I thisena acid-base balance chu a out of whack em? Alkalosis chungchang hi han sawi ila!

A châng chuan i chau mai mai emaw, i luak chhuak mai mai emaw, i taksa peng hrang hrangah tingling sensation i nei emaw ang maiin i inhria em? Chûngte chu hahna pangngai emaw, tui in tam loh emaw angin kan ngai fo a, mahse a châng chuan a chhan bulpui ber chu kan thisenah danglamna tlemte a ni. Vawiin hian chutiang dinhmun pakhat kan sawi dawn a, chu chu alkalosis an tih, kan thisen alkalinity a pung a ni.

He pH value hi kan thisenah engzat nge ni?

A awlsam zawngin pH hi liquid pakhat acidic emaw alkaline emaw a nih dan tehna a ni. Nitin acidic thil i in mai thei. Coffee, soft drink thenkhat, leh lemon tui ang chi thil te hi acidic vek a ni. Kan hmui pawh hi acidic deuh a ni.

Mahse thil alkaline sang tak takte hi kan tan chuan a pawi lo fo thin. Tuifinriat tui leh faina chemical ang chi thil te hi alkaline sang tak a ni a, ei pawh a hlauhawm hle.

Kan thisen pH hi a laiah, neutral level-ah a awm tur a ni. He balance hi taksa hnathawh zawng zawngte a thawh that theih nan a pawimawh hle. Thisen acidity a san chuan acidosis kan ti thin. Alkalinity a san chuan alkalosis kan ti thin.

Alkalosis awm chhante chu engte nge ni?

Hetiang dinhmun hi a chhan lian ber pahnih a awm. Chumi ang chuan alkalosis hi chi hnih ah then a ni.

1. Thilsiam (Metabolic Alkalosis) a awm

Hei hi kan taksa atanga acid tam lutuk lakchhuah vang emaw, thisena chemical bulpui bicarbonate tam lutuk vang emaw a ni. Kan kal (kidney) te hi taksaa he pH balance control tu ber an ni.

• Luak tam lutuk: Mi pakhatin a luak tam lutuk ang tih han ngaihtuah teh. Tichuan an pum chhunga hydrochloric acid tam tak chu taksa atangin a chhuak ta a ni. Hei hian thisen acid-base balance a tichhe thei a, thisen chu tlem a alkaline deuh thei a ni.
• Damdawi lam thil dang: Damdawi lam natna thenkhat, thinlung natna, thin natna, kal natna te pawh hian thisen pH a tidanglam thei bawk.

2. Thluak lama Alkalosis a awm

Hei hi kan thisena carbon dioxide (CO2) a tlem vang a ni. CO2 hi kan thisen acidity vawng rengtu gas a ni.

• Hyperventilation: Hei hi a chhan ber chu kan thawk chak lutuk leh thuk lutuk vang a ni. Hei hi mi pakhatin a hlauthawng a, a lungkham a, a thawhrim lutuk hian a thleng thei a ni. Hei hian kan taksain carbon dioxide a tichhuak tam a, kan thisen alkalinity a tipung bawk.
• A chhan dangte chu:
• Khawsik
• Hmun sang takah awm
• Thisenah oxygen level a tlahniam
• Lung kaihhnawih natna
• Liver natna te

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He alkalosis natna lan chhuah dan hi engte nge ni?

I thisen pH inthlauhna tlemte pawh hian i rilru a ti na thei a, i thinrim thei a, i na thei bawk. A châng chuan, he natna hi chhinchhiahna awm lovin a awm thei bawk.

Alkalosis hi kal hrisel nei tan chuan a na lo tlangpui. Mahse, taksa ruhte chu na taka a inher (tetany na tak) a nih chuan doctor i pan ngei ngei tur a ni . Natna lanchhuahna na tak a awm chuan damdawi in emergency department (ETU)-ah i kal nghal tur a ni.

Engtin nge doctor hian hei hi a hmuh theih?

Doctor i hmuh hian natna hriat chian hmasak ber tur chu taksa enfiahna a ni.

1. Natna lan chhuah dan zawhna: A hmasa berin i doctor chuan a enfiah ang che a, i natna lan chhuah dan a zawt ang che.

2. Emergency treatment: Emergency condition i neih chuan rapid breathing (hyperventilation) i neih chuan test dang hmaah enkawl a ni ang.

3. Thisen test: A dawtah thisen test a ni ang. Hei hian i thisenah pH imbalance leh alkalosis i neih leh neih loh a hre nghal thei a ni. He test hian a bik takin:

• Thisen gas te
• Acid leh base inthlauhna
• Electrolyte level a ni

4. Urine test: A tul chuan zun test pawh tih theih a ni a, hei hi a chhan dik tak finfiah belh theih a ni.

Alkalosis hi engtin nge enkawl a nih?

Alkalosis enkawlna atana pawimawh ber chu a natna lan chhuah dan chauh ni lovin, a natna chhan bulpui ber enkawl hi a ni.

Doctor chuan natna lan chhuah dan bulpui a enkawl hnuah natna thlentu a zawng ang a, hun rei tak chhunga enkawlna \ha tak a tan ang.

• Metabolic Alkalosis enkawl dan: Chumi enkawlna chu taksain tui leh electrolyte tling tak pek hi a ni. Chungte chu sodium leh potassium awmna in tur hmanga pek theih a ni a, a tul chuan saline hmanga pek theih a ni bawk.
• Respiratory Alkalosis enkawlna: Hetah hian a pawimawh ber chu thawk dan pangngaia siam a ni. Hyperventilating i nih chuan i rilru hahdam leh thawk zawi zawia thawk hian oxygen level a siam tha thei a ni. A châng chuan paper bag chhunga thawk pawh hi he thil hi control-na atan a tha hle.

Hetiang dinhmun hi pumpelh theih a ni em?

Inven dan tur chu i alkalosis awm chhan ah a innghat. Condition thenkhat i neih chuan i risk sang zawk a, chu chu kidney disease te hi a ni. Tin, dehydration hian metabolic alkalosis i vei theihna a tipung bawk.

Risk i nih chuan i doctor chuan i tan prevention plan a siamsak ang che.

Entirnan, damdawi thenkhat ‘diuretics’ emaw ‘water pills’ emaw an tih emaw, gastritis (antacids) damdawi thenkhat emaw hian he natna hi a thlen thei a ni. Risk a awm chuan i doctor chuan damdawi a thlak thei a, a dose pawh a siamrem thei bawk. Chuvangin, Doctor rawn hmasa lovin damdawi engmah i titawp ngai lo va, i ti tan ngai lovang.