Ɔfe a ɛkɔ so, nipadua a nkwa nnim... So eyi betumi ayɛ Metabolic Alkalosis?

Nneɛma a ɛkɔ so wɔ yɛn nipadua mu no bi yɛ nwonwa. Ebia wubesusuw sɛ yɛn mogya yɛ nsu kɔkɔɔ bi kɛkɛ. Nanso nokwarem no, ɛyɛ den sen saa koraa. Yɛn mogya mu wɔ acid ne base (alkaline) dodow bi a ɛsɛ sɛ ɛwɔ hɔ. Sɛ saa kari pɛ yi, kyerɛ sɛ, nea ɛkari pɛ no, ntumi nkari pɛ kakra a, yebetumi anya nyarewa ahorow. Saa ara nso na sɛ yɛn mogya no nnyinaso, kyerɛ sɛ, alkaline (alkaline) su no kɔ soro dodo a, yɛfrɛ no Metabolic Alkalosis wɔ nnuruyɛ mu.

Sɛ yɛbɛka no tiawa a, dɛn ne Metabolic Alkalosis?

Fa no sɛ ɛyɛ nsenia. Ɔfã biako no, acid wɔ hɔ, ɔfã foforo no, base wɔ hɔ. Wɔ obi a ɔwɔ apɔwmuden nipadua mu no, saa nsenia yi kari pɛ koraa. Yɛfrɛ no pH . Saa kari pɛ yi ho hia paa ma yɛn akwahosan.

Metabolic alkalosis yɛ tebea a ɛma nsenia no ase fã no mu yɛ duru dodo. Eyi kyerɛ sɛ mogya no mu alkalinity kɔ soro dodo. Eyi fi ɔhaw ahorow a ɛwɔ yɛn aduan mu anaa yɛn asaabo mu titiriw. Sɛ tebea yi mu nyɛ den a, ebia ɛrenna sɛnkyerɛnne biara adi. Nanso, sɛ tebea no mu yɛ den a, ebetumi aka yɛn asaabo no dwumadi mpo.

Dɛn ne tebea yi ahorow atitiriw?

Wobetumi akyekyɛ metabolic alkalosis mu ayɛ no ahorow atitiriw abien. Ɛsono nea ɛde emu biara ba ne ayaresa a wɔde ma no kakra.

Dɛn ne Metabolic Alkalosis ho sɛnkyerɛnne ahorow?

Ɛtɔ mmere bi a, ebia worennya yare no ho sɛnkyerɛnne biara koraa. Nanso, sɛ sɛnkyerɛnne ahorow no da adi ampa a, ebetumi afi nea emu nyɛ den so kosi nea emu yɛ den so.

Dɛn nti na yenya Metabolic Alkalosis? Dɛn ne nneɛma atitiriw a ɛde ba?

Nneɛma pii nti na tebea yi ba. Nea ɛho hia titiriw ne sɛ bicarbonate dodow a ɛwɔ mogya no mu no kɔ soro na hydrogen dodow so tew. Nneɛma atitiriw a ebetumi asɛe saa kari pɛ yi ne:

• Yafunu mu acid a ɛyera: Sɛ yɛfe kɔ so anaasɛ yɛwɔ yafunu mu pɔmpɛ a, yafunu mu acid pii fi yɛn nipadua mu. Eyi ma mogya no mu alkalinity yɛ kɛse.
• Nnuru a ekum asikre pii a wɔnom: Sɛ obi a ɔwɔ asaabo mu yare kɔ so de nnuru a ekum asikre a sodium bicarbonate wom di dwuma a, tebea yi betumi aba.
• Nnuru a wɔde hyɛ nsu mu (anaasɛ "nsu mu nnuru"):Sɛ wonom nnuru yi pii a wɔkyerɛw ma wo sɛ ɛbɛtew nsu a ɛwɔ nipadua no mu so a, acid a ɛwɔ nipadua no mu no nso fi nsu mu ka nsu no ho.
• Nnuru a wɔde sa akisikuru a wɔnom: Saa nnuru yi a wɔde sa akisikuru no betumi ama obi ho ayɛ no hyew dodo na anyinam ahoɔden a ɛho hia te sɛ potassium ne chloride ahwere.
• Nsu a ɛho ntew: Sɛ nsu nnɔɔso wɔ nipadua no mu a, electrolyte a ɛkari pɛ no betumi asɛe na mogya no mu alkalinity betumi ayɛ kɛse.

Ayaresa mu tebea afoforo

Wɔ saa nneɛma yi akyi no, aduruyɛ mu tebea afoforo bi nso betumi de nipadua mu alkalosis aba.

