Muviri wako une acid yakawanda here? Ngatidzidzei nezve metabolic acidosis!

Wakambonzwa kuneta, nzara, kana dzungu here? Kana kuti pamwe kufema kwako kwakawedzera zvishoma, kana kuti chipfuva chako chiri kurova? Izvi zvinogona dzimwe nguva kukonzerwa nekuchinja kudiki mumuviri wako. Nhasi tichataura nezvechirwere chinoda kutariswa zvishoma, asi kana uchichiziva, chinogona kukubatsira kudzora. Izvozvo zvinonzi metabolic acidosis . Zita racho ringanzwika serinotyisa zvishoma, asi ngatitaurei nezvazvo zviri nyore.

Chii chinonzi Metabolic Acidosis? Zvichitaurwa zviri nyore...

Zvichitaurwa zviri nyore, metabolic acidosis inguva apo mvura mumuviri wako, kunyanya ropa rako, inova ine acid yakawanda kana kuti acidic . Funga nezvemiviri yedu semichina isina kusimba. Zvese zviri mairi, kunyanya makemikari, zvinoda kuenzana zvakakwana. Kana izvozvo zvikasaitika, matambudziko anotanga kumuka.

Miviri yedu ine kemikari inonzi bicarbonate . Iyi ndiyo nheyo huru inodzora, kana kuti inobvisa acidity mumuviri. Saka, kune nzira mbiri huru idzo metabolic acidosis inogona kuitika.

1. Huwandu hweasidhi mumuviri hunowedzera kupfuura zvinodiwa uye hunodarika huwandu hwebicarbonate (izvi zvinonzi 'High Anion Gap Metabolic Acidosis' ).

2. Zvikasadaro, bicarbonate yakawandisa inoburitswa mumuviri kuburikidza neitsvo kana nedzimwe nzira (izvi zvinonzi 'Normal Anion Gap Metabolic Acidosis') .

Zvisinei, mhedzisiro ndeyekuti muviri unowedzera acid. Ungave wakanzwa vanachiremba vachitaura nezvechimwe chinhu chinonzi 'Anion Gap' . Uyu ndiwo mutsauko uripo pakati pezvinhu zvine positive ne negative charge (electrolytes) muropa redu. Izvi zvinoita kuti vanachiremba vanzwisise kuti acid-base balance iri pakati pemuviri.

Ndiani angangonyanya kukanganiswa nemamiriro ezvinhu aya? Tose tinofanira kungwarira here?

Kutaura zvazviri, chero munhu anogona kuva nechirwere chinonzi metabolic acidosis. Zvisinei, njodzi iyi yakanyanya kukwira kune avo vane itsvo dzisingashande zvakanaka (Kidney Failure / Renal Failure) kana avo vane chirwere cheitsvo chisingaperi . Izvi zvinodaro nekuti itsvo dzedu dzinoita basa guru mukuchengetedza muviri wakaringana nekubvisa acid yakawandisa inogadzirwa mumiviri yedu kuburikidza neweti. Saka kana itsvo dzisina simba, basa iri harishande zvakanaka.

Chii chinoitika mumuviri kana acidity iyi ikawedzera? Nyaya ye pH yedu

Kuti muviri wedu wese ushande zvakanaka, ropa redu rinofanira kunge riri muchikamu chakati chinonzi pH balance . Iyi pH inoyera kuti muropa redu mune acid yakawanda sei uye alkali. Ichi chikero chinobva pa0 kusvika pa14. 0 ine acid yakawanda, uye 14 ine alkali yakawanda. PH yeropa remunhu ane hutano inowanzova pakati pe7.35 ne7.45.Ndizvo zvinofanira kuva. Uku kuenzana kwakasimba kwazvo.

Itsvo dzedu nemapapu ndizvo nhengo huru dzinobatsira kuchengetedza chiyero ichi. Itsvo dzinoburitsa maasidhi akawandisa uye mabhesi ari muweti. Mapapu anodzora huwandu hwekabhoni dhayokisaidhi muropa patinofema. Kabhoni dhayokisaidhi inokanganisawo huwandu hweasidhi mumuviri.

Saka, mu metabolic acidosis, maitiro e metabolic mumuviri anogadzira acid yakawandisa, kana kuti itsvo hadzikwanise kuburitsa acid iyi zvakanaka. Ipapo pH yatataura inodonha pasi pe7.35, zvichireva kuti ropa rinova neacid yakawanda.

Ndezvipi zviratidzo zveizvi? Zvakakosha kuziva izvi!

