ʻO ka maʻi Acetonemic ma nā keiki > Hoʻopiʻi nā maʻi maʻi

ʻO ka maʻi Acetonemic ma nā keiki
Keto hui

ʻO ka maʻi Acetonemic ma nā keiki (ketotic hypoglycemia o kona wā kamaliʻi, ʻaʻohe keticacicosis maʻi maʻi, nā wīwī e pili ana i ka luaʻi cyclic acetonemic, huiʻi puaʻa) - ke ʻano o nā hōʻailona ma muli o ka hoʻonui ʻana i ka neʻe o nā kino ketone i loko o ke kaila koko - ke ʻano pathological e hele nui ʻia ana i ka wā kamaliʻi, i hōʻike ʻia e nā hanana stereotyped e hoʻohua ai, koho i nā wā piha o ka maikaʻi. Aia kekahi mau mea (idiopathic) - ulu i ka hopena o nā hewa i kaʻai (ʻo nā pōloli lōʻihi) a me ka lua (e kūʻē iā somatic, infectious, endocrine maʻi, nā ʻiha a me nā kani o ke ʻano poʻokela kūloko) acetonemic syndrome.

Kahi helu

ʻO ka maʻi acetonemic primati e loaʻa ana i 4 ... 6% o nā keiki he 1 a 12 ... 13 mau makahiki. He mea maʻamau loa i waena o nā kaikamāhine (ka laha o nā kaikamahine / mau keikikāne he 11/9). ʻO ka makahiki maʻamau o ka hōʻike ʻana o ka maʻi maʻi o ka helehelena acetonemic luaʻi he 5.2 mau makahiki. I nā manawa pinepine (ma kahi o 90% o nā hihia), ke hoʻomaikaʻi ʻia ke ʻano o nā crises e ka hoʻomohala ʻana i ka luaʻi indomitable loiloi, kahi i ho'ākāka ʻia me acetonemic. Ma kahi o 50% o nā maʻi e koi i ka hōʻoluʻolu o ka pilikia acetone ma o nā ala intravenous.

Kuhi ʻole nā ʻikepili i ka hanana ākea o ka acetonemic syndrome i nā loea a me nā ʻāpana ʻē aʻe. palapala.

Hoʻoponopono helu |Hoike ʻike

ʻO ka maʻi Acetonemic syndrome (syndrome vomiting acetoemic, he ketoacidosis non-diabetes) he ala pathological i hele pū ʻia me ka hoʻonui o ke koko o nā kino ketone (acetone, b-hydroxybutyric acid, acetoacetic acid), ka mea i hoʻokumu ʻia ma muli o ka hopena metabolika o nā waikawa amino a me nā momona. Hōʻike ʻia ka maʻi Acetonemic i nā keiki i ka wā e hoʻihoʻi hou mai ana i ka ulu ʻana o ka acetone.

I nā maʻi pediatrics, aia ka maʻi maʻamau (idiopathic) acetonemic syndrome, kahi alima no ke kūʻokoʻa kūʻokoʻa, a me ka syndrome acetoemic tuarua, e hele pū ana i nā papa o nā maʻi. Ma kahi o 5% o nā keiki mai ka makahiki 1 a hiki i ka 12-13 mau makahiki ka nui o ka hoʻomohala ʻana i nā maʻi acetonemic primer, ʻo ka pāʻana o nā kaikamāhine i nā keikikāne he 11: 9.

Hiki i ka hyperketonemia lua aku me ka diabetes mellitus decompensated i nā keiki, insulin hypoglycemia, hyperinsulinism, thyrotoxicosis, maʻi Hisenko-Cush, maʻi glycogen, hōʻeha poʻo, nā kīkaha o ke kanikani me ka makeke o ka pehu, nā pōʻino o ka ʻōpū o ka maʻi, nā toxicosis infectious, hemolytic anemia, leukemia, leukemia, mau kūlana. No ka mea ua hoʻoholo ʻia ka papa ʻana a me ka poʻe mālama maʻi o ka maʻi acetonemic maʻi e ka maʻi lalo, ma nā mea e pili ana e nānā mākou i ka ketoacidosis maʻi maʻamau ʻole.

Kūkulu ʻia ka hoʻomohala ʻana i ka maʻi acetonemic syndrome a i ʻole ka hapa ʻole o ka nui o nā palanina i loko o ka papa ʻaʻai o ke keiki a i ʻole ka hanana nui o nā momona momona a me nā waikawa amino ketogenic. ʻO ka hoʻomohala ʻana o ka acetonemic syndrome e kōkua i ka nele o nā enzyme o ka naʻau i hoʻopili ʻia i nā hana oxidative. Eia kekahi, ʻo nā hiʻohiʻona o ka metabolism i nā keiki he like me ka emi ʻana o ke ketolysis, ke ʻano o ka hoʻohana ʻana i nā kino ketone.

Me ka hemahema piha ʻole aʻai ʻole, hoʻoneʻe ʻia nā pono o ke kino e ka lipolysis i hoʻonui ʻia me ka hoʻokumu ʻia ʻana o ka nui o nā momona momona. I lalo o nā kūlana o ka metabolism maʻamau i loko o ke ake, nā hua momona momona e hoʻololi ʻia i loko o ka metabolite acetyl coenzyme A, kahi i hala aʻe i loko o ka kaila o nā waʻa momona a me ka hoʻokumu ʻana o ka cholesterol. ʻO kahi hapa liʻiliʻi o ka acetyl coenzyme A pau i hoʻopau i nā kino ketone.

Me ka lipolysis hoʻonui, nui ka nui o ka acetyl coenzyme A ka nui, a me ka hana o nā enzymes e hoʻōla ana i ka hoʻokumu ʻana o nā momona momona a ʻaʻole lawa. No laila, ʻo ka hoʻohana ʻana i ka acetyl coenzyme A e loaʻa nui i ka ketolysis.

ʻO kekahi helu nui o nā kino ketone (acetone, b-hydroxybutyric acid, acetoacetic acid) e hoʻāhewa i ka acid-base a me ka paona-electrolyte kaulike, he hopena ia e pili ana i ka pūnaehana poʻokela sentral a me ka gastrointestinal tract, kahi e hōʻike ʻia ana i ka haukapila o ka acetone syndrome.

ʻO ke kaumaha o ka psychoemotional, intoxications, pain, insorning, maʻi (ʻeha o ka hanu ʻana o nā maʻi ʻeha poloka, gastroenteritis, pneumonia, neuroinfection) hiki ke lilo i mea kumu i hoʻonāukiuki i ka acetonemic syndrome. ʻO ka hana nui i ka hoʻomohala ʻana o ka acetonemic syndrome e pāʻani ʻia e nā mea ponoʻai - pololi, ka nui, ka nui ʻana, ka nui o ka ʻai o ka protein a me nā meaʻai momona me ka nele o nā pale o ka ʻai. ʻO ka maʻi Acetonemic ma nā keiki hou e pili pinepine me ka maʻi toxicosis hopena - nephropathy, i hele mai i loko o kahi wahine hāpai.

