Mεtabolik Asidכsis na wan kכndyushכn we de apin we di kεmik כl bεlε fכ di asid εn bays dεm na yu bכdi nכ bεlε. Tink bɔt am lɛk skel na kichin. If yu put tumɔs wet na wan say, i go tip, nɔto so? Na so i bi. Dis kכndyushכn kin apin we wi bכdi gεt tu mכch asid εn nכ gεt inof bays fכ kכntrol am. Sɔmtɛm dis kin bi wan kayn sik wae nɔr kin pasmak, bɔt sɔm tɛm dɛn kin mek pɔrsin in layf de pan denja.
Wetin mek dis kin apin? (Di tin dɛn we kin mek pɔsin gɛt Mɛtabolik asid) .
Difrɛn rizin dɛn de we mek dis asid ɛn bays nɔ balans na wi blɔd kin apin. Lɛ wi luk di men tin dɛn we kin mek wi du dis.
| Rizin | Simpul ɛksplen |
|---|---|
| Kεtoasidכsis ( kεtoasidכsis ) . | We pɔsin we gɛt dayabitis nɔ gɛt inof insulin ɛn i nɔ gɛt wata na in bɔdi, in bɔdi kin bigin fɔ bɔn fat fɔ gɛt ɛnaji. dis kin mek dεn mek kεmεkal dεm we dεn kכl kεtכn. we dεn kεtכn dεm ya kכmכt na di bכdi, di bכdi kin bi asid. Dis sik kin apin bak pan pipul dɛm wae de drink pasmak, nɔr de it fayn, ɔr de fast. |
| Laktik Asidכsis | we wi bכdi in sεl dεm nכ gεt inof כksijεn, dεn de mek wan tin we dεn kכl laktik asid. Dis kin bɔku bak na di blɔd. Dis kin apin we yu de du ɛksɛsayz tranga wan, we blɔd prɛshɔn de go dɔŋ wantɛm wantɛm, if yu at nɔ de wok fayn, yu at nɔ de wok fayn, ɛn yu gɛt bɔku bɔku infɛkshɔn. |
| Prɔblɛm dɛn na di kidni (Rɛnal Tubular Acidosis) . | di kidni dεm we gεt hεlth filt di εksyכs asid dεm we de kכmכt na di bכdi εn kכmכt na di urine. Bɔt we di kidni dɛn pwɛl bikɔs ɔf di kidni sik, sɔm imyun sistɛm disɔda, ɛn di jenɛtik dizayd, dɛn nɔ kin ebul fɔ pul dɛn asid ya fayn fayn wan. Dɔn di asid dɛn kin de na di blɔd. |
| Hyperchloremic Acidosis we de mek pɔsin gɛt sik | We wi gɛt siriɔs dayarɛa, we wi nɔ de yuz di mɛrɛsin dɛn we de mek pɔsin nɔ fil fayn , ɛn sɔm sik dɛn na wi bɔdi kin mek wi bɔdi nɔ gɛt bɔku bɔku baykabɔnɛt. Baykabɔnɛt na bays we de mek di asid dɛn nɔ gɛt wanwɔd. We i smɔl, di blɔd kin gɛt asid. |
Impɔtant: Wan ɔda kayn de we dɛn kɔl Respiratory Acidosis. Insay dis, di blɔd kin bi asid bak , bɔt di tin we kin mek i gɛt prɔblɛm na di lɔng dɛn we kin mek di kabon dayɔgzayd we pasmak kin gɛda na di bɔdi. Dis difrɛn frɔm Mɛtabolik Asid.
Wetin na di sayn dɛm fɔ dis? (Sayn dɛn)
Pan ɔl wae de sik kin difrɛn frɔm pɔrsin to ɔda pɔrsin, dis na kɔmɔn sayn dɛm wae pɔrsin wae gɛt Mɛtabolik Asid kin gɛt.
- Fɔ brith kwik kwik wan : Dis na bikɔs di bɔdi de tray fɔ pul di asid we pasmak (as kabon dayɔgzayd) kɔmɔt na di bɔdi.
- Di at we de blo
- Ed de at
- Fɔ fil kɔnfyus (Kɔnfyushɔn) .
- Fɔ fil se yu wik
- Fɔ fil taya ɔltɛm
- Fil fɔ it
- Nɔs ɛn vɔmit
Wan frut smɛl na di briz na wan sayn we pipul dɛn sabi, mɔ pan dayabitik ketoacidosis (DKA).
If yu gɛt dɛn sik ya, go to yu dɔktɔ wantɛm wantɛm. If dɛn fil bad, nɔ delay fɔ go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) .
Aw a go fɛn dis jɔs? (Tɛst) .
