I taksa hi acidic lutuk a ni em? Metabolic acidosis chungchang hi i zir dawn teh ang!

I chau, riltam, a nih loh leh luak chhuak i nei ngai em? A nih loh leh i thawk a pung deuh emaw, i rilru a na emaw a ni mai thei? Hengte hi a chang chuan i taksa chhunga balance inthlak danglamna tenau vang a ni thei. Vawiin hian kan sawi dawn a, ngaihtuahna tlem a mamawh, mahse i hriat chian chuan i thunun thei a ni. Chu chu metabolic acidosis an ti a . A hming hi a hlauhawm deuhin a lang thei a, mahse awlsam takin han sawi ila.

Metabolic Acidosis hi eng nge ni? A awlsam zawngin...

A awlsam zawngin, metabolic acidosis chu i taksaa tui awmte, a bik takin i thisen chhunga tui awmte chu acidic lutuk emaw acidic lutuk emaw a nih chuan a ni . Kan taksa hi machine nalh tak angin ngaihtuah rawh. An chhunga thil awm zawng zawng, a bik takin chemical te hi a inthlauhna famkim a ngai a ni. Chutiang a nih loh chuan buaina a lo chhuak tan thin.

Kan taksa hian chemical pakhat bicarbonate an nei a . Hei hi taksa acidity control tu, a nih loh leh neutralize tu base ber a ni. Chuvangin, metabolic acidosis lo awm theihna kawng lian pahnih a awm.

1. Taksa chhunga acid awm zat chu a tul aia tam a pung a, bicarbonate a tam zawk emaw (hei hi ‘High Anion Gap Metabolic Acidosis’ an ti a ni ).

2. Chutiang a nih loh chuan bicarbonate tam lutuk chu taksa atangin kal kaltlangin emaw kawng dangin emaw a chhuak thin (hei hi ‘Normal Anion Gap Metabolic Acidosis’ an ti) .

Mahse, a tawpah chuan taksa chu acidic a lo ni ta zawk a ni. Doctor-te’n ‘Anion Gap’ an tih chungchang an sawi i hre tawh mai thei. Hei hi kan thisena positive leh negative charged particle (electrolytes) inthlauhna mai a ni. Hei hian doctor-te chu acid-base balance chungchang ngaihtuahna a siamsak a ni.

Hetiang dinhmun hian tute nge a nghawng nasa ber? Kan zavaiin kan fimkhur tur em ni?

Dik tak chuan tu pawhin metabolic acidosis an tih hi an nei thei a ni. Mahse, he hlauhawmna hi a bik takin an kal a thawk tha lo (Kidney Failure / Renal Failure) emaw, kal natna rei tak nei te tan a sang hle Hei hi a chhan chu kan kal (kidney) hian kan taksaa acid siam chhuah tam lutuk chu zun hmanga paih chhuakin taksa inthlauhna (balance) a neih theih nan hmun pawimawh tak a chang a ni. Chuvangin kal (kidney) a chak loh chuan he hnathawh hian hna a thawk tha lo.

He acidity hi a pun chuan taksa chhungah eng nge thleng? Kan pH value chungchang thawnthu

Kan taksa system zawng zawngte a thawk tha thei tur chuan kan thisen hi pH balance tia koh range engemaw takah a awm a ngai a ni. He pH hi kan thisena acid leh alkali awm zat tehna a ni. 0 atanga 14 thlenga scale a ni a, 0 hi acidic tak a ni a, 14 hi alkaline tak a ni bawk. Mi hrisel thisen pH hi 7.35 leh 7.45 inkar a ni tlangpui.Chu chu a nih tur chu a ni. Hei hi balance nalh tak a ni.

Kan kidney leh lung te hi he balance vawn thatna atana puitu ber an ni. Kidney hian acid leh base tam lutuk chu zunah a paih chhuak thin. Kan thawk chhuah hian kan thisenah carbon dioxide awm zat hi lungin a control a. Carbon dioxide hian taksaa acid level a nghawng bawk.

Chuvangin, metabolic acidosis-ah chuan taksaa metabolic process-te hian acid a siam tam lutuk emaw, a nih loh leh kal (kidney) hian he acid hi a paih chhuak tha thei lo emaw a ni. Tichuan pH kan sawi kha 7.35 hnuaiah a tla thla a, chu chu thisen chu acidic a lo ni ta tihna a ni.

