So wo nipadua no yɛ acid dodo? Momma yensua metabolic acidosis ho ade!

So woate nka pɛn sɛ woabrɛ, ɔkɔm de wo, anaa wo tirim ayɛ wo yaw? Anaasɛ ebia wo home akɔ soro kakra, anaasɛ wo koko rebɔ? Ɛtɔ mmere bi a, nsakrae nketenkete a ɛba wo nipadua mu a ɛkari pɛ no betumi afi eyinom mu aba. Ɛnnɛ yɛrebɛka tebea bi a ɛhwehwɛ sɛ wode w’adwene si so kakra ho asɛm, nanso sɛ wunim a, wobetumi aboa ma woadi so. Ɛno na wɔfrɛ no metabolic acidosis . Ebia edin no bɛyɛ te sɛ nea ɛyɛ hu kakra, nanso momma yɛnka ho asɛm tiawa.

Dɛn ne Nkwammoaa mu Acidosis? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, metabolic acidosis yɛ bere a nsu a ɛwɔ wo nipadua mu, titiriw wo mogya mu, yɛ acid anaasɛ acid dodo . Fa yɛn nipadua sɛ mfiri a ɛyɛ mmerɛw. Ɛsɛ sɛ biribiara a ɛwɔ mu, titiriw nnuru no, kari pɛ. Sɛ ɛno ansi a, ɔhaw ahorow fi ase sɔre.

Yɛn nipadua wɔ nnuru bi a wɔfrɛ no bicarbonate . Eyi ne nnyinaso titiriw a ɛhwɛ nipadua no mu acid so, anaasɛ ɛmma ɛnyɛ hwee. Enti, akwan titiriw abien na ɛwɔ hɔ a metabolic acidosis betumi aba.

1. Sɛ́ ebia acid dodow a ɛwɔ nipadua no mu no kɔ soro sen sɛnea ɛho hia na ɛboro bicarbonate dodow so (wɔfrɛ eyi ‘High Anion Gap Metabolic Acidosis’ ).

2. Sɛ ɛnte saa a, bicarbonate pii fa asaabo mu anaa akwan foforo so yi fi nipadua no mu (wɔfrɛ eyi ‘Normal Anion Gap Metabolic Acidosis’) .

Nanso, nea efi mu ba awiei koraa ne sɛ nipadua no bɛyɛ nea asikre wom kɛse. Ebia woate sɛ nnuruyɛfo reka biribi a wɔfrɛ no ‘Anion Gap’ ho asɛm . Eyi yɛ nsonsonoe a ɛda nneɛma nketenkete (electrolytes) a ɛwɔ yɛn mogya mu a ɛwɔ ahoɔden pa ne nea enye ntam ara kwa. Eyi ma nnuruyɛfo nya adwene wɔ acid ne base a ɛkari pɛ no ho.

Hena na ɛda adi sɛ tebea yi bɛka no kɛse? So ɛsɛ sɛ yɛn nyinaa hwɛ yiye?

Nokwarem no, obiara betumi anya tebea bi a wɔfrɛ no metabolic acidosis. Nanso asiane yi yɛ kɛse titiriw ma wɔn a wɔn asaabo ntumi nyɛ adwuma yiye (Kidney Failure / Renal Failure) anaa wɔn a wɔwɔ asaabo mu yare a enni sabea . Nea enti a ɛte saa ne sɛ yɛn asaabo di dwuma titiriw ma nipadua no kari pɛ denam acid a ɛboro so a ɛnam nsu so yi fi hɔ no so. Enti sɛ asaabo no yɛ mmerɛw a, saa dwumadi yi ntumi nyɛ adwuma yiye.