Hoʻomaopopo o ka Acetonemic Syndrome

Loaʻa nā maʻi Acetonemic syndrome i nā keiki me nā abnormalities kumukānāwai (neuro-arthritic diathesis). Hoʻohālikelike ʻia kēlā mau keiki e ka nui o ka excitability a me ka wikiwiki o ka wahina, he ʻōpala iki, he nui loa, hilahila ʻole i ka neurosis a me ka hiamoe hoʻomaha. I ka manawa like, ʻo kahi keiki me ka anomali neuro-arthritic o ke Kumukānāwai e hoʻomohala i ka haʻi, nā hoʻomanaʻo, a me nā hana cognitive wikiwiki ma mua o kāna mau hoa. Kūpono nā keiki me ka diat neuro-arthritic i ka hoʻoneʻeneʻe ʻana i ka metabolism o nā hoʻomaʻemaʻe a me ka uric acid, no laila, i ka wā pākeke lākou makemake i ka hoʻomohala urolithiasis, gout, arthritis, glomerulonephritis, obesity, type 2 diabetes.

ʻO nā hiʻohiʻona maʻamau o ka acetone syndrome ka uluʻana o ka acetone. Hiki i nā hōʻeha like me ka acetonemic syndrome hiki ke ulu koke a i ʻole ma hope o ka mea mua (ʻo ka mea i kapa ʻia aura): lethargy a ʻūhā paha, nele i ka makemake, ka maʻi ʻōpū, migraine-like headache, etc.

Hōʻike ʻia kahi kikinikini maʻi maʻamau o kahi pilikia acetonemic e ka hoʻomau ʻana a i ʻole like ʻole haki, ke hele ʻia nei i ka wā e hoʻāʻo ai e hānai a inu ʻole paha i kahi keiki. E kūʻē i ke kua o ka lua a me ka maʻi acetonemic syndrome, hoʻomohala koke nā hōʻailona o ka hoʻomohala a me ka make pā (hoʻonaninani hypotension, adynamia, pallor o ka ʻili me kahi pua).

Ke hoʻololi nei ka ʻeha a me ka hopohopo o ke keiki e ka ʻeha a nāwaliwali, me kahi papa kaumaha nui o ka acetonemic syndrome, nā maʻi meningeal a me nā hoʻopaʻi. ʻO ka hala (37.5-38.5 ° C), eha ʻeha o ka ʻōpū, ka ʻeha ʻana, a me ka mālama ʻana paha. Mai ka waha o ke keiki, mai ka ʻili, ka urine a me ka luaʻi, ua kū mai ka ʻala o ka acetone.

ʻO ka lele mua o kahi maʻi acetonemic maʻamau e kū mai i nā makahiki o 2-3, e lilo pinepine i 7 mau makahiki a nalowale i nā makahiki 12-13 o ka makahiki.

ʻO ka maʻi maʻamau o ka maʻi acetonemic

Hoʻonui ʻia ka ʻike ʻana o ka acetonemic syndrome e ka hoʻopaʻa ʻana o ke anamnesis a me nā hoʻopiʻi, nā hōʻailona maʻi, a me nā hopena o ka laboratorium. E noʻonoʻo e hoʻokaʻawale i waena o nā maʻi aceremone prim a me ka lua.

ʻO kahi nānā loiloi o kahi keiki me ka acetonemic syndrome i ka wā pilikia e hōʻike ana i ka nāwaliwali o ka puʻuwai puʻuwai, tachycardia, arrhythmia, ka ʻula maloʻo a me ka membula a mucous, ka hoʻohaʻahaʻa i ka turgor hoʻi ʻokiʻoki, ka hōʻemi i ka hana waimaka, tachypnea, hepatomegaly, a me kahi hoʻēmi i ka diuresis.

Hōʻike ʻia kahi hōʻike koko koko no ka acetonemic syndrome e ka leukocytosis, neutrophilia, wikiwiki ESR, kahi hōʻike urine maʻamau - ketonuria o nā ʻanoʻokoʻa like ʻole (mai + a + +++). Ma ka hōʻike koko biochemical, ʻike ʻia ka hyponatremia (me ka nalowale o ka wai o ka extracellular) a i ʻole ka hypernatremia (me ka nalowale o ka wai o ka intracellular), hyper- a hypokalemia, hoʻonui i nā pae o ka urea a me ka waikiko uric, ʻike ʻia a hypoglycemia maʻamau a maʻalahi paha.

Ka ʻokoʻa ʻana ka maʻi maʻi o ka maʻi acetonemic primale i ke ketoacidosis kūʻokoʻa, kahi ʻōpū o ka ʻōpū (appendicitis i nā keiki, peritonitis), pathology neurosurgical (meningitis, encephalitis, cerebral edema), nā mea make a me ka maʻi ʻeha. I kēia hiʻohiʻona, pono e ʻike pinepine ʻia ke keiki e ka endocrinologist o ka maʻi, nā maʻi maʻi maʻi pediatric, ʻo ka papa pediatric.

ʻO ka hoʻomaʻamaʻaʻana o Acdonemic Syndrome

ʻO nā wahi nui o ka mālamaʻana no ka acetonemic syndrome he hōʻoluʻolu o nā crises a me ka mālama mālama i nā wā interictal, e kuhikuhi ana i ka hoʻemi ʻana i ka nui o nā exacerbations.

Me nā ala e pili ana i ka acetonemic, hōʻike ʻia ka hoʻokipa hoʻomaha o ke keiki. Hoʻololi ʻia ka hoʻoponopono ʻana i nā meaʻai: ua paʻa nā momona. He mea aʻoaʻo e hoʻonoho i ka enema hoʻomaʻemaʻe me ka hopena o ka sodium bicarbonate e kūlohelohe i kahi hapa o nā kino ketone e komo i ka ʻawaʻawa. Hoʻololi ʻia ka waha me ka acetonemic syndrome e ka wai wai me ka wai alkaline a me nā hopena hui. Me ka maloʻo nui o ka maʻi infusion, e lawe ʻia ana ka maʻi infusion - drip intravenous o 5% glucose, ʻōlelo paʻakai. Hoʻopilikia ka hopena simtomatic i ka hoʻomakaʻana o nā lāʻau antiemetic, antispasmodics, sedatives. Me ka mālama kūpono, ʻo nā hōʻailona o kahi pilikia acetonemic subside e 2-5 mau lā.

I nā wā kikowaena, kahi nānā me kahi maʻi acetonemic syndrome e nānā ʻia e kahi pediatrician. Pono e hoʻonohonoho pono i kaʻaiʻai kūpono (mea kanu waiu, nā palena o nā mea momona i nā momona), ka pale ʻana o nā maʻi ʻeha a me nā hana hoʻoweliweli psycho-emosional, nā wai a me nā kaʻina hana (wai kaukau, nā wai hoʻohālikelike, nā kīwaha, nā kīpopeka), ka hiamoe kūpono a noho i ka ea hou.

