pH Kusanzwisisana: Maitiro Emuviri Wako Anochengetedza Acid-Base Balance

Zvemukati

• Maitiro emapapu neitsvo zvinochengetedza iyo pH chiyero
• pH kusagadzikana kusagadzikana
• Mhando dzeacidosis
• Kufuridzira acidosis
• Metabolic acidosis
• Mhando alkalosis
• Kufuridzira alkalosis
• Metabolic alkalosis
• Vanowanikwa sei?
• Kurapa kusaenzana kwepH
• Outlook

Chii chinonzi pH balance?

Muviri wako wepH balance, unonziwo acid-base balance, ndiwo mwero weasidhi uye mabheseni muropa rako umo muviri wako unoshanda zvakanyanya.

Muviri wemunhu wakavakirwa kuti zvinyatso chengetedza hutano hwakaringana hweasidhi uye alkalinity. Mapapu neitsvo zvinoita basa rakakosha mukuita uku. Ropa rakajairwa pH nhanho iri 7.40 pachiyero che0 kusvika 14, apo 0 ndiyo inonyanya kuva acid uye 14 ndiyo inonyanya kukosha. Iyi kukosha inogona kusiyanisa zvishoma mune chero nzira.

Kana mapapu kana itsvo dzikasashanda, mwero wePH yako yeropa unogona kusaenzana. Kukanganiswa mune yako acid-base chiyero kunogona kutungamira kune ekurapa mamiriro anozivikanwa seacidosis uye alkalosis. Mamiriro ezvinhu ese ari maviri anoda kurapwa kubva kuna chiremba, kwete kungochinja zvekudya.

Maitiro emapapu neitsvo zvinochengetedza iyo pH chiyero

Mapapu anodzora muviri wako pH mwero nekuburitsa kabhoni dhayokisaidhi.

Carbon dioxide ikombiki ine acidic. Icho zvakare chigadzirwa chemarara chinogadzirwa nemaseru mumuviri sezvavanoshandisa oxygen. Masero anoisunungura muropa rako, uye inoendeswa kumapapu ako.

Paunoburitsa mweya, iwe uri kudzinga iyo carbon dioxide, maitiro anobatsira zvakare kugadzirisa muviri wako pH balance nekuderedza acidity.

Huwandu hwekabhoni dhayokisaidhi yaunoburitsa ibasa rekuti iwe unonyudza zvakanyanya sei kana kufema. Uropi hwako hunogara uchitarisa izvi kuitira kuti uchengetedze iyo chaiyo pH muyero mumuviri wako.

Itsvo dzinobatsira mapapu kuchengetedza acid-base chiyero nekuburitsa acids kana mabheseni muropa. Itsvo 'mhedzisiro paacidity inoshanda zvakanyanya zvishoma nezvishoma kupfuura iya yemapapu.

pH kusagadzikana kusagadzikana

Ropa pH kusaenzana rinogona kutungamira kune maviri mamiriro: acidosis uye alkalosis.

Acidosis inoreva kuve neropa rakawandisa, kana ropa pH risingasviki 7.35. Alkalosis inoreva kuve neropa rakanyanya kukosha, kana ropa pH yepamusoro kupfuura 7.45.

Kune mhando dzakasiyana dzeacidosis uye alkalosis zvinoenderana nechikonzero chiri kukonzera.

Kana acidosis kana alkalosis ichikonzerwa nekusagadzikana kwemapapu kana kubuda mweya, inonzi "kufema." Kana acidosis kana alkalosis ichikonzerwa nedambudziko nekushanda kweitsvo, inonzi "metabolic."

Mhando dzeacidosis

Kufuridzira acidosis

Respiratory acidosis inokonzerwa nemapapu ako asingakwanise kubvisa kabhoni dhayokisaidhi yakakwana paunobuda. Izvi zvinogona kuitika kana mapapu ako akabatwa nechirwere kana chimwe chirwere.

Mimwe mamiriro ezvinhu anogona kutungamira mukufema acidosis anosanganisira:

• asima
• emphysema
• mabayo (akaoma)

Respiratory acidosis inogona kukonzerwa nekutora zvinodhaka kana mishonga yekurara. Uropi uye huta hwekunetseka system izvo zvinokonzeresa kufema matambudziko zvinogona zvakare kutungamira mukufema acidosis

Zviratidzo zvekutanga zvekufema acidosis ndezvi:

• kurara zvakanyanya
• kuneta
• kuvhiringidzika
• musoro

Kana ikasiiwa isingarapwe, mweya wekufema unogona kuve wakakomba uye wozotungamira kukoma kana kufa.

