Ukugqithiswa kwe-ase-based base-state, ebonakaliswe ngama-acids ngaphezu komzimba, kuthiwa yi-acidosis. Ukwahlula phakathi kokuhlawulwa kwemali kunye ne-acidosis. Kwimeko yokuqala, i-pH yegazi isondele kumda ophantsi wesiqhelo, kwaye okwesibini - kukho ukutshintshwa okuchaziweyo kwi-asidi, apho i-denaturation yamaprotheni yenzeka khona, ukungabikho kwemveliso ye-enzyme, ukutshabalaliswa kweeseli zamathambo. Ukuhambelana okunzima kweziinkqubo zokunxibelelana kunokukhokelela ekufeni.
Iingxaki zeMetabolic Acidosis
Isizathu esiphumeleleyo sokuphuhliswa kwale rhulumente saziwa - yi-oxidation yomzimba ngenxa ye-oksijini yindlala kunye nokungafanelekanga kwe-acid acids (ukungafanelekanga ukusebenza kwemiphunga, izintso kunye nezinye izitho zenkqubo ye-excretory) Inani lezinto ezibangela ukutshintshwa kwe-acid-base balance:
- ukungcola kokusingqongileyo;
- yokuphila;
- ukungena ngokukhawuleza kwomoya otsha;
- imikhuba engalunganga (ukutshaya, utshwala, njl.);
- ukutya okunokulinganisela.
Kufuneka kwenziwe icaciso ekugqibeleni kwezi zinto. Inyaniso kukuba kusekelwe kwigama lokuphula umthetho, abanye bacinga ukuba i-acidification ibangela ukutya okunamandla ukutya. Akunjalo. Ama-acids emzimbeni akhiwa ngenxa yokuphuka kwamafutha, i-hydrocarbons, iindidi ze-amino acid, njl. Izithelo kunye nemifuno, kunye nemifuno yemifuno iqukethe i-anions eyanciphisa i-acid acid.
I-acidosis enamandla kakhulu iyenzeka ngeemeko zokutshatyalaliswa komzimba ngenxa yokulimala kakhulu, ukutyhefuza , ukusetyenziswa kakubi kotywala, njl.
Iimpawu zeMetabolic Acidosis
Imiqondiso ye-acidosis yile:
- isicupunu, ukuhlanza:
- ukuhla kwamandla;
- i palpitation;
- kunyusa uxinzelelo lwegazi ;
- ukuphazamiseka kwenkqubo ye-nervous central (ukudideka, ukudideka).
Kufuneka kuqatshelwe ukuba ngeefom ezincinci ze-acidosis, ezi zimpawu ziyacinywa. Ukufumanisa ukuphulwa kwe-acid-bas balance base, ezi zilandelayo zifundo:
- urinalysis ukufumana i-pH;
- uhlalutyo lwe-gas composition of blood blood to determine pH;
- Uhlalutyo lwegazi lokuguqula ubukho be-electrolytes serum.
Unyango lwe-acidosis
Iingcali zigxininisa: unyango lwe-acidosis kufuneka luqhutywe kwinkimbinkimbi. Ekubeni kukho izifo ezingapheliyo kuyimfuneko ukuqhuba unyango kwisifo esingaphantsi kwesigxina esibangela ukutshintsha kwe-acid-base balance in body body. Kwimeko yokuphuhliswa kwe-acidosis echaphazelekayo, kufuneka umphumo wokujoliswa ukunciphisa impembelelo yezinto ezinobungozi, umzekelo, xa utyhefu, kuyimfuneko ukuhlamba isisu sesiguli. Kwi-poisonysis eyingozi, i-dialysis ingenziwa. Xa kwenzeka ukuphefumula, umzekelo, ngenxa yentleba enzima, i-ventilation yokufakelwa imiselwe.
Ukulungisa i-acidosis, i-intravenous fluids ibonisiwe. Kwiifom ezinzima, amalungiselelo e-sodium bicarbonate anqunyelwe ukuphakamisa izinga le-pH kwisiqhelo nangaphezulu. I-bicarbonate ye-sodium yongezwa kwisisombululo se-sodium chloride okanye i-glucose ngamanani athile, exhomekeke ekuphulaphuleni kwegazi. Izilungiso kwi-sodium zingenziwa ngokuncediswa yi-Trisamine ye-diuretic. Ekubeni kwintlalo ye-broncho-pulmonary system, i-diabetes mellitus okanye i-rickets, i-Dimephosphonum ingasetyenziswa.
Nceda nceda! Ukusetyenziswa kwamachiza okunyanga kwama-acidi-acid kufuneka kwenzeke phantsi kolawulo loogqirha oya kwiinkqubo, esilungelelanisa i-dynamics ye-acids kunye nezibonakaliso ze-alkali kwisicatshulwa.