Hōʻike ʻia kahi keiki me ka acetonemic syndrome e aʻo ʻia i nā papa pale o multivitamins, hepatoprotectors, enzim, therapy sedative, massage, control coprogram. No ka hoʻomau i ka acetone urine, ua manaʻo ʻia e nānā kūʻokoʻa i ka urine no ka ʻike o nā kino ketone e hoʻohana ana i nā kānana hoʻāʻo.

Pono ke kākau ʻia o nā keiki me ka acetonemic syndrome ma ka pediatric endocrinologist, i kēlā me kēia makahiki ka noiʻi ʻana i nā glucose koko, me ka ultrasound o nā ʻōpū a me ka ultrasound o ka ʻōpū o ka ʻōpū.

He aha kēia

ʻO ke acoxemic syndrome kahi maʻi e kū mai ana inā hopohopo nā kaʻina metabola i loko o ke kino o ke keiki, kahi ʻano hana hoʻopunipuni i nā kaʻina metabola. I kēia hihia, ʻaʻohe ʻike ʻia nā hana ʻole o nā kino, nā maʻi i kā lākou pae maoli, ʻo ka hana wale nō, no ka laʻana, no ka pale ʻana o ka pancreas a me nā ate ʻaʻole i hoʻoponopono ʻia.

ʻO kēia ʻōpū ponoʻī kekahi o nā hōʻike o ka nemo-arthritic anomaly o ke kumukānāwai (neuro-arthritic diathesis ka inoa kahiko no ke ʻano like). ʻO kēia kahi hoʻonohonoho o nā hiʻohiʻona pono i hui pū me ka hana kikoʻī o nā wahī o loko a me nā ʻōnaehana hoʻowalewale o ke keiki.

Nā kumu

ʻO nā pinepine pinepine, ʻo ka acetonemic syndrome e ʻike i nā keiki, akā mālama pū nō hoʻi i nā pākeke. Aia nā kumu:

ʻeha o ka lolo
hemahema enzyme hemahema - loaʻa iā ia a loaʻa paha,
lawe a i ʻole hanana i ʻole nā hanana o ka ʻoihana endocrine,
diathesis - ka maʻi neurogen a me ka ʻōpala,
biliary duct dyskinesia.

I nā pēpē, hiki i kēia ʻano hopena ke hopena i ka hopena o ka hopena o ka wahine hāpai a i ʻole nephropathy.

Nā mea waho e kumu ai ka maʻi acetone:

hookeai
nā maʻi maʻamau
nā hopena ʻino - me ke komo i ka wā o ka maʻi,
nā hana hoʻowaloko ʻia e ka maʻi pōpilikia,
nephropathy.

I ka wā pākeke, ʻo ka hōʻiliʻili maʻamau ka nui o nā kino ketone e ʻoi i ka maʻi maʻi. ʻO ka hemahema o ka inalula e hoʻopuni i ka komo ʻana o ka glucose i loko o nā pūnaehana o nā ʻōnaehana, e hōʻiliʻili ai i loko o ke kino.

I ka manawa like, ʻo kahi keiki me ka anomali neuro-arthritic o ke Kumukānāwai e hoʻomohala i ka haʻi, nā hoʻomanaʻo, a me nā hana cognitive wikiwiki ma mua o kāna mau hoa. ʻO nā keiki me ka diate neuro-arthritic ka hopena i ka metabolism o nā hoʻomaʻemaʻe a me ka uric acid, no laila, i ka wā pākeke lākou makemake i ka hoʻomohala i ka urolithiasis, gout, arthritis, glomerulonephritis, obesity, a me ke ʻano 2 diabetes.

Nā hōʻailona o ka acetonemic syndrome:

Puhi ke keiki i ka acetone mai kona waha. ʻO ka hoʻokahe like nō ia mai ka ʻili a me ke kao o ka pēpē.
ʻO ka huehue a me ka hoʻāhu, a me nā paila o ka ʻili, ke ʻano o kahi pōpō ʻoluʻolu.
ʻO ka heleʻana o ka luaʻi, hiki ke loaʻa iā ia ka ʻoi aku o nā manawa he 3-4, ʻoi loa ke hoʻāʻo e inu a ʻai paha i kahi mea. E hoʻomaka ana ka luaʻi ma ka lā 1-5 mua.
ʻO ka hoʻonāʻana o nā leo kani, arrhythmia a me tachycardia.
ʻO ka nele o ka momona.
Hoʻonuiʻia ma ka mālama kino (ma ka maʻamau a hiki i 37.50С-38.50С).
I ka wā e hoʻomaka ai ka pōpilikia, hopohopo nei ke keiki a hopohopo, a laila hoʻiʻo ia i ka luhiluhi, ke hiamoe a me ka nāwaliwali. ʻO kaʻili pinepine, akā hiki i nā kīwaha.
Nā maʻi hōʻeha, nā mālama stool, nausea (spasm abdominal syndrome) nānā ʻia i loko o ka ʻōpū.

ʻO ka pinepine, ʻo nā hōʻailona o ka acetonemic syndrome e hele me ka pōʻino - kahi liʻiliʻi o nā kāmeʻa i kaʻai a me ka hoʻomohala ʻana o nā ketogen a me nā momona amino i loko o ia mea. He wikiwiki ka metabolism i nā keiki, a ʻaʻole hoʻonohonoho ʻia ka ʻōnaehana o ka meakanu, ma muli o ka hōʻemi ʻana i nā ketolysis - ʻo ke kaʻina hana o nā kino ketone.

ʻO ka maʻi maʻi o ka maʻi

Hiki i nā mākua iho ke hoʻokō i nā diagnostics wikiwiki e hoʻoholo ai i ka acetone i loko o ka pāʻai - nā kikoʻi hoʻonaninani kūikawā e kūʻai ʻia aku i ka lāʻau lapaʻau hiki ke kōkua. Pono lākou e hoʻokaʻawale iā lākou i loko o kahi ʻāpana o ka mimi a, me ka hoʻohana ʻana i kahi pākauʻi kūikawā, e hoʻoholo i ke kiʻekiʻe o ka acetone.

Ma ka hale kikowaena, ma ka loiloi lāʻau lapaʻau o ka urine, hoʻoholo ʻia ka hiki ʻana o ka ketones mai "a kekahi" (+) a i ʻole "eha +" (+++). Nā kukui kūleʻa - ke kiʻekiʻe o ka ketone ma + a i ʻole ++, a laila hiki ke mālama ʻia ke keiki ma ka home. E pili ana i “ʻekolu noi” i ka hoʻonui ʻia ʻana o ka pae ketone o ke koko ma nā manawa 400, a ʻehā - e 600 mau manawa. I kēia mau hihia, pono ke hoʻokipa ʻia - ʻo ia ka nui o ka acetone e pōʻino no ka hoʻomohala ʻana i kahi pōpoki a me ka pōʻino. Pono ke kauka e hoʻoholo i ke ʻano o ka acetone syndrome: inā he kumu a mua a ʻoi paha - kūkulu ʻia, no ka laʻana, e like me ka hoʻohui ʻana o ka maʻi maʻi.

