Metabolic Alkalosis

Zvemukati

• Chii chinonzi metabolic alkalosis?
• Kurapa kwe metabolic alkalosis
• Chloride-inopindura
• Chloride-inopesana
• Zviratidzo zvemagetsi alkalosis
• Iyo muviri inobhadhara sei metabolic alkalosis
• Lung muripo
• Itsvo muripo
• Zvinokonzera metabolic alkalosis
• Kuongororwa kwe metabolic alkalosis
• Kunzwisisa pH mazinga
• Weti kuongorora
• Metabolic alkalosis ine hypochloremia
• Maonero ezve metabolic alkalosis

Chii chinonzi metabolic alkalosis?

Metabolic alkalosis chiitiko chinoitika kana ropa rako rikave rakanyanyisa alkaline. Alkaline inopesana neacidic.

Miviri yedu inoshanda zvakanyanya kana iyo acidic-alkaline muyero weropa redu wakangotsamira zvishoma kune alkaline.

Alkalosis inoitika kana muviri wako uine:

• yakawandisa-ealbali-inogadzira bicarbonate ions
• mashoma mashoma asidi-anogadzira hydrogen ions

Vanhu vazhinji havawani chero zviratidzo zve metabolic alkalosis, saka unogona kusaziva kuti unayo.

Metabolic alkalosis ndeimwe yemhando ina huru dzealkalosis. Kune maviri marudzi e metabolic alkalosis:

• Chloride-inopindura alkalosis zvinokonzerwa nekurasikirwa kwehydrogen ions, kazhinji nekurutsa kana kupera mvura mumuviri.
• Chloride-nemishonga alkalosis mhedzisiro kana muviri wako uchinge wakachengeta maabicarbonate (alkaline) ions akawandisa, kana paine shanduko yemahydrogen ions kubva muropa rako kuenda kumasero ako.

Kune zvekare mamiriro anonzi metabolic acidosis anoitika kana ropa rako kana zvinwiwa zvanyanyisa kuva acidic.

Muviri wako unobhadharira zvese alkalosis uye acidosis kunyanya kuburikidza nemapapu ako. Mapapu anochinja huwandu hweropa rako nekubvumira yakawanda kana shoma carbon dioxide kutiza paunenge uchifema. Itsvo dzinoitawo basa nekudzora kubviswa kwebicarbonate ions.

Kurapa kunodiwa kana idzi nzira dzepanyama dzekuripa dzisina kukwana.

Kurapa kwe metabolic alkalosis

Kurapa kwe metabolic alkalosis kunoenderana nekuti yako alkalosis iri
Kloride-inopindura kana isingagadzike nekloride. Izvo zvakare zvinoenderana nechinokonzera chikonzero chealkalosis.

Chloride-inopindura

Kana iwe uine chete yakapfava chloride-inoteerera alkalosis, iwe ungangoda chete kugadzirisa pane kwako kudya, sekuwedzera kunwa kwako munyu (sodium chloride). Iyo chloride ions ichaita kuti ropa rako riwedzere kuva acidic uye kuderedza iyo alkalosis.

Kana chiremba wako akaona kuti alkalosis inoda kutariswa nekukasira, vanogona kukupa IV (inodonhedza donhwe) ine saline solution (sodium chloride).

IV inova nzira isingarwadze. Zvinosanganisira kuisa tsono mudiki mutsinga. Tsono inosunganidzwa nechubhu kuenda kubhegi risina chena rine munyu wakanyungudutswa mumvura. Izvi zvinowanzoitwa munzvimbo yechipatara.

Chloride-inopesana

Kana uine chloride-resistant alkalosis, muviri wako unogona kupera potasium. Mushonga we sodium chloride haubatsire uye unogona kuita kuti zvinhu zviwedzere. Chiremba wako anozotsvaga nzira dzekuwedzera potasium.