Zvinoshamisa kuti dzimwe nguva vanhu vane metabolic acidosis vanogona kusaratidza zviratidzo zvakananga pakutanga . Zvisinei, pane zvimwe zviratidzo zvinowanzoonekwa sezvo chirwere ichi chichienderera mberi. Zvakakosha kuti iwe nemhuri yako muzive izvi:

• Kurova kwemoyo nekukurumidza kamwe kamwe (tachycardia). Zvinogona kunzwa sekuti chipfuva chako chiri kurova, kana kuti sekuti uri kutya.
• Kunzwa dzungu kana kusuruvara. Dzimwe nguva zvinogona kuitika kunyangwe wakamira.
• Kunzwa kuneta zvakanyanya, kugara uchinzwa kuneta, uye kuneta zvisinei nekuti unorara zvakadii.
• Kusanzwa zvakanaka, kunzwa kusemeswa kunyangwe kana uchingoona chikafu.
• Musoro unogara uchirwadza.
• Kufema kunokurumidza, kana kuti kunotora nguva yakareba, kufema zvakadzama. Uku ndiko kuedza kwemuviri kuderedza acidity nekubvisa carbon dioxide yakawanda (rudzi rweacid).
• Kusvotwa nekurutsa.
• Kunzwa kushaya simba uye kushaya simba kwakawanda.
• Kunhuhwirira kunotapira uye kwemuchero. Ichi chiratidzo chechirwere cheshuga chinonzi ketoacidosis.

Zvakakosha: Kana chirwere ichi chikanyanya kuipa, kureva kuti, kana huwandu hweasidhi mumuviri hukawedzera zvakanyanya, matambudziko akakomba akadai sekutadza kushanda kweitsvo, kukuvara kwedzimwe nhengo dzemuviri, kurasikirwa nepfungwa, uye kunyange kufa zvinogona kuitika . Saka, kana uine chimwe chezviratidzo izvi kana kupfuura, kuchenjera kutsvaga rubatsiro rwechiremba nekukurumidza.

Sei izvi zvichiitika? Ndezvipi zvikonzero zvikuru zve metabolic acidosis?

Kune mhando ina huru dzezvikonzero zvinogona kukonzera metabolic acidosis. Ngatitarisei kuti ndezvipi:

1. Chirwere cheshuga chinokonzerwa neacidosis / Diabetic Ketoacidosis (DKA):Vanhu vazhinji vakanzwa nezvazvo. Zvinogona kuitika kuvanhu vane chirwere cheshuga chisina kudzorwa zvakanaka, kunyanya avo vane chirwere cheshuga cheType 1. Kana masero emuviri asina insulin yaanoda kuti agadzire simba, kana kuti insulin yaanayo isingashande zvakanaka, masero acho haakwanise kutora glucose kubva muropa. Muviri unobva watanga kupisa mafuta kuti uwane simba. Semhedzisiro yeizvi, mhando yeasidhi inonzi 'ketone bodies' inoungana mumuviri. Ichi chirwere chine njodzi zvikuru chinoda kurapwa nekukurumidza.

2. Hyperchloremic acidosis: Izvi zvinokonzerwa nemuviri kurasikirwa neminerali yakakosha yesodium bicarbonate. Fungidzira, une manyoka akanyanya kwemazuva akati wandei , kusvika pakurasikirwa nemvura. Panguva iyoyo, huwandu hwakawanda hwebicarbonate hunogona kuburitswa muura. Izvi zvinogonawo kuitika kana ukashandisa mimwe mishonga yekurara ( laxatives ) zvakanyanya, pasina kubvunza chiremba.

3. Lactic acidosis: Chirwere ichi chinoitika kana muviri wedu uine acid yakawandisa inonzi lactic acid. Funga nezvazvo, patinoita maekisesaizi akawandisa, kana masero emuviri wedu asingawani oxygen yakakwana (semuenzaniso, chirwere chemwoyo, hutachiona hwakakomba), lactic acid inogadzirwa semugumisiro wekugadzira simba. Kazhinji, muviri unodzora izvi. Asi dzimwe nguva, semuenzaniso, kune munhu ane chiropa chisina kushanda zvakanaka , kana shuga yeropa ikangoerekana yadonha (Hypoglycemia kana Low blood sugar) , kana vamwe vanhu vachishandisa doro zvakanyanya (Alcohol use disorder) , mune mamwe mamiriro egomarara , kana kana vakarovedza muviri zvakanyanya (Intense maekisesaizi) , huwandu hwelactic acid hunogona kuwedzera uye muviri haugone kuzvigadzirisa.