Hei hi eng symptoms nge ni? Hengte hi fimkhur a pawimawh hle!

Mak tak maiin, a châng chuan metabolic acidosis vei te hian a tir lamah chuan symptom bik an nei lo thei . Mahse, a natna a zual zel chuan hmuh theih tur chhinchhiahna tlanglawn thenkhat a awm. Nang leh i chhungte tan hengte hi hriat chian a pawimawh:

• Thinlung na tak (tachycardia) a rawn chhuak nghal vat. I rilru a na ang maiin a awm thei a, i hlauthawng ang maiin a awm thei bawk.
• Luak chhuak emaw, lu hah emaw tih hriat. A châng chuan ding chung pawhin a thleng thei.
• Chau lutuk anga inhria, nunna nei lo leh chau reng anga inhria. Eng ang pawhin muthilh mah la, i la chau hle.
• Anorexia, ei tur hmuh pawhin huatna a awm.
• Lu na reng reng.
• Thâwk hi a rang zawk a, a nih loh leh thawk rei zawk, thuk zawk a ngai bawk. Hei hi a takah chuan taksain carbon dioxide (acid chi khat) tam zawk a chhuah chhuah avanga acidity tihtlem tumna a ni.
• Nausea leh luak chhuak.
• Chak lohna leh chak lohna tlangpui hriatna.
• Thâwk rimtui tak, thei rimtui tak. Hei hi a bik takin diabetic ketoacidosis symptom a ni.

Pawimawh tak: He natna hi nasa taka a nasat chuan, chu chu taksaa acid level nasa taka a san chuan, harsatna lian tak tak, kal (kidney failure), taksa peng dang tihchhiat, hriatna hloh, leh thihna thlengin a thleng thei a ni Chuvangin, heng symptoms pakhat emaw, a aia tam emaw i neih chuan, tihkhawtlai lova damdawi lam thurawn zawng hi a finthlak hle ang.

Engvangin nge hetiang hi a lo awm? Metabolic acidosis thlentu ber berte chu engte nge ni?

Metabolic acidosis thlen theitu hi chi li a awm a. Eng nge an nih hi han thlir ila:

1. Zunthlum kaihhnawih acidosis / Diabetic Ketoacidosis (DKA): .He thu hi mi tam takin an hre tawh a. Zunthlum control tha lo nei te, a bik takin Type 1 Diabetes vei te ah a vei thei a ni. Taksa cell-te hian chakna siam chhuahna atana an mamawh insulin an tlakchham chuan emaw, an neih insulin-in hna a thawh that loh chuan cell-te hian thisen atanga glucose an la lut thei lo. Chumi hnuah taksa chuan chakna atan thau a hal tan ta a ni. Hetiang thil tih atanga byproduct angin acid chi khat ‘ketone body’ an tih chu taksaah a lo pungkhawm a. Hei hi natna hlauhawm tak a ni a, enkawl vat a ngai a ni.

2. Hyperchloremic acidosis: Hei hi taksain mineral hlu tak Sodium bicarbonate a hloh tam lutuk vang a ni. Ngaihtuah teh, ni engemaw zat chhung chu riltam na tak i nei a , tui i hloh phah khawp mai. Chutih lai chuan intestine atang hian bicarbonate tam tak a chhuak thei a. Hei hi laxatives ( laxatives ) thenkhat i hman tam lutuk chuan a thleng thei bawk a, doctor rawn hmasa lovin.

3. Lactic acidosis: He natna hi kan taksain acid chi khat lactic acid an tih hi a tam lutuk hian a lo awm thin. Ngaihtuah teh, exercise kan tih nasat lutuk hian emaw, kan taksa cell-in oxygen a neih tlem hian (e.g., heart attack, infection na tak) lactic acid hi energy siam chhuahna byproduct angin a lo chhuak thin. A tlangpuiin taksa hian hei hi a control thin. Mahse, a chang chuan, entirnan, mi pakhatah liver failure nei , emaw thisen sugar a tlahniam nghal (Hypoglycemia emaw Low blood sugar) , emaw mi thenkhatin zu an in tam lutuk chuan (Alcohol use disorder) , cancer natna thenkhatah , emaw , exercise kan tih nasat lutuk chuan (Intense exercise) , lactic acid a tam thei a, taksain a tuar thei lo.

