ʻO Acidosis

Anter

• Nā kumu o ka acidosis
• Acidosis hanu
• ʻAtosis metabolabolic
• Nā kumu weliweli
• Nā ʻōuli o ka acidosis
• Acidosis hanu
• ʻAtosis metabolabolic
• Nā hoʻāʻo a me ka hōʻailona
• Iapaau ana no acidosis
• Acidosis hanu
• ʻAtosis metabolabolic
• Nā pilikia
• Kāohi Acidosis
• Acidosis hanu
• ʻAtosis metabolabolic
• Nānā Acidosis

He aha ka acidosis?

Ke loaʻa ka nui o ka waikawa i kou wai o ka wai, ʻike ʻia ʻo acidosis. Hana ʻia ka Acidosis ke hiki ʻole i kou mau puʻupaʻa a me kou mau māmā ke mālama i ka pH o kou kino i ke kaulike. Hana ka hapa nui o nā hana o ke kino i ka waikawa. Hiki i kāu mau māmā a me nā puʻupaʻa ke uku maʻamau no nā kaulike PH liʻiliʻi, akā ʻo nā pilikia me kēia mau ʻōpū hiki ke alakaʻi i ka nui o ka acid i hōʻiliʻili ʻia i kou kino.

Ua ana ʻia ka ʻakika o kou koko e ka hoʻoholo ʻana i kāna pH. ʻO kahi pH haʻahaʻa ʻoi aku ka acidic o kou koko, ʻoiai ʻo kahi kiʻekiʻe o ka pH he kumu ia o kou koko. ʻO ka pH o kou koko ma kahi o 7.4. Wahi a ka American Association for Clinical Chemistry (AACC), ʻike ʻia ka acidosis e kahi pH o 7.35 a i lalo paha. Kuhi ʻia ka alkalosis e kahi pae pH o 7.45 a ʻoi paha. ʻOiai ke ʻano iki, hiki i kēia mau helu helu ke koʻikoʻi. Hiki i ka Acidosis ke alakaʻi i nā pilikia olakino lehulehu, a hiki ke hoʻoweliweli i ke ola.

Nā kumu o ka acidosis

Aia he ʻelua ʻano acidosis, kēlā me kēia me nā kumu like ʻole. Hoʻokaʻawale ʻia ke ʻano o ka acidosis ma ke ʻano he acidosis hanu a i ʻole acidosis metabolic, kaukaʻi ʻia i ke kumu mua o kāu acidosis.

Acidosis hanu

Hana ʻia ka acidosis hanu ke kūkulu nui ʻo CO2 i ke kino. ʻO ka maʻamau, hemo nā māmā i ka wā e hanu ana ʻoe. Eia nō naʻe, i kekahi manawa ʻaʻole hiki i kou kino ke kāpae i ka lawa CO2. Hiki paha kēia ma muli o:

• nā kūlana alanui maʻamau, e like me ka hānō
• ʻeha ma ka umauma
• momona, kahi e hana ai i ka hanu paʻakikī
• hoʻohana hoʻomāinoino sedative
• ka inu ʻona ʻana
• nāwaliwali o ka mākala ma ka umauma
• nā pilikia me ka ʻōnaehana hopohopo
• 'ole hanana umauma

ʻAtosis metabolabolic

Hoʻomaka ka metabolic acidosis i nā puʻupaʻa ma kahi o nā akemāmā. Kū ke hiki ke hiki ʻole iā lākou ke hoʻopau i ka nui o ka waikawa a i ka wā e hemo ai lākou i ka nui o ke kumu. ʻEkolu ʻano nui o ka metabolic acidosis:

