Constant vomiting, nausea, lack of appetite - someone from parents these signs of acetional syndrome are well acquainted, someone is not clear to someone what kind of illness is such. But the one who knows will agree that it is not so simple, as it seems and quite unpleasant.
What is this disease
So, acetional syndrome is the condition of the body, when an increased amount of ketone bodies is formed in it. It is characterized by frequent advent of acetional crisis, which causes such reactions:
- The appearance of acetone in the smell of mouth, from the skin and in the urine;
- abundant vomiting, repeating more than 3-4 times, especially when trying to emit something or drink for 1-5 days;
- lack of appetite;
- as a result, intoxication and dehydration, pallor, the appearance of an unhealthy rumyanta;
- increase temperatures up to 37-38 ° C and higher;
- At the beginning of the appearance of the crisis, the child's excitation and anxiety is observed, and then its weakness, lethargy and drowsiness. Cramps may very rarely;
- Permanent pain in the abdomen of a grapple-shaped character, nausea, stool delay (spastic abdominal syndrome);
- Detection of cardiac tones, tachycardia and arrhythmia.
Acetonemic syndrome begins to form due to the lack of glucose in the body. Since the children's body is intensively developing, it is constantly necessary to take from somewhere, and glucose is directly source. If it suddenly did not become (when Violation of exchange processes), then the body begins to draw forces from Glycogen's reserves, but the kids have it very small, so fat is becoming the main source of glucose. The latter, in the process of producing this very energy, is unfolded by 3 glucose molecules and 1 acetone molecule (if more precisely, on acetone, acetoacetic acid and beta-hydroxyma-acid acid). From here and appears in the body of acetone, which would have to split special enzymes, but there are no children (in contrast to adults), and therefore its concentration begins to increase. During the disease, the body itself begins to produce these enzymes (for 3 or 4 days), and for 5 days the child can already be healthy. But if you do not accept any measures, that is, the risk of fatal outcome, because the body will be dehydrated.
Doctors distinguish primary (idiopathic) acetional syndrome, which is characteristic of children from 1 to 7 (maximum to 13) years having a nervous arthritis abnormal of the Constitution, and periodically arising acetional crisis. What does it mean? Such children have an increased excitability and rapid depletion of the nervous system, they have insufficiency of liver enzymes, violated fat and carbon exchange, endocrine regulation of metabolism and the reuse mechanism of urinary and lactic acids.
A child with a violation of the Constitution is characterized by thinness, restless sleep, unnecessary gravity, but at the same time, it develops better than others in terms of mental health. So, he has been formed and improved, memory, he is inquisitive.
To the appearance of acetional crisis, it can lead: physical overvoltage, strong fright, emotional load, stress, pain, hyperinsolation, unbalanced nutrition (use of multiple proteins and fats), and sometimes it can cause and unnecessary positive emotions. With an increase in concentration, acetone begins to irritate a vomiting center in the brain, which leads to abundant vomit.
There is also a secondary acetional syndrome, forming against the background of the main disease. It may be first, diabetes, Infectious toxicosis, thyrotoxicosis, toxicants in the liver, brain injuries, hemolytic anemia And starvation.
Than dangerous disease
Previously did not know how to treat such a disease, there were no droppers with glucose mortar, and the child had to cope with her. Either after 4 days vomit restored his strength and recovered or died. Today, the acetional syndrome is dangerous by the development of a acetional crisis, when multiple vomiting goes and it is impossible to feed or drink a kid. This can lead to dehydration.
Just as a consequence of the transfer of the disease, the child may decrease the level of blood sugar, which will lead to loss of consciousness. For example, an absolutely healthy baby can be hungry up to 3 days, while maintaining the optimal level of sugar, and the baby with acetional syndrome, even with full toast to withstand less than 18 hours.
And in the presence of diabetes, it is generally dangerous, because it does not exclude the possibility of falling into a comatose state.
How to treat
The essence of treatment with primary acetonemic syndrome is reduced to the following actions.
At the first signs of acetional syndrome (the appearance of a sharp smell of urine and smell of mouth), the child needs to give the drug glucose or at least a decoction of the Izyum (from it the glucose is quickly, than from the usual compote from dried fruits). If all the same began acetional crisis (vomiting), then the patient must first Clear intestines With the help of 1-2% soda solution and give an adsorbent (Activated carbon).
It is also important to constantly walk the baby in small quantities, at least on a teaspoon every ten minutes. Sweet lemon tea is suitable for this, non-carbonated alkaline mineral water («Borjomi», «Luzhanskaya», «Polyana Kvassov» or «Mirgorodskaya»), dried fruits compote. If within three hours of vomiting it does not stop, you need to call an ambulance and go to the hospital, where the baby will put a dropper with a 10% glucose solution.
From medicines, as a rule, prescribe a solution of a reguder (about 1 liter per day on a tablespoon), enterosgel, drootaverine. From food you can give crackers on the first day, and if the kid wants to eat.
With such a disease, it is very important to stick to the strictest diet. Food must be easily digested and not fat.
Power with acetional syndrome
| Can | It is forbidden | Not recommended |
| Laminating products | Concentrated broths | Oily dishes |
| Fresh vegetables | Meat of young birds and animals | Bean |
| Kashi | Fatty meat (pork) | Chocolate |
| Rich varieties meat (boiled) | Smoked | Mayonnaise |
| Soups and borshs with vegetables | Sub-products (liver, brains, kidneys) | Ketchup |
| Beef | Cannedize | Adzhika |
| Non-fat pork | Herring | Canned vegetables |
| Chickens (1 time in 7 days) | Sdob | Canned fish |
| Turkey | Puff pastry | goose |
| Rabbit | Sour cream | River fish |
| Sea fish | Parsley | Yogurt |
| Milk | Boiled cauliflower | Canned fruits |
| Cottage cheese | Spinach | |
| Kefir | Sorrel | |
| Eggs (1 pcs. in a day) | Rhubarb | |
| Juices with flesh | Color cabbage | |
| Fruits | Tomatoes | |
| Currant and Cranberry Mors | Bananas | |
| Dried fruits compote | Oranges | |
| Chips | ||
| Kiwi | ||
| Frozen fruit | ||
| Beverages with caffeine | ||
| Black tea | ||
| Sparkling water | ||
| Cold drinks |
Treatment of secondary acetional syndrome determines only the doctor, since in this case the main task is to heal the cause of its appearance - one or another disease.
Prevention of acetional syndrome
Parents who have kids are prone to this disease must have home glucose preparations (40% solution in ampoule), fructose, raisins, kuragu, dried fruits. It is very important to observe balanced fractional food (5 times a day). With any signs of an increase in acetone give something sweet.
Kids can not be severely overwhelmed, both in physical and psychological plan. Mandatory daily walks in the fresh air and water procedures, hardening and normal eight-hour sleep.
In the interconception period, it is desirable to undergo prophylactic treatment of acetional crisis. It needs to be done 2 times a year, better in the offseason.
