Lactic acidosis kuma ana kiranta lactic acidosis. Wannan halin, wanda ke tsokanar cutar sikila, cuta ce mai haɗari wanda ya dace da ciwon suga.
Lactic acidosis yana bayyana kamar lactic acid yana tarawa a jikin mutum. Ya shafa ta:
- Saƙar fata
- Fata
- Kwakwalwa.
Bayan tara wani adadin acid, ana canza lactic acidosis zuwa acidosis na rayuwa.
Yana da matukar mahimmanci ga duk mutanen da ke da ciwon sukari su san manyan alamun cututtukan lactic acidosis.
Sanadin Lactic Acidosis
Lactic acidosis yana bayyana sakamakon:
- Kumburi da cututtuka,
- Mai yawan zubar jini,
- Mai shan barasa,
- Babban myocardial infarction,
- Raunin raunin jiki,
- Rashin wahala
- Ciwon hanta na kullum.
Babban mahimmanci wanda ke haifar da lactic acidosis yana ɗaukar biguanides, alal misali, yawancin lokuta ana ɗaukar Metformin. A wannan yanayin, alamun lactic acidosis yana bayyana a cikin marasa lafiya da ciwon sukari mellitus, suna shan magunguna na rukunin sukari tare da wannan abu a cikin abun da ke ciki.
Idan kodan ya shafi hanta ko hanta, koda kankantaccen kashi na biguanides zai iya haifar da lactic acidosis. Wannan yanayin shine lalacewa ta hanyar tarin kwayoyi a cikin jikin mutum.
Lactic acidosis yana faruwa tare da kashin tsoka na hypoxia. Hypoxia na iya faruwa, misali, tare da tsawaita ta jiki. Hakanan zai buƙaci magani.
Idan babu bayyananniyar kasancewar hypoxia, to sanadin yanayin na iya zama cutar kuturta da sauran hanyoyin ciwace-ciwace. Sauran dalilan na iya haɗawa:
- Kasawar numfashi
- Wani mummunan bugun zuciya daya daga cikin huhu,
- Infarction na ciki
- Rashin Thiamine a jiki.
Muhimman alamu na Lactic Acidosis
Lactic acidosis, mafi yawan lokuta, yana shiga cikin mummunan yanayin, a cikin 'yan awanni kaɗan. Yawanci, alamu na iya kasancewa gabaɗaya, amma magani ya zama dole.
Marasa lafiya suna lura da ciwon tsoka da raɗaɗi mara dadi wanda ya bayyana a bayan mafitsin. Lactic acidosis yana da alamun bayyanar:
- apathy
- saurin numfashi
- rashin bacci
- nutsuwa
Bayyanar cututtuka na rashin lafiyar zuciya shine alamu na asali na acidosis mai tsanani. Irin wannan cin zarafin yana haifar da ƙwanƙwirar aiki, halayyar myocardium, yayin da lactic acidosis ke haɓaka.
Bayan wannan, lactic acidosis yana haifar da ci gaba mai lalacewa a cikin yanayin gabaɗaya, wanda, saboda karuwar acidosis, ciki yana fara rauni, ana lura da amai.
Idan yanayin mai haƙuri lactic acidosis yana ƙaruwa sosai, to alamu na iya bambanta sosai: daga areflexia zuwa paresis da hyperkinesis.
Nan da nan kafin a fara daga cikin ƙwayar cuta, wanda tare da asarar rai, haƙuri zai fara sautin motsin rai tare da yawan sautin numfashi. Smellwarin halayyar acetone baya haifar da lactic acidosis. Yawanci, wannan nau'in numfashi yana faruwa tare da acidosis metabolic.
Bayan lokaci, lactic acidosis yana fara bayyana kansa tare da alamun rushewa. Na farko, oligoanuria ya bayyana, kuma bayan anuria. Sakamakon wannan, ci gaban DIC ya fara - coagulation intravascular. Idan an sami waɗannan yanayin, likita ya kamata ya gudanar da magani nan da nan.
