Ko te Metabolic Acidosis he mate e puta ana ina kore e taurite te taurite matū o ngā waikawa me ngā kawakore i roto i tō toto. Whakaarohia he rite ki te pauna o te kīhini. Ki te nui rawa te taumaha e whakatakotoria ana ki tētahi taha, ka takahuri, tika? Koinā te āhua. Ka puta tēnei mate ina nui rawa te waikawa o tō tātou tinana, ā, kāore i te rawaka te kawakore hei whakahaere i a ia. I ētahi wā he mate ngawari tēnei, engari i ētahi wā ka morearea te ora.
He aha tēnei ka tupu ai? (Ngā Take o te Acidosis Metabolic)
He maha ngā take e puta ai tēnei kore taurite o te waikawa-pūmua i roto i ō tātou toto. Me titiro tātou ki ngā tino take.
| Take | He whakamārama māmā |
|---|---|
| Ketoacidosis ( ketoacidosis ) | Ina kore e nui te insulin e whiwhihia ana e te tangata mate huka, ā, ka maroke te wai, ka tīmata te tinana ki te tahu ngako hei pūngao. Ka hua ake tēnei i te whakaputanga o ngā matū e kiia nei ko ngā ketone. Ina kohia ēnei ketone ki roto i te toto, ka waikawa te toto. Ka pā anō hoki tēnei āhuatanga ki te hunga e inu nui ana i te waipiro, kāore e kai tika, e nohopuku ana rānei. |
| Te waikawa lactic | Ina kore e nui te hāora e whiwhihia ana e ngā pūtau o te tinana, ka puta he matū e kiia nei ko te waikawa lactic. Ka taea hoki tēnei te kohikohi i roto i te toto. Ka tupu pea tēnei i te wā e whakakorikori tinana ana, ina heke ohorere te toto toto, i roto i ngā take o te ngoikore o te ngakau, te aukati o te ngakau, me ngā mate urutā nui. |
| Ngā raruraru whatukuhu (Renal Tubular Acidosis) | Ka tātarihia e ngā whatukuhu hauora ngā waikawa taikaha mai i te toto, ka tukuna ki roto i te mimi. Heoi, ina pakaru ngā whatukuhu nā te mate whatukuhu, ētahi mate pūnaha ārai mate, me ngā mate ira, kāore e taea e rātou te tango tika i ēnei waikawa. Kātahi ka noho tonu ngā waikawa ki roto i te toto. |
| Te Waikawa Hiperukōremiki | Mā te korere nui, te whakamahinga hē o ngā rongoā whakamāmā , me ētahi mate tākihi ka iti te taumata o te paikāponate i roto i te tinana. He turanga te paikāponate e whakakore ana i ngā waikawa. Ina iti, ka waikawa te toto. |
He mea nui: Tērā tētahi atu momo e kiia nei ko te Respiratory Acidosis. I roto i tēnei, ka waikawa hoki te toto, engari ko te take he raruraru i roto i ngā pukahukahu e meinga ai te nui o te hauhā waro ki roto i te tinana. He rerekē tēnei i te Metabolic Acidosis.
He aha ngā tohu o tēnei? (Ngā tohu)
Ahakoa he rerekē ngā tohu i waenga i te tangata me te tangata, he tohu noa ēnei ka pā ki te tangata e pāngia ana e te Metabolic Acidosis.
- Te manawa tere : Nā te mea kei te ngana te tinana ki te pana i te waikawa nui rawa (hei hauhā waro) mai i te tinana.
- Ngā tere o te ngakau
- Ānini
- Te pōhēhē (Pōhēhē)
- Te ngoikore o te ngākau
- Te ngenge i ngā wā katoa
- Hiahia kai
- Whakapairuaki me te ruaki
He tohu rongonui te kakara hua i te manawa , inā koa i te mate ketoacidosis mate huka (DKA).
Ki te pāngia koe e ēnei tohu, me toro atu ki tō tākuta tonu. Ki te kaha rawa te āhua, kaua e whakaroa ki te haere ki te Tari Whawhati Tata (ETU) o te hōhipera.
Me pēhea te kimi i tēnei? (Te whakamātautau)
Ka whakahaerehia e te tākuta ētahi whakamātautau hei whakatau tika mēnā kei a koe tēnei mate. Ko reira anake ka taea te hoatu i te maimoatanga tika.
