I-Lactic acidosis ingumphumela omubi wezimo ezimbalwa okuhlanganisa nesifo sikashukela. Kodwa kukhona nezinye izimbangela ezisiholela ekuhluphekeni kwalo mphumela omubi futhi sizozazi ngokuningiliziwe kuwo wonke lo mbhalo. Phakathi naso sizogcizelela ukuvakashela udokotela nokuhlolwa minyaka yonke, ngoba kunezifo ezithile okuthi uma zisheshe zibonakale, maningi amathuba okuthi ziqedwe.
Bambalwa kakhulu abaziyo ukuthi iyini i-lactic acidosis, izimbangela zayo, okungukuthi, yini eyenza sibe nalesi simo esibucayi, ukuthi sitholakala kanjani, uma selashwa noma cha, nokuthi singasivimbela yini. Endabeni yabantu abanempilo futhi abangenazo izifo eziyingozi ezifana nesifo sikashukela, isibonelo, kubalulekile ukwazi ukuthi i-lactic acidosis ingavinjelwa yini noma sikhululekile ngaphandle uma sihlushwa ezinye zezimbangela zayo.
Kubalulekile thola ukuhlolwa kwaminyaka yonke noma njalo eminyakeni emibili. Uma sithi ukuhlolwa, sibhekisela ekuhlolweni kwegazi eliphelele, ukuhlolwa kombono, i-audiometry, ukuvakashela udokotela wezifo zabesifazane, i-electrocardiogram, ukuhlolwa kokumelana namaphaphu, njll.
Konke lokhu kuzosisiza ukuthi sithole izinto ezididayo ezingaba yizinkinga zesikhathi eside futhi kube ukuqala kwesifo. Kumele sivakashele udokotela kungakhathaliseki ukuthi kukhona esikuqaphelayo noma cha, ngoba ukungayiboni akusho ukuthi ayikho.
Iyini i-lactic acidosis?
Kuyi-pathology ebhekisela esimweni esingavamile esikhiqizwa ukweqisa kwama-acids ezicutshini zegazi. Leyo lactic acid etholakala egazini ikhiqizwa nini amazinga oksijini ayancipha emangqamuzaneni Zitholakala ezindaweni zomzimba lapho i-metabolism yenzeka khona.
Kunezinhlobo ezimbili ngempela ze-acidosis futhi kuzoba udokotela ozonquma ukuthi yisiphi isifo esibhekene naso, nakuba ngezansi sizochaza kafushane uhlobo ngalunye ukuze sithole ukuthi, kuye ngendlela yethu yokuphila noma isimo sezempilo, singaba ne-acidosis noma cha:
- Isifo sikashukela i-acidosis: Kuvela lapho kukhona ukunqwabelana kwama-ketone noma ama-asidi emzimbeni wethu. Futhi lapho uhlushwa isifo sikashukela i-hyperchloremic, esivela ngenxa yokulahlekelwa ngokweqile kwe-sodium bicarbonate emzimbeni.
- I-Lactic acidosis: i-lactic acid eyeqile futhi ingavela emikhubeni emibi yokuphila, njengokudakwa noma ukuphazamiseka kwemikhuba yokudla.
Izinkinga ezinkulu ze-lactic acidosis
Sonke isifo noma isimo esiphathelene nempilo sinochungechunge lwezimbangela ngezinye izikhathi esingaziniki ukubaluleka kwazo, noma imbala sizibangela thina ngaphandle kokuqaphela imiphumela engase ibe khona.
- Ukuphuza utshwala ngokweqile.
- Ukwehluleka kwesibindi.
- Yenza ukuvivinya umzimba kuze kube yilapho ukhathala.
- Uhlushwa ukuquleka.
- Yiba nesifo sohudo esinamandla.
- Umdlavuza.
- Ingculazi.
- Isifo sokuqina kwesibindi.
- Ubuthi be-cyanide.
- Ukwehluleka kwezinso kanye/noma ukuphefumula.
- I-Sepsis (isifo esibi kakhulu).
Ezinye zalezi zimbangela zincike kithina kuphela, indlela yethu yokuphila kanye nezinqumo zethu, yingakho siphinde sincoma ukudla okuhlukahlukene nokunomsoco okuhambisana nemikhuba yokuphila enempilo kude nemikhuba emibi kanye nokweqisa.
