Zvimwe zvezvinhu zvinoitika mukati memiviri yedu zvinoshamisa. Ungafunga kuti ropa redu rinongova mvura tsvuku. Asi chaizvoizvo rakaoma kupfuura izvozvo. Ropa redu rine huwandu hwakati hweasidhi nebase (alkaline) hunofanira kunge huripo. Kana chiyero ichi, kureva chiyero, chisina kuenzana zvishoma, tinogona kukura nezvirwere zvakasiyana-siyana. Saizvozvowo, kana hwaro, kureva chimiro chealkaline (alkaline) cheropa redu chikanyanya kukwira, tinochidana kuti Metabolic Alkalosis mukurapa.
Zvichitaurwa zviri nyore, chii chinonzi Metabolic Alkalosis?
Funga nezvazvo sechikero. Kune rumwe rutivi kune acid, kune rumwe rutivi kune base. Mumuviri wemunhu ane hutano, chikero ichi chakaenzana zvakakwana. Tinochidana kuti pH . Kuenzana uku kwakakosha zvikuru kuhutano hwedu.
Metabolic alkalosis chirwere apo chikamu chepasi chechiyero chinorema zvakanyanya. Izvi zvinoreva kuti alkalinity yeropa inowedzera zvakanyanya. Izvi zvinonyanya kukonzerwa nematambudziko mudumbu redu kana itsvo. Kana chirwere ichi chiri chinyoro, chingasaratidze zviratidzo. Zvisinei, kana chirwere chacho chikanyanya, chinogona kutokanganisa mashandiro eitsvo dzedu.
Ndeapi marudzi makuru echirwere ichi?
Alkalosis yemetabolism inogona kukamurwa kuita mhando mbiri huru. Zvikonzero nekurapa kwechimwe nechimwe zvakasiyana zvishoma.
| Rudzi | Chikonzero | Kurapa |
|---|---|---|
| Alkalosis inopindura chloride | Izvi zvinokonzerwa nekuti muviri unoburitsa acid yakawandisa. Semuenzaniso, kana ukaramba uchirutsa, acid iri mudumbu inobuda. Inogonawo kukonzerwa nekushaya mvura mumuviri zvakanyanya. | Dambudziko iri rinogona kudzorwa nekupa mvura ine munyu mutsinga (IV) uye kudya chikafu chine munyu. |
| Alkalosis isingapindi chloride | Izvi zvinowanzoitika nekuda kwekushandisa mishonga yakawandisa kana chimwe chirwere chiripo. | Rudzi urwu harupindure kana munhu adya munyu wakawandisa. Pane kudaro, zvinodikanwa kudya chikafu chine potassium yakawanda kana kupa mvura ine potassium. |
Ndezvipi zviratidzo zveMetabolic Alkalosis?
Dzimwe nguva ungasava nezviratidzo zvachose. Zvisinei, kana zviratidzo zvikaonekwa, zvinogona kubva pane zvishoma kusvika zvakanyanya.
| Zviratidzo zvidiki/zvishoma | Zviratidzo zvakakomba |
|---|---|
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Zvakakosha: Zviratidzo zvakakomba chirwere chinoda kurapwa nekukurumidza. Kana iwe kana mumwe munhu waunoziva aine zviratidzo izvi, enda kuchipatara cheEmergency Department (ETU) nekukasika.
Sei tichiwana Metabolic Alkalosis? Ndezvipi zvikonzero zvikuru?
Pane zvikonzero zvakawanda zvinoita kuti chirwere ichi chiitike. Chikuru ndechekuti huwandu hwebicarbonate muropa hunowedzera uye huwandu hwehydrogen hunoderera. Zvikonzero zvikuru zvinogona kukanganisa kuenzana uku ndeizvi:
- Kurasikirwa neacid mudumbu: Patinorutsa nguva dzose kana kuti tiine pombi yemudumbu, acid yakawanda yemudumbu inoburitswa mumuviri wedu. Izvi zvinowedzera alkalinity muropa.
- Kutora mishonga inorwisa asidhi yakawandisa: Dambudziko iri rinogona kuitika kana munhu ane chirwere cheitsvo akaramba achishandisa mishonga inorwisa asidhi ine sodium bicarbonate.
- Mishonga inobvisa mvura mumuviri (kana kuti "mapiritsi emvura"):Kana ukanwa mishonga iyi yakawanda yakanyorerwa kuderedza mvura mumuviri, acidity iri mumuviri inobudawo pamwe chete neweti.
- Kutora mishonga yekugezesa: Mishonga iyi, inoshandiswa kurapa kuvimbiwa, inogona kukonzera kuzvimba kwakanyanya uye kurasikirwa nema electrolytes akakosha akadai se potassium ne chloride.
- Kushaya mvura mumuviri: Kana pasina mvura yakakwana mumuviri, electrolyte balance inogona kukanganiswa uye alkalinity yeropa inogona kuwedzera.
Zvimwe zvirwere
Pamusoro pezvinhu izvi, metabolic alkalosis inogonawo kukonzerwa nezvimwe zvirwere.
