Kodi metabolic alkalosis ndi chiyani chomwe chingayambitse

Zamkati

• Zomwe zimayambitsa
• Zizindikiro zazikulu
• Kodi kulipidwa ndi chiyani?
• Momwe mungatsimikizire
• Momwe mankhwalawa amachitikira

Kagayidwe kachakudya alkalosis kumachitika pH yamagazi imakhala yofunika kwambiri kuposa momwe iyenera kukhalira, ndiye kuti, ikakhala pamwambapa 7.45, yomwe imapezeka munthawi monga kusanza, kugwiritsa ntchito diuretics kapena kumwa kwambiri bicarbonate, mwachitsanzo.

Uku ndikusintha kwakukulu, chifukwa kumatha kuyambitsa kusalinganika kwa maelekitirodi ena amwazi, monga calcium ndi potaziyamu ndipo zimayambitsa zizindikilo monga kufooka, kupweteka mutu, kusintha kwa minofu, kugwidwa kapena mtima wamtima.

Ndikofunikira kuti thupi lizisunga pH yake yoyenera, yomwe imayenera kukhala pakati pa 7.35 ndi 7.45, kuti kagayidwe kake ka thupi kagwire bwino ntchito. Vuto lina lodetsa nkhawa lomwe lingachitike ndi pamene pH ili pansi pa 7.35, ndi metabolic acidosis. Dziwani kuti metabolic acidosis ndi chiyani ndipo imayambitsa chiyani.

Zomwe zimayambitsa

Nthawi zambiri, kagayidwe kachakudya kagayidwe kachakudya kamapezeka chifukwa chotaika kwa H + ion m'magazi kapena kutulutsa kwa sodium bicarbonate, zomwe zimapangitsa thupi kukhala lofunikira kwambiri. Zina mwazinthu zazikulu zomwe zimapangitsa kusintha kumeneku ndi:

• Kusanza kwambiri, zomwe zimayambitsa kutayika kwa asidi ya m'mimba;
• Kusamba kapena kulakalaka m'mimba mchipatala;
• Kugwiritsa ntchito mankhwala osokoneza bongo kapena zakudya zamchere, ndi sodium bicarbonate;
• Ndimagwiritsa ntchito mankhwala okodzetsa, monga Furosemide kapena Hydrochlorothiazide;
• Kusowa kwa potaziyamu ndi magnesium m'magazi;
• Kugwiritsa ntchito kwambiri laxatives;
• Zotsatira zoyipa za maantibayotiki ena, monga Penicillin kapena Carbenicillin, mwachitsanzo;
• Matenda a impso, monga Bartter's Syndrome kapena Gitelman's Syndrome.

Kuphatikiza pa kagayidwe kachakudya kagayidwe kachakudya, chifukwa china choti magazi pH akhalebe pH ndi kupuma kwa alkalosis, komwe kumachitika chifukwa cha kusowa kwa kaboni dayokisaidi (CO2) m'magazi, ndikupangitsa kuti asakhale ndi acidic kuposa masiku onse, ndipo zimachitika munthawi zina ngati kupuma mwachangu komanso mwakathithi. Dziwani zambiri za zomwe zimayambitsa, komanso zomwe zimayambitsa kupuma kwa alkalosis.

Zizindikiro zazikulu

Kagayidwe kachakudya alkalosis sizimayambitsa zizindikiro ndipo, nthawi zambiri, ndizizindikiro za matenda zomwe zimayambitsa alkalosis. Komabe, zizindikiro monga kuphwanya kwa minofu, kufooka, kupweteka mutu, kusokonezeka m'maganizo, chizungulire komanso kugwidwa kumatha kuchitika, makamaka chifukwa cha kusintha kwama electrolyte monga potaziyamu, calcium ndi sodium.

Kodi kulipidwa ndi chiyani?

Nthawi zambiri, pH yamagazi ikasintha, thupi lomwe limayesetsa kukonza izi, ngati njira yopewa zovuta.

Kubwezeredwa kwa kagayidwe kabwino ka alkalosis kumachitika makamaka m'mapapu, omwe amayamba kupuma pang'onopang'ono kuti asunge kaboni dayokisaidi (CO2) ndikuwonjezera acidity wamagazi.

Impso zimayesanso kulipira, kudzera pakusintha kwa kuyamwa kapena kutulutsa zinthu mumkodzo, kuyesera kutulutsa bicarbonate yambiri. Komabe, zosintha zina zitha kuwonekera limodzi, m'magazi kapena mu impso, monga kuchepa kwa madzi m'thupi kapena kutayika kwa potaziyamu, mwachitsanzo, makamaka kwa anthu odwala kwambiri, zomwe zimalepheretsa thupi kuthana ndi zosinthazi.

Momwe mungatsimikizire

Kuzindikira kwa kagayidwe kachakudya ka alkalosis kumachitika kudzera m'mayeso omwe amayesa magazi pH, ndikofunikanso kuwunika momwe milingo ya bicarbonate, carbon dioxide ndi ma electrolyte ena m'magazi.

Adotolo adzawunikanso zamankhwala kuti athe kudziwa chomwe chikuyambitsa. Komanso, mlingo wa klorini ndi potaziyamu mu mkodzo zingathandize kulongosola pamaso pa kusintha kwa aimpso kusefera kwa ma electrolyte.

Momwe mankhwalawa amachitikira

Pofuna kuchiza kagayidwe kabwino ka alkalosis, koyambirira, m'pofunika kuthana ndi zomwe zimayambitsa, kaya ndi gastroenteritis kapena kugwiritsa ntchito mankhwala ena, mwachitsanzo. Nthawi zina, kuthira madzi mumtsinje ndi mchere kumafunika.

Acetazolamide ndi mankhwala omwe angagwiritsidwe ntchito kuthana ndi bicarbonate mkodzo muzinthu zodetsa nkhawa kwambiri, komabe, pamavuto akulu kwambiri, pangafunike kupatsa zidulo molunjika mumtsempha kapena kusefera magazi kudzera mu hemodialysis.