Ketoacidosis ʻalekohola

ʻO ka ketoacidosis ʻona ka mea kūkulu o nā ketone i ke koko ma muli o ka hoʻohana ʻana i ka waiʻona. ʻO Ketones kahi ʻano o ka waikawa e hana ana i ka wā e wāwahi ai ke kino i ka momona no ka ikehu.

ʻO ke ʻano he ʻano huʻihuʻi o ka metabolic acidosis, kahi ʻano i nui loa ka waikawa i nā wai o ke kino.

Hoʻokumu ʻia ka ketoacidosis ʻona e ka hoʻohana nui ʻana i ka waiʻona. Hana pinepine ʻia ia i loko o kahi kanaka maʻi kīnā ʻole e inu i ka nui o ka waiʻona i kēlā me kēia lā.

ʻO nā ʻōuli o ka ketoacidosis ʻona pū kekahi:

• ʻO Nusea a me ka luaʻi
• Abdominal eha
• Hoʻoikaika, huikau
• Hoʻololi i ka pae o ka makaʻala, i hiki ai i ke koma
• Ka luhi, neʻe lohi
• Hoʻomoe, hana, hanu wikiwiki
• Loaʻa ka ʻai ʻole
• Nā ʻōuli o ka make wai, e like me ka poni, uila, a me ka make wai

E komo pū paha nā hoʻāʻo:

• Nā kinoea koko arterial (ana i ke kaulike acid / base a me ka pae oxygen ma ke koko)
• Pae ʻalekoke koko
• ʻO nā chemistries o ke koko a me nā hoʻokolohua hana ate
• CBC (helu piha i ke koko), ana i nā ʻulaʻula a me nā keokeo o ke koko, a me nā platelet, e kōkua ai i ke kōkuʻu ʻana o ke koko)
• Ka manawa Prothrombin (PT), ana i ke kāpili ʻana o ke koko, pinepine ʻole ʻia mai nā maʻi ate
• Haʻawina Toxicology
• Nā ketone mimi

Hiki i ka mālama ʻana ke hoʻopili i nā wai (ka paʻakai a me ke kō) i hāʻawi ʻia ma o kahi aa koko. Pono paha ʻoe e loaʻa i nā hoʻokolohua koko pinepine. Loaʻa paha iā ʻoe nā mea hoʻohui wikamina e mālama ai i ka palehua no ka hoʻohana nui ʻana i ka waiʻona.

Hoʻokomo ʻia ka poʻe me kēia ʻano i ka haukapila, pinepine i ka keʻena mālama maʻi (ICU). Hoʻopau ʻia ka hoʻohana ʻana i ka wai ʻona e kōkua i ke ola ʻana. Hāʻawi ʻia nā lāʻau e pale ai i nā ʻōuli o ka haʻalele ʻana i ka ʻalekohola.

Hoʻonui ka nānā olakino i ka nānā ākea. Pehea ke koʻikoʻi o ka hoʻohana ʻana o ka wai ʻona, a me ke kū ʻana o ka maʻi ate a i ʻole nā ​​pilikia ʻē aʻe, e hoʻopili paha i ka nānā.

Hiki i kēia ke lilo i mea hoʻoweliweli i ke ola. Komo pū nā pilikia:

• Koma a me ka hopu ʻana
• Kahe ʻana o ka gastrointestinal
• Inframed pancreas (pancreatitis)
• Pulumonia

Inā loaʻa ʻoe a i ʻole kekahi mea ʻē aʻe i ka ketoacidosis ʻona, e ʻimi i ke kōkua olakino pilikia.

ʻO ka palena ʻana i ka nui o ka waiʻona āu e inu ai hiki ke kōkua i ka pale ʻana i kēia ʻano.

Ketoacidosis - ʻalekohola; Hoʻohana waiʻona - ketoacidosis ʻona

ʻO Finnell JT ʻO ka maʻi e pili ana i ka waiʻona. I: Nā paia RM, Hockberger RS, Gausche-Hill RM, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier Saunders; 2018: chap 142.

Seifter JL. Nā maʻi kūmole. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 118.