Iwe unogona kuwedzera yako potasiamu mazinga ne:

• kutora mapiritsi ane potassium chloride kaviri kana mana pazuva (pasi pekutungamira kwachiremba)
• kugamuchira potasium chloride intravenously

Zviratidzo zvemagetsi alkalosis

Metabolic alkalosis inogona kusaratidza chero zviratidzo. Vanhu vane rudzi urwu rwealkalosis vanowanzo nyunyuta nezve mamiriro ezvinhu ari kuikonzera. Izvi zvinogona kusanganisira:

• kurutsa
• manyoka
• kuzvimba mumakumbo epasi (peripheral edema)
• kuneta

Mhosva dzakakomba dze metabolic alkalosis dzinogona kukonzera:

• kusagadzikana
• kunyongana
• pfari
• coma

Zviratidzo zvakakomba zvinowanzoitika kana alkalosis ichikonzerwa nechirwere chechiropa chisingaperi.

Iyo muviri inobhadhara sei metabolic alkalosis

Nhengo mbiri dzinobatsira kubhadhara metabolic alkalosis - mapapu edu neitsvo dzedu.

Lung muripo

Muviri wedu unoburitsa kabhoni dhayokisaidhi kana tichishandura chikafu chatinodya kuita simba mumasero edu. Masero matsvuku eropa mutsinga dzedu anotora carbon dioxide ndokuenda nayo kumapapu edu kuti anofuridzirwa.

Kana kabhoni dhayokisaidhi ikasangana nemvura iri muropa, inogadzira asidhi yakapfava, inonzi carbonic acid. Iyo carbonic acid inozopatsanurana kuita bicarbonate ion uye hydrogen. Bicarbonate ions zvine alkaline.

Nekushandura mwero wekufema, tinogona kusimudza kana kudzikisa kuwanda kweacalbonine bicarbonate ions akachengetwa muropa redu. Mutumbi unoita izvi otomatiki muchiitiko chinonzi muripo wekufema. Iyi ndiyo mhinduro yekutanga uye inokurumidza yemuviri.

Kubhadhara alkalosis, zviratidzo zvinotumirwa kunonoka mwero wekufema.

Itsvo muripo

Itsvo dzinogona kubatsira kurwisa alkalosis nekuwedzera kubuda kwebicarbonate ions kuburikidza neweti. Izvi zvakare zvoitika otomatiki, asi zvinononoka kupfuura muripo wekufema.

Zvinokonzera metabolic alkalosis

Mamiriro ezvinhu akasiyana siyana anogona kukonzera metabolic alkalosis. Izvi zvinosanganisira:

Kurasikirwa kwemudumbu acids. Ichi ndicho chinonyanya kukonzera metabolic alkalosis. Inowanzo kuunzwa nekurutsa kana kukweva kuburikidza neipi-yekudyisa chubhu.

Ijusi yegastric ine yakakwira zvemukati yehydrochloric acid, yakasimba asidi.Kurasikirwa kwaro kunokonzera kuwedzera mualkalinity yeropa.

Kurutsa kunogona kukonzerwa nenhamba ipi neipi yematambudziko emudumbu. Nekufunga uye nekurapa chikonzero chekusvipa, chiremba wako acharapa metabolic alkalosis.

Kuwanda kwemaantacids. Antacid kushandiswa hakuwanzo kutungamira kune metabolic alkalosis. Asi kana iwe uine itsvo dzisina kusimba kana dzakundikana uye ukashandisa isingabvumirwe antacid, inogona kuunza pane alkalosis. Asingabvumirwe antacids ane aluminium hydroxide kana magnesium hydroxide.

Diuretics. Mamwe ma diuretiki (mapiritsi emvura) anowanzo gadzirirwa kuwedzerwa kweropa kunogona kukonzera kuwedzerwa kweiyo weti asidi Iyo yakawedzera secretion yeasidhi mumurini inogona kuita kuti ropa rako riwedzere alkaline.

Kana alkalosis ichiratidzira paunenge uchitora zvinodhaka zvakadai se thiazide kana loop diuretics, chiremba wako anogona kukukumbira kuti umire.

Potassium kushomeka (hypokalemia). Kushomeka kwe potassium kunogona kukonzera mahydrogen ion anowanzo kuve ari mune inoyerera yakatenderedza maseru ako kuti achinje mukati memasero. Kushaikwa kweacidic hydrogen ions kunokonzera kuti mvura uye ropa rako riwedzere kuva alkaline.

