{"id":266,"date":"2025-06-11T14:14:26","date_gmt":"2025-06-11T14:14:26","guid":{"rendered":"https:\/\/analizesanocare.ro\/?post_type=product&#038;p=266"},"modified":"2025-08-08T13:56:45","modified_gmt":"2025-08-08T13:56:45","slug":"acetona-in-urina","status":"publish","type":"product","link":"https:\/\/analizesanocare.ro\/en\/analiz\u0103\/acetona-in-urina\/","title":{"rendered":"Aceton\u0103 \u00een urin\u0103"},"content":{"rendered":"<div class=\"info-tabs\">\n<div class=\"info-content content-informatii-generale \">\n<h2><strong>Informa\u021bii generale Aceton\u0103 \u00een urin\u0103<\/strong><\/h2>\n<p>Cetonele (acid acetoacetic, aceton\u0103 \u0219i acid beta-hidroxibutiric) sunt produse ale\u00a0 metabolismului gr\u0103similor \u0219i sunt excretate \u00een urin\u0103<sup>1,2<\/sup>. Pacien\u021bii cu diabet zaharat netratat sau tratat inadecvat nu pot utiliza \u00een mod eficient glucoza, datorit\u0103 insulinei insuficiente. \u00cen aceste condi\u021bii, cantit\u0103\u021bi mari de acizi gra\u0219i sunt metaboliza\u021bi, iar cantit\u0103\u021bi anormale de cetone sunt excretate \u00een urin\u0103 (cetonurie)<sup>3<\/sup>.<\/p>\n<p>Cre\u0219terea concentra\u021biei cetonelor poate ap\u0103rea \u00een timpul condi\u021biilor de stres fiziologic, cum ar fi postul, foamea, sarcina, exerci\u021biile fizice intense, febra, v\u0103rs\u0103turile frecvente, anorexia \u0219i unele boli congenitale ale metabolismului<sup>4,5<\/sup>.<\/p>\n<h2><strong>\u00a0<\/strong><strong>Recomand\u0103ri pentru determinarea acetonei \u00een urin\u0103 <\/strong><\/h2>\n<ul>\n<li>screening pentru cetoacidoz\u0103<sup>6<\/sup><\/li>\n<\/ul>\n<p><strong>Specimen recoltat <\/strong>\u2013 urin\u0103 aleatorie<sup>6<\/sup><\/p>\n<p><strong>Recipient de recoltare \u2013 <\/strong>recipient steril pentru colectarea urinei<sup>6<\/sup><\/p>\n<p><strong>Volum prob\u0103 \u2013 <\/strong>10 mL<sup>6<\/sup><\/p>\n<p><strong>Stabilitate prob\u0103 \u2013 <\/strong>refrigerat\u0103 timp de 72 de ore<sup>6<\/sup><\/p>\n<p><strong>Metod\u0103 \u2013<\/strong> GS\/MS<\/p>\n<h2><strong>Valori de referin\u021b\u0103 Aceton\u0103 \u00een urin\u0103<\/strong><\/h2>\n<p>&lt;3,0 mg\/l ( BAT: 80 mg\/l)<\/p>\n<p>Detectarea cetonelor \u00een urina unui pacient diabetic este important\u0103 pentru modificarea dozei necesare de insulin\u0103 sau o alt\u0103 modificare a tratamentului<sup>6<\/sup>.<\/p>\n<p>Cetonele pot ap\u0103rea \u00een urin\u0103 \u00een cantit\u0103\u021bi mari, \u00eenainte ca cetona seric\u0103 s\u0103 fie crescut\u0103<sup>6<\/sup>.<\/p>\n<p><strong>Limite \u0219i interferen\u021be<sup>6<\/sup><\/strong><\/p>\n<p>Rezultate fals pozitive (urme sau mai pu\u021bin\u0103) pot ap\u0103rea \u00een probele de urin\u0103 foarte pigmentate sau \u00een cele care con\u021bin cantit\u0103\u021bi mari de metaboli\u021bi Levodopa. Compu\u0219i precum Mesna (acid 2-mercaptoetan sulfonic) care con\u021bin grup\u0103ri sulfhidril, pot produce rezultate fals pozitive sau o reac\u021bie de culoare atipic\u0103.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h2><strong>Bibliografie<\/strong><\/h2>\n<ol>\n<li>Goffinet, L., Barrea, T., Beauloye, V., &amp; Lysy, P. A. (2017). Blood versus urine ketone monitoring in a pediatric cohort of patients with type 1 diabetes: a crossover study. Therapeutic advances in endocrinology and metabolism, 8(1-2), 3\u201313. <a href=\"https:\/\/doi.org\/10.1177\/2042018816681706\" target=\"_blank\" rel=\"noopener nofollow external noreferrer\" data-wpel-link=\"external\">https:\/\/doi.org\/10.1177\/2042018816681706<\/a><\/li>\n<li>Kim, B. R., Seo, J. W., Kim, S. M., Kim, K. N., &amp; Joo, N. S. (2020). The