Ezinye zezinto ezenzeka emizimbeni yethu ziyamangalisa. Ungase ucabange ukuthi igazi lethu liwuketshezi olubomvu nje. Kodwa empeleni liyinkimbinkimbi kakhulu kunalokho. Igazi lethu linenani elithile le-asidi kanye nesisekelo (i-alkaline) okufanele libe khona. Uma lokhu kulinganisela, okungukuthi, ibhalansi, kungalingani kahle, singaba nezifo ezahlukahlukene. Ngokufanayo, lapho isisekelo, okungukuthi, uhlobo lwe-alkaline (i-alkaline) lwegazi lethu luba phezulu kakhulu, silubiza ngokuthi i-Metabolic Alkalosis kwezokwelapha.
Kalula nje, iyini i-Metabolic Alkalosis?
Cabanga ngakho njengesikali. Ngakolunye uhlangothi kukhona i-asidi, ngakolunye uhlangothi kukhona isisekelo. Emzimbeni womuntu ophilile, lesi sikali silinganiswe kahle. Sikubiza ngokuthi i-pH . Lokhu kulinganisela kubaluleke kakhulu empilweni yethu.
I-Metabolic alkalosis yisimo lapho uhlangothi oluyisisekelo lwesikali luba nzima kakhulu. Lokhu kusho ukuthi i-alkalinity yegazi iyanda kakhulu. Lokhu kubangelwa kakhulu yizinkinga ohlelweni lwethu lokugaya ukudla noma ezinso. Uma lesi simo sincane, singase singabonisi zimpawu. Kodwa-ke, uma lesi simo siba sibi kakhulu, singathinta nokusebenza kwezinso zethu.
Yiziphi izinhlobo eziyinhloko zalesi simo?
I-alkalosis ye-metabolic ingahlukaniswa ngezinhlobo ezimbili eziyinhloko. Izimbangela kanye nokwelashwa kwazo kuhlukile kancane.
| Uhlobo | Imbangela | Ukwelashwa |
|---|---|---|
| I-alkalosis ephendula i-chloride | Kubangelwa ukuthi umzimba ukhipha i-asidi eningi kakhulu. Isibonelo, uma uqhubeka nokuhlanza, i-asidi esiswini sakho iyakhishwa. Kungabangelwa futhi ukuphelelwa amanzi emzimbeni kakhulu. | Lesi simo singalawulwa ngokunikeza uketshezi olunosawoti ngemithambo yegazi (IV) kanye nokudla ukudla okunosawoti. |
| I-alkalosis engamelani ne-chloride | Lokhu kuvame ukwenzeka ngenxa yokuphuza imithi ethile ngokweqile noma esinye isimo sezempilo esiyisisekelo. | Lolu hlobo aluphenduli ekusetshenzisweni kukasawoti omningi. Kunalokho, kuyadingeka ukudla ukudla okunothe nge-potassium noma ukunikeza uketshezi oluqukethe i-potassium. |
Ziyini izimpawu ze-Metabolic Alkalosis?
Ngezinye izikhathi ungase ungabi nazimpawu nhlobo. Kodwa-ke, uma izimpawu zivela, zingahluka kusukela kwezincane kuya kwezinzima kakhulu.
| Izimpawu ezincane/ezincane | Izimpawu ezinkulu |
|---|---|
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Okubalulekile: Izimpawu ezingathi sína yisimo esidinga ukunakekelwa kwezokwelapha okuphuthumayo. Uma wena noma othile omaziyo enalezi zimpawu, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
Kungani sithola i-Metabolic Alkalosis? Yiziphi izimbangela eziyinhloko?
Kunezizathu eziningana ezenza lesi simo senzeke. Esokuqala ukuthi inani le-bicarbonate egazini liyakhuphuka kanye nenani le-hydrogen liyancipha. Izizathu eziyinhloko ezingaphazamisa leli bhalansi yilezi:
- Ukulahlekelwa yi-asidi yesisu: Uma sihlanza njalo noma sinomshini wokukhipha iphampu yesisu, inani elikhulu le-asidi yesisu liyakhishwa emzimbeni wethu. Lokhu kwandisa i-alkalinity yegazi.
- Ukuthatha imithi eminingi kakhulu yokunciphisa i-asidi: Lesi simo singase senzeke uma umuntu onesifo sezinso eqhubeka nokusebenzisa imithi yokunciphisa i-asidi equkethe i-sodium bicarbonate.
- Ama-diuretics (noma "amaphilisi amanzi"):Uma uthatha imithi eminingi kakhulu enqunyelwe ukunciphisa amanzi emzimbeni, i-asidi emzimbeni nayo iyakhishwa kanye nomchamo.
- Ukuthatha imithi yokuhlanza isisu: Le mithi, esetshenziselwa ukwelapha ukuqunjelwa, ingabangela ukuqunjelwa ngokweqile kanye nokulahlekelwa ama-electrolyte abalulekile njenge-potassium ne-chloride.
- Ukuphelelwa amanzi emzimbeni: Uma kungekho manzi anele emzimbeni, ibhalansi ye-electrolyte ingaphazamiseka futhi i-alkalinity yegazi inganda.
