Otu n'ime ihe dị iche iche nke acid-base bụ alkalosis metabolic. Na steeti a, ọbara nwere mmeghachi omume alkaline.
Ihe na-akpata Metabolic Alkalosis
Isi ihe nke alkalosis bụ nkwụsị nke chlorine na ions hydrogen site na ahụ mmadụ, na-arịwanye elu na ntinye nke bicarbonate na ọbara. E nwere ọtụtụ ihe kpatara nsogbu ndị a:
- Ọgwụgwọ na diuretics (diuretics), vomiting siri ike ma ọ bụ nchịkwa nke mmiri na-eduga n'adịghị abụba ma ọ bụ chloride n'ime ahụ.
- Adenomas nke ikensi na nnukwu eriri afọ.
- Ọrịa Cushing (oké mmepụta nke hormones site na cortex adrenal), ọnyá Barter (mgbatị nke chloride), na isi aldosteronism na erreal cortex tumors.
- Ụbụrụ ụbụrụ (etuto, ọnyá anụ ahụ, wdg), na-eme ka hyperverilation nke ngụgụ.
- Enweghi ike nke potassium n'ime ahụ n'ihi ihe oriri na-ezighị ezi.
- Njikere nke ihe ndị dị n'ime ahụ.
Mgbaàmà nke Metabolic Alkalosis
Maka alkalosis, mgbaàmà ndị a na-esonụ:
- akpụkpọ anụ akpụkpọ anụ;
- nkwụsị nke ihu na aka ahụ (nsogbu uche);
- obi ụtọ;
- belata n'ike, ncheta na nlebara anya;
- tachycardia;
- nkwarụ n'ihi hypocalcemia.
Site na ọnya anụ nke usoro nhụjuanya nke etiti, ọnyá epileptic nwere ike ime.
Iji chọpụta ọrịa alkalosis metabolic, a na-emepụta gas nke ọbara ọbara na ọdịnaya nke bicarbonates na ọbara na-asọ oyi, a na-atụle ọkwa nke electrolytes (gụnyere magnesium na calcium) na plasma ọbara ma tinyekwuo potassium na chlorine n'ime urine ahụ.
Ọgwụgwọ nke alkalosis metabolic
Isi ọrụ na ọgwụgwọ bụ nụghachi mmiri na electrolytes n'ime ahụ. Ọ bụrụ na a hụ ihe mgbaàmà nke alalosis, ọ dị mkpa ịchọta enyemaka ahụike, na mmepe nke ijigide, ịgba agbọ na-enweghị mmerụ na ịda mbà, onye ọrịa ahụ kwesịrị ịkpọ ụgbọ ala.
Nlekọta nke alkalosis metabolic dabeere na ihe mere kpatara mmebi nke nguzo mmiri acid. Ọ bụrụ na ịdị arọ nke alkalosis dị ịrịba ama, a na-etinye ihe ngwọta nke ammonium chloride n'ime mmiri. N'ịbụ ndị nwere nkwarụ, a na-etinye nsị nke chloride calcium na vein. Ọ bụrụ na ihe kpatara alkalosis bụ ịmalite ikuku nke alkalis n'ime ahụ, a họpụtara Diakarb.