Kodi PH Yachilengedwe Yotani Ndi Chiyani Chimene Chimapangitsa Kusintha?

Zamkati

• Kuyambitsa mwachangu pamlingo wa pH
• Kotero, kodi pH yamagazi yachilendo ndi yotani?
• Nchiyani chimapangitsa magazi pH kusintha kapena kukhala achilendo?
• Magazi pH bwino
• Kuyesa magazi pH
• Kodi mungayese kunyumba?
• Zomwe zimayambitsa magazi pH zimasintha
• Magazi apamwamba pH
• Kutaya kwamadzimadzi
• Mavuto a impso
• Magazi ochepa pH
• Zakudya
• Matenda a shuga ketoacidosis
• Matenda a acidosis
• Kupuma acidosis
• Kutenga

Kuyambitsa mwachangu pamlingo wa pH

Kukula kwa pH kumayesa momwe acidic kapena alkaline - choyambira - china chake.

Thupi lanu limagwira ntchito mosamala kuyang'anira mosamala kuchuluka kwa magazi ndi madzi ena a pH. Kuchuluka kwa pH kwa thupi kumatchedwanso kuti acid-base kapena acid-alkaline balance. Milingo yoyenera ya pH imafunika kuti mukhale ndi thanzi labwino.

Kukula kwa pH kumakhala pakati pa 0 mpaka 14. Kuwerengetsa kumayambira pa pH ya 7, komwe sikulowerera ndale, ngati madzi oyera:

• PH pansi pa 7 ndi acidic.
• PH yoposa 7 ndi yamchere kapena yofunikira.

Mulingo uwu ukhoza kuwoneka wocheperako, koma mulingo uliwonse ndi wokulirapo kakhumi kuposa wotsatira. Mwachitsanzo, pH ya 9 imapezekanso 10 yamchere kuposa pH ya 8. PH ya 2 imachepetsa kwambiri poyerekeza ndi pH ya 3, komanso 100 acidic kuposa kuwerenga 4.

Kotero, kodi pH yamagazi yachilendo ndi yotani?

Magazi anu ali ndi pH yodziwika bwino ya 7.35 mpaka 7.45. Izi zikutanthauza kuti mwazi mwachilengedwe ndi wamchere pang'ono kapena woyambira.

Poyerekeza, asidi wanu wam'mimba ali ndi pH yozungulira 1.5 mpaka 3.5. Izi zimapangitsa kukhala acidic. PH yocheperako ndi yabwino kupukusa chakudya ndikuwononga majeremusi aliwonse omwe amalowa m'mimba.

Nchiyani chimapangitsa magazi pH kusintha kapena kukhala achilendo?

Mavuto azaumoyo omwe amapangitsa thupi lanu kukhala ndi acidic kapena alkaline kwambiri nthawi zambiri amalumikizidwa ndi pH wamagazi. Kusintha kwa magazi anu abwinobwino pH kumatha kukhala chizindikiro cha matenda ena komanso ngozi zamankhwala. Izi zikuphatikiza:

• mphumu
• matenda ashuga
• matenda amtima
• matenda a impso
• matenda am'mapapo
• gout
• matenda
• kugwedezeka
• kutaya magazi (kutuluka magazi)
• mankhwala osokoneza bongo
• poyizoni

Magazi pH bwino

Acidosis ndipamene magazi anu pH amatsikira pansi pa 7.35 ndikukhala acidic kwambiri. Alkalosis ndipamene magazi anu pH amakhala apamwamba kuposa 7.45 ndipo amakhala amchere kwambiri. Ziwalo zikuluzikulu ziwiri zomwe zimathandizira kuchepetsa pH yamagazi ndi izi:

• Mapapo. Ziwalozi zimachotsa carbon dioxide kudzera kupuma kapena kupuma.
• Impso. Ziwalozi zimachotsa zidulo kudzera mumkodzo kapena kutuluka.

Mitundu yosiyanasiyana ya magazi acidosis ndi alkalosis imadalira chifukwa. Mitundu ikuluikulu iwiri ndi iyi:

• Kupuma. Mtundu uwu umachitika pamene kusintha kwa magazi pH kumayamba chifukwa cha mapapo kapena kupuma.
• Zamadzimadzi. Mtundu uwu umachitika pamene kusintha kwa magazi pH kumachitika chifukwa cha vuto la impso.