Ma ka ʻae ʻana o ka lolo o ka honua i ka makahiki 1994, ua hoʻoholo nā kauka i nā palena kūikawā no ka hana ʻana i kēia maʻi maʻi, ua hoʻokaʻawale ʻia lākou i kumu a me nā mea hou.

ua hoʻohuli pinepine ʻia ka lua, i nā pane o nā ʻano like ʻole,
ma waena o nā hoʻouka kaua ma waena o nā kūlana maʻamau o ke pēpē.
ka lōʻihi o nā manawa kū mai nā hola he 2-5 mau lā,
maikaʻi ke kikowaena, nā hoʻonā radiological a me ka endoskopika hopena e hōʻoia ana i ke kumu o ka luaʻi, me kahi hōʻikeʻike o ke ala o ka kūloko.

Nā koiʻōlelo hou aku:

ʻO nā hiʻohiʻona hoʻohālikelike he mau hiʻohiʻona a me ka stereotypical, ua like nā episode ma hope e like me nā mea ma mua ma ka manawa, ka ikaika a me ka lōʻihi, a me nā hōʻeha kā lākou iho ke hoʻopau i ka hema.
E hele mai ana ka hoʻouka ʻana me ka nausea, ka ʻōpū o ka ʻōpū, ka ʻeha a me ka nāwaliwali, ka photophobia a me ka lethargy o ke keiki.

Hana ʻia ke ʻano maʻi me ka wehe ʻana o ka ketoacidosis maʻi (mau komuhi o ka maʻi diabetes), ke ʻano o ka ʻoihana gastrointestinal pathology - peritonitis, appendicitis. ʻO nā kulekele Neurosurgical (meningitis, encephalitis, edema cerebral), ka haʻalele ʻana o nā palaka me nā mea ʻala.

Pehea e mālama ai i ka maʻi acetonemic

Me ka hoʻomohala ʻana o ka pilikia acetone, pono e mālama ʻia i ke keiki ma ka haukapila. E hoʻokau i ka hoʻoponopono ʻia ʻana o ka papaʻai: ʻoiai ʻia ʻo ia e hoʻopau i nā mea kālai ʻia hiki ke hoʻokaʻawale i nā mea momona momona, hāʻawi i ka inu momona i ka nui. ʻO ka hopena maikaʻi o ka enema hoʻomaʻemaʻe me ka sodium bicarbonate, kahi hopena e hiki ai ke hoʻokaʻawale i kahi hapa o nā kino ketone e komo ana i loko o nā ʻāpana. Ua hōʻike ʻia ka rehydration waha e hoʻohana ai i nā hopena hoʻohui (orsol, rehydron, etc.), a me ka wai minima wai wai.

ʻO nā kuhikuhi nui o ka mālamaʻana i ka ketoacidosis non-maʻi diabetes i nā keiki:

1) ʻAi ʻia (ʻaina me ka wai a me ka nui o nā ʻawaʻawa i nā momona momona) i ʻōlelo ʻia i nā maʻi āpau.

2) ʻO ka koho ʻana o nā prokinetics (motilium, metoclopramide), nā kaila a me nā cofactors o nā kaila kālaiʻawa kalepa (thiamine, cocarboxylase, pyridoxine) e kōkua i kahi hoʻihoʻi hou o ka hoʻokaʻa ʻana o ka meaʻai me ka hoʻōho o ka momona a me ka metabolism.

3) Hoʻopili infusion:

kāpae koke i ka dehydration (extracellular fluid deficiency), hoʻomaikaʻi i ka poni a me ka microcirculation,
aia i nā māka alkalizing, e hoʻolōʻihi i ka hoʻihoʻi ʻana o nā bicarbonates plasma (hoʻoliʻiliʻi ka hoʻohuihui acid-base),
nona ka nui o nā huina o nā puke e hiki ai ke hoʻomālamalama ʻia i nā ʻano like ʻole, me ke ʻano kūʻokoʻa ʻole o ka insulin.

4) Hoʻolaha ʻia ka lāʻau Etiotropic (antibiotics a me nā lāʻau antiviral) e like me nā hōʻike.

I nā hihia o ka ketosis māmā (acetonuria a hiki i ke ++), ʻaʻole i hoʻopili ʻia e ka make nui, hōʻike ʻia ka wai-electrolyte a me ka holo maikaʻi, hoʻomohala i ka meaʻai a me ka rehydration waha i hui pū ʻia me nā koho o nā prokinetics ma nā pili e pili ana i nā makahiki a me nā ʻano etiotropic o ka maʻi lalo.

I ka mālamaʻana i ka acetonemic syndrome, ʻo nā ala nui ke kumu i hoʻokūkū i nā pōpoki. ʻO ke kōkua kākoʻo e kōkua ana i ka hōʻemi o ka exacerbations he mea nui loa.

Hoʻopili i nā maʻi infusion

Nā hōʻailona no ka koho ʻana o ka maʻi infusion:

Ke hoʻomau hou nei i ka lua a ʻaʻole e pau i ka wā o ka hoʻohana ʻana i prokinetics,
ʻO ka heleʻana o nā maʻi hemodynamic a me ka microcirculation,
Nā hōʻailona o ka ʻike leʻa (stupor, coma),
ʻO ka heleʻana o ka momona (a hiki i ka 10% o ke kaumaha o ke kino) a koʻikoʻi (a hiki i ka 15% o ke kaumaha o ke kino) dehydration,
ʻO ka heleʻana o ka ketoacidosis metabolic decompensated me ka nui o ka anionic interval,
ʻO ka heleʻana o nā pilikia anatomical a me ka hana no ka rehydration waha (anomalies i ka hoʻomohala ʻana o ka skeleton facial a me ka ihu waha), nā pilikia neurological (bulbar a me pseudobulbar).

Ma mua o ka hoʻomaka ʻana i nā maʻi infusion, pono ia e hōʻoia i ka komo kūpono kūpono ʻole (maikaʻi aʻe kēlā me kēia peripheral), e hoʻoholo i ka hemodynamics, acid-base a me ka hoʻoliʻiliʻi wai-electrolyte.

Nā ʻōlelo hāʻawi kai

ʻO nā huahana i hoʻokaʻawaleʻia i ka papaʻaina o nā keiki e loaʻa ana i ka maʻi acetonemic:

kiwi
caviar
wai momona - kekahi mea
ʻeke a me ka spinach,
ʻōpiopio
fehal - kaʻaʻa, nā ʻōpū, nā puʻu, nā māmā, nā ʻōpū,
kaʻaʻa - duck, puaʻa, keiki hipa,
mauʻaʻai momona - ka ʻiʻo a me ka ʻōpala,
nā lau - ʻalaʻala, nā pīniu, nā pīniu, broccoli, cauliflower, maloʻo maloʻo,
ulana ʻaina a me nā manena
e hāʻawi ʻoe i ka koko, i ke kōkeke - i loko o nā kī a me nā mea inu.

