Alkalosis - he aha te mea te reira? Alkalosis: take, tohu me te maimoatanga

Alkalosis āhuatanga e huringa i roto i te toenga waikawa-turanga i roto i te tinana i roto i nei te nui nui haere o matū kawakore. He onge nui ki te whakapataritari huringa nui i roto i te mahi o ngā pūnaha tinana katoa tenei mate. Kia whakawhanake i roto i disorders kūnatu, injuries i roto i te wā postoperative me i roto i ventilation aunoa.

Alkalosis - he aha te mea te reira?

Alkalosis Ko te tāne i roto i te hanganga o te pūnaha papare o te tinana. I roto i tenei take, toto alkali timata ki mua roa i runga i te waikawa me nui haere te pH te. Ki te, i runga i te anga ke, mua roa waikawa mo nga whenua, e whakaatu reira ki te whanaketanga o te acidosis - acidification o te tinana, i te mea nui alkalosis atu mōrearea, me te pānga kaha i runga i te mahi o ngā pūnaha katoa.

Te wehe alkalosis utua, me te uncompensated. I roto i te take tuatahi, e kore e te huringa i roto i te pauna waikawa-turanga haere ki tua atu i te tawhā e he manakohia mo te mahi noa o te tinana (7.35-7.45), a hohoro tonu o i te whakauru pūhaumāota me te māori o te āhua noho me te kai tōtika.

A, no te nui o te pH te mata o 7.45, i reira he alkalosis uncompensated. He aha te mea te reira? Ko te tangata ki tenei tohu o te toenga waikawa-turanga ko te takahi o te mahi noa o ngā pūnaha tinana katoa. I roto i ngā, i reira e raruraru ki te Cardiovascular, romahā, kūnatu me ngā pūnaha io.

He aha te mea he takahi o te toenga waikawa-turanga i roto i te tinana

Ko te tinana tangata, ko te huarahi tonu e whakahaere oraraa taatoa pūnaha moka noa, triggering etahi tukanga ki te haerenga i te toenga waikawa-kawakore. Kai e kua kai rā, tika pā te pH.

I roto i te take o te ofatiraa o te waikawa-turanga toenga o āhua taea e rua o te taiao ā-- acidosis alkalosis ranei.

Alkalosis - alkalization o te tinana. I roto i te pūnaha wai ka taea pūhui kawakore, me te he nui atu i 7.45 te pH.

Acidosis - acidification o te tinana. Ko te huru kino no te mea he ātete atu ki te alkali atu waikawa ātete te tinana. Ko te aha hoki tetahi huringa i roto i te wahi tuatahi, whakahau kaiwhakaako he kai, āwhina ana ki te haerenga i te pH.

Ko te tikanga o huringa i roto i te tinana i te pH teitei

Hei whakautu tika ki ngā huringa i roto i te hauora koutou, me mohio koutou alkalosis pehea kino. ai te reira i disorders hemodynamic: hekenga i roto i te pēhanga toto, auau ngakau, rere toto kaka, me te coronary. Mai i te pūnaha kūnatu he hekenga i roto i te motility intestinal, meinga kōroke.

Puta whanoke, taka rawatanga anō tupu syncope, leva te pokapū romahā. Nui haere kārangirangi manavasii, puta uaua hypertonicity, e taea tae ake ki hukihuki, me te tetany.

momo alkalosis

Tei runga i te takenga mai o te mate, i reira e toru ngā rōpū o te alkalosis:

• Gas - puta ina hyperventilation. kukū hāora nui ake i roto i te faaururaa whakatairanga excretion nui o te hauhā i roto i launoa. huaina ana tēnei māuiuitanga ko alkalosis romahā. kia hoki puta toto mate ka, whara matenga, pānga i runga i te kaiao o ngā taero (metrazole, kawhe, tāoke koiora).
• Non-hau - he maha ngā momo, ia o nei whanake i roto i etahi huru motuhake, me te ai huringa i roto i te rauropi.
• Mixed - puta ka te whara upoko e meinga hāhā o manawa, ruaki, hypocapnia.

He mea tino nui ki te tātari alkalosis. He aha te mea te reira? Ko nga mea katoa te take, te mate ai huringa tamau i roto i te mahi o ngā pūnaha faufaa.

Puka alkalosis kore-haurehu waihā

Non-hau alkalosis wehea ki puha, pūkoro tinana me te exogenous.

