Alkalosis Metabolic

Anter

• He aha ka alkalosis metabolic?
• Iapaau ana o metabolic alkalosis
• ʻO Chloride-pane
• Kūpono ʻo Chloride
• Nā ʻōuli o ka alkalosis metabolic
• Pehea e uku ai ke kino i ka alkalosis metabolic
• Uku uku
• Uku puʻupaʻa
• Nā kumu o ka alkalosis metabolic
• ʻIke o ka alkalosis metabolic
• Ka hoʻomaopopo ʻana i nā pae pH
• Loiloi mimi
• Alkalosis Metabolic me hypochloremia
• Outlook o ka alkalosis metabolic

He aha ka alkalosis metabolic?

ʻO ka alkalosis Metabolic kahi kūlana i kū i ke ʻano he alkaline nui kou koko. ʻO ka alkaline ka ʻaoʻao o acidic.

ʻOi aku ka maikaʻi o kā mākou kino ke hoʻohālikelike iki ʻia ke kaulike acidic-alkaline o ko mākou koko i ka alkaline.

Hana ʻia ka alkalosis ke loaʻa i kou kino kekahi:

• nui loa nā ion i hana i ka alkali
• he kakaikahi loa nā ion i hiki ke hana i ka waikawa

ʻAʻole ʻike ka poʻe he nui i kekahi ʻōuli o ka alkalosis metabolic, no laila ʻaʻole ʻoe e ʻike he loaʻa iā ia kāu.

ʻO ka alkalosis metabolic kekahi o nā ʻano nui ʻehā o ka alkalosis. ʻElua ʻano alkalosis metabolic:

• ʻO alkalosis pane-Chloride nā hualoaʻa mai ka nalo ʻana o nā ion hydrogen, maʻamau ma ka luaʻi a me ka make wai.
• Alkalosis hoʻopale-koloride nā hualoaʻa ke mālama kou kino i nā ion he nui bicarbonate (alkaline), a i ʻole ke neʻe o nā ion hydrogen mai kou koko i kāu mau hunaola.

Aia kekahi kūlana i kapa ʻia ʻo ka metabolic acidosis e kū ana ke lilo kou koko a i ʻole nā ​​wai i acidic nui.

Kākoʻo kou kino i nā alkalosis a me ka acidosis ma o kou mau māmā. Hoʻololi nā māmā i ka alkalinity o kou koko ma o ka ʻae ʻana i nā carbon dioxide he nui a ʻoi paha e pakele ke hanu ʻoe. Hoʻokani pū kekahi nā puʻupaʻa i ke kaohi ʻana i ka hoʻopau ʻia ʻana o nā iona bicarbonate.

Pono ka mālama ʻana inā ʻaʻole lawa kēia mau ʻano kūlohelohe o ka uku.

Iapaau ana o metabolic alkalosis

ʻO ka mālama ʻana i nā alkalosis metabolic kaukaʻi ʻia i ka pili o kāu alkalosis
ʻākoʻakoʻako koloorā a i ʻole kūpale kūʻē. Pili ia i ke kumu kumu o ka alkalosis.

ʻO Chloride-pane

Inā loaʻa wale iā ʻoe kahi alkalosis māmā-pane maʻalahi, pono paha ʻoe e hoʻoponopono i kāu papaʻai, e like me ka hoʻonui ʻana i kāu lawe ʻana i ka paʻakai (sodium chloride). E hoʻonui nā iona kloride i kou waikawa a hoʻoliʻiliʻi i ka alkalosis.

Inā hoʻoholo kāu kauka i kāu alkalosis pono koke i ka nānā, hāʻawi lākou iā ʻoe i kahi IV (drip intravenous) i loaʻa kahi hopena saline (sodium chloride).

ʻO kahi IV kahi hana ʻeha ʻaneʻane ʻole. Pili ia i ka hoʻokomo ʻana i kahi nila liʻiliʻi i loko o kahi aa i kou lima. Pili ka nila i ka paipu i kahi ʻeke sterile i loaʻa ka paʻakai i hoʻoheheʻe ʻia i ka wai. Hana pinepine ʻia kēia i kahi hoʻokipa.

Kūpono ʻo Chloride

Inā loaʻa iā ʻoe kahi alkalosis kūpaʻa koloride, e hoʻopau ʻia paha kou kino i ka potassium. ʻAʻole kōkua ka hopena sodium chloride iā ʻoe a hiki ke hōʻino i nā mea. E nānā kāu kauka no nā ala e hoʻonui ai i ka potassium.

