Losis acidosis

Lactic acidosis pili i ka lactic acid kūkulu i loko o ke koko. Hana ʻia ka waika Lactic ke pae nā oxygen, e hoʻohaʻahaʻa i nā hunaola i loko o nā wahi o ke kino kahi e loaʻa ai ka metabolism.

ʻO ke kumu maʻamau o ka lactic acidosis ka maʻi lapaʻau koʻikoʻi i haʻahaʻa ke kahe o ke koko a liʻiliʻi ka oxygen e hiki i nā kino o ke kino. Hiki i ka hoʻoikaika kino ʻana a i ʻole nā ​​haunaele ke kumu i kumu no ka acidic lactic manawa. Hiki i kekahi mau maʻi ke kumu i ke ʻano me:

• AIDS
• ʻAlekohola
• Kanesa
• Cirrhosis
• Pohiona ʻino ʻo Cyanide
• Hewa ʻole nā ​​hakuʻala
• Hoʻoikaika hanu ʻole
• Sepsis (maʻi nui loa)

ʻAʻole hiki i kekahi mau lāʻau ke hana i ka lāʻau acid lactic:

• Hoʻohana ʻia kekahi mau mea inhalers e mālama i ka hānō a i ʻole COPD
• Epinephrine
• ʻO kahi antibiotic i kapa ʻia ʻo linezolid
• ʻO Metformin, hoʻohana ʻia e mālama i ka maʻi diabetes (ʻo ka manawa pinepine ke overdosed)
• Hoʻohana ʻia hoʻokahi ʻano lāʻau e mālama ai i ka maʻi HIV
• Propofol

Pākuʻi ʻia paha nā ʻōuli:

• Nusea
• ʻO ka luaʻi
• Nawaliwali

Hiki i nā hoʻokolohua ke hoʻopili i kahi hoʻokolohua koko e nānā i nā pae lactate a me nā electrolyte.

ʻO ka lapaʻau nui no ka acidosis lactic e hoʻoponopono i ka pilikia olakino e kumu ai ke ʻano.

ʻO Palmer BF. ʻAtosis metabolabolic. I: Feehally J, Floege J, Tonelli, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 12.

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.

ʻO Strayer RJ. Nā maʻi kūmole. I: Nā paia RM, Hockberger RS, Gausche-Hill M, et al, eds. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier Saunders; 2018: chap 116.