He aha ka alkalosis metabolic a he aha ka mea e hiki ai ke kumu

Anter

• He aha nā kumu
• Nā hōʻailona nui
• He aha ka uku?
• Pehea e hōʻoia ai
• Pehea e hana ai i ka lāʻau

Kū ka alkalosis metabolic ke lilo ke kumu o ke koko i kumu no ka mea pono, ʻo ia hoʻi, aia ma luna o 7.45, i kū aʻe i nā hanana e like me ka luaʻi, hoʻohana ʻana i nā diuretics a i ʻole ka nui o ka ʻai ʻana o ka bicarbonate.

He loli koʻikoʻi kēia, no ka mea hiki ke kumu i ke kaulike ʻole o nā electrolytes koko, e like me ka calcium a me ka potassium a hana i nā ʻōuli e like me ka nāwaliwali, ʻeha poʻo, loli i nā mākala, kaʻi ʻana a i ʻole arrhythmia naʻau.

He mea nui ia i ke kino e mālama i kāna pH kaulike, aia ma waena o 7.35 a me 7.45, no ka hana pono ʻana o ka metabolism o ke kino. ʻO kekahi kūlana hopohopo e hiki ke ala aʻe aia ka pH ma lalo o 7.35, me ka metabolic acidosis. E ʻike he aha ka metabolic acidosis a he aha ke kumu.

He aha nā kumu

ʻO ka maʻamau, kū ka alkalosis metabolic ma muli o ka nalo ʻana o ka H + ion i loko o ke koko a i ʻole ka hōʻiliʻili ʻana o ka sodium bicarbonate, ka mea e paʻa ai ke kino. ʻO kekahi o nā kūlana nui i hoʻokumu i kēia mau loli.

• ʻO ka luaʻi nui, kahi kūlana e lilo ai ka lilo o ka waikawa hydrochloric mai ka ʻōpū;
• Holoi a i ʻole ʻiʻini o ka ʻōpū i ka haukapila;
• ʻO ka ʻai nui ʻana i nā lāʻau a i ʻole nā ​​meaʻai alkaline, me ka sodium bicarbonate;
• Hoʻohana wau i nā lāʻau diuretic, e like me Furosemide a i ʻole Hydrochlorothiazide;
• Ka nele o ka potassium a me ka magnesium i loko o ke koko;
• Hoʻohana nui i nā laxatives;
• Ka hopena ʻaoʻao o kekahi mau antibiotic, e like me Penicillin a i ʻole Carbenicillin, no ka laʻana;
• Nā maʻi kīwī, e like me Bartter's Syndrome a i ʻole Gitelman's Syndrome.

Ma waho aʻe o ka alkalosis metabolic, kahi kumu ʻē aʻe e noho ai ke pH koko ma ke ʻano he pH maʻamau ka alkalosis respiratory, i hoʻokumu ʻia e ka nele o carbon dioxide (CO2) i loko o ke koko, e hoʻoliʻiliʻi a lilo i acidic ma mua o ka maʻamau, a hiki i nā hanana. e like me ka hanu wikiwiki loa a me ka hohonu. E aʻo hou aʻe e pili ana i nā mea, nā kumu a me nā ʻōuli o ka alkalosis respiratory.

Nā hōʻailona nui

ʻAʻole hiki i nā alkalosis Metabolic ke kumu i nā manawa a, i ka hapanui o nā hihia, ʻo ia nā ʻōuli o ka maʻi e kumu i ka alkalosis. Eia nō naʻe, hiki ke ala aʻe nā ʻōuli e like me ka spasms muscle, nāwaliwali, ʻeha poʻo, nā huikau o ka noʻonoʻo, ka palaho a me ka hopu ʻana, i kumu nui ʻia e nā loli i nā electrolytes e like me ka potassium, calcium a me sodium.

He aha ka uku?

ʻO ka maʻamau, ke loli ka pH o ke koko, hoʻāʻo ke kino ponoʻī e hoʻoponopono i kēia kūlana, ma ke ʻano he ala e pale ai i nā pilikia.

Loaʻa ka uku no ka alkalosis metabolic ma o ka akemāmā, kahi e hoʻomaka ai i kahi hanu mālie e paʻa i ka nui o carbon dioxide (CO2) a hoʻonui i ka acidity o ke koko.

Hoʻomaʻo pū nā puʻupaʻa e uku, ma o nā loli i ka lawe ʻana a i ʻole excretion o nā mea i loko o ka mimi, e hoʻāʻo nei e hoʻopau i nā bicarbonate hou aʻe. Eia nō naʻe, hui pū ʻia nā hoʻololi ʻē aʻe, i ke koko a i nā puʻupaʻa paha, e like me ka make wai a i ʻole ka nalo ʻana o ka potassium, no ka laʻana, keu hoʻi i nā poʻe maʻi nui, nā mea e ālai i ka hiki i ke kino ke hoʻoponopono i kēia mau loli.

Pehea e hōʻoia ai

Hana ʻia ke kuhi o nā alkalosis metabolic ma o nā hoʻokolohua e ana i ka pH o ke koko, a he mea nui nō hoʻi e nānā pehea nā pae o ka bicarbonate, carbon dioxide a me kekahi mau electrolytes i loko o ke koko.

E hana pū ke kauka i ka loiloi lāʻau e hoʻāʻo e ʻike i ke kumu. Hoʻohui ʻia, hiki ke kōkua i ke ana o ka chlorine a me ka potassium i ka mimi e hoʻomaʻamaʻa i ke kū ʻana o nā loli renal i ka kānana ʻana o nā electrolytes.

Pehea e hana ai i ka lāʻau

E mālama i ka alkalosis metabolic, i ka mua, pono pono e mālama i kāna kumu, he gastroenteritis a i ʻole ka hoʻohana ʻana i kekahi mau lāʻau, no ka laʻana. I kekahi mau hihia, pono ka hydration ma o ka aa me ka saline.

ʻO Acetazolamide kahi lāʻau i hiki ke hoʻohana ʻia e kōkua i ka hoʻopau ʻana i ka bicarbonate mai ka mimi ma nā hihia hopohopo hou aku, akā naʻe, i nā hihia koʻikoʻi loa, pono paha e lawelawe pololei i nā waikawa i loko o ke aa a hana i ke kānana koko ma o hemodialysis.