Yakaderedzwa vhoriyamu yeropa mutsinga (EABV). Izvi zvinogona kubva kune ese ari maviri moyo wakaneta uye kubva ku cirrhosis yechiropa. Ropa rakadzikira rinoyerera rinokanganisa kugona kwemuviri wako kubvisa alkaline bicarbonate ions.

Moyo, itsvo, kana chiropa kutadza. Metabolic alkalosis inogona kukonzerwa nekundikana kwechikamu chikuru, senge moyo wako, itsvo, kana chiropa. Izvi zvinotungamira pakuputsika kwe potassium.

Yakajairwa saline solution (sodium chloride) inogona kuita kuti zvinhu zviwedzere nekukonzera muviri wako kuchengetedza zvinwiwa pasina kubvisa kuwandisa kwe bicarbonate ions iri kukonzera iyo alkalosis.

Majini anokonzera. Muzviitiko zvisingawanzoitika, geni rinogarwa nhaka rinogona kuve chikonzero cheiyo metabolic alkalosis. Zvirwere zvishanu zvakagara nhaka zvinogona kukonzera metabolic alkalosis ndeizvi:

• Bartter chirwere
• Gitelman chirwere
• Liddle chirwere
• glucocorticoid inogadziriswa aldosteronism
• pachena mineralocorticoid yakawandisa

Kuongororwa kwe metabolic alkalosis

Kutanga kuongororwa, chiremba wako anotora nhoroondo yako yezvokurapa uye akupe kuongororwa kwemuviri.

Kana vakafungidzira kuti alkalosis, vanozoongororwa ropa uye weti yako. Vachatarisa pamatanho eoksijeni uye kabhoni dhayokisaidhi mutsinga dzako uye voyera acidity uye alkalinity yeropa rako.

Kunzwisisa pH mazinga

Iyo acidity kana alkalinity yemvura inoyerwa pachiyero chinonzi pH. Mune metabolic alkalosis, iyo pH yeropa rako yakakwira.

Chinhu chisina kwazvakarerekera, mvura, ine pH ye7. Kana pH yemvura ikawira pasi pechinomwe, inova acidic. Kana ikakwira pamusoro pe7, ndeye alkaline.

Ropa rako rinowanzove nePH kubva pa7.35 kusvika 7.45, kana zvishoma alkaline. Kana iyo pH ichikwira zvakanyanya pamusoro peichi chikamu, iwe une metabolic alkalosis.

Weti kuongorora

Chiremba wako anogona zvakare kuyedza kukosheswa kwekloride uye potassium ions mumurini yako.

Kana iyo chloride yakaderera, inoratidza kuti unogona kupindura kurapwa nesaline solution. Iyo yakaderera potasiyamu yevasungwa inogona kuratidza kushomeka kwe potassium kana kunyanyisa kushandisa laxatives.

Metabolic alkalosis ine hypochloremia

Hypochloremia zvinoreva kuti une yakanyanya shoma yeiyo chloride ion muropa rako.

Hypochloremic alkalosis chiitiko chakakomba chinogona kukuisa mukuvhunduka. Inogona kukonzeresa kushaya mvura uye zvimwe zvikonzero.

Neraki, inogona kurapwa neyakajairwa saline (munyu) mhinduro. Izvi zvinogona kuendeswa neIV kana iwe uine kesi yakakomba, kana nekugadzirisa kuchikafu chako mune zvinyoro kesi.

Maonero ezve metabolic alkalosis

Metabolic alkalosis inowanzoitika kubva kune dzakakomba kesi dzekurutsa izvo zvinokonzeresa iwe kurasikirwa neacidic fluids mudumbu rako. Izvi zvinowanzo shandurwa nekurapwa neine saline solution.

Inogona zvakare kuve mhedzisiro yekushomeka kwe potassium kana kushomeka kwekloride. Uku kushomeka kunogona kurapwa ne intravenous fluids kana, mune zvinyoro kesi, nekugadziridzwa kwekudya.

Zvimwe zviitiko zvealkalosis zvinokonzereswa nemamiriro akasimba emoyo, itsvo, kana chiropa mamiriro. Nepo iyo alkalosis inogona kazhinji kudzoserwa munguva pfupi, mamiriro ari pasi anofanira kurapwa kurapwa kusingaperi.

Ona chiremba wako kana uri kusangana nezviratidzo zvitsva kana zvinogara.