Jagorar Jiyya don Acidosis na rayuwa

Wadatacce

• Menene acidosis na rayuwa?
• Jiyya ya dogara da dalilin
• Jiyya na yau da kullun don acidosis na rayuwa
• Diyyar numfashi
• Sakamakon rayuwa
• Maganin ciwon suga
• IV sodium bicarbonate
• Hemodialysis
• Sauran jiyya don rayuwa acidosis
• Takeaway

Menene acidosis na rayuwa?

Metabolism na rayuwa yana faruwa lokacin da jikinka ya fi acidic ƙari. Wannan yanayin ana kiransa m metabolism acidosis. Yana da sakamako na yau da kullun na wasu matsalolin rashin lafiya da gaggawa na gaggawa. Acidosis zai iya faruwa a kowane zamani; zai iya shafar jarirai, yara, da manya.

A yadda aka saba, jikinka yana da ma'aunin acid-base. Ana auna shi da matakin pH. Matakan sunadarai na jiki na iya zama mafi yawan acidic saboda dalilai da yawa. Cutar acid na rayuwa na iya faruwa idan kun kasance:

• yin acid mai yawa
• yin karamin tushe
• rashin share asid cikin sauri ko isasshe

Cutar acid na rayuwa na iya zama mai sauƙi kuma na ɗan lokaci zuwa mai tsanani da barazanar rai. Kuna iya buƙatar magani. Wannan yanayin na iya shafar yadda jikinku yake aiki. Yawan acid a jiki na iya haifar da wasu matsalolin lafiya.

Jiyya ya dogara da dalilin

Jiyya don acidosis na rayuwa ya dogara da dalilin. Wasu dalilan na wucin-gadi ne kuma asirin zai tafi ba tare da magani ba.

Wannan yanayin na iya zama mawuyacin sauran matsalolin lafiya na yau da kullun. Yin maganin yanayin da ke ciki na iya taimakawa wajen hana ko magance cututtukan acid na rayuwa.

Acid acid na rayuwa shine acidosis saboda canje-canje da suka shafi zagawar jini, koda, ko narkewar abinci. Wannan na iya haifar da:

• Ciwan ciwon sukari. Jiki yana ƙona kitse maimakon sugars, yana haifar da ketones ko acid mai gina jiki.
• Gudawa. Tsananin gudawa ko amai na iya haifar da cutar hawan jini. Wannan yana haifar da ƙananan matakan tushe da ake kira bicarbonate, wanda ke taimakawa wajen daidaita acid a cikin jini.
• Aikin koda mara kyau. Ciwon koda da gazawar koda suna iya haifar da cutar sankarar koda. Wannan na faruwa ne yayin da kodanku ba sa iya fitar da sinadarin acid cikin fitsari yadda ya kamata.
• Lactic acidosis. Wannan yana faruwa yayin da jiki yayi ƙari ko amfani da lactic acid. Abubuwan da ke haifar da sun hada da gazawar zuciya, kamun zuciya, da tsananin sepsis.
• Abinci. Cin kayayyakin dabba da yawa zai iya haifar da ƙarin acid a jiki.
• Motsa jiki. Jiki yana yin ƙarin lactic acid idan ba ku samun isasshen oxygen na dogon lokaci yayin motsa jiki mai ƙarfi.

Sauran dalilai na acidosis sun hada da:

• barasa ko shan ƙwaya
• magunguna waɗanda ke jinkirta numfashi kamar benzodiazepines, magungunan bacci, magungunan ciwo, da wasu ƙwayoyi

Yanayi kamar asma, cututtukan huhu na huhu mai ɗorewa (COPD), ciwon huhu, da kuma buɗewar bacci na iya haifar da wani nau'in acidosis da ake kira oxygenosis. Wannan na faruwa idan huhu ba zai iya fitar da iskar ƙonawa da kyau. Yawan iskar carbon dioxide yana ɗaga matakan ruwan acid.

Jiyya na yau da kullun don acidosis na rayuwa

Jiyya don acidosis na rayuwa yana aiki cikin manyan hanyoyi guda uku:

• fitar da abubuwa ko kuma kawar da sinadarin asid mai yawa
• buffering acid tare da tushe don daidaita acidity na jini
• hana jiki yin acid din dayawa

Sauran nau'ikan magani na acidosis na rayuwa sun hada da:

Diyyar numfashi

Idan kana da acidosis na numfashi, gwajin gas na jini zai nuna matakan carbon dioxide masu yawa. Sauran gwaje-gwajen don gano irin wannan cutar ta asid acid sun hada da gwaje-gwajen numfashi don nuna yadda huhu ke aiki, da kirjin X-ray ko CT scan don bincika cutar huhu ko toshewarta.