4. Renal Tubular Acidosis (RTA): Hei hi kal chhunga tube te (tubules) te hian zun hmanga acid an paih chhuah theih loh vang a ni. A nih loh leh, bicarbonate chu a reabsorb tha lo hle bawk. Chumi avang chuan thisen acidity chu a pung zauh zauh a.

A chhan langsar ber pahnih chu enkawl theih loh riltam leh kal (kidney failure) te hi a ni.

Hei hi natna hrik kai theih a ni em? Midang hnenah ka thehdarh dawn em ni?

Ni lo, a ni lo tak zet. Metabolic acidosis hi natna hrik kai theih a ni lo . I neih vang mai maiin midang hnenah i thehdarh thei lo. Taksa chhungril lama chemical balance-a buaina a ni.

Engtin nge doctor-te hian hei hi an hriat chian?

Doctor i pan hunah i symptoms te a zawt hmasa ang che a, i damdawi hman tawh dan te a zawt hmasa ang che a, chutah chuan a enfiah leh ang che. Chumi hnuah chuan test eng emaw zat a ti ang a, a natna chu a finfiah ang a, a chhan pawh a hmu ang.

A châng chuan nephrologist -ah refer i ni thei a , a bîk takin kal lama harsatna i neih nia rinhlelh a nih chuan.

Heng test te hi engtin nge i tih?

Test hi i symptoms leh i doctor-in a chhan nia a hriat dan azirin a danglam thei. Test hman tlanglawn ber berte chu:

• Thisen test: Hengte hi a pawimawh hle.
• Anion Gap Test: I kut vein pakhat atanga thisen sample te tak te lak a ni a, positive leh negative charged chemical electrolytes an tih inthlauhna chu teh thin a ni. He gap hi a tlangpui aia lian a nih chuan metabolic acidosis i vei tih hriattirna nasa tak a ni thei.
• Arterial Blood Gas (ABG) test: Hei hi test danglam deuh deuh a ni. Hei hian i kutphah, i elbow, emaw, i groin-a artery (a tlangpuiin vein aiin a te deuh) atanga thisen tlemte lak a huam a ni. Hei hian oxygen level, carbon dioxide level leh a pawimawh ber chu i thisen pH a teh a ni. pH 7.35 aia hniam chuan i thisen chu acidic lutuk emaw basic lutuk emaw a ni tihna a ni.
• Thisen test dang: Thisen sugar level, kidney function test (e.g. Serum Creatinine, BUN), leh electrolyte level (Electrolytes like Sodium, Potassium, Chloride) te pawh enfiah theih a ni.

• Zun test dan: 1.1.

Bottle bik chhunga i zun chuan pH a enfiah thin. Hei hian i zun chu acidic lutuk, basic lutuk, ketones a awm em tih te a hrilh thei che a ni.

Hei hi engtin nge enkawl a nih? (Tihdamna)

I doctor chuan i metabolic acidosis awm chhan dik tak a hriat chian hnuah chuan i tana tha tur treatment plan a pe ang che. Enkawlna chu a chhanah a innghat.

• A pawimawh ber chu a chhan enkawl hi a ni . Entirnan, diabetic ketoacidosis-ah chuan thisen sugar hi insulin leh IV fluid pek hmangin control a ni.
• Kidney natna vei te chu taksa acidity tihziaawm nan sodium bicarbonate tablet angin emaw, solution angin sodium citrate emaw pek theih a ni.
• Taksa atanga tui tam tak a bo tawh a nih chuan (e.g. riltam vang) vein kaltlangin saline (IV fluids) pek a pawimawh hle.
• A nasat deuh deuhah chuan thisen acidity balance rang turin vein (IV Sodium Bicarbonate) hmangin sodium bicarbonate pek a ni .
• Taksaah thil tha lo a lut a nih chuan (e.g., aspirin ei tam lutuk emaw, methanol ang chi chemical ei atanga emaw), thisen atanga thil tha lo paih chhuah nan special treatment (e.g., dialysis) a ngai thei a ni.

Hemi kawngah hian ei leh in hian nghawng a nei em? Eng nge ka ei ang a, eng nge ka ei tlem ang?

