Dab tsi yog sib xyaw alkalosis?
Dab tsi yog sib xyaw alkalosis?

Video: Dab tsi yog sib xyaw alkalosis?

Video: Dab tsi yog sib xyaw alkalosis?
Video: Kev kawm yog dab tsi?? 2024, Lub Xya hli ntuj
Anonim

A sib xyaw alkalosis : Cov metabolism alkalosis vim thiazide diuretic kho thiab ua pa alkalosis . Cov txheej txheem metabolic alkalosis tej zaum yuav mob ntev li tus neeg mob tau siv cov tshuaj no rau qee lub sijhawm. Lub hypokalemia yog suav tias yog cuam tshuam nrog qhov no.

Hauv qhov no, dab tsi yog qhov sib xyaw ua kua acid puag tsis xws luag?

A sib tov kua qaub – lub hauv paus tsis meej pem txhais tau tias yog coexistence ntawm 2 lossis 3 thawj teeb meem nyob rau hauv tib tus neeg mob. Piv txwv li, tus neeg mob septic lossis daim siab tsis ua haujlwm tuaj yeem tshwm sim thawj zaug nrog kev ua pa alkalosis thiab tom qab ntawd tsim muaj qhov sib txawv siab anion (AG) metabolic acidosis vim hypotension.

Ib qho ntxiv, koj puas tuaj yeem muaj acidosis ua pa thiab metabolic alkalosis? Ib qho ua ke ua pa acidosis / metabolic alkalosis yuav ua rau siab PaCO2 thiab serum bicarbonate. Ua pa alkalosis : Metabolic nyiaj tau los yuav cia li khaws cia cov tshuaj chloride (piv txwv li, hyperchloremic, feem ntau hu ua "poob ntawm bicarb" txawm hais tias nws yog qhov sib txawv ntawm cov ion uas muaj teeb meem).

Tsis tas li ntawd, dab tsi yog qhov sib xyaw metabolic thiab ua pa acidosis?

Cov lus teb them tsis tsim nyog (tsis txaus lossis ntau dhau) yog pov thawj ntawm a sib xyaw ua pa thiab metabolic tsis meej pem. Qhov sib txawv ntawm anion kuj tseem muaj nuj nqis hauv kev tshuaj xyuas sib xyaw acid-puag cuam tshuam. Nrhiav qhov sib txawv anion siab, tsis hais seb cov ntshav qab zib bicarbonate concentration, qhia metabolic acidosis.

Dab tsi 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 tuaj yeem tshwm sim vim muaj ntshav ntau ntxiv ntawm bicarbonate, uas yog lub hauv paus. Cov mob no kuj tseem muaj feem xyuam rau lwm yam teeb meem kev noj qab haus huv xws li cov poov tshuaj tsawg, lossis hypokalemia.

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