Lactic Acidosis: Izvo Zvaunofanira Kuziva

Zvemukati

• Ndezvipi zviratidzo?
• Ndezvipi zvikonzero?
• Chirwere chemoyo
• Utachiona hwakanyanya (sepsis)
• HIV
• Gomarara
• Ipfupi bowel syndrome (pfupi gut)
• Acetaminophen shandisa
• Chirwere chisingaperi
• Kunyanya kurovedza muviri kana kurovedza muviri
• Lactic acidosis uye chirwere cheshuga
• Inoonekwa sei?
• Ndedzipi nzira dzekurapa?
• Ndeapi maonero?
• Kudzivirira lactic acidosis

Chii chinonzi lactic acidosis?

Lactic acidosis chimiro chemetabolic acidosis iyo inotanga kana munhu akawandisa kana kushandisa zvisizvo lactic acid, uye muviri wavo haukwanise kuchinjika neshanduko idzi.

Vanhu vane lactic acidosis vane (uye dzimwe nguva itsvo) vachikwanisa kubvisa acid yakawandisa kubva mumuviri wavo. Kana lactic acid inovaka mumuviri nekukurumidza kupfuura painogona kubviswa, acidity mazinga ari mumuviri wemvura - senge ropa - spike.

Uku kuvakwa kweasidhi kunokonzera kusaenzana mumuviri wepH level, iyo inofanirwa kugara iri alkaline zvishoma pane acidic. Kune akatiwandei akasiyana marudzi eacidosis.

Lactic acid buildup inoitika kana pasina oxygen yakakwana mumhasuru yekupwanya glucose uye glycogen. Izvi zvinonzi anaerobic metabolism.

Kune marudzi maviri eacicic acid: L-lactate uye D-lactate. Mhando zhinji dzeractic acidosis dzinokonzerwa neL-lactate yakawandisa.

Kune marudzi maviri eacicic acidosis, Type A uye Type B:

• Tora A lactic acidosis inokonzerwa netishu hypoperfusion inokonzerwa ne hypovolemia, kutadza kwemoyo, sepsis, kana cardiopulmonary kusungwa.
• Rudzi B lactic acidosis inokonzerwa nekukanganisa kwema cellular mashandiro uye enzvimbo nzvimbo dze tishu hypoperfusion.

Lactic acidosis ine zvikonzero zvakawanda uye inogona kurapwa kazhinji. Asi ikasiiwa isina kurapwa, inogona kutyisidzira hupenyu.

Ndezvipi zviratidzo?

Zviratidzo zveactic acidosis zvakajairika pane zvakawanda zvehutano nyaya. Kana iwe ukasangana nechimwe chezviratidzo izvi, unofanirwa kubata chiremba wako nekukasira. Chiremba wako anogona kubatsira kuona chakakonzera.

Zviratidzo zvinoverengeka zve lactic acidosis zvinomiririra emergency emergency:

• muchero unonhuwirira mweya (chingangoita chiratidzo chechinetso chakakomba cheshuga, chinonzi ketoacidosis)
• kuvhiringidzika
• jaundice (yero yeganda kana machena eziso)
• kunetseka kufema kana kudzika, kufema nekukurumidza

Kana iwe uchiziva kana kufungidzira kuti une lactic acidosis uye uine chero cheizvi zviratidzo, fonera 911 kana kuenda kuimba yekukurumidzira ipapo ipapo.

Zvimwe lactic acidosis zviratidzo zvinosanganisira:

• kupera simba kana kuneta zvakanyanya
• tsandanyama kana kurwadziwa
• kushaya simba kwemuviri
• manzwiro akazara ekusagadzikana kwemuviri
• kurwadziwa mumimba kana kusagadzikana
• manyoka
• kuderera pakudya
• musoro
• kukurumidza kurova kwemoyo

Ndezvipi zvikonzero?

Lactic acidosis ine dzakasiyana siyana zvikonzero, zvinosanganisira carbon monoxide chepfu, cholera, malaria, uye asphyxiation. Zvimwe zvezvikonzero zvinowanzoitika zvinosanganisira:

Chirwere chemoyo

Mamiriro ezvinhu senge kusungwa kwemoyo uye congestive moyo kutadza kunogona kudzikisira kuyerera kweropa neoksijeni mumuviri wese. Izvi zvinogona kuwedzera lactic acid mazinga.

Utachiona hwakanyanya (sepsis)

Chero chero rudzi rwehutachiona hwakanyanya kana hutachiona hunogona kukonzera sepsis. Vanhu vane sepsis vanogona kusangana ne spike mu lactic acid, inokonzerwa nekuderedzwa kweoksijeni kuyerera.

HIV

Mishonga yeHIV, yakadai senucleoside reverse transcriptase inhibitors, inogona kukwirisa mazinga eacicic acid. Izvo zvakare zvinogona kukonzera kukuvara kwechiropa. Izvi zvinoita kuti zviomere muviri kugadzirisa lactate.

Gomarara

Cancer maseru anogadzira lactic acid. Kuvaka kweiyo lactic acid kunogona kukurumidza apo munhu anorasikirwa nehuremu uye chirwere ichi chichienderera mberi.

Ipfupi bowel syndrome (pfupi gut)

Ipo, vanhu vane hutete hupfupi vanogona kusangana nekuwedzera kweD-lactic acid, inokonzerwa nekukura kwebhakitiriya mudumbu mudiki. Vanhu vane gastric bypass kuvhiyiwa vanogona zvakare kuwana D-lactic acidosis.

Acetaminophen shandisa

Kugara, kushandisa kakawanda acetaminophen (Tylenol) kunogona kukonzera lactic acidosis, kunyangwe kana ikatorwa muyero chaiyo. Izvi zvinodaro nekuti zvinogona kukonzera kuunganidzwa kwepyroglutamic acid muropa.

Chirwere chisingaperi

Kunwa doro zvakanyanya kudarika kwenguva yakareba kunogona kutungamira kune lactic acidosis uye doro ketoacidosis. Doro ketoacidosis chinhu chinogona kuuraya kana chikasarapwa, asi chinogona kurwiswa neine intravenous (IV) hydration uye glucose.

Doro rinowedzera phosphate mazinga, ayo anokanganisa itsvo. Izvi zvinoita kuti pH yemuviri iwedzere kuva neacid. Kana iwe uchinetseka kudzora kunwa kwako doro, mapoka ekutsigira anogona kubatsira.

Kunyanya kurovedza muviri kana kurovedza muviri

Kuvakwa kwechinguva kweiyo lactic acid kunogona kukonzerwa nekurovedza muviri zvine simba kana muviri wako usina oxygen yakakwana inokwana kupaza glucose muropa. Izvi zvinogona kukonzera kupisa kwekutsva mumapoka emhasuru auri kushandisa. Inogona zvakare kukonzera kusvotwa uye kushaya simba.

Lactic acidosis uye chirwere cheshuga

Kirasi yakasarudzika yemuromo chirwere cheshuga, inonzi biguanides, inogona kukonzera kuwanda kwemazinga eacicic acid.

Metformin (Glucophage) ndeimwe yemishonga iyi. Iyo inoshandiswa kurapa chirwere cheshuga uye inogona zvakare kunyorerwa mamwe mamiriro, senge kushomeka kwetsvo. Metformin inoshandiswa zvakare off-label kurapa polycystic ovarian syndrome.

Mune vanhu vane chirwere cheshuga, lactic acidosis inogona kunge ichinyanya kunetsa kana chirwere cheitsvo chiripowo. Kana iwe uine chirwere cheshuga uye uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge

Inoonekwa sei?

Lactic acidosis inoonekwa kuburikidza nekutsanya kweropa bvunzo. Chiremba wako anogona kukuraira kuti usadya kana kunwa chero chinhu kwemaawa masere kusvika gumi usati watora bvunzo. Iwe unogona zvakare kurairwa kudzikamisa yako chikamu chezviitiko mumaawa anotungamira kune bvunzo.

Munguva yekuyedzwa, chiremba wako anogona kukuudza kuti usasunge chibhakera chako, sezvo izvi zvingave zvine hunyanzvi spike acid mazinga. Kusunga bhanhire rakasununguka paruoko kunogona zvakare kuva nemhedzisiro iyi.

Nezvikonzero izvi, iyo lactic acidosis ropa bvunzo dzimwe nguva inoitwa nekutsvaga tsinga kumusana kweruoko pane ruoko.

Ndedzipi nzira dzekurapa?

Nzira yakanakisa yekurapa lactic acidosis ndeyokurapa yakakonzera. Nechikonzero ichocho, kurapwa kunosiyana.

Lactic acidosis dzimwe nguva inomiririra emergency emergency. Izvi zvinoda kurapa zviratidzo, zvisinei nemudzi wavo wechikonzero. Kuwedzera okisijeni kumatumbu uye kupa IV mvura zvinowanzoshandiswa kudzikisa lactic acid mazinga.

Lactic acidosis inokonzerwa nekurovedza muviri inogona kurapwa kumba. Kumisa zvauri kuita kuti uwane hydrate nekuzorora, kazhinji zvinobatsira. Electrolyte-kutsiva zvinwiwa zvemitambo, senge Gatorade, inobatsira ne hydration, asi mvura kazhinji ndiyo yakanyanya kunaka.

Ndeapi maonero?

Zvichienderana nezvinokonzeresa, kurapwa kweactic acidosis kunoguma nekuzara kuzere, kunyanya kana kurapwa kuchikurumidza. Dzimwe nguva, itsvo kutadza kana kufema kutadza kunogona kukonzeresa. Kana ikasiiwa isina kurapwa, lactic acidosis inogona kuuraya.

Kudzivirira lactic acidosis

Lactic acidosis kudzivirira kunoonekwawo nechinogona kukonzera. Kana uine chirwere cheshuga, HIV, kana gomarara, kurukura nezve mamiriro ako nemishonga yaunoda nachiremba wako.

Lactic acidosis kubva mukurovedza muviri inogona kudzivirirwa nekuramba uine hydrated uye uchizvipa iwe kuzorora kwenguva refu pakati pezvikamu zvekurovedza muviri.

Zvakakosha kuti usashandise doro zvisizvo. Kurukura nezve kugadziridza uye gumi-nhanho chirongwa sarudzo nachiremba wako kana chipangamazano.