Qhov sib txawv tseem ceeb ntawm metabolic acidosis thiab metabolic alkalosis yog qhov metabolic acidosis yog qhov txo qis ntawm lub cev pH vim qhov txo qis ntawm cov piam thaj hauv cov ntshav los yog nce hauv cov ntshav hydrogen ion concentration, thaum metabolic alkalosis yog qhov siab ntawm lub cev. pH vim qhov nce hauv cov ntshav hauv cov ntshav bicarbonate lossis txo qis hauv cov ntshav hydrogen ion concentration.
Ntshav yog tsim los ntawm cov kua qaub thiab cov hauv paus. Tus nqi ntawm cov kua qaub thiab cov hauv paus hauv cov ntshav tuaj yeem ntsuas tau los ntawm kev ntsuas pH. Nws yog ib qho tseem ceeb heev kom tswj tau qhov sib npaug ntawm cov kua qaub thiab cov hauv paus hauv cov ntshav. Kev hloov me ntsis txawm tuaj yeem ua rau muaj teeb meem kev noj qab haus huv. Feem ntau, cov ntshav yuav tsum muaj cov hauv paus me ntsis ntau dua li cov kua qaub. Metabolic acidosis thiab metabolic alkalosis yog ob qho xwm txheej vim yog kev hloov pauv hauv cov ntshav pH.
YMetabolic Acidosis yog dab tsi?
Metabolic acidosis txhais tau tias txo qis ntawm lub cev pH vim qhov txo qis hauv cov ntshav hauv cov ntshav los yog nce hauv cov ntshav hydrogen ion concentration. Nws yog ib qho teeb meem loj ntawm electrolyte uas tshwm sim los ntawm acid-base imbalance hauv lub cev. Metabolic acidosis kuj tuaj yeem yog vim muaj cov kua qaub ntau ntxiv thiab txo lub peev xwm ntawm lub raum kom tshem tawm cov kua qaub ntau dhau. Qhov no ua rau muaj mob hu ua acidemia.
Hauv kev kawm, cov ntshav hlab ntsha pH qis dua 7.35. Mob metabolic acidosis tuaj yeem nyob ntawm ob peb feeb mus rau ob peb hnub. Nws feem ntau tshwm sim thaum muaj mob hnyav. Feem ntau, nws tshwm sim thaum lub cev tsim ntau cov organic acids xws li keto acids thiab lactic acids. Lub xeev metabolic acidosis ntev li ntawm ob peb lub lis piam mus rau xyoo. Nws tuaj yeem yog vim lub raum tsis ua haujlwm lossis kev siv cov khoom siv bicarbonate.
Daim duab 01: Qib ntawm Bicarbonates hauv Metabolic Acidosis
Cov teebmeem ntawm cov mob hnyav thiab mob ntev metabolic acidosis kuj txawv ntawm ib leeg. Cov kab mob metabolic acidosis cuam tshuam rau cov hlab plawv hauv cov tsev kho mob thaum lub sijhawm, cov kab mob metabolic acidosis ntev cuam tshuam rau cov leeg, pob txha, ob lub raum, thiab cov hlab plawv. Cov tsos mob ntawm metabolic acidosis muaj xws li ua pa sai thiab ntiav, tsis meej pem, qaug zog, mob taub hau, tsaug zog, tsis qab los noj mov, jaundice, nce plawv dhia, thiab lwm yam. Tsis tas li ntawd, kev kho mob rau metabolic acidosis feem ntau muab qhov ncauj los yog intravenous sodium bicarbonate kom nce cov ntshav pH..
YMetabolic Alkalosis yog dab tsi?
Metabolic alkalosis txhais tau tias yog qhov nce ntawm lub cev pH vim qhov nce hauv cov ntshav hauv cov ntshav los yog txo qis hauv cov ntshav hydrogen ion concentration. Nws yog ib qho mob uas tshwm sim thaum cov ntshav dhau alkaline. Alkalosis tshwm sim thaum cov ntshav muaj ntau dhau alkali tsim bicarbonate ions lossis tsawg acids ua hydrogen ions. Yog li ntawd, hauv metabolic alkalosis, arterial ntshav pH siab dua 7.35.
Daim duab 02: Cov tsos mob ntawm Metabolic Alkalosis vs Alkalosis
Cov tsos mob yuav muaj xws li ntuav, raws plab, o hauv ob txhais ceg, qaug zog, ntxhov siab, ntxhov siab, qaug dab peg, thiab tsis nco qab. Tus mob no feem ntau tuaj yeem kuaj tau los ntawm kev tshuaj xyuas zis. Cov kev kho mob suav nrog saline infusion, hloov poov tshuaj, hloov magnesium, chloride infusion, hydrochloride acid infusion thiab txwv tsis pub siv cov tshuaj diuretics siab.
Dab tsi zoo sib xws ntawm Metabolic Acidosis thiab Metabolic Alkalosis?
- Metabolic acidosis thiab metabolic alkalosis yog ob yam xwm txheej vim yog kev hloov pauv hauv cov ntshav pH.
- Ob qho xwm txheej yog vim qhov ua rau metabolic.
- Cov xwm txheej no tuaj yeem ua rau mob hnyav.
- Lawv tuaj yeem kuaj tau los ntawm kev kuaj zis.
- Cov xwm txheej no kho tau los ntawm kev tswj qhov ncauj lossis tso rau hauv cov kua dej.
Qhov txawv ntawm Metabolic Acidosis thiab Metabolic Alkalosis yog dab tsi?
Metabolic acidosis hais txog qhov txo qis ntawm lub cev pH vim qhov txo qis hauv cov ntshav hauv cov ntshav los yog nce hauv cov ntshav hydrogen ion concentration. Lub caij no, metabolic alkalosis hais txog qhov nce ntawm lub cev pH vim qhov nce hauv cov ntshav hauv cov ntshav bicarbonate lossis txo qis hauv cov ntshav hydrogen ion concentration. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm metabolic acidosis thiab metabolic alkalosis. Tsis tas li ntawd, hauv metabolic acidosis, lub cev pH qis dua 7.35, tab sis hauv metabolic alkalosis, lub cev pH siab dua 7.35.
Cov hauv qab no infographic teev qhov sib txawv ntawm metabolic acidosis thiab metabolic alkalosis hauv daim ntawv tabular rau ib sab ntawm kev sib piv.
Summary – Metabolic Acidosis vs Metabolic Alkalosis
Cov kab mob uas cuam tshuam rau cov metabolism tuaj yeem ua rau muaj kev hloov pauv hauv cov ntshav pH. Metabolic acidosis thiab metabolic alkalosis yog ob qho xwm txheej vim yog kev hloov pauv hauv cov ntshav pH. Metabolic acidosis txhais tau tias txo qis ntawm lub cev pH vim qhov txo qis hauv cov ntshav hauv cov ntshav los yog nce hauv cov ntshav hydrogen ion concentration, thaum metabolic alkalosis yog qhov nce ntawm lub cev pH vim qhov nce hauv cov ntshav hauv cov ntshav los yog txo qis hauv cov ntshav hydrogen. ion concentration. Yog li, qhov no qhia txog qhov sib txawv ntawm metabolic acidosis thiab metabolic alkalosis.
