Chii chinonzi metabolic alkalosis uye chii chinogona kukonzeresa

Zvemukati

• Ndezvipi zvikonzero
• Zviratidzo zvikuru
• Chii chinonzi muripo?
• Maitiro ekusimbisa
• Kurapwa kunoitwa sei

Metabolic alkalosis inoitika apo pH yeropa inova yakanyanya kukosha kupfuura zvayaifanira kuita, ndiko kuti, kana iri pamusoro pe7.45, inomuka mumamiriro ezvinhu sekurutsa, kushandisa diuretics kana kunyanyisa kudyiwa kwebicarbonate, semuenzaniso.

Uku ndiko kuchinja kwakakomba, sezvo kuchikonzera kusaenzana kwemamwe maelectrolyte eropa, senge calcium uye potasium uye zvichikonzera zviratidzo zvakaita sekushaya simba, kurwadziwa nemusoro, kushanduka kwemhasuru, kugwinha kana chirwere chemwoyo.

Zvakakosha kuti muviri uchengetedze pH yayo yakaenzana, iyo inofanirwa kunge iri pakati pe7.35 na7.45, kuti metabolism yemuviri ishande nemazvo. Imwe mamiriro anoshungurudza anogona kumuka ndeye apo pH iri pazasi pe7.35, ine metabolic acidosis. Tsvaga kuti chii chinonzi metabolic acidosis uye chii chinokonzeresa.

Ndezvipi zvikonzero

Kazhinji, metabolic alkalosis inoitika nekuda kwekurasikirwa kweiyo H + ion muropa kana kuunganidzwa kwesodium bicarbonate, izvo zvinoita kuti muviri uve wakanyanya. Mimwe yemamiriro ezvinhu makuru anokonzera shanduko idzi ndeaya:

• Kunyanyisa kurutsa, mamiriro ezvinhu anokonzera kurasikirwa kwehydrochloric acid kubva mudumbu;
• Kugeza kana kushuva kwedumbu muchipatara;
• Kunyanyisa kunwa kwemishonga kana alkaline chikafu, ine sodium bicarbonate;
• Ini ndinoshandisa mishonga yedhiureti, senge Furosemide kana Hydrochlorothiazide;
• Kushaikwa kwe potasium uye magnesium muropa;
• Kunyanyisa kushandisa laxatives;
• Kurutivi mhedzisiro yemamwe maantibhakitiriya, akadai sePenicillin kana Carbenicillin, semuenzaniso;
• Zvirwere zveitsvo, zvakaita seBartter's Syndrome kana Gitelman's Syndrome.

Mukuwedzera kune metabolic alkalosis, chimwe chikonzero cheiyo ropa pH kuti igare seyakakosha pH kufema alkalosis, inokonzerwa nekushaikwa kwekabhoni dhayokisaidhi (CO2) muropa, ichikonzera kuti ive isina acidic kupfuura zvakajairwa, uye zvinoitika mumamiriro ezvinhu. kufanana nekukurumidza uye kwakadzika kufema. Dzidza zvakawanda nezve zvazviri, zvikonzero uye zviratidzo zvekufema alkalosis.

Zviratidzo zvikuru

Metabolic alkalosis haigare ichikonzera zviratidzo uye, kazhinji, zviratidzo zvechirwere zvinokonzeresa alkalosis. Zvisinei, zviratidzo zvakadai semhasuru yemhasuru, kushaya simba, kuora musoro, kuvhiringidzika kwepfungwa, dzungu uye kubatwa zvinogona kusimuka, zvinonyanya kukonzerwa neshanduko mune maelectrolyte senge potasium, calcium uye sodium.

Chii chinonzi muripo?

Kazhinji, apo pH yeropa inochinja, muviri pachawo unoedza kugadzirisa mamiriro aya, senzira yekudzivirira matambudziko.

Iyo muripo we metabolic alkalosis inoitika zvakanyanya kuburikidza nemapapu, ayo anotanga kuve neanonoka kufema kuitira kuchengetedza yakawanda carbon dioxide (CO2) uye kuwedzera acidity yeropa.

Itsvo zvakare dzinoedza kuripa, kuburikidza neshanduko mukumwiswa kana kuburitswa kwezvinhu mumurini, kuyedza kubvisa yakawanda bicarbonate. Nekudaro, dzimwe shanduko dzinogona kuoneka pamwe chete, muropa kana muitsvo, sekushayikwa kwemvura kana kurasikirwa ne potassium, semuenzaniso, kunyanya kune vanhu vanorwara zvakanyanya, zvinova zvinotadzisa kugona kwemuviri kugadzirisa shanduko idzi.

Maitiro ekusimbisa

Kuongororwa kwe metabolic alkalosis kunoitwa kuburikidza nemiyedzo ino pima ropa pH, uye zvakakoshawo kuongorora kuti mwero webicarbonate, kabhoni dhayokisaidhi uye mamwe maelectrolyte muropa.

Chiremba achaitawo kuongororwa kwekiriniki kuyedza kuziva chakakonzera. Uye zvakare, iyo muyero weklorini uye potasium mune weti inogona kubatsira kujekesa kuvepo kwekuchinja kwetsvo mukusefa kwe electrolyte.

Kurapwa kunoitwa sei

Kurapa metabolic alkalosis, pakutanga, zvakafanira kurapa chikonzero chayo, ingave gastroenteritis kana kushandiswa kwemimwe mishonga, semuenzaniso. Mune zvimwe zviitiko, hydration kuburikidza mutsinga nesaline inofanirwa.

Acetazolamide mushonga unogona kushandiswa kubatsira kubvisa bicarbonate kubva mumurini mune zvimwe zviitiko zvinonetsa, zvisinei, muzviitiko zvakakomba kwazvo, zvingave zvakakodzera kupa maacidi zvakananga mutsinga kana kuita kusefa kweropa kuburikidza nehemodialysis.