I-ketoacidosis yotshwala

I-ketoacidosis yotshwala iyinqwaba yamaketoni egazini ngenxa yokusebenzisa utshwala. Ama-ketone awuhlobo lwe-asidi olwakheka lapho umzimba uhlukanisa amafutha ukuze athole amandla.

Lesi simo siyindlela ebukhali ye-metabolic acidosis, isimo lapho kune-asidi eningi kakhulu oketshezini lomzimba.

I-ketoacidosis yotshwala idalwa ukusetshenziswa kotshwala obunzima kakhulu. Imvamisa kwenzeka kumuntu ongondlekile ophuza kakhulu utshwala nsuku zonke.

Izimpawu ze-ketoacidosis yotshwala zifaka:

• Isicanucanu nokuhlanza
• Ubuhlungu besisu
• Ukuyaluza, ukudideka
• Izinga eliguquliwe lokuqapha, okungaholela ku-coma
• Ukukhathala, ukunyakaza okuhamba kancane
• Ukujula, ukusebenza kanzima, ukuphefumula okusheshayo
• Ukuphelelwa isifiso sokudla
• Izimpawu zokuphelelwa ngamanzi emzimbeni, njengesiyezi, ukuba nekhanda elikhanyayo nokoma

Ukuhlolwa kungafaka:

• Amagesi egazi e-arterial (alinganisa ibhalansi ye-asidi / isisekelo nezinga le-oxygen egazini)
• Izinga lotshwala egazini
• Amakhemikhali egazi nokuhlolwa kokusebenza kwesibindi
• I-CBC (ukubala okuphelele kwegazi), kukala amaseli abomvu namhlophe egazi, nama-platelets, asiza igazi ukuba limboze)
• Isikhathi seProthrombin (PT), silinganisa ukujiya kwegazi, imvamisa okungavamile kusifo sesibindi
• Ucwaningo lwe-Toxicology
• Amaketoni omchamo

Ukwelashwa kungabandakanya uketshezi (isixazululo sikasawoti noshukela) olunikezwa ngomthambo. Ungadinga ukuhlolwa igazi kaningi. Ungathola izithasiselo zamavithamini ukwelapha ukungondleki okubangelwa ukusetshenziswa ngokweqile kotshwala.

Abantu abanalesi simo bavame ukungeniswa esibhedlela, imvamisa egunjini labagula kakhulu (ICU). Ukusetshenziswa kotshwala kuyamiswa ukusiza ukutakula. Imithi inganikezwa ukuvimbela izimpawu zokuhoxiswa kotshwala.

Ukunakekelwa kwezokwelapha ngokushesha kuthuthukisa umbono jikelele. Bukhulu kangakanani ukusetshenziswa kotshwala, nokuba khona kwesifo sesibindi noma ezinye izinkinga, nakho kungathinta umbono.

Lokhu kungaba isimo esisongela impilo. Izinkinga zingafaka:

• I-Coma nokuquleka
• Ukopha emathunjini
• Ama-pancreas avuthayo (i-pancreatitis)
• Inyumoniya

Uma wena noma omunye umuntu enezimpawu ze-ketoacidosis yotshwala, funa usizo oluphuthumayo lwezokwelapha.

Ukunciphisa inani lotshwala obuphuzayo kungasiza ukuvimbela lesi simo.

Ketoacidosis - utshwala; Ukusetshenziswa kotshwala - ketoacidosis yotshwala

UFinnell JT. Isifo esihlobene notshwala. Ku: Walls RM, Hockberger RS, Gausche-Hill RM, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2018: isahluko 142.

Seifter JL. Izinkinga ze-acid-base. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 118.