Muaj tej yam uas tshwm sim hauv peb lub cev zoo kawg nkaus. Tej zaum koj yuav xav tias peb cov ntshav tsuas yog kua liab xwb. Tab sis qhov tseeb nws nyuaj dua li ntawd. Peb cov ntshav muaj qee qhov acid thiab alkaline uas yuav tsum muaj. Yog tias qhov sib npaug no, uas yog, qhov sib npaug, tsis sib npaug me ntsis, peb tuaj yeem tsim ntau yam kab mob. Ib yam li ntawd, thaum lub hauv paus, uas yog, qhov alkaline (alkaline) ntawm peb cov ntshav siab dhau, peb hu nws ua Metabolic Alkalosis hauv tshuaj.
Hauv lwm lo lus, Metabolic Alkalosis yog dab tsi?
Xav txog nws zoo li lub nplai. Ib sab yog kua qaub, sab tod yog lub hauv paus. Hauv lub cev ntawm tus neeg noj qab haus huv, lub nplai no zoo sib npaug. Peb hu nws ua pH . Qhov sib npaug no tseem ceeb heev rau peb txoj kev noj qab haus huv.
Metabolic alkalosis yog ib qho mob uas sab hauv qab ntawm lub nplai hnyav dhau. Qhov no txhais tau tias cov ntshav alkalinity nce ntau dhau. Qhov no feem ntau yog los ntawm teeb meem hauv peb lub plab zom mov lossis raum. Thaum qhov mob no tsis hnyav heev, nws yuav tsis qhia cov tsos mob. Txawm li cas los xij, yog tias qhov mob hnyav zuj zus, nws tuaj yeem cuam tshuam rau kev ua haujlwm ntawm peb lub raum.
Cov hom mob no tseem ceeb yog dab tsi?
Metabolic alkalosis muaj ob hom loj. Cov ua rau thiab kev kho rau txhua hom yog txawv me ntsis.
| Hom | Ua rau | Kev Kho Mob |
|---|---|---|
| Chloride-responsive alkalosis | Nws yog vim lub cev tso cov kua qaub ntau dhau. Piv txwv li, thaum koj ntuav tas li, cov kua qaub hauv koj lub plab yuav raug tso tawm. Nws kuj tseem tuaj yeem yog vim lub cev qhuav dej heev. | Tus mob no tuaj yeem tswj tau los ntawm kev muab cov kua dej ntsev rau hauv cov hlab ntsha (IV) thiab noj cov khoom noj ntsev. |
| Alkalosis uas tiv taus Chloride | Qhov no feem ntau tshwm sim vim noj tshuaj ntau dhau lossis lwm yam mob uas twb muaj lawm. | Hom no tsis teb rau kev noj ntsev ntau dhau. Hloov chaw, nws yog ib qho tsim nyog noj cov khoom noj uas muaj potassium ntau lossis muab cov kua dej uas muaj potassium. |
Cov tsos mob ntawm Metabolic Alkalosis yog dab tsi?
Tej zaum koj yuav tsis muaj tsos mob li. Txawm li cas los xij, yog tias cov tsos mob tshwm sim, lawv tuaj yeem sib txawv ntawm qhov tsis hnyav mus rau qhov hnyav.
| Cov tsos mob me/me me | Cov tsos mob hnyav |
|---|---|
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Tseem Ceeb: Cov tsos mob hnyav yog ib qho mob uas xav tau kev kho mob sai. Yog tias koj lossis ib tus neeg koj paub muaj cov tsos mob no, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
Vim li cas peb thiaj muaj Metabolic Alkalosis? Cov laj thawj tseem ceeb yog dab tsi?
Muaj ntau yam ua rau qhov teeb meem no tshwm sim. Qhov tseem ceeb tshaj plaws yog tias cov bicarbonate hauv cov ntshav nce ntxiv thiab cov hydrogen txo qis. Cov laj thawj tseem ceeb uas tuaj yeem cuam tshuam qhov sib npaug no yog:
- Poob kua qaub hauv plab: Thaum peb ntuav tas li lossis muaj lub twj tso kua mis hauv plab, cov kua qaub hauv plab ntau heev yuav raug tso tawm ntawm peb lub cev. Qhov no ua rau cov ntshav alkali ntau ntxiv.
- Noj tshuaj antacids ntau dhau: Qhov mob no tuaj yeem tshwm sim yog tias ib tus neeg uas muaj kab mob raum tseem siv cov tshuaj antacids uas muaj sodium bicarbonate.
- Cov tshuaj diuretics (los yog "tshuaj dej"):Thaum koj noj cov tshuaj no ntau dhau uas tau sau tseg kom txo cov dej hauv lub cev, cov kua qaub hauv lub cev kuj raug tso tawm nrog rau cov zis.
- Noj cov tshuaj laxatives: Cov tshuaj no, uas yog siv los kho cem quav, tuaj yeem ua rau o thiab poob cov electrolytes tseem ceeb xws li potassium thiab chloride.
- Lub cev qhuav dej: Thaum tsis muaj dej txaus hauv lub cev, qhov sib npaug ntawm electrolyte tuaj yeem raug cuam tshuam thiab qhov alkalinity ntawm cov ntshav tuaj yeem nce ntxiv.
Lwm yam mob nkeeg
Ntxiv rau cov no, metabolic alkalosis kuj tseem tuaj yeem tshwm sim los ntawm qee yam mob.
- Qee cov kab mob caj ces uas ua rau lub raum tso cov electrolytes tawm.