Dɛn na ɛba nipadua no mu bere a saa acid yi kɔ soro no? Asɛm a ɛfa yɛn pH bo ho

Sɛ yɛn nipadua no nhyehyɛe nyinaa bɛyɛ adwuma yiye a, ɛsɛ sɛ yɛn mogya no kɔ baabi pɔtee bi a wɔfrɛ no pH kari pɛ . Saa pH yi yɛ nea ɛkyerɛ acid ne alkali dodow a ɛwɔ yɛn mogya mu. Ɛyɛ nsenia a efi 0 kosi 14. 0 yɛ acidic kɛse, na 14 yɛ alkaline kɛse. Mpɛn pii no, obi a ɔwɔ apɔwmuden mogya mu pH yɛ 7.35 kosi 7.45.Saa na ɛsɛ sɛ ɛyɛ. Eyi yɛ kari pɛ a ɛyɛ mmerɛw yiye.

Yɛn asaabo ne yɛn ahurututu ne akwaa atitiriw a ɛboa ma yɛkari pɛ yi. Asaabo no yi acid ne bases a ɛboro so fi nsu no mu. Ahurututu no hwɛ mframa bɔne dodow a ɛwɔ mogya no mu bere a yɛhome no. Carbon dioxide nso ka acid dodow a ɛwɔ nipadua no mu.

Enti, wɔ metabolic acidosis mu no, nipadua no mu nneɛma a ɛsakra no ma acid pii, anaasɛ asaabo no ntumi nyi saa acid yi mfi mu yiye. Afei pH a yɛkaa ho asɛm no so tew ba fam sen 7.35, a ɛkyerɛ sɛ mogya no yɛ acid kɛse.

Dɛn ne eyi ho sɛnkyerɛnne? Ɛho hia yiye sɛ wubehu eyinom!

Nea ɛyɛ nwonwa no, ɛtɔ mmere bi a ebia nnipa a wɔwɔ metabolic acidosis no renkyerɛ sɛnkyerɛnne pɔtee biara mfiase no . Nanso, nsɛnkyerɛnne bi wɔ hɔ a ɛtaa ba a wobetumi ahu bere a tebea no kɔ so no. Ɛho hia sɛ wo ne w’abusua hu eyinom:

• Koma a ɛbɔ ntɛmntɛm mpofirim (tachycardia). Ebetumi ayɛ te sɛ nea wo moma so rebɔ, anaasɛ wo ho popoe.
• Sɛ wote nka sɛ wo ho ayɛ wo yaw anaasɛ wo ti ayɛ hare. Ɛtɔ mmere bi a, ebetumi asi bere a wogyina hɔ mpo no.
• Ɔbrɛ kɛse a wobɛte nka, ɔbrɛ a wobɛte nka bere nyinaa, ne ɔbrɛ ɛmfa ho sɛnea wobɛda.
• Anorexia, sɛ wohu aduan mpo a, ɔte nka sɛ ɛyɛ abofono.
• Ti a ɛyɛ yaw a ɛkɔ so daa.
• Ɔhome yɛ ntɛmntɛm, anaasɛ egye bere tenten, ahome a emu dɔ. Eyi ne nipadua no a ɛrebɔ mmɔden ankasa sɛ ɛbɛtew acid a ɛwɔ nipadua no mu so denam carbon dioxide (acid bi) pii a ɛbɛhome no so.
• Akisikuru ne ɔfe.
• Mmerewa a wɔte nka ne mmerɛwyɛ wɔ ɔkwan a ɛkɔ akyiri so.
• Hua a ɛyɛ dɛ na ɛyɛ nnuaba a ɛma ɔhome. Eyi yɛ asikreyare ketoacidosis ho sɛnkyerɛnne titiriw.

Nea ɛho hia yiye: Sɛ tebea yi mu yɛ den kɛse, kyerɛ sɛ, sɛ acid dodow a ɛwɔ nipadua no mu kɔ soro kɛse a, nsɛnnennen a emu yɛ den te sɛ asaabo a entumi nyɛ adwuma yiye, akwaa afoforo a ɛsɛe, adwenem naayɛ, ne owu mpo betumi aba . Enti, sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, nyansa wom sɛ wobɛhwehwɛ aduruyɛ mu afotu a worenkyɛ.