Metabolic acidosis

Metabolic acidosis inovakwa neasidhi mumuviri iyo inotangira muitsvo. Izvo zvinoitika kana muviri wako usingakwanise kubvisa yakawandisa acid kana kurasikirwa nesosi yakawandisa. Zvikonzero chaizvo zvinosanganisira:

• kuva nesodic bicarbonate shoma muropa rako, chinetso chingangoita chekurutsa zvakanyanya kana manyoka
• kuwanda kwemaketoni nekuda kwekushayikwa kwe insulin, mamiriro anozivikanwa se ketoacidosis anotarisana nevanhu vane chirwere cheshuga
• kuwanda kweactic acid, mukana ungangoita wekushandisa doro zvisina kufanira, gomarara, nekubatwa
• kutadza kweitsvo kuburitsa asidhi muropa, inozivikanwa se renal tubular acidosis

Metabolic acidosis inogona zvakare kukonzerwa nekumedza zvimwe zvinhu, zvakaita se:

• methanol
• antifreeze
• aspirin (mumadhora makuru)

Zviratidzo zve metabolic acidosis zvinogona kusanganisira kusvotwa, kurutsa, uye kuneta zvakanyanya.

Sezvakaita nekufema acidosis, metabolic acidosis inogona kukonzera coma kana kufa kana ikasiiwa isina kurapwa.

Mhando alkalosis

Kufuridzira alkalosis

Respiratory alkalosis ndipo panowanikwa kabhoni dhayokisaidhi muropa rako. Zvinokonzera kufema alkalosis zvinosanganisira hyperventilation nekuda kwekushushikana, asipurini kudarika, kupisa muviri, uye pamwe kunyange kurwadziwa.

Zviratidzo zvekufema alkalosis musuru kupwanya uye kumonyoroka. Iwe unogona zvakare kuona kurira muminwe yako, zvigunwe, uye miromo, pamwe nekugumbuka.

Metabolic alkalosis

Metabolic alkalosis inoitika kana bicarbonate muropa rako rikakwira zvakanyanya kana muviri wako ukarasikirwa neasidhi yakawandisa. Iyo inogona kuunzwa neyakareba nguva yekurutsa, kunyanya kushandisa diuretics, kana yakanyanyisa kuita adrenal gland.

Mimwe mamiriro ezvinhu anogona kutungamira kune metabolic alkalosis kukuvara kwetsvo kunokonzerwa nekurasikirwa kwakanyanya kwemvura kana kumedzwa kwehuwandu hwakawanda hwebheka soda.

Zviratidzo zve metabolic alkalosis zvakafanana neizvo zvakurukurwa pamusoro pekufema alkalosis.

Vanowanikwa sei?

Kana iwe uchifunga kuti une kusaenzana kwepH, zvakakosha kutsvaga kurapwa nekukurumidza. Kunze kwekutora nhoroondo yako yekurapa, chiremba anoshandisa akasiyana eropa uye weti bvunzo kuti aone chikonzero chinokonzera kusaenzana kwepH yako.

Bvunzo dzinogona kuitika dzinosanganisira:

• arterial gasi reropa kutarisa oxygen uye carbon dioxide mazinga uye ropa pH
• yakakosha metabolic pani yekutarisa itsvo mashandiro uye huwandu hwemuviri
• urinalysis kuongorora kunyatsobviswa kweacids uye mabhesheni
• weti pH nhanho bvunzo kuyera alkalinity uye acidity yemurini

Nekudaro, zvinoenderana nezviratidzo zvako uye nerumwe ruzivo rwunotorwa nachiremba wako, kumwezve bvunzo dzinogona kuitwa. Kana iwe uine chirwere cheshuga, yako glucose uye ketone mazinga anogona kuyedzwa. Kana iwe ukamedza ethylene glycol kana methylene, iwe unogona kuitiswa ongmolality bvunzo.

Kurapa kusaenzana kwepH

Mishonga yekurapa kusaenzana kwepH ichasiyana zvakanyanya zvichibva nekuti urikusangana neacidosis kana alkalosis, uye chii chiri kukonzera chikonzero. Icho chinangwa chekupedzisira ndechekudzosera yako acid-base nhanho kune yakaenzana chiyero.

Acidosis kurapwa kunogona kusanganisira:

• muromo kana intravenous sodium bicarbonate kusimudza ropa pH
• mishonga yekuwedzera nzira dzako dzekufema
• inoenderera yakanaka yakanaka yemhepo kumanikidza (CPAP) chishandiso kufambisa kufema
• sodium citrate kurapa itsvo kutadza
• insulin uye mvura inopinza yekurapa ketoacidosis

Alkalosis kurapwa kunogona kusanganisira:

• kunonoka kufema kana chiri chikonzero chiri hyperventilation
• oxygen therapy
• mishonga yekudzorera nhanho dzehutano, senge chloride kana potasium
• zvinwiwa kana zvinwiwa zvemagetsi zvekudzorera electrolyte mwero

Outlook

Yako pH muyero yakakosha kune hutano hwako, uye iwe unogona kuvimba kuti muviri wako wakashongedzerwa kuchengetedza mwero iwo wega. Nekudaro, kana chiremba wako aona kuti bhalansi yako iri kubviswa kuburikidza neropa uye weti kuyedzwa, ivo vanozoita mimwe miedzo kuti vaone chaicho chikonzero.

Kana chikonzero chave kuwanikwa, iwe unozopihwa chirongwa chekurapa kuti chigadzirise uye uwane muviri wako pH muyero zvakare mumutsara.