• Awosu mu nyarewa bi a ɛma asaabo no ankasa yi electrolytes fi mu.
• Aldosterone, adrenal hormone bi a ɛkɔ soro. `(hyperaldosteron a ɛboro so)`
• Chloride dodow a ɛwɔ mogya no mu a ɛso tew.
• Potassium a enni nipadua mu (hypokalemia).
• Koma, asaabo, anaa mmerɛbo mu yare.

Hena na ɔwɔ asiane kɛse sɛ obenya saa tebea yi?

Nnipa binom taa nya saa tebea yi.

• Nnipa a wɔyɛ yafunu mu ahohoro esiane biribi nti.
• Nnipa a wɔnom nsa kodu baabi a wɔtaa fe.
• Nnipa a wɔnom nnuru a wɔde siw akisikuru so de tew wɔn mu duru so.
• Nnipa a wɔnom nnuru a wɔde siw nsu mu de tew ɔfe so anaasɛ wɔtew wɔn mu duru so.
• Nnipa a wɔwɔ bulimia nervosa, tebea a ɛma wɔfe denneennen bere a wɔadi awie esiane sɛ wosuro sɛ wɔn mu duru bɛkɔ soro nti.
• Nnipa a wɔyare hyperemesis gravidarum, tebea bi a ɛba bere a wɔyem no.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ wokɔ oduruyɛfo nkyɛn a, obetie wo yare no ho sɛnkyerɛnne no yiye na afei ebia wayɛ nhwehwɛmu mpɛn pii de akyerɛ sɛ tebea no wɔ hɔ.

• Nipadua mu nhwehwɛmu: Wo yare no ho sɛnkyerɛnne a wobɛhwɛ.
• Mogya mu nhwehwɛmu: Susuw mogya mu mframa, acid ne base a ɛkari pɛ, ne electrolyte dodow.
• ECG sɔhwɛ: Sɛnea ɛbɛyɛ a wɔbɛhwɛ sɛ koma no nnyigyei a ɛnteɛ (arrhythmia) (Electrocardiogram).
• Nsu mu nhwehwɛmu: Eyi betumi aboa ma wɔahu nea ɛde tebea yi ba.

Ɔkwan bɛn so na wɔsa?

Ayaresa no gyina sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den ne nea ɛde wo tebea no ba so. Ebia nsɛm a emu nyɛ den no renhia ayaresa. Nanso, sɛ wowɔ sɛnkyerɛnne ahorow a emu yɛ den a, ebia wubehia ayaresa ntɛm ara .

Ayaresa titiriw ne sɛ wɔde nkyene ne electrolytes a ɛho hia bɛma denam IV so.

• Nkyene a wɔde gu nipadua mu
• Potassium a wɔde si ananmu
• Magnesium (Magnesium a wɔde si ananmu) .
• Chloride a wɔde hyɛ nipadua mu
• Hydrochloric acid infusion - (Wɔde eyi ma wɔ nsɛm a emu yɛ den yiye mu) .

Sɛ saa tebea yi fi nnuru pɔtee bi a wɔnom boro so a, saa aduru no a wobegyae no nso yɛ ayaresa no fã.

Yɛbɛyɛ dɛn atumi asiw tebea yi ano bio?

Nnipa dodow no ara betumi asan akɔ wɔn asetra a ɛfata mu bere a wɔasa wɔn yare awie no. Nanso, sɛ wɔanni ɔhaw a ɛde bae no ho dwuma a, ebetumi aba sɛ ɛbɛsan aba bio. Enti wo duruyɛfo bɛma wo nyansahyɛ ahorow bi a wode bɛtew asiane yi so.

• Nnuru te sɛ antacids, laxatives, anaa nsu aduru dodow a wɔbɛtew so anaasɛ wobegyae (wɔ nnuruyɛfo afotu nkutoo so).
• Nom nsu pii da mũ no nyinaa na amma wo ho atɔ wo.
• Sɛ wo duruyɛfo kamfo kyerɛ a, fa vitamin anaa nnuru a wɔde ka aduan ho na ama electrolyte dodow akɔ so atra hɔ.

Ade a ɛho hia sen biara ne sɛ wɔbɛsa nea ɛde tebea no ba no. Sɛ nhwɛso no, sɛ worenom nsu mu nnuru a wɔde sa komayare bi a, ebia wo duruyɛfo bɛsesa dodow a wɔde ma no. Enti, ɛho hia sɛ wo ne wo duruyɛfo kasa na ama woanya ano aduru a ɛbɛyɛ adwuma yiye ama wo.