Metabolic Acidosis: Zomwe Zili, Zizindikiro ndi Chithandizo

Zamkati

• 1. kagayidwe kachakudya acidosis
• Zomwe zimayambitsa
• Zizindikiro zazikulu
• Momwe muyenera kuchitira
• 2. Kupuma acidosis
• Zomwe zimayambitsa
• Zizindikiro zazikulu
• Momwe muyenera kuchitira

Acidosis ya magazi imadziwika ndi acidity yambiri, yoyambitsa pH yochepera 7.35, yomwe imayamba motere:

• Matenda a acidosis: kutaya kwa bicarbonate kapena kudzikundikira kwa asidi m'magazi;
• Kupuma acidosis: kudzikundikira kwa carbon dioxide (CO2) m'matenda omwe amakhudza kupuma, kutsegula m'mimba, matenda a impso, matenda opatsirana, kulephera kwa mtima kapena kuledzera chifukwa chogwiritsa ntchito zinthu za asidi.

PH yabwinobwino yamagazi iyenera kukhala pakati pa 7.35 mpaka 7.45, chifukwa mitunduyi imalola kagayidwe kake ka thupi kugwira bwino ntchito. PH ya acidic imayambitsa zizindikilo monga kupuma movutikira, kugundagunda, kusanza, kuwodzera, kusokonezeka komanso zimatha kubweretsa imfa ngati singachiritsidwe nthawi yomweyo.

Kuphatikiza pa acidosis, pH imatha kukhala yamchere kwambiri, yoposa 7.45, yomwe imatha kuchitika mu metabolic alkalosis komanso mu kupuma kwa alkalosis.

1. kagayidwe kachakudya acidosis

Metabolic acidosis imayamba chifukwa cha kuchuluka kwa acidity m'magazi, mwina chifukwa cha kutaya kwa bicarbonate kapena ndi kuchuluka kwa mitundu ingapo ya asidi.

Zomwe zimayambitsa

Zomwe zimayambitsa acidity m'magazi ndikutaya kwa zinthu zamchere, monga bicarbonate, kapena kuchuluka kwa zidulo zamagazi, monga lactic acid kapena acetoacetic acid, mwachitsanzo. Zina mwazomwe zimayambitsa izi ndi izi;

• Kutsegula m'mimba kwambiri;
• Aimpso matenda;
• Matenda opatsirana;
• Magazi;
• Kulephera kwamtima;
• Matenda a shuga ketoacidosis;
• Kuledzera, ndi AAS, mowa, methanol kapena ethylene glycol, mwachitsanzo;
• Kuvulaza minofu ingapo m'thupi, yomwe imachitika mukachita masewera olimbitsa thupi kapena matenda monga leptospirosis, mwachitsanzo.

Ndikofunika kukumbukira kuti chifukwa china cha acidity yamagazi ndi kupuma kwa acidosis, komwe kumachitika chifukwa cha kuchuluka kwa CO2 m'magazi chifukwa cha mavuto am'mapapo, monga mphumu yayikulu kapena emphysema, matenda amitsempha omwe amalepheretsa kupuma, monga ALS kapena muscular dystrophy kapena chilichonse matenda ena omwe amapangitsa kupuma kukhala kovuta.

Zizindikiro zazikulu

Metabolic acidosis imatha kuyambitsa zovuta zingapo mthupi zomwe zimakhudza kupuma, kusintha kwaubongo, kugwira ntchito kwamtima komanso kagayidwe kake ka thupi. Zizindikiro zazikulu ndi monga:

• Kupuma pang'ono;
• Kuchuluka kwa kupuma;
• Kupindika;
• Nseru ndi kusanza;
• Mutu;
• Kugona kapena kusokonezeka;
• Kuthamanga kochepa;
• Tsankho la shuga.

Nthawi zina, odwala omwe ali ndi kagayidwe kachakudya acidosis amatha kukomoka ndipo amakhala pachiwopsezo cha kufa ngati mankhwala sayambidwa mwachangu.

Chitsimikizo cha kagayidwe kachakudya acidosis chimachitika ndi mayeso omwe amatchedwa kusanthula kwa magazi kwamagazi, omwe amatha kupeza pH values ​​ndi zina zambiri pamwazi wamagazi. Pezani zambiri zamayesowa ndi magulu amwazi wamagazi omwe amagwiritsidwa ntchito. Kuphatikiza apo, mayeso ena, monga kuyesa mkodzo kapena kuyesa poizoni m'magazi, atha kuthandizira kudziwa chomwe chimayambitsa ketoacidosis.

Momwe muyenera kuchitira

Chithandizo cha kagayidwe kachakudya acidosis chiyenera kuchitika kuchipatala ndipo, makamaka, kukonza kwa matenda omwe amayambitsa acidosis ndikokwanira kuthana ndi vutoli, monga kupatsa insulini vuto la matenda ashuga, kuchotsa poizoni ndi mankhwala owopsa Mwachitsanzo, kuwonjezera pa hydration ndi seramu mu mtsempha.

Zikakhala kuti sodium bicarbonate itayika, monga kutsegula m'mimba kapena kusanza, kusinthidwa kwa chinthuchi ndi njira yapakamwa kumatha kuwonetsedwa. Komabe, nthawi zina kukhathamira kwa kagayidwe kachakudya, kuperekera bicarbonate mumtsinje kungakhale kofunikira kuti achepetse acidity mwachangu.

2. Kupuma acidosis

Kupuma acidosis ndiko kuchuluka kwa acidity m'magazi omwe amachitika chifukwa chotsika kwa mpweya m'mapapu chifukwa cha kupuma movutikira, zomwe zimabweretsa kuwonjezeka kwa kaboni dayokisaidi (CO2) m'magazi.

Zomwe zimayambitsa

Nthawi zambiri, kupuma kwa acidosis kumayambitsidwa ndi matenda am'mapapo monga mphumu yayikulu kapena emphysema, komanso matenda ena omwe amalepheretsa kupuma, monga amyotrophic lateral sclerosis, myasthenia gravis, muscular dystrophy, kulephera kwa mtima kapena ngati pali matenda am'mimba, mwachitsanzo .

Zizindikiro zazikulu

Ngakhale sizimayambitsa matendawa nthawi zonse, kupuma kwa acidosis kumatha kupangitsa kupuma movutikira, thukuta, chizungulire, kufinya, kutsokomola, kukomoka, kugundana, kunjenjemera kapena kugwedezeka, mwachitsanzo.

Pofuna kutsimikizira kuti ali ndi matendawa, kuyezetsa magazi komwe kumachitika, komwe kumawunikira kuchuluka kwa magazi a pH ndi kuchuluka kwa zinthu monga CO2 ndi bicarbonate, komanso dokotala adzawunikanso zachipatala kuti adziwe chomwe chikuyambitsa.

Momwe muyenera kuchitira

Chithandizo cha kupuma kwa acidosis chimachitika pofuna kuyesa kupuma kwa wodwala, mwina ndi mankhwala am'mapapo, kugwiritsa ntchito mpweya kapena kugwiritsa ntchito makina opumira mpweya pazovuta kwambiri.