I-Metabolic Acidosis yimeko eyenzeka xa ibhalansi yeekhemikhali ze-asidi kunye neziseko egazini lakho ingalingani. Cinga ngayo njengesikali sasekhitshini. Ukuba ubeka ubunzima obuninzi kwicala elinye, buya kujika, akunjalo? Yiyo loo nto injalo. Le meko yenzeka xa umzimba wethu une-asidi eninzi kwaye ingenasiseko esaneleyo sokuyilawula. Ngamanye amaxesha oku kunokuba yimeko engephi, kodwa kwezinye iimeko kunokuba yingozi ebomini.
Kutheni oku kusenzeka? (Izizathu zeMetabolic Acidosis)
Kukho izizathu ezahlukeneyo zokuba oku kungalingani kwe-asidi-base egazini lethu kungenzeki. Makhe sijonge ezona zizathu ziphambili.
| Isizathu | Ingcaciso elula |
|---|---|
| I-Ketoacidosis ( i-ketoacidosis ) | Xa umntu onesifo seswekile engafumani i-insulin eyaneleyo aze aphelelwe ngamanzi emzimbeni, umzimba uqala ukutshisa amafutha ukuze ufumane amandla. Oku kubangela ukuveliswa kweekhemikhali ezibizwa ngokuba zii-ketones. Xa ezi ketones ziqokelelana egazini, igazi liba ne-asidi. Le meko inokwenzeka nakubantu abasela utywala kakhulu, abangatyi kakuhle, okanye abazila ukutya. |
| I-Lactic Acidosis | Xa iiseli zomzimba wethu zingafumani ioksijini eyaneleyo, zivelisa into ebizwa ngokuba yi-lactic acid. Oku kunokuqokelelwa nasegazini. Oku kunokwenzeka ngexesha lokuzilolonga okunzima, xa uxinzelelo lwegazi luyehla ngequbuliso, kwiimeko zokungasebenzi kakuhle kwentliziyo, ukuminxeka kwentliziyo, kunye nosulelo olugqithisileyo. |
| Iingxaki zezintso (i-Renal Tubular Acidosis) | Izintso eziphilileyo zihluza ii-asidi ezigqithisileyo egazini zize zizikhuphele emchameni. Nangona kunjalo, xa izintso zonakele ngenxa yesifo sezintso, iingxaki ezithile zenkqubo yomzimba yokuzikhusela, kunye neengxaki zemfuza, azikwazi ukususa ezi asidi ngendlela efanelekileyo. Ezi asidi zihlala egazini. |
| I-Hyperchloremic Acidosis | Urhudo oluqatha, ukusetyenziswa gwenxa kwemithi yokuhambisa isisu , kunye nezinye izifo zezintso zinokubangela ukuba umzimba wethu ube namanqanaba aphantsi e-bicarbonate. I-Bicarbonate sisiseko esithintela ii-asidi. Xa iphantsi, igazi liba ne-asidi. |
Kubalulekile: Kukho olunye uhlobo olubizwa ngokuba yi-Respiratory Acidosis. Kule meko, igazi liba ne-asidi , kodwa unobangela yingxaki emiphungeni ebangela ukuba i-carbon dioxide egqithisileyo iqokeleleke emzimbeni. Oku kwahlukile kwi-Metabolic Acidosis.
Zithini iimpawu zoku? (Iimpawu)
Nangona iimpawu zinokwahluka kumntu nomntu, ezi ziimpawu eziqhelekileyo umntu oneMetabolic Acidosis anokuzibona.
- Ukuphefumla ngokukhawuleza : Oku kungenxa yokuba umzimba uzama ukukhupha i-asidi egqithisileyo (njenge-carbon dioxide) emzimbeni.
- Ukubetha kwentliziyo
- Intloko ebuhlungu
- Ndiziva ndididekile (Ndididekile)
- Ukuziva ubuthathaka
- Ndiziva ndidiniwe ngalo lonke ixesha
- Umnqweno wokutya
- Isicaphucaphu nokuhlanza
Ivumba elifana neleziqhamo emlonyeni luphawu olwaziwayo, ingakumbi kwi- diabetes ketoacidosis (DKA).
Ukuba unale mpawu, bonana nogqirha wakho ngoko nangoko. Ukuba zivakala zinzima, musa ukulibazisa ukuya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
Ndingayifumana njani le nto kanye? (Uvavanyo)
Ugqirha uza kwenza uvavanyo oluninzi ukuze abone ukuba unale meko na. Kulapho kuphela apho unokunikwa unyango oluchanekileyo.