- Cov theem ntawm aldosterone, ib yam tshuaj hormones adrenal nce ntxiv. '(hyperaldosteronism)'
- Txo cov tshuaj chloride hauv cov ntshav.
- Tsis muaj potassium (hypokalemia).
- Kab mob plawv, raum, lossis siab.
Leej twg muaj feem yuav mob no tshaj?
Muaj ib txhia neeg uas yuav raug kev txom nyem los ntawm tus mob no.
- Cov neeg uas tau ntxuav plab vim qee yam.
- Cov neeg haus dej cawv ntau zaus mus txog rau qhov ntuav.
- Cov neeg uas noj tshuaj laxatives kom poob phaus.
- Cov neeg uas noj tshuaj diuretics kom txo qhov o lossis poob phaus.
- Cov neeg uas muaj tus kab mob bulimia nervosa, uas yog ib yam mob uas lawv ntuav tom qab noj mov vim lawv ntshai nce phaus.
- Cov neeg uas muaj mob hyperemesis gravidarum, uas yog ib yam mob uas tshwm sim thaum cev xeeb tub.
Tus kws kho mob nrhiav tau qhov no li cas?
Thaum koj mus ntsib kws kho mob, nws yuav mloog koj cov tsos mob kom zoo zoo thiab tom qab ntawd yuav ua ntau qhov kev kuaj mob kom paub meej tias koj muaj mob dab tsi.
- Kev kuaj mob lub cev: Xyuas koj cov tsos mob.
- Kev kuaj ntshav: Ntsuas cov pa roj hauv cov ntshav, qhov sib npaug ntawm cov kua qaub-puag, thiab cov electrolyte.
- Kev kuaj ECG: Txhawm rau kuaj xyuas seb puas muaj qhov tsis zoo ntawm lub plawv dhia (arrhythmia) (Electrocardiogram).
- Kev kuaj zis: Qhov no tuaj yeem pab txiav txim seb qhov ua rau muaj tus mob no yog dab tsi.
Yuav kho li cas?
Kev kho mob nyob ntawm seb koj cov tsos mob hnyav npaum li cas thiab ua rau koj mob li cas. Cov mob me me tej zaum yuav tsis tas yuav kho. Txawm li cas los xij, yog tias koj muaj cov tsos mob hnyav, koj yuav xav tau kev kho mob tam sim ntawd .
Txoj kev kho mob tseem ceeb yog muab cov tshuaj saline thiab cov electrolytes tsim nyog los ntawm IV.
- Kev txhaj tshuaj ntsev
- Kev hloov pauv Potassium
- Magnesium (hloov Magnesium)
- Kev txhaj tshuaj chloride
- Hydrochloric acid infusion - (Qhov no yog muab rau hauv cov xwm txheej hnyav heev)
Yog tias qhov mob no yog los ntawm kev noj tshuaj ntau dhau, kev tsum tsis txhob noj tshuaj ntawd kuj yog ib feem ntawm kev kho mob.
Tiam sis nco ntsoov: Tsis txhob tsum noj tshuaj lossis hloov qhov ntau npaum li cas yam tsis tau nrog koj tus kws kho mob tham.
Peb yuav ua li cas thiaj tiv thaiv tau qhov teeb meem no kom tsis txhob tshwm sim dua?
Feem ntau cov neeg tuaj yeem rov qab mus rau lub neej ib txwm tom qab kev kho mob. Txawm li cas los xij, yog tias qhov teeb meem tseem ceeb uas ua rau nws tsis raug daws, nws yuav rov tshwm sim dua. Yog li koj tus kws kho mob yuav muab qee cov lus qhia rau koj kom txo qhov kev pheej hmoo no.
- Txo lossis tsum tsis txhob noj tshuaj xws li tshuaj antacids, tshuaj laxatives, lossis tshuaj dej (tsuas yog raws li kev qhia ntawm kws kho mob xwb).
- Haus dej ntau ntau thoob plaws hnub kom tiv thaiv kev qhuav dej.
- Yog koj tus kws kho mob pom zoo, noj cov vitamins lossis cov tshuaj ntxiv kom tswj tau cov electrolyte.
Qhov tseem ceeb tshaj plaws yog kho qhov ua rau muaj mob. Piv txwv li, yog tias koj noj tshuaj dej rau mob plawv, koj tus kws kho mob yuav hloov qhov ntau npaum li cas. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham kom nrhiav tau txoj kev daws teeb meem uas ua haujlwm zoo tshaj plaws rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Metabolic alkalosis yog thaum alkalinity ntawm peb cov ntshav nce ntau dhau.
- Cov ua rau qhov no yog ntuav tas li, siv qee yam tshuaj diuretics, thiab lub cev qhuav dej.
- Yog koj muaj cov tsos mob loj xws li tsis meej pem lossis qaug dab peg, qhov no yog ib qho xwm txheej ceev. Mus rau chav kho mob ceev (ETU) tam sim ntawd.
- Kev kho mob tau zoo. Muaj coob tus neeg rov zoo los ntawm kev txhaj cov kua dej thiab electrolytes rau hauv cov hlab ntshav.
- Yuav kom tiv thaiv qhov mob no kom tsis txhob rov tshwm sim dua, nws yog ib qho tseem ceeb uas yuav tsum tham txog qhov ua rau muaj qhov teeb meem no nrog koj tus kws kho mob thiab nrhiav kev kho mob.
- Tsis txhob tsum noj koj cov tshuaj lossis hloov qhov ntau npaum li cas yam tsis tau kev qhia los ntawm kws kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus