Kurapa Nhungamiro yeMetabolic Acidosis

Zvemukati

• Chii chinonzi metabolic acidosis?
• Kurapa kunoenderana nechikonzero
• Kurapa kwakajairika kwemetabolic acidosis
• Kufuridzira muripo
• Metabolic muripo
• Chirwere cheshuga
• IV sodium bicarbonate
• Hemodialysis
• Mimwe mishonga yekurapa metabolic acidosis
• Kutora

Chii chinonzi metabolic acidosis?

Metabolic acidosis inoitika kana muviri wako uchinge wakaomarara kupfuura wepakutanga. Aya mamiriro anonziwo akanyanya metabolic acidosis. Iyo yakajairika mhedzisiro mhedzisiro yeamwe asingagumi uye nekukurumidza matambudziko ehutano. Acidosis inogona kuitika chero zera; inogona kubata vacheche, vana, uye vanhu vakuru.

Kazhinji, muviri wako une acid-base chiyero. Inopimwa nepH level. Chikamu chemakemikari yemuviri chinogona kuwedzera kuva acidic nekuda kwezvikonzero zvakawanda. Metabolic acidosis inogona kuitika kana iwe uri:

• kugadzira acid yakawandisa
• kugadzira base shoma
• kwete kubvisa acid nekukurumidza kana zvakakwana zvakakwana

Metabolic acidosis inogona kuva yakapfava uye yenguva pfupi kune yakakomba uye kutyisidzira hupenyu. Ungangoda kurapwa. Aya mamiriro anogona kukanganisa mashandiro anoita muviri wako. Akawandisa acids mumuviri anogona zvakare kutungamira kune mamwe matambudziko ehutano.

Kurapa kunoenderana nechikonzero

Kurapa kwe metabolic acidosis kunoenderana nechikonzero. Zvimwe zvikonzero ndezvenguva pfupi uye iyo acidosis ichaenda pasina kurapwa.

Aya mamiriro anogona zvakare kuve kusangana kwemamwe matambudziko ehutano husingaperi. Kurapa mamiriro ari pasi kunogona kubatsira kudzivirira kana kubata metabolic acidosis.

Metabolic acidosis is acidosis nekuda kweshanduko dzinokanganisa kutenderera kweropa, itsvo, kana kugaya. Izvi zvinogona kukonzerwa ne:

• Chirwere cheshuga ketoacidosis. Muviri unopisa mafuta panzvimbo yeshuga, zvichikonzera kuti ketoni kana acids iwedzere.
• Manyoka. Dhairrhea yakanyanya kana kurutsa kunogona kutungamira kune hyperchloremic acidosis. Izvi zvinokonzeresa mashoma ezasi echigadziko anonzi bicarbonate, ayo anobatsira kuenzanisa acid muropa.
• Dambudziko reitsvo. Itsvo chirwere uye itsvo kutadza kunogona kutungamira kune renal tubular acidosis. Izvi zvinoitika kana itsvo dzako dzisingakwanise kutora kunze kweasidhi kuburikidza neweti nenzira kwayo.
• Lactic acidosis. Izvi zvinoitika kana muviri uchiwedzera kana kushandisa zvisina kukwana lactic acid. Zvinokonzera zvinosanganisira kutadza kwemoyo, kusungwa kwemoyo, uye chakakomba sepsis.
• Kudya. Kudya zvakawandisa zvigadzirwa zvemhuka zvinogona kuita mamwe maacid mumuviri.
• Rovedza muviri. Muviri unogadzira lactic acid yakawanda kana usiri kuwana oxygen yakakwana kwenguva yakareba panguva yekuita maekisesaizi.

Zvimwe zvinokonzera acidosis zvinosanganisira:

• doro kana kushandisa zvinodhaka
• zvinodhaka zvinononoka kufema kunge benzodiazepines, kurara mishonga, mishonga yekurwadziwa, uye zvimwe zvinodhaka

Mamiriro akaita seasima, chirwere chisingaperi chisingabvumirwe chemapapu (COPD), mabayo, uye apnea yekurara zvinogona kukonzera rumwe rudzi rweacidosis inonzi yekufema acidosis. Izvi zvinoitika kana mapapu asingakwanise kufema kabhoni dhayokisaidhi zvakanaka. Yakawandisa kabhoni dhayokisaidhi inomutsa masero eropa acid.

Kurapa kwakajairika kwemetabolic acidosis

Kurapa kwe metabolic acidosis inoshanda munzira nhatu huru:

• kuburitsa kana kubvisa akawandisa acids
• buffering acids ine hwaro hwekuyera ropa acidity
• kudzivirira muviri kubva mukugadzira akawanda maacids

Mamwe marudzi ekurapa kwe metabolic acidosis anosanganisira:

Kufuridzira muripo

Kana iwe uine mweya wekufema, kuongororwa kweropa gasi kunoratidza yakakwira carbon dioxide mazinga. Mimwe bvunzo yekutsvaga iyi mhando ye metabolic acidosis inosanganisira yekufema bvunzo kuratidza mashandiro ari kuita mapapu, uye chifuva X-ray kana CT scan kuti utarise hutachiona hwemapapu kana kuvhara.