Kuyesa magazi pH

Kuyezetsa magazi pH ndi gawo labwino la kuyesa magazi kapena magazi ochepa (ABG). Imayeza kuchuluka kwa mpweya ndi mpweya woipa m'mwazi mwanu.

Dokotala wanu akhoza kuyesa magazi anu pH ngati gawo la kuyezetsa pafupipafupi kapena ngati muli ndi thanzi labwino.

Kuyezetsa magazi pH kumaphatikizapo kukhetsa magazi anu ndi singano. Magaziwo amatumizidwa ku labu kuti akayesedwe.

Kodi mungayese kunyumba?

Kuyezetsa magazi pakhomo pakhomo sikungakhale kolondola monga kuyezetsa magazi pH ku ofesi ya dokotala.

Kuyeza kwamkodzo pH litmus pepala sikuwonetsa kuchuluka kwa pH yamagazi anu, koma kungathandize kuwonetsa kuti china chake sichabwino.

Zomwe zimayambitsa magazi pH zimasintha

Magazi apamwamba pH

Alkalosis imachitika magazi anu pH atakwera kuposa momwe amachitira. Pali zifukwa zingapo zomwe zimayambitsa kuchuluka kwa magazi pH.

Matenda amatha kukweza magazi anu pH kwakanthawi. Matenda ovuta kwambiri amathanso kubweretsa alkalosis.

Kutaya kwamadzimadzi

Kutaya madzi ochuluka mthupi lanu kumatha kuwonjezera magazi pH. Izi zimachitika chifukwa mumatayanso magazi ma electrolyte - mchere ndi mchere - ndikutaya madzi. Izi zimaphatikizapo sodium ndi potaziyamu. Zomwe zimayambitsa kutayika kwamadzimadzi ndizochulukirapo:

• thukuta
• kusanza
• kutsegula m'mimba

Mankhwala osokoneza bongo ndi mankhwala ena angakupangitseni kukodza kwambiri kumabweretsa magazi pH. Chithandizo cha kutayika kwamadzimadzi chimaphatikizapo kukhala ndi madzi ambiri ndikusintha ma electrolyte. Zakumwa zamasewera nthawi zina zimathandizira ndi izi. Dokotala wanu amathanso kusiya mankhwala aliwonse omwe amawononga kutayika kwamadzimadzi.

Mavuto a impso

Impso zanu zimathandiza kuti thupi lanu likhale ndi asidi wochepa. Vuto la impso lingayambitse kuthamanga kwa magazi pH. Izi zitha kuchitika ngati impso sizichotsa zinthu zamchere zokwanira kudzera mumkodzo. Mwachitsanzo, bicarbonate ikhoza kubwezeredwa molakwika m'magazi.

Mankhwala ndi mankhwala ena a impso amathandiza kuchepetsa magazi kwambiri pH.

Magazi ochepa pH

Acid acidosis imatha kukhudza momwe ziwalo zonse m'thupi lanu zimagwirira ntchito. Magazi a pH ochepa ndimavuto azachipatala ambiri kuposa magazi a pH. Acidosis ikhoza kukhala chenjezo loti matenda sakuyang'aniridwa bwino.

Zochitika zina zathanzi zimayambitsa ma acid amthupi mwazi wanu. Mavitamini omwe angachepetse magazi pH ndi awa:

• asidi wa lactic
• keto zidulo
• asidi sulfuric
• asidi phosphoric
• asidi hydrochloric
• asidi wa carbonic

Zakudya

Mwa munthu wathanzi, zakudya sizimakhudza magazi pH.

Matenda a shuga ketoacidosis

Ngati muli ndi matenda ashuga, magazi anu amatha kukhala acidic ngati magazi anu asagwiritsidwe bwino. Matenda a shuga ketoacidosis amachitika thupi lako likapanda kupanga insulin yokwanira kapena kuigwiritsa ntchito moyenera.

Insulini imathandizira kusuntha shuga kuchokera kuzakudya zomwe mumadya m'maselo anu momwe amatha kuwotchedwa ngati mafuta a thupi lanu.

Ngati insulini singagwiritsidwe ntchito, thupi lanu limayamba kuphwanya mafuta omwe amasungidwa kuti adzipange mphamvu. Izi zimapangitsa zinyalala za asidi zotchedwa ketoni. Asidi amayamba, kuyambitsa magazi ochepa pH.

Pezani chisamaliro chadzidzidzi ngati shuga yanu yamagazi ndiyokwera kuposa mamiligalamu 300 pa desilita imodzi (16 millimoles pa lita imodzi).

