Acetonemic syndrome nyob rau hauv cov menyuam yaus yog cov kev phom sij txaus ntshai ntawm cov txheej txheem tshwm sim los ntawm kev cuam tshuam ntawm metabolic thiab kev sib txuam ntawm ketone lub cev hauv cov ntshav. Nws ua tiav sijhawm kuaj thiab kho nws txo cov kev pheej hmoo ntawm kev tsim cov kev tsis zoo.
Dab tsi yog acetone syndrome
Raws li txoj cai, tus kab mob pathological no tshwm sim hauv cov menyuam yaus neuro-arthric diathesis, kev txiav txim siab tsis zoo los ntawm cov roj ntsha metabolism ntawm uric acid thiab purine puag. Nws pab txhawb kev txhim kho kev ua txhaum loj ntawm cov dej num ntawm cov khoom nruab nrog sab hauv ntawm menyuam.
Acetonemic syndrome tau tshwm sim los ntawm kev kub ntxhov: qhov tsis hnov tsw ntawm acetone los ntawm lub qhov ncauj, intoxication, rov ntuav nrog tsis hnov tus ntxhiab ntawm acetone, raws plab lossis tso quav, ua kom mob plab, ua kom lub cev qhuav dej, subfebrile lub cev kub. Nyob rau ntawm cov mob loj, cov tsos mob ntawm cov pob txha caj dab thiab qaug dab peg feem ntau tshwm sim. Acetonemic syndrome kev tawm tsam pib tshwm sim thaum muaj hnub nyoog 2-3 xyoos thiab ploj mus thaum 12-13 xyoo.
Cov laj thawj ntawm kev txhim kho pathology
Feem ntau, cov mob acetone mob tshwm sim los ntawm qhov tsis muaj tseeb lossis tsis muaj qhov tsis txaus ntawm cov zaub mov carbohydrates hauv tus menyuam txoj kev noj haus, nrog rau qhov tshwm sim thawj ntawm cov roj ntsha thiab ketogenic amino acids hauv nws. Txoj kev loj hlob ntawm pathology yog yooj yim los ntawm kev tsis muaj daim siab enzymes thiab kev ua txhaum ntawm tus txheej txheem ntawm kev nthuav tawm ntawm ketone lub cev. Cov roj ntsha tsis txaus ua rau lub cev tsis zoo rau lub paj hlwb thiab lub plab zom mov.
Cov kev mob tshwm sim ntawm cov tsos mob acetone tuaj yeem ua rau ntau yam kab mob, intoxication, kev ntxhov siab, kev noj haus tsis zoo thiab mob hnyav. Txoj kev loj hlob ntawm cov kab mob no hauv cov menyuam yug tshiab yog vim nephropathy (mob toxicosis lig) ntawm leej niam thaum cev xeeb tub.
Kev kho mob ntawm acetone syndrome
Nrog cov tshuaj acetone crises, tus menyuam nyob hauv tsev khomob tau qhia. Nws ua raws kev noj haus kev txhim kho, uas suav nrog kev ua kom yooj yim zom cov zaub mov carbohydrates, kev txwv cov rog thiab kev haus ntau ntawm cov dej cawv alkaline thiab cov kev sib xyaw ua ke ("Regidron", "Tsitorglucosolan"). Tsis tas li ntawd, kev ntxuav huv los ntawm kev tso tawm nrog cov dej qab zib yog cov tshuaj kho, uas neutralize ketone lub cev hauv cov hnyuv. Nrog rau lub cev kom lub cev qhuav dej, tso dej ntawm cov dej qab ntsev thiab cov kua nplaum ua. Cov kev mob tshwm sim cuam tshuam nrog kev siv cov tshuaj tiv thaiv antiemetic, antispasmodics, thiab sedatives. Nrog kev kho kom tsim nyog, cov tsos mob ntawm lub ntsoog ploj tom qab 2-5 hnub.
Hauv lub sijhawm sib nrug, tus menyuam raug kuaj xyuas los ntawm tus kws kho menyuam yaus. Khoom noj siv mis thiab zaub, ua tawv tawv, tiv thaiv kev kis kab mob thiab kev mob siab ntsws yog qhov pom zoo rau nws. Tsis tas li ntawd, kev tiv thaiv kev tiv thaiv ntawm hepatoprotectors, enzymes, sedatives thiab multivitamins raug xaj.