ʻO ka papa ʻai meaʻai pono kekahi me ka: porridge mai ka laiki, nā mai i nā lau lau, nā ʻuala. Inā hoʻi ʻole nā hōʻailona i loko o ka hebedoma, hiki iā ʻoe ke hoʻonui iki i ka ʻiʻo o ka meaʻai (ʻaʻohe i ʻai), nā mea kīwī, nā mea kanu, ka mea kanu.

Hiki ke hoʻoponopono mau ʻia nā meaʻai inā hoʻi hou nā ʻano o ka maʻi. Inā loaʻa ʻoe i ka hanu ʻino, pono ʻoe e hoʻohui i ka nui o ka wai, kahi āu e pono ai e inu i nā wahi liʻiliʻi

I ka lā mua o ke kīʻaha, ʻaʻole pono e hāʻawi ʻia ke keiki i kekahi mea akāʻo ke kākāwā palaoa rye.
I ka lua o ka lā, hiki iā ʻoe ke hoʻohui i ka laiki a i ʻole ʻāpala i paʻa ʻia.
Inā e holo pololei ana nā mea āpau, a ma ke kolu o ke kolu, hala ka maʻi a me ka ʻōpala.

Ma kahi hihia ʻaʻole e hoʻopiha i ka meaʻai inā hala nā hōʻailona. Kūkulu nā kauka i ke pili pono i kāna mau rula āpau. I ka lā ʻehiku, hiki iā ʻoe ke hoʻohui i nā kuki ʻōkeke, nā mai ʻaila (me ka ʻaila ʻole), ka mea kanu momona i ka ʻai. Inā ʻaʻole e ala ka wela o ke kino, a ua hala ka ʻala o ka acetone, a laila hiki i ka ʻānai o ke pēpē ke hana i nā ʻano ʻē aʻe. Hiki iā ʻoe ke hoʻohui i nā iʻa momona haʻahaʻa, nā kalala, kālua ʻia, nā huaʻai waiʻai.

Nā hana kūpono

Pono nā mākua nona ka nānā o ke keiki i ke ʻano o kēia maʻi e loaʻa ka hoʻomākaukau ʻana i ka glucose a me ka fructose i loko o kā lākou mea kōkua mua. Eia kekahi ma ka lima e pono mau e hoʻomau ʻia nā ʻōpoki, ʻoihisa, nā hua maloʻo. Pono e hoʻopōʻai ʻia nā mea kanu o ka pēpē (5 mau manawa i ka lā) a kaulike. I ka hiki koke ʻana i kahi hoʻonui o ka acetone, pono ʻoe e hāʻawi koke i ke keiki i kahi mea momona.

ʻAʻole ʻae ʻia nā keiki i ka hoʻomaikaʻi ʻana iā lākou iho, ma ke ʻano noʻonoʻo a olakino paha. Hōʻike i nā hele wāwae i kēlā me kēia lā, nā kaʻina wai, ka hiamoe maʻamau ʻewalu mau ala, kaʻina kūwaho.

Ma waena o ka lawe pōkole he maikaʻi ia e hoʻokō pono ai i ka mālama ʻana i nā pōpilikia. Hana maikaʻi ʻia kēia hana ma mua o ka manawa.

Nā kumu o ke kumu ʻo Acetonemic Syndrome

ʻO ka pinepine, ulu ka acetonemic syndrome i nā keiki a hiki i ka 12-13 mau makahiki. ʻO kēia no ka loaʻa o ka nui o ka acetone a me ka acetoacetic acid i ke koko e hoʻonui. Ke alakaʻi nei kēia kaʻina i ka hoʻolālā ʻana o ke pilikia acetone. Inā hele pinepine kēia mau hanana, a laila hiki iā mākou ke kamaʻilio e pili ana i ka maʻi.

Ma ke ʻano, he acetonemic syndrome e pili ana i nā keiki e loaʻa ana i kekahi mau maʻi endocrine (ka maʻi diabetes, thyrotoxicosis), leukemia, hemolytic anemia, a me nā maʻi o ka ʻeha gastrointestinal. Hoʻā pinepine pinepine kēia palaka ma hope o kahi concussion, hiki pinepine i ka ulu ʻana o ka ate, ka lolo ulu, ka pololi.

Hōʻailona

ʻO nā ala o ka catabolism o nā protein, kālaiʻai a me nā momona i lalo o nā kūlana physiological maʻamau e kūʻai i kekahi mau manawa o ka mea i kapa ʻia ʻo Krebs. ʻO kēia kahi kumu o ka ikehu kumu e hiki ai i ke kino ke ulu pololei.

Me ka pololi a i ʻole ka ʻai nui ʻana i nā protein a me nā meaʻai momona, hoʻomohala mau ka hoʻonaninani i ka ketosis. Inā ʻike ka ʻuhane i ka manawa like i ka pili ʻole a i ʻole ke kala ʻana i nā kao, e hoʻoulu ʻia i ka lipolysis, pono e ʻoluʻolu ka pono o ka ikehu.

Hoʻomaka paha nā kino Ketone i ka hoʻoneʻe i loko o nā lau i ka ʻāina o ka wai a me ka carbon dioxide, a i hoʻopili ʻia e nā kidney, gastrointestinal tract a me nā māmā. ʻO ia ke hoʻomaka, e hoʻomaka ka acetonemic syndrome ina ke hoʻomohala nei ka helu o ka hoʻohana ʻana o nā kino ketone ma mua o ka helu o kā lākou synthes.

ʻO nā ʻōmaʻomaʻo nui o ka helehelena acetonemic:

Hoʻonui ka huhū ma waena o ka huhū.
Ketoacidosis.
ʻO nā maʻi me ka lipid metabolidahi mau pilikia.
ʻO kahi hōʻike o ka maʻi diabetes.

Eia, pili pono ka moʻomeheu i mea koʻikoʻi. Inā ʻike ʻia nā ʻohana pili o ke keiki me nā maʻi metabolic (ka maʻi gout, maʻi maʻi gallstone a me urolithiasis, atherosclerosis, migraine), a laila ʻoi aku ka nui o ke keiki i kēia maʻi maʻi. He mea nui hoʻi ka meaʻai kūpono.

ʻO ka maʻi Acetonemic i nā pākeke

I nā pākeke, pilikia ke acetonemic syndrome i ka wā e hoʻopilikiaʻole ai ka pale a i ʻole ka pale o ka protein. I kēia hihia, hoʻonui ʻia ka ʻike kino o nā kino ketone i ke kino. Pono e hoʻomaopopo ʻia ua ʻike ʻia nā ketones i mau ʻāpana maʻamau o ko mākou kino. ʻO lākou ka kumu kumu o ka ikehu. Inā loaʻa ka nui o ke kino i ka momona, e pale i ka hana nui o ka acetone.

