Metabolic Acidosis hi i thisena acid leh base te chemical balance a balance loh chuan a lo awm thin a ni. Kitchen scale ang maiin han ngaihtuah teh. Side khatah rit lutuk i dah chuan a tip over ang, a dik em? Chutiang chu a ni. Hetiang dinhmun hi kan taksain acid a neih tam lutuk a, a control theihna tur base a neih loh vang a ni. A châng chuan hei hi natna na lo tak a ni thei a, mahse ṭhenkhatah chuan nunna atana hlauhawm tak a ni thei.
Engvangin nge hetiang hi a lo awm? (Metabolic Acidosis awm chhan) 1.1.
Kan thisena acid-base inthlauhna hi a awm theih chhan hrang hrang a awm a. A chhan berte han thlir ila.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Ketoacidosis ( ketoacidosis ) a awm thei lo. | Zunthlum vei chuan insulin a dawng tlem a, tui a tlakchham chuan taksain chakna a neih theih nan thau a hal tan thin. Hei hian chemicals ketones an tih chu a siam chhuak thin. Heng ketone te hi thisenah an awm khawm chuan thisen chu acidic a lo ni ta a ni. Hetiang dinhmun hi zu in tam lutuk, ei leh in mumal lo, chaw nghei teah pawh a awm thei bawk. |
| Lactic Acidosis natna a ni | Kan taksa cell ten oxygen an hmuh tlem chuan thil pakhat lactic acid an tih chu an siam chhuak thin. Hei hian thisenah a pungkhawm thei bawk. Hei hi exercise nasa tak neih laiin, thisen sang a tlahniam nghal a, heart failure, cardiac arrest, leh infection nasa tak a awm chuan a thleng thei a ni. |
| Kal lama harsatna (Renal Tubular Acidosis) . | Kidney hrisel chuan thisen atanga acid tam lutuk chu a filter chhuak a, zunah a paih chhuak thin. Mahse, kal natna, immune system disorder thenkhat, leh genetic disorder avanga kal a chhiat chuan heng acid te hi uluk takin an paih chhuak thei lo. Chumi hnuah chuan acid te chu thisenah a awm reng a ni. |
| Hyperchloremic Acidosis natna a awm thei | Diarrhea na tak, laxatives hman dik loh , leh kal natna thenkhatte hian kan taksaah bicarbonate a tlahniam thei a ni. Bicarbonate hi acids neutralize tu base a ni. A hniam chuan thisen chu acidic a lo ni ta a ni. |
Pawimawh: A chi dang Respiratory Acidosis tih a awm bawk. Hetiang hian thisen pawh acidic a lo ni ta a , mahse a chhan chu lung chhunga harsatna awm vangin taksaah carbon dioxide tam lutuk a awm khawm thin. Hei hi Metabolic Acidosis nen a danglam hle.
Hei hi eng symptoms nge ni? (Natna)
Mi hrang hrangah hian natna lan chhuah dan inang lo thei mah se, hengte hi Metabolic Acidosis vei tan chuan a lan chhuah dan tlangpui a ni.
- Thawk chak : Hei hi taksain acid tam lutuk (carbon dioxide angin) taksa atanga paih chhuah a tum vang a ni.
- Lung na tak tak
- Lu na
- Buaina neia inhriatna (Confusion) .
- Chak lohna neia inhriatna
- Chau tih hriat reng reng
- Chaw chakna
- Nausea leh luak chhuak
Thâwk chunga thei rimtui hi hriat lar tak a ni a, a bik takin diabetic ketoacidosis (DKA)-ah chuan a langsar hle.
Heng symptoms te hi i neih chuan doctor pan nghal tur a ni. An nasat nia an hriat chuan damdawi in Emergency Department (ETU) pan chu tihkhawtlai suh .
Engtin nge hetiang chiah hi ka hmuh theih ang? (Thil test a ni) .
Doctor chuan he natna hi i nei em tih chiang taka hriat theih nan test eng emaw zat a kalpui ang. Chumi hnuah chauh chuan enkawlna dik tak pek theih a ni ang.
- Anion Gap Test: Hei hi thisen chemical balance tehna a ni. A awlsam zawngin thisen chhunga positive leh negative charged particle (sodium, chloride, bicarbonate ang chi) te chu a khaikhin a ni. Metabolic acidosis chi thenkhatah chuan heng value inkar "gap" hi a langsar zawk.
- Arterial Blood Gases (ABG) test: Hei hian i thisen pH, a nih loh leh acidity, leh oxygen leh carbon dioxide level a teh thin.
- Zun test: Hengte hian aspirin, zu, antifreeze ang chi thil atanga ketone, kal lama harsatna emaw, poisoning emaw a hmuchhuak thei a ni. Zunthlum vei te chuan damdawi dawr-a test strip awmte hmangin an zun chu in lamah ketone awm leh awm loh an test thei a ni.
Engtin nge enkawl ang? (Tihdamna)
Metabolic Acidosis hi a chhan bulpui enkawlna hmanga enkawl a ni. Inchung atanga tui luang chhuak ang maiin han ngaihtuah teh. Bucket dah a, tui man ai chuan inchung khur chu siam that a tha zawk. Chutiang chu a ni.
Hetiang dinhmun hi control a nih loh chuan i ruh, ruh leh kal (kidney) te a nghawng thei a ni. A nasat chuan shock leh thihna thlengin a thleng thei. DKA ang chi condition hian coma a thlen thei bawk.
Chuvangin, a rang thei ang bera enkawlna zawn a pawimawh hle . Damdawi pek dan tlangpui thenkhat chu:
- Detoxification: Hetiang dinhmun hi ruihhlo emaw zu ruih vanga lo awm a nih chuan taksa atanga rimtui paih chhuah nan enkawlna pek thin a ni. Poisoning i rinhlelh chuan Colombo National Hospital-a National Poisons Information Center-ah thurawn dil nghal rawh .
- Insulin: Insulin hi zunthlum vanga DKA awm tan pek thin a ni.
- Intravenous fluids (IV fluids): Saline ang chi fluid hi i kut chhunga vein kaltlangin pek a ni.
- Sodium bicarbonate: A then phei chuan he damdawi hi thisen alkalinity tihpun nan vein kaltlangin pek thin a ni.
Damdawi inah dah a ngai mai thei.
Hetiang dinhmun lakah hian engtin nge i inven theih ang? (Invenna) 1.1.
Metabolic acidosis hi ven theih reng ni lo mah se, i hlauhawmna tihziaawmna tur thil i tih theih a awm.
- Tui leh zu tel lo tui tam tak in thin ang che. I zun a thianghlim emaw, a sen hring emaw a nih chuan tui i hmu tlem tihna a ni.
- Zu hi tihtlem rawh. Zu hian taksaa acid buildup a tipung thei a, dehydration a thlen thei bawk.
- Zunthlum i neih chuan control tha rawh. I doctor thupek ang chiah kha zawm rawh.
- Damdawi i ei dawnin doctor-in emaw, a package-a a pek angin dik takin zawm tur a ni.
Take-Home Thuchah a ni
- Metabolic acidosis hi i thisen a acid-base balance tibuaitu a ni. Hei hi awlsam takin la suh.
- Thâwk rang, buai, leh hah lutuk ang chi symptom i neih chuan taksa chhunga harsatna lian tak a awm tih chhinchhiahna a ni thei.
- Hei hi a chhan bulpui (zunthlum, kal natna, poisoning ang chi) enkawlna hmanga enkawl a ni.
- Ringhlelna emaw, symptom emaw i neih chuan guess ngai suh. Thurawn leh enkawlna dik tak dawng turin doctor pan nghal rawh.
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