Ua hewa anei ke kaulike o ka waikawa-base i loko o kou koko? E kamaʻilio kākou e pili ana i ka alkalosis!

Ke manaʻo nei ʻoe i kekahi manawa ua luhi wale ʻoe, poniuniu, a i ʻole he mau manaʻo ʻūlū ma kou mau lālā? Manaʻo pinepine mākou i kēia mau mea he luhi maʻamau a i ʻole ka inu ʻole ʻana i ka wai lawa, akā i kekahi manawa ʻo ke kumu nui he loli liʻiliʻi i loko o ko mākou koko. I kēia lā, e kamaʻilio mākou e pili ana i kekahi ʻano maʻi, kahi ʻano i kapa ʻia ʻo alkalosis, kahi e hoʻonui ai ka alkalinity o ko mākou koko.

He aha kēia waiwai pH i loko o ko kākou koko?

I ka ʻōlelo maʻalahi, ʻo ka pH ke ana o ke ʻano waikawa a alkaline paha o kahi wai. Ke inu nei paha ʻoe i nā mea ʻawaʻawa i kēlā me kēia lā. ʻO nā mea e like me ke kofe, kekahi mau mea inu palupalu, a me ka wai lemona he ʻawaʻawa lākou a pau. ʻOiai ko kākou lawai he ʻawaʻawa iki.

Akā, ʻo nā mea i alkaline loa he mea ʻino pinepine ia iā kākou. ʻO nā mea e like me ka wai kai a me nā kemika hoʻomaʻemaʻe he alkaline loa ia, a he mea weliweli lākou ke ale ʻia.

He aha nā kumu o ka alkalosis?

ʻElua mau ʻano nui o nā kumu no kēia kūlana. No laila, ua māhele ʻia ka alkalosis i ʻelua ʻano.

1. ʻO ka Alkalosis Metabolic

ʻO ke kumu o kēia, ʻo ia ka wehe ʻana o ka nui o ka waikawa mai ko kākou kino a i ʻole ka hōʻiliʻili ʻana o ka bicarbonate nui loa, kahi kemika kumu i loko o ke koko. ʻO ko kākou mau puʻupaʻa nā ʻōkana nui e kaohi ana i kēia kaulike pH i loko o ke kino.

• Luaʻi nui: E noʻonoʻo i kekahi e luaʻi nui ana. A laila hoʻokuʻu ʻia ka nui o ka waikawa hydrochloric i loko o ko lākou ʻōpū mai ke kino. Hiki i kēia ke hoʻopilikia i ke kaulike waikawa-base o ke koko, e hoʻolilo ana i ke koko i ʻoi aku ka alkaline.
• Nā kūlana olakino ʻē aʻe: ʻO kekahi mau kūlana olakino e like me ka maʻi puʻuwai, ka maʻi akepaʻa, a i ʻole ka maʻi puʻupaʻa hiki ke hana i nā loli i ka pH koko.

2. Alkalosis hanu

ʻO kēia ma muli o ka emi ʻana o ka nui o ke kalapona ʻokikene (CO2) i loko o ko kākou koko. He kinoea ʻo CO2 e kōkua ana i ka mālama ʻana i ka waikawa o ko kākou koko.

• Hyperventilation: ʻO ke kumu nui o kēia, ʻo ia ka hanu wikiwiki a hohonu loa. Hiki ke hana kēia i ka wā e makaʻu ai ke kanaka, hopohopo, a hoʻoikaika nui paha. Hoʻokuʻu kēia i ko mākou kino i ka carbon dioxide hou aʻe a hoʻonui i ka alkalinity o ko mākou koko.
• Nā kumu ʻē aʻe:
• kuni
• Ke noho nei ma nā wahi kiʻekiʻe
• Ua emi nā pae oxygen i loko o ke koko
• Nā maʻi e pili ana i ka māmā
• Nā maʻi ate

He aha nā hōʻailona o kēia maʻi alkalosis?

ʻOiai kahi kaulike ʻole liʻiliʻi i ka pH o kou koko hiki ke hoʻoluhi iā ʻoe, huhū, a maʻi. I kekahi manawa, hiki ke loaʻa kēia ʻano me ka ʻole o nā hōʻailona.

