Metabolic Acidosis: He aha ia, nā ʻōuli a me ka mālama ʻana

Anter

• 1. Metabolic acidosis
• He aha nā kumu
• Nā hōʻailona nui
• Pehea e mālama ai
• 2. ʻAkika hanu
• He aha nā kumu
• Nā hōʻailona nui
• Pehea e mālama ai

Kuhi ʻia ka acidosis koko e ka nui o ka acidity, e hoʻoulu ana i kahi pH ma lalo o 7.35, ka mea maʻa mau e like me kēia:

• ʻAtosis metabolabolic: nalo o ka bicarbonate a i ʻole ka hōʻiliʻili ʻana o kekahi waikawa i ke koko;
• Acidosis hanu: ka hōʻiliʻili ʻana o carbon dioxide (CO2) i nā maʻi e pili ana i ka hanu ʻana, ka maʻi diarrhea, nā maʻi ʻōpū, ka maʻi āpau, ka puʻuwai a i ʻole ka ʻona ma muli o ka hoʻohana ʻana o nā mea acidic.

Pono ka pH maʻamau o ke koko ma waena o 7.35 a 7.45, no ka mea ʻo kēia pae e ʻae i ka hana pono o ka kino i ka metabolism. ʻO ka pH acidic ke kumu o nā hōʻailona e like me ka pōkole o ka hanu, palpitations, ka luaʻi, drowsiness, disorientation a hiki ke alakaʻi i ka make inā ʻaʻole mālama koke ʻia.

Ma waho o ka acidosis, hiki i ka pH ke lilo i alkaline hou aʻe, ma luna o 7.45, hiki ke hana ʻia i loko o nā alkalosis metabolic a me nā alkalosis hanu.

1. Metabolic acidosis

Hoʻokumu ʻia ka acidosis metabolic e ka hōʻiliʻili ʻana o ka acidity i ke kahe o ke koko, ma o ka lilo ʻana o ka bicarbonate a i ʻole ka hōʻiliʻili ʻia o nā ʻano waikawa like ʻole.

He aha nā kumu

ʻO nā kumu kūpono o ka acidity i loko o ke koko ka lilo o nā mea alkaline, e like me bicarbonate, a i ʻole ka hōʻiliʻili ʻana o nā waikawa i ke kahe o ke koko, e like me ka acid lactic a i ʻole acetoacetic acid, no ka laʻana. ʻO kekahi o nā kūlana i alakaʻi ʻia i kēia;

• Pākī ʻoi loa;
• Nā maʻi hōʻeha;
• Maʻi maʻi lehulehu;
• Kaheʻe ʻana o ke koko;
• Ka lawa ʻole o ka cardiac;
• Ketoacidosis diabetic;
• Innoxication, me AAS, waiʻona, methanol a i ʻole ethylene glycol, no ka laʻana;
• ʻO ka hōʻeha i kekahi mau mākala i loko o ke kino, i kū i nā hihia o ka hoʻoikaika ikaika a i ʻole nā ​​maʻi e like me leptospirosis, no ka laʻana.

He mea nui e hoʻomanaʻo i kahi kumu ʻē aʻe o ka acidity o ke koko ka acidosis respiratory, i hoʻokumu ʻia e ka hōʻiliʻili ʻana o CO2 i ke koko ma muli o nā pilikia o ka māmā, e like me ka hānō nui a i ʻole ka emphysema, nā maʻi neurological e pale ana i ka hanu ʻana, e like me ALS a i ʻole muscular dystrophy a i ʻole kekahi nā maʻi ʻē aʻe paʻakikī i ka hanu ʻana.

Nā hōʻailona nui

Hiki i ka metabolic acidosis ke kumu i kahi hopena o ka hopena i loko o ke kino e hoʻohuli i ka hanu ʻana, ka hopena o ka lolo, ka hana a ka naʻau a me ka metabolism o ke kino. ʻO nā hōʻailona nui a me nā hōʻailona me:

• Ka pōkole o ka hanu;
• Hoʻonui i ka helu hanu;
• Palpitations;
• Nusea a me ka luaʻi;
• ʻEha poʻo poʻo;
• Hiamoe a i ʻole disorientation;
• Kaomi haʻahaʻa;
• ʻO ka hoʻomanawanui ʻole ʻana o Glucose.