4. Renal Tubular Acidosis (RTA): Izvi zvinoitika kana machubhu madiki (tubules) ari muitsvo asingakwanise kuburitsa acid yakakwana neweti. Kana kuti, bicarbonate haina kunyudzwa zvakanaka. Nekuda kweizvozvo, acidity yeropa inowedzera zvishoma nezvishoma.

Zvikonzero zviviri zvinonyanya kukosha manyoka asingarapiki uye kutadza kushanda zvakanaka kweitsvo.

Chirwere ichi chinotapuriranwa here? Ndichachiparadzira kune vamwe here?

Kwete, kwete zvachose. Metabolic acidosis haisi chirwere chinotapuriranwa . Haugone kuiparadzira kune mumwe munhu nekuti unacho. Idambudziko rekusashanda zvakanaka kwemakemikari mumuviri.

Vanachiremba vanoongorora sei izvi?

Paunoenda kunoona chiremba, anotanga akubvunza nezvezviratidzo zvako, obvunza nezvezvirwere zvako zvekare, obva akuongorora. Anobva akuraira bvunzo dzinoverengeka kuti asimbise chirwere chacho uye awane chikonzero chacho.

Dzimwe nguva unogona kutumirwa kuna chiremba wepfungwa , kunyanya kana paine fungidziro yekuti une dambudziko reitsvo.

Unoitei nemiedzo iyi?

Miedzo inogona kusiyana zvichienderana nezviratidzo zvako uye zvinofungwa nachiremba wako kuti ndizvo zvinokonzera. Miedzo inowanzo shandiswa ndeiyi:

• Kuongororwa kweropa: Izvi zvakakosha zvikuru.
• Kuongororwa kweAnion Gap: Ropa diki rinotorwa kubva mutsinga iri muruoko rwako uye musiyano uripo pakati pemakemikari akanaka neasina simba anonzi electrolytes unoyerwa. Kana musiyano uyu wakakura kupfuura zvakajairika, zvinogona kuva chiratidzo chakasimba chekuti une metabolic acidosis.
• Kuongororwa kweArterial Blood Gas (ABG): Uku kuongororwa kwakasiyana zvishoma. Izvi zvinosanganisira kutora ropa diki kubva mutsinga iri muruoko rwako, mugokora, kana muhudyu (kazhinji kacho kadiki pane tsinga). Izvi zvinoyera mwero weokisijeni, mwero wecarbon dioxide, uye chinonyanya kukosha, pH yeropa rako. pH iri pasi pe7.35 zvinoreva kuti ropa rako rine acid yakawanda kana kuti harina simba rakawanda.
• Kumwe kuongororwa kweropa: Kuongororwa kweshuga muropa, kuongororwa kwebasa reitsvo (semuenzaniso Serum Creatinine, BUN), uye mazinga e electrolyte (Electrolytes dzakadai seSodium, Potassium, Chloride) zvinogonawo kuongororwa.

• Kuongororwa kweweti:

Kana ukaita weti mubhodhoro rakakosha, pH inotariswa. Izvi zvinogona kukuudza zvinhu zvakaita sekuti weti yako ine acid yakawanda here, haina kunyanya kuoma, kana kuti ine ketone.

Izvi zvinorapwa sei? (Kurapwa)

Kana chiremba wako angoona chikonzero chaicho che metabolic acidosis yako, achakupa hurongwa hwekurapa hunokubatsira. Kurapa kunoenderana nechikonzero chacho.

• Chinhu chinonyanya kukosha kurapa chikonzero chacho . Semuenzaniso, muchirwere cheshuga chinonzi ketoacidosis, shuga muropa inodzorwa nekupa insulin uye mvura inobuda mumuviri.
• Vanhu vane chirwere cheitsvo vanogona kupihwa sodium bicarbonate muchimiro chemapiritsi kana sodium citrate muchimiro chemushonga wekuderedza acidity mumuviri.
• Kana mvura yakawanda yabuda mumuviri (semuenzaniso nekuda kwemanyoka), zvakakosha kupa mvura yemunyu (IV fluids) kuburikidza netsinga.
• Mune zvimwe zviitiko zvakakomba, sodium bicarbonate inopihwa kuburikidza netsinga (IV Sodium Bicarbonate) kuti ikurumidze kuyera acidity yeropa.
• Kana chinhu chine chepfu chapinda mumuviri (semuenzaniso, nekuda kwekutora aspirin yakawandisa kana kunwa kemikari yakaita semethanol), kurapwa kwakakosha (semuenzaniso, dialysis) kungadiwa kuti chinhu chine chepfu chibviswe muropa.

Chikafu nechinwiwa zvine zvazvinoita here pane izvi? Chii chandinofanira kudya uye chii chandinofanira kudya zvishoma?

