I-Metabolic Acidosis yisimo esenzeka lapho ibhalansi yamakhemikhali yama-asidi nezisekelo egazini lakho ingalingani. Cabanga ngakho njengesikali sasekhishini. Uma ubeka isisindo esiningi kakhulu eceleni, sizowela phansi, akunjalo? Yilokho okwenzekayo. Lesi simo senzeka lapho umzimba wethu une-asidi eningi kakhulu futhi kungekho sisekelo esanele sokuyilawula. Ngezinye izikhathi lokhu kungaba yisimo esingesihle, kodwa kwezinye izimo kungaba yingozi empilweni.
Kungani lokhu kwenzeka? (Izimbangela ze-Metabolic Acidosis)
Kunezizathu ezahlukahlukene zokuthi kungani lokhu kungalingani kwe-acid-base egazini lethu kungenzeka. Ake sibheke izimbangela eziyinhloko.
| Isizathu | Incazelo elula |
|---|---|
| I-Ketoacidosis ( i-ketoacidosis ) | Uma umuntu onesifo sikashukela engatholi i-insulin eyanele futhi ephelelwa amanzi emzimbeni, umzimba uqala ukushisa amafutha ukuze uthole amandla. Lokhu kuphumela ekukhiqizweni kwamakhemikhali abizwa ngokuthi ama-ketone. Uma la ma-ketone eqoqana egazini, igazi liba ne-asidi. Lesi simo singavela nakubantu abaphuza utshwala obuningi, abangadli kahle, noma abazila ukudla. |
| I-Lactic Acidosis | Uma amangqamuzana emizimba yethu engatholi umoya-mpilo owanele, akhiqiza into ebizwa ngokuthi i-lactic acid. Lokhu kunganqwabelana egazini. Lokhu kungenzeka ngesikhathi sokuzivocavoca okunzima, lapho umfutho wegazi wehla ngokuzumayo, ezimweni zokwehluleka kwenhliziyo, ukumiswa kwenhliziyo, kanye nokutheleleka okukhulu. |
| Izinkinga zezinso (i-Renal Tubular Acidosis) | Izinso eziphilile zihlunga ama-asidi angaphezulu egazini bese ziwakhipha emchameni. Kodwa-ke, lapho izinso zonakele ngenxa yesifo sezinso, ezinye izinkinga zesimiso sokuzivikela komzimba, kanye nezinkinga zofuzo, azikwazi ukususa lawa ma-asidi ngendlela efanele. Ama-asidi abe esehlala egazini. |
| I-Hyperchloremic Acidosis | Uhudo olubi kakhulu, ukusetshenziswa kabi kwemithi yokuhlanza isisu , kanye nezinye izifo zezinso kungabangela ukuthi umzimba wethu ube namazinga aphansi e-bicarbonate. I-Bicarbonate iyisisekelo esiqeda ama-asidi. Uma iphansi, igazi liba ne-asidi. |
Okubalulekile: Kukhona olunye uhlobo olubizwa ngokuthi i-Respiratory Acidosis. Kulokhu, igazi liba ne-asidi , kodwa imbangela iyinkinga emaphashini ebangela ukuthi i-carbon dioxide eningi iqoqeke emzimbeni. Lokhu kuhlukile ku-Metabolic Acidosis.
Ziyini izimpawu zalokhu? (Izimpawu)
Nakuba izimpawu zingase zihluke kumuntu nomuntu, lezi yizimpawu ezivamile umuntu one-Metabolic Acidosis angase abe nazo.
- Ukuphefumula okusheshayo : Lokhu kungenxa yokuthi umzimba uzama ukukhipha i-asidi eningi (njenge-carbon dioxide) emzimbeni.
- Ukushaya kwenhliziyo
- Ikhanda elibuhlungu
- Ukuzizwa udidekile (Ukudideka)
- Ukuzizwa ubuthakathaka
- Ukuzizwa ukhathele ngaso sonke isikhathi
- Isifiso sokudla
- Isicanucanu nokuhlanza
Iphunga elifana nezithelo emlonyeni liwuphawu olwaziwayo, ikakhulukazi ku-ketoacidosis yesifo sikashukela (i-DKA).
Uma unalezi zimpawu, bona udokotela wakho ngokushesha. Uma zizwakala zimbi kakhulu, ungalibali ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
Ngikuthola kanjani lokhu ngqo? (Ukuhlola)
Udokotela uzokwenza izivivinyo eziningana ukuze anqume ukuthi unalesi simo yini. Kulapho-ke kuphela lapho ukwelashwa okufanele kunganikezwa khona.
