Ua nui loa anei ka waikawa o kou kino? E aʻo kākou e pili ana i ka metabolic acidosis!

Ua luhi paha ʻoe, pōloli, a poniuniu paha? A i ʻole ua piʻi iki paha kou hanu ʻana, a ke kuʻi nei paha kou umauma? Hiki ke hana ʻia kēia mau mea i kekahi manawa e nā loli liʻiliʻi i ke kaulike i loko o kou kino. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e pono ai ka nānā iki ʻana, akā inā ʻike ʻoe, hiki ke kōkua ʻia e kaohi. Ua kapa ʻia kēlā he metabolic acidosis . He mea weliweli paha ke kani ʻana o ka inoa, akā e kamaʻilio maʻalahi kākou e pili ana.

He aha ka Metabolic Acidosis? I ka pōkole...

I ka ʻōlelo maʻalahi, ʻo ka metabolic acidosis ka wā e lilo ai nā wai i loko o kou kino, ʻoi aku hoʻi kou koko, i mea ʻakika loa a waikawa paha . E noʻonoʻo i ko kākou kino e like me nā mīkini palupalu. Pono nā mea āpau i loko o lākou, ʻoi aku hoʻi nā kemika, i ke kaulike kūpono. Ke hana ʻole ia, hoʻomaka nā pilikia e kū mai.

Loaʻa i ko kākou kino kahi kemika i kapa ʻia ʻo bicarbonate . ʻO kēia ke kumu nui e kaohi ai, a hoʻopau paha, i ka acidity o ke kino. No laila, ʻelua mau ala nui e hiki ai i ka metabolic acidosis ke hana.

1. ʻOi aku ka nui o ka waikawa i loko o ke kino ma mua o ka mea e pono ai a ʻoi aku ma mua o ka nui o ka bicarbonate (ua kapa ʻia kēia ʻo 'High Anion Gap Metabolic Acidosis' ).

2. A i ʻole, nui ka bicarbonate e hoʻokuʻu ʻia mai ke kino ma o nā puʻupaʻa a i ʻole ma nā ʻano ʻē aʻe (ua kapa ʻia kēia ʻo 'Normal Anion Gap Metabolic Acidosis') .

Eia naʻe, ʻo ka hopena hope loa, ʻoi aku ka waikawa o ke kino. Ua lohe paha ʻoe i nā kauka e kamaʻilio ana e pili ana i kahi mea i kapa ʻia ʻo 'Anion Gap' . ʻO kēia wale nō ka ʻokoʻa ma waena o nā ʻāpana i hoʻopiʻi maikaʻi ʻia a me nā ʻāpana i hoʻopiʻi maikaʻi ʻole ʻia (electrolytes) i loko o ko kākou koko. Hiki i kēia i nā kauka ke loaʻa kahi manaʻo o ke kaulike acid-base.

ʻO wai ka mea e pilikia nui ʻia e kēia kūlana? Pono anei kākou a pau e makaʻala?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kahi maʻi i kapa ʻia ʻo metabolic acidosis. Eia nō naʻe, kiʻekiʻe loa kēia pilikia no ka poʻe i hana pono ʻole nā ​​​​puʻupaʻa (Kidney Failure / Renal Failure) a i ʻole ka poʻe i loaʻa i ka maʻi puʻupaʻa mau . ʻO kēia no ka mea he kuleana nui ko kā mākou mau puʻupaʻa i ka mālama ʻana i ke kino i ke kaulike ma ka wehe ʻana i ka waikawa keu i hana ʻia i loko o ko mākou kino ma o ka mimi. No laila, i ka wā e nāwaliwali ai nā puʻupaʻa, ʻaʻole hana pono kēia hana.