I kekahi mau hihia, hiki i nā mea maʻi me ka metabolic acidosis ke hele i kahi koma a makaʻu i ka make inā ʻaʻole i hoʻomaka koke ka lāʻau.

Hana ʻia ka hōʻoia ʻana o ka acidosis metabolic e kahi hoʻokolohua i kapa ʻia he aniani koko gas arterial, hiki ke loaʻa nā waiwai pH a me nā ʻike ʻē aʻe i ke koko arterial. E ʻike i nā kikoʻī e pili ana i kēia hoʻokolohua ma nā mea e hoʻohana ʻia ai nā kinoea arterial. Eia kekahi, ʻo nā hoʻokolohua ʻē aʻe, e like me ka hoʻāʻo ʻana i ka mimi a i ʻole ka hoʻāʻo ʻana no nā mea ʻino i ke koko, hiki ke kōkua i ka hoʻoholo ʻana i ke kumu o ka ketoacidosis.

Pehea e mālama ai

Pono e mālama ʻia ka lāʻau no ka acidosis metabolic ma ka haukapila, a ʻo ka mea maʻamau, ua lawa ka hoʻoponopono ʻana o ka maʻi e loaʻa ai ka acidosis no ka hoʻomaikaʻi ʻana i ke kūlana, e like me ka lawelawe ʻana o ka insulin i ka hihia o ka maʻi kō, hoʻomaʻemaʻe ʻia e nā mea ʻona. , no ka laʻana, i ka hoʻohui i ka hydration me ke serum i ka aa koko.

I nā hihia kahi e nalowale ana ka sodium bicarbonate, e like me ka maʻi diarrhea a i ʻole ka luaʻi, e hōʻike ʻia paha ka hoʻololi ʻana i kēia mea ma ke ala waha. Eia nō naʻe, i kekahi mau hihia o ka acidabolic metabolic koʻikoʻi, pono ka hoʻokele ʻana o ka bicarbonate i loko o ke aa e hoʻoliʻiliʻi me ka wikiwiki.

2. ʻAkika hanu

ʻO ka acidosis hanu ka mea nui o ka acidity i loko o ke koko e hana ʻia ma muli o ka hoʻoliʻiliʻi hoʻoliʻiliʻi i loko o nā akemā ma muli o nā pilikia hanu, kahi e alakaʻi ai i ka hoʻonui ʻia o ka nui o ka carbon dioxide (CO2) i ke kahe o ke koko.

He aha nā kumu

ʻO ka maʻamau, hoʻokumu ʻia ka acidosis respiratory e nā maʻi o ka akemā e like me ka hānō a koʻikoʻi ʻole, a me nā maʻi ʻē aʻe i hiki ke pale i ka hanu ʻana, e like me ka amyotrophic lateral sclerosis, myasthenia gravis, mustrular dystrophy, puʻuwai puʻuwai a i ʻole ke hopu ʻia nei kahi cardiorespiratory, no ka laʻana .

Nā hōʻailona nui

ʻOiai ʻaʻole ia e kumu mau i nā ʻōuli, hiki i ka acidosis hanu ke kumu i ka hanu, ka hou, ka luhi, nā ʻūlū maʻemaʻe, ka ʻū, ka maʻule, nā palpitations, nā haʻalulu a me nā haunaele paha, no ka laʻana.

No ka hōʻoia ʻana i ke kuhi, hana ʻia kekahi hoʻokolohua kinoea koko arterial, kahi e ʻike ai i nā waiwai o ke koko a me nā ana o nā mea e like me CO2 a me bicarbonate, a ma kahi e hana ai ke kauka i kahi loiloi loiloi e hoʻomaopopo i ke kumu.

Pehea e mālama ai

Lawe ʻia ka mālama ʻana i ka acidosis respiratory i ka hoʻāʻo e hoʻomaikaʻi i ka hanu ʻana o ka mea maʻi, me nā hana pulmonary, ka hoʻohana ʻana o ka oxygen a i ʻole ka hoʻohana ʻana o nā pono ʻenekini mīkini i nā hihia ʻoi loa.