Dɛn nti na eyi ba? Dɛn ne nneɛma atitiriw a ɛde metabolic acidosis ba?

Nneɛma atitiriw anan na ɛde ba a ebetumi ama obi anya metabolic acidosis. Momma yɛnhwɛ nea wɔyɛ:

1. Asikreyare a ɛfa asikreyare ho / Asikreyare Ketoacidosis (DKA):Nnipa pii ate eyi ho asɛm. Ebetumi aba nnipa a asikreyare a wontumi nni so yiye no mu, titiriw wɔn a wɔwɔ Asikreyare a Ɛto so 1 no. Sɛ nipadua no nkwammoaa nni insulin a ehia na ama wɔanya ahoɔden, anaasɛ insulin a wɔwɔ no ntumi nyɛ adwuma yiye a, nkwammoaa no ntumi nnye glucose mfi mogya no mu. Afei nipadua no fi ase hyew srade de hwehwɛ ahoɔden. Sɛ́ ade a efi saa adeyɛ yi mu ba no, acid bi a wɔfrɛ no ‘ketone nipadua’ boaboa ano wɔ nipadua no mu. Eyi yɛ tebea a asiane wom yiye a ehia sɛ wɔsa no ntɛm ara.

2. Hyperchloremic acidosis: Eyi fi nipadua no a ɛhwere mineral a ɛsom bo a wɔfrɛ no sodium bicarbonate no pii dodo. Fa no sɛ, wo dwensɔtwaa a emu yɛ den nna pii , kodu baabi a worehwere nsu. Saa bere no, wobetumi ayi bicarbonate pii afi dwensɔtwaa no mu. Eyi nso betumi aba sɛ wode nnuru bi a wɔde siw wo ho ( laxatives ) di dwuma dodo, a wonkɔ oduruyɛfo nkyɛn a.

3. Lactic acidosis: Saa tebea yi ba bere a yɛn nipadua no wɔ acid bi a wɔfrɛ no lactic acid pii dodo no. Susuw ho hwɛ, sɛ yɛteɛteɛ yɛn apɔw mu denneennen dodo, anaasɛ yɛn nipadua mu nkwammoaa nnya oxygen a ɛdɔɔso (sɛ nhwɛso no, komayare, ɔyare mmoawa a emu yɛ den) a, wɔyɛ lactic acid sɛ ade a efi ahoɔden a wɔyɛ mu ba. Mpɛn pii no, nipadua no na edi eyi so. Nanso ɛtɔ mmere bi a, sɛ nhwɛso no, wɔ obi a ne mmerɛbo ntumi nyɛ adwuma yiye , anaasɛ bere a asikre a ɛwɔ mogya mu no so tew mpofirim (Hypoglycemia anaa Low blood sugar) , anaasɛ sɛ nnipa binom nom nsa boro so (Alcohol use disorder) , wɔ kokoram tebea horow bi mu , anaasɛ sɛ yɛteɛteɛ yɛn apɔw mu denneennen dodo (Apɔw-mu-teɛteɛ a emu yɛ den) , lactic acid dodow betumi akɔ soro na nipadua no ntumi nni ho dwuma.

4. Renal Tubular Acidosis (RTA): Eyi ba bere a ntini nketewa (tubules) a ɛwɔ asaabo no mu no ntumi mfa nsu no nyi acid a ɛdɔɔso mfi mu no. Anaasɛ, wɔnsan nnye bicarbonate no yiye. Ne saa nti, asikre a ɛwɔ mogya no mu no kɔ soro nkakrankakra.

Nneɛma abien a ɛtaa de ba ne akisikuru a wontumi nni so ne asaabo a entumi nyɛ adwuma yiye.

