I-metabolic acidosis: izimpawu kanye nokwelapha.

I-Acidosis uhlobo lokuphazanyiswa kwe-acid-base balance ngaphakathi emzimbeni. Ukubonakaliswa okuyinhloko kuyinto ngokweqile noma ngesihlobo ngokweqile kwama-acids. Kuye nge -pH value, okusho ukuthi ukuhlushwa kwama-hydrogen ions egazini, i-acidosis ihlukaniswe ibe yikweletu futhi ihlawuliswe. Kuxhomeke ekudleni okwanele kwamakhemikhali kanye nokwehluleka emsebenzini wezinto eziphathelene nokuphila kanye nemvelo yezimiso zomthetho.

Ukuhlukanisa phakathi kokuphefumula kanye ne-metabolic acidosis.

Ukuphefumula i-acidosis kwenzeka ngenxa ye-hypoventilation njengomphumela wokulimala kwisimiso se-central central, kanye ngenxa yezifo ze-neuromuscular, i -edema ye-pulmona, i- pneumonia, ukungakwazi ukusebenza kwamapayipi.

I-metabolic acidosis ibonakala ekunciphiseni kwegazi pH nokuncipha kwe-plasma bicarbonate ngenxa yokulahleka kwe-bicarbonate noma ukwanda kokuqukethwe kwamanye ama-acids. Ukwelashwa okungahlosiwe kwe-metabolic acidosis kungabangela ukuboshwa komzimba nokubopha inhliziyo. Izimbangela ze-metabolic acidosis zihlukile. Lokhu yi-ketoacidosis ephuza utshwala, i-ketoacidosis yesifo sikashukela, i-lactic acidosis, i- methanol yobuthi , i- ethylene glycol, i-salicylates, ukuhluleka kwezinso, isifo sohudo, ukusebenzisa izinhlobo ezithile zezidakamizwa, ukusetshenziswa okuvamile kokudla okune-acidic.

Uma isiguli sinesifo se-acidosis, ngokuvamile izimpawu zilukhuni ukuhlukanisa izimpawu zesifo esiyinkimbinkimbi futhi ziyafana nazo, okuyinkinga enkulu kudokotela ngokuxilongwa. I-Acidosis ngendlela ehlelekile, ngokuvamile ngaphandle kwempawu. Ngezinye izikhathi lezi zibonakaliso ze-acidosis ziboniswa isicanucanu esincane noma ukuhlanza, ukukhathala kancane. Uhlobo olunzima lwe-metabolic acidosis lubonakala ngokubonakala kwe-hypernoea. Uma i-hypernoea kuqala yandisa ukujula kokuphefumula, bese imvamisa yayo. Ngesifo sikashukela, i-EKZH (extracellular (extracellular) fluid) ingancipha. Okufanayo kwenzeka uma izisekelo zesistimu yokugaya zilahlekile. Nge-acidosis enzima, ngezinye izikhathi ukushaqeka kwegazi okubangelwa ngenxa yokwephulwa komthengi we-myocardial. Isimo esinezinkinga, esingazwayo noma esine- co-infected kungenzeka .

Ngokusola okuncane kakhulu ukuba khona kwe-acidosis, kubalulekile ukuba uhlolwe ngokuphuthumayo. Ngesikhathi sokuhlolwa, igazi elibhekene negazi lihlolwe ukwakhiwa kwegesi, umchamo uhlaziywa nge-pH kanti i-serum electrolytes ihlaziywa. Ukwenziwa kwalezi zifundo kukwazi ukukhombisa ukuthi kukhona noma ukungabi khona kwe-metabolic acidosis, ukukhomba ukuthi izimbangela zalokho kwenzeka.

Uma kutholakala i-acidosis, ukwelashwa kuvame ukuqhutshwa ngendlela eyinkimbinkimbi: ukuphefumula okufanele, ukuqeda i-etiologic factor, ukuphazamiseka kwe-electrolyte, ukuthuthukisa izakhiwo zegazi, ukuvuselela ukujikeleza kwegazi, izinqubo ze-tishu oxidation, ukuqeda i-anemia kanye ne-hypoproteinemia. Ukuze wenze lokhu, okokuqala, izixazululo ze-alkaline zisetshenziswa. Ngesixazululo se-acidosis, i- sodium hydrogencarbonate, isixazululo se-nicotinic acid, i-cocarboxylase hydrochloride isetshenziswa. Ukuze ukwelashwa kwe-acidosis engavumelekile, ukwelashwa kwe-alkalizing yokwelapha kwenziwa nge-sodium bicarbonate ngokuhambisana ne-trisamine.

Ngesikhathi ukusetshenziswa kwezidakamizwa, kuyadingeka ukuqapha imingcele ye-acid-base balance futhi ngesikhathi esisodwa sinquma ionogram. Lokhu kwenziwa ukugwema izinkinga ekusetshenzisweni kwezixazululo ze-alkaline.

Ngakho-ke, i-acidosis ye-metabolic isifo esiyinkimbinkimbi futhi esinzima kakhulu. Ukwelashwa kwakhe kwenziwa ngaphansi kwezimo ezimilayo ngaphansi kokuqondiswa okuqhubekayo kukadokotela. Ukuzivocavoca ngalesi simo akuvumelekile futhi kungaholela ezinkingeni zempilo ezimbi. Ukuxilongwa okwamanje - lesi akusona isikhathi sokuqala ukwelashwa.