Palena kaulike ʻole PH: Pehea e mālama ai kou kino i ke kaulike Acid-Base

Anter

• Pehea e mālama ai nā māmā a me nā puʻupaʻa i ke kaulike pH
• nā maʻi kaulike pH
• Nā ʻano acidosis
• Acidosis hanu
• ʻAtosis metabolabolic
• Nā ʻano alkalosis
• Alkalosis hanu
• Alkalosis Metabolic
• Pehea lākou e ʻike ai?
• Ke mālama nei i ke kaulike ʻole o ka pH
• Outlook

He aha ke kaulike pH?

ʻO ke kaulike pH o kou kino, i kuhikuhi ʻia hoʻi me kāna koina acid-base, ʻo ia ka pae o nā waikawa a me nā kumu i loko o kou koko kahi e holo pono ai kou kino.

Kūkulu ʻia ke kino o ke kanaka e mālama pono i kahi kaulike olakino o ka acidity a me ka alkalinity. ʻO ke akemāmā a me nā puʻupaʻa kahi kuleana nui i kēia hana. ʻO ka pae pH kahe maʻamau ka 7.40 ma kahi pālākiō o 0 a 14, kahi o 0 ka acidic ʻoi loa a ʻo 14 ka mea nui loa. Hiki ke hoʻololi iki i kēia waiwai i kēlā me kēia ala.

Inā hana hewa ʻole nā ​​mumū a me nā puʻupaʻa, hiki ke lilo i ke kiʻekiʻe o ka pae o kou koko. ʻO ka hoʻohaunaele i kāu koina acid-base hiki ke alakaʻi i nā kūlana olakino i ʻike ʻia ʻo acidosis a me alkalosis. Pono nā kūlana ʻelua i ka lapaʻau mai kahi kauka lapaʻau, ʻaʻole wale i nā loli dietary.

Pehea e mālama ai nā māmā a me nā puʻupaʻa i ke kaulike pH

Mālama nā māmā i ke kaulike pH o kou kino ma ka hoʻokuʻu ʻana i ka carbon dioxide.

ʻO Carbon dioxide kahi hui acidic iki. ʻO ia kahi huahana neoneo i hua ʻia e nā hunaola i loko o ke kino ke hoʻohana lākou i ka oxygen. Hoʻokuʻu nā pūnaewele i loko o kou koko, a lawe ʻia i kāu mau māmā.

Ke hāpai nei ʻoe, ke kipaku nei ʻoe i kēlā kalapona kalapona, kahi hana e kōkua pū ai hoʻi e kaohi i ke kaulike pH o kou kino ma o ka hōʻemi ʻana i ka acidity.

ʻO ka nui o carbon dioxide āu e hemo ai kahi hana o ka hohonu o kou hanu ʻana a i ʻole exhale. Mālama mau kou lolo i kēia i mea e mālama ai i ke kaulike pH kūpono i kou kino.

Kōkua nā puʻupaʻa i ka māmā e mālama i ke kaulike acid-base e ka excreting acid a i ʻole nā ​​kumu i loko o ke koko. ʻO nā hopena o nā puʻupaʻa e pili ana i ka acidity e hana ʻoi aku ka lohi ma mua o ko ka māmā.

nā maʻi kaulike pH

Hiki i ke kaulike kaulike pH ke alakaʻi i nā ʻano ʻelua: acidosis a me alkalosis.

ʻO Acidosis e pili ana i ka loaʻa ʻana o ke koko a acidic paha, a i ʻole he pH koko ma lalo o 7.35. ʻO Alkalosis e pili ana i ka loaʻa ʻana o ke koko ʻoi loa ke kumu, a i ʻole ke koko pH o ke kiʻekiʻe ma mua o 7.45.

Aia kekahi mau ʻano acidosis a me alkalosis i hoʻokumu ʻia i ke kumu kumu.