Kurapa kwekufema kwemetabolic acidosis inosanganisira:

• bronchodilator mishonga (Ventolin inhaler)
• steroid zvinodhaka
• okisijeni
• muchina wemhepo (CPAP kana BiPaP)
• muchina wekufema (wezviitiko zvakakomba)
• kurapwa kurega kusvuta

Metabolic muripo

Chirwere cheshuga

Kugadzirisa metabolic acidosis inokonzerwa nechirwere cheshuga chisina kurapwa kana kusadzorwa kunosanganisira kurapwa kwechirwere cheshuga. Kana uine chirwere cheshuga ketoacidosis, kuongororwa ropa rako kucharatidza huwandu hweshuga yeropa (hyperglycemia). Kurapa kunosanganisira kuenzanisa mashuga eropa kubatsira muviri kubvisa uye kumira kugadzira acids.

• jekiseni
• mishonga yeshuga
• zvinwiwa
• electrolyte (sodium, chloride, potasium)

Insulin kurapwa kunongoshanda chete kana chirwere cheshuga chiri kukonzera iyo metabolic acidosis.

IV sodium bicarbonate

Kuwedzera chigadziko kupikisa akakwira acid mazinga anobata mamwe marudzi emetabolic acidosis. Intravenous (IV) kurapwa ine hwaro unonzi sodium bicarbonate ndiyo imwe nzira yekuyera acids muropa. Iyo 'inoshandiswa kurapa mamiriro anokonzera acidosis kuburikidza nebicarbonate (base) kurasikirwa. Izvi zvinogona kuitika nekuda kweimwe itsvo mamiriro, manyoka, uye kurutsa.

Hemodialysis

Dialysis kurapwa kwechirwere chakakomba cheitsvo kana kutadza kweitsvo. Kuongororwa kweropa kwezvirwere zveitsvo zvisingaperi kunoratidza yakakwira urea uye mamwe marudzi eacid. Kuongorora weti kunogona kuratidzawo kuti itsvo dziri kushanda zvakadii.

Dialysis inobatsira kubvisa mamwe maacid uye mamwe marara kubva muropa. Mune hemodialysis, muchina unosefa ropa uye unobvisa marara uye zvimwe zvinwiwa. Peritoneal dialysis kurapwa kunoshandisa mhinduro mukati memuviri wako kutora marara.

Mimwe mishonga yekurapa metabolic acidosis

• Inotropes uye mimwe mishonga inobatsira kuvandudza moyo mashandiro mumamiriro akaita seakaderera BP uye moyo kutadza. Izvi zvinovandudza okisijeni kuyerera kumuviri uye zvinoderedza mazinga easidhi eropa. Kuwedzera kweropa kuverenga, kuongororwa kweropa, uye ECG (electrocardiogram) inoratidza kana dambudziko remwoyo riri kukonzera metabolic acidosis.
• Metabolic acidosis nekuda kwedoro kana chepfu yezvinodhaka inorapwa ne detoxification. Vamwe vanhu vangangodawo hemodialysis kujekesa chepfu. Ropa bvunzo kusanganisira chiropa chebasa bvunzo dzicharatidza iyo acid-base kusaenzana. Kuongorora weti uye neropa gasi bvunzo zvinogona zvakare kuratidza kuti huturu hwakakomba sei.

Kutora

Metabolic acidosis rudzi rweacidosis iyo inowanzo kukonzerwa nemamiriro ehutano anokanganisa itsvo, moyo, kugaya, kana metabolism. Acids inovakwa muropa uye inogona kutungamira kumatambudziko akakomba ehutano kana ikasiiwa isina kurapwa.

Kurapa kwemetabolic acidosis kunoenderana nemamiriro ezvinhu. Dzimwe mhando dzakapfava kana dzechinguva uye hadzidi kurapwa. Metabolic acidosis inogona kunge iri chiratidzo chekuti chimwe chinhu chakakanganisika mumuviri wako. Iwe ungangoda kurapwa kweimwezve hutano hutano kuenzanisa acid uye mabheseni muropa rako.

Kana iwe uine metabolic acidosis kana uine chirwere chisingaperi chinogona kukonzera acidosis, ona chiremba wako nguva dzose. Tora mishonga yese sekurairwa uye uteedzere kudya mazano. Kugara uchiongorora ropa uye kumwe kuongorora-kunogona kubatsira kuchengetedza ako acid-base masosi akaenzana.