Matenda a Metabolic Acidosis ndi matenda omwe amapezeka pamene kuchuluka kwa ma acid ndi ma base m'magazi anu sikuli bwino. Taganizirani ngati sikelo ya kukhitchini. Ngati muyika kulemera kochulukirapo kumbali imodzi, idzagwa, sichoncho? Umu ndi momwe zimakhalira. Matendawa amapezeka pamene thupi lathu lili ndi asidi wochuluka komanso palibe maziko okwanira owongolera. Nthawi zina izi zimatha kukhala zovuta, koma nthawi zina zimatha kukhala zoopsa pamoyo.
Chifukwa chiyani izi zimachitika? (Zifukwa za Metabolic Acidosis)
Pali zifukwa zosiyanasiyana zomwe zimapangitsa kuti kusalinganika kwa acid-base m'magazi mwathu kuchitike. Tiyeni tiwone zomwe zimayambitsa.
| Chifukwa | Kufotokozera kosavuta |
|---|---|
| Ketoacidosis ( ketoacidosis ) | Munthu wodwala matenda a shuga akapanda kupeza insulin yokwanira ndipo thupi lake likasowa madzi okwanira m'thupi, thupi limayamba kuwotcha mafuta kuti lipeze mphamvu. Izi zimapangitsa kuti pakhale mankhwala otchedwa ketones. Pamene ketones awa asonkhana m'magazi, magazi amakhala acidic. Matendawa amathanso kuchitika mwa anthu omwe amamwa mowa wambiri, osadya bwino, kapena omwe akusala kudya. |
| Lactic Acidosis | Maselo a thupi lathu akapanda kulandira mpweya wokwanira, amapanga chinthu chotchedwa lactic acid. Izi zimathanso kusonkhana m'magazi. Izi zitha kuchitika panthawi yochita masewera olimbitsa thupi, pamene kuthamanga kwa magazi kumatsika mwadzidzidzi, ngati mtima walephera kugwira ntchito, mtima walephera kugwira ntchito, komanso matenda opatsirana kwambiri. |
| Mavuto a impso (Renal Tubular Acidosis) | Impso zathanzi zimasefa ma asidi ochulukirapo m'magazi ndikuwatulutsa mu mkodzo. Komabe, impso zikawonongeka chifukwa cha matenda a impso, matenda ena a chitetezo chamthupi, komanso matenda a majini, sizingathe kuchotsa ma asidi amenewa moyenera. Ma asidiwo amakhalabe m'magazi. |
| Hyperchloremic Acidosis | Kutsegula m'mimba kwambiri, kugwiritsa ntchito molakwika mankhwala otsekula m'mimba , ndi matenda ena a impso zingayambitse thupi lathu kukhala ndi bicarbonate yochepa. Bicarbonate ndi maziko omwe amaletsa asidi. Ngati ali ochepa, magazi amakhala acid. |
Chofunika: Pali mtundu wina wotchedwa Respiratory Acidosis. Pamenepa, magazi nawonso amakhala ndi asidi , koma chifukwa chake ndi vuto m'mapapo lomwe limapangitsa kuti carbon dioxide yambiri iunjikane m'thupi. Izi ndi zosiyana ndi Metabolic Acidosis.
Kodi zizindikiro za izi ndi ziti? (Zizindikiro)
Ngakhale zizindikiro zimatha kusiyana malinga ndi munthu, izi ndi zizindikiro zomwe munthu amene ali ndi Metabolic Acidosis angakumane nazo.
- Kupuma mwachangu : Izi zili choncho chifukwa thupi likuyesera kutulutsa asidi wochuluka (monga carbon dioxide) m'thupi.
- Kugunda kwa mtima
- Mutu
- Kumva kusokonezeka (Kusokonezeka)
- Kumva kufooka
- Kumva kutopa nthawi zonse
- Chilakolako cha chakudya
- Kusanza ndi kusanza
Fungo la zipatso pamphuno ndi chizindikiro chodziwika bwino, makamaka mu matenda a shuga a ketoacidosis (DKA).
Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo. Ngati zikukupwetekani kwambiri, musazengereze kupita ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala.
Kodi ndingapeze bwanji izi ndendende? (Kuyesa)
Dokotala adzakuyesani mayeso angapo kuti adziwe ngati muli ndi vutoli. Pokhapokha ngati chithandizo choyenera chingaperekedwe.