He aha ka mea e hana ʻia i loko o ke kino ke piʻi aʻe kēia ʻakika? ʻO ka moʻolelo e pili ana i ko kākou waiwai pH

I mea e hana pono ai nā ʻōnaehana a pau o ko kākou kino, pono ko kākou koko i loko o kahi pae i kapa ʻia ʻo ke kaulike pH . ʻO kēia pH ke ana o ka nui o ka waikawa a me ka alkali i loko o ko kākou koko. He unahi ia mai ka 0 a i ka 14. He waikawa loa ka 0, a he alkali loa ka 14. ʻO ka pH o ke koko o ke kanaka olakino ma waena o 7.35 a me 7.45.ʻO ia ka mea e pono ai. He kaulike akahele loa kēia.

ʻO ko kākou mau puʻupaʻa a me nā māmā nā ʻōkana nui e kōkua i ka mālama ʻana i kēia kaulike. Hoʻokuʻu nā puʻupaʻa i nā waikawa a me nā kumu keu i loko o ka mimi. Hoʻomalu nā māmā i ka nui o ke kalapona ʻokikene i loko o ke koko ke hanu mākou. Hoʻopilikia pū ke kalapona ʻokikene i ka pae waikawa i loko o ke kino.

No laila, i ka metabolic acidosis, ʻo nā kaʻina hana metabolic i loko o ke kino e hana i ka nui o ka waikawa, a i ʻole ʻaʻole hiki i nā puʻupaʻa ke hoʻokuʻu pono i kēia waikawa. A laila hāʻule ka pH a mākou i ʻōlelo ai ma lalo o 7.35, ʻo ia hoʻi ke lilo ke koko i ʻoi aku ka waikawa.

He aha nā hōʻailona o kēia? He mea nui loa ia e makaʻala i kēia mau mea!

ʻO ka mea kupanaha, i kekahi manawa ʻaʻole paha e hōʻike ka poʻe me ka metabolic acidosis i kekahi mau hōʻailona kikoʻī i ka wā mua . Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e ʻike ʻia i ka wā e holomua ai ke kūlana. He mea nui iā ʻoe a me kou ʻohana e makaʻala i kēia mau mea:

• He puʻuwai wikiwiki koke (tachycardia). Hiki ke manaʻo e like me ke kuʻi ʻana o kou umauma, a i ʻole e like me ʻoe e hopohopo nei.
• Manaʻo puni a poʻo paha. I kekahi manawa hiki ke hana ʻia ʻoiai ke kū nei.
• Ke manaʻo nei i ka luhi loa, ke manaʻo mau nei i ka luhi, a me ka luhi me ka nānā ʻole i ka nui o kāu hiamoe ʻana.
• Anorexia, me ka hoʻopailua i ka ʻike ʻana i ka meaʻai.
• ʻEha poʻo mau.
• ʻOi aku ka wikiwiki o ka hanu ʻana, a i ʻole e lōʻihi a hohonu ka hanu ʻana. ʻO kēia ke kino e hoʻāʻo nei e hōʻemi i ka waikawa ma ka hoʻokuʻu ʻana i ka nui o ke kalapona ʻokikene (kahi ʻano waikawa).
• Ka luaʻi a me ka luaʻi.
• Manaʻo o ka nāwaliwali a me ka nāwaliwali laulā.
• He ʻala ʻono a huaʻai i ka hanu. He hōʻailona kēia o ka ketoacidosis diabetic.

He mea nui loa: Inā lilo kēia ʻano i mea koʻikoʻi loa, ʻo ia hoʻi, inā piʻi nui ka pae waikawa i loko o ke kino, hiki ke loaʻa nā pilikia koʻikoʻi e like me ka hāʻule ʻana o nā puʻupaʻa, ka hōʻino ʻana i nā ʻōpū ʻē aʻe, ka nalowale o ka ʻike, a me ka make . No laila, inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea naʻauao ke ʻimi koke i ka ʻōlelo aʻo lapaʻau.

No ke aha e hana ʻia ai kēia? He aha nā kumu nui o ka metabolic acidosis?

