Ezinye zezinto ezenzeka ngaphakathi emizimbeni yethu ziyamangalisa. Usenokucinga ukuba igazi lethu lilulwelo olubomvu nje. Kodwa eneneni luyinkimbinkimbi kakhulu kunoko. Igazi lethu linomlinganiselo othile we-asidi kunye nesiseko (i-alkaline) ekufuneka ukuba zikhona. Ukuba olu lungelelwaniso, oko kukuthi, ibhalansi, alulingani kakuhle, sinokukhula kwezifo ezahlukeneyo. Ngokufanayo, xa isiseko, oko kukuthi, uhlobo lwe-alkaline (i-alkaline) yegazi lethu luphezulu kakhulu, silubiza ngokuba yi-Metabolic Alkalosis kunyango.
Ngamafutshane, yintoni iMetabolic Alkalosis?
Cinga ngayo njengesikali. Kwelinye icala kukho iasidi, kwelinye icala kukho isiseko. Emzimbeni womntu ophilileyo, esi sikali silungelelene ngokugqibeleleyo. Siyibiza ngokuba yi-pH . Le bhalansi ibaluleke kakhulu kwimpilo yethu.
I-Metabolic alkalosis yimeko apho icala elisezantsi lesikali liba nzima kakhulu. Oku kuthetha ukuba i-alkalinity yegazi iyanda kakhulu. Oku kubangelwa ikakhulu ziingxaki kwinkqubo yethu yokugaya ukutya okanye kwizintso. Xa le meko incinci, isenokungabonakalisi zimpawu. Nangona kunjalo, ukuba imeko iba mandundu, inokuchaphazela nokusebenza kwezintso zethu.
Ziziphi iintlobo eziphambili zale meko?
I-Metabolic alkalosis inokwahlulwa ibe ziintlobo ezimbini eziphambili. Izizathu kunye nonyango lwazo zahlukile kancinci.
| Uhlobo | Unobangela | Unyango |
|---|---|---|
| I-alkalosis ephendula kwi-chloride | Ibangelwa kukukhupha i-asidi eninzi emzimbeni. Umzekelo, xa uqhubeka nokuhlanza, i-asidi esesiswini sakho iyakhutshwa. Ingabangelwa kukuphelelwa ngamanzi emzimbeni kakhulu. | Le meko ingalawulwa ngokunika ulwelo lwe-saline ngemithambo (IV) kunye nokutya ukutya okunetyuwa. |
| I-alkalosis engamelani ne-chloride | Oku kwenzeka rhoqo ngenxa yokuthatha amayeza amaninzi okanye enye ingxaki yempilo engabonakaliyo. | Olu hlobo aluphenduli xa umntu etya ityuwa eninzi. Endaweni yoko, kuyimfuneko ukutya ukutya okutyebileyo kwi-potassium okanye ukunika ulwelo olune-potassium. |
Zithini iimpawu zeMetabolic Alkalosis?
Ngamanye amaxesha usenokungabi nazo iimpawu konke konke. Nangona kunjalo, ukuba iimpawu ziyavela, zinokuqala kwezincinci ukuya kwezinzima.
| Iimpawu ezincinci/ezincinci | Iimpawu ezinzulu |
|---|---|
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Kubalulekile: Iimpawu ezinzulu yimeko efuna unyango olukhawulezileyo. Ukuba wena okanye umntu omaziyo unale mpawu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
Kutheni sifumana iMetabolic Alkalosis? Zithini izizathu eziphambili?
Kukho izizathu ezininzi zokuba le meko yenzeke. Esona siphambili kukuba ubungakanani be-bicarbonate egazini buyanda kwaye ubungakanani be-hydrogen buyancipha. Ezona zizathu ziphambili ezinokuphazamisa olu lungelelwaniso zezi:
- Ukulahlekelwa yi-asidi yesisu: Xa sihlanza rhoqo okanye sinompompo wesisu, inani elikhulu le-asidi yesisu likhutshwa emzimbeni wethu. Oku kwandisa i-alkalinity yegazi.
- Ukuthatha amayeza okuthintela i-asidi amaninzi kakhulu: Le meko inokwenzeka ukuba umntu onesifo sezintso uqhubeka nokusebenzisa amayeza okuthintela i-asidi ane-sodium bicarbonate.
- Iziyobisi zomchamo (okanye "iipilisi zamanzi"):Xa usela amayeza amaninzi kakhulu anikwe umyalelo wokunciphisa amanzi emzimbeni, i-asidi emzimbeni nayo iyakhutshwa kunye nomchamo.
- Ukusela amayeza okuhambisa isisu: La mayeza, asetyenziselwa ukunyanga ukuqhina, anokubangela ukudumba okugqithisileyo kunye nokulahleka kwee-electrolytes ezibalulekileyo ezifana ne-potassium kunye ne-chloride.
- Ukuphelelwa ngamanzi emzimbeni: Xa kungekho manzi aneleyo emzimbeni, ibhalansi ye-electrolyte inokuphazamiseka kwaye i-alkalinity yegazi inokwanda.
