Ketoacidosis enxilisayo

I-ketoacidosis enotywala kukwakhiwa kweetoni egazini ngenxa yokusetyenziswa kotywala. Iiketoni luhlobo lweasidi eyenzeka xa umzimba wophula amanqatha ukuze ufumane amandla.

Imeko yimo ebukhali ye-metabolic acidosis, imeko apho kukho i-asidi eninzi kulwelo lomzimba.

I-ketoacidosis enxilisayo ibangelwa kukusetyenziswa kotywala kakhulu. Rhoqo kwenzeka kumntu ongondlekanga osela izixa ezikhulu zotywala yonke imihla.

Iimpawu zeketoacidosis enxilisayo zibandakanya:

• Isicaphucaphu nokugabha
• Intlungu zesisu
• Ukuxubana, ukudideka
• Ukutshintsha kwenqanaba lokulumkisa, elinokukhokelela kwi-coma
• Ukudinwa, ukuhamba kancinci
• Ukujula, ukusebenza, ukuphefumla ngokukhawuleza
• Ukuphelelwa ngumdla wokutya
• Iimpawu zokuphelelwa ngamanzi emzimbeni, ezinje ngokuba nesiyezi, ukuba nentloko ebuthathaka, kunye nokunxanwa

Uvavanyo lunokubandakanya:

• Iiarterial gases zegazi (umlinganiso we-asidi / isiseko sokulinganisa kunye nenqanaba leoksijini egazini)
• Inqanaba legazi lotywala
• Iikhemistri zegazi kunye novavanyo lomsebenzi wesibindi
• I-CBC (ukubala okupheleleyo kwegazi), amanyathelo abomvu kunye neeseli ezimhlophe zegazi, kunye neeplatelets, ezinceda igazi ukuba lijiye)
• Ixesha leprothrombin (PT), imilinganiselo yokuqunjelwa kwegazi, ihlala ingahambelani nesifo sesibindi
• Isifundo seToxicology
• Iiketoni zomchamo

Unyango lunokubandakanya ulwelo (ityuwa kunye nesisombululo seswekile) esinikezwe ngomthambo. Kuya kufuneka ufumane uvavanyo lwegazi rhoqo. Unokufumana izongezo zevithamini ukunyanga ukungondleki okubangelwa kukusetyenziswa gwenxa kotywala.

Abantu abanale meko bahlala bengeniswa esibhedlele, amaxesha amaninzi kwigumbi labagula kakhulu (ICU). Ukusetyenziswa kotywala kuyamiswa ukunceda ukubuyela kwimeko yesiqhelo. Amayeza anokunikwa ukuthintela iimpawu zokurhoxa etywaleni.

Unyango olukhawulezileyo luyiphucula imbonakalo ngokubanzi. Bubuhlungu kangakanani ukusetyenziswa kotywala, kunye nobukho besifo sesibindi okanye ezinye iingxaki, zinokuchaphazela umbono.

Oku kunokuba yimeko esongela ubomi. Iingxaki zinokubandakanya:

• Coma kunye nokuhlutha
• Ukopha emathunjini
• Iipancreas ezivuthayo (pancreatitis)
• Ukukrala kwemiphunga

Ukuba wena okanye omnye umntu uneempawu zeketoacidosis enxilisayo, khangela uncedo lonyango olungxamisekileyo.

Ukunciphisa umyinge wobutywala obuselayo kunokunceda ukukhusela le meko.

Ketoacidosis - utywala; Ukusetyenziswa kotywala-i-ketoacidosis enxilisayo

UFinnell JT. Izifo ezinxulumene notywala. Ku: Iindonga RM, iHockberger RS, iGausche-Hill RM, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier Saunders; I-2018: isahluko 142.

Seifter JL. Ukuphazamiseka kwesiseko se-Acid. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl. 118.