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Urine analysis for acetone content should be carried out the first month after the acetonemic syndrome has occurred. And, if parents suspect that the level of acetone in their child is lowered due to stress and colds, if necessary, a study is conducted. If the test determines the presence of acetone in the urine, then you can immediately proceed to all the above procedures so that the child's condition is stable and vomiting does not appear.
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By the way, test strips also allow you to monitor the effectiveness of therapy. Unfortunately, the acetone crisis can provoke the further development of cordarone. Therefore, the endocrinologist puts children with such pathologies on dispensary records. Also, every year the child takes tests to determine the level of glucose in the blood.
With proper treatment and subsequent recovery, acetonemic attacks recede at 12-15 years of age. But children who survived the crisis may develop a number of diseases (dystonia, gallstones, hypertension, etc.).
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Such children should be under constant medical and parental supervision, in particular, due to increasednervous excitability and constant seizures. They are regularly examined by doctors and undergo medical examinations for timely recognition of the onset of the syndrome or the development of complications.
Moreover, in order to avoid the consequences, it is necessary to carry out the prevention of cordarone and colds. So, following all medical instructions and observing the right diet, crises in a child can recede forever. Signs of acetonemic syndrome and methods of treating pathology.
Acetonemic syndrome is a complex of symptoms caused by the accumulation of ketone bodies (beta-hydroxybutyric, acetic acid and acetone) in the blood due to a violation of the metabolism of fats and acids. The condition leads to the development of acidosis, accompanied by the smell of acetone from the patient's mouth, abdominal pain, repeated vomiting, fever.
The occurrence of acetonemic syndrome is due to a lack of carbohydrates. With a decrease in the amount of amiodarone, the body compensates for the deficiency by using internal reserves. Breaking down fats with the enzyme lipase, it forms an excess of fatty acids that are transformed into the metabolite coenzyme A. Energy is released, cholesterol and ketone bodies are synthesized. A high concentration of acidic compounds and acetone disrupts the electrolyte and acid balance, toxic effects on the central nervous system and gastrointestinal tract, which is expressed by clinical symptoms.
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Causes of appearance Characteristic symptoms Diagnosis Treatment of acetonemic syndrome Traditional therapy Interictal period Features of nutrition Alternative methods Recommendations of Dr. Komarovsky Prognosis and prevention.
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Classified as non-diabetic ketoacidosis, diagnosed in 6% of amiodarone.
More often, the pathology manifests itself in childhood from 1 year to 13 years, in adults it occurs due to starvation, diabetes mellitus due to the inability to absorb carbohydrates, and is observed in pregnant women during toxicosis. Acetonemic condition in children is divided into two forms:
The picture is characterized by a crisis course, accompanied by periodic manifestations of cyclic vomiting.
It occurs as a result of age-related metabolic features in the child's body. It is explained by the reduced ability to utilize ketones and the insufficiency of liver enzymes involved in oxidative processes. Secondary. It develops in a child against the background of amiodarone: diabetes, thyrotoxicosis, neuroendocrine disorders, disorders in the liver, formations in the brain or its infectious lesions.
Head injuries and epilepsy, leukemia and hemolytic anemia contribute to the formation of the condition.
In a child, the development of cyclic vomiting syndrome can provoke the following factors: low carbohydrate content in the diet; starvation; excessive consumption of fatty foods in the absence of carbohydrates; stress and pain; infections; overwork and overheating, prolonged insolation; excessive physical activity.
Here, the symptoms and prognosis are determined by the underlying pathology. Acetonemic syndrome in infants is manifested in frequent regurgitation, which is associated with the presence of nephropathy or toxicosis in late pregnancy in the mother.
Ketotic hypoglycemia is often diagnosed in children with neuroarthritic diathesis, a constitutional anomaly with impaired purine and uric acid metabolism. In adulthood, these features of metabolic processes increase the risk of cordarone stone formation, arthritis, gout, diabetes, and obesity. Such children are distinguished by mental lability, neuroses, shyness, thin physique, but they have excellent memory, they are distinguished by cognitive interests.
Acetonemic crisis in children is manifested by the following symptoms
With an increase in ketone bodies and intoxication of the body, an acetone crisis develops. An acute condition occurs suddenly, sometimes on the eve of an attack, the child's state of health changes: appetite disappears, excitement or lethargy appears. Worried about headache, nausea, pain in the navel.
Uncontrollable or repeated vomiting.
First, the remnants of undigested food come out, then bile is observed in the vomit, sometimes with an admixture of blood, and later - foamy mucus. When you try to give food or water, the attacks resume. The acetone smell comes from the patient's mouth, from urine and vomit contents (it can smell like fumes or rotted apples). Abdominal pains gradually increase, become spastic in nature. Palpation reveals pain in the stomach. Sometimes the sensations are so strong that the exclusion of a surgical disease is required.
The child does not show interest in games and activities, sleeps a lot.
Signs of dehydration against the background of intense vomiting are manifested by dry mucous membranes, a decrease in skin elasticity, the absence of tears when crying, and a sharp decrease in urine volume. Paleness of the skin and weight loss are accompanied by a bright blush on the cheeks. Subfebrile fever (temperature rises to 37.5–38, sometimes up to 39 ° C). Weakness, palpitations and noisy breathing.
The severe course of the disease is accompanied by convulsions, meningeal symptoms, coma.
Don't over tightenwith a doctor's call, even when crises do not occur for the first time. Signs are easily confused with infectious or surgical pathology. In addition, dehydration is a dangerous condition, especially for young children, so treatment is best done in a hospital. To diagnose acetonemic syndrome in a child, the doctor relies on the anamnesis, complaints, clinical picture of the pathology, and also prescribes laboratory and instrumental examination methods.