Ezinye iimeko zonyango
Ukongeza kwezi zinto, i-metabolic alkalosis inokubangelwa nazezinye iimeko zonyango.
- Ezinye izifo zemfuza ezibangela ukuba izintso zikhuphe ii-electrolytes ngokuzenzekelayo.
- Amanqanaba aphezulu e-aldosterone, i-hormone ye-adrenal. `(hyperaldosteronism)`
- Ukwehla kwamanqanaba e-chloride egazini.
- Ukungabikho kwe-potassium (hypokalemia).
- Isifo sentliziyo, sezintso, okanye sesibindi.
Ngubani osengozini enkulu yokuhlaselwa yile meko?
Abanye abantu banamathuba amaninzi okubandezeleka yile meko.
- Abantu abahlamba isisu ngesizathu esithile.
- Abantu abasela utywala bade bahlanze rhoqo.
- Abantu abasebenzisa amayeza okuhlamba umzimba ngenjongo yokunciphisa umzimba.
- Abantu abasebenzisa amayeza okukhupha isisu ukunciphisa ukudumba okanye ukunciphisa umzimba.
- Abantu abane-bulimia nervosa, imeko apho bahlanza ngamandla emva kokutya kuba besoyika ukutyeba.
- Abantu abanesifo se-hyperemesis gravidarum, imeko eyenzeka ngexesha lokukhulelwa.
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha, uza kumamela ngenyameko iimpawu zakho aze emva koko enze iimvavanyo ezininzi ukuqinisekisa imeko.
- Uvavanyo lomzimba: Ukujonga iimpawu zakho.
- Uvavanyo lwegazi: Linganisa iigesi zegazi, ibhalansi ye-asidi-base, kunye namanqanaba e-electrolyte.
- Uvavanyo lwe-ECG: Ukujonga ukungasebenzi kakuhle kwesingqisho sentliziyo (i-arrhythmia) (i-Electrocardiogram).
- Uhlalutyo lomchamo: Oku kunokunceda ekufumaneni unobangela wale meko.
Iphathwa njani?
Unyango luxhomekeke kubukhali beempawu zakho kunye nesizathu semeko yakho. Iimeko ezincinci zisenokungafuni unyango. Nangona kunjalo, ukuba uneempawu ezinzima, unokufuna unyango olukhawulezileyo .
Unyango oluphambili kukufaka i-saline kunye nee-electrolytes ezifunekayo nge-IV.
- Ukufakwa kwetyuwa
- Ukutshintshwa kwePotassium
- I-Magnesium (ukutshintshwa kweMagnesium)
- Ukufakwa kwe-chloride
- Ukufakwa kwe-hydrochloric acid - (Oku kunikwa kwiimeko ezinzulu kakhulu)
Ukuba le meko ibangelwa kukuthatha amayeza amaninzi kakhulu, ukuyeka loo mayeza kukwayinxalenye yonyango.
Kodwa khumbula: Musa ukuyeka ukuthatha naliphi na iyeza okanye utshintshe umthamo ngaphandle kokuthetha nogqirha wakho.
Singayithintela njani le meko ukuba ingaphindi yenzeke?
Uninzi lwabantu lunokubuyela kubomi obuqhelekileyo emva konyango. Nangona kunjalo, ukuba ingxaki ebangela ukuba ingabikho ayilungiswanga, isenokuphinda ivele. Ngoko ke ugqirha wakho uza kukunika iingcebiso zokunciphisa le ngozi.
- Ukunciphisa okanye ukuyeka umthamo wamayeza anjenge-antacids, ii-laxatives, okanye iipilisi zamanzi (kuphela ngengcebiso kagqirha).
- Sela amanzi amaninzi imini yonke ukuze uthintele ukuphelelwa ngamanzi emzimbeni.
- Ukuba ugqirha wakho ucebisa, thatha iivithamini okanye izongezo ukuze ugcine amanqanaba e-electrolyte.
Eyona nto ibalulekileyo kukunyangela unobangela wengxaki. Umzekelo, ukuba usela iipilisi zamanzi ngenxa yesifo sentliziyo, ugqirha wakho unokutshintsha umthamo. Kungoko ke, kubalulekile ukuthetha nogqirha wakho ukuze ufumane isisombululo esilungele wena.
Umyalezo Wokuya Ekhaya
- I-Metabolic alkalosis iyenzeka xa i-alkalinity yegazi lethu inyuka kakhulu.
- Ezona zinto zibangela oku kukuhlanza rhoqo, ukusebenzisa amayeza athile okukhupha isisu, kunye nokuphelelwa ngamanzi emzimbeni.
- Ukuba uneempawu ezinzulu ezifana nokudideka okanye ukuxhuzula, yimeko engxamisekileyo leyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
- Unyango luphumelele. Abantu abaninzi bayachacha ngokupheleleyo ngokufakwa ulwelo olufakwa kwimithambo yegazi kunye nee-electrolytes.
- Ukuze uthintele ukuba le meko ingaphindi ivele, kubalulekile ukuxoxa nogqirha wakho ngesizathu esiyintloko uze ufumane unyango.
- Ungaze uyeke ukuthatha amayeza akho okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha.
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