Lezi izimpawu zayo ezivame kakhulu
Uma sibona ukuthi ezinye zalezi zimbangela zihambisana nemicimbi yakamuva kanye/noma nendlela yethu yokuphila, sekuyisikhathi sokwazi izimpawu ezivame kakhulu ze-lactic acidosis ukuze sihlole ukuxilongwa okuncane, kodwa okubaluleke kakhulu ukuzibeka ezandleni zethu. kadokotela ngokushesha ngangokunokwenzeka.
- Ukuphefumula ngokushesha okukhulu.
- hyperventilate njalo.
- Thatha umoya ojulile noyaluza.
- Ukuzizwa ukhathele njalo
- Ukuba nezinhlungu ezithambile nezimaphakathi emathanjeni nasemalungeni.
- ukucasuka
- Uhlushwa izifo zesisu.
Kukhona okungadingeki ukuthi kuhambisane nesimo esiyinhloko salesi sihloko, singamane sibe nosuku olubi, sikhathele ukusebenza kanzima izinsuku ezimbalwa noma ukulala kancane, ukuzwa ukuphefumula okusheshayo ngenxa yokucindezeleka, ukwethuka noma ukwesaba izinguquko ezithile. , njll.
Uma sikhuluma ngezimpawu, sisho ukuthi zonke lezi zingenzeka kanyekanye, noma ezinye kuphela, noma eyodwa nje, futhi kungenzeka ukuthi icala lethu alivamile futhi izimpawu azihlangani.
Ukuxilongwa nokwelashwa kwe-lactic acidosis
Kuzoba i-endocrinologist enquma ukuthi siyaphathwa yini lesi simo noma cha, hlobo luni esinalo nokuthi singasilungisa kanjani. Ukuze enze lokhu, uzokwenza uchungechunge lokuhlola okuyizilinganiso zegesi legazi, ukulawula ukuhlushwa kwe-electrolyte, enze igebe le-anion, igebe elibaliwe le-delta futhi alinganise izinga le-lacto egazini.
Mayelana nokwelashwa, into eyinhloko ukuthola ukuthi yini ebangele. Ukuze senze lokhu, kufanele siye emsuka, okungukuthi, ezimbangela futhi kulapho Sincoma ukuthi ungaqambi amanga kudokotela noma ugcine imininingwane. Njengoba ukuxilonga kwakho nokwelashwa kwakho kuzoncika ekuhlolweni kanye nolwazi esizokunikeza lona njengeziguli.
Kunezinye izindlela zokwelapha ezinezithako zamavithamini, kodwa asikukhuthazi ukuzelapha, kodwa kunalokho sizibeka ezandleni zochwepheshe futhi singakwazi (ngobuwula) ukubeka ukuphila kwethu engozini.
Sigcizelela ukuhola impilo enempilo nokuhlala kude namafutha agcwele kanye nama-trans, ukubekela eceleni amakhekhe asezimbonini, ukudla okugaywe kakhulu, ukungawadli amafutha acolisisiwe, ukunciphisa ukusetshenziswa kukashukela nosawoti, ukwenza umsebenzi womzimba olinganiselayo okungenani imizuzu engama-30 ngosuku okungenani izikhathi ezintathu. izikhathi ngeviki.
Kungavinjelwa?
Siphinda i impilo enempiloIyona ndlela kuphela yokuvimbela inqwaba yezifo, izifo kanye nezinkinga zempilo esingabhekana nazo nsuku zonke. Ngokuphathelene ne-lactic acidosis, okuwukuphela kwendlela yokuyivimbela ukuthi ungahlushwa yilezo zimbangela eziyibangelayo, ngakho-ke, ukungaphuzi utshwala, okungenani hhayi ngokweqile futhi njalo.
Kuzo zonke ezinye izimbangela, kungcono ukubonana nodokotela onguchwepheshe. Nguye kuphela ozokwazi ukusiqondisa ngendlela engcono kakhulu ukuze sibe nempilo enempilo futhi egcwele, ngaphandle kokuthatheka.
Njengomthetho ojwayelekile, uma singenazo izinkinga eziwumsuka ezifana nesifo samaphaphu noma sezinso noma izinkinga, i-acidosis enzima (yanoma yiluphi uhlobo) akufanele ikhule. Kodwa into engcono kakhulu ukuthi ungazethembi, ngakho-ke kungcono ukuphepha kunokuzisola, futhi ngokuhlolwa okulula kwaminyaka yonke sisindisa izinkinga eziningi.