Hoʻopoina pinepine nā pākia e pili ana i nā meaʻai kūpono, kahi e alakaʻi ai i nā mea kolo ketone e hoʻomaka e hōʻiliʻili. ʻO ia ke kumu o ka hoʻohālikelike, ka mea i hōʻike ʻia e ka luaʻi.

Eia kekahi, ʻo nā kumu o ka acetone syndrome i loko o nā pākeke hiki ke:

Ka ʻike mau.
ʻO nā mea momona a me ka pono.
ʻO Renal hiki ʻole.
ʻO kaʻaiʻaiʻole me kaʻole o nā momona.
Loaʻa nā hemahema i ka pūnaehana endocrine.
ʻAi ʻai a me ka meaʻai.
Pākuʻi male.

Hoʻonui ikaika ia i ka hoʻolālāʻana o ka maʻi diabetes type 2.

Nā hōʻailona o ka hoʻomaka ʻana o ka acetone syndrome i nā pākeke:

Ua nawaliwali ka puʻuwai naʻau.
Ua hoʻemi nui ʻia ka nui o ke koko i ke kino.
ʻAkole ka ʻili, keʻula ʻia i nā ʻālina.
Ma ka māhele epigastric, hele mai nā pilikia spasmodic.
Naʻu?
ʻO ka nui o kaʻili i loko o ke koko ua hoʻemi ʻia.
Puka a luwau.

Nā hopena a me nā hopena

ʻO kahi nui o nā ketones, kahi e alakaʻi ai i ka acetonemic syndrome, e hōʻeha i nā hopena koʻikoʻi. ʻO ka mea koʻikoʻi koʻikoʻi ʻaila hoʻoneʻei ka wa e hoʻāinu ʻia ka loko o ke kino. Hiki i kēia ke hana i ka hanaʻino i nā kino āpau.

Hoʻolā wikiwiki ke keiki i ka holo ʻana o ke koko i ka māmā, e ʻae ana i nā ʻokoʻa ʻē aʻe. Eia kekahi, pili pono nā ketones i ka ʻili o ka lolo. ʻO kahi keiki me ka acetone syndrome e lethargic a makaʻuʻole.

He aha nā maʻiʻōlelo i hoʻohana ʻia ma ka maʻi maʻi?

Hoʻomau pinepine ʻia kēia mau ʻōpuka a ikaika loa.
Ma waena o nā hanana, hiki ke loaʻa nā manawa o ka mālie a me nā lōʻihi like ʻole.
E huki paha nā lā aʻai paha i kekahi mau lā.
ʻAʻole hiki ke hoʻohui i ka hoʻopili a me nā abnormalities i ka lime digestive.
ʻO ka hoʻouka ʻana o ka luaʻi a stereotypical.
I kekahi manawa hele koke koke ka luaʻi, ʻaʻohe kaʻaha.
Aia nā hōʻailona hoʻohālikelike: ka nausea, ka ʻeha, ka ʻōpū o ka ʻōpū, ka photophobia, ka pale ʻana, adynamia.
Puhi ka mea maʻi, he maʻi paha kāna, ʻo ka ʻeha.
I ka make a ʻike ʻoe i ka hua bile, ke koko, ka ʻōpala.

Nā hōʻike hōʻike Laboratory

ʻAʻohe loli i ka hōʻike koko koko lapaʻau. ʻO ka maʻamau maʻamau ke hōʻike wale nei i ke kiʻi i alakaʻi i ke ola o ka maʻi maʻi.

Aia kekahi hōʻike wai i nā urine kahi āu e ʻike ai i ka ketonuria (hoʻokahi hoʻohui aʻe a ʻehā paha paha). Eia naʻe, ʻo ka heleʻana o ka glucose i ka urine, ʻaʻole ia he hōʻailona kūikawā.

Nui loa ia i ka hoʻoholo ʻana i ka maʻi maʻi - data i loaʻa ma ke hopena hōʻike koko koko. ^ E Ha yM. I kēia hihia, ʻoi aku ka lōʻihi o ka manawa puaʻa, ʻoi aku ka nui o ka dehydration. Loaʻa i ka Plasma kahi kiʻekiʻe o ka hematocrit a me ka protein. Hoʻonui ʻo Urea i ke koko ma muli o ka hiolo.

Nā maʻi diagnostics mea pono

ʻO kahi ala maʻi nui koʻikoʻi ʻo ia ka echocardioscopy. Me ia, ʻike ʻoe i nā mea hōʻike o ka hemodynamics waena:

ka liʻiliʻi diastolic o ka ventricle hema a emi pinepine ʻia,
Hoʻemi ka paʻakikī venous
ua hoʻemi ʻia ka ʻāpana kūloko hoʻi,
e pale i ke kua o kēia mau mea a pau, hoʻonui ʻia ka huaʻōlelo puʻuwai ma muli o ka tachycardia.

Inā ulu ka pilikia acetone

Hana koke i ka mea i kapa ʻia nā papa ʻaina. Aia ia no ka hoʻohana ʻana i nā mau kao momona ponoi ʻole, e kaupalena ana i nā mea momona momona, e hāʻawi ana i ka momona fractional a inu. I kekahi manawa hoʻokomo lākou i kahi enema hoʻomaʻemaʻe kūikawā me ka sodium bicarbonate. E kōkua ana kēia i ka hoʻopau ʻana i kekahi o nā kino ketone i komo i loko o nā ʻōpū.

ʻO ka rehydration waha me nā hopena e like me ka rehydron a i ʻole orsol.

Inā paʻakikī ka dehydration, pono ia e hoʻokō i ka infusion intravenous o 5% glucose a me nā hopena paʻakai. Hoʻohana pinepineʻia nā antispasmodics, sedatives a me antiemetics. Me ka hoʻomaʻamaʻa kūpono, ua nalowale nā hōʻailona o ke poʻo ma hope o 2-5 mau lā.

Nā lāʻau lapaʻau

Kālā carbon. ʻO Sorbent, kahi kaulana loa. ʻO kēia lānahu kahi mea kanu a holoholona holoholona. Hoʻolaha kūikawā i mea e hoʻonui ai i kāna hana absorbent. Eia ke kānāwai, ma ka hoʻomaka ʻana o ka pilikia acetone, ua ʻōlelo ʻia e kāpae i nā toxins mai ke kino. I waena o nā hopena hopena: ka constipation a i ʻole ka maʻi ʻana, nā ʻōmaʻomaʻo o ke kino, nā ʻalemona a me nā momona.
Hoʻokomo ʻia ka charcoal i ka hihia o ke kaʻe ʻeha, nā ʻōpū o ka ʻōpū.

