Ke hoʻomanaʻo nei ʻoe i kēlā manaʻo ʻē āu e loaʻa ai ma hope o kahi hoʻoikaika kino paʻakikī, a i ʻole ma hope o ke ala ʻana me ka manaʻo ʻino? ʻO kēlā manaʻo o ka mae ʻana o kou mau lālā, nā ʻiʻo ʻeha. ʻO kekahi kumu no kēia he hōʻiliʻili manawa pōkole o kahi mea i kapa ʻia ʻo "lactic acid" i loko o kou kino. ʻO ka maʻamau, nalowale kēia ma hope o kekahi manawa. Akā i kekahi manawa ʻaʻole. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā.
He aha maoli ka Lactic Acid?
I ka ʻōlelo maʻalahi, ʻo ka waikawa lactic kahi kemika i hana ʻia e nā ʻāpana o ko mākou kino, ʻoiai nā ʻāpana ʻiʻo a me nā ʻāpana koko ʻulaʻula. Hana ʻia ia i ka wā e hoʻololi ai ko mākou kino i ka meaʻai a mākou e ʻai ai i ikehu. Hoʻolalelale nui ʻia kēia kaʻina hana ke ʻole lawa ka oxygen i ke kino. E noʻonoʻo e pili ana iā ia, ke holo wikiwiki ʻoe a hāpai paha i nā mea kaumaha, pono koke kou kino i ka nui o ka ikehu. I kēlā manawa, ʻaʻole lawa ka oxygen wale nō e hanu ai. I kēlā mau manawa, hoʻohana ko mākou kino i kahi ʻano hana ʻē aʻe e hana i ka ikehu. Hana ʻia
ka waikawa lactic ma ke ʻano he hopena o kēia. ʻO ka maʻamau, ʻaʻohe pilikia. Ke pau ʻoe i ka hoʻoikaika kino, a i ʻole ke ola hou ʻoe mai kahi maʻi, hana pū ko mākou
ake a me nā puʻupaʻa e wehe i kēia waikawa lactic keu a hoʻololi iā ia i
glucose hiki ke hoʻohana hou ʻia i ikehu. He hana maʻamau ia i ke kino.
Akā inā no kekahi kumu e hōʻiliʻili ai kēia waikawa lactic ma kahi o ka hoʻohemo ʻia ʻana mai ke kino, hiki ke lilo i kūlana weliweli.
He kūlana weliweli i kapa ʻia ʻo lactic acidosis
Ke piʻi
nui ka pae o ka waikawa lactic i loko o ko kākou koko, loli ka acidity (pH) o ke koko. ʻO kēia ka mea a mākou e kapa nei
he lactic acidosis i ka lāʻau lapaʻau. Inā ʻaʻole mālama koke ʻia kēia, hiki iā ia ke alakaʻi i ka hāʻule ʻana o ka puʻuwai, ka hāʻule ʻana o nā ʻōpū, ka ʻike ʻole, a me ka make. Aia kekahi mau hōʻailona maʻamau e ʻike ʻia ma kēia ʻano.
ʻO nā hōʻailona nui o ka lactic acidosis ka ʻike ʻole (coma) i nā hihia koʻikoʻi.
| Nāwaliwali loa o nā ʻiʻo | Hoʻonui ʻia ka hanu ʻana |
| Ka luaʻi ʻana | Ka hou nui ʻana |
I ka manawa hea e kākau ai ke kauka i kēia hoʻokolohua?
Inā loaʻa iā ʻoe kekahi mau hōʻailona e hōʻike ana he kiʻekiʻe kou mau pae lactic acid, hiki i kāu kauka ke ʻōlelo i kēia hoʻāʻo koko. ʻO kēia nā hōʻailona e hōʻike ana i ia pilikia.
| Hōʻailona | Wehewehena |
|---|
| Luhi nui | Manaʻo palupalu loa ʻaʻole hiki iā ʻoe ke hana i kekahi mea. |
| Ka luaʻi a me ka luaʻi | Ka luaʻi a me ka luaʻi me ka ʻeha o ka ʻōpū. |
| Ka wikiwiki o ka puʻuwai a me ka hanu ʻana | Ke manaʻo nei e like me ka wikiwiki o kou puʻuwai a ua piʻi aʻe kou hanu ʻana. |
| Melemele o ka ʻili | Melemele o ka ʻili a me nā maka (e like me ke kuni melemele). |
| Nā hiʻohiʻona ʻē aʻe | ʻŪmiʻi nā ʻiʻo, nāwaliwali, huikau , paʻakikī ke hele wāwae |
Inā loaʻa iā ʻoe kēia mau hōʻailona, pono ʻoe
e ʻike koke i ke kauka . Na ia e hoʻoholo inā pono ʻoe i kēia hoʻāʻo a i ʻole.
