Yu bɔdi gɛt asid tumɔs? Lɛ wi lan bɔt mɛtabolik asid!

Yu dɔn ɛva fil taya, angri, ɔ diziz? Ɔ sɔntɛm yu briz dɔn go ɔp smɔl, ɔ yu chɛst de bit? Sɔntɛnde, dɛn kin kam wit smɔl chenj dɛn we de na di balans we de insay yu bɔdi. Tide wi go tɔk bɔt wan kɔndishɔn we nid fɔ pe atɛnshɔn smɔl, bɔt if yu no bɔt am, yu kin ɛp fɔ kɔntrol am. Dɛn kɔl dat mɛtabolik asid . Di nem kin tan lɛk se i de mek wi fred smɔl, bɔt lɛ wi tɔk bɔt am simpul wan.

Wetin na Mɛtabolik Asidɔsis? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, mɛtabolik asid na we di wata we de na yu bɔdi, mɔ yu blɔd, tɔn tu asid ɔ asid . Tink bɔt wi bɔdi lɛk mashin dɛn we nɔ izi fɔ yuz. Ɔltin we de insay dɛn, mɔ di kemikal dɛn, nid fɔ balans fayn fayn wan. We dat nɔ apin, prɔblɛm dɛn kin bigin fɔ kam.

Wi bɔdi gɛt wan kemikal we dɛn kɔl baykabɔnɛt . dis na di men bays we de kכntro, כ neutralize di asid na di bכdi. So, tu men we dεm de we mεtabolik asid kin apin.

1. εither di amoun fכ asid na di bכdi de inkrεs mכr pas aw i nid εn pas di amoun fכ baykabכnayt (dεn kכl dis ‘High Anion Gap Metabolic Acidosis’ ).

2. if nכto dat, tu mכch baykabכnayt de kכmכt na di bכdi tru di kidni dεm כ כda we dεm (dεn kכl dis ‘Nכmal Aniכn Gap Mεtabolik Asidכsis’) .

Bɔt di ɛnd rizulyt na dat di bɔdi kin gɛt mɔ asid. Yu go dɔn yɛri dɔktɔ dɛn de tɔk bɔt sɔntin we dɛn kɔl ‘Anion Gap’ . Dis na jɔs di difrɛns bitwin di pɔzitiv ɛn nɛgitiv chaj patikyula dɛn (ilɛktrɔlayt) na wi blɔd. Dis kin mek dɔktɔ dɛn gɛt wan aidia bɔt di asid ɛn bays balans.

Udat dɛn go mɔs afɛkt dis kayn tin? Yu tink se wi ɔl fɔ tek tɛm?

Fɔ tru, ɛnibɔdi kin gɛt wan sik we dɛn kɔl mɛtabolik asid. Bɔt dis risk kin bɔku mɔ fɔ di wan dɛn we dɛn kidni nɔ de wok fayn (Kidney Failure / Renal Failure) ɔ di wan dɛn we gɛt krɛse sik . dis na biכs wi kidni dεm de ple big pat fכ kip di bכdi bεlε bay we dεn de pul di εksyכs asid we de prodyuz na wi bכdi tru urine. So we di kidni dɛn wik, dis wok nɔ de wok fayn.

Wetin kin apin insay di bɔdi we dis asid de bɔku? Di stori bɔt wi pH valyu

Fɔ mek ɔl di tin dɛn we de na wi bɔdi wok fayn, wi blɔd nid fɔ de na wan patikyula say we dɛn kɔl pH balans . dis pH na di mכsu we de sho aw mכch asid εn alkali de insay wi bכdi. Na skel frɔm 0 to 14. 0 rili asid, ɛn 14 rili alkaline. di pH fכ hεlty pכsin in bכdi kin de bitwin 7.35 εn 7.45.Na dat i fɔ bi. Dis na balans we rili dilik.

