Uyakhumbula lowo muzwa ongajwayelekile owutholayo ngemva kokujima kanzima, noma ngemva kokuvuka uzizwa ungaphilile? Lowo muzwa wokuba ndikindiki ezithweni zakho, imisipha ebuhlungu. Esinye isizathu salokhu kungaba ukwakheka kwesikhashana kwento ebizwa ngokuthi "i-lactic acid" emzimbeni wakho. Ngokuvamile, lokhu kuyaphela ngemva kwesikhathi esithile. Kodwa ngezinye izikhathi akupheli. Yilokho esizokhuluma ngakho namuhla.
Iyini ngempela i-Lactic Acid?
Kalula nje, i-lactic acid iyikhemikhali ekhiqizwa amangqamuzana omzimba wethu, ikakhulukazi amangqamuzana emisipha namangqamuzana egazi abomvu. Ikhiqizwa lapho imizimba yethu iguqula ukudla esikudlayo kube amandla. Le nqubo isheshiswa kakhulu lapho umzimba ungenawo umoya-mpilo owanele. Cabanga ngakho, uma ugijima ngokushesha noma uphakamisa izinsimbi ezisindayo, umzimba wakho ngokuzumayo udinga amandla amaningi. Ngaleso sikhathi, umoya-mpilo wodwa ungase unganeli ukuphefumula. Ngezikhathi ezinjalo, umzimba wethu usebenzisa enye indlela yokukhiqiza amandla.
I-lactic acid ikhiqizwa njengomkhiqizo ohambisana nalokhu. Ngokuvamile, akukho nkinga. Uma uqeda ukuzivocavoca, noma lapho ululama ekuguleni,
isibindi nezinso zethu zisebenza ndawonye ukususa le-lactic acid eningi bese ziyiguqula ibe yi
-glucose engasetshenziswa njengamandla futhi. Kuyinqubo evamile emzimbeni.
Kodwa uma ngesizathu esithile le lactic acid inqwabelana esikhundleni sokususwa emzimbeni, kungaba yisimo esiyingozi.
Isimo esiyingozi esibizwa ngokuthi i-lactic acidosis
Uma izinga le-lactic acid egazini lethu liba phezulu
ngendlela eyingozi , i-acidity (pH) yegazi iyashintsha. Lokhu yilokho esikubiza ngokuthi
i-lactic acidosis kwezokwelapha. Uma lokhu kungelashwa ngokushesha, kungaholela ekuhlulekeni kwenhliziyo, ekuhlulekeni kwezitho zomzimba, ekungazini, ngisho nasekufeni. Kunezimpawu eziningana eziyisisekelo ezingabonakala kulesi simo.
Izimpawu eziyinhloko ze-lactic acidosis ukungazi lutho (i-coma) ezimweni ezimbi kakhulu.
| Ubuthakathaka obukhulu bemisipha | Isilinganiso sokuphefumula esikhulayo |
| Ukuhlanza | Ukujuluka ngokweqile |
Udokotela ubhala nini lesi sivivinyo?
Uma unezimpawu ezithile ezingase zibonise ukuthi unamazinga aphezulu e-lactic acid, udokotela wakho angase akuncome lokhu kuhlolwa kwegazi. Lezi yizimpawu ezingase zibonise ukusola okunjalo.
| Isibonakaliso | Incazelo |
|---|
| Ukukhathala ngokweqile | Ukuzizwa ungenamandla kangangokuthi awukwazi ukwenza lutho. |
| Isicanucanu nokuhlanza | Ukucanuzela kwenhliziyo nokuhlanza okuhambisana nobuhlungu besisu. |
| Ukushaya kwenhliziyo okusheshayo nokuphefumula | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha futhi izinga lokuphefumula kwakho liyakhuphuka. |
| Ukuphuzi kwesikhumba | Ukuphuzi kwesikhumba namehlo (njengasemfiva ephuzi). |
| Ezinye izici | Ukuqhaqhazela kwemisipha, ubuthakathaka, ukudideka , ukungakwazi ukuzibamba komchamo, ubunzima bokuhamba |
Uma unalezi zimpawu, kufanele
ubonane nodokotela ngokushesha . Uzonquma ukuthi uyaludinga yini lolu vivinyo noma cha.