Ni e, a dik tak zet. Kan ei leh in \henkhat chuan taksa acidity a tipung a, a then chuan alkalinity a tipung a, acidity tihziaawmna kawngah a pui bawk. Mahse, hei hi a pawimawh hle: I ei leh in lama inthlak danglamna lian tham i siam hmain i doctor emaw, dietitian emaw i biak ngei ngei tur a ni. He thurawn hi kal natna i neih chuan a pawimawh hle.

Acid siamtu ei tur: 1.1.

• Sa (a bik takin sa sen, vawk, sangha).
• Eggs a ni.
• Cheese leh bawnghnute atanga siam thil dang (thenkhat).
• Thlai chi hrang hrang processed a ni.
• Zu.

Taksa alkalinity tipungtu alkaline siamtu ei tur, chu chu acidity tihziaawmna tura puitu:

• Thei chi hrang hrang (a bik takin citrus thei chi hrang hrang).
• Nut leh nut butter te pawh a awm.
• Legumes (e.g. lentils, chickpeas, green beans, soy) te pawh a awm thei.
• Thlai tam tak (a bik takin thlai chi hrang hrang).
• Mi thenkhat chuan alkaline water chungchang an sawi thin , mahse hei hi scientific basis chungchangah ngaihdan hrang hrang a awm a, chuvangin doctor zawh a tha ber.

Hemi atan hian eng damdawi dang nge hman?

A châng chuan over-the-counter (OTC) damdawi Sodium Citrate emaw Sodium Bicarbonate emaw hian taksaa acidity awm chu a balance thei a ni. Amaherawhchu, heng damdawi te hi doctor rawn hmasa lovin hmang suh, harsatna dang a thlen theih avangin.

Thil na tak ṭhenkhatah chuan, thinlungin hna a thawk ṭha lo va, taksain oxygen a hmuh tlem chuan doctor-te chuan inotropes tih damdawi an pe thei a ni. Chûngte chuan thinlung chu a ti na zual sauh a ni. Hei hian taksain oxygen tam zawk a hmuh theih nan a pui a, thisen acidity pawh a tihziaawm bawk. Heng damdawi te hi damdawi inah vein (IV) hmanga pek thin a ni tlangpui.

Metabolic acidosis lo awm tur tihtlem nan kan tih theih tur a awm em?

Hetiang dinhmun hi pumpelh vek theih a nih loh laiin, a hlauhawmna tihtlem nan thil tlemte kan tih theih a awm a:

• Nitin tui leh tui hrisel dangte in tam.
• Zunthlum i vei a nih chuan i thisen sugar level hi doctor-in a tih angin control a pawimawh. Hei hian damdawi, ei leh in leh exercise te a huam a ni.
• Zu i in a nih chuan i in tam lutuk kha tihtlem la, a nih loh leh in kha titawp vek rawh. Healthy limit chu mipa tan ni khatah standard drink pahnih aia tam lo leh hmeichhia tan ni khatah standard drink pakhat aia tam lo tura ngaih a ni.
• Ei leh in inthlau tak ei.

Hetiang dinhmun nen hian nakin lawkah eng nge thleng ang? Hlauh tur thil a ni em? (Hmuh dan tur) .

Metabolic acidosis i neih chuan hmalam hun chu i natna nasat dan, a chhan leh enkawlna i dawn thuai dan leh dik taka i dawn danah a innghat a ni.

• A tam zawkah chuan he natna hi uluk taka enfiah leh enkawl a nih chuan a lo let leh thei a ni.
• In mild cases , symptoms hi hun eng emaw chen atan a ni thei a, a chhan chu a mah chauha a reh chuan enkawlna bik a ngai lo thei bawk.
• Mahse, ka sawi tawh ang khan, natna khirh takah chuan enkawl loh chuan kal emaw, taksa peng dang emaw a tichhe thei a, thihna thlengin a thlen thei bawk. Chuvang chuan hei hi ngaihthah tur a ni lo.

Engtin nge ka in enkawl ang? Keimah chauha ka tih theih ṭhenkhat chu engte nge ni? (Mahni inenkawlna) .

