Metabolic acidosis

Metabolic acidosis chiitiko umo mune acid yakawandisa mumuviri wemvura.

Metabolic acidosis inokura kana iine acid yakawanda inogadzirwa mumuviri. Izvo zvinogona zvakare kuitika kana itsvo dzisingakwanise kubvisa yakaringana acid kubva mumuviri. Kune akatiwandei mhando ye metabolic acidosis:

• Diabetic acidosis (inonziwo chirwere cheshuga ketoacidosis uye DKA) inokura apo zvinhu zvinonzi ketone miviri (iri acidic) inovakwa panguva yechirwere cheshuga chisina kudzorwa.
• Hyperchloremic acidosis inokonzerwa nekurasikirwa nesodium bicarbonate yakawandisa kubva mumuviri, izvo zvinogona kuitika nemanyoka akakomba.
• Itsvo chirwere (uremia, distal renal tubular acidosis kana proximal renal tubular acidosis).
• Lactic acidosis.
• Chepfu neasprini, ethylene glycol (inowanikwa muantifreeze), kana methanol.
• Kunyanya kupera mvura mumuviri.

Lactic acidosis inoguma kubva mukuwedzera kweiyo lactic acid. Lactic acid inonyanya kugadzirwa mumaseru maseru uye masero matsvuku eropa. Iyo inoumba kana muviri uchipaza makabhohaidhiretsi kuti ushandise simba kana iwo oxygen mazinga akaderera. Inogona kukonzerwa ne:

• Gomarara
• Carbon monoxide chepfu
• Kunwa doro rakawandisa
• Kudzidzira zvine simba kwenguva yakareba kwazvo
• Chiropa kutadza
• Shuga shoma yeropa (hypoglycemia)
• Mishonga, senge salicylates, metformin, anti-retrovirals
• MELAS (yakajairika geni mitochondrial kusagadzikana kunokanganisa kugadzirwa kwesimba)
• Kushaikwa kwenguva refu kweoksijeni kubva mukuvhunduka, kushaya moyo, kana kushaya simba kwakanyanya
• Kufenda

Zviratidzo zvakawanda zvinokonzerwa nechirwere chiri pasi kana mamiriro ari kukonzera metabolic acidosis. Metabolic acidosis pachayo kazhinji inokonzeresa kufema nekukurumidza. Kuita kuvhiringidzika kana kuneta zvakanyanya kunogona kuitika. Yakakomba metabolic acidosis inogona kutungamira mukuvhunduka kana kufa. Mune mamwe mamiriro ezvinhu, metabolic acidosis inogona kuve yakapfava, inoenderera (isingagumi) mamiriro.

Iyi bvunzo inogona kubatsira kuongorora acidosis. Ivo vanogona zvakare kuona kana chikonzero chiri dambudziko rekufema kana dambudziko remetabolism. Miedzo inogona kusanganisira:

• Arterial ropa gasi
• Basic metabolic pani, (boka reropa rinoyera iro rinoyera yako sodium uye potasiamu mazinga, itsvo kushanda, uye mamwe makemikari uye mashandiro)
• Maketoni eropa
• Lactic acid bvunzo
• Weti ketoni
• Weti pH

Mimwe bvunzo inogona kudikanwa kuti uone chinokonzera iyo acidosis.

Kurapa kunoitirwa dambudziko rehutano richikonzera iyo acidosis. Mune zvimwe zviitiko, sodium bicarbonate (kemikari iri kubheka soda) inogona kupihwa kudzikisa acidity yeropa. Kazhinji, unogashira mvura zhinji kuburikidza nemutsinga wako.

Maonero acho anoenderana nechirwere chiri kukonzera chirwere.

Yakanyanya kwazvo metabolic acidosis inogona kutungamira mukuvhunduka kana kufa.

Tsvaga rubatsiro rwechiremba kana uine zviratidzo zvechirwere chipi zvacho chinogona kukonzera metabolic acidosis.

Chirwere cheshuga ketoacidosis inogona kudzivirirwa nekuchengeta chirwere cheshuga chekutanga.

Acidosis - metabolic

• Insulin kugadzirwa uye chirwere cheshuga

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Palmer BF. Metabolic acidosis. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chits. 12.

Seifter JL. Acid-base kusagadzikana. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 110.