Lactic Acidosis: He aha kāu e ʻike ai

Anter

• He aha nā hōʻailona?
• He aha nā kumu?
• Maʻi maʻi puʻuwai
• ʻO ka maʻi ʻino loa (sepsis)
• HIV
• Kanesa
• Short bowel syndrome (pōkole ʻōpū)
• Hoʻohana Acetaminophen
• ʻAhaʻona lama
• Hoʻoikaika kino a hoʻoikaika kino paha
• Lactic acidosis a me ka maʻi kō
• Pehea ia ʻike?
• He aha nā koho lapaʻau?
• He aha ka kuanaʻike?
• Ka pale ʻana i ka acidosis lactic

He aha ka lactic acidosis?

ʻO ka Lactic acidosis kahi ʻano o ka metabolic acidosis e hoʻomaka i ka wā e hoʻonui nui ai ke kanaka a underutilize paha i ka acid lactic, a ʻaʻole hiki i ko lākou kino ke hoʻoponopono i kēia mau loli.

Loaʻa i ka poʻe me ka acidosis lactic (a i kekahi manawa ko lākou mau puʻupaʻa) hiki ke hemo i ka nui o ka waikawa mai ko lākou kino. Inā kūkulu koke ka lactic acid i loko o ke kino ma mua o ka hiki ke hemo, nā pae acidity i nā wai o ke kino - e like me ke koko - spike.

ʻO kēia buildup o ka waikawa ke kumu o kahi kaulike ʻole o ke kino o ka pae PH, kahi e alkaline mau ai ma kahi o ka acidic. Aia kekahi mau ʻano acidosis like ʻole.

Hana ʻia ka lactic acid buildup ke lawa ʻole ka oxygen ma nā mākala e wāwahi i ka glucose a me ka glycogen. Kapa ʻia kēia he anaerobic metabolism.

Aia he ʻelua ʻano lactic acid: L-lactate a me D-lactate. ʻO ka hapa nui o nā ʻanoʻano lactic acidosis e kumu ʻia e ka nui o ka L-lactate.

ʻElua ʻano lactic acidosis, ʻAno A a me ʻAno B:

• ʻAno A lactic acidosis Hoʻokumu ʻia e ka hypoperfusion o kaʻiʻo i loaʻa mai i ka hypovolemia, ka maikaʻi ʻole o ka naʻau, sepsis, a i ʻole ka hopu ʻia ʻana o ka cardiopulmonary.
• ʻAno B lactic acidosis kumu ʻia e ka hōʻino ʻia o ka lawelawe ʻana o ke kelepona a me nā wahi i hoʻopaʻa ʻia o ka hypoperfusion aʻa.

Nui nā kumu a Lactic acidosis a hiki ke mālama pinepine ʻia. Akā inā haʻalele ʻole ʻia, hoʻoweliweli paha ia i ke ola.

He aha nā hōʻailona?

ʻO nā ʻōuli o ka lactic acidosis ka mea maʻamau o nā pilikia olakino. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, pono ʻoe e hoʻokaʻaʻike koke i kāu kauka. Hiki i kāu kauka ke kōkua e hoʻoholo i ke kumu o ke aʻa.

Hōʻike kekahi mau hōʻailona o ka lactic acidosis i kahi pilikia olakino:

• hanu ʻaʻala-hua (kahi hiki ke hōʻike i kahi pilikia koʻikoʻi o ka maʻi kō, i kapa ʻia ketoacidosis)
• huikau
• jaundice (melemele o ka ʻili a i ʻole nā ​​keʻokeʻo o nā maka)
• pilikia hanu a pāpaʻu paha, hanu wikiwiki

Inā ʻoe i ʻike a kānalua paha he maʻi lactic acidosis kou a loaʻa kekahi o kēia mau ʻōuli, e kāhea iā 911 a i ʻole e hele koke i kahi keʻena pilikia.