He aha kā mākou e aʻo ai mai ka hōʻike hoʻāʻo?
He hoʻāʻo koko maʻalahi loa kēia. Lawe ʻia kahi hāpana koko liʻiliʻi mai kou aʻa koko, a i kekahi manawa mai kahi aʻa. I ka manawa kākaʻikahi, hiki ke hana ʻia kahi spinal tap e nānā i ka wai cerebrospinal.
Pae Maʻamau
Inā maʻamau ka pae lactic acid o kou koko (ʻoi aku ma mua o 2 mmol/L), ʻo ia hoʻi, ʻaʻohe ou lactic acidosis. ʻO ke ʻano kēia, ke loaʻa nei i kāu mau cell ka lawa o ka oxygen, a ke hana pono nei kou ake a me kou mau puʻupaʻa. Hiki ke hana ʻia kāu mau hōʻailona e kekahi mea ʻē aʻe. E kauoha kāu kauka i nā hoʻokolohua ʻē aʻe e nānā i kēlā.
Pae Kiʻekiʻe
Inā kiʻekiʻe aʻe kou pae lactic acid ma mua o ka maʻamau (ʻoi aku ma mua o 2 mmol/L), nui paha nā kumu no ia.
- Ua manaʻo ʻia he kiʻekiʻe iki ka pae ma waena o 2-4 mmol/L (hyperlactemia).
- ʻOi aku ka paʻakikī o ka pae ma luna o 4 mmol/L .
Eia kekahi o nā kumu nui no ka piʻi ʻana o ka nui o ka lactic acid:
- Nā pilikia e pili ana i ka metabolism:
- Maʻi akepaʻa
- Maʻi puʻupaʻa
- Ka maʻi diabetes i kāohi ʻole ʻia
- Ka maʻi ʻaʻai koko (Leukemia)
- Ka maʻi hoʻohana ʻona
- Nā kūlana e like me ka maʻi HIV a i ʻole AIDS
- Ka nele o ka wikamina B1
He aha ka mea e hana ai inā kiʻekiʻe ka nui o ka lactic acid?
ʻO kēia ka mea nui loa. Inā
hōʻike kāu hōʻike ua kiʻekiʻe kou pae lactic acid, mai hopohopo. E ʻike pono kāu kauka i ke kumu.
ʻO ka mea nui, ʻaʻole ʻoe e mālama wale i ka pae waikawa lactic. Mālama ʻoe i ke kūlana kumu i hoʻokumu ai i ke kiʻekiʻe.
Eia kekahi laʻana, inā he maʻi koʻikoʻi ke kumu, e hāʻawi ʻia nā antibiotics. Inā he maʻi diabetes ke kumu, e hoʻomaka ʻia ka lāʻau lapaʻau e kāohi iā ia. Ke mālama ʻia ke kumu kumu, e hoʻi koke ka pae lactic acid i ka maʻamau. Eia kekahi, ma muli o ke kūlana o ka mea maʻi, hāʻawi ʻia nā lāʻau lapaʻau kākoʻo e like me ka intravenous saline (IV fluids) a me ka oxygen. Inā ua hoʻokumu ʻia ke kūlana e kahi lāʻau lapaʻau, hiki i ke kauka ke hoʻoholo e hoʻololi i kēlā lāʻau lapaʻau.
Leka Lawe-Home
- He mea maʻamau ka waikawa lactic e hōʻiliʻili i loko o ke kino i ka wā hoʻoikaika kino, akā inā kiʻekiʻe loa kona pae (lactic acidosis), he maʻi koʻikoʻi ia.
- Inā ʻike ʻoe i nā hōʻailona e like me ka luhi nui, ka hanu wikiwiki, ka luaʻi ʻana, a i ʻole ka ʻūlū ʻana o nā ʻiʻo, e ʻimi i ke kōkua lapaʻau.
- ʻO ka hoʻāʻo koko lactic acid kahi hoʻāʻo koko maʻalahi i hoʻohana ʻia e ʻike ai i kēia maʻi.
- Inā kiʻekiʻe kou pae lactic acid, ʻo ka mea nui e ʻimi i ke kumu a mālama i ke kūlana kumu.
- Mai hele i ka lāʻau lapaʻau nou iho. E hahai mau i nā ʻōlelo a kāu kauka .
Lactic Acidosis, Lactic Acidosis, hoʻāʻo koko, hoʻāʻo koko, nā hōʻailona, luhi, hoʻoikaika kino
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