Ọrịa Alkalosis

Ndinaya

• Gịnị bụ metabolic alkalosis?
• Ọgwụgwọ nke alkalosis metabolic
• Chloride na-anabata
• Chloride na-eguzogide
• Mgbaàmà nke metabolism alkalosis
• Kedu otu ahụ si akwụ ụgwọ maka metabol alkalosis
• Ugboro ngwo
• Akwụ ụgwọ akụrụ
• Ihe na-akpata metabolic alkalosis
• Nchoputa nke metabolism alkalosis
• Ghọta pH ọkwa
• Nyocha mmamịrị
• Metal alkalosis na hypochloremia
• Outlook nke metabol alkalosis

Gịnị bụ metabolic alkalosis?

Metabolic alkalosis bụ ọnọdụ na-eme mgbe ọbara gị ghọrọ oke alkaline. Alkaline bụ nke na-abụghị nke acidic.

Ahụ anyị na-arụ ọrụ nke ọma mgbe acidic-alkaline nguzozi nke ọbara anyị dị ntakịrị ntakịrị ihulata n'ebe alkaline ahụ.

Alkalosis na-eme mgbe ahụ gị nwere:

• ọtụtụ ion na-emepụta alkali
• obere ion hydrogen na-emepụta acid

Ọtụtụ ndị anaghị enwe ihe mgbaàmà ọ bụla nke metabolic alkalosis, yabụ na ị gaghị ama na ị nwere ya.

Metabolic alkalosis bụ otu n'ime ụdị anọ nke alkalosis. E nwere ụzọ abụọ nke metabolic alkalosis:

• Alkalosis na-anabata chloride na-esi na ọnwụ nke ion hydrogen, na-abụkarị site na ịgba agbọ ma ọ bụ akpịrị ịkpọ nkụ.
• Alkalosis na-eguzogide ọgwụ chloride Nsonaazụ mgbe ahụ gị na-ejide ọtụtụ ion bicarbonate (alkaline), ma ọ bụ mgbe enwere ion ion hydrogen site na ọbara gị na sel gị.

E nwekwara ọnọdụ a na-akpọ metabolic acidosis nke na-eme mgbe ọbara gị ma ọ bụ mmiri mmiri na-egbu acidic.

Ahụ gị na-akwụ ụgwọ maka alkalosis na acidosis tumadi site na ngụgụ gị. Akpa ume na-agbanwe alkalinity nke ọbara gị site na ikwe ka carbon dioxide belata ma ọ bụ obere ka ị na-eku ume. Akụrụ na-arụkwa ọrụ site na ịchịkwa mkpochapụ nke ion bicarbonate.

Ọgwụgwọ dị mkpa mgbe ihe ndị a sitere n'okike nke ịkwụ ụgwọ ezughị.

Ọgwụgwọ nke alkalosis metabolic

Ọgwụgwọ maka alkalosis metabolic na-adabere na alkalosis gị
chloride na-anabata ma ọ bụ na-eguzogide chloride. Ọ dabere na ihe kpatara akpata alkalosis.

Chloride na-anabata

Ọ bụrụ na ị nwere naanị alkalosis na-anabata chloride dị nro, ị nwere ike ịme mgbanwe na nri gị, dị ka ịbawanye nnu gị (sodium chloride). Ion ion chloride ga-eme ka ọbara gị bụrụ acidic ma belata alkalosis.

Ọ bụrụ na dọkịta gị achọpụta na alkalosis gị chọrọ nlebara anya ozugbo, ha nwere ike ịnye gị IV (intravenous ntapu) nwere saline solution (sodium chloride).

An IV bụ ihe fọrọ nke nta enweghi mgbu usoro. Ọ gụnyere itinye obere agịga n'ime akwara na ogwe aka gị. Agịga ahụ na - ejikọta eriri ya na akpa na - adịghị ọcha nwere nnu na - agbaze na mmiri. A na-emekarị nke a n'ụlọ ọgwụ.

Chloride na-eguzogide

Ọ bụrụ na ị nwere alkalosis na-eguzogide chloride, ahụ gị nwere ike belata nke potassium. Ngwunye sodium chloride agaghị enyere gị aka ma nwee ike ime ka ihe ka njọ. Dọkịta gị ga-achọ ụzọ isi bulie potassium.