- Mayeso a Anion Gap: Iyi ndi mayeso omwe amayesa kuchuluka kwa mankhwala m'magazi. Mwachidule, imayerekeza tinthu tabwino ndi toipa (monga sodium, chloride, bicarbonate) m'magazi. Mu mitundu ina ya metabolic acidosis, "mpata" pakati pa izi umawonekera kwambiri.
- Kuyesa kwa Mitsempha ya M'magazi a Mitsempha (ABG): Izi zimayesa pH, kapena acidity, ndi kuchuluka kwa okosijeni ndi carbon dioxide m'magazi anu.
- Kuyesa mkodzo: Izi zimatha kuzindikira ma ketone, mavuto a impso, kapena poizoni wochokera ku zinthu monga aspirin, mowa, kapena antifreeze. Anthu odwala matenda a shuga amatha kuyesa mkodzo wawo kuti awone ma ketone kunyumba pogwiritsa ntchito mipiringidzo yoyesera yomwe imapezeka ku pharmacy.
Kodi chithandizo ndi chiyani? (Chithandizo)
Matenda a Metabolic Acidosis amachiritsidwa pochiza chomwe chimayambitsa vutoli. Taganizirani ngati madzi otuluka padenga. Ndi bwino kukonza dzenje padenga kusiyana ndi kuyika chidebe pansi ndikusunga madzi. Umu ndi momwe zilili.
Ngati vutoli silikuthetsedwa, lingakhudze mafupa, minofu, ndi impso zanu. Pa milandu yoopsa, kugwedezeka ndi imfa zimatha kuchitika. Matenda ngati DKA angayambitsenso chikomokere.
Choncho, ndikofunikira kwambiri kupeza chithandizo mwamsanga . Zina mwa njira zomwe anthu ambiri amapatsidwa ndi izi:
- Kuchotsa poizoni m'thupi: Ngati vutoli layamba chifukwa cha mankhwala osokoneza bongo kapena mowa, chithandizo chimaperekedwa kuti chichotse poizoni m'thupi. Ngati mukukayikira kuti pali poizoni, imbani nthawi yomweyo ku National Poisons Information Center ku Colombo National Hospital kuti akupatseni malangizo.
- Insulin: Insulin imaperekedwa kwa DKA yomwe imayamba chifukwa cha matenda a shuga.
- Madzi olowa m'mitsempha (madzi olowa m'mitsempha): Madzi monga saline amaperekedwa kudzera m'mitsempha yomwe ili m'dzanja lanu.
- Sodium bicarbonate: Nthawi zina, mankhwalawa amaperekedwa kudzera mu mtsempha kuti awonjezere alkalinity m'magazi.
Mwina mudzayenera kugonekedwa m'chipatala.
Kodi mungadziteteze bwanji ku vutoli? (Kupewa)
Ngakhale kuti metabolic acidosis singathe kupewedwa nthawi zonse, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chanu.
- Imwani madzi ambiri ndi zakumwa zopanda mowa. Ngati mkodzo wanu uli woyera kapena wachikasu pang'ono, zikutanthauza kuti mukumwa madzi okwanira.
- Chepetsani mowa. Mowa ukhoza kuwonjezera kuchuluka kwa asidi m'thupi ndikupangitsa kuti thupi lisamathe madzi m'thupi.
- Ngati muli ndi matenda a shuga, samalani bwino. Tsatirani malangizo a dokotala wanu molondola.
- Mukamamwa mankhwala, tsatirani malangizo omwe dokotala wanu wakupatsani kapena omwe ali pa phukusi.
Uthenga Wopita Nawo Kunyumba
- Kagayidwe ka asidi m'magazi ndi vuto la kusokonezeka kwa acid-base balance m'magazi mwanu. Musatenge izi mopepuka.
- Ngati muli ndi zizindikiro monga kupuma mofulumira, kusokonezeka maganizo, komanso kutopa kwambiri, izi zitha kukhala chizindikiro cha vuto lalikulu m'thupi.
- Izi zimachiritsidwa pochiza chomwe chimayambitsa (monga matenda a shuga, matenda a impso, poizoni).
- Ngati muli ndi kukayikira kapena zizindikiro zilizonse, musaganize. Pitani kwa dokotala nthawi yomweyo kuti akupatseni malangizo oyenera komanso chithandizo choyenera.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu