Imwe yemhando dzakasiyana-siyana dzeasidhi-yekasiyano yakaenzana ndeyemagetsi anonzi alkalosis. Mune hurumende iyi, ropa rine zvinonzi alkaline reaction.
Zvinokonzera Metabolic Alkalosis
Chikonzero chikuru chealkalosis kurasikirwa kweklorini nehydrogen ions kuburikidza nemuviri womunhu, kuwedzera muhuwandu hwe bicarbonate muropa. Pane zvimwe zvinhu zvinokonzera kuchinja uku:
- Kurapa ne diuretics (diuretics), kushusha kukuru kana gastric washing zvinotungamirira kushayikwa kwemvura kana chloride mumuviri.
- Adenomas ye rectum uye mumatumbo makuru.
- Cushing's syndrome (kunyanya kubudisa mahomoni neAdrenal cortex), Barter's syndrome (yakadererazve kugadziriswa kwekloride), uye inotangira aldosteronism mumatumbu eAdrenal cortex.
- Utano hwehupombwe hwehupi (matumbo, kutambudzika mumuviri, nezvimwewo), zvichikonzera hyperventilation yemapapu.
- Kodzero ye potassium mumuviri nekuda kwekusava nekudya kwakakwana.
- Kunyanyisa kudya kwezvinhu zvinonzi alkaline mumuviri.
Zviratidzo zveMetabolic Alkalosis
Nokuda kwealkalosis, zviratidzo zvinotevera zvinowanzoitika:
- ganda rakasviba rine grey hue;
- paresthesia yechiso uye nhengo (senitivity disorder);
- mufaro, chizoro;
- kuderedza kuwanda, kurangarira nekucherechedza;
- tachycardia;
- kushungurudzika kubva kune hypocalcemia.
Ne chironda chinokonzerwa nehutachiona hwehutano, chirwere chekufa chinogona kuitika.
Kuti uongorore kushandiswa kwemagetsi e-alkalosis, kuumbwa kwegesi kweropa reropa uye zvinhu zvebicarbonates muvirous blood zvinogadziriswa, mazinga e electrolytes (kusanganisira magnesium uye calcium) muropa re plasma anoyerwa uye kuwandisa kwe potassium neklorini mumuguta kunoenzaniswa.
Kurapa kwemagetsi emagetsi
Basa guru mukurapa ndiko kudzorerwa kwemvura uye electrolytes mumuviri. Muchiitiko chekuti zviratidzo zvinoratidzwa nealkalosis zvinowanikwa, zvakakosha kutsvaga rubatsiro rwechiremba, uye nekuvandudzwa kwekugumburwa, kusuruvara kusingakoshi uye kupera, murwere anofanira kunzi ambulensi.
Therapy ye metabolism alkalosis inobva pachikonzero chakakonzera kukanganisa kwe-acid-base balance. Kana kuoma kwealkalosis kwakakosha, chirongwa chinoputika chemammonium chloride chinoshandiswa mukati. Nekuvhiringidzika, jekisi ye calcium chloride inogadzirwa mumhino. Kana icho chikonzero chealkalosis chiri kushandiswa kwakanyanya kwemaalkalis mumuviri, Diakarb inosarudzwa.