Ukuhlolwa kwe-Lactic Acid

-Delile

• Kuyini ukuhlolwa kwe-lactic acid?
• Kusetshenziselwa ini?
• Kungani ngidinga ukuhlolwa kwe-lactic acid?
• Kwenzekani ngesikhathi sokuhlolwa kwe-lactic acid?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kwe-lactic?
• Izinkomba

Kuyini ukuhlolwa kwe-lactic acid?

Lokhu kuhlolwa kukala izinga le-lactic acid, eyaziwa nangokuthi i-lactate, egazini lakho. I-Lactic acid yinto eyenziwe izicubu zemisipha namangqamuzana abomvu egazi, athwala umoya-mpilo emaphashini akho aye kwezinye izingxenye zomzimba wakho. Ngokuvamile, izinga le-lactic acid egazini liphansi. Amazinga e-Lactic acid akhuphuka lapho amazinga eoksijini ehla. Izinga eliphansi le-oxygen lingabangelwa:

• Ukuzivocavoca okunzima
• Ukwehluleka kwenhliziyo
• Ukutheleleka okukhulu
• Ukushaqeka, isimo esiyingozi esikhawulela ukugeleza kwegazi kuzitho zakho nezicubu zakho

Uma amazinga e-lactic acid enyuka kakhulu, angaholela esimweni esisongela impilo esaziwa nge-lactic acidosis. Ukuhlolwa kwe-lactic acid kungasiza ukuxilonga i-lactic acidosis ngaphambi kokuthi kubangele izinkinga ezinkulu.

Amanye amagama: ukuhlolwa kwe-lactate, i-lactic acid: i-plasma

Kusetshenziselwa ini?

Ukuhlolwa kwe-lactic acid kuvame ukusetshenziselwa ukuxilonga i-lactic acidosis. Isivivinyo singasetshenziswa futhi uku:

• Siza ukuthola ukuthi ngabe i-oxygen eyanele ifinyelela izicubu zomzimba
• Siza ukuxilonga i-sepsis, impendulo esongela impilo ekutheleleni kwegciwane

Uma kusolwa ukuthi i-meningitis, ukuhlolwa kungasetshenziselwa ukusiza ukuthola ukuthi ngabe kubangelwa yini amagciwane noma igciwane. I-Meningitis yisifo esibi kakhulu sobuchopho nomgogodla. Ukuhlolwa kwe-lactate ku-cerebrospinal fluid kusetshenziswa nokuhlolwa kwegazi kwe-lactic acid ukuthola uhlobo lokutheleleka.

Kungani ngidinga ukuhlolwa kwe-lactic acid?

Ungadinga ukuhlolwa kwe-lactic acid uma unezimpawu ze-lactic acidosis. Lokhu kufaka phakathi:

• Isicanucanu nokuhlanza
• Ubuthakathaka bemisipha
• Ukujuluka
• Ukuphelelwa umoya
• Ubuhlungu besisu

Ungase futhi udinge lokhu kuhlolwa uma unezimpawu ze-sepsis noma i-meningitis. Izimpawu ze-sepsis zifaka:

• Imfiva
• Amakhaza
• Ukushaya kwenhliziyo okusheshayo
• Ukuphefumula ngokushesha
• Ukudideka

Izimpawu ze-meningitis zifaka:

• Ikhanda elibuhlungu
• Imfiva
• Intamo eqinile
• Ukuzwela ekukhanyeni

Kwenzekani ngesikhathi sokuhlolwa kwe-lactic acid?

Uchwepheshe wezempilo uzothatha isampuli yegazi emthanjeni noma emthanjeni. Ukuthatha isampula emthanjeni, uchwepheshe wezokunakekelwa kwempilo uzofaka inaliti encane engalweni yakho. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu. Qiniseka ukuthi awusibophi isibhakela sakho ngesikhathi sokuhlolwa, ngoba lokhu kungakhuphula okwesikhashana amazinga e-lactic acid.