Hiki iā ʻoe ke hoʻonui i kāu mau pae potassium e:

• lawe i nā pila i loaʻa ka potassium chloride ʻelua a ʻehā mau manawa i ka lā (ma lalo o ke kuhikuhi a ke kauka)
• ke loaʻa nei i ka potassium chloride intravenously

Nā ʻōuli o ka alkalosis metabolic

ʻAʻole hōʻike nā alkalosis Metabolic i kekahi hōʻailona. Hoʻopiʻi pinepine ka poʻe me kēia ʻano alkalosis i nā kūlana kumu e kū nei iā ia. Hiki i kēia mau mea ke:

• ka luaʻi
• pāhoehoe
• pehu i nā wāwae o lalo (peripheral edema)
• luhi

Hiki i nā hihia koʻikoʻi o ka alkalosis metabolic ke kumu:

• hoohaunaele
• disorientation
• ka hopu ʻana
• koma

Kūleʻa pinepine nā ʻōuli koʻikoʻi ke kumu ʻia ka alkalosis e ka maʻi maʻi akepau.

Pehea e uku ai ke kino i ka alkalosis metabolic

Kōkua nā lālā ʻelua e uku i ka alkalosis metabolic - ko mākou māmā a me ko mākou puʻupaʻa.

Uku uku

Hoʻopuka ko mākou kino i ke kalaponaʻokikene ke hoʻololi mākou i ka meaʻai a mākou e ʻai ai i ka ikehu i loko o kā mākou hunaola. Lawe nā hunaola ʻulaʻula i loko o kā mākou veins i ka carbon dioxide a halihali iā mākou i ko mākou mau māmā e huki ʻia.

Ke hui pū ʻia ke kinoea kalepona me ka wai i loko o ke koko, hana ʻia kahi waikawa akahai, i kapa ʻia ʻo carbonic acid. Hoʻokaʻawale ʻia ka ʻakika carbonic i loko o ka ion bicarbonate a me ka hydrogen. ʻO nā ion Bicarbonate he alkaline.

Ma ka hoʻololi ʻana i ka helu o ka hanu ʻana, hiki iā mākou ke hoʻokiʻekiʻe a hoʻohaʻahaʻa paha i ke kūpona o nā iona bikicbon alkaline e paʻa ʻia i loko o kā mākou koko. Hana ke kino i kēia ma ke ʻano i ke kaʻina i kapa ʻia ka hanu uku. ʻO kēia ka pane mua a wikiwiki loa o ke kino.

No ka uku ʻana i ka alkalosis, hoʻouna ʻia nā hōʻailona e lohi i ka wikiwiki o ka hanu.

Uku puʻupaʻa

Hiki i nā puʻupaʻa ke kōkua i ka hakakā ʻana i ka alkalosis ma ka hoʻonui ʻana i ka excretion o nā iona bicarbonate ma o ka mimi. He hana maʻalahi hoʻi kēia, akā ʻoi aku ka lohi ma mua o ka uku hanu.

Nā kumu o ka alkalosis metabolic

Hiki i nā ʻano kumuhana ʻokoʻa ke kumu o ka alkalosis metabolic. Pākuʻi ʻia kēia mau mea:

Lilo o nā ʻōpū ʻōpū. ʻO kēia ke kumu maʻamau o ka alkalosis metabolic. Lawe mau ʻia ia e ka luaʻi a i ʻole ka omo ʻana ma o kahi paipu hānai ihu.

Loaʻa i ka wai o ka gastric kahi waiwai kiʻekiʻe o ka waikawa hydrochloric, kahi waikawa ikaika.ʻO kona lilo ke kumu o ka hoʻonui ʻana i ka alkalinity o ke koko.

Hiki i ka luaʻi ke hopena mai nā maʻi o ka ʻōpū. Ma ka noʻonoʻo ʻana a me ka mālama ʻana i ke kumu o ka luaʻi, e hoʻōla kāu kauka i ka alkalosis metabolic.

ʻO ka nui o nā antacids. ʻAʻole e alakaʻi maʻamau ka hoʻohana Antacid i ka alkalosis metabolic. Akā inā he nāwaliwali a palu paha nā puʻupaʻa a hoʻohana i kahi antacid nonabsorbable, hiki iā ia ke lawe i ka alkalosis. Loaʻa nā antacids nonabsorbable i ka aluminium hydroxide a i ʻole ka magnesium hydroxide.

ʻO Diuretics. ʻO kekahi mau diuretics (nā wai wai) i kuhikuhi pinepine ʻia no ke kahe kiʻekiʻe e hiki ai ke hoʻonui i ka waiū urinary acid. Hiki i ka hoʻonui ʻia o ka huna o ka waikawa i loko o ka mimi ke hoʻonui i ke kōkō i kou koko.

Inā hōʻike ʻia ka alkalosis ke lawe nei ʻoe i nā lāʻau e like me thiazide a i ʻole loop diuretics, e noi paha kāu kauka iā ʻoe e haʻalele.

Ka nele o ka potassium (hypokalemia). Hiki i kahi hemahema o ka potassium ke kumu i nā ion hydrogen i maʻamau i loko o ka wai a puni kāu mau huna e neʻe i loko o nā hunaola. ʻO ka loaʻa ʻole o nā iona hydrogen acidic ke kumu e lilo i kou wai a me ke koko e lilo i alkaline.

