlelo Pelekane, "aketon", nā mea i puka mai i ka Latin "acetum". Ua lilo kēia huaʻōlelo i kekahi o nā inoa nui no ka ketones a i ʻole acetone i ka lāʻau lapaʻau.
ʻO nā kino Ketone (ʻo kēia ka acetone, acetoacetic acid, hydroxybutyric acid) he mau mea kanu e wāwahi ʻia e nā ʻalohi enima mai nā meaʻai e komo ai i ke kino. Ma aneane ke komo ʻana o nā lipids (nāʻu), a me kekahi mau protein, i kā lākou lako.
A hiki i kēia manawa, loaʻa pinepine ka ketonuria a ua hōʻike pinepine ʻia i nā kola o nā keiki a me nā wahine hāpai. ʻO kēia no ka pae ʻana o kekahi mau kino (no ka laʻana, ka pancreas) i nā keiki a me nā wahine hāpai i ka piʻi ʻana o ka hoʻouka ma luna o ke kino o ka makuahine. Akā i kēia manawa heʻano like ʻole mai ke kumu maʻamau i ʻike pinepine ʻia i nā kāne makua a me nā wahine hānai ʻole.
I ka hapa nui o nā poʻe, aia nā kino ketone i loko o ke kino i kahi liʻiliʻi - he ʻano ʻano ʻokoʻa lākou i nā kumu hoʻoneʻe. Eia hou kekahi, ʻo ka nui o kā lākou hoʻokūkū e hiki ke hoʻopau i ka hana o nā hana a nā kānaka a me nā ʻōnaehana, ke kau nei i ka hopena hōʻona ma luna o lākou. Aia, me ka acetonuria waena, pilikia ka ʻōnaehana kikowaena, ʻoiai e like me ka digestive, respiratory a urinary tract ʻaʻole e emi, a ma muli o ke ʻano o ka hopohopo o ke kanaka.
I kekahi mau pilikia, hiki i kēia hana ke hele wikiwiki a hiki i ka make. Hoʻoulu kēia kūlana e pili ana i ka pane ʻana o nā lipid metabolism ka maʻi a me ka hoʻonui ʻana i ka hāmeʻe. ʻO ka mea maʻamau ka nui o ka glucose (gula), ka mea ʻole e komo ai i ke kino - mai ka meaʻai, ka mea meaʻai e pono ai, nā lāʻau lapaʻau a i ʻole ke kaʻina hana o ka lawelawe.
ʻO kona assimilation piha ma muli o ka lawa pono o ka syntra o ka hormone pancreas, kahi mea pono no ke kaʻina gula. Me ka hoʻohaʻahaʻa ʻana i ka hana pancreatic, ʻo ia ka mea e hoʻemi ai i ka hana o ka insulin, ua hoʻokomo ka glucose i nā ʻili ma mua o ka pono, e alakaʻi ana i kā lākou pōloli.
E hoʻomohala i ka hāʻawi ʻana o ka ʻai i nā ʻaina i loko o nā hana, ua wāwahi ʻia ka protein a me nā lipids, ma muli o nā mea i hoʻokuʻu ʻia nā kino ketone. Ināʻoi aku ko lākou ʻike i ka pae i ʻae ʻia no ka maʻamau (20-50 mg / lā), a laila e hoʻohālikelike ʻia kēia ʻano me ka mea pōʻino no ka hana ʻana o ke kino a pono i ka lāʻau kūpono.
No ke aha i hoʻomohala ai ka acetonuria?
ʻO ke kumu o ka ʻike ʻana o ka acetone i ka urine ka pā ākea ākea, akā mea like ko lākou mea like me ka meaʻai kūpono (hoʻokaʻawale ʻole), ʻo ia kahi mea e hoʻonāukiuki ai. Hoʻopili pū kekahi i kahi mea ʻai i nā huahana protein nui o nā kumu holoholona, a me ka haʻalele ʻana i ka noho inu ʻana.
Eia kekahi, ʻaʻole hiki ke hoʻomaopopo i ka hopena maikaʻi o ka mahana wela (wela wela) a me ka hana ma ka hana kino ma ke ʻano o nā haʻuki a i nā hana ʻoihana paha. Hoʻonui ʻia ka nui acetone i ka pāʻai i nā pākeke ma muli o kahi kīmeka-kaʻawale ʻole i ke kīlea ʻana e pili ana i ka hoʻohana ʻana i nā pono o ke kino o nā momona a me nā protein.
Ke ulu nei ʻo Ketonuria ma nā kūlana i luna aʻe, akā ʻo ka manawa pinepine ma hope o nā lā he 2-3, a hoʻi hou ka ʻano o ka urine i nā ʻano maʻamau. Inā hoʻoholo ʻia nā kino acetone i loko o 5 a i ʻole mau lā aʻe, pono ʻoe e kipa koke i ke kauka no ka ʻōlelo aʻo a me ka maʻi holo ʻana o ke kino.
