Enye yeendidi ze-asidi-base balance is alkalosis metabolic. Kulo rhu lumente, igazi libhekiselele kwi-alkaline reaction.
Iingxaki ze-Alkalosis yeMetabolic
Iyona nto ebangela ukuba i-alkalosis ilahlekelwe yi-chlorine kunye ne-hydrogen ions ngomzimba womntu, ukwanda kwinkxalabo ye-bicarbonate egazini. Kukho iinkalo ezininzi ezibangela ukuba utshintsho:
- Unyango kunye ne- diuretics (i-diuretics), ukuhlanza okukhulu okanye ukugaya isisu kubangela ukungabikho kwamanzi okanye i-chloride emzimbeni.
- I-Adenomas ye-rectum kunye nomathumbu omkhulu.
- I-Cushing's syndrome (ukuveliswa ngokugqithiseleyo kwama-hormone nge-correx ye-adrenal), isifo se-Barter (sanciphisa ukuphindaphinda kwakhona kwe-chloride), kunye ne-primary aldosteronism kwi-tumor cortex tumors.
- Umonakalo wengqondo yomzimba (izibilini, ukukhathazeka ngokomzimba, njl.), Obangela ukuxhatshazwa kwemiphunga.
- Ukuntuleka kwe-potassium emzimbeni ngenxa yesondlo esingenamlinganiselo.
- Ukutya okugqithisileyo kwezidalwa ze-alkaline emzimbeni.
Iimpawu ze-Alkalosis yeMetabolic
I-alkalosis, ezi zilandelayo zibonakaliso:
- isikhumba esiluhlaza nge-gray hue;
- i-paresthesia yobuso kunye nemilenze (ukukhathazeka kwesifo);
- uvuyo, ukungcola;
- ukunciphisa ubunzima, imemori kunye neengqalelo;
- tachycardia;
- ukuxinwa ngenxa ye-hypocalcemia.
Ngomlingo wesifo se-nervous system, i-stroke epilisi ingenzeka.
Ukuze kuhlolwe i-alkalosis ye-metabolic, ukubunjwa kwegesi yegazi lomgubo kunye nomxholo we-bicarbonates egazini legazi kuqinisekiswe, amanqanaba e-electrolytes (kuquka i-magnesium kunye ne-calcium) kwi-plasma yegazi ilinganiswa kwaye i-potassium kunye ne-chlorine emanzini iyalinganiswa.
Unyango lwe-alkalosis
Umsebenzi oyintloko kunyango ukuzaliswa kwamanzi kunye ne-electrolytes emzimbeni. Kwimeko apho iimpawu ezibonakalayo ze-alkalosis ziyabonwa, kuyimfuneko ukufuna uncedo lwezokwelapha, kunye nokuphuhliswa kokuthintela, ukuhlanza okungenakulungeleka nokuphelelwa amandla, isigulane kufuneka sibizwa ngokuba yi-ambulensi.
Ulwaphulo lwe-alkalosis ye-metabolism luxhomekeke kwisizathu esibangela ukuphulwa kwe-acid-base balance. Ukuba ubunzima be-alkalosis bubalulekile, isisombululo esilulayo se-ammonium chloride sijojowe nge-intravenously. Ngoxinaniso, i-injection ye-calcium chloride yenziwe kwintlambo. Ukuba imbangela ye-alkalosis yindlela yokwakheka ngokugqithiseleyo kwama-alkali emzimbeni, iDiakarb imiselwe.