- Zvimwe zvirwere zvemajini zvinoita kuti itsvo dzibudise ma electrolytes ega.
- Kuwedzera kwemazinga ealdosterone, hormone yeadrenal. `(hyperaldosteronism)`
- Kuderera kwehuwandu hwechloride muropa.
- Kushomeka kwepotassium mumuviri (hypokalemia).
- Chirwere chemwoyo, itsvo, kana chiropa.
Ndiani ari panjodzi huru yekuva nechirwere ichi?
Vamwe vanhu vanowanzo tambura nechirwere ichi.
- Vanhu vanogeza mudumbu nekuda kwechimwe chikonzero.
- Vanhu vanonwa doro kusvika pakurutsa nguva nenguva.
- Vanhu vanotora mishonga yekugezesa muviri nechinangwa chekuderedza uremu.
- Vanhu vanotora mishonga inobvisa huremu mumuviri (diuretics) kuderedza kuzvimba kana kuderedza huremu.
- Vanhu vane bulimia nervosa, chirwere chekuti vanorutsa zvine simba mushure mekudya nekuti vanotya kuwedzera huremu.
- Vanhu vanotambura ne hyperemesis gravidarum, chirwere chinoitika panguva yekuzvitakura.
Chiremba anowana sei izvi?
Paunoenda kunoona chiremba, iye achanyatsoteerera zviratidzo zvako uye anogona kuita bvunzo dzinoverengeka kuti asimbise chirwere chako.
- Kuongororwa kwemuviri: Kuongorora zviratidzo zvako.
- Kuongororwa kweropa: Kuyera magasi eropa, acid-base balance, uye mazinga e electrolyte.
- Kuongororwa kweECG: Kuongorora kusarongeka kwemoyo (arrhythmia) (Electrocardiogram).
- Kuongororwa kweweti: Izvi zvinogona kubatsira kuziva chikonzero chechirwere ichi.
Inorapwa sei?
Kurapwa kunoenderana nekuoma kwezviratidzo zvako uye chikonzero chechirwere chako. Zvirwere zvidiki zvingasada kurapwa. Zvisinei, kana uine zviratidzo zvakakomba, ungangoda kurapwa nekukasika .
Kurapa kukuru ndekwekuisa saline ne electrolytes dzinodiwa kuburikidza ne IV.
- Kuiswa munyu
- Kutsiva Potassium
- Magnesium (inotsiva Magnesium)
- Kuiswa kweChloride
- Kuiswa kweHydrochloric acid - (Izvi zvinopihwa muzviitiko zvakakomba)
Kana chirwere ichi chichikonzerwa nekutora mushonga wakawandisa, kurega mushonga iwoyo chikamu chekurapa.
Asi yeuka: Usarega kutora chero mushonga kana kuchinja mwero wemushonga usina kutaura nachiremba wako.
Tingadzivirira sei mamiriro ezvinhu aya kuti asaitike zvakare?
Vanhu vazhinji vanogona kudzokera kuhupenyu hwavo hwemazuva ese mushure mekurapwa. Zvisinei, kana dambudziko guru rakakonzera chirwere ichi rikasagadziriswa, zvinokwanisika kuti ridzoke zvakare. Saka chiremba wako achakupa mamwe mazano ekuderedza njodzi iyi.
- Kuderedza kana kumisa kutorwa kwemishonga yakadai semishonga inorwisa asidhi, mishonga yekurara, kana mapiritsi emvura (kungotevera zano rachiremba chete).
- Inwa mvura yakawanda zuva rese kudzivirira kupera mvura mumuviri.
- Kana chiremba wako akakurudzira, inwa mavitamini kana zvimwe zvinovaka muviri kuti uchengetedze huwandu hwe electrolytes mumuviri.
Chinhu chinonyanya kukosha kurapa chikonzero chechirwere ichi. Semuenzaniso, kana uri kunwa mapiritsi emvura echirwere chemwoyo, chiremba wako anogona kuchinja mwero wemushonga. Saka, zvakakosha kutaura nachiremba wako kuti uwane mhinduro inoshanda zvakanyanya kwauri.
Mharidzo Yekuenda Nayo Kumba
- Alkalosis yemetabolism inguva iyo alkalinity yeropa redu ichiwedzera zvakanyanya.
- Zvikonzero zvikuru zveizvi kurutsa nguva dzose, kushandisa mimwe mishonga inobvisa mvura mumuviri, uye kushaya mvura mumuviri.
- Kana uine zviratidzo zvakakomba zvakaita sekuvhiringidzika kana pfari, idambudziko. Enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Kurapwa kunobudirira. Vanhu vazhinji vanopora zvizere vachishandisa mvura inopinzwa mutsinga uye ma electrolytes.
- Kuti chirwere ichi chisadzokorore, zvakakosha kukurukura chikonzero chacho nachiremba wako uye kutsvaga kurapwa.
- Usamborega kutora mishonga yako kana kuchinja mwero wemushonga usina kupiwa mazano nachiremba.
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