Metabolic Acidosis nye nɔnɔme si dzɔna ne atike siwo le acid kple base siwo le wò ʋu me ƒe dadasɔ mesɔ o. Bu eŋu abe nudanu si wotsɔna ɖaa nu ene. Ne ètsɔ kpekpeme geɖe de akpa ɖeka la, adze anyi, alo? Aleae wòle. Nɔnɔme sia dzɔna ne acid sɔ gbɔ ɖe míaƒe ŋutilã me akpa eye base mesɔ gbɔ be wòaɖu edzi o. Ɣeaɖewoɣi la, esia ate ŋu anye nɔnɔme si mesẽ o, gake le go aɖewo me la, ate ŋu ade ame ƒe agbe afɔku me.
Nukatae esia dzɔna ɖo? (Nusiwo Hea Metabolic Acidosis vɛ) .
Susu vovovowo tae acid-base ƒe masɔmasɔ sia si le míaƒe ʋu me ate ŋu adzɔ ɖo. Na míalé ŋku ɖe nu vevi siwo gbɔ wòtso ŋu.
| Susu | Numeɖeɖe bɔbɔe |
|---|---|
| Ketoacidosis ( ketoacidosis ) ƒe dɔléle . | Ne suklidɔléla mexɔ insulin si sɔ o eye tsi vɔ le eŋu la, ŋutilãa dzea ami fiã gɔme hena ŋusẽkpɔkpɔ. Esia wɔnɛ be wowɔa atike siwo woyɔna be ketones. Ne ketone siawo ƒo ƒu ɖe ʋua me la, ʋua va zua acid. Nɔnɔme sia ate ŋu ado mo ɖa le amesiwo noa aha fũu akpa, meɖua nu nyuie o, alo amesiwo le nu dɔ ɖum hã dzi. |
| Lactic Acidosis ƒe dɔléle | Ne míaƒe ŋutilã ƒe lãmenugbagbeviwo mekpɔ oxygen si sɔ o la, wowɔa nusi woyɔna be lactic acid. Esia ate ŋu aƒo ƒu ɖe ʋua me hã. Esia ate ŋu adzɔ le kamedede sesẽ me, esime ʋu ƒe sisi ɖiɖi kpata, le dzidɔ, dzi ƒe dɔmawɔmawɔ nyuie, kple dɔlékui siwo nu sẽ ŋutɔ me. |
| Ayiku ƒe kuxiwo (Renal Tubular Acidosis) . | Ayiku siwo le lãmesẽ me ɖea acid siwo sɔ gbɔ ɖe ʋua me ɖa eye woɖea wo doa goe le aɖuɖɔ me. Gake ne ayikuawo gblẽ le ayikudɔ, dɔlélenutsiŋutete ƒe dɔléle aɖewo, kple domenyiŋusẽfianu ƒe dɔmawɔmawɔ nyuie ta la, womete ŋu ɖea aɖi siawo ɖa nyuie o. Emegbe aɖiawo nɔa ʋua me. |
| Acidosis si nye Hyperchloremic ƒe dɔléle si woyɔna be Hyperchloremic | Aɖuɖɔtoe sesẽ, aɖuɖɔtoemetikewo zazã ɖe mɔ gbegblẽ nu , kple ayikudɔ aɖewo ate ŋu ana bicarbonate nasɔ gbɔ ɖe míaƒe ŋutilã me. Bicarbonate nye nusi naa acidwo meganɔa anyi o. Ne eɖiɖi la, ʋua va zua acid. |
Vevietɔ: Ƒomevi bubu aɖe hã li si woyɔna be Respiratory Acidosis. Le esia me la, ʋua hã va zua acidic , gake nusi gbɔ wòtsoe nye kuxi aɖe si le lãkusiwo me si nana carbon dioxide si sɔ gbɔ la ƒoa ƒu ɖe ŋutilãa me. Esia to vovo na Metabolic Acidosis.
Nukae nye esia ƒe dzesiwo? (Dɔléle dzesi)
Togbɔ be dzesiawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ hã la, esiawo nye dzesi siwo bɔ siwo ame si ŋu Metabolic Acidosis le ate ŋu akpɔ.
- Gbɔgbɔ kabakaba : Esia le alea elabena ŋutilãa le agbagba dzem be yeaɖe acid si sɔ gbɔ (abe carbon dioxide ene) ɖa le ŋutilãa me.
- Dzi ƒe tsotso
- Taɖuame
- Sese le eɖokui me be yetɔtɔ (Tɔtɔ) .
- Gbɔdzɔgbɔdzɔ ƒe seselelãme
- Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi
- Nudzroame
- Aɖuɖɔtoe kple ʋuʋudedi
Atikutsetse ƒe ʋeʋẽ le gbɔgbɔ me nye dzesi nyanyɛ aɖe, vevietɔ le suklidɔ ƒe ketoacidosis (DKA) me.
Ne dzesi siawo le ŋuwò la, yi ɖɔkta gbɔ enumake. Ne wose le wo ɖokui me be yeƒe lãme sẽ la, mègahe kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) yi ɖe megbe o .
Aleke tututu mawɔ ake ɖe esia ŋu? (Dodokpɔ) .
