I-Lactic acidosis yimeko apho ininzi ye-lactic acid ingena kwigazi lomntu. Oku kunezizathu ezininzi. Eyona nto ixhaphakileyo yi-lactic acidosis kwi-diabetes mellitus ngexesha lokungeniswa kwizigulane ezine-biguanides, ezinciphisa kakhulu inqanaba leshukela egazini.
Iimpawu ze-lactic acidosis
I-Lactoacidosis iqala ngaphakathi kweeyure ezimbalwa nje. Kukho ngokuqinisekileyo akukho nabangaphambili beli qathango. Izigulane zinokuba neentlungu zentlungu kunye nentlungu emva kwe-sternum.
Iimpawu zokuqala ze-lactic acidosis - yintsholongwane ye-cardiovascular, eyona iqhutyiswa ngakumbi yi-acidity. Ngenxa yoko, utshintsho lunokuthi lube khona nakwikhontrakthi ye-myocardium.
Ukuqhubela phambili, i-lactic acidosis yenza ukuba kuvele ezinye iimpawu. Isigulane sibonakala:
- ukungakhathaleli ;
- ukuhlanza;
- ukulala okanye ukulala;
- intlungu yesisu;
- ukuphefumula ngokukhawuleza.
Ukuba kweli nqanaba le sifo alungagqirha kugqirha, ngoko kunokukho iintlobo zeempawu ze-neurological: areflexia, paresis kunye ne-hyperkinesia. Ngaphezu koko, isigulane siphefumula ngokukrakra (kunye nesimo salo mcimbi, iphunga le-acetone alikho). Umntu unokulahlekelwa ingqondo.
Kwezinye iimeko, iimpawu ze-lactic acidosis ziyintlupheko engabonakaliyo yamaqela ahlukeneyo emisipha, ukuthintela okanye ukukhubazeka kwemoto.
Unyango lwe-lactic acidosis
Ukuba unempawu okanye ezinye iimpawu zalesi sifo, kufuneka uqale uvavanyo lwegazi. Ukuhlolwa kwegazi kuphela kubonisa ukuba i-lactic acid content is increased kwaye i-reserve alkalinity iyaphantsi. Zizo zikhokelo ezibonisa ukuphuhliswa kwe-lactic acidosis emzimbeni.
Ukunyanga kwe-lactic acidosis ngokuyinhloko kujoliswe ekupheliseni ngokukhawuleza kwe-hypoxia kunye ngqo ne-acidosis. Isigulane kufuneka siphume ngokukhawuleza isisombululo se-bicarbonate ye-sodium (4% okanye 2.5%) kunye nomthamo we-2 litres ngosuku. Imbopheleleko yesi sifo yonyango ye-insulin okanye unyango olulodwa kunye ne- insulin . Njengoko unyango olongezelelweyo, i-carboxylase e-intravenous, i-plasma yegazi kunye nezilwanyana ezincinane ze-heparin ziyasetyenziswa.
Kuyimfuneko kakhulu ukuphelisa ngokukhawuleza imbangela ye-lactic acidosis. Ukuba ukubonakala kwaloo mqathango kubangele iMetformin, ngoko kwamkelwa kwakhe kufuneka kumiswe.