Yini i-alkalosis ye-metabolic nokuthi ingabangelwa yini

-Delile

• Ziyini izimbangela
• Izimpawu eziyinhloko
• Siyini isinxephezelo?
• Ungaqinisekisa kanjani
• Yelashwa kanjani

I-alkalosis ye-Metabolic yenzeka lapho i-pH yegazi iba eyisisekelo kakhulu kunalokho okufanele, okungukuthi, uma ingaphezulu kuka-7.45, evela ezimweni ezinjengokuhlanza, ukusetshenziswa kwezidakamizwa noma ukusetshenziswa ngokweqile kwe-bicarbonate, ngokwesibonelo.

Lolu ushintsho olukhulu, ngoba lungadala ukungalingani kwamanye ama-electrolyte egazi, njenge-calcium ne-potassium futhi kubangele izimpawu ezinjengobuthakathaka, ikhanda elibuhlungu, izinguquko zemisipha, ukuquleka noma i-arrhythmia yenhliziyo.

Kubalulekile ukuthi umzimba ugcine i-pH yayo elinganiselayo, okufanele ibe phakathi kuka-7.35 no-7.45, ukuze imetabolism yomzimba isebenze kahle. Esinye isimo esikhathazayo esingavela lapho i-pH ingaphansi kuka-7.35, ine-metabolic acidosis. Thola ukuthi yini i-metabolic acidosis nokuthi ibangelwa yini.

Ziyini izimbangela

Ngokuvamile, i-metabolic alkalosis yenzeka ngenxa yokulahleka kwe-H + ion egazini noma ukunqwabelana kwe-sodium bicarbonate, okwenza umzimba ube yisisekelo. Ezinye zezimo eziyinhloko ezidala lezi zinguquko yilezi:

• Ukuhlanza ngokweqile, isimo esidala ukulahleka kwe-hydrochloric acid esiswini;
• Ukuwasha noma ukufisa isisu esibhedlela;
• Ukusetshenziswa ngokweqile kwezidakamizwa noma ukudla kwe-alkaline, nge-sodium bicarbonate;
• Ngisebenzisa amakhambi okwehlisa isisu, njengeFurosemide noma iHydrochlorothiazide;
• Ukungabi ne-potassium ne-magnesium egazini;
• Ukusetshenziswa ngokweqile kwama-laxatives;
• Imiphumela emibi yama-antibiotic athile, njengePenicillin noma iCarbenicillin, isibonelo;
• Izifo zezinso, njengeBartter's Syndrome noma iGitelman's Syndrome.

Ngaphezu kwe-alkalosis ye-metabolic, esinye isizathu sokuthi i-pH yegazi ihlale njenge-pH eyisisekelo i-alkalosis yokuphefumula, ebangelwa ukungabi khona kwe-carbon dioxide (CO2) egazini, okudala ukuthi ibe ne-acidic encane kunokujwayelekile, futhi kwenzeka ezimweni njengokuphefumula okusheshayo nokushesha kakhulu. Funda kabanzi mayelana nokuthi kuyini, izimbangela nezimpawu ze-alkalosis yokuphefumula.

Izimpawu eziyinhloko

I-metabolic alkalosis ayibangeli zimpawu ngaso sonke isikhathi futhi, ezimweni eziningi, yizimpawu zesifo ezidala i-alkalosis. Kodwa-ke, izimpawu ezinjenge-spasms yemisipha, ubuthakathaka, ikhanda, ukudideka kwengqondo, isiyezi nokuquleka nakho kungavela, ikakhulu okubangelwa izinguquko kuma-electrolyte afana ne-potassium, calcium ne-sodium.

Siyini isinxephezelo?

Ngokuvamile, lapho i-pH yegazi ishintsha, umzimba uqobo uzama ukulungisa lesi simo, njengendlela yokugwema izinkinga.

Isinxephezelo se-alkalosis ye-metabolic senzeka ikakhulukazi ngamaphaphu, aqala ukuphefumula kancane ukuze agcine i-carbon dioxide (CO2) eningi futhi andise i-asidi yegazi.

Izinso nazo zizama ukunxephezela, ngoshintsho ekumuncweni noma ekukhipheni izinto emchameni, zizama ukuqeda i-bicarbonate eyengeziwe. Kodwa-ke, olunye ushintsho lungavela ndawonye, ​​egazini noma ezinso, njengokuphelelwa amanzi emzimbeni noma ukulahleka kwe-potassium, ngokwesibonelo, ikakhulukazi kubantu abagula kakhulu, okuvimba amandla omzimba ukulungisa lezi zinguquko.

Ungaqinisekisa kanjani

Ukuxilongwa kwe-alkalosis ye-metabolic kwenziwa ngezivivinyo ezilinganisa i-pH yegazi, futhi kubalulekile ukuhlola ukuthi amazinga e-bicarbonate, i-carbon dioxide kanye nama-electrolyte athile egazini.

Udokotela uzophinde enze ukuhlolwa kwemitholampilo ukuzama ukuthola imbangela. Ngaphezu kwalokho, umthamo we-chlorine ne-potassium emchameni ungasiza ukucacisa ubukhona bezinguquko zezinso ekuhlungweni kwama-electrolyte.

Yelashwa kanjani

Ukwelapha i-alkalosis ye-metabolic, ekuqaleni, kuyadingeka ukwelapha imbangela yayo, kungaba yi-gastroenteritis noma ukusetshenziswa kwemithi ethile, ngokwesibonelo. Kwezinye izimo, ukungena emanzini nge-saline kudingekile.

I-Acetazolamide ngumuthi ongasetshenziswa ukuqeda i-bicarbonate emchameni ezimweni ezikhathaza kakhulu, noma kunjalo, ezimweni ezinzima kakhulu, kungadingeka ukufaka ama-acid ngqo emthanjeni noma ukwenza ukuhlunga igazi nge-hemodialysis.