Video: Vim li cas ntuav nce bicarbonate?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Hydrogen poob tuaj yeem tshwm sim los ntawm txoj hnyuv lossis hauv cov zis. Nyob ntawm xub ntiag ntawm ntuav thiab aspiration ntawm gastric ntsiab lus, ib txwm stimulus rau zus tau tej cov bicarbonate hmoov yog tshem tawm uas tig mus rau nce qib ntawm bicarbonate hauv cov ntshav thiab yog li ua rau cov txheej txheem metabolic alkalosis.
Raws li txoj cai, vim li cas ntuav ua rau metabolic alkalosis?
Ntuav los yog nasogastric (NG) suction generates metabolic alkalosis los ntawm kev poob ntawm gastric secretions, uas yog nplua nuj nyob rau hauv hydrochloric acid (HCl). Raws li cov channel no reabsorbs sodium ions, tubular lumen ua qhov tsis zoo, ua rau lub zais ntawm hydrogen ions thiab potassium ions rau hauv lumen.
Tsis tas li ntawd, koj yuav kho cov kab mob metabolic alkalosis li cas? 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 thawj hyperaldosteronism yog adrenal adenoma lossis carcinoma, kev phais yuav tsum tshem tawm cov qog. tseeb cov alkalosis.
Tsis tas li ntawd, vim li cas bicarbonate yuav siab?
A siab qib of bicarbonate hmoov hauv koj cov ntshav ua tau yog los ntawm metabolic alkalosis, ib yam mob uas ua rau nce pH hauv cov nqaij. Metabolic alkalosis ua tau tshwm sim los ntawm kev poob cov kua qaub los ntawm koj lub cev, xws li los ntawm ntuav thiab lub cev qhuav dej.
Yuav ua li cas ntuav ua rau mob hypochloremia?
Hypochloremia feem ntau yog ua los ntawm kev siv ntau lub voj diuretics, nasogastric suction, los yog ntuav . ntuav ua rau poob ntawm hydrochloric acid. Thaum nyob ntawm ECF qhov ntim qis, muaj kev nce ntxiv hauv Na thiab resorption hauv lub raum, uas pab tswj hwm alkalosis.
Pom zoo:
Vim li cas kuv thiaj tsis hnov tsw ntuav?
Muaj ntau qhov ua rau ua rau phantosmia, uas suav nrog: kis kab mob hauv lub qhov ntswg - qee tus neeg pib hnov ntxhiab tom qab lawv kis tus kab mob uas cuam tshuam rau lawv lub qhov ntswg lossis qhov ntswg (nyeem txog sinusitis). Feem ntau nws ploj mus thaum tus kab mob tshem tawm
Tus lej CPT rau I&D ntawm qhov ntuav ntuav yog dab tsi?
Thawj txoj cai hauv CPT koob rau kev phais thiab tso kua dej, CPT 10060-10061, piav qhia cov txheej txheem raws li "kev phais thiab tso kua dej tawm ntawm lub qhov quav (carbuncle, mob plab hidradenitis, tawv nqaij lossis subcutaneous abscess, cyst, furuncle, lossis paronychia); yooj yim lossis ib leeg thiab nyuaj lossis ntau. "
Vim li cas kuv lub plab mob tom qab ntuav?
Gastritis yog kev mob ntawm lub plab. Qhov mob no tuaj yeem mob hnyav lossis mob ntev. Ntxiv rau qhov mob tostomach thiab xeev siab, gastritis tuaj yeem ua rau mob plab. Feem ntau ua rau mob gastritis yog kis nrog cov kab mob hu ua Helicobacter pylori
Vim li cas qhov dav ntawm qhov sib xyaw ua haujlwm muaj peev xwm nce nrog nce kev txhawb zog?
A: CAP yog cov lej sib npaug ntawm txhua tus neeg muaj peev xwm ua tau ntawm cov hlab ntsha. Raws li kev txhawb zog nce ntxiv, peb nrhiav cov fibers ntau dua, yog li ntau APs ntxiv los tsim kom muaj lub tswb zoo li nkhaus
Lo lus twg txhais tau tias ntuav ntuav heev?
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