Lactic acidosis

Lactic acidosis na-ezo aka lactic acid dị n’ime ọbara. A na-emepụta lactic acid mgbe ogo oxygen, dị obere na sel n'ime akụkụ ahụ ebe metabolism na-ewere ọnọdụ.

Ihe kachasị akpata lactic acidosis bụ ọrịa ahụike siri ike nke ọbara mgbali dị ala na obere oxygen na-eru anụ ahụ. Mmega ahụ siri ike ma ọ bụ nkwutọ nwere ike ibute ọrịa lactic acidosis nwa oge. Diseasesfọdụ ọrịa nwekwara ike ịkpata ọnọdụ gụnyere:

• Ọrịa AIDS
• Mmanya na-egbu egbu
• Ọrịa cancer
• Ọrịa cirrhosis
• Nsi egbu Cyanide
• Akụrụ ọdịda
• Iku ume iku ume
• Sepsis (ọrịa siri ike)

Medicinesfọdụ ọgwụ anaghị enwe ike ibute lactic acidosis:

• Fọdụ ndị na-ekuru ikuku na-agwọ ụkwara ume ọkụ ma ọ bụ COPD
• Epinephrine
• Ọgwụ nje a na-akpọ linezolid
• Metformin, nke a na-eji agwọ shuga (ọ na-abụkarị mgbe a na-atụgharị ya)
• Otu ụdị ọgwụ eji agwọ ọrịa HIV
• Propofolụ

Mgbaàmà nwere ike ịgụnye:

• Ọgbụgbọ
• Akpịrị
• Adịghị ike

Ule nwere ike ịgụnye ule ọbara iji chọpụta ọkwa lactate na electrolyte.

Isi ọgwụgwọ maka lactic acidosis bụ iji dozie nsogbu ahụike nke na-akpata ọnọdụ ahụ.

Palmer BF. Metabolic acidosis. Na: Feehally J, Floege J, Tonelli, Johnson RJ, eds. Comprehensive Clinical Nephrology. Nke isii. Philadelphia, PA: Elsevier; 2019: isi 12.

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.

Strayer RJ. Ọrịa Acid-base. Na: Mgbidi RM, Hockberger RS, Gausche-Hill M, et al, eds. Ngwọta Mberede nke Rosen: Echiche na usoro ọgwụgwọ. Agba nke 9. Philadelphia, PA: Elsevier Saunders; 2018: isi 116.