ʻEhā mau ʻano kumu nui e hiki ai ke alakaʻi i ka metabolic acidosis. E nānā kākou i ko lākou ʻano:

1. ʻO ka acidosis pili i ka maʻi diabetes / Diabetic Ketoacidosis (DKA):Ua lohe ka poʻe he nui i kēia. Hiki ke ulu i loko o ka poʻe me ka maʻi diabetes i kāohi pono ʻole ʻia, ʻoiai ka poʻe me ka maʻi diabetes Type 1. Ke nele nā ​​​​​​pūnaewele o ke kino i ka insulin e pono ai lākou e hana i ka ikehu, a i ʻole ke hana pono ʻole ka insulin i loaʻa iā lākou, ʻaʻole hiki i nā pūnaewele ke lawe i ka glucose mai ke koko. A laila hoʻomaka ke kino e puhi i ka momona no ka ikehu. Ma ke ʻano he hopena o kēia kaʻina hana, hōʻiliʻili kahi ʻano waikawa i kapa ʻia ʻo 'ketone bodies' i loko o ke kino. He kūlana weliweli loa kēia e pono ai ka mālama koke ʻana.

2. Hyperchloremic acidosis: Hana ʻia kēia e ke kino e nalowale ana i ka nui o ka mineral waiwai nui ʻo sodium bicarbonate. E noʻonoʻo, loaʻa iā ʻoe ka maʻi diarrhea koʻikoʻi no kekahi mau lā , a hiki i kahi e nalowale ai ka wai. I kēlā manawa, hiki ke hoʻokuʻu ʻia ka nui o ka bicarbonate mai nā ʻōpū. Hiki nō hoʻi kēia ke hana inā ʻoe e hoʻohana nui i kekahi mau laxatives ( laxatives ), me ka ʻole o ke kūkākūkā ʻana me ke kauka.

3. Lactic acidosis: Hiki mai kēia ʻano ke loaʻa i ko mākou kino ka nui o kahi ʻano waikawa i kapa ʻia ʻo lactic acid. E noʻonoʻo e pili ana i ia mea, ke hoʻoikaika kino mākou, a i ʻole ke loaʻa ʻole i ko mākou mau cell kino ka oxygen lawa (e.g., ka hōʻeha puʻuwai, kahi maʻi koʻikoʻi), hana ʻia ka waikawa lactic ma ke ʻano he huahana o ka hana ʻana i ka ikehu. ʻO ka maʻamau, ke kāohi nei ke kino i kēia. Akā i kekahi manawa, no ka laʻana, i loko o kekahi me ka hāʻule ʻana o ke akepaʻa , a i ʻole ke hāʻule koke ke kō koko (Hypoglycemia a i ʻole ke kō koko haʻahaʻa) , a inā hoʻohana nui kekahi poʻe i ka waiʻona (Alcohol use disorder) , i kekahi mau maʻi kanesa , a inā hoʻoikaika kino mākou (Intense exercise) , hiki ke piʻi ka nui o ka waikawa lactic a ʻaʻole hiki i ke kino ke lawelawe.

4. Renal Tubular Acidosis (RTA): Hana ʻia kēia i ka wā ʻaʻole hiki i nā ʻōmole liʻiliʻi (tubules) i loko o nā puʻupaʻa ke hoʻokuʻu i ka waikawa lawa me ka mimi. A i ʻole, ʻaʻole i hoʻopili pono ʻia ka bicarbonate. ʻO ka hopena, piʻi mālie ka waikawa o ke koko.

ʻO nā kumu ʻelua maʻamau ka maʻi pākī hiki ʻole ke mālama ʻia a me ka hāʻule ʻana o nā puʻupaʻa.

He maʻi lele anei kēia? E hoʻolaha anei au i nā poʻe ʻē aʻe?

ʻAʻole, ʻaʻole loa. ʻAʻole he maʻi lele ka metabolic acidosis. ʻAʻole hiki iā ʻoe ke hoʻolaha iā ia i kekahi kanaka no ka mea ua loaʻa iā ʻoe. He pilikia ia me ke kaulike kemika o loko o ke kino.