Igazi elivela emthanjeni line-oxygen eningi kunegazi elivela emthanjeni, ngakho-ke umhlinzeki wakho wokunakekelwa kwezempilo angancoma lolu hlobo lokuhlolwa kwegazi. Isampula ivame ukuthathwa emthanjeni ongaphakathi kwesihlakala. Ngesikhathi senqubo, umhlinzeki wakho uzofaka inaliti enomjovo emthanjeni. Ungase uzwe ubuhlungu obunzima njengoba inaliti ingena emthanjeni. Lapho isipetu sesigcwele igazi, umhlinzeki wakho uzofaka ibhandishi endaweni yokubhoboza. Ngemuva kwale nqubo, wena noma umhlinzeki kuzodingeka ukuthi nisebenzise ingcindezi eqinile kuleyo ndawo imizuzu engu-5-10, noma ngisho nangaphezulu uma nisebenzisa umuthi wokunciphisa igazi.

Uma kusolwa i-meningitis, umhlinzeki wakho anga-oda ukuhlolwa okubizwa nge-spinal tap noma ukubhoboza i-lumbar ukuthola isampula ye-cerebrospinal fluid yakho.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Umhlinzeki wakho wezokunakekelwa kwempilo angakutshela ukuthi ungazivocavoci amahora ambalwa ngaphambi kokuhlolwa. Ukuzivocavoca umzimba kungadala ukwanda kwesikhashana emazingeni e-lactic acid.

Ingabe zikhona izingozi esivivinyweni?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Ukuhlolwa kwegazi emthanjeni kubuhlungu kakhulu kunokuhlolwa kwegazi okuvela emthanjeni, kepha lobu buhlungu buvame ukuphela ngokushesha. Kungenzeka uphume igazi, ulimale, noma ube buhlungu lapho kufakwe khona inaliti. Yize izinkinga zingavamile, kufanele ugweme ukuphakamisa izinto ezisindayo amahora angama-24 ngemuva kokuhlolwa.

Isho ukuthini imiphumela?

Izinga eliphakeme le-lactic acid lisho ukuthi kungenzeka une-lactic acidosis. Kunezinhlobo ezimbili ze-lactic acidosis: uhlobo A nohlobo B. Imbangela ye-lactic acidosis yakho incike ekutheni unhloboni.

Uhlobo A luyindlela ejwayelekile kakhulu yokuphazamiseka. Izimo ezibangela uhlobo A lactic acidosis zifaka:

• I-Sepsis
• Ukushaqeka
• Ukwehluleka kwenhliziyo
• Isifo samaphaphu
• Ukushoda kwegazi

Uhlobo B lwe-lactic acidosis lungabangelwa esinye salezi zimo ezilandelayo:

• Isifo sesibindi
• Umdlavuza wegazi
• Isifo sezinso
• Ukuzivocavoca okunzima

Uma unompompi womgogodla ukuhlola ukutheleleka kwe-meningitis, imiphumela yakho ingakhombisa:

• Amazinga aphezulu e-lactic acid. Lokhu mhlawumbe kusho ukuthi une-bacterial meningitis.
• Amazinga ajwayelekile noma aphakeme kakhulu e-lactic acid. Lokhu mhlawumbe kusho ukuthi unohlobo lwegciwane lesifo.

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kwe-lactic?

Imithi ethile idala ukuthi umzimba wenze i-lactic acid eningi kakhulu. Lokhu kufaka phakathi ezinye izindlela zokwelapha i-HIV kanye nomuthi wesifo sikashukela sohlobo lwesibili okuthiwa i-metformin. Uma uthatha noma iyiphi yale mithi, ungaba sengozini enkulu ye-lactic acidosis. Khuluma nomhlinzeki wakho wezempilo uma ukhathazekile nganoma imiphi imithi oyiphuzayo.

Izinkomba

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Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.