- Ukuhlolwa Kwesikhala Se-Anion: Lokhu ukuhlolwa okulinganisa ibhalansi yamakhemikhali egazini. Kalula nje, kuqhathanisa izinhlayiya ezishajekile nezinhle (njenge-sodium, i-chloride, i-bicarbonate) egazini. Kwezinye izinhlobo ze-metabolic acidosis, "igebe" phakathi kwalezi zindinganiso libonakala kakhulu.
- Ukuhlolwa kwamagesi egazi e-Arterial Blood (ABG): Lokhu kulinganisa i-pH, noma i-acidity, kanye namazinga e-oxygen ne-carbon dioxide egazini lakho.
- Ukuhlolwa komchamo: Lokhu kungathola ama-ketone, izinkinga zezinso, noma ubuthi obuvela ezintweni ezifana ne-aspirin, utshwala, noma i-antifreeze. Abantu abanesifo sikashukela bangahlola umchamo wabo ukuthola ama-ketone ekhaya besebenzisa imichilo yokuhlola etholakala ekhemisi.
Ukwelashwa kanjani? (Ukwelashwa)
I-Metabolic Acidosis yelashwa ngokwelapha imbangela eyisisekelo. Cabanga ngayo njengophahla oluvuza amanzi. Kungcono ukulungisa imbobo ophahleni kunokubeka ibhakede phansi ubambe amanzi. Kunjalo-ke.
Uma lesi simo singalawulwa, singathinta amathambo akho, imisipha, kanye nezinso. Ezimweni ezimbi kakhulu, ukushaqeka ngisho nokufa kungavela. Isimo esifana ne-DKA singaholela nasekufeni.
Ngakho-ke, kubaluleke kakhulu ukufuna ukwelashwa ngokushesha okukhulu . Ezinye zezindlela zokwelapha ezivame ukunqunywa yilezi:
- Ukususa ubuthi emzimbeni: Uma lesi simo sibangelwa ubuthi bezidakamizwa noma utshwala, kunikezwa ukwelashwa kokususa ubuthi emzimbeni. Uma usola ukuthi kukhona ubuthi, shayela ngokushesha i-National Poisons Information Center e-Colombo National Hospital ukuze uthole iseluleko.
- I-insulin: I-insulin inikezwa i-DKA ebangelwa isifo sikashukela.
- Uketshezi olufakwa emthanjeni (uketshezi lwe-IV): Uketshezi olufana nosawoti lunikezwa ngomthambo osengalweni yakho.
- I-Sodium bicarbonate: Kwezinye izimo, lo muthi unikezwa ngemithambo yegazi ukuze kwandiswe i-alkalinity egazini.
Cishe kuzodingeka ulaliswe esibhedlela.
Ungazivikela kanjani kulesi simo? (Ukuvimbela)
Nakuba i-metabolic acidosis ingenakuvinjelwa njalo, kunezinto ongazenza ukuze unciphise ingozi yakho.
- Phuza amanzi amaningi kanye noketshezi olungenalo utshwala. Uma umchamo wakho ucacile noma uphuzi kancane, kusho ukuthi uthola amanzi anele.
- Nciphisa utshwala. Utshwala bungandisa ukunqwabelana kwe-asidi emzimbeni futhi bubangele ukuphelelwa amanzi emzimbeni.
- Uma unesifo sikashukela, silawule kahle. Landela imiyalelo kadokotela wakho ngqo.
- Uma uthatha imithi, landela imiyalelo enikezwe udokotela wakho noma ephaketheni ngqo.
Umlayezo Wokuya Nawe Ekhaya
- I-metabolic acidosis iwukuphazamiseka kwebhalansi ye-acid-base egazini lakho. Ungakuthathi kalula lokhu.
- Uma unezimpawu ezifana nokuphefumula ngokushesha, ukudideka, nokukhathala okukhulu, kungaba uphawu lwenkinga enkulu emzimbeni.
- Lokhu kwelashwa ngokwelapha imbangela eyinhloko (njengesifo sikashukela, isifo sezinso, ubuthi).
- Uma unokungabaza noma izimpawu, ungalokothi uqagele. Bona udokotela wakho ngokushesha ukuze uthole iseluleko esifanele kanye nokwelashwa.
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