Imetaboliki yeAlkalosis

Umxholo

• Yintoni i-metabolic alkalosis?
• Unyango lwe-alkalosis ye-metabolic
• Ukuphendula ngekloride
• Ukumelana nekloride
• Iimpawu ze-alkalosis ye-metabolic
• Indlela umzimba ohlawula ngayo i-alkalosis ye-metabolic
• Imbuyekezo yemiphunga
• Ukuhlawulwa kwezintso
• Iimbangela ze-alkalosis ye-metabolic
• Ukuchongwa kwe-alkalosis ye-metabolic
• Ukuqonda amanqanaba e-pH
• Uhlalutyo lomchamo
• I-alkalosis yemetabolism enehypochloremia
• Umbono we-alkalosis ye-metabolic

Yintoni i-metabolic alkalosis?

I-alkalosis yeMetabolic yimeko eyenzekayo xa igazi lakho liba ngaphezulu kwealkaline. I-alkaline ichasene ne-asidi.

Imizimba yethu isebenza ngokukuko xa ulungelelwaniso lwe-asidi ene-alkaline yegazi lethu luthe tyaba kancinane kwialkaline.

I-alkalosis yenzeka xa umzimba wakho unayo:

• Ii-bicarbonate ion ezininzi ezivelisa i-alkali
• zimbalwa kakhulu ii-asidi zehydrogen ezivelisa iasidi

Abantu abaninzi abafumani naziphi na iimpawu ze-alkalosis ye-metabolic, ukuze ungazi ukuba unayo.

I-Metabolic alkalosis yenye yeendlela ezine eziphambili ze-alkalosis. Kukho iintlobo ezimbini ze-alkalosis ye-metabolic:

• I-alkalosis ephendula ngekloride iziphumo zokulahleka kwee-hydrogen ions, ngokugabha okanye ngokuphelisa amanzi emzimbeni.
• I-alkalosis enganyangekiyo ngekhloride iziphumo xa umzimba wakho ugcina ii-bicarbonate (alkaline) ion ezininzi, okanye xa kukho utshintsho kwii-hydrogen ion ukusuka egazini lakho ukuya kwiiseli zakho.

Kukho imeko ebizwa ngokuba yi-metabolic acidosis eyenzeka xa igazi lakho okanye ulwelo luye lube yi-asidi kakhulu.

Umzimba wakho uhlawula zombini i-alkalosis kunye ne-acidosis ikakhulu ngemiphunga yakho. Imiphunga itshintsha i-alkalinity yegazi lakho ngokuvumela i-carbon dioxide engaphezulu okanye encinci ukuba ibaleke njengoko uphefumla. Izintso zikwadlala indima ngokulawula ukupheliswa kwee-bicarbonate ions.

Unyango luyafuneka xa ezi ndlela zendalo zembuyekezo zingonelanga.

Unyango lwe-alkalosis ye-metabolic

Unyango lwe-alkalosis ye-metabolic ixhomekeke ekubeni i-alkalosis yakho
Ukuphendula nge-chloride okanye ukumelana ne-chloride. Kuyaxhomekeka kwisizathu esisisiseko se-alkalosis.

Ukuphendula ngekloride

Ukuba unayo kuphela i-alkalosis ephendulayo ye-chloride, unokufuna kuphela ukulungiswa kwindlela otya ngayo, njengokunyusa ukutya kwakho ityuwa (i-sodium chloride). Ii-chloride ion ziya kwenza ukuba igazi lakho libe neasidi eninzi kwaye zinciphise i-alkalosis.

Ukuba ugqirha wakho ugqiba ukuba i-alkalosis ifuna ukuhoywa ngokukhawuleza, banokukunika i-IV (intravenous drip) enesisombululo se-saline (sodium chloride).

I-IV yinkqubo ephantse ibe nentlungu. Kubandakanya ukufaka inaliti encinci emthanjeni engalweni yakho. Inaliti idityaniswe yityhubhu kwingxowa eyinyumba equkethe ityuwa enyibilikiswe emanzini. Oku kudla ngokwenziwa kwisibhedlele.

Ukumelana nekloride

Ukuba unayo i-alkalosis enganyangekiyo ne-chloride, umzimba wakho unokugqitywa nge potassium. Isisombululo se-sodium chloride asiyi kukunceda kwaye sinokwenza izinto zibe mandundu. Ugqirha wakho uya kukhangela iindlela zokwandisa i-potassium.