• ʻAkika maʻi diabetic aia i loko o ka poʻe me ka maʻi diabetes e kaohi maikaʻi ʻole ʻia. Inā lawa ʻole ka nui o ka insulin i kou kino, kūkulu nā ketones i kou kino a ʻākala i kou koko.
• ʻO ka acidosis Hyperchloremic nā hualoaʻa mai ka nalo ʻana o ka sodium bicarbonate. Kōkua kēia kumu i ka mālama ʻole i ke koko. Hiki i ka diarrhea a me ka luaʻi ke hana i kēia ʻano acidosis.
• Losis acidosis kū i ka wā he nui loa ka waikawa lactic i kou kino. Hiki i nā kumu ke hoʻopili i ka hoʻohana ʻona mau, ka maikaʻi ʻole o ka puʻuwai, ka maʻi ʻaʻai, ka hopu ʻana, ka holo pono ʻole o ka ate, ka lōʻihi o ka nele o ka oxygen, a me ke kō kō kō. ʻOiai ka hoʻolōʻihi hoʻolōʻihi hiki ke alakaʻi i ka lactic acid buildup.
• Acidosis tubular hōʻino hiki ke hiki ʻole i nā puʻupaʻa ke kinaʻi i nā waikawa i ka mimi. ʻO kēia ke kumu o ke koko e lilo i acidic.

Nā kumu weliweli

Nā kumu i hiki ke kōkua i kāu makaʻu i ka acidosis e:

• kahi papaʻai momona kiʻekiʻe i hoʻohaʻahaʻa ʻia i nā huaʻale
• hakuʻala ʻole
• momona
• hoʻomake wai
• aspirin a i ʻole metanol ʻona
• diabetes

Nā ʻōuli o ka acidosis

Hāʻawi like nā respiratoryosis a me metabolic acidosis i nā ʻōuli he nui. Eia nō naʻe, ʻokoʻa nā ʻōuli o ka acidosis ma muli o ke kumu.

Acidosis hanu

ʻO kekahi o nā ʻōuli maʻamau o ka acidosis respiratory e komo pū me kēia:

• luhi a hiamoe paha
• luhi maʻalahi
• huikau
• pokole o ka hanu
• hiamoe
• ʻeha poʻo

ʻAtosis metabolabolic

ʻO kekahi o nā ʻōuli maʻamau o ka metabolic acidosis e komo pū me kēia:

• hanu wikiwiki a pāpaʻu
• huikau
• luhi
• ʻeha poʻo
• hiamoe
• nele i ka makemake ʻole
• ʻōmaʻomaʻo ʻōiwi
• hoʻonui ʻia ka helu o ka puʻuwai
• hanu e ʻaʻala ai ka hua, kahi hōʻailona o ka diosisic acidosis (ketoacidosis)

Nā hoʻāʻo a me ka hōʻailona

Inā manaʻo ʻoe he acidosis paha kāu, e hele koke i ke kauka. Hiki i ka diagnose mua ke hoʻololi i kāu ola.

Hoʻomaopopo nā kauka i ka acidosis me kahi hōʻike o ke koko. Nānā kahi kinoea koko arterial i nā pae o oxygen a me carbon dioxide i loko o kou koko. Hōʻike ia i kou pH i ke koko. Kuhi kahi paneli metabolic maʻamau i kāu papa hana a me kou kaulike pH. Ana ʻia hoʻi kāu calcium, protein, kō kō, a me nā pae electrolyte. Inā lawe pū ʻia kēia mau hoʻāʻo, hiki iā lākou ke ʻike i nā ʻano like o ka acidosis.

Inā kuhi ʻia ʻoe me ka acidosis hanu, makemake kāu kauka e nānā i ke olakino o kou mau ake māmā. Pili paha kēia i ka X-ray umauma a i ʻole kahi hoʻokolohua hana pulmonary.

Inā manaʻo ʻia ka acidosis metabolic, pono ʻoe e hāʻawi i kahi laʻana mimi. E nānā nā kauka i ka pH e ʻike inā pono ʻoe e hoʻopau pono i nā waikawa a me nā kumu. Pono ʻia nā hōʻoia hou e hoʻoholo i ke kumu o kāu acidosis.