Bayyanar cututtukan acidosis sune bayyanar thrombosis cikin ƙwayar ciki tare da cutar ƙoshin jini na jini, yatsun hannu da hannu.
Kula da yadda sauri lactic acidosis siffofin, samuwar faruwa a cikin 'yan sa'o'i kawai.
Alamomin yanayin sun hada da:
- bushe harshe
- busassun sheqa
- bushe fata.
Jiyya da matakan bincike na lactic acidosis
Bayyanar cututtukan lactic acidosis tare da duk alamun da ke sama yana da wuyar tantancewa. Ana ɗaukar cututtukan cututtuka a matsayin kayan taimako.
Bayanan dakin gwaje-gwaje suna da gamsuwa mai gamsarwa dangane da ƙudurin lactic acid a cikin jini. Kari akan haka, abubuwanda ke nuni masu zuwa:
- raguwa a cikin bicarbonates jini,
- digiri na matsakaici hyperglycemia,
- rashin acetonuria.
Lokacin la'akari da alamun bayyanar cututtukan lactic acidosis da yanayin kanta, yana da mahimmanci, da farko, don tantance alamomi don saurin kawar da hypoxia.
Tare da alamun bayyanar yanayin da lactic acidosis kanta, kulawa ta gaggawa ta ƙunshi cikin gudanarwar cikin ciki na maganin maganin sodium bicarbonate (4% ko 2.5%) har zuwa lita 2 a rana.
Ana ɗaukar Metformin don ciwon sukari, yana rage hyperglycemia, amma ba ya haɓaka hypoglycemia. Ba kamar magungunan sulfonylurea ba, wanda ya haɗa da magungunan sulfa, Metformin baya motsa samar da insulin.
Game da yawan ƙwayar cuta tare da Metformin a cikin ciwon sukari, lactic acidosis na iya haɓaka tare da barazanar mummunan sakamako. Dalilin shi ne tarawar miyagun ƙwayoyi saboda lalacewar aikin renal.
Idan alamun lactic acidosis ya bayyana, to, zai fi kyau a daina amfani da Metformin. Marasa lafiya na bukatar a kwantar da su a asibiti. Metformin ya fi dacewa yana kawar da hemodialysis a cikin yanayin likita. Bugu da kari, ana yin aikin tiyata.
Hypoglycemia na iya haɓaka idan an ɗauki Metformin tare da sulfonylureas.
Yana da mahimmanci a kula da ƙimar pH da matakan potassium a cikin jini.
Bugu da ƙari, tare da lactic acidosis da alamu, insulin therapy na aikin injiniya mai amfani da yanayin aiki ko maganin motsa jiki tare da gajeren insulin ana amfani dashi azaman magani.
A cikin lura da alamun bayyanar cututtuka da kuma lactic acidosis, za a iya gudanar da maganin carbonxylases cikin hanzari ta hanyar magudanar ruwa tare da gabatarwar kusan 200 MG kowace rana.
Jiyya ta ƙunshi cikin aikin kwantar da jini na jini da ƙaramar heparin, wanda ke ba da gudummawa ga gyaran hemostasis.
Yin rigakafin Coma
Don hana lactacPs coma saboda lactic acidosis, ya zama dole don hana hypoxia da ma'amala da hankali kan cutar da ciwon sukari.
Lactic acidosis, alamun cututtukan wanda zasu iya bayyana lokacin amfani da biguanides, suna buƙatar ƙaddarar ƙwayoyin su tare da saurin cirewa idan akwai cututtukan cututtukan zuciya, alal misali, tare da ciwon huhu.
Lactic acidosis yana da alamun bayyanar tare da bayyanar hanyoyin aiwatarwa, sabili da haka, masu ciwon sukari tare da amfani da biguanides dole ne suyi la'akari da wannan lokacin yin jiyya.
Idan akwai wata tuhuma da ke nuna damuwa a lactic acidosis, yakamata a tuntuɓi likitan ilimin endocrinologist.
