Kodi nthawi zina mumamva ngati mukutopa, chizungulire, kapena mukumva kuwawa m'miyendo yanu? Nthawi zambiri timaganiza kuti izi ndi kutopa kwachibadwa kapena kusamwa madzi okwanira, koma nthawi zina chifukwa chake chimakhala kusintha pang'ono m'magazi athu. Lero, tikambirana za vuto limodzi lotere, vuto lotchedwa alkalosis, pomwe alkalinity yamagazi athu imawonjezeka.
Kodi pH iyi m'magazi athu ndi yotani?
Mwachidule, pH ndi muyeso wa momwe madzi alili acidic kapena alkaline. Mwina mumamwa zinthu zokhala ndi acidic tsiku lililonse. Zinthu monga khofi, zakumwa zina zoziziritsa kukhosi, ndi madzi a mandimu zonse zimakhala ndi acidic. Ngakhale malovu athu ali ndi acidic pang'ono.
Koma zinthu zomwe zili ndi mchere wambiri nthawi zambiri zimakhala zovulaza kwa ife. Zinthu monga madzi a m'nyanja ndi mankhwala oyeretsera zimakhala ndi mchere wambiri, ndipo ndizoopsa kuzimeza.
pH ya magazi athu iyenera kukhala pakati, pamlingo wosalowerera. Kulinganiza kumeneku ndikofunikira kuti ntchito zonse za thupi zigwire bwino ntchito. Ngati asidi m'magazi akwera, timatcha acidosis. Ngati alkalinity ikwera, timatcha alkalosis.
Kodi zimayambitsa alkalosis ndi ziti?
Pali magulu awiri akuluakulu a zifukwa zomwe zimayambitsa vutoli. Chifukwa chake, alkalosis imagawidwa m'mitundu iwiri.
1. Kagayidwe kachakudya m'thupi (Metabolic Alkalosis)
Izi zimachitika chifukwa cha kuchotsedwa kwa asidi wambiri m'thupi lathu kapena kuchuluka kwa bicarbonate wambiri, mankhwala ofunikira m'magazi. Impso zathu ndi ziwalo zazikulu zomwe zimalamulira pH iyi m'thupi.
- Kusanza kwambiri: Tangoganizirani munthu akusanza kwambiri. Kenako m'mimba mwake mumatuluka asidi wambiri m'thupi. Izi zitha kusokoneza acid-base balance m'magazi, zomwe zimapangitsa kuti magazi akhale amchere pang'ono.
- Matenda ena: Matenda ena monga matenda a mtima, matenda a chiwindi, kapena matenda a impso angayambitsenso kusintha kwa pH ya magazi.
2. Kupuma kwa Alkalosis
Izi zimachitika chifukwa cha kuchepa kwa mpweya wa carbon dioxide (CO2) m'magazi mwathu. CO2 ndi mpweya womwe umathandiza kusunga asidi m'magazi mwathu.
- Kupuma Mopitirira Muyeso: Chifukwa chachikulu cha izi ndichakuti timapuma mofulumira komanso mozama kwambiri. Izi zitha kuchitika munthu akakhala ndi mantha, nkhawa, kapena kuchita zinthu mopitirira muyeso. Izi zimapangitsa kuti thupi lathu litulutse mpweya woipa wambiri m'magazi ndipo zimawonjezera alkalinity m'magazi athu.
- Zifukwa zina:
- Malungo
- Kukhala m'malo okwera kwambiri
- Kuchepa kwa mpweya m'magazi
- Matenda okhudzana ndi mapapo
- Matenda a chiwindi
Kodi zizindikiro za vuto la alkalosis ndi ziti?
Ngakhale kusalinganika pang'ono kwa pH m'magazi kungakupangitseni kumva kusasangalala, kukwiya, komanso kudwala. Nthawi zina, vutoli likhoza kuchitika popanda zizindikiro zilizonse.
| Zizindikiro za Alkalosis | |
|---|---|
| Zizindikiro zomwe zimawoneka kawirikawiri | |
| Chisokonezo | Kugwedezeka |
| Kumva kufooka | Kupweteka kwa minofu kapena tetany |
| Kusanza ndi kusanza | Kusanza nkhope, manja, kapena mapazi |
| Zizindikiro zoopsa zomwe zimafuna chisamaliro chachangu | |
| Kusakhazikika kwa mtima | Kugwidwa ndi khunyu |
| Chikomokere | |
Matenda a Alkalosis nthawi zambiri sali oopsa kwa munthu amene ali ndi impso zabwino. Komabe, ngati minofu ikugwedezeka kwambiri (tetany yoopsa), muyenera kuonana ndi dokotala . Ngati zizindikiro zazikulu zapezeka, muyenera kupita kuchipatala nthawi yomweyo.
