Ib qho ntawm ntau yam ntawm acid-luj tshuav yog metabolic alkalosis. Hauv lub xeev no, cov ntshav muaj cov tshuaj tiv thaiv alkali.
Ua rau Metabolic Alkalosis
Lub ntsiab ntawm alkalosis yog poob ntawm chlorine thiab hydrogen ions los ntawm tib neeg lub cev, nce nyob rau hauv concentration ntawm bicarbonate nyob rau hauv cov ntshav. Muaj ntau ntau yam uas ua rau cov kev hloov no:
- Kev kho mob nrog diuretics (diuretics), ntuav ntuav los yog chiv plab yog ua rau lub cev tsis muaj dej los yog chloride hauv lub cev.
- Adenomas ntawm lub qhov quav thiab txoj hnyuv loj.
- Cushing's syndrome (ntau ntau cov tshuaj hormones los ntawm adrenal cortex), Pauv cov kev mob (txo cov tshuaj reabsorption ntawm chloride), thiab thawj aldosteronism hauv adrenal cortex hlav.
- Organic lub hlwb puas (hlav, cev nqaij ntuag raug mob, thiab lwm yam), ua rau kev kho siab ntawm lub ntsws.
- Tsis muaj peev xwm ntawm cov poov tshuaj nyob rau hauv lub cev los ntawm kev noj zaub mov tsis muaj kev noj haus.
- Ntau ntais ntawm alkaline tshuaj mus rau hauv lub cev.
Cov tsos mob ntawm Metabolic Alkalosis
Rau alkalosis, cov tsos mob nram qab no yog raug:
- daj ntseg ntawm daim tawv nqaij nrog hawj grayish;
- lub cev tsho ntawm lub ntsej muag thiab lub plab (qhov tsis xis nyob);
- excitement, kiv taub hau;
- txo qis hauv kev loj hlob, nco thiab mloog;
- tachycardia;
- convulsions vim hypocalcemia.
Nrog rau ib qho chaw mob ntawm cov hlab ntsha hauv plab, qhov qaug dab peg yuav tshwm sim.
Txhawm rau kuaj xyuas cov kab mob roj ntsha, cov roj ntsha ntawm cov hlab ntsha thiab cov ntsiab lus ntawm bicarbonates hauv veneous ntshav yog txiav txim siab, cov qib ntawm electrolytes (nrog rau magnesium thiab calcium) hauv cov ntshav ntshav tau ntsuas thiab cov concentration ntawm potassium thiab chlorine nyob rau hauv cov zis.
Kev kho mob ntawm metabolic alkalosis
Txoj haujlwm tseem ceeb hauv txoj kev kho yog lub cev dej thiab cov electrolytes hauv lub cev. Yog tias cov tsos mob ntawm tus kab mob alkalosis tau pom, nws yuav tsum mus nrhiav kev pab kho mob, thiab nrog rau kev qaug dab peg, ntuav thiab qaug zog , tus neeg mob yuav tsum hu ua ambulance.
Txoj kev kho ntawm metabolic alkalosis nyob ntawm qhov ua rau qhov ua txhaum ntawm acid acid base. Yog tias qhov hnyav ntawm alkalosis tseem ceeb, txoj kev siv tshuaj tua kabmob ntawm ammonium chloride yog txhaj rau kab mob hauv. Nrog rau convulsions, calcium chloride txhaj tshuaj yog txhaj rau hauv cov leeg. Yog hais tias qhov ua rau ntawm alkalosis yog qhov qhia txog alkalis ntau heev rau hauv lub cev, Diakarb yog taw.