Metabolic Acidosis: Zviratidzo neMarapirwo.

Acidosis - rudzi kutyora asidhi-nechigadziko zvakanakanaka mumuviri. The kuratidzwa chikuru - Mhedziso kana hama zvakawandisa acids. Zvichienderana ph, rinoreva wevasungwa rehydrogen ions muropa riri kwoita acidosis ndanyarara hangu uye decompensated. Izvi zvinoenderana zvakawandisa acids uye kugadzirisa zviri vasiri uye physicochemical murau zvigadziriswe.

Kusiyanisa kufema uye metabolic acidosis.

Respiratoria acidosis kunoitika nokuda hypoventilation sezvo migumisiro nechepakati tsinga uyewo nokuda neuromuscular zvirwere, pulmonary edema, mabayo, pulmonary insufficiency.

Metabolic acidosis runoratidzwa mukuderedza ropa ph uye bicarbonate kudzikira yeplasma tigutsikane nokuda kurasikirwa bicarbonate kana kuwedzera zviri zvimwe acids. Kukurumidza mharuro Mabatirwo metabolic acidosis kunogona kutungamirira arrhythmias uye cardiac kusungwa. Zvinokonzera metabolic acidosis, zvakasiyana. An chidhakwa ketoacidosis, chirwere cheshuga ketoacidosis, lactic acidosis, chepfu pamwe methyl doro, ethylene glycol salicylate, renal kukundikana, manyoka, kushandisa mamwe mishonga, kugara kudyiwa acidic zvokudya.

Kana murwere ane acidosis, zviratidzo zviri nyore kusiyanisa kubva zviratidzo runotikurudzira chirwere uye akanyatsojeka akafanana navo, izvo zvinopa dambudziko guru kuti chiremba ari kurwara nacho urongwa. Acidosis ari lightweight muchimiro Rwako, kazhinji pasina zviratidzo. Dzimwe nguva acidosis kwakadaro zviratidzo akaratidza munyoro svoto kana kurutsa, zvishoma kuneta. Zvakakomba chimiro metabolic acidosis kunoratidzwa nechitarisiko gipernoe. Kana gipernoe kutanga zvakawedzera kudzika kufema, uye ipapo maitikiro kwayo. In chirwere cheshuga acidosis anogona kuderera mari ETSZH (extracellular (extracellular) Urume). Ndizvowo zvinoitika kana kurasikirwa nezvigadziko gastrointestinal zvomudumbu hurongwa. dzimwe nguva In zvakakomba acidosis ari kuchengetwa kweropa kuvhunduka, zvichiguma kubva kutyorwa myocardial contractility. Zvinogona hwakaipa, kana neromuromo soporous mamiriro.

Kuchangotanga nokufungirana kuvapo acidosis chinhu zvaikosha kupfuura kuongorora. Kuongorora rukasimbiswa arterial ropa gasi sezvamunoita, urinalysis chiri kuitwa panguva ph uye kuongorora serum electrolytes. Zvidzidzo izvi vanokwanisa kuratidza kuvapo kana kusavapo metabolic acidosis, vanyatsoona ayo chikonzero.

Kana acidosis ari kuona, kurapwa iri kazhinji kuitwa muna kunzwisisa: akaruramisa afemeruke vanyatsopedza causative chinhu, electrolyte zvirwere, kuvandudza ropa rheology, normalize kuparadzirwa ropa, zvinyama oxidation pezvakaitwa kubvisa kupererwa neropa uye hypoproteinemia. Nokuti chinangwa ichi, pakutanga kwezvose, vakashandisa alkali zvingaitwa. Acidosis pamwe ndanyarara hangu kushandisa yavaibvisa hydrogencarbonate, nicotinic iine acid hydrochloride, cocarboxylase. Kunorapwa chakakomba acidosis uncompensated vakatapwa alkalizing aizomupa jekiseni rine yavaibvisa bicarbonate vari kunzwisisa pamwe trisamin.

Panguva Kushandisa zvinodhaka zvakafanira kudzora zviratidzo zviri asidhi-nechigadziko mwero uye panguva imwe chete kuona ionogram. Izvi zvinoitwa kuitira kudzivisa matambudziko kubva pakushandisa alkalizing mhinduro.

Saka, metabolic acidosis rakanyatsojeka kunzwisisa uye chirwere chakakomba. kurapwa ake rinoitwa muchipatara pasi kuramba pokudzora chiremba. Dzokuzvirapa hazvisi zvakakwana zvisingagamuchirwi uye kunogona zvakakomba zvoutano. No nguva chirwere - ichi haisi nguva mharuro kurapwa.