Pehea e ʻike ai nā kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ​​e nīnau e pili ana i kou mau kūlana olakino i hala, a laila e nānā iā ʻoe. A laila e kauoha ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ke kūlana a loaʻa ke kumu.

I kekahi manawa e kuhikuhi ʻia paha ʻoe i kahi nephrologist , ʻoiai inā manaʻo ʻia he pilikia kou i ka puʻupaʻa.

He aha kāu e hana ai me kēia mau hoʻokolohua?

Hiki ke ʻokoʻa nā hoʻokolohua ma muli o kāu mau hōʻailona a me ka manaʻo o kāu kauka no ke kumu. ʻO nā hoʻokolohua maʻamau:

• Nā hoʻāʻo koko: He mea nui loa kēia.
• Hoʻāʻo Anion Gap: Lawe ʻia kahi hāpana koko liʻiliʻi mai kahi aa koko i loko o kou lima a ana ʻia ka ʻokoʻa ma waena o nā kemika i hoʻopiʻi ʻia maikaʻi a maikaʻi ʻole i kapa ʻia ʻo electrolytes. Inā ʻoi aku ka nui o kēia āpau ma mua o ka maʻamau, hiki iā ia ke hōʻailona ikaika he metabolic acidosis kou.
• Hoʻāʻo Kinoea Koko Arterial (ABG): He hoʻāʻo ʻokoʻa iki kēia. Pili kēia i ka lawe ʻana i kahi koko liʻiliʻi mai kahi aʻa i loko o kou pulima, kuʻekuʻe lima, a i ʻole ka ʻūhā (ʻoi aku ka liʻiliʻi ma mua o kahi aʻa). Ana kēia i ka pae oxygen, ka pae kalapona dioxide, a ʻo ka mea nui loa, ka pH o kou koko. ʻO ka pH ma lalo o 7.35, ʻo ia hoʻi, ua ʻakika loa kou koko a i ʻole he kumu nui loa.
• Nā hoʻāʻo koko ʻē aʻe: Hiki ke nānā ʻia nā pae kō koko, nā hoʻāʻo hana o nā puʻupaʻa (e like me Serum Creatinine, BUN), a me nā pae electrolyte (Electrolytes e like me Sodium, Potassium, Chloride).

• Nā hoʻāʻo mimi:

Ke mimi ʻoe i loko o kahi ʻōmole kūikawā, nānā ʻia ka pH. Hiki i kēia ke haʻi iā ʻoe i nā mea e like me ka ʻakika loa o kou mimi, ʻaʻole paha he kumu, a i ʻole he ketones.

Pehea e mālama ʻia ai kēia? (Lāʻau lapaʻau)

Ke hoʻoholo kāu kauka i ke kumu kikoʻī o kou metabolic acidosis, e hāʻawi ʻo ia iā ʻoe i kahi hoʻolālā lapaʻau e kūpono iā ʻoe. Aia ka lāʻau lapaʻau i ke kumu.

• ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ke kumu . No ka laʻana, i ka ketoacidosis diabetic, hoʻomalu ʻia ke kō koko ma ka hāʻawi ʻana i ka insulin a me nā wai IV.
• Hiki ke hāʻawi ʻia i ka poʻe me ka maʻi puʻupaʻa ka sodium bicarbonate ma ke ʻano o nā papa a i ʻole ka sodium citrate ma ke ʻano o kahi hopena e hōʻemi ai i ka acidity o ke kino.
• Inā ua nalowale ka nui o ka wai mai ke kino (e like me ke ʻano o ka maʻi pākī), he mea nui e hāʻawi i ka saline (nā wai IV) ma o kahi aʻa koko.
• I kekahi mau hihia koʻikoʻi, hāʻawi ʻia ka sodium bicarbonate ma o kahi aʻa koko (IV Sodium Bicarbonate) e hoʻoponopono koke i ka ʻakika o ke koko.
• Inā ua komo kahi mea ʻawahia i loko o ke kino (e.g., mai ka lawe ʻana i ka aspirin nui loa a i ʻole ka ʻai ʻana i kahi kemika e like me ka methanol), pono paha ka mālama kūikawā (e.g., dialysis) e wehe i ka mea ʻawahia mai ke koko.