ʻO nā kino o ketone i loko o ka urine hiki ke lilo i mau hōʻike mua o ka hana hoʻohālikelike i ka metabolic, a hiki i nā hopena o nā loli pathological. ʻO Acetonuria, ma ke ʻano he kānāwai, e nānā ʻia ana me ka acetonemia (acetone i loko o ke koko), ʻoiai ka hoʻomaka ʻana o nā ketones mai ke koko e hoʻopau ʻia me ka ulu ʻana o ka maʻi hope, a lawe ʻia lākou i ka urine.
ʻO nā kumu o ke ʻano pathological e hoʻonui ai i ka acetone i loko o ka pāʻai, penei:
- ka hoʻomaka mua ʻana o ka hoʻomoʻi ʻana o nā ʻōpū o ka gastosa a me nā pākia liʻiliʻi,
- leokemia, leukemia (maʻi maʻi o ka ʻōnaehana hematopoietic)
- thyrotoxicosis (hoʻonui i ka hoʻonui ʻia o nā hormones thyroid),
- nā pōʻino, hana e ukali ʻia e ka emi ʻana o ka ʻai o ka glucose,
- hana ʻino i ka parenchyma ate ma muli o ka palaka,
- stenosis (ʻehaʻeha o ka lumen) o ka esophagus a i ʻole ʻōpū,
- anemia kaumaha (hoʻoneʻe hemoglobin),
- cachexia koʻikoʻi (luhi nui ʻole),
- hopohopo, hopohopo, hana naʻau,
- decompensated mellitus hoʻōla,
- neoplasms i ka ʻōpū,
- toxicosis i ka wā hāpai,
- maʻiʻālia ʻana
- hoʻohālikelike
- piʻi.
Pēlā nō, hiki ke ʻike ʻia i ka ketonuria me ka nānā me ka paʻakai metala kaumaha a hoʻohana ʻole ʻia nō nā lāʻau lapaʻau (antibiotics a i atropine paha). Hiki iā ʻoe ke heluhelu hou e pili ana i ke ʻano o ka acetone i loko o nā maʻi i nā keiki ma kēia ʻatikala.
ʻO ka hōʻike nui nui o ka acetone kiʻekiʻe i loko o ka urine
ʻO nā hōʻailona mua o ka ketonuria i ka manawa mua, ma ka hapa nui, kū iki iki, a wale wale nō ka ʻohu o ka acetone mai ka waha e hiki ai ke hōʻike mai i nā hewa maikaʻi i ke kino. Ma ke kānāwai, nā hōʻailona hou e like me:
- ho'ēmi i ka momona, ke alakaʻi ʻana i ka ʻaina a me ka inu,
- ka hopena o ka mela ma hope o ka ʻai ʻana a i ʻole ka luaʻi,
- ka hoka o ka acetone e puka mai ana mai ka mimi i ka ʻū ʻana,
- ka hanaʻole o ka hana o ke kūnaehana kūwaho (constipation, ʻōpala),
- ʻeha hōʻeha ma ka wahi umbilical,
- pale a me ka maloʻo ʻana o ka ʻili a me nā membrane mucous.
No nā ala holomua o ka maʻi, ʻike ka hōʻailona i kēia mau mea, ulu ka piʻi a piʻi wikiwiki paha:
- hiamoe ʻole, hiamoe,
- hoʻonui nui
- hoʻonāʻona kino
- kau wai nui
- koma.
Hōʻike kēlā mau hōʻike i ka hoʻokipa koke i loko o kahi haukapila, kahi i pono ai ke kau i ka hōʻike i ka urine no ka acetone, a me nā hōʻike āpau ʻē aʻe e ʻike ai i ke kumu o ka ulu ʻana o kēia ʻano a me ke ʻano e kuhikuhi ʻia ai. Heluhelu hou e pili ana i ke ʻano o ka acetone i ka urine i ka wā hāpai a hiki ke heluhelu ʻia ma kēia ʻatikala.
He aha ka mea e hana ai me ke ketonuria
Inā ʻaʻole hōʻino iki ke kūlana o kēlā kanaka, ʻo ia ka mea e hoʻomāukiuki i ke kino me nā kino ketone ʻaʻole i hōʻike ʻia ʻo ia iho ma ke ʻano o nā hōʻailona kaumaha, a laila ʻo ka mea mua e hana ai i ke kipa aku i kauka no ka kūkā. E hōʻiliʻili ʻia kahi anamnesis i ke kaʻina hana, ʻo ia ka mea e ʻike nui ai i nā kumu kumu i ka kumu o ka hoʻomohala ʻana i ka ketonuria.A laila, hilinaʻi i ke ʻano o ka mea maʻi a me nā hopena o kāna mau loiloi, e hoʻolālā ʻia kahi hoʻolālā therapeutic kūpono - e kau nei i ka hana ma kahi maʻi outpatient a i ʻole i kahi kauka.
Inā loaʻa nā ketones i loko o ka urine, lawe ʻia ka lāʻau lapaʻau i kekahi mau kuhikuhi. I mua o ka maʻi lalo e alakaʻi ana i ka acetonuria, pono e hana ʻia nā hana e kāpae ai i ʻole e hoʻomau ai i ke ʻano o ka mea maʻi. No ka laʻana, inā i loaʻa ka maʻi maʻi i ka maʻi maʻi, a laila pono pono iā ia e ʻohi i ka insulin, me ka hāʻawi i ke koko a me ka urine no ka honi. Eia kekahi, pono e pale i ka ʻai.