- Whakamātautau Āputa Anion: He whakamātautau tēnei e ine ana i te taurite matū o te toto. He whakarāpopototanga noa iho, ka whakataurite i ngā matūriki utu pai me ngā matūriki utu kino (pērā i te konutai, te pūhaumāota, te paikāponate) i roto i te toto. I roto i ētahi momo waikawa pūmua, ka kitea ake te "āputa" i waenganui i ēnei uara.
- Whakamātautau Hau Toto Arteri (ABG): Mā tēnei ka ine i te pH, te waikawa rānei, me ngā taumata hāora me te hauhā waro o tō toto.
- Ngā whakamātautau mimi: Ka taea e ēnei te kite i ngā ketone, ngā raruraru tākihi, te paihana rānei mai i ngā mea pēnei i te aspirin, te waipiro, te ārai huka rānei. Ka taea e te hunga mate huka te whakamātautau i ā rātou mimi mō ngā ketone i te kāinga mā te whakamahi i ngā rīpene whakamātautau e wātea ana i te whare rongoā.
Me pēhea te rongoā? (Te rongoā)
Ka rongoāhia te mate waikawa pūmua mā te rongoā i te pūtake. Whakaarohia he rite ki te tuanui e turuturu ana te wai. He pai ake te whakatika i te kōhao o te tuanui i te tuku i te peere ki raro ka hopu i te wai. Koia te āhua.
Ki te kore tēnei āhuatanga e whakahaeretia, ka pā ki ō wheua, uaua, me ō whatukuhu. I ngā wā tino kino, ka pā te ohorere, tae atu ki te mate. Ka taea hoki e te āhuatanga pēnei i te DKA te arahi ki te koma.
Nō reira, he mea tino nui te rapu maimoatanga i te wā e taea ai . Ko ētahi o ngā maimoatanga e tohua ana ko:
- Te Whakakorenga Paitini: Mena i puta mai tēnei āhuatanga i te paitini tarukino, waipiro rānei, ka tukuna he maimoatanga hei tango i te paitini mai i te tinana. Mena kei te whakapae koe kei te paitini koe, waea atu ki te National Poisons Information Center i te Colombo National Hospital mō ētahi tohutohu.
- Inihurini: Ka hoatu te inihurini mō te DKA i puta mai i te mate huka.
- Wai ā-uaua (wai ā-infus): Ka hoatuhia ngā wai pēnei i te tote mā roto i tētahi uaua i roto i tō ringa.
- Paikāponate konutai: I ētahi wā, ka hoatuhia tēnei rongoā mā roto i tētahi uaua hei whakanui ake i te kawakore o te toto.
Tērā pea me kawe koe ki te hōhipera.
Me pēhea te tiaki i a koe i tēnei āhuatanga? (Ārai)
Ahakoa e kore e taea te ārai i te waikawa metabolic i ngā wā katoa, tera ētahi mea ka taea e koe te mahi hei whakaiti i tō mōrearea.
- Inumia he nui te wai me ngā inu kore-waipiro. Mena he mārama, he kōwhai mārama rānei tō mimi, he tohu kei te nui te wai e whiwhi ana koe.
- Whakaitihia te waipiro. Ka taea e te waipiro te whakanui ake i te hanga waikawa i roto i te tinana, ā, ka matewai hoki.
- Ki te mea he mate huka tōu, kia pai te whakahaere. Me whai i ngā tohutohu a tō tākuta.
- I te wā e tango ana koe i te rongoā, me whai tonu i ngā tohutohu a tō tākuta, i runga rānei i te kete.
Karere Tangohia ki te Kāinga
- Ko te waikawa pūmua he whakararuraru i te taurite waikawa-pūtake i roto i tō toto. Kaua e whakahawea ki tēnei.
- Mena kei a koe ngā tohu pēnei i te tere o te manawa, te pōhēhē, me te ngenge nui, he tohu pea tēnei nō tētahi raruraru nui i roto i te tinana.
- Ka rongoatia tēnei mā te rongoā i te pūtake o te mate (pēnei i te mate huka, te mate tākihi, te paihana).
- Ki te mea he ruarua, he tohu rānei āu, kaua e whakapae. Tirohia tonutia tō tākuta mō ngā tohutohu me ngā maimoatanga tika.
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