Wi kidni ɛn lכng na di men כgan dεm we de εp fכ mεnten dis bεlε. di kidni dεm de kכl di εksyכs asid εn bays dεm na di urine. Di lɔng dɛn kin kɔntrol di kayn kabon dayɔgzayd we de na di blɔd we wi de blo. Kabon dayɔgzayd kin afɛkt di asid lɛvɛl bak na di bɔdi.

so, insay mεtabolik asidכsis, di mεtabolik prכsεs dεm na di bכdi de prodyuz tu mכch asid, כ di kidni dεm nכ de ebul fכ kכl dis asid fayn fayn wan. afta dat di pH we wi bin mεnshכn de dכp dכn 7.35, we min se di bכdi de bi mכr asid.

Wetin na di sayn dɛm fɔ dis? I rili impɔtant fɔ no bɔt dɛn tin ya!

I sɔprayz fɔ no se sɔntɛnde pipul dɛn we gɛt mɛtabolik asid nɔ kin sho ɛni patikyula sayn fɔs . Bɔt sɔm kɔmɔn sayn dɛm de wae yu kin si as de sik de go bifo. I impɔtant fɔ mek yu ɛn yu famili no bɔt dɛn tin ya:

• Wan at bit kwik kwik wan (tachycardia). I kin fil lɛk se yu chɛst de bit, ɔ lɛk se yu de panik.
• Fɔ fil se yu diziz ɔ yu ed yu nɔ gɛt bɛtɛ trɛnk. Sɔntɛnde, i kin apin ivin we yu tinap.
• Fɔ fil taya bad bad wan, fɔ fil taya ɔltɛm, ɛn taya ilɛksɛf yu slip bɔku.
• Anorexia, fɔ fil bad ivin we yu si it.
• Ed we de at we nɔ de chenj.
• Fɔ blo kin kwik, ɔ i kin tek lɔng tɛm, dip briz. dis na rili di bכdi we de tray fכ ridyus di asid bay we i de pul mכr kכbכn dayכksayd (wan kayn asid).
• Nɔs ɛn vɔmit.
• Filin fɔ wik ɛn jɔs wik.
• Wan swit, frut smel to di briz. Dis na spɛshal sayn fɔ dayabitik ketoacidosis.

I rili impɔtant: If dis sik rili bad, dat na if di asid lɛvɛl na di bɔdi go ɔp bad bad wan, siriɔs prɔblɛm dɛn lɛk we di kidni nɔ de wok fayn, ɔda pat dɛn we de pwɛl di bɔdi, we pɔsin nɔ de no natin, ɛn ivin day kin apin . So, if yu gɛt wan ɔ mɔ pan dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ ɛn nɔ de te.

Wetin mek dis kin apin? Wetin na di men tin dɛm wae kin mek pɔrsin gɛt mɛtabolik asid?

fכ men kayn tin dεm de we kin mek i gεt mεtabolik asidכsis. Lɛ wi tek wan luk pan wetin dɛn bi:

1. Asid we gɛt fɔ du wit dayabitis / Dayabitik Kɛtoasid (DKA):Bɔku pipul dɛn dɔn yɛri bɔt dis. I kin kam pan pipul dɛm wae gɛt shuga wae nɔr kin kɔntrol fayn, mɔr di wan dɛm wae gɛt Tayp 1 Dayabitis. We di bɔdi in sɛl dɛn nɔ gɛt di insulin we dɛn nid fɔ mek dɛn gɛt ɛnaji, ɔ we di insulin we dɛn gɛt nɔ de wok fayn, di sɛl dɛn nɔ kin ebul fɔ tek glukɔs frɔm di blɔd. Dɔn di bɔdi kin bigin fɔ bɔn fat fɔ gɛt ɛnaji. as bayprodukt fכ dis prכsεs, wan kayn asid we dεn kכl ‘ketכn bכdi' de bil insay di bכdi. Dis na wan sik we rili denja ɛn we nid fɔ gɛt tritmɛnt kwik kwik wan.

2. Hyperchloremic acidosis: Dis kin apin we di bɔdi de lɔs tumɔs pan di valyu minral sodium bicarbonate. Imajin, yu gɛt bad bad dayarɛa fɔ sɔm dez , te yu nɔ gɛt wata igen. Da tɛm de, bɔku bɔku baykabɔnɛt kin kɔmɔt na di insay. Dis kin apin bak if yu yuz sɔm laxatives ( laxatives ) pasmak, we yu nɔ go to dɔktɔ.