Nā lactic acidosis lactic ʻē aʻe e like me:

• luhi a luhi loa paha
• puʻupuʻu ʻili a ʻeha paha
• nāwaliwali o ke kino
• manaʻo laulā o ka hoʻoluhi kino
• ʻeha o ka ʻōpū a hōʻoluʻolu ʻole paha
• pāhoehoe
• emi i ka makemake
• ʻeha poʻo
• kōmi puʻuwai wikiwiki

He aha nā kumu?

Loaʻa ka laulā o nā kumu kumu lactic acidosis, e like me ka make ʻana o carbon monoxide, cholera, malaria, a me asphyxiation. ʻO kekahi mau kumu maʻamau i:

Maʻi maʻi puʻuwai

ʻO nā kūlana e like me ka hopu ʻia ʻana o ka naʻau a me ka hōʻele ʻana o ka puʻuwai hiki ke hōʻemi i ke kahe o ke koko a me ka oxygen ma loko o ke kino. Hiki i kēia ke hoʻonui i nā pae waikawa lactic.

ʻO ka maʻi ʻino loa (sepsis)

Hiki i kekahi ʻano o ka maʻi viral a i ʻole ka maʻi bacteria ke kumu i ka sepsis. Hiki i ka poʻe me ka sepsis ke ʻike i kahi spike i ka lactic acid, i hoʻemi ʻia e ka kahe oxygen.

HIV

ʻO nā lāʻau HIV, e like me nā nucleoside huli transcriptase nā mea kūpale, hiki ke hoʻoulu i nā pae lactic acid. Hiki iā lākou ke hōʻino i ke ake. Hoʻonui kēia i ka paʻakikī o ke kino e hana i ka lactate.

Kanesa

Hoʻokumu nā pūnaewele maʻi ʻaʻai i ka lactic acid. Hiki i kēia kūkulu ʻana o ka lactic acid ke hoʻolalelale i ka lilo ʻana o ke kanaka i ke kaupaona a holo ka maʻi.

Short bowel syndrome (pōkole ʻōpū)

ʻOiai, hiki i ka poʻe me ka ʻōpū pōkole ke ʻike i kahi kūkulu ʻana o ka waikawa D-lactic, i hoʻokumu ʻia e ka ulu koʻohune i loko o ka ʻōpū liʻiliʻi. ʻO ka poʻe i loaʻa i ka ʻoki ʻana i ka ʻōpū hiki ke loaʻa iā D-lactic acidosis.

Hoʻohana Acetaminophen

ʻO ka hoʻohana mau ʻana o ka acetaminophen (Tylenol) hiki ke hana i ka acidosis lactic, ʻoiai ke lawe ʻia i nā ana pololei. ʻO kēia no ka mea hiki ke hoʻoulu i ka pyroglutamic acid i ke koko.

ʻAhaʻona lama

ʻO ka inu ʻana i ka waiʻona i kahi ʻoi aku ka lōʻihi o ka manawa hiki ke alakaʻi i ka lactic acidosis a me ka ketoacidosis ʻona. ʻO ke ketoacidosis ʻalekika kahi make make loa inā haʻalele ʻole ʻia, akā hiki ke hakakā ʻia me ka hydration intravenous (IV) a me ka glucose.

Hoʻonui ka waiʻona i nā pae phosphate, ka hopena maikaʻi ʻole i nā puʻupaʻa. ʻO kēia ka mea i acid a i ke kino. Inā pilikia ʻoe i ka hōʻemi ʻana i kāu lawe waiʻona, hiki i nā hui kākoʻo ke kōkua.

Hoʻoikaika kino a hoʻoikaika kino paha

Hiki ke hoʻokumu ʻia i kahi manawa lactic acid e ka hoʻoikaika ikaika inā ʻaʻohe lawa o ka loaʻa o ka oxygen i kou kino e wāwahi ai i ka glucose i loko o ke koko. Hiki i kēia ke kumu i kahi ahi wela i nā hui muscle e hoʻohana nei ʻoe. Hiki iā ia ke kumu i ka nausea a me ka nāwaliwali.

Lactic acidosis a me ka maʻi kō

ʻO kahi papa kikoʻī o ka lāʻau diabetic oral, i kapa ʻia ʻo biguanides, hiki ke hoʻokumu i nā pae o ka wai lactic acid.

ʻO Metformin (Glucophage) kekahi o kēia mau lāʻau. Hoʻohana ia e mālama i ka maʻi maʻis a e kuhikuhi ʻia paha no nā kūlana ʻē aʻe, e like me ka lawa ʻole o ka hōʻino. Hoʻohana pū ʻia ʻo Metformin i kahi lepili e mālama ai i ka polycystic ovarian syndrome.

I ka poʻe me ka maʻi diabetes, ʻoi aku ka hopohopo o ka lactic acidosis inā aia kekahi maʻi puʻupaʻa. Inā loaʻa ʻoe i ka maʻi diabetes a ʻike i nā ʻōuli o ka lactic acidosis, kāhea iā 911 a i ʻole e hele koke i kahi keʻena pilikia.

Pehea ia ʻike?

Lactic acidosis ʻike ʻia ma o kahi hoʻokolohua koko wikiwiki. Kauoha paha kāu kauka iā ʻoe e ʻai a inu ʻole i kekahi mea no 8 a 10 mau hola ma mua o ka hoʻāʻo ʻana. Kauoha ʻia ʻoe e kaohi i kāu pae o ka hana i nā hola e kū nei i ka hoʻokolohua.

I ka wā o ka hoʻāʻo ʻana, e ʻōlelo paha kāu kauka iā ʻoe mai hoʻopaʻa i kou lima, no ka mea hiki i kēia ke hoʻoulu i nā pae waikawa. Ke hoʻopaʻa nei i kahi kāʻei elima a puni ka lima a loaʻa paha kēia hopena.

No kēia mau kumu, hana ʻia ka lactic acidosis koko hōʻike i kekahi manawa e ka loaʻa ʻana o ka aa ma ke kua o ka lima ma kahi o ka lima.

He aha nā koho lapaʻau?

ʻO ke ala ʻoi loa e mālama ai i ka lactic acidosis ma ka mālama ʻana i ke kumu kumu. No kēlā kumu, ʻokoʻa nā mālama ʻana.

Hōʻike ka Lactic acidosis i kekahi manawa i kahi pilikia olakino. Pono kēia i ka mālama ʻana i nā ʻōuli, me ka nānā ʻole i ko lākou kumu kumu. Hoʻonui pinepine ʻia ka hoʻonui ʻana i ka oxygen i nā aʻa a me ka hāʻawi ʻana i nā wai IV e hoʻoliʻiliʻi i nā pae lactic acid.

Hiki ke mālama ʻia ka lactic acidosis e ka hoʻoikaika kino ʻana ma ka home. Ke kū nei i kāu hana e hydrate a hoʻomaha, kōkua pinepine. ʻO nā mea inu haʻuki electrolyte-replacement, e like me Gatorade, kōkua me ka hydration, akā ʻoi aku ka maikaʻi o ka wai.

He aha ka kuanaʻike?

Ma muli o ke kumu kumu, nā lāʻau lapaʻau no ka acidosis lactic e hopena pinepine i ka hoʻihoʻi piha, keu hoʻi inā kokoke koke ka mālama. I kekahi manawa, hopena paha ka hakuʻala ʻole a me ka ʻole hanu. Ke waiho ʻole ʻia, hiki i ka lactic acidosis ke make.

Ka pale ʻana i ka acidosis lactic

Hoʻoholo pū ʻia ka pale ʻana ʻo Lactic acidosis e kāna kumu kūpono. Inā loaʻa ʻoe i ka maʻi diabetes, HIV, a i ʻole ke kanesa, e kūkākūkā i kāu ʻano a me nā lāʻau e pono ai me kāu kauka.

Hiki ke pale ʻia ka lactic acidosis mai ka hoʻoikaika kino e ka koe hydrated a hāʻawi iā ʻoe iho me nā wā hoʻomaha lōʻihi ma waena o nā kau hoʻoikaika kino.

He mea nui ia e hōʻalo i ka hoʻohana hewa ʻana i ka ʻalekohola. Kūkākūkā i nā koho a me nā koho 12-ʻanuʻu me kāu kauka a kōkua paha.