Unako ukwandisa amanqanaba akho e-potassium ngo:

• ukuthatha iipilisi eziqukethe i-potassium chloride kabini okanye kane ngosuku (phantsi kolawulo lukagqirha)
• ukufumana i-potassium chloride ngaphakathi

Iimpawu ze-alkalosis ye-metabolic

I-alkalosis yeMetabolic ayinakho ukubonisa naziphi na iimpawu. Abantu abanolu hlobo lwe-alkalosis bahlala bekhalaza ngeemeko ezingunobangela wazo. Oku kunokubandakanya:

• ukugabha
• urhudo
• ukuvuvukala kwimilenze engezantsi (i-peripheral edema)
• ukudinwa

Iimeko ezinzima ze-alkalosis ye-metabolic zingabangela:

• ukuphazamiseka
• ukudideka
• ukuxhuzula
• ikhoma

Iimpawu ezinzima zixhaphake kakhulu xa i-alkalosis ibangelwa sisifo esingapheliyo sesibindi.

Indlela umzimba ohlawula ngayo i-alkalosis ye-metabolic

Amalungu amabini anceda ekubuyiseleni i-alkalosis ye-metabolic - imiphunga yethu kunye neentso.

Imbuyekezo yemiphunga

Umzimba wethu uvelisa icarbon dioxide xa siguqula ukutya esikutyayo kube ngamandla kwiiseli zethu. Iiseli zegazi ezibomvu ezisemithanjeni yethu zithatha ikharbhon diokside ziyise emiphungeni yethu ukuze zikhuphe umoya.

Xa i-carbon dioxide gas ixubana namanzi asegazini, yenza i-asidi ethambileyo, ebizwa ngokuba yi-carbonic acid. I-carbonic acid iyaqhekeka iye kwi-bicarbonate ion kunye ne-hydrogen. Iion zeBicarbonate zi-alkaline.

Ngokutshintsha izinga lokuphefumla, sinokuphakamisa okanye sinciphise uxinzelelo lwee-alkali ze-bicarbonate ions ezigcinwe egazini. Umzimba ukwenza oku ngokuzenzekelayo kwinkqubo ebizwa ngokuba yimbuyekezo yokuphefumla. Le yimpendulo yokuqala kunye nokukhawuleza komzimba.

Ukuhlawulela i-alkalosis, imiqondiso ithunyelwa ukunciphisa isantya sokuphefumla.

Ukuhlawulwa kwezintso

Izintso zinokunceda ekulweni i-alkalosis ngokwandisa ukuphuma kwe-bicarbonate ion ngomchamo. Le ikwayinkqubo ezenzekelayo, kodwa iyacotha kunembuyekezo yokuphefumla.

Iimbangela ze-alkalosis ye-metabolic

Iimeko ezahlukeneyo ezisisiseko zinokubangela i-alkalosis ye-metabolic. Oku kubandakanya:

Ukuphulukana nesisu esiswini. Esi sesona sizathu siqhelekileyo se-alkalosis ye-metabolic. Ihlala iziswa kukugabha okanye ukutsala ngokusebenzisa ityhubhu yokondla impumlo.

Iijusi zesisu sinomxholo ophezulu we-hydrochloric acid, i-asidi eyomeleleyo.Ukulahleka kwayo kubangela ukwanda kwe-alkalinity yegazi.

Ukuhlanza kunokubangela nakuphi na ukuphazamiseka kwesisu. Ngokufumanisa nokunyanga unobangela wokugabha, ugqirha wakho uya kunyanga i-alkalosis ye-metabolic.

Ukugqithisa kwee-antacids. Ukusetyenziswa kwe-Antacid ngekhe kukhokelele kwi-alkalosis ye-metabolic. Kodwa ukuba unezintso ezibuthathaka okanye ezingaphumeleliyo kwaye usebenzisa i-antacid engafumanekiyo, inokuzisa i-alkalosis. Ii-antacids ezingafakwanga zibandakanya i-aluminium hydroxide okanye i-magnesium hydroxide.

Womchamo. Ezinye i-diuretics (iipilisi zamanzi) eziqhele ukumiselwa uxinzelelo lwegazi oluphezulu kunokubangela ukonyuka kwe-acid ekuchameni. Ukonyuka kwemfihlo yeasidi kumchamo kunokwenza igazi lakho libe nealkaline ngakumbi.

Ukuba i-alkalosis ibonisa xa uthatha iziyobisi ezinje nge-thiazide okanye i-loop diuretics, ugqirha wakho unokucela ukuba uyeke.

Ukusilela kwePotassium (hypokalemia). Ukusilela kwe-potassium kunokubangela ukuba ii-hydrogen ions ziqhele ukubakhona kulwelo olujikeleze iiseli zakho ukuba lutshintshe ngaphakathi kwiiseli. Ukungabikho kwee-asidi ze-hydrogen ions kubangela ukuba ulwelo kunye negazi lakho libe zi-alkaline ezingakumbi.