So eyi yɛ yare a wɔde kɔ nnipa mu? So mɛtrɛw mu akyerɛ afoforo?

Dabi, ɛnte saa koraa. Metabolic acidosis nyɛ yare a ɛde ɔyare ba . Worentumi ntrɛw mu mma obi foforo esiane sɛ wowɔ bi kɛkɛ nti. Ɛyɛ ɔhaw a ɛfa nipadua no mu nnuru a ɛkari pɛ ho.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo wo yare no ho sɛnkyerɛnne, abisa wo yare tebea a atwam no ho asɛm, na afei wahwɛ wo. Afei ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii de si tebea no so dua na wɔahu nea ɛde ba.

Ɛtɔ mmere bi a wobetumi de wo akɔ nephrologist nkyɛn , titiriw sɛ wosusuw sɛ asaabo mu haw bi wɔ hɔ a.

Dɛn na wode sɔhwɛ ahorow yi yɛ?

Nhwehwɛmu ahorow betumi ayɛ soronko a egyina wo yare no ho sɛnkyerɛnne ne nea wo duruyɛfo susuw sɛ ɛde ba no so. Sɔhwɛ ahorow a wɔtaa yɛ ne:

• Mogya mu nhwehwɛmu: Eyinom ho hia paa.
• Anion Gap Test: Wɔfa mogya ketewaa bi fi ntini bi a ɛwɔ wo nsa mu mu na wɔsusuw nsonsonoe a ɛda nnuru a ɛwɔ ahoɔden pa ne nea enye a wɔfrɛ no electrolytes ntam. Sɛ saa nsonsonoe yi sõ sen sɛnea ɛte daa a, ebetumi akyerɛ denneennen sɛ wowɔ metabolic acidosis.
• Arterial Blood Gas (ABG) nhwehwɛmu: Eyi yɛ nhwehwɛmu soronko kakra. Nea ɛka eyi ho ne sɛ wubegye mogya kakraa bi afi ntini bi a ɛwɔ wo nsateaa, wo nsateaa, anaa wo srɛ mu (a mpɛn pii no ɛyɛ ketewaa kakra sen ntini mu) mu. Eyi kyerɛ oxygen dodow, carbon dioxide dodow, ne nea ɛho hia sen biara no, wo mogya mu pH. Sɛ pH nnu 7.35 a , ɛkyerɛ sɛ wo mogya no yɛ acid dodo anaasɛ ɛyɛ basic dodo.
• Mogya mu nhwehwɛmu afoforo: Wobetumi ahwɛ asikre dodow a ɛwɔ mogya mu, asaabo mu dwumadi mu nhwehwɛmu (e.g. Serum Creatinine, BUN), ne electrolyte dodow (Electrolytes te sɛ Sodium, Potassium, Chloride) nso.

• Nsu mu nhwehwɛmu:

Sɛ wototo wo ho gu toa soronko bi mu a, wɔhwɛ pH no. Eyi betumi akyerɛ wo nneɛma te sɛ sɛ ebia wo nsu mu yɛ acid dodo, basic dodo, anaasɛ ketones wom.

Ɔkwan bɛn so na wɔsa eyi? (Ayaresa)

Sɛ wo duruyɛfo hu nea ɛde wo nipadua mu acidosis ba ankasa a, ɔbɛma wo ayaresa nhyehyɛe a ɛbɛyɛ adwuma ama wo. Ayaresa no gyina nea ɛde ba no so.

