The perinatal period is a very important time for mother and baby. Any pregnancy is under the careful supervision of a physician.
The future mother at this time undergoes various necessary procedures and passes a lot of analyzes. Among them is a very important test - to identify acetone in urine.
And if this toxic substance is detected, treatment should be started immediately. What causes the presence of acetone in the urine in pregnant women?
Why does acetone appear in urine during pregnancy: causesThe fact is that all food entering the body undergoes a kind of transformation: it is split, absorbed, and the unnecessary part is derived.
If the metabolic process goes wrong for any reason, then excess decomposition products (toxins) accumulate.
For example, due to incomplete oxidation of fatty compounds in the liver, so-called ketones are formed.
These include acetone. In the future, it should finally break down, and its minor residues - to leave the body with urine. Normally, its level is only 4%.
But sometimes ketone bodies form at such a rate that the liver does not have time to process them. The amount of these by-products in the urine of a pregnant woman is growing, which means it is poisoning the body.
For fear of becoming overwhelmed, some women begin to practice rigid diets.
Sitting on a diet during pregnancy can not be categorically, because with you the child is also starving, and this is a direct threat to his health.
With a nutritional deficiency in the body, a lack of glucose is formed, and insulin synthesis stops. A protective reaction is turned on - the hormone glucagon is released into the bloodstream, which starts the synthesis of glycogen stores (most of it in the liver).
But when this resource comes to an end, it is the turn of fat deposits. When they are cleaved and ketones are formed.
Excess fat and protein
This happens if the woman violates the diet recommended by the doctor. The fatty or protein food consumed in excess cannot be split completely, and the level of acetone increases.
Lack of water
The appearance of acetone in the urine of the woman testifies to frequent vomiting (symptom of toxicosis). Because of this, the body loses valuable moisture and dehydrates.
If this happens to you, try to drink a lot, but in small sips. This is the only way to avoid a repetition of the attack.
The best choice in this case is Borjomi type mineral water and, of course, plain water. If there is no diabetes, then you can drink sweetened liquid.
Bust with carbohydrates
Their excess (more than 50% of the diet) also leads to ketonuria.
Diabetes and other diseases
Excess glucose and the simultaneous lack of insulin (which is typical for diabetes) the body regards as fasting and begins to actively seek out "reserve fuel".
It becomes adipose tissue, the breakdown of which forms an excess of ketones. The situation can only fix the introduction of insulin.
In addition, urine acetone can result from gestational diabetes, eclampsia, or pancreatic disease.
High acetone in the urine during the perinatal period is not always clearly visible. A small amount of ketones, except as a laboratory, is not diagnosed at all. Symptoms of ketonuria manifest only as a result of serious metabolic disorders or in the presence of serious diseases.
Most often women in labor are concerned:
- weakness and lethargy;
- the smell of acetone. This happens because ketones leave the body not only during urination, but also with exhaled air and sweat. With their high concentration you can feel the characteristic smell from the mouth and from the skin. In most cases, it indicates early toxicosis. And if it appears in the last weeks of pregnancy, then about preeclampsia;
- loss of appetite. Since a woman is often sick, even the thought of food is unpleasant for her;
- stomach ache. May occur with ketonuria complicated by, for example, infection or diabetes;
Consequences of ketonuria for pregnant and fetus
Acetone, located in the urine, by itself, though toxic, but can not greatly harm the pregnant woman and the child.
Excess ketone overloads the liver, which during pregnancy already works for two. But the main danger of ketonuria is that it indicates problems in the body of the woman.
If for the first time acetone in the urine was found in the perinatal period, it means that gestational diabetes debuted. And this is a sign that later (in the postpartum period), the disease may develop into a classic diabetes in mom or in a child. In addition, ketonuria during pregnancy indicates the possibility of cancer or anemia.
If the amount of ketones in the urine exceeds 3-15 ml, then such complications are possible:
- calcium deficiency;
- osteoporosis and diabetic ketoacidosis.
They can be laboratory or held at home on their own.
From laboratory studies it should be noted:
- urine analysis for acetone;
- general blood analysis. When ketonuria shows a high rate of ESR and white blood cells;
- blood for biochemistry;
- biochemical analysis.
The level of ketones can be measured at home. To do this, invented test strips (available at the pharmacy).
For the sample is taken morning urine. The tester falls into it. Then they take it out, shake it off and wait a few minutes. The color of the strip can be judged on the degree of ketonuria.
If the strip has acquired a pink color - ketones are present. And if it became dark violet - there is too much acetone in the urine. To eliminate errors, the procedure is carried out 3 days in a row.
What to do?
When the analysis revealed a high content of ketones, the woman should listen to the advice of the doctor. He will offer a treatment program that includes:
- regular meals. The interval between meals is 3 hours;
- heavy drinking;
- during dinner, emphasis on protein or starchy food, it will not allow carbohydrates to digest quickly;
- sleep duration: 9-10 hours;
- droppers (in case of toxicosis).
If ketonuria is provoked by already existing diseases, therapy under medical supervision should last the entire perinatal period.
Diet for the future mother
The diet of a pregnant woman with high acetone suggests a minimal amount of carbohydrate food.
It is about the reduction of such food, and not about the complete elimination of carbohydrates from your menu. Expectant mother needs to refuse baking and fried food.
Eat more vegetables (except tomatoes) and fruits. From meat recommended low-fat varieties. The best dishes are vegetable soups, porridges on water and stewed vegetables.
Ketonuria PreventionTherapy of the disease can take place at home, if the amount of acetone is small, and the woman feels normal.
Prevention is pretty simple: diet and drink.
The latter is especially important because it not only saves the body from dehydration, but also improves the breakdown of proteins and lipids. You can drink any non-carbonated liquid: juices and compotes, mineral water and tea.
The main thing to remember is the rule: drink liquid in small (15 g each) sips. If there is a risk of intoxication, the doctor may prescribe a dropper. If necessary, retesting will be required.
Based on their results, the gynecologist will recommend the expectant mother to be examined by other specialists, such as a nephrologist or an endocrinologist.
About what to do when detecting acetone in urine, in the video:
Acetone in the urine may appear as a physical overstrain, and in violation of the diet. This is not always an indicator of pathology. About the disease shows only high values of ketones. Bring them back to normal can only specialist. Trust the doctor and do not get carried away by self-healing!