Puha - puta ki whakahaere ma'i o Diuretics, mate tākihi, fistula pekitīlia, ruaki whakarihariha (i roto i nei he maha nui o ngaro wai pekitīlia), disorders endocrine (take konutai pupuri i roto i te tinana).

whakawhanake alkalosis exogenous ki te kai tōtika rawakore, ka supersaturated alkali kai katoa ka whakahaere ki te konutai hauwai tangata ki te whakaiti i puku kawatanga.

Pūkoro - whakawhanake i te āhuatanga onge i roto i te ofatiraa o ngā tukanga pūkoro e pā electrolytes. Ka taea e tēnei huru e congenital (takahi o kawehiko utu ture), ki te whakawhanake i muri i te pokanga nui pāngia i roto i ngā tamariki e mate ana i te kōiwi ranei.

A, no te heke te tangata alkalosis auau ngakau, me te makaka te pēhanga, ka tupuheke huru whānui, me heke te kakama tonu e whai ana i ngoikore. Ki teie mau faaiteraa me tuatahi faaore alkalosis. Tohu autaki anake tohu te ofatiraa o te pH me te hiahia ki te kia whakapumautia i roto i te whakamātautau o te tinana.

Ko te take o te alkalosis

whakawhanake Alkalosis i raro i te mana o ngā āhuatanga exogenous me endogenous. Meinga alkalosis hau he hyperventilation. I roto i tenei take i reira ko te horomanga hāora nui haere a, no reira, whakakorenga nui o te hauhā.

maha Alkalosis Puta i te wā postoperative. Ko e tika ana ki te vaivai o te tinana tenei i roto i te pokanga me raro i te mana o te rehunga. Ka taea e Gas alkalosis meinga takawhita, hemolysis, kōiwi i roto i ngā tamariki me mariao puku.

Ko te take o te alkalosis kore-haurehu waihā - he kore maha atu o wai pekitīlia ranei. Tetahi huringa arahi ki te rangirua o te toenga waikawa-turanga.

Pūkoro taero take alkalosis e whakanui i te ihirangi alkali i roto i te tinana. Te whakatairanga i te whanaketanga o te māuiuitanga me te whakamahi o ngā hua ki te ihirangi tiketike o turanga ruaki tamau ranei, meinga mate tere o te māota.

tohutanga o te mate

Ko te tohu tuatahi o te alkalosis hau e nui haere manukanuka me te oaoa. Te āmai manawanui, whakarongo, me te mahara whiwhi kino, i reira paresthesias o te mata, me pito, i reira he ngenge tere o tetahi kōrero. I tua atu, i reira te mea he momoe, maroketanga, koma kiri (e taea te whakawhanake pera-ka karanga "cyanosis hina").

āhuatanga alkalosis pūkoro e pāhoahoa auau, sleepiness, pupuhi o wahi me haehae, lethargy, tau'a ki te ao i waho, mate o hiahia, disorders kūnatu. kia puta te kiri hikaka, riro te reira maroke me te koma.

Alkalosis: Diagnosis o te mate

I runga i te pūtake o ngā āhuatanga o waho, me nga tohu matua kore e taea te pāngia. Ki te tāutu i maumaui o te toenga waikawa-turanga i roto i te tinana, ko te tika ki te whakahaere i te whakamātautau ki tonu (haere mimi, toto, mahi he hiko-).

Haunga te paerewa, whakaatu ana te tātaritanga o te toto te whakamahi i "moroiti-Astrup" ranei pH-mita, whakamātautau mikrogazometrichesky. alkalosis Identification, no te whakatakoto te tākuta he maimoatanga tika e hāngai ana te whakakore i nga take pakiaka o tohumate me te neutralization muri.

maimoatanga alkalosis

maimoatanga hau alkalosis ko te whakakorenga o te hyperventilation. whakaritea te manawanui te tukanga i inhalation o ngā ranunga te hauhā (hei tauira, carbogen) ki te whakahoki noa toenga waikawa-turanga.

Peia atu o nga take o te tāne i - te mea tuatahi e hiahia ana ki te kia meatia ki te whakakore i te alkalosis. kia hono tohu me te maimoatanga, ka hohoro ka e haamou i te tauwhatinga o te mahi o nga pūnaha papare o te tinana.

Hei whakakore i te alkalosis kore-haurehu waihā tono rongoā o te haukini pūhaumāota, pāhare pāporo, konupūmā, taiāki. Ko reira taea hoki ki te whakauru i taero, e pehi i te mahi o te anhydrase carbonic me ngā excretion mā te katote konutai pūnaha mimi, me te hauwai pākawa waro.