• Ade a ɛho hia sen biara ne sɛ wobɛsa nea ɛde ba no . Sɛ nhwɛso no, wɔ asikreyare ketoacidosis mu no, wɔde insulin ne nsu a wɔde fa IV mu na ɛhwɛ asikre a ɛwɔ mogya mu so.
• Wobetumi ama nnipa a wɔwɔ asaabo mu yare sodium bicarbonate a ɛyɛ aduru anaa sodium citrate a ɛyɛ aduru a wɔde tew nipadua no mu acid so.
• Sɛ nsu pii ayera afi nipadua no mu (e.g. esiane atiridii nti) a, ɛho hia sɛ wɔde nkyene (IV nsu) fa ntini bi mu ma.
• Wɔ tebea horow bi a emu yɛ den mu no, wɔde sodium bicarbonate fa ntini bi mu (IV Sodium Bicarbonate) ma na ama mogya no mu acid ayɛ pɛ ntɛmntɛm.
• Sɛ awuduru bi ahyɛ nipadua no mu (sɛ nhwɛso no, efi aspirin pii a wɔnom anaa nnuru te sɛ methanol a wɔnom mu) a, ebia ɛho behia sɛ wɔyɛ ayaresa titiriw (sɛ nhwɛso no, dialysis) na wɔayi awuduru no afi mogya no mu.

So aduan ne anonne nya eyi so nkɛntɛnso? Dɛn na ɛsɛ sɛ midi na dɛn na ɛsɛ sɛ midi kakraa bi?

Yiw, koraa. Nnuan ne anonne a yedi no bi ma nipadua no mu acid yɛ kɛse, bere a afoforo nso ma alkalinity no yɛ kɛse na ɛboa ma acid no so tew. Nanso, eyi ho hia yiye: Ansa na wobɛyɛ nsakrae kɛse biara wɔ w’aduan mu no, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo anaa aduan ho ɔbenfo kasa. Saa afotu yi ho hia titiriw sɛ wowɔ asaabo mu yare a.

Nnuan a ɛma asikre:

• Nam (titiriw nam kɔkɔɔ, akokɔ, mpataa).
• Nkwaa a wɔde yɛ nkesua.
• Cheese ne nufusu afoforo (ebinom).
• Aburow a wɔayɛ ho adwuma.
• Nsaden.

Nnuan a ɛma nipadua no yɛ alkaline a ɛma nipadua no mu alkalinity yɛ kɛse, kyerɛ sɛ ɛboa ma acid a ɛwɔ nipadua no mu no so tew:

• Nnuaba ahorow pii (titiriw citrus nnuaba).
• Nnuadewa ne nnuaba a wɔde yɛ bɔta.
• Atoko (sɛ nhwɛso no, atoko, akutu, bankye a ɛyɛ ahabammono, soya).
• Nnuadewa pii (titiriw nhabannuru a ɛyɛ ahabammono).
• Nnipa binom ka nsu a ɛyɛ alkaline ho asɛm , nanso adwene ahorow wɔ nyansahu mu nnyinaso a wɔde yɛ eyi ho, enti ɛbɛyɛ papa sɛ wubebisa oduruyɛfo.

Nnuru afoforo bɛn na wɔde yɛ eyi?

Ɛtɔ da bi a nnuru a wɔtɔn (OTC) te sɛ Sodium Citrate anaa Sodium Bicarbonate betumi aboa ma acid a ɛwɔ nipadua no mu no ayɛ pɛ. Nanso, mfa nnuru yi mu biara nni dwuma a wonkɔ wo duruyɛfo nkyɛn, efisɛ ebetumi de ɔhaw afoforo aba.

Wɔ tebea horow bi a emu yɛ den mu no, sɛ koma no ntumi nyɛ adwuma yiye na nipadua no nnya mframa pa a ɛdɔɔso a, nnuruyɛfo betumi akyerɛw nnuru a wɔfrɛ no inotropes . Eyinom ma koma no bɔ denneennen. Eyi boa nipadua no ma onya mframa pa pii na ɛboa ma acid a ɛwɔ mogya no mu no so tew. Wɔtaa fa ntini (IV) so de nnuru yi ma wɔ ayaresabea.

So biribi wɔ hɔ a yebetumi ayɛ de atew metabolic acidosis a ɛba no so?