He hopena anei ka meaʻai a me ka mea inu i kēia? He aha kaʻu e ʻai ai a he aha kaʻu e ʻai iki ai?

ʻAe, ʻoiaʻiʻo nō. Hoʻonui kekahi o nā meaʻai a me nā mea inu a mākou e ʻai ai i ka acidity o ke kino, aʻo kekahi e hoʻonui i ka alkalinity a kōkua i ka hoʻēmi ʻana i ka acidity. Eia nō naʻe, he mea nui loa kēia: Ma mua o ka hana ʻana i kekahi mau hoʻololi nui i kāu papaʻai, pono ʻoe e kamaʻilio me kāu kauka a i ʻole kekahi meaʻai meaʻai. He mea nui loa kēia ʻōlelo aʻoaʻo inā loaʻa iā ʻoe ka maʻi puʻupaʻa.

Nā meaʻai hana waikawa:

• Nā ʻiʻo (ʻoi aku ka ʻiʻo ʻulaʻula, moa, iʻa).
• Nā hua manu.
• Kīhi a me nā huahana waiū ʻē aʻe (kekahi).
• Nā hua i hana ʻia.
• ʻAila.

ʻO nā meaʻai alkaline e hoʻonui ai i ka alkalinity o ke kino, ʻo ia hoʻi, kōkua i ka hoʻemi ʻana i ka acidity:

• Nui nā ʻano hua (ʻoi aku hoʻi nā hua citrus).
• Nā nati a me nā pata nati.
• Nā Legumes (e.g. lentils, chickpeas, green beans, soy).
• He nui nā mea kanu (ʻoi aku hoʻi nā mea kanu ʻōmaʻomaʻo).
• Kamaʻilio kekahi poʻe e pili ana i ka wai alkaline , akā aia nā manaʻo like ʻole e pili ana i ke kumu ʻepekema no kēia, no laila ʻoi aku ka maikaʻi o ke nīnau ʻana i ke kauka.

He aha nā lāʻau lapaʻau ʻē aʻe i hoʻohana ʻia no kēia?

I kekahi manawa, hiki i nā lāʻau lapaʻau ma luna o ke kauka (OTC) e like me Sodium Citrate a i ʻole Sodium Bicarbonate ke kōkua i ke kaulike ʻana i ka waikawa i loko o ke kino. Eia nō naʻe, mai hoʻohana i kekahi o kēia mau lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka, no ka mea hiki iā lākou ke hana i nā pilikia ʻē aʻe.

I kekahi mau hihia koʻikoʻi, ke hana pono ʻole ka puʻuwai a ʻaʻole lawa ka oxygen i ke kino, hiki i nā kauka ke kuhikuhi i nā lāʻau lapaʻau i kapa ʻia ʻo inotropes . Hoʻoikaika kēia i ka puʻuwai e kuʻi ikaika. Kōkua kēia i ke kino e loaʻa ka oxygen hou aʻe a kōkua i ka hoʻēmi ʻana i ka waikawa o ke koko. Hāʻawi pinepine ʻia kēia mau lāʻau lapaʻau ma o kahi vein (IV) ma kahi haukapila.

Aia kekahi mea e hiki ai iā mākou ke hana e hōʻemi i ka hoʻomohala ʻana o ka metabolic acidosis?