Onani dokotala ngati muli ndi izi:

• ludzu lokwanira
• kukodza pafupipafupi
• kutopa kapena kufooka
• nseru kapena kusanza
• kupuma movutikira
• Mpweya wonunkhira bwino
• kupweteka m'mimba
• chisokonezo

Matenda a shuga ketoacidosis ndi chizindikiro chakuti matenda anu ashuga sakuyang'aniridwa kapena kuchiritsidwa moyenera. Kwa anthu ena, chitha kukhala chizindikiro choyamba kuti muli ndi matenda ashuga.

Kuchiza matenda ashuga kumachepetsa magazi anu pH. Mungafunike:

• mankhwala tsiku lililonse
• jakisoni wa insulin
• kudya mosamalitsa komanso kuchita masewera olimbitsa thupi kuti mukhale wathanzi

Matenda a acidosis

Magazi ochepa pH chifukwa cha matenda a impso kapena impso kulephera amatchedwa metabolic acidosis. Izi zimachitika pamene impso sizigwira bwino ntchito kuti zichotse zidulo mthupi lanu. Izi zimakweza magazi m'magazi ndikuchepetsa magazi pH.

Malinga ndi National Kidney Foundation, zizindikiro za metabolic acidosis ndi izi:

• kutopa ndi kufooka
• kusowa chilakolako
• nseru ndi kusanza
• kupweteka kwa mutu
• kugunda kwamtima mwachangu
• kupuma kwambiri

Chithandizo cha matenda amadzimadzi chimaphatikizapo mankhwala othandizira impso zanu kuti zizigwira ntchito bwino. Pazovuta zazikulu, mungafunike dialysis kapena kumuika impso. Dialysis ndi pomwe makina amagwiritsidwa ntchito kuyeretsa magazi anu.

Kupuma acidosis

Pamene mapapu anu sangathe kutulutsa mpweya wokwanira kuchokera mthupi lanu mwachangu mokwanira, magazi pH amatsika. Izi zimatchedwa kupuma acidosis. Izi zitha kuchitika ngati muli ndi vuto lalikulu kapena lamapapo, monga:

• mphumu kapena mphumu
• kugona tulo
• chifuwa
• chibayo
• Matenda osokoneza bongo (COPD)
• matenda a diaphragm

Ngati mwachitidwa opareshoni, onenepa kwambiri, kapena kugwiritsa ntchito molakwika mankhwala ogonetsa, omwe ndi mapiritsi ogona, kapena mankhwala opioid opweteketsa mumakhalanso pachiwopsezo cha kupuma kwa acidosis.

Nthawi zina, impso zanu zimatha kuchotsa zowonjezera magazi m'magazi kudzera pokodza. Mungafunike mpweya wowonjezera komanso mankhwala monga ma bronchodilators ndi ma steroids kuti mapapo azigwira ntchito bwino.

Pazovuta zazikulu, kutulutsa mpweya ndi makina opumira kumatha kukuthandizani ndi kupuma kwa acidosis kuti mupume bwino. Zimakwezanso magazi anu pH kuti abwerere mwakale.

Kutenga

Mulingo wa pH wamagazi womwe si wabwinobwino ukhoza kukhala chizindikiro choti muli ndi kusalinganika pang'ono kapena thanzi. Nthaŵi zambiri, magazi anu pH amatha nthawi yomwe vutoli lapita kapena akuchiritsidwa.

Mungafunike mayeso angapo kuti muthandize dokotala kupeza chithandizo chabwino kwambiri. Izi zikuphatikiza:

• kuyesa magazi, monga magazi amwazi, shuga, creatinine kuyesa magazi
• kuyesa mkodzo
• X-ray pachifuwa
• mtima electrocardiogram (ECG)

Ngati muli ndi matenda monga matenda ashuga kapena matenda a impso, dokotala angafunike kuwunika magazi anu pH pafupipafupi. Izi zimathandiza kuwonetsa momwe matenda anu amayendetsedwera. Onetsetsani kuti mukumwa mankhwala onse monga mwalembedwera.

Pakakhala kuti mulibe thanzi, thupi lanu limayendetsa magazi anu pH, ndipo sichinthu chomwe muyenera kuda nkhawa.

Funsani dokotala wanu za zakudya zabwino kwambiri komanso njira zolimbitsa thupi kuti mukhale ndi thanzi labwino.