Ehe, zvechokwadi. Zvimwe zvekudya nezvinwiwa zvatinodya zvinowedzera acidity mumuviri, nepo zvimwe zvichiwedzera alkalinity uye zvichibatsira kuderedza acidity. Zvisinei, izvi zvakakosha zvikuru: Usati waita chero shanduko huru pakudya kwako, unofanira kutaura nachiremba wako kana nyanzvi yezvekudya. Zano iri rinokosha zvikuru kana uine chirwere cheitsvo.

Zvikafu zvinogadzira acid:

• Nyama (kunyanya nyama tsvuku, huku, hove).
• Mazai.
• Chizi nezvimwe zvigadzirwa zvemukaka (zvimwe).
• Tsanga dzakagadziriswa.
• Doro.

Zvikafu zvinogadzira alkaline zvinowedzera alkalinity mumuviri, ndiko kuti, zvinobatsira kuderedza acidity:

• Mhando dzakawanda dzemichero (kunyanya michero yecitrus).
• Nzungu nemafuta emunzungu.
• Nyemba (semuenzaniso nyemba, nyemba, nyemba dzegirini, soya).
• Muriwo mizhinji (kunyanya miriwo yakasvibira).
• Vamwe vanhu vanotaura nezvemvura ine alkaline , asi kune maonero akasiyana pamusoro pehwaro hwesainzi hweizvi, saka zvakanaka kubvunza chiremba.

Ndeipi mimwe mishonga inoshandiswa pakuita izvi?

Dzimwe nguva mishonga inotengeswa kunze kwemushonga (OTC) yakadai seSodium Citrate kana Sodium Bicarbonate inogona kubatsira kudzikamisa acidity mumuviri. Zvisinei, usashandise chero ipi zvayo yemishonga iyi usina kubvunza chiremba wako, sezvo inogona kukonzera mamwe matambudziko.

Mune zvimwe zviitiko zvakakomba, kana mwoyo usingashande zvakanaka uye muviri usingawani okisijeni yakakwana, vanachiremba vanogona kunyora mishonga inonzi inotropes . Iyi inoita kuti mwoyo urove zvakanyanya. Izvi zvinobatsira muviri kuti uwane okisijeni yakawanda uye zvinobatsirawo kuderedza acidity muropa. Mishonga iyi inowanzopihwa kuburikidza netsinga (IV) muchipatara.

Pane chatingaita here kuderedza kukura kwe metabolic acidosis?

Kunyange zvazvo zvisingabviri kudzivirira mamiriro ezvinhu aya zvachose, pane zvinhu zvishoma zvatinogona kuita kuderedza njodzi iyi:

• Kunwa mvura yakakwana nezvimwe zvinwiwa zvine hutano mukati mezuva.
• Kana uine chirwere cheshuga, zvakakosha kudzora huwandu hweshuga muropa rako sezvakarairwa nachiremba wako. Izvi zvinosanganisira mishonga, kudya, uye kurovedza muviri.
• Kana ukanwa doro, deredza huwandu hwaunonwa kana kuti rega zvachose kunwa doro. Muganho une hutano unoonekwa seusingapfuure zvinwiwa zviviri pazuva zvevarume uye kwete zvinopfuura chimwe chete pazuva zvevakadzi.
• Kudya chikafu chakakwana.

Chii chichaitika mune ramangwana nemamiriro ezvinhu aya? Chinhu chekutya here? (Outlook)

Kana uine metabolic acidosis, ramangwana rinoenderana nekuoma kwechirwere chacho, chakakonzera, uye kuti unowana kurapwa nekukurumidza uye nemazvo sei.

• Kazhinji, chirwere ichi chinogona kugadziriswa kana chirwere chacho chikaonekwa zvakanaka uye chikarapwa.
• Muzviitiko zvisina kuoma , zviratidzo zvinogona kuva zvenguva pfupi uye zvingasada kurapwa kwakakosha kana chikonzero chacho chikapera chega.
• Asi, sezvandambotaura, muzviitiko zvakakomba, kana zvikasarapwa, zvinogona kukonzera kutadza kushanda kweitsvo kana dzimwe nhengo dzemuviri, uye kunyange rufu. Ndosaka izvi zvisiri zvekurerutsa.

