ʻO ke keiki maʻi kekahi kumu o ka hopohopo a me ke kaumaha no nā mākua. No laila, inā e mimilo ka pēpē a hōʻole i ka ʻai, a laila hoʻomaka ʻo ia i ka luaʻi, ʻo ka mea mua loa, pono ʻoe e nānā i ka pēpē a ke keiki.
No laila, he mea pono e ʻike i nā kumu hiki o ke ʻano o ka acetone i ka pā o kahi keiki a a inā pono, e kipa aku i kahi pediatrician no ke kōkua.
No ke aha ka mea e hele ai ka acetone i loko o ka wai i kahi keiki?
E hoʻāʻo kākou e nānā. Pono pono ko mākou kino. Lawe ʻia mai ka glucose, kahi ʻāpana o ka meaʻai.
Hoʻohana nui ka ʻāpana nui i ka ʻai i nā kōpona, a ua hōʻiliʻili kekahi i ka nui o ka ʻōpū ma ke ʻano o kahi hoʻohui - glycogen. He nui loa kona mālama ʻia ʻana i nā pākeke, akā i nā pēpē heʻuʻuku loa.
Ke hele nei kekahi hanana me kahi keiki e pono ai ka ʻānai ʻana i ke kaha (ke kaumaha, ke kiʻekiʻe a me ke kaumaha kino paha), hoʻomaka ke glycogen e pau ʻole, a ʻaʻole lawa. I kēia hihia, hoʻāʻo ke kino e loaʻa ka ikaika nalo mai nā momona momona a hoʻomaka kā lākou cleavage.
Ma muli o kēia hopena, e kū nei i nā naʻā, ua synthesized ketones. He mau mea hao kēia. Hāʻawi ʻia lākou i kahi inoa maʻamau - acetone. ʻO ka maʻamau, ua hoʻokaʻawale ʻia nā ketones a neʻe i loko o ka pāʻai. I ka wā e wikiwiki wikiwiki ai ka hoʻokumuʻana o ka acetone ma mua o kona hoʻohana ʻana, e hōʻiliʻili i nā waiwai koʻikoʻi a hoʻomaka e luku i nā hale.
ʻO ka lolo ka mea mua ka ʻeha. Hoʻokomo ʻia ka huehue i ka membrane mukum o ka esophagus. ʻO ka hopena, hoʻomaka ka keiki a ka luaʻi. ʻO ke kūlana inā lilo ka acetone i loko o ka urine ke kiʻekiʻe aʻe ma mua o ka palapala ʻae ʻia i kapa ʻia ketonuria (a i ʻole ka acetonuria).
ʻO nā kumu physiological o ke ʻano o ka hoʻonui ʻia acetone i loko o nā wahi o kahi keiki
ʻO nā kumu pilikino penei:
- heʻuʻuku loa ka liʻiliʻi o ke koko o ke pēpē. Hiki ke kumu lōʻihi a me ka nui o ka pōloli a me ka ʻai o ka ʻōpala. A i ʻole fermentopathy - pānaʻi maikaʻi a me ka assimilation o ka meaʻai. Hiki ke hoʻoweliweli ka hopena o ka glucose e ka maʻi, ke kaumaha noʻonoʻo, ka nui o ka hoʻoikaika kino, a i ʻole ke kaumaha;
- ka momona a me ka momona. Hoʻomaopopo kēia i ka wā e ʻai ai ka pēpē i nā meaʻai kiʻekiʻe a me ke kō a me nā pilikia pāpaʻi. Pono ke kino o ke ʻano i ke ʻano i nā hana a me nā momona, e hoʻomaka ana i ke kaʻina o ka gluconeogenesis;
- pale kaua helminthic;
- lawe i nā antibiotics.
Nā kumu alakaʻi no ke ketonuria ma kahi pēpē
I waena o nā kumu pathological ketonuria:
- maʻi maʻi A ʻoiai ke pae o ka glucose i loko o nā palena maʻamau, he paʻakikī ka hoʻohana ʻana ma muli o ka nele o ka insulin. ʻOiaʻiʻo, ʻo ka acetone i loko o ka urine ua manaʻo ʻia he mea hōʻike mua o ka maʻi maʻi, no laila ʻo kāna ʻano kikoʻī e hiki ai iā ʻoe ke hoʻomaka i ka mālama ʻana i ka maʻi ma ka wikiwiki. Eia nō naʻe, ʻaʻole nā pēpē a pau me ka ketonuria e hōʻike i nā hōʻike ʻē aʻe i ka maʻi diabetes: ka make wai, ka nui o ka kaumaha, a me ka glucose kiʻekiʻe. ʻO ia, ʻo ka acetone e hele nei i loko o ka urine e hoʻouka ʻia e nā pilikia ʻē aʻe;
- maʻi ate
- pālahalaha
Ua ʻōlelo ʻo ka pediatrician kaulana ʻo E. Komarovsky, ʻo ka loaʻa ʻana o ka ketonuria i kahi keiki, e hoʻoholo ʻia e kona mau hiʻohiʻona pilikino.