Magungunan numfashi na acid acid na rayuwa sun haɗa da:

• magunguna masu shayarwa (Ventolin inhaler)
• magungunan steroid
• oxygen
• injin samun iska (CPAP ko BiPaP)
• injin numfashi (don lokuta masu tsanani)
• magani don dakatar da shan taba

Sakamakon rayuwa

Maganin ciwon suga

Warkewarwar sinadarin na rayuwa wanda ya kamu da cutar sikari wanda ba a kula dashi ba ko kuma wanda ba'a sarrafa shi ya hada da maganin ciwon suga Idan kana da ketoacidosis na ciwon sukari, gwajin jininka zai nuna yawan sukarin jini (hyperglycemia). Jiyya ya haɗa da daidaita matakan sukarin jini don taimakawa jiki cire da dakatar da yin acid:

• insulin
• magungunan suga
• ruwaye
• lantarki (sodium, chloride, potassium)

Maganin insulin zaiyi aiki ne kawai idan ciwon suga yana haifar da acidosis na rayuwa.

IV sodium bicarbonate

Baseara tushe don ƙetare matakan acid mai yawa yana magance wasu nau'o'in rayuwa na rayuwa. Maganin jijiya (IV) tare da tushe da ake kira sodium bicarbonate hanya ce daya ta daidaita ma'aunin acid a cikin jini. Ya kasance yana amfani da shi don magance yanayin da ke haifar da acidosis ta hanyar asarar bicarbonate (tushe). Wannan na iya faruwa saboda wasu yanayin koda, gudawa, da amai.

Hemodialysis

Dialysis magani ne na mummunar cutar koda ko gazawar koda. Gwajin jini don matsalolin koda na yau da kullun zai nuna yawan urea da sauran nau'o'in acid. Gwajin fitsari na iya nuna yadda kodan ke aiki sosai.

Dialysis yana taimakawa wajen cire ƙarin acid da sauran ɓarnar daga jini. A cikin nazarin yanayin jini, inji yana tace jini kuma yana cire shara da ƙarin ruwaye. Wankin koda na ciki magani ne wanda ke amfani da maganin cikin jikinka dan sharar almubazzaranci.

Sauran jiyya don rayuwa acidosis

• Inotropes da sauran magunguna suna taimakawa inganta aikin zuciya cikin yanayi kamar ƙananan jini da gazawar zuciya. Wannan yana inganta kwararar oksijin zuwa jiki kuma yana rage matakan ruwan acid. Karatun jini, gwajin jini, da ECG (electrocardiogram) zasu nuna idan matsalar zuciya tana haifar da asidis na rayuwa.
• Ana amfani da acid na rayuwa cikin maye saboda giya ko guba na miyagun ƙwayoyi tare da gurɓataccen abu. Wasu mutane na iya buƙatar hemodialysis don fitar da gubobi. Gwajin jini ciki har da gwajin aikin hanta zai nuna rashin daidaiton acid. Gwajin fitsari da gwajin iskar gas na iya nuna yadda guba mai tsanani take.

Takeaway

Metabolic acidosis shine nau'in acidosis wanda yawanci yakan haifar da yanayin kiwon lafiya wanda ya shafi kodan, zuciya, narkewa, ko metabolism. Acids yana taruwa a cikin jini kuma yana iya haifar da mummunan lahani ga lafiya idan ba’a kula dashi ba.

Jiyya don acidosis na rayuwa ya dogara da yanayin asali. Wasu nau'ikan suna da sauƙi ko na ɗan lokaci kuma basu buƙatar magani. Metabolic acidosis na iya zama alama ce cewa wani abu ba daidai bane a jikinka. Kuna iya buƙatar magani don wani yanayin kiwon lafiya don daidaita acid da tushe a cikin jinin ku.

Idan kana da ciwon sanadin rayuwa ko kuma kana da wani yanayi mai tsauri wanda zai iya haifar da asidis, ka duba likitanka akai-akai. Allauki dukkan magunguna kamar yadda aka tsara kuma ku bi shawarwarin abinci. Gwajin jini na yau da kullun da sauran bincike-bincike na iya taimakawa wajen daidaita matakan acid-base ɗinka.