Yini esingayifunda embikweni wokuhlolwa?
Lokhu ukuhlolwa kwegazi okulula kakhulu. Kuthathwa isampula encane yegazi emthanjeni wakho, noma ngezinye izikhathi emthanjeni wegazi. Akuvamile kakhulu, ukumpompa komgogodla nakho kungenziwa ukuhlola uketshezi lomgogodla.
Izinga Elijwayelekile
Uma izinga le-lactic acid egazini lakho lijwayelekile (ngaphansi kuka-2 mmol/L), kusho ukuthi awunayo i-lactic acidosis. Lokhu kusho ukuthi amangqamuzana akho athola umoya-mpilo owanele, futhi isibindi nezinso zakho zisebenza kahle. Izimpawu zakho zingabangelwa okunye. Udokotela wakho uzoyala ezinye izivivinyo ukuze azifune.
Izinga Eliphezulu
Uma izinga lakho le-lactic acid liphakeme kunejwayelekile (ngaphezu kuka-2 mmol/L), kungaba nezizathu eziningi zalokho.
- Izinga eliphakathi kuka- 2-4 mmol/L libhekwa njengeliphezulu kancane (i-hyperlactemia).
- Izinga elingaphezu kuka-4 mmol/L libhekwa njengelibi kakhulu.
Nazi ezinye zezizathu eziyinhloko zokuthi amazinga e-lactic acid akhuphuke:
- Izinkinga ezihlobene ne-metabolism:
- Isifo sesibindi
- Isifo sezinso
- Isifo Sikashukela Esingalawulwa
- Umdlavuza wegazi (i-Leukemia)
- Inkinga yokusebenzisa utshwala
- Izimo ezifana ne-HIV noma i-AIDS
- Ukuntuleka kwevithamini B1
Yini okufanele uyenze uma amazinga e-lactic acid ephezulu?
Lena yinto ebaluleke kakhulu. Uma umbiko wakho
ubonisa ukuthi amazinga akho e-lactic acid aphezulu, ungesabi. Udokotela wakho uzothola ukuthi yini ngempela ebangela lokhu.
Into ebalulekile ukuthi awugcini nje ngokwelapha izinga le-lactic acid, kodwa welapha isimo esiyisisekelo esibangele izinga eliphezulu.
Isibonelo, uma imbangela iwukutheleleka okukhulu, kuzonikezwa ama-antibiotic. Uma imbangela iwukushukela, kuzoqalwa ukwelashwa ukuze kulawulwe. Lapho imbangela eyisisekelo yelashwa, izinga le-lactic acid lizobuyela esimweni esijwayelekile ngokuzenzakalelayo. Ngaphezu kwalokho, kuye ngesimo sesiguli, kunikezwa nokwelashwa okusekelayo njenge-intravenous saline (IV fluids) kanye ne-oxygen. Uma isimo sibangelwa umuthi othile, udokotela angase anqume ukushintsha lowo muthi.
Umlayezo Wokuya Nawe Ekhaya
- I-lactic acid iyinto evamile enqwabelana emzimbeni ngesikhathi sokuzivocavoca, kodwa uma amazinga ayo eba phezulu kakhulu (i-lactic acidosis), kuyisimo esibi kakhulu.
- Uma uhlangabezana nezimpawu ezifana nokukhathala okukhulu, ukuphefumula ngokushesha, ukuhlanza, noma ukudikiza kwemisipha, funa iseluleko sikadokotela.
- Ukuhlolwa kwegazi kwe-lactic acid kuyindlela elula yokuhlola igazi esetshenziselwa ukuxilonga lesi simo.
- Uma amazinga akho e-lactic acid ephezulu, into ebaluleke kakhulu ukuthola imbangela nokwelapha isimo esiyisisekelo.
- Ungalokothi uye kokwelashwa wedwa. Landela imiyalelo kadokotela wakho njalo.
I-Lactic Acid, i-Lactic Acidosis, ukuhlolwa kwegazi, ukuhlolwa kwegazi, izimpawu, ukukhathala, ukuzivocavoca
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