Enye yezinhlobo ze-asidi-base balance is alkalosis metabolic. Kulo mhlaba, igazi libhekene nokuphendula kwe-alkaline.
Izimbangela ze-Metabolic Alkalosis
Isizathu esiyinhloko sokuthi i-alkalosis ilahlekelwe yi-chlorine ne-hydrogen ions ngomzimba womuntu, ukwandisa ukuhlushwa kwe-bicarbonate egazini. Kunezinto eziningi ezibangela lezi zinguquko:
- Ukwelapha nge- diuretics (i-diuretics), ukuhlanza okukhulu noma ukugcoba esiswini kuholele ekutheni uketshezi lwe-fluid noma i-chloride emzimbeni.
- I-Adenomas yamathumbu amathumbu namakhulu.
- I-Cushing's syndrome (ukukhiqizwa ngokweqile kwamahomoni nge-cortex e-adrenal), i-Barter's syndrome (yehle ukunciphisa ukuchithwa kabusha kwe-chloride), kanye ne-aldosteronism eyinhloko emathunjini adrenal cortex.
- Ukulimala kwengqondo ye-Organic (izicubu, ukuhlukumezeka ngokomzimba, njll), okwenza ukuba i-hyperventilation yamapayipi isetshenziswe.
- Ukuntuleka kwe-potassium emzimbeni ngenxa yokudla okunempilo.
- Ukudla ngokweqile kwezinto ezi-alkaline emzimbeni.
Izimpawu Ze-Metabolic Alkalosis
Nge-alkalosis, lezi zimpawu ezilandelayo zivamile:
- isikhumba esikhuphukile nge-gray hue;
- i-paresthesia yobuso nezinyawo (ukuzwela kwesifo);
- injabulo, isiyezi;
- ukwehla ngamandla, inkumbulo nokunakwa;
- i-tachycardia;
- ukuphazamiseka ngenxa ye-hypocalcemia.
Ngesilonda esiyinkimbinkimbi yesimiso sezinzwa esisemkhatsini, ukuqubuka kwesibindi kungase kwenzeke.
Ukuze uhlolisise i-alkalosis ye-metabolic, ukuhlanganiswa kwegesi kwegazi elibhebhethekayo kanye nokuqukethwe kwamabikarbonates egazini elimnyama, kunqunywa ukuthi amazinga e-electrolytes (kuhlanganise i-magnesium ne-calcium) e-plasma yegazi ayalinganiswa futhi ukulinganisa kwe-potassium ne-chlorine emcimbini kufaniswa.
Ukwelashwa kwe-alkalosis yemetaboliki
Umsebenzi oyinhloko ekwelapheni ukubuyiswa kwamanzi kanye ne-electrolytes emzimbeni. Uma kwenzeka izimpawu ze-alkalosis zibonakala, kubalulekile ukufuna usizo lwezokwelapha, kanye nokuthuthukiswa kokugwinya, ukuhlanza okungenakudliwa nokuphelelwa amandla, isiguli kufanele sabizwe ngokuthi i-ambulensi.
Ukwelashwa kwe-alkalosis ye-metabolic kuncike ekubambeni okubangele ukuphulwa kwe-acid-base balance. Uma ubukhulu be-alkalosis buphawulekayo, isisombululo esihlanjululwayo se-ammonium chloride sijojowe ngaphakathi. Ngokuxubha, umjovo we-calcium chloride ujojowe emthanjeni. Uma imbangela ye-alkalosis yukwethulwa ngokweqile kwama-alkalis emzimbeni, uDiakarb ukhethwe.