3. Laktik asid: Dis kכndyushכn kin apin we wi bכdi gεt tu mכch wan kayn asid we dεn kכl laktik asid. Tink bɔt am, we wi de du ɛksɛsayz tumɔs, ɔ we wi bɔdi sɛl dɛn nɔ de gɛt inof ɔksijɛn (e.g., at atak, siriɔs infɛkshɔn), laktik asid de kɔmɔt as bayprodukt fɔ mek ɛnaji. Nɔmal wan, di bɔdi kin kɔntrol dis. Bɔt sɔm tɛm, fɔ ɛgzampul, pan pɔsin we gɛt liva we nɔ de wok fayn , ɔ we di blɔd shuga go dɔŋ wantɛm wantɛm (Hypoglycemia ɔ Low blood sugar) , ɔ if sɔm pipul dɛn de yuz rɔm pasmak (Alcohol use disorder) , pan sɔm kansa kɔndishɔn dɛn , ɔ if wi de du ɛksɛsayz tumɔs (Intense exercise) , di amount of laktik asid kin go ɔp ɛn di bɔdi nɔ kin ebul fɔ handle am.

4. Renal Tubular Acidosis (RTA): dis kin apin we di sכm sכm tכbul dεm (tubules) na di kidni dεm nכ ebul fכ kכl inof asid wit di urine. Ɔ, di baykabɔnɛt nɔ de riabsɔb bak fayn fayn wan. Dis kin mek di asid we de na di blɔd kin go ɔp smɔl smɔl.

Di tu tin dɛm wae kin mek pɔrsin kin gɛt dayarɛa wae nɔr kin ebul fɔ kɔntrol ɛn wae yu kidni nɔr de woke fayn.

Dis na sik we pɔsin kin pas? A go spre am to ɔda pipul dɛn?

Nɔ, nɔto so atɔl. Metabolic acidosis nɔto sik we pɔsin kin gɛt . Yu nɔ go ebul fɔ spre am to ɔda pɔsin jɔs bikɔs yu gɛt am. Na prɔblɛm wit di intanɛnt kemikal balans na di bɔdi.

Aw dɔktɔ dɛn kin no bɔt dis?

We yu go to dɔktɔ, i go aks yu fɔs bɔt di sik dɛn we yu gɛt, aks yu bɔt di sik dɛn we yu bin gɛt trade, dɔn i go chɛk yu. Dɔn i go ɔda fɔ mek dɛn du bɔku tɛst fɔ no if pɔsin gɛt di sik ɛn fɔ no di tin we mek i gɛt am.

Sɔntɛnde, dɛn kin sɛn yu to dɔktɔ we de mɛn yu kidni , mɔ if dɛn tink se yu gɛt prɔblɛm wit yu kidni.

Wetin yu kin du wit dɛn tɛst ya?

Di tɛst kin difrɛn difrɛn wan bay di sayn dɛm wae yu gɛt ɛn wetin yu dɔktɔ tink se na di kɔz. Di tɛst dɛn we dɛn kin du mɔ na:

• Blɔd tɛst: Dɛn tin ya rili impɔtant.
• Aniɔn Gap Tɛst: Dɛn kin tek smɔl blɔd frɔm wan vein na yu an ɛn dɛn kin mɛzhɔ di difrɛns bitwin di pɔsitiv ɛn nɛgitiv chaj kemikal dɛn we dɛn kɔl ilɛktrɔlayt. if dis gap big pas nכmal, i kin bi strכng indikεshכn fכ se yu gεt mεtabolik asidכsis.
• Arterial Blood Gas (ABG) test: Dis na tɛst we difrɛn smɔl. Dis min se yu fɔ tek smɔl blɔd frɔm wan at we de na yu an, ɛlb, ɔ yu groin (bɔku tɛm i kin smɔl pas wan vein). Dis de mek di ɔksijɛn lɛvɛl, di kabon dayɔgzayd lɛvɛl, ɛn di impɔtant tin na di pH na yu blɔd. If yu pH nɔ rich 7.35, dat min se yu blɔd tu asid ɔ tu besik.
• Ɔda blɔd tɛst dɛn: Dɛn kin chɛk bak di blɔd shuga lɛvɛl, di kidni wok tɛst (e.g. Sɛrum Kriatinin, BUN), ɛn ilɛktrɔlayt lɛvɛl (Ilektrolayt lɛk Sɔdiɔm, Potashɔm, Klɔrayd) bak.