Ukunciphisa umthamo wegazi kwimithambo (EABV). Oku kunokuvela kwintliziyo ebuthathaka nakwisibindi sesibindi. Ukuhamba kwegazi okuncitshisiweyo kuphazamisa amandla omzimba wakho okususa ii-alkaline bicarbonate ions.

Intliziyo, izintso, okanye ukusilela kwesibindi. I-alkalosis ye-Metabolic inokubangelwa kukusilela kwelungu eliphambili, njengentliziyo yakho, izintso, okanye isibindi. Oku kukhokelela ekunciphiseni i-potassium.

Isisombululo sesaline esemgangathweni (i-sodium chloride) sinokwenza izinto zibe mbi nangakumbi ngokwenza umzimba wakho ugcine ulwelo ngaphandle kokulahla ii-bicarbonate ions ezibangela i-alkalosis.

Izizathu zofuzo. Kwiimeko ezinqabileyo, ufuzo olunokuba lilungu kungangunobangela we-metabolic alkalosis. Izifo ezintlanu ezizuzwe njengelifa ezinokubangela i-alkalosis ye-metabolic zezi:

• Isifo seBartter
• Isifo seGitelman
• I-Liddle syndrome
• I-glucocorticoid enokulungiswa i-aldosteronism
• Ukubonakala kwemaminerocorticoid ebonakalayo

Ukuchongwa kwe-alkalosis ye-metabolic

Ukuqala ukuxilonga, ugqirha wakho uya kuthatha imbali yakho yonyango kwaye akunike uvavanyo lomzimba.

Ukuba barhanela i-alkalosis, baya kuvavanywa igazi kunye nomchamo. Baza kujonga amanqanaba eoksijini kunye nekhabhon diokside kwimithambo yakho kwaye balinganise iasidi kunye nealkali yegazi lakho.

Ukuqonda amanqanaba e-pH

I-asidi okanye i-alkalinity yolwelo ilinganiswa kwisikali esibizwa ngokuba yi-pH. Kwi-metabolic alkalosis, i-pH yegazi lakho iphezulu.

Eyona nto ingathathi hlangothi, amanzi, ine-pH ye-7. Xa i-pH yolwelo iwela ngaphantsi kwe-7, iba yi-asidi. Xa iphakama ngaphezu kwe-7, i-alkaline.

Igazi lakho ngesiqhelo line-pH ukusuka kwi-7.35 ukuya kwi-7.45, okanye i-alkaline kancinci. Xa i-pH inyuka ngokubonakalayo ngaphezulu kweli nqanaba, une-alkalosis ye-metabolic.

Uhlalutyo lomchamo

Ugqirha wakho unokuvavanya ukugxila kwe-chloride kunye ne-potassium ion kumchamo wakho.

Xa inqanaba le-chloride liphantsi, kubonisa ukuba unokuphendula kunyango ngesisombululo se-saline. Uxinzelelo olusezantsi lwe potassium lunokubonisa ukusilela kwe potassium okanye ukusetyenziswa gwenxa kweziyobisi.

I-alkalosis yemetabolism enehypochloremia

I-Hypochloremia ithetha ukuba unayo i-chloride ion encinci egazini lakho.

I-Hypochloremic alkalosis yimeko enokubangela ukuba wothuke. Inokubangelwa kukuphelelwa ngamanzi emzimbeni kunye nezinye izinto.

Ngethamsanqa, inokunyangwa ngesisombululo esimiselweyo (saline). Oku kungahanjiswa nge-IV ukuba unetyala elinzima, okanye uhlengahlengiso kwindlela otya ngayo kwiimeko ezinobulali.

Umbono we-alkalosis ye-metabolic

I-alkalosis ye-Metabolic ixhaphake kakhulu kwiziphumo zokugabha okubangela ukuba ulahlekelwe ziincindi zesisu esiswini sakho. Oku kunokuhlala kuguqulwa ngonyango ngesisombululo se-saline.

Isenokuba sisiphumo sokunqongophala kwe potassium okanye ukuswela i-chloride. Ezi ntsilelo zinokunyangwa nge-intravenous fluid okanye, kwiimeko ezincinci, ngokulungelelaniswa kokutya.

Ezinye iimeko ze-alkalosis zibangelwa yimeko yentliziyo, yezintso, okanye yesibindi. Ngelixa i-alkalosis inokuhlala ibuyiselwa umva kwixesha elifutshane, imeko engaphantsi kufuneka inyangwe unyango olungapheliyo.

Jonga ugqirha wakho ukuba unempawu ezintsha okanye ezingapheliyo.