Ðɔktaa awɔ dodokpɔ geɖe atsɔ anya nenye be dɔléle sia le ŋuwò. Ema ko hafi woate ŋu ana atike si sɔ.
- Anion Gap Test: Esia nye dodokpɔ si me wodzidzea atike siwo le ʋua me ƒe dadasɔ. Kpuie ko la, etsɔa nusiwo me dzoxɔxɔ nyui kple vɔ̃ le (abe sodium, chloride, bicarbonate ene) siwo le ʋua me la sɔna kple wo nɔewo. Le metabolic acidosis ƒomevi aɖewo me la, "vovototo" si le asixɔxɔ siawo dome la dzena wu.
- Ʋukawo me Ʋumenugbagbeviɣiwo (ABG) dodokpɔ: Esia dzidzea pH, alo acidity, kple oxygen kple carbon dioxide ƒe agbɔsɔsɔ le wò ʋu me.
- Aɖuɖɔ dodokpɔ: Esiawo ate ŋu ade dzesi ketones, ayiku me kuxiwo, alo aɖi si tso nuwo abe aspirin, aha sesẽ, alo antifreeze ene me. Suklidɔléla siwo ŋu suklidɔ le ate ŋu ado woƒe aɖuɖɔ kpɔ be ketones le wo me hã le aƒeme to dodokpɔ ƒe agbalẽvi siwo le atikedzraƒea zazã me.
Aleke woawɔ adae? (Dᴐyᴐyᴐ)
Wodaa Metabolic Acidosis to nusi gbɔ wòtso la dada me. Bu eŋu abe xɔtaxɔ si me tsi le dodom le ene. Enyo wu be nàɖɔ do si le xɔa tame ɖo tsɔ wu be nàtsɔ gaze aɖe aɖo anyi alé tsia. Aleae wòle.
Ne womeɖu nɔnɔme sia dzi o la, ate ŋu agblẽ nu le wò ƒuwo, lãmekawo, kple ayikuwo ŋu. Le nɔnɔme sesẽwo me la, dzidziƒoame kple ku gɔ̃ hã ate ŋu adzɔ. Nɔnɔme aɖe abe DKA ene ate ŋu ana ame nayi alɔ̃ me hã.
Eyata ele vevie ŋutɔ be nàdi atike kaba ale si nàte ŋui . Atike siwo woŋlɔna na ame zi geɖe dometɔ aɖewoe nye:
- Aɖiɖeɖeɖa: Ne atike alo aha sesẽ ƒe aɖi gbɔe nɔnɔme sia tso la, wowɔa atike be woaɖe aɖia ɖa le ŋutilãa me. Ne èsusu be aɖi aɖe le ame ŋu la, ƒo ka na Dukɔa ƒe Aɖi Ŋuti Nyatakaka Dɔwɔƒe si le Colombo Dukɔa ƒe Kɔdzi enumake hena aɖaŋuɖoɖo.
- Insulin: Wona insulin na DKA si suklidɔ hena vɛ.
- Tsi siwo wodona ɖe ʋuka me (IV fluids): Wotoa ʋuka aɖe si le wò alɔnu dzi naa tsiwo abe saline ene.
- Sodium bicarbonate: Le go aɖewo me la, wodoa atike sia to ʋuka aɖe me be wòana ʋua ƒe alkali nadzi ɖe edzi.
Anɔ eme be ahiã be woaxɔ wò ɖe kɔdzi.
Aleke nàwɔ akpɔ ɖokuiwò ta tso nɔnɔme sia me? (Mɔxexe ɖe enu) .
Togbɔ be womate ŋu axe mɔ ɖe metabolic acidosis nu ɣesiaɣi o hã la, nanewo li nàte ŋu awɔ atsɔ aɖe wò afɔkua dzi akpɔtɔ.
- No tsi kple tsi siwo me aha mele o geɖe. Ne wò aɖuɖɔ me kɔ alo le ɣie vie la, efia be èle tsi si sɔ xɔm.
- Ðe ahanono dzi kpɔtɔ. Aha ate ŋu ana acid naƒo ƒu ɖe ŋutilãa me eye wòana tsi nagbɔdzɔ.
- Ne suklidɔ le ŋuwò la, ke ɖu edzi nyuie. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.
- Ne èle atike nom la, wɔ ɖe mɔfiame siwo wò ɖɔkta na wò alo esiwo le atikeawo me dzi pɛpɛpɛ.
Gbedasi si Wotsɔ Yi Aƒeme
- Metabolic acidosis nye tɔtɔ le acid-base ƒe dadasɔ si le wò ʋu me ŋu. Mègabu esia nu tsɛe o.
- Ne dzesiwo abe gbɔgbɔ kabakaba, tɔtɔ, kple ɖeɖiteameŋu si gbɔ eme ene le ŋuwò la, ate ŋu anye kuxi sesẽ aɖe ƒe dzesi le ŋutilãa me.
- Wodaa esia to nusi gbɔ wòtso (abe suklidɔ, ayikudɔ, aɖi) dada me.
- Ne ɖikeke alo dzesi aɖewo le ŋuwò la, mègasusui gbeɖe o. Kpɔ wò ɖɔkta enumake hena aɖaŋuɖoɖo kple atikewɔwɔ nyuitɔ.
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