Motilium. ^ E Ha yM. He mea antemetic i hao ai i nā receptors dopamine. ʻO ka mea hana pilikino he domperidone. No nā keiki, ʻo ka dosage he 1 papa 3-4 mau manawa i ka lā, no nā pākeke a me nā keiki ma mua o 12 mau makahiki - 1-2 papa 3-4 mau manawa i ka lā.

I kekahi manawa ʻo Motilium hiki i nā hopena like ʻole: nā kīʻaha i ka ʻōpū, nā ʻōpū puʻuwai, extrapyramidal syndrome, ka ʻeha, ka puʻukū, nā leʻaleʻa, nā pae prolactin plasma.

ʻAʻole hoʻolako ʻia ka lāʻau lapaʻau no ka hoʻohana ʻana me ka huhui gastric, mechanical obriers o ka gastrointestinal tract, ke kino o ke kino a hiki i 35 kg, intolerance pilikino i nā ʻāpana.

ʻO ka Metoclopramide. ^ E Ha yM. ʻO kahi lāʻau antiemetic kaulana i kōkua i ka hōʻoluʻolu o ka nausea e hoʻoulu i ka motility intestinal. Hāpai ʻia nā pākeke e lawe i ka 10 mg 3-4 mau manawa i ka lā. Hiki i nā keiki ʻoi aku o 6 mau makahiki ke hoʻopaʻa ʻia a hiki i 5 mg 1-3 mau manawa i ka lā.

ʻO nā hopena ʻaoʻao mai ka lawe ʻana i ka lāʻau lapaʻau: nā maʻi, nā constipation, ka malo maloʻo, ka ʻeha, ka nalowale, ke kaumaha, ka dizziness, agranulocytosis, ka hopena maʻi.

ʻAʻole hiki ke lawe ʻia me ke kahe o ka ʻōpū, ka moleka o ka ʻōpū, ka ʻōnaehana mechanical, ka maʻi epilepsy, pheochromocytoma, glaucoma, hapai, lactation.

Thiamine. ^ E Ha yM. Lawe ʻia kēia lāʻau lapaʻau no ka hōʻemi o ka waiū a me ka hypovitaminosis B1. Mai lawe i ka nānā ʻana inā hypersensitivity i nā māhele o ka lāʻau lapaʻau. ʻO nā hopena hopena: The edema's Quincke, itching, rash, urticaria.

ʻAtoxil. ^ E Ha yM. E kōkua ana ka lāʻau lapaʻau e komo i nā toxins i loko o ka pānaʻi ʻana a hoʻoiho iā lākou mai ke kino. Eia kekahi, e hoʻopau i nā mea hōʻeha mai ke koko, nā ʻili a me nā kiko. A pau ke ea ʻana o ka mahana ʻana o ke kino, ua pau ka luaʻi ʻana.

Hana ʻia ka hoʻomākaukau ʻana ma ke ʻano he paura kahi e mākaukau ai ka pohō. Hiki i nā keiki mai ʻehiku mau makahiki ke hoʻopau i ka g g o 12 mau lā i ka lā. Pono ke ʻano o nā ʻōpū no nā keiki ma lalo o ʻehiku mau makahiki e kahi kauka.

Hoʻolālā ʻano hou

Hiki ke mālama ʻia ka maʻi Acetonemic ma ka home. Akā eia ʻoe e nānā pono i ka ʻoiaʻiʻo hiki iā ʻoe ke hoʻohana i nā pono hana e hiki ke hoʻohaʻahaʻa i ka acetone.

Inā ʻaʻole ʻoe ʻike i kahi hoʻomaikaʻi ʻana i ke kūlana o ke keiki, pono ʻoe e kiʻi aku i ke kauka.

ʻO kahi ʻano kūpono i kēia hihia ke kūpono wale no ke kāpae ʻana i ka ʻono ʻole o ka acetone, e hoʻohaʻahaʻa ana i ke kūʻai ʻana a e wehe paha i ka luaʻi. No ka mea hana, e wehe i ka mea ʻono he kūpono no ka decoction o ka sorrel a i ʻole ʻono kūikawā e pili ana i ka ʻīlio ma luna.

Hana mālama lāʻau

Hoʻohana pinepine ʻia nā mea kanu. hooki i ka luaa ana. ^ E Ha yM. No ka hana ʻana i kēia, e hoʻomākaukau i kēlā hoʻoholo.

E lawe i 1 mau papa ʻaila lāʻau lapaʻau lāʻau a ninini i ka 1 kīʻaha o ka wai kai. E hoʻomau no kahi o hoʻokahi hola, i kāʻei ʻia i ka lole mahana. E hoʻomoʻi a inu i 1 mau papa a i ʻeono mau manawa i ka lā.

E lawe i 1 mau kīʻaha o ka pulu lau, ninini i kahi aniani o ka wai kō. E pōkole i ʻelua mau hola. E lawe i 4 mau manawa i ka lā, hoʻokahi kīpē.

ʻO ka meaʻono a me ka meaʻai no ka maʻi acetone

ʻO kekahi kumu nui o ke ʻano o ka acetonemic syndrome ʻo ka maʻi palaka. I mea e pale ai i ka hoʻi hou ʻana i ka wā e hiki mai ana, pono pono e kāohi i ka ʻai o kāu keiki i kēlā me kēia lā.

ʻAʻole e hoʻokomo i nā meaʻai i meaʻai kiʻekiʻe i ke kō, nā mea ʻona, a i ʻole ʻolike. Mai hāʻawi i kāu keiki i ka momona a ʻoki ʻole i nā meaʻai.

No ka mālamaʻana i ka acetone syndrome, pono ʻoe e hele i ka papaʻai no ʻelua a ʻekolu mau pule. ʻO ka papa ʻai meaʻai pono kekahi me ka: porridge, nā mea kanu, nā ʻiniki kālai ʻia.

Hiki ke hoʻoponopono mau ʻia nā meaʻai inā hoʻi hou nā hōʻailona o ka maʻi. Inā hele mai ka hanu hōʻoluʻolu, pono ʻoe e hoʻohui i ka nui o ka wai, kahi āu e pono ai e inu i loko o nā wahi liʻiliʻi. ʻAʻole i hoʻopau i ka meaʻai inā ua pau nā hōʻailona. Kūkū nā kauka i ka pili ʻana i kā lākou mau rula. I ka hiku o ka lā, hiki iā ʻoe ke hoʻohui i ka kīloʻai meaʻai, nā kīkī laila (me ka ʻōlelo ʻole), ka ʻū mau iʻa.

Inā ʻaʻole e hoʻonui ka wela o ke kino, a haʻalele ka ʻala o ka acetone, a laila hiki ʻē aʻe i ka mea o ke pēpē i ʻokoʻa aku. Hiki iā ʻoe ke hoʻohui i nā iʻa momona haʻahaʻa, nā moʻa i hoʻonui ʻia, nā ʻōkōlima, nā hua momona.