Di dɔktɔ go du bɔku tɛst fɔ no if yu gɛt dis sik. Na da tɛm de nɔmɔ dɛn go ebul fɔ gi di kɔrɛkt tritmɛnt.
- Aniɔn Gap Tɛst: Dis na tɛst we de mɛzhɔ di kemikal balans na di blɔd. Fɔ tɔk am simpul wan, i de kɔmpia di pɔzitiv ɛn nɛgitiv chaj patikyula dɛn (lɛk sɔdiɔm, klorayd, baykabɔnɛt) we de na di blɔd. insay sכm kayn mεtabolik asidכsis, di "gap" bitwin dεn valyu dεm ya de mכr fכ si.
- Arterial Blood Gases (ABG) test: Dis de mek yu no di pH, ɔ di asid, ɛn di ɔksijɛn ɛn kabon dayɔgzayd lɛvɛl na yu blɔd.
- Yurin tɛst: Dɛn tin ya kin no di ketɔn, kidni prɔblɛm, ɔ pɔyzin frɔm tin dɛn lɛk aspirin, rɔm, ɔ antifriz. Pipul dɛm wae gɛt dayabitis kin tɛst dɛn urine fɔ ketɔn na os bay we dɛn de yuz tɛst strip dɛm wae de na di famasi.
Aw fɔ trit am? (Tritmɛnt)
Mεtabolik Asidכsis dεn kin trit am bay we dεn de trit di כndalayn kכz. Tink bɔt am lɛk ruf we de lik wata. I bɛtɛ fɔ fiks di ol na di ruf pas fɔ put bɔkit dɔŋ ɛn kech di wata. Na so i bi.
If dɛn nɔ kɔntrol dis sik, i kin afɛkt yu bon, mɔsul, ɛn kidni. If i siriɔs, i kin mek pɔsin shɔk ɛn ivin day. Wan kɔndishɔn lɛk DKA kin mek bak yu gɛt kɔma.
So, i rili impɔtant fɔ go to tritmɛnt kwik kwik wan . Sɔm pan di tritmɛnt dɛm wae dɛn kin gi yu na:
- Ditɔksifikeshɔn: If dis sik kɔmɔt frɔm drɔg ɔ rɔm pɔyzin, dɛn kin gi tritmɛnt fɔ pul di pɔyzin na di bɔdi. If yu tink se yu gɛt ɛni pɔyzin, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm fɔ gɛt advays.
- Insulin: Dɛn kin gi insulin fɔ DKA we dayabitis kin mek.
- Fluid we yu kin put insay yu bɛlɛ (IV fluid): Dɛn kin gi wata lɛk salin tru wan vein na yu an.
- Sɔdiɔm baykabɔnɛt: Sɔntɛnde, dɛn kin gi dis mɛrɛsin tru wan vein fɔ mek di blɔd gɛt mɔ alkalin.
I go mɔs bi se yu go gɛt fɔ go na ɔspitul.
Aw fɔ protɛkt yusɛf frɔm dis kayn tin? (Prɛvenshɔn) .
Pan ɔl we dɛn nɔ kin ebul fɔ stɔp di mɛtabolik asid ɔltɛm, tin dɛn de we yu kin du fɔ ridyus di prɔblɛm we yu gɛt.
- Drink bɔku wata ɛn wata we nɔ gɛt rɔm. If yu urine klia ɔ layt yɔlɔ, dat min se yu de gɛt inof wata.
- Nɔ stɔp fɔ drink rɔm. Alkol kin mek di asid bɔku na di bɔdi ɛn mek yu nɔ gɛt wata na yu bɔdi.
- If yu gɛt dayabitis, kɔntrol am fayn fayn wan. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- We yu de tek mɛrɛsin, fala di instrɔkshɔn dɛn we yu dɔktɔ gi yu ɔ na di paket ɛksaktɔli.
Mɛsej we dɛn kin kɛr go na os
- mεtabolik asidכsis na di disrupshכn na di asid-bεys bεlε na yu bכdi. Nɔ tek dis na layt.
- If yu gɛt sɔm kayn sik lɛk fɔ blo kwik kwik wan, fɔ kɔnfyus, ɛn fɔ taya pasmak, dat kin bi sayn fɔ se yu gɛt siriɔs prɔblɛm insay yu bɔdi.
- Dɛn kin trit dis bay we dɛn de trit di ɔndalayn kɔz (lɛk dayabitis, kidni sik, pɔyzin).
- If yu gɛt ɛni dawt ɔ ɛni sayn, nɔ ɛva gɛs. Si yu dɔktɔ wantɛm wantɛm fɔ gɛt di rayt advays ɛn tritmɛnt.
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