Cutar Acid

Metabolic acidosis wani yanayi ne wanda akwai ruwan acid a jiki sosai.

Cutar ƙwayar cuta na rayuwa yana tasowa lokacin da aka samar da acid mai yawa a jiki. Hakanan yana iya faruwa yayin da kodan ba za su iya cire isasshen acid daga jiki ba. Akwai nau'ikan acid acid na rayuwa masu yawa:

• Ciwon sukari acidosis (wanda ake kira mai ciwon sukari ketoacidosis da DKA) yana tasowa lokacin da abubuwa da ake kira gawarwakin ketone (waɗanda suke da ruwa) suna haɓaka yayin ciwon suga da ba a kula da shi.
• Hyperchloremic acidosis yana faruwa ne sakamakon asarar sodium bicarbonate mai yawa daga jiki, wanda zai iya faruwa tare da gudawa mai tsanani.
• Ciwon koda (uremia, ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta)
• Lactic acidosis.
• Guba ta asfirin, ethylene glycol (ana samun sa a cikin daskarewa), ko kuma sinadarin methanol.
• Rashin ruwa mai tsanani.

Lactic acidosis yana haifar da daga lactic acid. Lactic acid galibi ana samar dashi a cikin ƙwayoyin tsoka da jajayen ƙwayoyin jini. Yana samuwa lokacin da jiki ya lalata carbohydrates don amfani dashi don kuzari lokacin da matakan oxygen yayi ƙasa. Zai iya faruwa ta hanyar:

• Ciwon daji
• Guba ta iskar carbon monoxide
• Shan giya da yawa
• Yin motsa jiki sosai na dogon lokaci
• Rashin hanta
• Sugararamar sikari (hypoglycemia)
• Magunguna, kamar salicylates, metformin, anti-retrovirals
• MELAS (cuta mai rikitarwa ta cututtukan ƙwayoyin cuta wanda ke shafar samar da makamashi)
• Dogon rashin isashshen iska daga firgita, bugun zuciya, ko tsananin rashin jini
• Kamawa

Yawancin bayyanar cututtuka ana haifar da su ta hanyar cuta mai mahimmanci ko yanayin da ke haifar da acidosis na rayuwa. Acid acid na rayuwa kanta yakan haifarda saurin numfashi. Yin rikita rikice ko gaji sosai na iya faruwa. Cutar mai saurin haɗari na iya haifar da gigicewa ko mutuwa. A wasu yanayi, sinadarin rayuwa na rayuwa na iya zama mai sauƙi, mai ci gaba (mai ɗorewa).

Wadannan gwaje-gwajen na iya taimakawa wajen gano cutar asid. Hakanan zasu iya tantance ko dalilin shine matsalar numfashi ko matsalar kumburi. Gwaje-gwaje na iya haɗawa da:

• Gas na jini na jini
• Basic metabolic panel, (ƙungiyar gwajin jini wanda ke auna matakan sodium da potassium, aikin koda, da sauran sunadarai da ayyuka)
• Kitsen jini
• Gwajin lactic acid
• Kitsen fitsari
• Fitsarin pH

Ana iya buƙatar wasu gwaje-gwaje don ƙayyade dalilin acidosis.

Ana amfani da jiyya don matsalar lafiya da ke haifar da acidosis. A wasu lokuta, ana iya bayar da sinadarin sodium bicarbonate (sinadarin da ke cikin soda) don rage acid ɗin jini. Sau da yawa, zaka sami ruwa mai yawa ta jijiya.

Hangen nesa zai dogara ne akan cutar da ke haifar da yanayin.

Cutar mai saurin haɗari na rayuwa na iya haifar da gigicewa ko mutuwa.

Nemi taimakon likita idan kuna da alamun kowace cuta wanda zai iya haifar da acidosis na rayuwa.

Za a iya hana ketoacidosis na ciwon sukari ta hanyar kiyaye ciwon sukari irin na 1.

Acidosis - rayuwa

• Tsarin insulin da ciwon sukari

Hamm LL, DuBose TD. Rikici na ma'aunin acid-base. A cikin: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner da Rector na Koda. 11th ed. Philadelphia, PA: Elsevier; 2020: babi na 16.

Palmer BF. Cutar Acid. A cikin: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. M Clinical Nephrology. Na 6 ed. Philadelphia, PA: Elsevier; 2019: sura 12.

Seifter JL. Rikicin Acid-base. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi 110.