Ndingazvitarisira sei? Ndezvipi zvimwe zvinhu zvandinogona kuita ndega? (Kuzvitarisira)

Chiremba wako achagadzira hurongwa hwekurapa hwakakunakira. Hunosanganisira mishonga uye shanduko dzemararamiro. Kutevera matanho aya kuchakubatsira kukurumidza kupora uye kudzivirira kuti chirwere ichi chisadzokorore:

• Tarisa huwandu hweshuga muropa rako nguva nenguva (kana uine chirwere cheshuga). Tarisa huwandu hweshuga muropa rako kumba sezvakarairwa nachiremba wako.
• Inwa mushonga wawakanyorerwa nachiremba wako panguva chaiyo, uye nemupimo wakakodzera. Usapotsa mushonga mumwe chete.
• Kana chiremba wako kana nyanzvi yezvekudya ikakupa zano, edza kudya chikafu chisina asidhi yakawanda uye chine alkaline yakawanda.
• Deredza kana kurega kunwa doro zvachose.
• Chengeta nguva yako yekusangana nachiremba. Nenzira iyi, unogona kuona kuti uri sei uye woita chero shanduko dzinodiwa.

Ndinofanira kuona chiremba riini? Idambudziko rekukurumidza here?

Kana uine zviratidzo zve metabolic acidosis (zvakadai sekuneta kwatakambotaura, kuchinja kwekufema, kuda kurutsa), kana kana uine zviratidzo zvakakomba zvechimwe chirwere chinogona kunge chiri kukonzera chirwere ichi (semuenzaniso, chirwere cheshuga chisingadzoreki, manyoka akanyanya, zviratidzo zvechirwere cheitsvo), tsvaga rubatsiro rwechiremba nekukasika. Usanonoka.

Chii chiri musiyano uripo pakati peMetabolic Acidosis neRespiratory Acidosis?

Kunyangwe zvese izvi zviri zvirwere zvinoita kuti acidity yemuviri iwedzere, maitiro azvinoita uye masisitimu enhengo anonyanya kukanganiswa akasiyana.

Metabolic acidosis chirwere chinokanganisa zvakanyanya mashandiro emuviri uye weti, kunyanya itsvo . Chinoitika kana acid yakawandisa ikagadzirwa mumuviri, kana kuti itsvo dzikasakwanisa kusvina acid kubva muropa nemazvo, kana kuti muviri ukarasikirwa nebicarbonate.

Respiratory acidosis chirwere chinonyanya kukanganisa kufema, kana mapapu . Apa ndipo apo mapapu asingakwanise kubvisa carbon dioxide (CO2) kubva muropa nekukurumidza. CO2 inosanganiswa nemvura kuti igadzire acid. Kana mamiriro akadai seasthma akanyanya, chirwere chemapapu (senge COPD), kukuvara kweuropi kunokonzera kuoma kufema, kana kushandisa zvakanyanya mimwe mishonga kana mapiritsi ekurara zvinogona kukanganisa mashandiro emapapu, zvichiita kuti CO2 iungane uye iwedzere acidity.

Zvichitaurwa zviri nyore, dambudziko remetabolism ndiro rinosanganisirwa nemakemikari ari mumuviri neitsvo. Dambudziko rekufema ndiro rinosanganisirwa nekufema nemapapu.

Chekupedzisira, zvinhu zvinonyanya kukosha zvaunofanira kurangarira (Mharidzo Yekuenda Kumba)

Metabolic acidosis chirwere chaunofanira kunyanya kunetseka nacho, nekuti chinokanganisa kuenzana kwemuviri. Dzimwe nguva unogona kuedza kufuratira zviratidzo wonyepedzera kuti, "Zvichanaka." Asi yeuka, muviri wako uri kutaura newe uchiti, "Pane chakaipa zvakanyanya mukati, ndibatsireiwo."

Unofanira kungwarira zvikuru nezvezviratidzo izvi, kunyanya kana uine zvirwere zvenguva refu zvakaita sematambudziko eitsvo kana chirwere cheshuga.

Asi usazvidya moyo. Hausi wega. Kune vanachiremba vane hunyanzvi, vanamukoti, nevamwe vashandi vehutano vanogona kukubatsira uye kukuburitsa mumamiriro ezvinhu aya. Nekuongororwa kwakarurama uye kurapwa kwakakodzera nekukurumidza, chirwere ichi chinogona kudzorwa zvakanyanya uye kuchidzoserwa shure. Saka, kana uine kusava nechokwadi nezveizvi, usanyara kana kunonoka kuenda kuna chiremba, bvunza mibvunzo yako, uye uwane mazano anodiwa uye kurapwa. Nekuti, hutano hwako ndicho chinhu chakakosha kupfuura zvese pasi pano!

` Metabolic acidosis, acid-base balance, pH value, chirwere cheitsvo, chirwere cheshuga, ketoacidosis, lactic acidosis, zviratidzo, kurapwa