ʻOiai ʻaʻole hiki ke pale loa i kēia kūlana, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia:

• E inu ana i ka wai kūpono a me nā wai olakino ʻē aʻe i ka lā a pau.
• Inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui e kaohi i kou pae kō koko e like me ke kauoha a kāu kauka. Hoʻokomo pū kēia i ka lāʻau lapaʻau, ka ʻai, a me ka hoʻoikaika kino.
• Inā ʻoe e inu i ka waiʻona, e kaupalena i ka nui āu e inu ai a i ʻole e hoʻōki loa i ka inu ʻana. ʻO ka palena olakino ʻaʻole i ʻoi aku ma mua o ʻelua mau mea inu maʻamau i ka lā no nā kāne a ʻaʻole i ʻoi aku ma mua o hoʻokahi mea inu maʻamau i ka lā no nā wahine.
• Ka ʻai ʻana i ka meaʻai kaulike.

He aha ka mea e hiki mai ana me kēia kūlana? He mea anei ia e makaʻu ai? (Outlook)

Inā loaʻa iā ʻoe ka metabolic acidosis, pili ka wā e hiki mai ana i ke koʻikoʻi o ke kūlana, ke kumu o ia mea, a me ka wikiwiki a me ke kūpono o ka loaʻa ʻana o ka lāʻau lapaʻau.

• I ka hapanui o nā hihia, hiki ke hoʻohuli ʻia kēia ʻano me ka ʻike pono ʻana a me ka mālama ʻana.
• I nā hihia ʻoluʻolu , hiki ke lilo nā hōʻailona i manawa pōkole a ʻaʻole pono e mālama kūikawā inā hoʻoholo ke kumu ma kāna iho.
• Akā, e like me kaʻu i ʻōlelo ai ma mua, i nā hihia koʻikoʻi, inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i ka hāʻule ʻana o nā puʻupaʻa a i ʻole nā ​​​​​​ʻōkana ʻē aʻe, a me ka make. ʻO ia ke kumu ʻaʻole kēia he mea e lawe māmā ʻia.

Pehea e hiki ai iaʻu ke mālama iaʻu iho? He aha kekahi mau mea hiki iaʻu ke hana iaʻu iho? (Mālama ponoʻī)

E hana kāu kauka i kahi hoʻolālā lapaʻau kūpono iā ʻoe. E komo pū ana me nā lāʻau lapaʻau a me nā hoʻololi ʻana i ke ʻano o ka nohona. ʻO ka hahai ʻana i kēia mau ʻanuʻu e kōkua i ka wikiwiki o kou hoʻōla ʻana a pale i ka hoʻi hou ʻana o ke kūlana:

• E nānā pinepine i kou pae kō koko (inā he maʻi diabetes kou). E hana i ka nānā ʻana i ka glucose koko ma ka home e like me ke kuhikuhi a kāu kauka.
• E lawe pono i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka, i ka manawa kūpono, a ma ke ana kūpono. Mai poina i hoʻokahi ana.
• Inā ʻōlelo aʻo kāu kauka a meaʻai meaʻai paha iā ʻoe, e hoʻāʻo e ʻai i nā meaʻai i emi ka waikawa a ʻoi aku ka alkaline.
• E hōʻemi a hoʻōki loa paha i ka inu ʻana i ka waiʻona.
• E mālama i kāu mau manawa kauka i ka manawa kūpono. Ma kēlā ala, hiki iā ʻoe ke ʻike i kou ʻano a hana i nā hoʻololi e pono ai.

Āhea wau e ʻike ai i ke kauka? He pilikia paha ia?

Inā loaʻa iā ʻoe nā hōʻailona o ka metabolic acidosis (e like me ka luhi a mākou i kūkākūkā ai ma mua, nā loli i ka hanu ʻana, ka nausea), a inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi o kekahi maʻi ʻē aʻe e hiki ke hoʻoulu i kēia maʻi (e like me ka maʻi diabetes i kāohi ʻole ʻia, ka maʻi diarrhea koʻikoʻi, nā hōʻailona o ka maʻi puʻupaʻa), e ʻimi koke i ke kōkua lapaʻau. Mai hoʻokaʻulua.

He aha ka ʻokoʻa ma waena o ka Metabolic Acidosis a me ka Respiratory Acidosis?

