Kan taksa chhunga thil thleng \henkhat hi a mak khawp mai. Kan thisen hi tui sen mai mai niin i ngai mai thei. Mahse a takah chuan chu aia complex zawk a ni. Kan thisen hian acid leh base inthlauhna dik tak a nei a. He balance hi tlem a off deuh chuan natna chi hrang hrang kan nei thei a ni. Chutiang bawkin kan thisen alkalinity a san lutuk chuan damdawi lamah Metabolic Alkalosis kan ti thin.
A awlsam zawngin, Metabolic Alkalosis chu eng nge ni?
Scale ang maiin han ngaihtuah teh. Khaw khatah acid a awm a, a sir lehlamah base a awm bawk. Mi hrisel taksaah chuan he tehfung hi a inthlau hle. pH kan ti a . He balance hi kan hriselna atan a pawimawh hle.
Metabolic alkalosis hi scale base side a rit lutuk a ni. Chumi awmzia chu thisen alkalinity a pung lutuk tihna a ni. Hei hi kan digestive system emaw kidney-a harsatna awm vang a ni ber. Hetiang dinhmun hi a na lo a nih chuan a lan chhuahna a awm lo thei. Mahse, kan natna hi a nasat chuan kan kal (kidney) hnathawh pawh a tichhe thei a ni.
Hetiang dinhmun hi eng chi hrang hrang nge ni ber?
Metabolic alkalosis hi chi hnih ah then theih a ni. A chhan leh enkawl dan pawh a inang lo deuh vek a.
| Lampang | Chhan | Tihdamna |
|---|---|---|
| Chloride-a chhanna alkalosis a awm | Taksain acid a chhuah tam lutuk vang a ni. Entirnan, i luak chhunzawm zel chuan i pum chhunga acid awm chu a chhuak thin. Tin, tui tlakchhamna nasa tak vang pawh a ni thei. | Hetiang dinhmun hi saline fluids intravenous (IV) pek a, ei tur chi (salty foods) ei hian control theih a ni. |
| Chloride laka invenna alkalosis a awm | Hei hi damdawi thenkhat ei tam lutuk vang emaw, a hnuaia damdawi lam dinhmun dang emaw vang a ni tlangpui. | Hetiang chi hian chi ei tam lutuk hi a chhang lo. Chu ai chuan potassium tamna ei tur emaw, potassium awmna tui pek emaw a ngai zawk. |
Metabolic Alkalosis natna lan chhuah dan chu engte nge ni?
A châng chuan symptoms engmah i nei lo thei bawk. Mahse, symptoms a lo lang a nih chuan a na lo atanga na tak thlengin a awm thei.
| Symptom tenau/na lo tak tak a awm | Symptom na tak tak a awm |
|---|---|
|
|
Pawimawh: Symptom na tak tak hi damdawi lam pan vat ngai a ni. Nangmah emaw, i hriat miin emaw heng symptoms te hi an neih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh.
Engvangin nge Metabolic Alkalosis kan neih? A chhan berte chu engte nge ni?
Hetiang dinhmun hi a lo awm chhan hrang hrang a awm. A bulpui ber chu thisenah bicarbonate a tam a, hydrogen a tlahniam bawk. He balance tibuai theitu ber chu:
- Pum acid hloh: Kan luak chhunzawm zel emaw, pumpui pump kan neih emaw hian kan taksa atangin stomach acid tam tak a chhuak thin. Hei hian thisen alkalinity a tipung a ni.
- Anticids ei tam lutuk: Hetiang dinhmun hi kal natna neiin sodium bicarbonate awmna antacids a hman chhunzawm zel chuan a awm thei a ni.
- Diuretics (or "tui pills"): .Taksa tui tihtlem nana damdawi an pek te hi i ei tam lutuk chuan taksaa acidity pawh zun rualin a chhuak bawk.
- Laxatives ei: Heng damdawi te hi constipation enkawlna atana hman thin te hian bloating nasa lutuk a thlen thei a, electrolyte pawimawh tak tak potassium leh chloride te pawh a hloh thei bawk.
- Dehydration: Taksaah tui a awm tawk loh chuan electrolyte balance a tibuai a, thisen alkalinity a tipung thei bawk.
Damdawi lam thil dang
Heng bakah hian metabolic alkalosis hi damdawi lam thil dang thenkhat vang pawh a ni thei bawk.
- Genetic disease thenkhat, kal atanga electrolyte chhuak chhuak thei.