ʻAtikala lāʻau lapaʻau

ʻO ka maʻi Acetonemic a me AS kahi paʻakikī o nā hōʻailona i kahi e pili ana i nā kiko o nā kino ketone (ma ke ʻano, ka β-hydroxybutyric a me ka acetoacetic acid, a me ka acetone, e hoʻonui i ke koko).

ʻO nā huahana ia o ka palu piha piha ʻana i nā momona momona, a inā ala ʻia ko lākou ʻike, e kū ʻia ana kahi loli o ka metabolism.

Kāohi

I ke kū hou ʻana o kāu keiki, pono ʻoe e pale i ka maʻi. Inā hana ʻole kēia, a laila hiki ke maʻi acetone syndrome. I ka wā mua, e makaʻala i ka ʻai i ka meaʻai ʻai kūikawā, e hōʻole i nā momona a me nā mea laono. Ma hope o ka pau ʻana o ka ʻai, pono ʻoe e lūlū a maikaʻi loa i kaʻai o kēlā me kēia lā i nā huahana ʻē aʻe.

He mea nui ia e ʻai i nā meaʻai maikaʻi. Inā ʻoe e hoʻokomo i nā meaʻai pono a pau i loko o ka meaʻai a kāu pēpē, a laila ʻaʻole mea nāna e hoʻoweliweli i kona olakino. E hoʻāʻo pū e hoʻolako iā ia i kahi ola ikaika e pale aku i ke kaumaha, hoʻoikaika i ka pale ʻana a mālama i ka microflora.

Kūpono ʻia ka hoʻomaʻamaʻa ʻana o kēia maʻi. ʻO ka mea maʻamau, i ka makahiki 11-12 o ke aniani, nalowale ka maʻi a me ka maʻalahi o ke kuʻuna, a me kāna mau hōʻailona āpau.

Inā noi koke ʻoe i ke kōkua kūpono mai kahi loea, ʻo ia mea e kōkua ai e pale aku i nā hoʻopiʻi a me nā hopena.

ʻO ka wikiō ma ka maʻi acetonemic. Mea kākau: NIANKOVSKY Sergey Leonidovich
ʻLelo Pelekane, Luna Nui o ke Keʻena ʻIa ʻĀina a me nā Kauka Pediatrics

ʻO ka Syndrome Akonuiemic

ʻO ka wīkōkohu Acetonemic he concomitant syndrome ma neuro-arthritic diathesis. ʻO kēia maʻi ua manaʻo ʻia he hiʻohiʻona o ka ʻaoʻao o ke kino o ke keiki. Hōʻano ia me ka mea maoli e loli ka minamina a me ka purine metabolism. Hōʻike ʻia kahi ʻano like like me 3-5% o nā keiki. Eia nō naʻe, i nā makahiki i hala iho nei, e hoʻonui mau ana ka nui o nā maʻi.

ʻO nā ʻōmaʻomaʻo nui o ka acomemic vomiting syndrome ka:

Hoʻonui ka huhū huhū.
Ketoacidosis.
ʻO nā maʻi me ka lipid metabolidahi mau pilikia.
ʻO kahi hōʻike o ka maʻi diabetes.

Eia, pili pono ka moʻomeheu i mea koʻikoʻi. Inā ua ʻike ʻia nā ʻohana pili o ke keiki me nā maʻi metabola (gout, cholelithiasis a me urolithiasis, atherosclerosis, migraines), a me ke kiʻekiʻe nui o ka pēpē e maʻi ʻia me kēia maʻi. ʻAʻole pū ka haʻahaʻa liʻiliʻi e hoʻokani ʻia e ka meaʻai kūpono.

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Hoʻolālā ʻano hou

Hiki ke mālama ʻia ka maʻi Acetonemic ma ka home. Akā ma aneʻa pono ia e nānā pono i ka hiki ke hoʻohana wale i kēlā mau huahana i hiki ke hoʻihoʻi i ka acetone. Inā ʻaʻole ʻoe ʻike i kahi hoʻomaikaʻi ʻana i ke kūlana o ke keiki, pono ʻoe e kiʻi aku i ke kauka. Hoʻohana kūpono i ke ʻano o kēia hihia ke hoʻopau i nā mea ʻono ʻole o ka acetone, e hoʻemi i ka pāhana a hoʻoneʻe paha i ka luaʻi. No ka mea laʻana, e hoʻopau ai i ka mea ʻala, kahi sabakan sorrel a i ʻole kaʻa kekāhi e hoʻokumu ʻia ma luna o ka h rose maʻa pono.

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ʻO kaʻaiʻai a me ka meaʻai no ka maʻi acetonemic syndrome

ʻO kekahi kumu nui no ka puka ʻana o ka acetonemic syndrome ka maʻi palaka. I mea e pale ʻole ai i ka maʻi i ka wā e hiki mai ana, pono ia e kaohi pono i ka lā maʻamau o kāu keiki. ʻAʻole pono e hoʻokomo i nā huahana me kahi kikoʻawa o nā preservatives, nā mea inu kīkeke, nā pōpoki. Mai hāʻawi i kāu pēpē a momona loa a i ʻole nā meaʻai.

No ka mālama ʻana o ka acetonemic syndrome e pōmaikaʻi, pono ʻoe e hele i ka ʻai ʻana i ʻelua a ʻekolu mau pule. ʻO ka papa ʻai meaʻai pono kekahi me ka: porridge mai ka laiki, nā mai i nā lau lau, nā ʻuala. Inā hoʻi ʻole nā hōʻailona i loko o ka hebedoma, hiki iā ʻoe ke hoʻonui iki i ka ʻiʻo o ka meaʻai (ʻaʻohe i ʻai), nā mea kīwī, nā mea kanu, ka mea kanu.

Hiki ke hoʻoponopono mau ʻia nā meaʻai inā hoʻi hou nā ʻano o ka maʻi. Inā loaʻa ʻoe i ka hanu ʻino, pono ʻoe e hoʻohui i ka nui o ka wai, kahi āu e pono ai e inu i nā wahi liʻiliʻi.

I ka lā mua o ke kīʻaha, ʻaʻole pono e hāʻawi ʻia ke keiki i kekahi mea akāʻo ke kākāwā palaoa rye.

I ka lua o ka lā, hiki iā ʻoe ke hoʻohui i ka laiki a i ʻole ʻāpala i paʻa ʻia.

Inā e holo pololei ana nā mea āpau, a ma ke kolu o ke kolu, hala ka maʻi a me ka ʻōpala.

Inā ʻaʻole e ala ka wela o ke kino, a ua hala ka ʻala o ka acetone, a laila hiki i ka ʻānai o ke pēpē ke hana i nā ʻano ʻē aʻe. Hiki iā ʻoe ke hoʻohui i nā iʻa momona haʻahaʻa, nā kalala, kālua ʻia, nā huaʻai waiʻai.