• Test fɔ yu urine:

We yu pis insay spɛshal bɔtul, dɛn kin chɛk di pH. Dis kin tel yu tin dεm lεk if yu urine tu asid, tu bεsik, כ i gεt kεtכn.

Aw dɛn kin trit dis? (Tritmɛnt)

Wae yu dɔktɔ dɔn no di rayt tin we de mek yu gɛt yu mɛtabolik asid, i go gi yu wan tritmɛnt plan we go wok fɔ yu. Di tritmɛnt dipen pan di tin we mek i gɛt am.

• Di tin we impɔtant pas ɔl na fɔ trit di tin we mek i apin . Fɔ ɛgzampul, pan dayabitik ketoacidosis, dɛn kin kɔntrol di blɔd shuga bay we dɛn gi insulin ɛn IV fluid.
• Dɛn kin gi pipul dɛn we gɛt sik na dɛn kidni sɔdiɔm baykabɔnɛt we tan lɛk tablɛt ɔ sɔdiɔm saytrɛt we tan lɛk sɔlvushɔn fɔ ridyus di asid na di bɔdi.
• If bɔku wata dɔn lɔs frɔm di bɔdi (e.g. bikɔs ɔf dayarɛa), i impɔtant fɔ gi salin (IV fluid) tru wan vein.
• Sɔntɛm we i kin rili bad, dɛn kin gi sɔdiɔm baykabɔnɛt tru wan vein (IV Sɔdiɔm Baykabɔnɛt) fɔ balans di asid we de na di blɔd kwik kwik wan.
• If pɔyzin tin dɔn go insay di bɔdi (e.g., frɔm we yu tek tumɔs aspirin ɔ it kemikal lɛk mɛtanɔl), dɛn kin nid spɛshal tritmɛnt (e.g., dayalaysis) fɔ pul di pɔyzin tin na di blɔd.

Fɔ it ɛn drink kin afɛkt dis? Wetin a fɔ it ɛn wetin a fɔ it smɔl?

Yɛs, na fɔ tru. Sɔm pan di it ɛn drink dɛn we wi kin it kin mek di bɔdi gɛt mɔ asid, ɔda wan dɛn kin mek di alkalin ɛn ɛp fɔ mek di asid nɔ bɔku. Bɔt dis rili impɔtant: Bifo yu mek ɛni big chenj na di it we yu de it, yu fɔ rili tɔk to yu dɔktɔ ɔ pɔsin we sabi bɔt it. Dis advays impɔtant mɔ if yu gɛt sik na yu kidni.

Fɔ it dɛn we de mek asid:

• Mit (especially red mit, chukchuk, fish).
• Eg dɛn.
• Chiz ɛn ɔda tin dɛn we dɛn mek wit milk (sɔm).
• Grens dɛn we dɛn dɔn prosɛs.
• Rum.

di it dεm we de fכm alkaline we de mek di bכdi in alkalin, dat min se, de εp fכ ridyus di asid:

• Bɔku kayn frut dɛn (espɛshali sitrus frut dɛn).
• Nat ɛn nat bɔta.
• Ligim (e.g. lentil, chikip, grɛn bins, soya).
• Bɔku vɛjitebul dɛn (espɛshali grɛn vɛjitebul dɛn).
• Sɔm pipul dɛn kin tɔk bɔt alkaline water , bɔt difrɛn tin dɛn de we dɛn kin tink bɔt di sayɛns we dɛn kin yuz fɔ du dis, so i bɛtɛ fɔ aks dɔktɔ.

Us ɔda mɛrɛsin dɛn kin yuz fɔ dis?