A no laila, aia kekahi mau pēpē ʻaʻole e hōʻiliʻili ai ka acetone, ʻoiai i kahi kūlana koʻikoʻi, ʻoiai kekahi, aia kahi ketonemia me nā maʻi āpau.
He aha ka mea e hoʻonui ai i nā pēpē?
Hiki ke mālama ʻia ke aniani o ke kino ketone i loko o ke koko a me ka mōʻī o ka pēpē.
ʻO kahi "bele" weliweli no nā mākua ke lilo nei i mau hōʻailona ma hope iho:
- ua hele pinepine nā nausea a me ka lua.
- ua piʻi ka mahana no ke kumu ʻole e ʻike ʻia;
- ʻākala ʻōlepika i ka lehelehe;
- kau kaumaha ka pēpē;
- Hapah mai ka waha.
ʻO kahi kumu maʻamau o kēia mau hōʻike ʻo ia ka nele o kaʻai ʻana a me ka meaʻai ʻole.
Inā hānai ka makuahine, pono ia e ʻai i nā meaʻai i haʻahaʻa loa, a hoʻemi i ka ʻai momona i ka liʻiliʻi. ʻO ka koho maikaʻi: ka moa a i ʻole mau pipi paha, pipi, loko iʻa. E poina e pili ana i nā huahana semi-hoʻopau a me nā huahana me nā ʻono a me nā mea hoʻohui ʻē aʻe.
Inā pili ka pēpē ma ka meaʻaiʻai kūlohelohe, a laila hiki ke hoʻemi ʻia ka acetone e ka hoʻohui ʻana i ka meaʻai karaka i kāna meaʻai. Loaʻa ia ia e hānai i kāu pēpē me nā huaʻai ʻole a me nā mea laʻai. ʻO kahi hoʻohui maikaʻi e maloʻo ka compote hua hua.
Nā hōʻailona hōʻailona
Ke hōʻike ʻia nei ʻo Ketonuria ma kahi pēpē:
- ma hope o ka ʻai ʻana a i ʻole ka inu, hoʻomaka ka ʻōmaka nui loa;
- nā hoʻopiʻi o ka ʻehaʻeha;
- huli ke keiki e ai;
- he malooo ka ili a he palalolo, a he ulaula na papalina;
- palupalu ka urination a loaʻa ʻole;
- ma mua o ke kino ke kino;
- ua hoʻonui ʻia ke kō;
- lie kanikela
- Ua loli koke ʻia ke kūlana hauʻoli e ka lethargy;
- i ka pua, a me ka urin a me ka hanu o ke keiki, ua maopopo maoli ka acetone;
- fiva.
He maʻalahi nā Ketonuria e ʻike i ka home me nā ʻāpana hoʻāʻo ʻo ka acetone. Inā huli ka mea hōʻike mai ka māka mai ka i ka pōpoki, a laila i ka ala o ka acetone i kēia manawa. Ke kūleʻa nei ke kala o ke kaula i ka poni.
ʻAʻole maopopo nā ʻōkuhi o nā inoa i kākau ʻia. He mea nui ia e nā mākua, e ʻike i nā ʻike maʻamau o ka acetonuria, kōkua i ke keiki i ka manawa.
Kēia ʻia he kiʻi like like like o ko ka maʻi maʻi like ʻole i nā keiki ʻilihune a nani hoʻi. Eia kekahi, hiki ke loaʻa ka acetone ma hope o nā manaʻo maikaʻi ʻole, nā maʻi viral a me nā momona momona.
Nā kuʻina mālama
Hoʻomaka
ʻO ka ʻōhumu o ke ʻano māmā o ka ketonuria e like me kēia: ke manaʻo koke ʻoe e hoʻomaka koke ke ʻano o ka pēpē e like me ka acetone, hāʻawi koke iā ia i kahi momona. ^ E Ha yM. Hiki iā ia ke kapu a iʻa wai wai, wai a wai paha paha.
ʻO ka lāʻau smecta
ʻO ka hana nui e pale i ka dehydration. No laila, hāʻawi i ke keiki hou i ka wai hou aku. Inā ma ka hopena o ka lā mua ua kū ka pēpē o ka pēpē, hiki iā ʻoe ke hoʻomau i ka mālama ʻana iā ia ma ka home.
