Lactate: menene shi kuma me yasa zai iya zama mai tsayi

Wadatacce

• Lokacin da za a gwada gwajin lactate
• Menene ma'anar babban lactate?

Lactate wani abu ne na metabolism na metabolism, ma'ana, sakamakon aikin canza glucose zuwa makamashi ne ga ƙwayoyin yayin da babu isashshen oxygen, wani tsari da ake kira anaerobic glycolysis. Koyaya, koda a yanayin aerobic, wanda akwai oxygen, ana samar da lactate, amma a cikin ƙananan yawa.

Lactate abu ne mai mahimmanci, kamar yadda ake ɗauka a matsayin sigina ga Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Halitta, mai nazarin halittu na canje-canje na jijiyoyi da ƙyamar hypoperfusion na nama, wanda a cikin shi akwai ɗan ƙaramin iskar oxygen da ke kai wa ga ƙwayoyin cuta, da kuma yawan motsa jiki da gajiya ta tsoka, tun yaya yawancin aikin yake, mafi girman buƙatar oxygen da makamashi, wanda ke haifar da haɓakar samar da lactate mafi girma.

Lokacin da za a gwada gwajin lactate

Ana amfani da gwajin lactate a cikin aikin asibiti a cikin marasa lafiya na asibiti kuma a matsayin mai nuna ƙarfin ƙarfin motsa jiki da gajiya ta tsoka. A asibitoci, maganin lactate yana da mahimmanci don kimanta yanayin rashin lafiyar da tabbatar da martani ga magani. A yadda aka saba ana yin sashin ne a cikin marasa lafiya na asibiti wadanda ake zargi ko kuma an gano su da cutar sepsis ko septic shock, waxanda suke da halaye da ke tattare da lactate sama da 2 mmol / L ban da ƙananan hawan jini, saurin numfashi, rage yawan fitsarin da rikicewar tunani.

Sabili da haka, lokacin yin maganin lactate, yana yiwuwa a bincika ko mai haƙuri yana karɓar magani ko kuwa ya zama dole a canza shirin warkewa da haɓaka kulawa bisa ga raguwa ko ƙaruwa a matakan lactate.

A cikin wasanni, sashi na lactate yana ba da damar ƙayyade matsayin aikin ɗan wasa da ƙarfin motsa jiki. A cikin motsa jiki masu tsananin ƙarfi ko na dogon lokaci, yawan isashshen oxygen ba koyaushe yake wadatarwa ba, yana buƙatar samar da lactate don kula da ayyukan ƙwayoyin. Don haka, auna yawan lactate bayan motsa jiki yana bawa mai ilimin motsa jiki damar nuna shirin horo wanda yafi dacewa da dan wasa.

Consideredimar lactate ana ɗaukarta ta al'ada lokacin da take ƙasa da ko kuma daidai da 2 mmol / L. Mafi girman nitsuwa na lactate, mafi girman cutar. Game da cutar sepsis, alal misali, ana iya samun narkar da 4.0 mmol / L ko mafi girma, wanda ke nuna cewa ya kamata a fara jinya da wuri-wuri don kauce wa matsaloli.

Don yin gwajin lactate, ba lallai ba ne a yi azumi, duk da haka ana ba da shawarar cewa mutum ya huta, tun da motsa jiki na iya canza matakan lactate kuma, don haka, ya rinjayi sakamakon gwajin.

Menene ma'anar babban lactate?

Inara yawan narkar da lactate mai yawo, wanda ake kira hyperlactemia, na iya faruwa saboda ƙaruwar samar da lactate, canje-canje a cikin iskar oxygen zuwa ƙwayoyin cuta ko rashi a kawar da wannan abu daga jiki, wanda ke haifar da tarawa cikin jini. Don haka, babban lactate na iya faruwa saboda:

• Cutar Sepsis da taɓarɓarewar fata, wanda a ciki, saboda samar da abubuwa masu guba ta hanyar ƙananan ƙwayoyin cuta, akwai raguwar adadin iskar oxygen da ke kaiwa ga ƙwayoyin halitta, tare da ƙaruwar samar da lactate;
• M motsa jiki, saboda a wasu yanayi yawan iskar oksijin da za a yi atisayen bai isa ba, tare da karuwar kayan lactate;
• Gajiyawar tsoka, saboda yawancin lactate da aka tara a cikin tsoka;
• Ciwon kumburi mai saurin amsa sigina (SIRS), kamar yadda akwai canji a cikin kwararar jini da kwayoyin halittar garkuwar jiki, wanda hakan ya haifar da karin samar da lactate a kokarin kiyaye ayyukan salula da kuma taimakawa wajen magance kumburi. Ana amfani da sashi na lactate a cikin wannan halin don saka idanu kan martanin mai haƙuri da auna haɗarin gazawar sassan jiki, kasancewa mai nuna hangen nesa;
• Rashin zuciya na zuciya, wanda a cikinsa akwai canji a cikin samar da jini ga zuciya kuma, saboda haka, oxygen;
• Hypovolemic girgiza, wanda a cikinsa akwai babban asarar ruwa da jini, yana canza yadda jini yake gudana zuwa cikin kayan kyallen takarda;

Bugu da kari, wasu binciken sun nuna cewa karuwar lactate na iya faruwa a yanayin matsalar hanta da koda, cutar sikari, guba ta hanyar kwayoyi da gubobi da kuma sinadarin rayuwa na rayuwa, misali. Sabili da haka, bisa la'akari da ƙididdigar ƙwayar lactate, yana yiwuwa a iya gano cututtukan cututtuka, saka idanu akan haɓakar mai haƙuri da amsawar magani da hango sakamakon asibiti.