ʻO ka acidosis lactic ka mea i komo i loko o ke koko kanaka ka nui o ka lactic acid. He nui nā kumu. ʻO ka mea maʻamau ka laka acidosis ma ka maʻi diabetes ma ke komoʻana i nā maʻi me nā biguanides, e emi nui ana ke kiʻekiʻe o ke kō i loko o ke koko.
Nā hōʻailona o ka lactic acidosis
ʻO ka lactoacidosis e ulu nei i loko o nā hola wale nō. ʻAʻohe mea mua o kēiaʻano. Hiki i nā maʻi ke loaʻa i ke kaumaha a me ke kaumaha ma hope o ka sternum.
ʻO nā hōʻailona mua o ka acidosis lactic -ʻo ia ka hemahema cardiovascular, aʻoi aku ka hoʻonuiʻia e ka nui o ka'alema. ʻO ka hopena, hiki ke hoʻololi i nā loli i loko o ka pilikino o ka myocardium.
Holomua, lactic acidosis e hoʻonāukiuki i ka pukaʻana o nā hōʻailona'ē aʻe. Kuhi ka mea maʻi:
- 'opiʻa ;
- luaʻi;
- hiamoe a pōloli paha;
- ka ehaʻeha;
- ka hanu wikiwiki.
Inā ma kēia wā o ka maʻiʻaʻole e huli i ke kauka, a laila hiki keʻikeʻia he mau hōʻailona neurological: theflexia, paresis a hyperkinesia. Eia hou,ʻo ka mea maʻi e hoʻomaha ana (me keʻano o kēiaʻano, aia ke ala o ka acetone). Hiki i kekahi ke lilo kaʻike.
I kekahi mau mea, he mau hōʻailona o ka mea'enela lactic i ka hoʻoikaikaʻoleʻiaʻana o nā puʻupuʻu kūikawā likeʻole, ke kāohi a iʻole ka pilikia o ka hana kaʻa.
Hanaʻiaʻana o ka waikawa lactic
Inā loaʻa iāʻoe hoʻokahi aʻoi aku paha nā hōʻailona o kēia maʻi, ponoʻoe e lawe koke i kahi ho'āʻo koko. Hiki wale ke hōʻikeʻia kahi ho'āʻoʻana o ka hōʻikeʻana i nā toto i ka nui o nā mea'enela lactic a me ka hoʻopiliʻana i ka'āpana'āina. ʻO kēia mau mea hōʻailona e hōʻike ana i ka uluʻana o ka acidosis lactic i loko o ke kino.
ʻO keʻano o ka hoʻomaʻamaʻaʻana i ka waikawa lactic acid,ʻo ia ke kumu e hoʻopau kokeʻia ai ka hypoxia a me ka acidosis. Pono ka mea hoʻomoe e hoʻopau i kahi hāmole o ka sodium bicarbonate (4% aiʻole 2.5%) me ka hopena o ka 2 i ka lā. ʻO ka hōʻailona no kēia maʻi, he insulin kaohi a me ka monocomponent therapy me ka insulin . Ma keʻano heʻokoʻa houʻana, hoʻohanaʻia ka carboxylase i loko o ka maʻi, ka plasma koko a me nā maike heparin.
He mea pono loa e hoʻopau wikiwiki i nā kumu o ka acidosis lactic. Ināʻikeʻia keʻano o iaʻano e hoʻonāukiuki iā Metformin, a laila, pono e ho'ōkiʻia konaʻaeʻana.