Akā ke hōʻole ka keiki i ka inu, ʻōwili hou i 4 mau hola i ka hala aku nei, a uaʻiʻi hou ʻo ia - e mālama koke i ka pēpē. Ma loko o ka hale hoʻomaha e hāʻawi ʻia ai ʻo ia i kahi mau maka me ka glucose, e iho koke i nā ketones. E hana ʻia kahi enema.
Eia kekahi, e hāʻawi ʻia ke keiki iā wai ia ʻo Smecta a i Enterosgel paha. ^ E Ha yM. E hoʻonui i ka urination, ke kūʻai ʻia ka pēpē me ka wai momona. Pēlā i ka mālama ʻana o ka acetonomy, e nānā ke kauka i ke koko o ka mea maʻi liʻiliʻi no ka hilo e hōʻole ai i ka maʻi diabetes.
Meaʻai no ke ketonuria
I ka wā pilikia o ka acetonemic, ʻaʻole makemake ke keiki e hānai.
Ke hele a holo ʻia ka hoʻomaka ʻana, pono ʻoe e hoʻomaka i ka hoʻopōmaʻomaʻi i nā mea lapaʻau therapeutic:
- 1 lā Pono ʻoe e inu i kahi nui (pinepine iki) a ʻai pū me ka mea ʻole;
- 2 lā. Hāʻawi i kāu pēpē i kahi decoction o nā palaka a me ka laiki a me nā mea piʻi manuahi. Inā maikaʻi nā mea a pau, ʻaʻohe luʻi;
- i ka lā 3 aʻe, e hoʻomau ka inu nui a ke keiki, ʻai i nā hua ʻenapono, lawe i kahi decoction raisa me ka laiki, nā ʻōmole. Hoʻopiha ʻia ka meaʻai i ke kefir, nā kīʻī moku, nā iʻa palaoa a me nā cereals. Pono e kuke ʻia i nā ʻōmole me nā pā iʻa ʻole;
- hānai pinepine i kāu pēpē: 5 mau manawa i ka lā. Pono ʻia nā lawelawe. Hoʻohui i nā lau me nā meaʻai a pau.
A e hoʻemi ʻia kēia meaʻai ketogenic:
- iʻa momona a me nā iʻa;
- Kāpoki a me ka muffin;
- iʻa i kāʻai;
- pi a me ka offal;
- hua ʻōpala a me nā hua maloʻo;
- nā kaona a me nā kiwi;
- hua manu a kamato;
- meaʻai wikiwiki.
Inā loaʻa ka pēpē ketonuria i kēlā me kēia manawa, ʻo ka hana a nā mākua ke hana i nā mea āpau e hōʻemi i ko lākou helehelena. No ka hana i kēia, e ʻimi i ke kōkua mai i ka lāʻau lapaʻau. E hana pū ʻoe i kahi meaʻai kūikawā no kāu keiki.
ʻO nā hopena palekana
Inā manaʻo maoli kāu pēpē a hōʻike ka hōʻike i kahi acetone liʻiliʻi, e hoʻāʻo i kēia:
- hāʻawi i kāu papa 2 mau papa glucose. Inā ʻaʻole lākou ma ka hale, hiki iā ʻoe ke inu i ka wai minima alkaline (me ke ʻole o ka aila). Pono ʻoe e inu i ka liʻiliʻi i ka lita i kēlā me kēia lā;
- wehe maikaʻi i ka wai acetone o nā lau keʻokeʻo;
- E kiʻi i nā huahana rehydration i ka home, e like me Regidron a i Hydrovit. Hiki iā ʻoe ke hoʻohālike iā lākou: e lawe i ka paʻakai kaulike, nā kō a me ke kō a me ka waiū a hoʻomāinu nā mea āpau me ka lita o ka wai. E hoʻomehana i ka huahana i ka wela o ka lumi. E inu i kahi sips liʻiliʻi (10 ml);
- inu i kahi decoction o raisyins. Nā koho: 1 tbsp. maloʻo i loko o kahi aniani o ka wai. E hoʻolapalapa i nā huaʻaila a waiho no 20 mau minuke. Ke waiho haʻalulu kēia, hāʻawi i ke keiki.
Nā wikiō pili
E pili ana i nā kumu a me nā hōʻailona o ka acetone i ka pā o kahi keiki ma kahi wikiō:
I ka nānāʻana o nā mākua: e nānā pono i kāu mālama pono ʻana o kāu pēpē. Manaʻo mau i nā kānana ma ka lima, ma ka hoʻopiʻi ʻana o ka acetonuria, e hoʻoholo koke i ke ʻano o ka inu waʻa o ka urine o ke keiki. Mai hopohopo. E hoʻomanaʻo he mālama maʻalahi kēia ʻano, a i ka nui o nā hihia hiki iā ʻoe ke hana me ke kōkua ʻole o ka lāʻau lapaʻau.