I doctor chuan i tana tha tur treatment plan a siam ang. Damdawi leh nunphung thlak danglam te a huam dawn a ni. Heng step te hi zawm hian i dam lehna a tikhawtlai ang a, i natna hi a lo awm leh tawh loh nan a pui bawk ang:

• I thisen sugar level enfiah fo thin (zunthlum i neih chuan). Doctor-in a tih angin home blood glucose monitoring ti rawh.
• Damdawi doctor-in a pek ang chiah chiah, a hun takah leh a dose dik takah ei thin ang che. Dose pakhat mah lo hmang lo la.
• I doctor emaw nutritionist emaw in thurawn a pek che chuan ei tur acidic tlem leh alkaline tam zawk ei tum ang che.
• Zu in khap emaw, bansan emaw.
• Doctor appointment te chu a hun takah vawng rawh. Chutiang chuan i awm dân chu i hmu thei a, a ṭûl angin i tihdanglam thei bawk.

Engtikah nge Doctor ka hmuh ang? Emergency a ni em?

Metabolic acidosis symptoms i neih chuan (kan sawi tawh ang khan hahna, thawk dan inthlak danglam, rilru hahna), emaw, he natna thlentu tur natna dang (e.g., controlled diabetes, diarrhea na tak, kidney disease symptoms) symptoms na tak i neih chuan doctor pan nghal rawh. Tikhawtlai suh.

Metabolic Acidosis leh Respiratory Acidosis hi eng nge an danglamna?

Heng pahnih hi taksa acidity sang chhohna dinhmun ni mah se, an lo awm dan leh a nghawng ber organ system te hi a inang lo hle.

Metabolic acidosis hi taksa metabolism leh urinary system, a bik takin kidneys a nghawng ber a ni . Taksaa acid tam lutuk emaw, kal (kidney)-in thisen atanga acid a filter tha thei lo emaw, taksain bicarbonate a hloh emaw hian a thleng thin.

Respiratory acidosis hi thawkna kawng, a nih loh leh lung , a nghawng ber a ni. Hei hi lungin thisen atanga carbon dioxide (CO2) a paih chhuah chak tawk loh lai a ni. CO2 chu tui nen a inzawm khawm a, acid a siam ta a ni. Asthma ang chi dinhmun a nasat chuan, lung natna (COPD ang chi), thluak chhiatna, thawk harsatna thlentu, emaw damdawi thenkhat emaw mutna damdawi emaw hman tam lutuk hian lung hnathawh a tichhe thei a, CO2 a khawlkhawm a, acidity a tipung thei a ni.

A awlsam zawngin sawi ila, taksa chhunga chemical process leh kal (kidney)-a chemical process-a harsatna awm chu metabolic a ni. Thlawhna lam hi thawkna kawng leh lung lam harsatna a ni.

A tawp berah chuan i hriat reng tur pawimawh ber berte (Take-Home Message) .

Metabolic acidosis hi i ngaihtuah tak tak tur a ni a, a chhan chu taksa balance bulpui a nghawng avangin. A chang chuan a symptoms te chu ngaihthah tum la, "A pawi lo ang" tih angin i inlan thei bawk. Mahse, i taksain a biak che a, "I chhungril lamah thil pawi tak a awm a, min pui rawh," a tih kha a ni tih hre reng ang che.

Heng symptoms te hi i fimkhur hle tur a ni a, a bik takin hun rei tak atanga natna lo awm tawh, kal lama harsatna emaw, zunthlum emaw i neih chuan i fimkhur hle tur a ni.

Mahse, lungngai suh. Nangmah chauh i ni lo. Doctor thiam tak tak, nurse leh healthcare professional dangte pawhin an pui thei che a, he dinhmun atanga chhuah tir thei che an awm bawk. Diagnosis dik tak leh rang tak, dik taka enkawl a nih chuan he natna hi nasa takin control theih a ni a, a let leh thei bawk. Chuvangin, hemi chungchangah hian rinhlelhna i neih chuan zak lo la, tihkhawtlai suh la, Doctor hmu la, i zawhnate zawt la, a tul anga thurawn leh enkawlna i dawng ang. A chhan chu, i hriselna hi khawvela thil hlu ber a ni!

` Metabolic acidosis, acid-base balance, pH value, kal natna, zunthlum, ketoacidosis, lactic acidosis, symptoms, enkawl dan