Hoʻoemi i ka nui o ke koko i nā aʻa (EABV). Hiki i kēia ke hele mai kahi puʻuwai nāwaliwali a mai ka cirrhosis o ke ake. Hoʻopilikia kahi kahe o ke kahe i ka hiki i kou kino ke hemo i nā iona bikicbonic alkaline.

Ka naʻau, ka hakuʻala, a me ke kō ʻole o ke ake. Hiki ke kumu ʻia ka alkalosis metabolic e ka holo pono ʻole o kahi mea nui, e like me kou puʻuwai, hakuʻala, a me ke akepaʻa. Ke alakaʻi nei kēia i ka hoʻopau potassium.

Hiki i kahi hopena saline maʻamau (sodium chloride) ke hana i nā mea iʻoi aku ka maikaʻi ma ke kaohi ʻana i kou kino i nā wai me ka hoʻopau ʻole ʻana i ka nui o nā iona bicarbonate e hana nei i ka alkalosis.

Nā kumu genetic. I nā hihia maʻamau, hiki i kahi ʻāpana hoʻoilina ke kumu o ka alkalosis metabolic. ʻElima mau maʻi i hoʻoili ʻia i hiki ke kumu i nā alkalosis metabolic:

• ʻO Bartter Syndrome
• ʻO Gitelman maʻi
• Liddle syndrome
• ʻO ka aldosteronism hiki ke hoʻōla iā glucocorticoid
• ʻike ʻia ʻo mineralocorticoid ʻoi aku

ʻIke o ka alkalosis metabolic

I mea e hoʻomaka ai ka hōʻailona, ​​e lawe kāu kauka i kāu mōʻaukala olakino a hāʻawi iā ʻoe i kahi hoʻokolokolo kino.

Inā manaʻo lākou he alkalosis, e hōʻoia ʻia kou koko a me ka mimi. E nānā lākou i nā pae o ka oxygen a me carbon dioxide i loko o kāu mau aʻa a ana i ka acidity a me ka alkalinity o kou koko.

Ka hoʻomaopopo ʻana i nā pae pH

Ana ʻia ka waikawa a alkalinity paha o kahi wai ma kahi pālākiō i kapa ʻia he pH. I ka alkalosis metabolic, kiʻekiʻe ka pH o kou koko.

ʻO ka mea kūpaʻa ʻole, ka wai, he pH o 7. Ke hāʻule ka pH o kahi wai ma lalo o 7, lilo ia i waikawa. Ke piʻi aʻe ia ma luna o 7, he ʻ alkaline ia.

He pH maʻamau kou koko mai 7.35 a i 7.45, a i ʻole alkaline liʻiliʻi. Ke piʻi nui ka PH ma luna o kēia pae, loaʻa iā ʻoe ka alkalosis metabolic.

Loiloi mimi

Hiki paha i kāu kauka ke hoʻāʻo no nā konsentration o chloride a me nā potona iona i kāu mimi.

Ke haʻahaʻa ka pae chloride, hōʻike ia e pane paha ʻoe i ka mālama ʻana me kahi hopena saline. Hiki i kahi hoʻoliʻiliʻi potassium haʻahaʻa ke hōʻike i ka hemahema o ka potassium a i ʻole ka hoʻohana nui ʻana i nā laxatives.

Alkalosis Metabolic me hypochloremia

Hypochloremia ʻo ia hoʻi he mea liʻiliʻi kāu o ka ion chloride i kou koko.

ʻO ka alkalosis Hypochloremic kahi maʻi koʻikoʻi e hiki ke hoʻokū iā ʻoe i ka haʻalulu. Hiki ke hopena i ka make wai a me nā kumu ʻē aʻe.

ʻO ka mea pōmaikaʻi, hiki ke mālama ʻia e kahi maʻamau paʻakai paʻakai (paʻakai). Hiki i kēia ke hāʻawi ʻia e IV inā he hihia koʻikoʻi kou, a i ʻole nā ​​hoʻoponopono ʻana i kāu papaʻai i nā hihia māmā.

Outlook o ka alkalosis metabolic

ʻO nā alkalosis Metabolic ka hopena maʻamau mai nā hihia koʻikoʻi o ka luaʻi ʻana e lilo ʻoe i nā wai acidic i loko o kou ʻōpū. Hiki ke hoʻohuli hou ʻia kēia i ka lāʻau lapaʻau me kahi hopena paʻakai.

Hiki iā ia ke hopena o ka hemahema pāhare potassium a i ʻole ka hemahema chloride. Hiki ke mālama ʻia kēia mau hemahema me nā wai kūpikipiki a i ʻole, i nā hihia maʻalahi, me ka hoʻoponopono ʻana i ka papaʻai.

Hoʻokumu ʻia kekahi mau hihia o ka alkalosis e ka naʻau nui, nā puʻupaʻa, a me nā ʻano ate. ʻOiai hiki ke hoʻohuli pinepine ʻia ka alkalosis i ka wā pōkole, pono e mālama ʻia ke ʻano kumu no ka hoʻōla mau.

E ʻike i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona hou a hoʻomanawanui paha.