Bere a ɛrentumi nyɛ yiye sɛ yebesiw tebea yi ano koraa no, nneɛma kakraa bi wɔ hɔ a yebetumi ayɛ de atew asiane no so:

• Nsu ne nsu afoforo a ahoɔden wom a wɔnom da mũ no nyinaa.
• Sɛ wowɔ asikreyare a, ɛho hia sɛ wohwɛ asikre dodow a ɛwɔ wo mogya mu no so sɛnea wo duruyɛfo akyerɛ wo no. Nea ɛka eyi ho ne nnuru, aduan a wodi, ne apɔw-mu-teɛteɛ.
• Sɛ wonom nsa a, to dodow a wonom ano hye anaa gyae nom koraa. Wobu anohyeto a ɛma apɔwmuden sɛ ɛnyɛ nea ɛboro anonne a wɔahyɛ da ayɛ abien da biara ma mmarima na ɛnboro anonne a wɔahyɛ da ayɛ biako da biara mma mmea.
• Aduan a ɛkari pɛ a wobedi.

Dɛn na ɛbɛba daakye wɔ tebea yi ho? So ɛyɛ biribi a ɛsɛ sɛ yesuro? (Nsusuwii) .

Sɛ wowɔ metabolic acidosis a, daakye gyina sɛnea tebea no mu yɛ den, nea ɛde bae, ne sɛnea wonya ayaresa ntɛmntɛm na ɛfata so.

• Mpɛn pii no, wobetumi asan tebea yi bere a wɔahu yare no yiye na wɔasa no yare no.
• Wɔ nsɛm a emu nyɛ den mu no , sɛnkyerɛnne ahorow no betumi ayɛ bere tiaa mu de na sɛ nea ɛde ba no ankasa fi hɔ a, ebia ɛho renhia ayaresa titiriw.
• Nanso, sɛnea madi kan aka no, wɔ tebea horow a emu yɛ den mu no, sɛ wɔansa a, ebetumi ama asaabo anaa akwaa foforo adi huammɔ, na owu mpo. Ɛno nti na eyi nyɛ biribi a ɛsɛ sɛ wobu no adewa no.

Mɛyɛ dɛn ahwɛ me ho? Nneɛma bɛn na m’ankasa metumi ayɛ? (Ne ho a wɔhwɛ) .

Wo duruyɛfo no bɛyɛ ayaresa nhyehyɛe a ɛfata wo. Ɛbɛka nnuru ne asetra mu nsakrae ho. Sɛ wudi anammɔn yi akyi a, ɛbɛboa ma wo ho atɔ wo ntɛmntɛm na woasiw tebea no ano bio:

• Hwɛ asikre dodow a ɛwɔ wo mogya mu daa (sɛ wowɔ asikreyare a). Yɛ fie mogya mu glucose nhwehwɛmu sɛnea wo duruyɛfo kyerɛ no.
• Fa aduru a wo duruyɛfo akyerɛw ama wo no pɛpɛɛpɛ, bere a ɛfata, ne dodow a ɛfata. Mma dose biako mpo nmpa wo ti so.
• Sɛ wo duruyɛfo anaa aduannuru ho ɔbenfo tu wo fo a, bɔ mmɔden sɛ wubedi nnuan a asikre nnim na alkaline pii wom.
• To nsa nom ano hye anaasɛ gyae koraa.
• Di wo duruyɛfo nkyɛn bere ano. Saa kwan no so no, wubetumi ahu sɛnea woreyɛ na woayɛ nsakrae biara a ɛho hia.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn? So ɛyɛ asɛm a egye ntɛmpɛ?

Sɛ wowɔ metabolic acidosis ho sɛnkyerɛnne (te sɛ ɔbrɛ a yɛadi kan aka ho asɛm, nsakrae a ɛba wɔ ɔhome mu, akisikuru), anaasɛ wowɔ tebea foforo a ebetumi de saa tebea yi aba ho sɛnkyerɛnne a emu yɛ den (e.g., asikreyare a wontumi nni so, akisikuru a emu yɛ den, asaabo mu yare ho sɛnkyerɛnne) a, kɔ ayaresabea ntɛm ara. Ntwentwɛn wo nan ase.