Sɔntɛnde, ɔva-di-kɔnta (OTC) mɛrɛsin lɛk Sɔdiɔm Saytrɛt ɔ Sɔdiɔm Baykabɔnɛt kin ɛp fɔ balans di asid we de na di bɔdi. Bɔt nɔ yuz ɛni wan pan dɛn mɛrɛsin ya we yu nɔ go to yu dɔktɔ, bikɔs dɛn kin mek yu gɛt ɔda prɔblɛm.

Sɔntɛnde, we di at nɔ de wok fayn ɛn di bɔdi nɔ de gɛt bɛtɛ ɔksijɛn, dɔktɔ dɛn kin gi yu mɛrɛsin we dɛn kɔl inotropes . Dɛn tin ya kin mek di at bit mɔ ɛn mɔ. Dis kin ɛp di bɔdi fɔ gɛt mɔ ɔksijɛn ɛn ɛp fɔ ridyus di asid we de na di blɔd. Dɛn kin gi dɛn mɛrɛsin ya tru wan vein (IV) na ɔspitul.

εnitin de we wi kin du fכ ridyus di divεlכpmεnt fכ mεtabolik asidכsis?

Pan ɔl we i nɔ pɔsibul fɔ mek wi nɔ gɛt dis sik kpatakpata, sɔm tin dɛn de we wi kin du fɔ ridyus di prɔblɛm:

• Fɔ drink inof wata ɛn ɔda tin dɛn we go mek yu gɛt wɛlbɔdi ɔlsay na di de.
• If yu gɛt dayabitis, i impɔtant fɔ kɔntrol yu blɔd shuga lɛk aw yu dɔktɔ tɛl yu. Dis inklud mɛrɛsin, it, ɛn ɛksesaiz.
• If yu de drink rɔm, stɔp fɔ drink ɔ stɔp fɔ drink ɔltogɛda. Dɛn kin tek wan wɛlbɔdi limit fɔ nɔ pas tu standad drink fɔ wan de fɔ man dɛn ɛn nɔ fɔ pas wan standad drink fɔ wan de fɔ uman dɛn.
• Fɔ it tin dɛn we gɛt balans.

Wetin go apin tumara bambay wit dis situeshɔn? Na sɔntin we wi fɔ fred? (Autluk) .

If yu gɛt mɛtabolik asid, di tumara bambay go dipen pan aw di sik tranga, wetin mek yu gɛt am, ɛn aw yu kin gɛt tritmɛnt kwik ɛn fayn fayn wan.

• Bɔrku tɛm, dis sik kin kam bak if dɛn no di sik ɛn trit am fayn fayn wan.
• Insai saful saful , di sayn dɛm kin bi fɔ sɔm tɛm ɛn nɔr kin nid spɛshal tritmɛnt if di kɔz kin sɔlv fɔ insɛf.
• Bɔt, lɛk aw a bin dɔn tɔk bifo tɛm, pan siriɔs kes dɛm, if dɛn nɔ trit am, i kin mek di kidni ɔ ɔda ɔgan dɛn nɔ wok, ɛn ivin day. Na dat mek dis nɔto sɔntin fɔ tek am layt.

Aw a go tek kia ɔf misɛf? Wetin na sɔm tin dɛn we a kin du fɔ misɛf? (Fɔ kia fɔ yusɛf) .

Yu dɔktɔ go mek wan tritmɛnt plan we go fayn fɔ yu. I go inklud mɛrɛsin ɛn chenj dɛn layf. If yu fala dɛn step ya, dat go ɛp fɔ mek yu wɛl kwik ɛn mek di sik nɔ kam bak:

• Chek yu blɔd shuga lɛvɛl ɔltɛm (if yu gɛt dayabitis). Du ɔm blɔd glukɔs monitarin lɛk aw yu dɔktɔ tɛl yu.
• Tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek di mɛrɛsin kɔrɛkt wan, di rayt tɛm, ɛn di rayt doz. Nɔ mis wan doz.
• If yu dɔktɔ ɔ pɔsin we sabi bɔt it advays yu, tray fɔ it tin dɛn we nɔ gɛt bɔku asid ɛn we gɛt bɔku alkaline.
• Limit ɔ stɔp fɔ drink rɔm ɔltogɛda.
• Kip yu dɔktɔ apɔntinmɛnt dɛn di rayt tɛm. Da we de, yu go ebul fɔ si aw yu de du ɛn mek ɛni chenj we yu nid.