- Adrenal hormone pakhat aldosterone level a sang. `(hyperaldosteronism)` tih a ni
- Thisenah chloride level a tlahniam.
- Potassium tlakchhamna (hypokalemia).
- Lung, kal, emaw thin natna.
He natna hi tu nge vei thei ber?
Mi thenkhat chuan he natna hi an vei tam zawk.
- Eng emaw chhan vanga gastric lavage nei thinte.
- Zu in thin, luak chhuak fo khawpa in thinte.
- Mite chu taksa rihna tihtlem tumna atana laxatives ei thinte.
- Mite chuan diuretics ei thinte chu an hring chhuak tihziaawmna tur emaw, an taksa rihna tihtlem nan emaw an hmang thin.
- Bulimia nervosa vei te, an taksa rihna tihpun an hlauh avangin chaw ei zawha tharum hmanga an luak chhuak thin.
- Mite chu naupai laiin hyperemesis gravidarum natna vei an ni.
Engtin nge doctor hian hei hi a hmuh theih?
Doctor i pan chuan i natna lan chhuah dan chu uluk takin a ngaithla ang a, chutah chuan i natna hriat chian nan test eng emaw zat a nei thei ang.
- Taksa enfiah: I natna lan chhuah dan enfiah.
- Thisen test: Thisen gas, acid-base balance, leh electrolyte level te teh thin.
- ECG test: Heart rhythm (arrhythmia) a dik lo awm leh awm loh enfiah nan (Electrocardiogram).
- Urinalysis: Hei hian he natna hi a chhan hriat theih nan a pui thei a ni.
Engtin nge enkawl a nih?
Enkawlna chu i natna lan chhuah dan nasat dan leh i natna chhan a innghat a ni. Mild case-ah chuan enkawl a ngai lo mai thei. Mahse, natna lan chhuahna na tak i neih chuan enkawl vat a ngai mai thei .
Enkawlna ber chu IV hmanga saline leh electrolyte tul tak tak pek hi a ni.
- Saline hmanga infusion a ni
- Potassium thlak danglamna tur
- Magnesium (Magnesium thlak danglamna) .
- Chloride infusion a ni
- Hydrochloric acid infusion - (Hei hi a nasat em avangin pek thin a ni) .
Hetiang dinhmun hi damdawi pakhat ei tam lutuk avanga lo awm a nih chuan chu damdawi chu tihtawp pawh hi enkawlnaah a tel ve a ni.
Mahse hre reng ang che: Damdawi engmah ei kha titawp suh la , doctor nen inbia lovin a dose pawh thlak suh.
Hetiang dinhmun hi a lo thlen leh tawh loh nan engtin nge kan ven theih ang?
Mi tam zawk chu enkawl hnuah nun pangngaiah an kir leh thei a ni. Mahse, a thlentu harsatna bulpui chu chinfel a nih loh chuan a lo awm leh thei a ni. Chuvangin i doctor chuan he hlauhawmna tihziaawmna tur tips thenkhat a pe ang che.
- Damdawi anticids, laxatives, emaw water pills (damdawi lam thurawn chauhvin) hman tlem emaw tihtawp emaw.
- Nitin tui tam tak in la, chu chuan dehydration a veng ang.
- Doctor-in a rawt chuan electrolyte level vawng reng turin vitamin emaw supplement emaw ei thin ang che.
A pawimawh ber chu a chhan bulpui (underlying cause) enkawl hi a ni. Entirnan, thinlung natna avanga tui pill i ei a nih chuan i doctor chuan a dose a thlak thei a ni. Chuvang chuan i doctor nen inbia a, i tana tha ber tur solution zawng chhuah a pawimawh.
Take-Home Thuchah a ni
- Kan thisen alkalinity a san lutuk chuan metabolic alkalosis a ni.
- Hei hi a chhan ber chu luak chhuak reng te, diuretics thenkhat hman te, leh tui tlakchhamna te a ni.
- Confusion emaw seizure emaw ang chi symptom na tak tak i neih chuan emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
- Enkawlna a hlawhtling. Mi tam tak chuan thisenah tui leh electrolyte hmangin an dam kim vek thin.
- Hetiang dinhmun hi a lo awm leh tawh loh nan, a chhan bulpui ber chu i doctor nen sawiho a, enkawlna zawn a pawimawh hle.
- Damdawi ei kha titawp ngai suh la, doctor thurawn tel lovin a dose pawh thlak ngai suh.











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