Nsonsonoe bɛn na ɛda Metabolic Acidosis ne Respiratory Acidosis ntam?

Ɛwom sɛ eyinom abien nyinaa yɛ tebea horow a nipadua no mu acid kɔ soro de, nanso ɛsono ɔkwan a wɔfa so ba ne akwaa nhyehyɛe ahorow a ɛka no titiriw.

Metabolic acidosis yɛ tebea a ɛka nipadua no mu nneɛma a ɛsakra ne ne nsu a ɛkɔ nipadua no mu titiriw, titiriw asaabo . Ɛba bere a acid pii ba nipadua no mu, anaasɛ asaabo no ntumi nyi acid mfi mogya no mu yiye, anaasɛ nipadua no hwere bicarbonate no.

Ɔhome mu acidosis yɛ tebea a ɛka ɔhome nhyehyɛe, anaa ahurututu titiriw . Eyi ne bere a ahurututu no ntumi nyi carbon dioxide (CO2) mfi mogya no mu ntɛmntɛm sɛnea ɛsɛ. CO2 ne nsu bom yɛ acid. Sɛ tebea horow te sɛ ayamtu mu yɛ den a, ahurututu mu yare (te sɛ COPD), amemene a ɛsɛe a ɛma ɛyɛ den sɛ ɔbɛhome, anaa nnuru bi anaa nnuru bi a wɔde da no a wɔde di dwuma boro so no betumi aka ahurututu no dwumadi, na ama CO2 aboaboa ano na ama acid no ayɛ kɛse.

Sɛ yɛbɛka no tiawa a, nipadua mu nneɛma a ɛsakra ne ɔhaw a ɛwɔ nnuru a ɛkɔ nipadua no mu ne asaabo no mu. Ɔhome ne ɔhaw a ɛwɔ ɔhome ne ahurututu mu.

Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Metabolic acidosis yɛ tebea a ɛsɛ sɛ wohaw wo ho ankasa, efisɛ ɛka nipadua no kari pɛ titiriw. Ɛtɔ da bi a wubetumi abɔ mmɔden sɛ wubebu w'ani agu sɛnkyerɛnne ahorow no so na woayɛ wo ho sɛ "Ɛnyɛ yiye." Nanso kae sɛ, ɛyɛ wo nipadua a ɛne wo rekasa na ɛka sɛ, "Biribi asɛe kɛse wɔ wo mu, boa me."

Ɛsɛ sɛ wohwɛ yiye paa wɔ saa sɛnkyerɛnne ahorow yi ho, titiriw sɛ wowɔ nyarewa a akyɛ te sɛ asaabo mu haw anaa asikreyare a.

Nanso mma ɛnhaw wo. Ɛnyɛ wo nko ara. Nnuruyɛfo, ayarehwɛfo, ne akwahosan ho adwumayɛfo afoforo a wɔn ho akokwaw wɔ hɔ a wobetumi aboa wo na wɔayi wo afi tebea yi mu. Sɛ wohu yare no pɛpɛɛpɛ na wɔsa yare no ntɛm ara a, wobetumi adi tebea yi so kɛse na wɔadan no. Enti, sɛ w’adwene mu yɛ wo naa wɔ eyi ho a, nfɛre anaa ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn, bisa wo nsɛm, na nya afotu ne ayaresa a ɛho hia. Efisɛ, w’akwahosan ne ade a ɛsom bo sen biara wɔ wiase yi mu!

` Metabolic acidosis, acid-base kari pɛ, pH bo, asaabo mu yare, asikreyare, ketoacidosis, lactic acidosis, sɛnkyerɛnne, ayaresa