Video: Dab tsi tuaj yeem ua rau metabolic alkalosis?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Metabolic Alkalosis. Metabolic alkalosis yog thawj qhov nce hauv bicarbonate (HCO3−) nrog lossis tsis them nyiaj ntxiv hauv cov pa roj carbon dioxide ib nrab siab (Pco2); pH yuav siab lossis ze li ib txwm. Qhov ua rau muaj xws li ncua sij hawm ntev ntuav , hypovolemia, siv diuretic, thiab hypokalemia.
Ib yam li ntawd, nws tau nug, dab tsi yog qhov ua rau alkalosis?
Alkalosis tshwm sim thaum koj lub cev muaj ntau lub hauv paus. Nws tuaj yeem tshwm sim los ntawm kev txo qis cov ntshav ntawm cov pa roj carbon dioxide, uas yog cov kua qaub. Nws kuj tseem tuaj yeem tshwm sim vim nce qib ntshav ntawm bicarbonate, uas yog lub hauv paus. Qhov xwm txheej no kuj tseem tuaj yeem cuam tshuam nrog lwm qhov teeb meem kev noj qab haus huv xws li qis potassium, lossis hypokalemia.
Qhov thib ob, dab tsi ua rau cov metabolism hauv acidosis thiab alkalosis? Acidosis thiab alkalosis piav qhia qhov xwm txheej txawv txav uas tshwm sim los ntawm qhov tsis sib xws hauv pH ntawm cov ntshav ua los ntawm ntau dhau ntawm cov kua qaub lossis alkali (hauv paus). Qhov tsis sib xws no feem ntau ua los ntawm qee qhov xwm txheej lossis kab mob. Lub ntsws thiab ob lub raum yog cov kabmob tseem ceeb koom nrog hauv kev tswj ntshav pH.
Yog li, dab tsi yog cov metabolism hauv alkalosis?
Metabolic alkalosis yog a metabolic mob uas pH ntawm cov ntaub so ntswg tau nce siab tshaj qhov ib txwm muaj (7.35-7.45). Qhov no yog qhov tshwm sim ntawm kev txo qis ntawm hydrogen ion concentration, ua rau nce bicarbonate, lossis hloov pauv ncaj qha los ntawm kev nce siab ntawm bicarbonate.
Yuav kuaj tus mob metabolic alkalosis li cas?
Metabolic alkalosis yog kuaj mob los ntawm kev ntsuas ntshav cov ntshav electrolytes thiab cov roj ntshav hauv cov hlab ntshav. Yog tias etiology ntawm metabolic alkalosis tsis meej los ntawm keeb kwm kev kuaj mob thiab kuaj lub cev, suav nrog kev siv tshuaj thiab muaj qhov kub siab, tom qab ntawv tuaj yeem tau txais cov zis chloride ion concentration.
Pom zoo:
Dab tsi yog lub hauv paus ntawm lub cev rau amenorrhoea tom qab xeeb menyuam thiab lwm yam dab tsi uas tuaj yeem ua rau amenorrhoea?
Amenorrhea cov lus tseeb Genetic los yog yug hauv tsev yog qhov ua rau pom thawj zaug ntawm tus mob amenorrhea. Amenorrhea tuaj yeem tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm zes qe menyuam, pituitary caj pas, hypothalamus, lossis lub tsev menyuam. Kev qoj ib ce hnyav, hnyav hnyav, mob lub cev, thiab kev nyuab siab tuaj yeem ua rau muaj kev tsis txaus ntseeg
Koj puas tuaj yeem muaj metabolic acidosis thiab alkalosis tib lub sijhawm?
Nco ntsoov, tias koj tsis tuaj yeem muaj tus kab mob ua pa acidosis thiab thawj qhov ua pa alkalosis tib lub sijhawm; lub ntsws tuaj yeem tsim tsuas yog ib qho kev cuam tshuam loj. Tab sis koj tuaj yeem muaj thawj cov kab mob metabolic acidosis (xws li kev txuam nrog lactic acid) thiab thawj metabolic alkalosis ( ntuav plab HCl) tib lub sijhawm
Dab tsi ua rau metabolic acidosis thiab alkalosis?
Acidosis thiab alkalosis piav qhia qhov xwm txheej txawv txav uas tshwm sim los ntawm kev tsis sib xws hauv pH ntawm cov ntshav tshwm sim los ntawm cov kua qaub lossis alkali ntau dhau (hauv paus). Qhov tsis sib xws no feem ntau tshwm sim los ntawm qee qhov mob lossis kab mob. Lub ntsws thiab ob lub raum yog lub cev tseem ceeb koom nrog hauv kev tswj ntshav pH
Dab tsi tuaj yeem ua rau metabolic encephalopathy?
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Dab tsi yog kev kho mob rau metabolic alkalosis?
Metabolic alkalosis raug kho nrog aldosterone antagonist spironolactone lossis nrog lwm yam tshuaj potassium-sparing diuretics (piv txwv li, amiloride, triamterene). Yog tias qhov ua rau pom thawj hyperaldosteronism yog adrenal adenoma lossis carcinoma, kev phais tshem tawm cov qog yuav tsum kho qhov alkalosis