ʻAʻole maʻamau ka maʻi ʻino o ka alkalosis i ke kanaka me nā puʻupaʻa olakino. Eia nō naʻe, inā e ʻeha ana nā ʻiʻo (tetany koʻikoʻi), pono ʻoe e ʻike i ke kauka . Inā loaʻa nā hōʻailona koʻikoʻi, pono ʻoe e hele koke i ka keʻena pilikia o ka haukapila (ETU).

Pehea e ʻike ai ke kauka i kēia?

Ke ʻike ʻoe i ke kauka, ʻo ka hana mua i ka ʻike ʻana i kahi maʻi, ʻo ia ka hoʻokolokolo kino.

1. Ke nīnau ʻana e pili ana i nā hōʻailona: ʻO ka mea mua, e nānā kāu kauka iā ʻoe a nīnau iā ʻoe e pili ana i kāu mau hōʻailona.

2. Lapaʻau ulia pōpilikia: Inā loaʻa iā ʻoe kahi maʻi ulia pōpilikia, e like me ka hanu wikiwiki (hyperventilation), e mālama ʻia ma mua o nā hoʻokolohua ʻē aʻe.

3. Nā hoʻāʻo koko: A laila, e hana ʻia kahi hoʻāʻo koko. Hiki i kēia ke hoʻoholo koke inā he pH kaulike ʻole kou a me ka alkalosis i loko o kou koko. ʻImi nui kēia hoʻāʻo i:

• Nā kinoea koko
• Kaulike waikawa-kumu
• Nā pae electrolyte

4. Nā hoʻāʻo mimi: Inā pono, hiki ke hana i kahi hoʻāʻo mimi e hōʻoia hou aku i ke kumu pololei.

Pehea e mālama ʻia ai ka alkalosis?

Ma hope o ka mālama ʻana i nā hōʻailona nui, e ʻimi ke kauka i ke kumu o ka maʻi a hoʻomaka i ka lāʻau lapaʻau kūpono no ka wā lōʻihi.

• Lapaʻau no ka Metabolic Alkalosis: ʻO ka lāʻau lapaʻau no kēia, ʻo ia ka hāʻawi ʻana i ke kino me ka wai a me nā electrolytes kūpono. Hiki ke hāʻawi ʻia kēia mau mea ma o nā mea inu i loaʻa ka sodium a me ka potassium, a i ʻole ka saline inā pono.
• Lapaʻau no ka Alkalosis Respiratory: ʻO ke kī ma ʻaneʻi, ʻo ia ke hoʻomaʻamaʻa i ka hanu ʻana. Inā ʻoe e hyperventilate ana, hiki i ka mālie a me ka hanu mālie ke kōkua i ka hoʻihoʻi ʻana i nā pae oxygen. I kekahi manawa ua ʻōlelo ʻia hoʻi ka hanu ʻana i loko o kahi ʻeke pepa e kōkua i ka kaohi ʻana i kēia kaʻina hana.

Hiki ke pale ʻia kēia kūlana?

Aia nā ʻano hana pale i ke kumu o kou alkalosis. ʻOi aku kou pilikia inā loaʻa iā ʻoe kekahi mau kūlana, e like me ka maʻi puʻupaʻa. Eia kekahi, hoʻonui ka dehydration i kou pilikia o ka hoʻomohala ʻana i ka metabolic alkalosis.

Inā ʻoe i ka pilikia, e hana kāu kauka i kahi hoʻolālā pale nou.

Eia kekahi laʻana, hiki i kekahi mau lāʻau lapaʻau i kapa ʻia ʻo 'diuretics' a i ʻole 'nā pila wai' a i ʻole kekahi mau lāʻau lapaʻau no ka gastritis (antacids) ke hana i kēia maʻi. Inā he pilikia, hiki i kāu kauka ke hoʻololi i ka lāʻau lapaʻau a hoʻoponopono paha i ka nui. No laila, mai hoʻōki a hoʻomaka paha i kekahi lāʻau lapaʻau ma kāu iho me ka ʻole o ke kūkākūkā ʻana me ke kauka.