Video: Dab tsi yog kev kho mob rau metabolic alkalosis?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
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 alkalosis.
Ntxiv mus, dab tsi ua rau cov metabolism hauv alkalosis?
Metabolic Alkalosis. Metabolic alkalosis yog thawj qhov nce hauv bicarbonate (HCO3−) nrog lossis tsis them nyiaj nce ntxiv hauv cov pa roj carbon dioxide ib nrab siab (Pco2); pH tej zaum yuav siab los yog ze li qub. Feem ntau ua rau muaj xws li ntev ntuav , hypovolemia, siv diuretic, thiab hypokalemia.
Tsis tas li ntawd, Diamox ua haujlwm li cas rau metabolic alkalosis? Acetazolamide txo qis cov tubular bicarbonate reabsorption txog li 80% los ntawm inhibition ntawm carbonic anhydrase nyob rau hauv lub luminal ciam teb ntawm lub raum proximal tubule hlwb, thiab nws yog feem ntau zoo siv nyob rau hauv kev kho mob ntawm lub raum. metabolic alkalosis hauv ICU.
Tom qab ntawd, ib tus tseem tuaj yeem nug, lub cev kho cov metabolism hauv alkalosis li cas?
Koj lub cev compensates rau ob leeg alkalosis thiab acidosis feem ntau los ntawm koj lub ntsws. Lub ntsws hloov cov alkalinity ntawm koj cov ntshav los ntawm kev tso pa roj carbon dioxide ntau dua los yog tsawg dua kom dim thaum koj ua pa. Lub raum kuj ua lub luag haujlwm los ntawm kev tswj xyuas kev tshem tawm ntawm bicarbonate ions.
Koj yuav ua dab tsi yog tias koj muaj cov tsos mob ntawm alkalosis?
Yog koj ua pa sai yog tshwm sim los ntawm qhov mob, ces kho qhov mob yuav pab nqa koj kev ua pa rov qab mus rau qhov qub thiab txhim kho koj cov tsos mob . Yog tias koj alkalosis yog tshwm sim los ntawm kev poob ntawm cov tshuaj xws li chloride lossis potassium, koj 'yuav muab tshuaj los yog tshuaj ntxiv los hloov cov tshuaj no.
Pom zoo:
Dab tsi tuaj yeem ua rau metabolic alkalosis?
Metabolic Alkalosis. Metabolic alkalosis yog thawj qhov nce hauv bicarbonate (HCO3 & rho tawm) nrog lossis tsis tau them nyiaj ntxiv hauv cov pa roj carbon dioxide ib nrab siab (Pco2); pH yuav siab lossis ze li ib txwm. Cov ua rau muaj xws li ntuav ntev, hypovolemia, siv cov tshuaj diuretic, thiab hypokalemia
Lub hauv paus ntawm kev kho kua dej rau kev kho mob ntshav qab zib insipidus yog dab tsi?
Feem ntau, daim ntawv no kho nrog txiv neej tsim cov tshuaj hu ua desmopressin (DDAVP, Minirin, lwm tus). Cov tshuaj no hloov cov tshuaj tiv thaiv diuretic uas ploj lawm (ADH) thiab txo qis tso zis. Koj tuaj yeem noj desmopressin ua tshuaj tsuag qhov ntswg, ua cov ntsiav tshuaj hauv qhov ncauj lossis txhaj tshuaj
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