- Uvavanyo lwe-Anion Gap: Olu luvavanyo olulinganisa ibhalansi yeekhemikhali egazini. Kalula nje, luthelekisa amasuntswana atshajiweyo alungileyo nangalunganga (afana ne-sodium, i-chloride, i-bicarbonate) egazini. Kwezinye iintlobo ze-metabolic acidosis, "umsantsa" phakathi kwezi xabiso ubonakala ngakumbi.
- Uvavanyo lweArterial Blood Gases (ABG): Olu vavanyo lulinganisa i-pH, okanye i-asidi, kunye namanqanaba eoksijini kunye ne-carbon dioxide egazini lakho.
- Uvavanyo lomchamo: Olu vavanyo lunokufumanisa ii-ketones, iingxaki zezintso, okanye ityhefu evela kwizinto ezifana ne-aspirin, utywala, okanye i-antifreeze. Abantu abanesifo seswekile banokuvavanya umchamo wabo ukuze babone ii-ketones ekhaya besebenzisa imicu yovavanyo efumaneka kwikhemesti.
Indlela yokunyanga? (Unyango)
I-Metabolic Acidosis inyangwa ngokunyanga unobangela oyintloko. Cinga ngayo njengophahla oluvuza amanzi. Kungcono ukulungisa umngxuma ophahleni kunokubeka ibhakede phantsi ubambe amanzi. Kunjalo ke.
Ukuba le meko ayilawulwa, inokuchaphazela amathambo akho, izihlunu kunye nezintso. Kwiimeko ezinzima, ukothuka kunye nokufa kunokwenzeka. Imeko efana ne-DKA inokukhokelela kwi-coma.
Kungoko ke, kubaluleke kakhulu ukufuna unyango ngokukhawuleza . Ezinye zeendlela zonyango eziqhele ukumiselwa zezi:
- Ukususa ityhefu emzimbeni: Ukuba le meko ibangelwa yityhefu yeziyobisi okanye yotywala, unyango lunikwa ukususa ityhefu emzimbeni. Ukuba ukrokrela ukuba kukho ityhefu, fowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngokukhawuleza ukuze ufumane ingcebiso.
- I-Insulin: I-Insulin inikwa i-DKA ebangelwa sisifo seswekile.
- Ulwelo olufakwa emthanjeni (ulwelo lwe-IV): Ulwelo olufana ne-saline lunikwa ngomthambo osengalweni yakho.
- I-Sodium bicarbonate: Kwezinye iimeko, eli yeza linikwa ngemithambo yegazi ukuze kwandiswe i-alkalinity egazini.
Mhlawumbi kuya kufuneka ulaliswe esibhedlele.
Ungazikhusela njani kule meko? (Ukuthintela)
Nangona i-metabolic acidosis ingenakuthintelwa rhoqo, kukho izinto onokuzenza ukunciphisa umngcipheko wakho.
- Sela amanzi amaninzi kunye nolwelo olungelulo utywala. Ukuba umchamo wakho ucacile okanye utyheli kancinci, oko kuthetha ukuba ufumana amanzi aneleyo.
- Nciphisa utywala. Utywala bunokunyusa ukwakheka kwe-asidi emzimbeni kwaye bubangele ukuphelelwa ngamanzi emzimbeni.
- Ukuba unesifo seswekile, silawule kakuhle. Landela imiyalelo kagqirha wakho ngokuchanekileyo.
- Xa usela amayeza, landela imiyalelo enikwe ngugqirha wakho okanye ekwiphakheji ngokuchanekileyo.
Umyalezo Wokuya Ekhaya
- I-metabolic acidosis kukuphazamiseka kwebhalansi ye-acid-base egazini lakho. Musa ukuyithatha lula le nto.
- Ukuba uneempawu ezifana nokuphefumla ngokukhawuleza, ukudideka, kunye nokudinwa kakhulu, oko kungaba luphawu lwengxaki enkulu emzimbeni.
- Oku kunyangwa ngokunyanga unobangela oyintloko (njengesifo seswekile, isifo sezintso, ukutyhefa).
- Ukuba unamathandabuzo okanye iimpawu, ungaze uqashele. Bona ugqirha wakho ngokukhawuleza ukuze ufumane icebiso elifanelekileyo kunye nonyango.
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