Doro ketoacidosis

Doro ketoacidosis ndiko kuwanda kwemaketoni muropa nekuda kwekushandisa doro. Ketoni rudzi rweacid iyo inoumba kana muviri uchityora mafuta kuti uwane simba.

Mamiriro acho ari maitiro akaomarara emetabolic acidosis, mamiriro mune asidi yakawandisa mumuviri wemvura.

Doro ketoacidosis inokonzerwa nekushandisa doro zvakanyanya. Inowanzoitika mumunhu asina kudya zvinovaka muviri anonwa yakawanda doro zuva rega rega.

Zviratidzo zvechidhakwa ketoacidosis zvinosanganisira:

• Kusvotwa uye kurutsa
• Marwadzo emudumbu
• Kusagadzikana, kuvhiringidzika
• Chinjo yakachinjika yenjere, izvo zvinogona kutungamira kukoma
• Kuneta, kunonoka kufamba
• Yakadzika, yakashanda, inokurumidza kufema
• Kupererwa nechido
• Zviratidzo zvekupererwa nemvura, zvakadai sedzungu, huremu husina musoro, uye nyota

Miedzo inogona kusanganisira:

• Arterial eropa magasi (anoyera iyo acid / base chiyero uye oxygen mwero muropa)
• Ropa doro remwero
• Ropa makemikari uye chiropa chinoshanda bvunzo
• CBC (yakazara ropa kuverenga), matanho matsvuku uye machena masero eropa, uye maplatelet, ayo anobatsira ropa kuvhara)
• Prothrombin nguva (PT), inoyerera kuvhara ropa, kazhinji kusanzwisisika kubva kuchiropa chirwere
• Toxicology kudzidza
• Weti ketoni

Kurapa kunogona kusanganisira mvura (munyu uye shuga mhinduro) inopihwa kuburikidza nevevheni. Iwe ungangoda kugara uine bvunzo dzeropa. Iwe unogona kuwana mavhitamini ekuwedzera kurapa kushomeka kunokonzerwa nekushandisa zvakanyanya doro.

Vanhu vane chirwere ichi vanowanzo gamuchirwa kuchipatara, kazhinji kuchipatara chevanonyanya kutarisirwa (ICU). Kunwa doro kunomiswa kubatsira kupora. Mishonga inogona kupihwa kudzivirira zviratidzo zvekunwa doro.

Kukurumidza kurapwa kunovandudza maonero ese. Iko kunwa doro kwakanyanya sei, uye kuvepo kwechirwere chechiropa kana mamwe matambudziko, kunogona kukanganisa maonero.

Izvi zvinogona kutyisidzira hupenyu. Zvinetso zvinogona kusanganisira:

• Coma uye pfari
• Kubuda ropa mudumbu
• Inopisa pancreas (pancreatitis)
• Chirwere chemabayo

Kana iwe kana mumwe munhu aine zviratidzo zvekudhakwa ketoacidosis, tsvaga rubatsiro rwekukurumidzira kurapwa.

Kudzikamisa huwandu hwedoro raunonwa kunogona kubatsira kudzivirira mamiriro aya.

Ketoacidosis - chidhakwa; Doro kushandisa - doro ketoacidosis

Finnell JT. Chirwere chine chekuita nedoro. Mune: Masvingo RM, Hockberger RS, Gausche-Hill RM, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier Saunders; 2018: chitsiko 142.

Seifter JL. Acid-base kusagadzikana. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 118.