Kodi dokotala amapeza bwanji izi?
Mukapita kwa dokotala, gawo loyamba lodziwira matenda ndi kuyezetsa thupi.
1. Kufunsa za zizindikiro: Choyamba, dokotala wanu adzakuyesani ndikukufunsani za zizindikiro zanu.
2. Chithandizo chadzidzidzi: Ngati muli ndi vuto ladzidzidzi, monga kupuma mofulumira (kupuma movutikira), lidzachiritsidwa musanayesedwe mayeso ena.
3. Kuyezetsa magazi: Kenako, kuyezetsa magazi kudzachitika. Izi zitha kudziwa mwachangu ngati muli ndi pH yosalinganika komanso alkalosis m'magazi anu. Kuyezetsa kumeneku kumayang'ana makamaka:
- Mpweya wa magazi
- Kulinganiza kwa asidi ndi maziko
- Ma electrolyte ambiri
4. Kuyezetsa mkodzo: Ngati kuli kofunikira, kuyezetsa mkodzo kungachitike kuti kutsimikizire chifukwa chenicheni cha izi.
Kodi alkalosis imachiritsidwa bwanji?
Chofunika kwambiri pochiza alkalosis ndi kuchiza chomwe chimayambitsa vutoli, osati zizindikiro zokha.
Dokotala akamaliza kuchiza zizindikiro zoyambira, adzafufuza chomwe chayambitsa matendawa ndikuyamba chithandizo choyenera cha nthawi yayitali.
- Chithandizo cha Kagayidwe ka Metabolic Alkalosis: Chithandizo cha izi ndikupatsa thupi madzi ndi ma electrolyte okwanira. Izi zitha kuperekedwa kudzera mu zakumwa zokhala ndi sodium ndi potaziyamu, kapena saline ngati pakufunika kutero.
- Chithandizo cha Alkalosis Yopuma: Chofunika apa ndikukhazikitsa mpweya wabwinobwino. Ngati mukupuma mopitirira muyeso, kupumula ndikupuma pang'onopang'ono kungathandize kubwezeretsa mpweya wabwino. Nthawi zina kupuma m'thumba la pepala kumalimbikitsidwanso kuti kuthandize kuwongolera izi.
Kodi vutoli lingapewedwe?
Njira zopewera matenda zimadalira chomwe chimayambitsa matenda anu a alkalosis. Muli pachiwopsezo chachikulu ngati muli ndi matenda enaake, monga matenda a impso. Komanso, kutaya madzi m'thupi kumawonjezera chiopsezo chanu chokhala ndi matenda a metabolic alkalosis.
Ngati muli pachiwopsezo, dokotala wanu adzakupangirani dongosolo lopewera.
Mwachitsanzo, mankhwala ena otchedwa 'diuretics' kapena 'mapiritsi amadzi' kapena mankhwala ena a gastritis (antacids) angayambitse vutoli. Ngati pali chiopsezo, dokotala wanu angasinthe mankhwalawo kapena kusintha mlingo wake. Chifukwa chake, musasiye kapena kuyamba mankhwala aliwonse nokha popanda kufunsa dokotala.
Uthenga Wopita Nawo Kunyumba
- Alkalosis ndi pamene alkalinity ya magazi athu imakwera kuposa milingo yoyenera.
- Pali mitundu iwiri ikuluikulu ya izi: Kagayidwe kachakudya m'thupi, komwe kumachitika chifukwa cha zinthu monga kusanza kwambiri, ndi Respiratory Alkalosis, komwe kumachitika chifukwa cha zinthu monga kupuma mofulumira.
- Zizindikiro monga chizungulire, dzanzi m'miyendo, ndi kugwedezeka kwa minofu zingachitike.
- Ngati muli ndi zizindikiro izi, makamaka ngati zikupitirira, chonde pitani kwa dokotala popanda kudzipatsa mankhwala.
- Pa nthawi ya chithandizo, ndikofunikira kwambiri kuwongolera zizindikiro komanso kuchiza vuto lomwe linayambitsa matendawa.
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