Lactic acidosis

Lactic acidosis inoreva lactic acid inovakwa muropa. Lactic acid inogadzirwa kana okisijeni mazinga, ave akaderera mumasero mukati medzimba dzemuviri uko metabolism kunoitika.

Chikonzero chakajairika che lactic acidosis chirwere chakakomba chekurapa uko BP yakaderera uye ishoma okisijeni iri kusvika kumatumbu emuviri. Kunyanya kurovedza muviri kana kugwinha kunogona kukonzera kwenguva pfupi kukonzeresa lactic acidosis. Zvimwe zvirwere zvinogona kukonzera mamiriro acho anosanganisira:

• AIDS
• Kudhakwa
• Gomarara
• Cirrhosis
• Cyanide chepfu
• Itsvo kutadza
• Kukundikana kwekufema
• Sepsis (chirwere chakakomba)

Mimwe mishonga haigone kukonzera lactic acidosis:

• Dzimwe inhalers dzaishandiswa kurapa asima kana COPD
• Epinephrine
• Mishonga inorwisa mabhakitiriya inonzi linezolid
• Metformin, inoshandiswa kurapa chirwere cheshuga (kazhinji kana ichinge yadarika)
• Rumwe rudzi rwemushonga unoshandiswa kurapa hutachiona hweHIV
• Propofol

Zviratidzo zvinogona kusanganisira:

• Nausea
• Kusvipa
• Kushaya simba

Miedzo inogona kusanganisira kuongororwa kweropa kuti uone mazinga e lactate uye electrolyte.

Mushonga mukuru we lactic acidosis kugadzirisa dambudziko rekurapa rinokonzera mamiriro acho.

Palmer BF. Metabolic acidosis. Muna: Feehally J, Floege J, Tonelli, 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. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 118.

Anonyengera RJ. Acid-base kusagadzikana. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, et al, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier Saunders; 2018: chits. 116.