Alkalosis tsim ib qho alkalinity ntau dhau ntawm cov ntshav, uas yog hais txog pH uas yooj yim heev. Qhov sib txawv yog tsim los ntawm metabolic alkalosis thiab ua pa alkalosis. Ob qho xwm txheej no ua rau muaj kev ntxhov siab, mob leeg lossis spasms. Kev kho mob tsom rau qhov ua rau alkalosis.

Lus txhais

PH yog ib qho kev ntsuas uas txhais tau hais tias cov kua yog acidic heev (0-1) los yog yooj yim heev (14-15). Cov ntshav ib txwm tsis muaj zog: nws cov pH txawv ntawm 7,3 thiab 7,5. Thaum no PH nce, peb hais txog ntau alkalinity.

Thaum cov alkalinity ntau dhau yog vim muaj ntau dhau ntawm bicarbonates lossis poob ntawm cov kua qaub los ntawm cov ntshav, nws hu ua metabolic alkalosis. Thaum nws tshwm sim los ntawm qib qis ntawm carbon dioxide hauv cov ntshav (vim ua pa nrawm lossis tob), nws hu ua pa alkalosis.

Ua rau

Metabolic alkalosis

Cov kab mob metabolic alkalosis tshwm sim los ntawm cov kua qaub ntau dhau los yog ntau dhau ntawm lub hauv paus nce. Cov laj thawj tuaj yeem yog:

• poob ntawm gastric acidity vim rov ntuav lossis rau ib tug cev thaum ua haujlwm
• pib nce tom qab noj ntau dhau ntawm cov khoom siv yooj yim xws li ci dej qab zib

Thaum kawg, alkalosis tuaj yeem yog qhov tshwm sim ntawm lub raum tsis muaj peev xwm tswj tau qhov sib npaug ntawm acidity thiab cov hauv paus hauv lub cev. Qhov kev ua haujlwm txawv txav ntawm lub raum no tuaj yeem yog vim:

• kev siv tshuaj kho mob
• poob ntawm potassium txuas rau overactive qog adrenal

Ua pa alkalosis

Kev ua pa alkalosis tshwm sim thaum ua pa tob dhau lossis nrawm dhau ua rau cov pa roj carbon dioxide hauv cov ntshav qis dhau. Qhov ua rau ntawm qhov hyperventilation no yog:

• Kev ntxhov siab thiab kev tawm tsam kev ntxhov siab (feem ntau)
• ib qho tshuaj aspirin overdose
• ua npaws los yog kab mob
• cov pa oxygen tsawg dhau hauv cov ntshav
• mob hnyav

diagnostic

Kev kuaj mob yog tsim los ntawm kev kuaj ntshav lossis kuaj zis.

Risk yam tseem ceeb

• Cov neeg ua rau muaj kev ntxhov siab thiab kev ntxhov siab
• Kev siv cov diuretics
• Ntau cov dej qab zib
• Rov ntuav ntuav

Alkalosis tuaj yeem tshwm sim los ntawm:

• txob taus
• mob leeg
• tingling hnov ​​nyob rau hauv lub extremities

Tingling feem ntau tau tshaj tawm hauv cov pa alkalosis thaum hyperventilation yog vim muaj kev ntxhov siab.

Yog tias alkalosis hnyav heev, kev tawm tsam ntawm tetany tuaj yeem tshwm sim.

Qee zaum alkalosis tsis ua rau muaj tsos mob.

Kev kho mob alkalosis yog kev kho mob ntawm qhov ua rau, qee zaum ua ke nrog kev pab kho mob. 

Nrog rau metabolic alkalosis, thaum ua rau alkalosis tau ruaj khov ( ntuav, thiab lwm yam), tus kws kho mob tuaj yeem sau tshuaj sodium thiab potassium kom rov ua kom cov kua qaub-puag.

Vim li casua pa dej cawv, tus neeg zov me nyuam yuav tsum xub rov hais dua tus neeg mob thiab xyuas kom meej tias nws muaj cov pa oxygen txaus. Kev kho mob muaj xws li:

• ua npaws qis thaum muaj kab mob
• analgesic thaum mob hnyav
• nco qab ua pa thiab kev nplij siab thaum muaj kev ntxhov siab

Yog tias qhov kev tawm tsam txaus ntshai rov tshwm sim, tus neeg mob tuaj yeem teem sijhawm nrog tus kws kho mob hlwb. Kev paub txog kev coj tus cwj pwm kev kho mob tau pom cov txiaj ntsig zoo hauv kev txo qis kev ntxhov siab thiab phobias.

Cov cwj pwm zoo los tiv thaiv alkalosis yog:

• tswj kev ntxhov siab
• kev kho mob kub taub hau thaum nws tshwm sim
• Kev saib xyuas kev kho mob thaum noj cov tshuaj diuretics, tshuaj aspirin thiab bicarbonate

Nco tseg: kev noj tshuaj yuav tsum tau sab laj nrog kws kho mob tas li.