Nwere ike ịbawanye ogo potassium gị site na:

• ị takingụ ọgwụ nwere potassium chloride ugboro abụọ ma ọ bụ anọ kwa ụbọchị (n'okpuru ntụzịaka dọkịta)
• ịnata potassium chloride intravenously

Mgbaàmà nke metabolism alkalosis

Metabol alkalosis nwere ike ghara igosi ihe mgbaàmà ọ bụla. Ndị nwere ụdị alkalosis a na-emekarị mkpesa banyere ọnọdụ ndị na-akpata ya. Ndị a nwere ike ịgụnye:

• agbọ agbọ
• afọ ọsịsa
• ọzịza na ụkwụ ala (edema elu)
• ike ọgwụgwụ

Nsogbu siri ike nke metabol alkalosis nwere ike ibute:

• obi erughị ala
• enweghị atụ
• ọdịdọ
• coma

Ihe mgbaàmà siri ike na-adịkarịkarị mgbe alkalosis kpatara ọrịa imeju na-adịghị ala ala.

Kedu otu ahụ si akwụ ụgwọ maka metabol alkalosis

Akụkụ abụọ na-enyere aka ịkwụ ụgwọ maka metabol alkalosis - ngụgụ anyị na akụrụ anyị.

Ugboro ngwo

Ahụ anyị na-emepụta carbon dioxide mgbe anyị gbanwere nri anyị na-eri n’ime ume n’ime sel anyị. Mkpụrụ ndụ ọbara uhie dị na akwara anyị na-ekuru carbon dioxide ma buru ya gaa n’akpa ume anyị ka e wee kupụ ha.

Mgbe carbon dioxide gas na-agwakọta na mmiri dị n'ọbara, ọ na-abụ obere acid, nke a na-akpọ carbonic acid. Carbon acid na-ekewawa n’ime ion ion na hydrogen bicarbonate. Ion Bicarbonate bụ alkaline.

Site n'ịgbanwe ọnụego iku ume, anyị nwere ike ibuli ma ọ bụ belata ịta nke alkaline bicarbonate ion ndị ahụ ga-adị n’ime ọbara anyị. Ahụ na-eme nke a na akpaghị aka na usoro akpọrọ iku ume iku ume. Nke a bụ azịza mbụ na ngwa ngwa nke ahụ.

Iji mezuo alkalosis, a na-eziga mgbaàmà iji belata usoro iku ume.

Akwụ ụgwọ akụrụ

Akụrụ nwere ike inyere aka ịlụ ọgụ alkalosis site na ịba ụba excretion nke ion bicarbonate site na mmamịrị. Nke a bụkwa usoro akpaka, mana ọ dị nwayọ karịa iku ume iku ume.

Ihe na-akpata metabolic alkalosis

Ọnọdụ dị iche iche dị iche iche nwere ike ibute metabolism alkalosis. Ndị a gụnyere:

Ọnwụ nke asịd afọ. Nke a bụ ihe kachasị akpata metabolic alkalosis. A na-ebutekarị ya site na ịgbọ agbọ ma ọ bụ mmịpụta site na tube na-eri nri imi.

Mmiri gastric nwere nnukwu ọdịnaya nke hydrochloric acid, acid siri ike.Ọnwụ ya na-akpata mmụba nke alkalinity nke ọbara.

Ihe ọgbụgbọ ahụ nwere ike ịpụta n'ọtụtụ ọrịa afọ. Site na ịchọpụta na ịgwọ ihe kpatara ọgbụgbọ ahụ, dọkịta gị ga-agwọ alkalosis metabolic.

Ngafe nke antacids. Ojiji nke antacid agaghi ebute ndu nke alkalosis. Ma ọ bụrụ na ị nwere akụrụ na-adịghị ike ma ọ bụ na-ada ada ma jiri antacid na-enweghị ike ịkọwapụta, ọ nwere ike iweta alkalosis. Antacids na-enweghị ike ịnwe mmanụ nwere hydroxide ma ọ bụ magnesium hydroxide.

Diurek. Difọdụ diuretics (mkpụrụ ọgwụ mmiri) nke a na-edekarị maka ọbara mgbali elu nwere ike ime ka urinary acid secretion. Nnukwu secretion nke acid na mamịrị nwere ike ime ka ọbara gị bụrụ alkaline.

Ọ bụrụ na alkalosis gosipụtara mgbe ị na-a drugsụ ọgwụ ọjọọ dịka thiazide ma ọ bụ loop diuretics, dọkịta gị nwere ike ịgwa gị ka ị kwụsị.

Potassium na-erughi (hypokalemia). Enweghi nke potassium nwere ike ime ka ion ion hydrogen na-adịkarị na mmiri gburugburu mkpụrụ ndụ gị ka ọ gbanwee n'ime sel. Enweghị acid ion hydrogen na-eme ka mmiri gị na ọbara ghọọ alkaline.

