Umbhali: Gregory Harris
Umhla Wokudalwa: 12 Utshazimpuzi 2021
Hlaziya Umhla: 1 Eyekhala 2024
Anonim
Acidosis and Alkalosis MADE EASY
Ividiyo: Acidosis and Alkalosis MADE EASY

I-Acidosis yimeko apho kukho i-asidi eninzi kulwelo lomzimba. Kukuchasene nealkalosis (imeko apho kukho isiseko esininzi kakhulu kulwelo lomzimba).

Izintso nemiphunga zigcina ibhalansi (inqanaba le-pH elifanelekileyo) leekhemikhali ezibizwa ngokuba ziiasidi kunye neziseko emzimbeni. I-Acidosis yenzeka xa i-asidi isakha okanye xa i-bicarbonate (isiseko) ilahlekile. I-Acidosis ihlelwa njengokuphefumla okanye i-metabolic acidosis.

Ukuphefumla i-acidosis kuyakhula xa kukho i-carbon dioxide eninzi (i-asidi) emzimbeni. Olu hlobo lwe-acidosis luhlala lubangelwa xa umzimba ungakwazi ukukhupha i-carbon dioxide eyaneleyo ngokuphefumla. Amanye amagama e-acidosis yokuphefumla yi-hypercapnic acidosis kunye ne-carbon dioxide acidosis. Izizathu zokuphefumla i-acidosis zibandakanya:

  • Ukukhubazeka kwesifuba, njenge-kyphosis
  • Ukulimala kwesifuba
  • Ubuthathaka bemisipha yesifuba
  • Ixesha elide (elingapheliyo) isifo semiphunga
  • Iziphazamiso ze-Neuromuscular, ezifana ne-myasthenia gravis, i-muscular dystrophy
  • Ukusetyenziswa gwenxa kweziyobisi zokuthomalalisa

I-Metabolic acidosis ikhula xa i-asidi eninzi iveliswa emzimbeni. Inokwenzeka kwakhona xa izintso zingenakususa i-asidi eyaneleyo emzimbeni. Kukho iintlobo ezininzi ze-metosis acidosis:


  • Isifo seswekile (esikwabizwa ngokuba sisifo seswekile ketoacidosis kunye ne-DKA) sikhula xa izinto ezibizwa ngokuba yimizimba ye-ketone (ene-asidi) eyakha ngexesha lesifo seswekile esingalawulwayo.
  • I-Hyperchloremic acidosis ibangelwa kukuphulukana ne-sodium bicarbonate eninzi emzimbeni, enokwenzeka xa kukho urhudo oluqatha.
  • Isifo sezintso (i-uremia, i-distal renal tubular acidosis okanye i-proximal renal tubular acidosis).
  • Lactic acidosis.
  • Ityhefu yi-aspirin, i-ethylene glycol (efumaneka kwi-antifreeze), okanye i-methanol.
  • Ukuphelelwa ngamandla emzimbeni.

I-Lactic acidosis yindawo yokwakha i-lactic acid. I-Lactic acid iveliswa ikakhulu kwiiseli zemisipha kunye neeseli ezibomvu zegazi. Yenzeka xa umzimba wophula iikhabhohayidrethi uzisebenzisele amandla xa amanqanaba eoksijini ephantsi. Oku kunokubangelwa:

  • Umhlaza
  • Ukusela kakhulu utywala
  • Ukuzivocavoca ngamandla ixesha elide
  • Ukungaphumeleli kwesibindi
  • Iswekile esezantsi yegazi (hypoglycemia)
  • Amayeza, afana ne-salicylates, i-metformin, ii-anti-retrovirals
  • I-MELAS (isifo esingaqhelekanga semfuza yemithachondrial esichaphazela ukuveliswa kwamandla)
  • Ukungabikho kwexesha elide kweoksijini kukothuka, ukusilela kwentliziyo, okanye i-anemia ebukhali
  • Ukuxhuzula
  • I-Sepsis - isifo esibi ngenxa yosulelo lwebacteria okanye ezinye iintsholongwane
  • Ityhefu yecarbon monoxide
  • Isifo sombefu esinamandla

Iimpawu zeMetabolic acidosis zixhomekeke kwisifo esisisiseko okanye imeko. I-Metabolic acidosis ngokwayo ibangela ukuphefumla ngokukhawuleza. Ukudideka okanye ukonwaba kunokwenzeka. Ukuchaneka kwe-acidosis kungakhokelela kukothuka okanye ekufeni.


Iimpawu zokuphefumla i-acidosis zinokubandakanya:

  • Ukudideka
  • Ukudinwa
  • Ukuhamba
  • Ukuqhawukelwa ngumphefumlo
  • Ukulala

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu zakho.

Iimvavanyo zaselebhu ezinoku-odolwa zibandakanya:

  • Uhlalutyo lwegesi yegazi
  • Iphaneli yokuSisiseko ye-metabolic (iqela leemvavanyo zegazi ezilinganisa amanqanaba esodium kunye ne-potassium, ukusebenza kwezintso, kunye nezinye iikhemikhali kunye nemisebenzi) ukubonisa ukuba uhlobo lwe-acidosis luyinto yemetabolism okanye yokuphefumla.
  • Iiketoni zegazi
  • Uvavanyo lweLactic acid
  • Iiketoni zomchamo
  • Umchamo pH

Ezinye iimvavanyo ezinokufuneka ukumisela unobangela we-acidosis zibandakanya:

  • I-x-ray yesifuba
  • Isisu se-CT
  • Uhlalutyo lomchamo
  • Umchamo pH

Unyango luxhomekeke kwisizathu. Umboneleli wakho uya kukuxelela ngakumbi.

I-Acidosis inokuba yingozi xa inganyangwa. Amatyala amaninzi asabela kakuhle kunyango.

Iingxaki zixhomekeke kuhlobo oluthile lwe-acidosis.


Zonke iintlobo ze-acidosis ziya kubangela iimpawu ezifuna unyango ngumboneleli wakho.

Ukuthintela kuxhomekeke kwisizathu se-acidosis. Izinto ezininzi ezinokubangela isifo se-metabolic acidosis zinokuthintelwa, kubandakanya isifo seswekile, ketoacidosis kunye noonobangela be-lactic acidosis Ngokwesiqhelo, abantu abanezintso ezinempilo kunye nemiphunga abanayo i-acidosis enzulu.

  • Izintso

I-Effros RM, iSwenson ER. Ibhalansi yesiseko se-Acid. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 7.

I-Oh MS, i-Briefel G. Uvavanyo lomsebenzi we-renal, amanzi, ii-electrolyte, kunye ne-acid-base balance. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 14.

Seifter JL. Ukuphazamiseka kwesiseko se-Acid. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 110.

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