Mmanya ketoacidosis

Ketoacidosis mmanya bụ ịmịpụta ketones n'ime ọbara n'ihi ị alcoholụbiga mmanya ókè. Ketones bụ ụdị acid na-akpụpụta mgbe ahụ mebiri abụba maka ike.

Ọnọdụ ahụ bụ nnukwu ụdị metabolic acidosis, ọnọdụ nke enwere oke acid n’ime mmiri mmiri.

Mmanya na-egbu egbu ketoacidosis bụ ị alcoholụbiga mmanya oke. Ọ na - apụtakarị na onye na - anaghị eri nri nke na - a drinksụ nnukwu mmanya n’ụbọchị.

Mgbaàmà nke mmanya ketoacidosis gụnyere:

• Ọgbọ na ọgbụgbọ
• Ime mgbu
• Mgbaghara, mgbagwoju anya
• Agbanwe nke ọkwa, nke nwere ike ibute kọma
• Ike ọgwụgwụ, mmeghari ngwa ngwa
• Miri, dọgburu onwe ya n'ọrụ, iku ume ngwa ngwa
• Loss nke agụụ
• Mgbaàmà nke akpịrị ịkpọ nkụ, dị ka ubé, isi awọ, na akpịrị ịkpọ nkụ

Ule nwere ike ịgụnye:

• Ọbara ọbara ọbara (na-atụle ogo acid / isi na ikuku oxygen n'ọbara)
• Ọbara mmanya n'ọbara
• Ọbara ọbara na ule ọrụ umeji
• CBC (ọbara zuru ezu), tụọ ọbara ọbara na ọbara ọcha, na platelet, nke na-enyere ọbara aka ịgbanye
• Oge Prothrombin (PT), na - etinye ọbara ọgbụgba, na - abụkarị ihe na - adịghị mma site na ọrịa imeju
• Ọmụmụ Toxicology
• Mmiri ketere

Ọgwụgwọ nwere ike ịgụnye oke mmiri (nnu na mmiri ọgwụ) nke enyere site na akwara. Ọ nwere ike ịdị gị mkpa ịnwale ule ọbara ugboro ugboro. May nwere ike ịnweta ihe mgbakwunye vitamin iji gwọọ nri na-edozi ahụ nke ị alcoholụbiga mmanya ókè.

A na-anabatakarị ndị nwere ọnọdụ a n'ụlọ ọgwụ, mgbe mgbe na ụlọ ọrụ kpụ ọkụ n'ọnụ (ICU). Acoụrụma na-akwụsị iji nyere mgbake. Enwere ike inye ọgwụ iji gbochie mgbaàmà iwepụ mmanya.

Nlekọta ahụike ngwa ngwa na-eme ka echiche zuru ezu. Kedu oke ihe ọ theụ alcoholụ mmanya na-aba n'anya dị, yana ọnụnọ nke ọrịa imeju ma ọ bụ nsogbu ndị ọzọ, nwekwara ike imetụta echiche ahụ.

Nke a nwere ike ịbụ ọnọdụ na-eyi ndụ egwu. Nsogbu nwere ike ịgụnye:

• Coma na ọdịdọ
• Ọbara afọ
• Pancreas na-efe efe (pancreatitis)
• Ọrịa oyi

Ọ bụrụ na gị ma ọ bụ onye ọzọ nwere mgbaàmà nke mmanya na-egbu egbu ketoacidosis, chọọ enyemaka ahụike mberede.

Kwụsịlata ihe ọ ofụ alcoholụ na-aba n’anya ị ga-a mayụ nwere ike inye aka gbochie ọnọdụ a.

Ketoacidosis - mmanya na-egbu egbu; Mmanya na-aba n'anya - mmanya na-egbu egbu ketoacidosis

Finnell JT. Ọrịa na-egbu egbu. Na: Mgbidi RM, Hockberger RS, Gausche-Hill RM, eds. Ngwọta Mberede nke Rosen: Echiche na usoro ọgwụgwọ. Agba nke 9. Philadelphia, PA: Elsevier Saunders; 2018: isi 142.

Nke anọ JL. Ọrịa Acid-base. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke iri abụọ na ise. Philadelphia, PA: Elsevier Saunders; 2016: isi 118.