Ustɛm a fɔ go to dɔktɔ? Yu tink se na imejensi?

If yu gɛt sɔm sayn dɛm fɔ mɛtabolik asid (lɛk di taya we wi bin dɔn tɔk bɔt, chenj na yu brith, nɔs), ɔ if yu gɛt siriɔs simptom dɛm fɔ ɔda sik we kin de mek dis sik (e.g., dayabitis we yu nɔr kin kɔntrol, siriɔs dayarɛa, sayn dɛm fɔ kidni sik), go to dɔktɔ kwik kwik wan. Nɔ delay.

Wetin na di difrɛns bitwin Mɛtabolik Asid ɛn Rɛspiratɔri Asid?

pan ɔl we dɛn tu tin ya na tin dɛn we di bɔdi in asid de go ɔp, di we aw dɛn kin apin ɛn di ɔgan sistɛm dɛn we kin afɛkt mɔ kin difrɛn.

mεtabolik asidכsis na wan kכndyushכn we de mεntal afekt di bכdi in mεtabolism εn di urinary sistεm, spεshal wan di kidni dεm . I kin apin we ɔl tu bɔku asid kɔmɔt na di bɔdi, ɔ di kidni dɛn nɔ ebul fɔ filta asid fayn fayn wan frɔm di blɔd, ɔ di bɔdi lɔs baykabɔnɛt.

Respiratory acidosis na wan sik we kin afɛkt di respiratory system, ɔ di lɔng dɛn mɔ . Dis na we di lכng dεm nכ ebul fכ pul di kabכn dayכksayd (CO2) kכmכt na di bכdi kwik kwik wan. CO2 kin kam togɛda wit wata fɔ mek wan asid. We tin dɛn lɛk asma kin tranga, sik na di lɔng (lɛk COPD), di bren we kin pwɛl we kin mek i nɔ izi fɔ blo, ɔ we yu yuz sɔm mɛrɛsin ɔ slip pils pasmak kin afɛkt di wok we di lɔng dɛn de du, we kin mek CO2 gɛda ɛn mek di asid bɔku.

Fɔ tɔk am simpul wan, mɛtabolik na di prɔblɛm wit di kεmikכl prכsεs dεm we de insay di bכdi εn di kidni dεm. di we aw yu de blo na di prכblεm wit di brith prכsεs εn di lכng dεm.

Fɔ dɔn, di impɔtant tin dɛn we yu fɔ mɛmba (Take-Home Message) .

Metabolic acidosis na wan sik wae yu fɔ rili wɔri bɔt, bikɔs i de afɛkt di bɔdi in bɛsik balans. Sɔntɛnde yu kin tray fɔ ignore de symptoms ɛn mek lɛk se, "I go fayn." Bɔt mɛmba se na yu bɔdi de tɔk to yu ɛn se, "Sɔmtin rili rɔng insay, ɛp mi."

Yu fɔ tek tɛm bad bad wan bɔt dɛn sik ya, mɔ if yu gɛt sik dɛn we dɔn de fɔ lɔng tɛm lɛk kidni prɔblɛm ɔ dayabitis.

Bɔt nɔ wɔri. Nɔto yu wan de. Dɔktɔ, nɔs, ɛn ɔda pipul dɛn we sabi bɔt wɛlbɔdi biznɛs de we go ɛp yu ɛn pul yu pan dis kayn tin. If dɛn no di sik kɔrɛkt wan ɛn kwik, di rayt tritmɛnt, dɛn kin kɔntrol dis sik to bɔku bɔku wan ɛn rivɛns am. So, if yu gɛt ɛni dawt bɔt dis, nɔ shem ɔ delay fɔ go to dɔktɔ, aks yu kwɛstyɔn dɛn, ɛn gɛt di advays ɛn tritmɛnt we yu nid. Bikɔs, yu wɛlbɔdi na di tin we valyu pas ɔl na dis wɔl!

` Mεtabolik asidכsis, asid-bεys bεlε, pH valyu, kidni sik, dayabεtis, kεtoasidכsis, laktik asidכsis, simptom dεm, tritmεnt