Ezinye izimo zezokwelapha
Ngaphezu kwalezi zinto, i-metabolic alkalosis ingabangelwa nezinye izimo zezokwelapha.
- Ezinye izifo zofuzo ezibangela ukuthi izinso zikhiphe ama-electrolyte ngokuzenzakalelayo.
- Amazinga akhuphukile e-aldosterone, i-hormone ye-adrenal. `(hyperaldosteronism)`
- Ukwehla kwamazinga e-chloride egazini.
- Ukuntuleka kwe-potassium (i-hypokalemia).
- Isifo senhliziyo, sezinso, noma sesibindi.
Ubani osengozini enkulu yokuthola lesi simo?
Abanye abantu banamathuba amaningi okuphathwa yilesi simo.
- Abantu abahlanzwa isisu ngesizathu esithile.
- Abantu abaphuza utshwala baze bahlanze njalo.
- Abantu abaphuza imithi yokuhlanza isisu ngenhloso yokwehlisa isisindo.
- Abantu abathatha imithi yokukhipha isisu ukuze banciphise ukuvuvukala noma ukwehlisa isisindo.
- Abantu abane-bulimia nervosa, isimo lapho behlanza khona ngenkani ngemva kokudla ngoba besaba ukukhuluphala.
- Abantu abahlushwa yi-hyperemesis gravidarum, isimo esenzeka ngesikhathi sokukhulelwa.
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela, uzolalela ngokucophelela izimpawu zakho bese enza izivivinyo eziningana ukuqinisekisa isimo.
- Ukuhlolwa komzimba: Ukuhlola izimpawu zakho.
- Ukuhlolwa kwegazi: Kala amagesi egazini, ibhalansi ye-acid-base, kanye namazinga e-electrolyte.
- Ukuhlolwa kwe-ECG: Ukuhlola ukungalingani kwesigqi senhliziyo (i-arrhythmia) (i-Electrocardiogram).
- Ukuhlolwa komchamo: Lokhu kungasiza ekutholeni imbangela yalesi simo.
Iphathwa kanjani?
Ukwelashwa kuncike ebunzimeni bezimpawu zakho kanye nembangela yesimo sakho. Amacala amancane angase angadingi ukwelashwa. Kodwa-ke, uma unezimpawu ezinzima, ungadinga ukwelashwa ngokushesha .
Ukwelashwa okuyinhloko ukufaka usawoti kanye nama-electrolyte adingekayo nge-IV.
- Ukufakwa kwe-saline
- Ukufakwa esikhundleni kwe-potassium
- I-Magnesium (esikhundleni se-Magnesium)
- Ukufakwa kwe-chloride
- Ukufakwa kwe-Hydrochloric acid - (Lokhu kunikezwa ezimweni ezibucayi kakhulu)
Uma lesi simo sibangelwa ukuphuza imithi ethile ngokweqile, ukuyeka leyo mithi nakho kuyingxenye yokwelashwa.
Kodwa khumbula: Ungayeki ukuthatha noma yimuphi umuthi noma ushintshe umthamo ngaphandle kokukhuluma nodokotela wakho.
Singakuvimbela kanjani lesi simo ukuthi singaphinde senzeke?
Iningi labantu lingabuyela empilweni evamile ngemva kokwelashwa. Kodwa-ke, uma inkinga eyisisekelo eyibangele ingaxazululwa, kungenzeka ukuthi ibuye futhi. Ngakho udokotela wakho uzokunikeza amathiphu okunciphisa le ngozi.
- Ukunciphisa noma ukuyeka umthamo wemithi efana nemithi yokunciphisa i-asidi, imithi yokuhlanza isisu, noma amaphilisi amanzi (kuphela ngokweseluleko sikadokotela).
- Phuza amanzi amaningi usuku lonke ukuze ugweme ukuphelelwa amanzi emzimbeni.
- Uma kunconywa udokotela wakho, thatha amavithamini noma izithasiselo ukuze ulondoloze amazinga e-electrolyte.
Into ebaluleke kakhulu ukwelapha imbangela eyinhloko yalesi simo. Isibonelo, uma uphuza amaphilisi amanzi ngenxa yesifo senhliziyo, udokotela wakho angase ashintshe umthamo. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho ukuze uthole ikhambi elikusebenzela kangcono.
Umlayezo Wokuya Nawe Ekhaya
- I-alkalosis ye-metabolic yilapho i-alkalinity yegazi lethu ikhula kakhulu.
- Izimbangela eziyinhloko zalokhu ukuhlanza okuqhubekayo, ukusebenzisa imithi ethile yokukhipha isisu, kanye nokuphelelwa amanzi emzimbeni.
- Uma unezimpawu ezinkulu njengokudideka noma ukuxhuzula, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Ukwelashwa kuyaphumelela. Abantu abaningi balulama ngokugcwele ngoketshezi olufakwa emthanjeni kanye nama-electrolyte.
- Ukuze uvimbele lesi simo ukuthi singaphinde sivele, kubalulekile ukuxoxa ngembangela eyinhloko nodokotela wakho bese ucela ukwelashwa.
- Ungalokothi uyeke ukuthatha imithi yakho noma ushintshe umthamo ngaphandle kweseluleko sikadokotela.
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