E falemahaki tonu te iwi alkalosis e whakawhanakehia ki te papamuri o pathologies nui. alkalosis pūkoro pâmuhia whakahaere rongoā o konupūmā pūhaumāota konutai ranei. A, no te whakaurua ki roto ki te rongoā hypokalemia tinana o pāhare pāporo pūhaumāota, pāhare pāporo e tohu i taero me Pananginum.

Ki te haere tahi alkalosis e ruaki, korere haemolysis ranei, e hāngai ana te maimoatanga e matua i te whakakore i enei tauhohe, a muri iho anake e te therapy ki haerenga i te toenga waikawa-kawakore.

alkalosis Prevention

Hoki te ārai o maumaui o te pH kia āta aroturuki hoki rātou ara o te ora. He mea nui ki te mau kai tōtika tika, me te moe, hoatu ake peu kino, me te moe. He kai noa ki te kohi o rawaka moni o hua hou me huawhenua taea ki a koe haerenga hohoro te toenga waikawa-kawakore, ka ārai alkalosis, nga take o e takoto i roto i te kai he.

Me koe ki te mohio ki ta ake i kai te nui o te waikawa, ka heke nei te (hohoro ka tenei whakapai ake ratou huru):

• wai kohuke, whai wāhi hua miraka me te tea matomato ki te kukū alkali;
• rīwai whai wāhi ki te whakaiti i te maha o nga turanga i roto i te tinana;
• tea taumata hua waikawa, kawhe, hua parāoa, sweets, ika me te kai, na enei kai kia pau i roto i te whakaōrite;
• ki te haerenga i te kawakore pH tūtohutia te ki te tango i te pati me sauna.

Kawakore pati pure tāoke i te tinana, me te whakaiti i te taumata o te waikawa. whai hoki saunas te pānga purenga, pānga ratou te tohanga toto, me te hohoro whakahoki te toenga waikawa-kawakore.

Alkalosis i roto i ngā tamariki

I roto i te tamariki, ki te whakamārama o maha tikanga pathological whakawhanake te mate atu maha, he tika ki te lability o nga pūnaha papare o te tinana tenei. kia puta alkalosis pūkoro ki te whakamārama o tetahi disorders kūnatu e e haere tahi e ruaki (whai wāhi ki te mate o te waikawa pekitīlia), ranei korere.

Ko te take tino noa o te alkalosis pūkoro he whanau whētuki, stenosis pyloric me ileus. Te fariiraa Diuretics pānga hoki te toenga waikawa-turanga o te pūnaha papare me taea meinga alkalosis hypoglycemic.

Ko tētahi atu take noa o disorders o toenga o kawakore me waikawa he ako o acidosis i roto i ngā tamariki he. kia riro ai alkalosis pūkoro, me ohorere te transportation o ngā katote māota e i roto i te piro.

Tātarihia māuiuitanga taea te whakamahi i te tātari o feces, ka waiho i te reira katote māota, kihai i kitea tenei huānga i roto i te tauira mimi.

Take o te hau alkalosis i roto i ngā tamariki

kia puta Gas alkalosis i roto i ngā tamariki ki te hyperventilation, e taea whakapataritari i te syndrome paitini e puta i roto i whakapeka mate viral romahā, meningitis, kakā, encephalitis, wharanga roro pāmamae, te pukupuku roro me tauhohe psychogenic.

A, no te maha whanake ventilation aunoa alkalosis romahā utua. Konupūmā hē, i meinga e te tāne i o te pūnaha papare, ka taea e te manawanui whakapataritari haehae, ahuatanga, faaati ringa nui haere, me te sweating. I roto i ngā tamariki pakeke, i reira he alangá mo te kōpā, ta'i me tinnitus. Ka taea e hypercapnia whakapeka meinga te tamaiti nui disorders neuropsychiatric me tae noa arahi ki pōroa.

Tohu o alkalosis i roto i ngā tamariki

wā tino nui ki te kitea me te whakakore i alkalosis i roto i nga kohungahunga. ka Tohu o te pH o te tamaiti kia whakakitea i roto i te ara ano e rite ana i roto i ngā pakeke: manukanuka, irritability, te momoe, te rohirohi, mate o hiahia, raruraru kūnatu.

Tohutanga tāne i o tohu waikawa-turanga kia rerekē paku, i runga i nga take e whakapataritari he huringa i roto i te pH rānei. rerekē te reira i rite te tohu o tohu - i ngawari ki kino ma'i disorders i roto i te pūnaha faufaa o te tinana.

Ka mahi ki te ariā o te alkalosis (he aha te mea reira me aha e nga take o maumaui o te pH), e taea te kitea i roto i te wā i te tohu o te mate i roto i hohoro faaore i te reira.