Ke hoʻokumu ʻia ka acidosis a alkalosis paha e ka maʻi maʻi a i ʻole ka hopena me ka hanu ʻana, ua kapa ʻia ia he "hanu." Ke hoʻokumu ʻia ka acidosis a alkalosis paha e kahi pilikia me ka hana o nā puʻupaʻa, ua kapa ʻia ʻo "metabolic."

Nā ʻano acidosis

Acidosis hanu

Hoʻokumu ʻia ka acidosis hanu e kou mau māmā ʻaʻole hiki ke hemo i ke kalapona kalapona ke hāhā ʻoe. Hiki i kēia ke hana i ka wā e hoʻopili ʻia ai kou mau māmā e kahi maʻi a i ʻole nā ​​maʻi ʻē aʻe.

ʻO kekahi mau ʻano i hiki ke alakaʻi i ka acidosis respiratory e komo pū:

• hānō
• kahawai
• pneumonia (koʻikoʻi)

Hiki ke kumu ʻia ka acidosis hanu ma ka lawe ʻana i narcotics a i ʻole nā ​​lāʻau hiamoe. ʻO nā maʻi lolo a me nā ʻōnaehana ʻōnaehana e hoʻokumu i nā pilikia hanu e alakaʻi paha i ka acidosis respiratory.

ʻO nā hōʻailona mua o ka acidosis respiratory he:

• hiamoe nui loa
• luhi
• huikau
• ʻeha poʻo

Inā haʻalele ʻole ʻia, hiki i ka acidosis hanu ke lilo i koʻikoʻi a alakaʻi i ke koma a i ka make paha.

ʻAtosis metabolabolic

ʻO ka Metabolic acidosis kahi buildup o ka waikawa i ke kino e hoʻomaka i nā puʻupaʻa. Kū ia ke hiki ʻole i kou kino ke hoʻopau i ka waikawa nui a nalowale paha i ke kumu. Nā kumu kikoʻī e komo pū ana:

• Loaʻa ka liʻiliʻi o ka sodium bicarbonate i loko o kou koko, kahi pilikia i hiki i ka luaʻi nui a i ʻole ka diarrhea
• kahi buildup o ketones ma muli o ka nele o ka insulin, kahi ʻano i ʻike ʻia he ketoacidosis i ʻike ʻia me ka maka diabetes
• kahi buildup o ka lactic acid, kahi hiki i ka pilikia o ka hoʻohana hewa ʻana i ka waiʻona, ka maʻi ʻaʻai, a me ka hopu ʻana
• ka hoʻokō ʻole o nā puʻupaʻa e hoʻokuʻu i ka waikawa i loko o ke kahe o ke koko, i ʻike ʻia ʻo acidosis tubular renal

Hiki ke kumu ʻia ka metabolic acidosis e ke kau ʻana i kekahi mau mea, e like me:

• metanol
• antifreeze
• aspirin (i nā koina nui)

Hiki i nā ʻōuli o ka metabolic acidosis ke hoʻopili i ka nausea, ka luaʻi, a me ka luhi nui loa.

E like me ka acidosis hanu, hiki i ka metabolic acidosis ke hopena i ka make a make paha inā haʻalele ʻole ʻia.

Nā ʻano alkalosis

Alkalosis hanu

ʻO ka alkalosis hanu ka wā liʻiliʻi o ke kalapona kalapona i kou koko. ʻO nā kumu o ka alkalosis hanu e pili ana i ka hyperventilation ma muli o ka hopohopo, aspirin overdose, high fever, a me ka ʻeha paha.

ʻO nā ʻōuli o ka alkalosis hanu he cramping Muscle a me ka twitching. Hiki paha iā ʻoe ke ʻike i ke kani ʻana i kou mau manamana lima, manamana wāwae, a me nā lehelehe, a me ka huhū hoʻi.

Alkalosis Metabolic

Hana ʻia ka alkalosis metabolic ke kiʻekiʻe loa nā pae bicarbonate i loko o kou koko a i ʻole lilo ka nui o ka waikawa i kou kino. Hiki ke lawe ʻia e kahi wā lōʻihi o ka luaʻi, ka hoʻohana nui ʻana i nā diuretics, a i ʻole ke kaha adrenal overactive.