ʻO ka mea ʻā o ka acetone e hōʻike ai i ka hele mai o nā toxins ma kahi o nā mea i hōʻike ʻia ma ke ʻano he maʻamau, no laila e ʻoki ʻia lākou. Hiki ke hana i kēia me ke hoʻohana ʻana i nā adsorbents - Polysorb, Enterosgel a i ʻole nā hana hoʻoliʻi hoʻoliʻiliʻi hoʻoliʻi.
No kēia mau kumu hoʻi, ua hoʻohana ʻia nā hana hoʻomaʻemaʻe hoʻomaʻemaʻe. Inā hoʻomohala kēia ʻano hana i kahi wahine hāpai i kahi papa o ka toxicosis, a laila no ka hoʻēmi ʻana i ka toxicity wikiwiki, lawe ʻia ka maʻi infusion.
Eia kekahi, inā e hoʻolako ka makemake, hiki iā ʻoe ke lawe i kahi wai liʻiliʻu, no laila e loiloi ʻia i ka wai kīnā ʻole nāona momona a i ʻole nā hopena glucose. Ke ʻike ʻia nā kino ketone i ka urine, ua hoʻokaʻawale ʻia nā maʻi i ka wai kō me nā mea alkaline, a me ka hopena dehydration waha, e like me Regidron, Chlorazole a me nā mea'ē aʻe. Inā loaʻa i ka mea maʻi ka maʻi, ua kuhikuhi ʻia nā lāʻau antipyretic a me nā ʻano hoʻonaninani ʻē aʻe.
He wahi nui loa no ka mālama ʻana i ka mea maʻi a hoʻomau i kona ʻano me ka ketonuria e hoʻokō pono ana i nā hana nui no ka meaʻai kūpono. ʻO nā momona momona, nā meaʻai i kālai ʻia, nā hua citrus, nā huaʻai a me nā ʻoliʻoli pono e haʻalele. I ka manawa like, pono e hāʻawi i ka makemake i nā mea ʻai lau i nā mea ʻai, nā kīʻaha, nā haʻahaʻa haʻahaʻa a me ka iʻa.
Ināʻaʻa ʻole kahi dinamika maikaʻi i ka wā o ka mālama outpatient no 4-5 mau lā, a laila ua hoʻomoʻi ʻia ka mea maʻi i ka haukapila a kuhikuhi ʻia kahi lāʻau lapaʻau hou aku. Loaʻa iā ia ka hoʻokomo i ka lāʻau lapaʻau e ka waiʻu, a me nā mea paʻakikī e hoʻonui ai i ka pono o ka hana.
Ke hoʻoholo kūʻokoʻa ʻana i ke kiʻekiʻe o nā kino ketone
He maʻalahi ka hoʻoholo ʻana o nā papa ketone urinary i ka home, a me kahi manawa kūpono kēia, no nā mea maʻi me nā maʻi maʻi maʻi. Aia nā kiʻi kūikawā no ka hoʻoholoʻana i ka acetone, hiki ke maʻalahi ke kūʻai ʻia ma kahi kokoke i kekahi lāʻau lapaʻau. He maʻalahi ke ka hoʻokō ʻana i kēia ʻano hoʻāʻo, a no nā wahine i ʻimi pinepine i ka hoʻoholo ʻana i ke kūpaʻa ma kēia ʻano, ʻaʻole ia e lilo i hana iki.
No ka hana ʻana i kēia, pono ʻoe e hōʻiliʻili i kahi ʻāpana o ke kakahiaka kakahiaka, i ka hoʻokau ʻana ma mua i ka lua o ka kīʻaha o ke ʻano a me ka hoʻopili i ke komo i loko o ka pūpū me ke kuapo poʻo. A laila e hoʻokaʻawale i ke kaula me kahi hopena i hōʻailona mauʻia i loko o kahi pahu me ka urine, paʻa no kahi mau kekona. A laila e lulu i ke koena o ka urine, kali iki a hoʻohālikelike i ka pale o ka hopena me nā koho kala e hōʻike ʻia nei ma ka pale hōʻike.
Inā loaʻa kahi paila pink, ʻo ia ka hana o nā ketones he ʻoi aku ma mua o ka maʻamau, akā i loko o nā helu liʻiliʻi. Hōʻike ka kala violet i kahi makana kiʻekiʻe o ka acetone, e koi ana i kahi kipa koke ʻana i kahi keʻena olakino.
Manaʻo ikaika ʻo kahi pediatrician kaulana a alakaʻi Komarovsky i nā mākua me nā keiki me ka maʻi hānai mau e loaʻa mau i nā wahi hōʻike ma ka home e hoʻoholo ai i ka acetone i kā lākou pā. Mālama kēia iā ʻoe e kaohi i ke ʻano o ke keiki, ʻo ia ka mea e hiki ke pale i nā hōʻeha koʻikoʻi i ka manawa, e like me ka hyperglycemic coma.