ʻOiai ʻo kēia mau mea ʻelua he mau kūlana e piʻi ai ka ʻakika o ke kino, ʻokoʻa ke ʻano o ko lākou hana ʻana a me nā ʻōnaehana okana i hoʻopilikia nui ʻia.

ʻO ka metabolic acidosis kahi kūlana e hoʻopilikia nui ai i ka metabolism o ke kino a me ka ʻōnaehana mimi, ʻoi aku hoʻi nā puʻupaʻa . Hana ʻia ia i ka wā e hana nui ʻia ai ka waikawa i loko o ke kino, a i ʻole ʻaʻole hiki i nā puʻupaʻa ke kānana pono i ka waikawa mai ke koko, a i ʻole e nalowale ke kino i ka bicarbonate.

ʻO ka acidosis hanu kahi kūlana e hoʻopilikia nui ai i ka ʻōnaehana hanu, a i ʻole nā ​​māmā . ʻO kēia ka wā hiki ʻole i nā māmā ke wehe koke i ke kalapona ʻokikene (CO2) mai ke koko. Hoʻohui ʻia ʻo CO2 me ka wai e hana i kahi waikawa. Ke lilo nā kūlana e like me ka hānō i mea koʻikoʻi, nā maʻi māmā (e like me COPD), ka hōʻino ʻana o ka lolo e hoʻopilikia ai i ka hanu ʻana, a i ʻole ka hoʻohana nui ʻana i kekahi mau lāʻau lapaʻau a i ʻole nā ​​​​lāʻau hiamoe hiki ke hoʻopilikia i ka hana o ka māmā, e hōʻiliʻili ai ka CO2 a hoʻonui i ka acidity.

I ka ʻōlelo maʻalahi, ʻo ka metabolic ka pilikia me nā kaʻina hana kemika i loko o ke kino a me nā puʻupaʻa. ʻO ka hanu ka pilikia me ke kaʻina hana hanu a me nā māmā.

ʻO ka mea hope loa, nā mea nui e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)

ʻO ka metabolic acidosis kahi kūlana e pono ai ʻoe e hopohopo maoli, no ka mea, hoʻopilikia ia i ke kaulike kumu o ke kino. I kekahi manawa hiki iā ʻoe ke hoʻāʻo e hoʻowahāwahā i nā hōʻailona a hoʻohālike, "E maikaʻi ana." Akā e hoʻomanaʻo, ʻo kou kino ke kamaʻilio nei iā ʻoe a ʻōlelo mai, "He hewa nui kekahi mea i loko, e kōkua mai iaʻu."

Pono ʻoe e makaʻala loa e pili ana i kēia mau hōʻailona, ​​​​ʻoiai inā he mau maʻi lōʻihi kou e like me nā pilikia puʻupaʻa a i ʻole ka maʻi diabetes.

Akā, mai hopohopo. ʻAʻole ʻoe hoʻokahi. Aia nā kauka akamai, nā kahu maʻi, a me nā loea mālama ola kino ʻē aʻe e hiki ke kōkua iā ʻoe a hoʻokuʻu iā ʻoe mai kēia kūlana. Me ka ʻike pololei a me ka mālama koke ʻana, hiki ke hoʻomalu ʻia kēia kūlana i kahi nui a hoʻohuli ʻia. No laila, inā he kānalua kou e pili ana i kēia, mai hilahila a hoʻokaʻulua paha i ka ʻike ʻana i ke kauka, e nīnau i kāu mau nīnau, a e kiʻi i ka ʻōlelo aʻoaʻo a me ka mālama ʻana e pono ai. No ka mea, ʻo kou olakino ka mea waiwai nui loa ma kēia ao!

ʻO ka acidosis metabolic, ke kaulike acid-base, ka waiwai pH, ka maʻi puʻupaʻa, ka maʻi diabetes, ketoacidosis, ka acidosis lactic, nā hōʻailona, ​​​​​​ka lāʻau lapaʻau