Iapaau ana no acidosis

Pono nā kauka e ʻike he aha ke kumu o kāu acidosis e hoʻoholo ai pehea e mālama ai. Eia nō naʻe, hiki ke hoʻohana ʻia kekahi mau ʻano lapaʻau no kekahi ʻano acidosis. ʻO kahi laʻana, hāʻawi paha kāu kauka iā ʻoe i ka sodium bicarbonate (baking soda) e hoʻāla i ka pH o kou koko. Hiki i kēia ke hana ʻia ma ka waha a i ʻole i kahi drip intravenous (IV). Hiki ke mālama i nā ʻano acidosis ʻē aʻe i ka mālama ʻana i kā lākou kumu.

Acidosis hanu

Hoʻonohonoho pinepine ʻia nā mālama ʻana no kēia ʻano e kōkua i kāu mau māmā. ʻO kahi laʻana, hāʻawi ʻia paha ʻoe i nā lāʻau e hoʻolaulaha i kou alaloa. Hāʻawi ʻia ʻoe i ka oxygen a i ʻole ka hoʻomau mau ʻana o ke ala ʻūlū maikaʻi (CPAP). Hiki i ka hāmeʻa CPAP ke kōkua iā ʻoe e hanu inā he ala ākea a i ʻole nāwaliwali nā mākala.

ʻAtosis metabolabolic

Loaʻa i nā ʻano kikoʻī o ka metabolic acidosis kā lākou mālama ponoʻī. Hāʻawi ʻia ka poʻe me ka hyperchloremic acidosis i ka sodium bicarbonate waha. Hiki ke mālama ʻia ka Acidosis mai ke kōpaʻa ʻole me ka sodium citrate. Loaʻa nā diabetic me ketoacidosis i nā wai IV a me ka insulin e kaulike i kā lākou pH. Hoʻokomo ʻia paha ka lāʻau Losis acidosis i nā mea hoʻopili bicarbonate, nā wai IV, oxygen, a i ʻole nā ​​antibiotic, e like me ke kumu.

Nā pilikia

Me ka ʻole o ka mālama koke ʻana, hiki i ka acidosis ke alakaʻi i nā pilikia olakino e hiki mai ana:

• pōhaku kīhāpai
• pilikia kūpilikiʻi mau
• hakuʻala ʻole
• maʻi maʻi iwi
• lohi ka ulu ʻana

Kāohi Acidosis

ʻAʻole hiki iā ʻoe ke pale āpau i ka acidosis. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hoʻohaʻahaʻa i kou makaʻu.

Acidosis hanu

Hiki iā ʻoe ke hana i kēia mau mea e hōʻemi i kou makaʻu i ka acidosis respiratory.

• Lawe i nā mea hoʻohiamoe e like me ka mea i kauoha ʻia a mai hui pū me ka wai ʻona.
• Uoki ka puhipaka. Hiki i ka puhihihi ke hoʻopōʻino i kou mau māmā a hoʻolilo i ka hanu me ka maikaʻi ʻole.
• Mālama i kahi kaupaona olakino. Hiki i ka momona ke paʻakikī iā ʻoe e hanu.

ʻAtosis metabolabolic

Hiki iā ʻoe ke hana i kēia mau mea e hōʻemi i kou makaʻu o ka metabolic acidosis:

• Noho hydrated. Inu nui i ka wai a me nā wai ʻē aʻe.
• Mālama i kou ka maʻi kō. Inā mālama pono ʻoe i kāu pae kō kō, hiki iā ʻoe ke hōʻalo i ka ketoacidosis.
• E hōʻoki i ka inu lama ʻana. Hiki i ka inu mau ʻana ke hoʻonui i ka buildup o ka lactic acid.

Nānā Acidosis

E ola pono kekahi poʻe mai ka acidosis. He pilikia ko nā poʻe ʻē aʻe me ka hana o ke koʻokoʻo, ka hanu ʻole ʻana, a me ka holo pono ʻole ʻana o ke kīhā. Hiki i ka acidosis koʻikoʻi ke hoʻonāukiuki a i ka make paha.

Pehea kou ola ʻana mai ka acidosis ma muli o ke kumu. ʻO ka wikiwiki, mālama kūpono hoʻi ka mea e hoʻohuli i kou ola.