ʻO nā kūlana ʻē aʻe i hiki ke alakaʻi i ka alkalosis metabolic he hōʻino nā puʻupaʻa i hopena ʻia e ka pohō nui o nā wai a i ʻole ke komo ʻana i kahi nui o ka soda bakena.

ʻO nā ʻōuli o ka alkalosis metabolic e like me nā mea i kūkākūkā ʻia ma luna aʻe nei no ka alkalosis hanu.

Pehea lākou e ʻike ai?

Inā manaʻo ʻoe he kaulike ʻole ka pH, pono ia e ʻimi koke i ka lāʻau. Ma waho aʻe o ka lawe ʻana i kāu mōʻaukala olakino, e hoʻohana ke kauka i nā ʻano like ʻole o ke koko a me ka mimi e hoʻoholo ai i ke kumu kumu o kou kaulike ʻole pH.

ʻO nā hoʻokolohua hiki ke hoʻopili ʻia:

• kinoea koko arterial e nānā i nā pae oxygen a me carbon dioxide a me ka pH koko
• papa metabolic kumu e nānā ai i ka hana hakuʻala a me nā pae momona
• urinalysis e nānā no ka hoʻopau pono ʻana o nā waikawa a me nā kumu
• mimi pae pae o ka mimi e ana i ka alkalinity a me ka acidity o ka mimi

Eia nō naʻe, kaukaʻi ʻia i kāu mau ʻōuli a me nā ʻike ʻē aʻe a kāu kauka i hōʻiliʻili ai, e hana ʻia paha nā hoʻokolohua hou aʻe. Inā loaʻa ʻoe i ka maʻi diabetes, e hoʻāʻo ʻia kāu pae glucose a me nā ketone. Inā ʻoe e komo i ka ethylene glycol a i ʻole ka methylene, hiki iā ʻoe ke hoʻokolohua osmolality.

Ke mālama nei i ke kaulike ʻole o ka pH

E loli nui nā mālama ʻana no nā pale kaulike PH ma muli o ka ʻike ʻana i ka acidosis a i ʻole alkalosis, a he aha ke kumu kumu. ʻO ka pahuhopu hope loa ka hoʻihoʻi i kāu pae acid-base i kahi kaulike olakino.

Pākuʻi ʻia paha ka lāʻau Acidosis:

• waha a i ʻole intravenous sodium bicarbonate e hoʻāla i ke koko pH
• nā lāʻau e hoʻomāhuahua i kāu mau alaloa
• kaomi mau ʻana o ke ala ʻūlū maikaʻi (CPAP) i mea e kōkua ai i ka hanu ʻana
• sodium citrate e mālama i ka maikaʻi ʻole o ka hakuʻala
• insulina a me nā wai aʻa i loko e mālama ai i ka ketoacidosis

Pākuʻi ʻia paha ka lāʻau alkalosis:

• hanu lohi i ka kumu o ke kumu he hyperventilation
• ʻōnaehana oxygen
• nā lāʻau e hoʻihoʻi i nā pae o nā meaola, e like me chloride a i ʻole potassium
• nā wai a me nā mea inu electrolyte e hoʻihoʻi i ke kaulike electrolyte

Outlook

He mea nui kāu kaulike pH no kou olakino, a hiki iā ʻoe ke hilinaʻi i ka lako o kou kino e mālama i kēlā kaulike nona iho. Eia nō naʻe, inā ʻike kāu kauka i kāu kaulike ma o ke kahe ʻana o ke koko a me ka mimi, e hana lākou i nā hoʻokolohua hou aʻe e hoʻoholo ai i ke kumu pono.

Ke ʻike ʻia ke kumu, e hāʻawi ʻia ʻoe i kahi hoʻolālā lapaʻau e hoʻoponopono iā ia a hoʻihoʻi i ke kaulike o kou kino i ka laina.