Mbelata nke ọbara na akwara (EABV). Nke a nwere ike si na obi esighi ike na cirrhosis nke imeju. Mbelata nke ọbara na-emebi ikike ahụ gị iji wepu ion alkaline bicarbonate.

Obi, akụrụ, ma ọ bụ imeju imeju. Metal alkalosis nwere ike kpatara site na ọdịda nke nnukwu akụkụ, dị ka obi gị, akụrụ, ma ọ bụ imeju. Nke a na - eduga na mmebi nke potassium.

Ihe eji edozi saline (sodium chloride) nwere ike ime ka ihe ka njọ site na ime ka ahụ gị na-ejigide mmiri mmiri n'ebughị iwepu ion nke bicarbonate nke na-akpata alkalosis.

Ihe butere mkpụrụ ndụ ihe nketa. N'ọnọdụ ndị na-adịkarịghị adị, mkpụrụ ndụ ihe nketa e ketara eketa pụrụ ịbụ ihe na-akpata metabolism alkalosis. Ọrịa ise e ketara eketa nwere ike ibute alkalosis metabolic bụ:

• Ọrịa Bartter
• Ọrịa Gitelman
• Ọrịa Liddle
• glucocorticoid na-agbanwe agbanwe aldosteronism
• ihe puru iche nke mineralocorticoid

Nchoputa nke metabolism alkalosis

Iji malite nchoputa, dọkịta gị ga-ewere akụkọ gbasara ahụike gị wee nye gị nyocha anụ ahụ.

Ọ bụrụ na ha na-enyo alkalosis, ha ga-anwale ọbara gị na mmamịrị gị. Ha ga-elele ogo oxygen na carbon dioxide na akwara gị wee tụọ acidity na alkalinity nke ọbara gị.

Ghọta pH ọkwa

A na-atụ acid ma ọ bụ alkalinity nke mmiri mmiri n'ọtụtụ na-akpọ pH. Na metabol alkalosis, pH ọbara gị dị elu.

Ihe kachasị anọpụ iche, mmiri, nwere pH nke 7. Mgbe pH nke mmiri mmiri dara n'okpuru 7, ọ na-aghọ acidic. Mgbe ọ dị elu karịa 7, ọ bụ alkaline.

Ọbara gị nwere pH site na 7.35 ruo 7.45, ma ọ bụ obere alkaline. Mgbe pH na-arị elu n'ụzọ dị elu karịa ọkwa a, ị nwere metabolism alkalosis.

Nyocha mmamịrị

Dọkịta gị nwekwara ike nwalee maka ịta nke chloride na potassium ion na mamịrị gị.

Mgbe ọkwa chloride dị obere, ọ na-egosi na ị nwere ike ịzaghachi ọgwụgwọ na nnu nnu. Obere obere nke nwere ike igosi ma ọ bụ enweghi nke potassium ma ọ bụ na-emebiga ihe ókè.

Metal alkalosis na hypochloremia

Hypochloremia pụtara na i nwere ntakịrị chloride ion n’ime ọbara gị.

Hypochloremic alkalosis bụ ọnọdụ dị njọ nke nwere ike itinye gị na ujo. O nwere ike ibute site na akpịrị ịkpọ nkụ na ihe ndị ọzọ.

N'ụzọ dị mma, enwere ike iji ọgwụgwọ saline (nnu) mee ya. Nke a nwere ike ibunye site na IV ma ọ bụrụ na ị nwere ikpe dị oke njọ, ma ọ bụ site na mgbanwe na nri gị n'ọnọdụ ndị dị nro.

Outlook nke metabol alkalosis

Metabolic alkalosis na-esikarị na oké ikpe nke agbọ na-eme ka ị ghara ị toụ mmiri acidic na afọ gị. Nke a nwere ike gbanwee ya site na iji ọgwụgwọ nnu.

O nwekwara ike ịbụ nsonaazụ nke ụkọ potassium ma ọ bụ ụkọ chloride. Enwere ike ịgwọ mmejọ ndị a site na mmiri ogwu n'akwara ma ọ bụ, n'ọnọdụ ndị dị nro, na mmezi usoro nri.

Casesfọdụ alkalosis na-ebute obi, akụrụ, ma ọ bụ imeju dị njọ. Ọ bụ ezie na alkalosis nwere ike gbanwee oge dị mkpirikpi, enwere ike ịgwọ ọnọdụ kpatara maka ọgwụgwọ na-adịgide adịgide.

Gaa dọkịta gị ma ọ bụrụ na ị na-enwe ọhụụ ọ bụla ma ọ bụ nke na-adịgide adịgide.