Presence of Urinary Ketones according to Metabolic Status and Obesity. Journal of Korean medical science, 35(31), e273. <a href=\"https:\/\/doi.org\/10.3346\/jkms.2020.35.e273\" target=\"_blank\" rel=\"noopener nofollow external noreferrer\" data-wpel-link=\"external\">https:\/\/doi.org\/10.3346\/jkms.2020.35.e273<\/a><\/li>\n<li>Joo, N. S., Lee, D. J., Kim, K. M., Kim, B. T., Kim, C. W., Kim, K. N., &amp; Kim, S. M. (2010). Ketonuria after fasting may be related to the metabolic superiority. Journal of Korean medical science, 25(12), 1771\u20131776. <a href=\"https:\/\/doi.org\/10.3346\/jkms.2010.25.12.1771\" target=\"_blank\" rel=\"noopener nofollow external noreferrer\" data-wpel-link=\"external\">https:\/\/doi.org\/10.3346\/jkms.2010.25.12.1771<\/a><\/li>\n<li>Kim, G., Lee, S. G., Lee, B. W., Kang, E. S., Cha, B. S., Ferrannini, E., Lee, Y. H., &amp; Cho, N. H. (2019). Spontaneous ketonuria and risk of incident diabetes: a 12 year prospective study. Diabetologia, 62(5), 779\u2013788. <a href=\"https:\/\/doi.org\/10.1007\/s00125-019-4829-x\" target=\"_blank\" rel=\"noopener nofollow external noreferrer\" data-wpel-link=\"external\">https:\/\/doi.org\/10.1007\/s00125-019-4829-x<\/a><\/li>\n<li>Newman, J. C., &amp; Verdin, E. (2014). Ketone bodies as signaling metabolites. Trends in endocrinology and metabolism: TEM, 25(1), 42\u201352. <a href=\"https:\/\/doi.org\/10.1016\/j.tem.2013.09.002\" target=\"_blank\" rel=\"noopener nofollow external noreferrer\" data-wpel-link=\"external\">https:\/\/doi.org\/10.1016\/j.tem.2013.09.002<\/a><\/li>\n<li>Mayo Clinic. Mayo Medical Laboratories. Test Catalog. [on-line]:<a href=\"https:\/\/www.mayocliniclabs.com\" target=\"_blank\" rel=\"noopener nofollow external noreferrer\" data-wpel-link=\"external\"> https:\/\/www.mayocliniclabs.com<\/a> [Accesat la data de 06.09.2021]<\/li>\n<\/ol>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Informa\u021bii generale Aceton\u0103 \u00een urin\u0103 Cetonele (acid acetoacetic, aceton\u0103 \u0219i acid beta-hidroxibutiric) sunt produse ale\u00a0 metabolismului gr\u0103similor \u0219i sunt excretate \u00een urin\u01031,2. Pacien\u021bii cu diabet zaharat netratat sau tratat inadecvat nu pot utiliza \u00een mod eficient glucoza, datorit\u0103 insulinei insuficiente. \u00cen aceste condi\u021bii, cantit\u0103\u021bi mari de acizi gra\u0219i sunt metaboliza\u021bi, iar cantit\u0103\u021bi anormale de cetone [&hellip;]<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false},"product_brand":[],"product_cat":[109,48],"product_tag":[],"class_list":["post-266","product","type-product","status-publish","product_cat-alte-teste-toxicologie","product_cat-toxicologie","first","instock","shipping-taxable","purchasable","product-type-simple"],"acf":[],"_links":{"self":[{"href":"https:\/\/analizesanocare.ro\/en\/wp-json\/wp\/v2\/product\/266","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analizesanocare.ro\/en\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/analizesanocare.ro\/en\/wp-json\/wp\/v2\/types\/product"}],"wp:attachment":[{"href":"https:\/\/analizesanocare.ro\/en\/wp-json\/wp\/v2\/media?parent=266"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/analizesanocare.ro\/en\/wp-json\/wp\/v2\/product_brand?post=266"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/analizesanocare.ro\/en\/wp-json\/wp\/v2\/product_cat?post=266"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/analizesanocare.ro\/en\/wp-json\/wp\/v2\/product_tag?post=266"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}