Pathways asidi: Iimpawu kunye nonyango loko.

Lactic - uhlobo zokugxojwa eseleyo asidi-isiseko emzimbeni. The main kubonakaliswa - ongowona okanye isalamane asidi kwemfuneko. Ngokuxhomekeka pH, libhekisela lwee- ion ze-hydrogen yegazi yahlulwe asidi babuyekezwe kwaye decompensated. Oku kuxhomekeke asidi kwemfuneko kunye ezisilelayo iindlela komzimba kunye physicochemical ummiselo.

Ukwahlula phakathi yokuphefumla kunye lactic metabolic.

lactic yokuphefumla kwenzeka ngenxa hypoventilation ngenxa inkqubo luvo kananjalo ngenxa kwizifo neuromuscular, nokudumba yemiphunga, inyumoniya, insufficiency miphungeni.

lactic pathways luboniswa ekunciphiseni pH igazi yesoda nokunciphisa isiqulatho plasma ngenxa yokulahlekelwa yesoda okanye ukwandisa isiqulatho nezinye ii-asidi. lokwaluka mbilini unyango lwe lactic pathways kungakhokelela arrhythmias kunye zokuma. Izinto ezibangela lactic pathways ezahlukeneyo. An ketoacidosis ezinxilisayo, ketoacidosis seswekile, lactic acidosis, ukutyhefa kunye imethyl utywala, ethylene ethers salicylate, ukusilela kwezintso, urhudo, ukusetyenziswa iintlobo ezithile zemithi, ukusetyenziswa rhoqo ukutya emuncu.

Ukuba isigulana umntu asidi, iimpawu kaninzi kunzima ukwahlula ukusuka zesifo bha zifana kakhulu kubo, enika ingxaki enkulu kuba ugqirha kwisicwangciso diagnostic. Lactic ngendlela okulula kwemali, ngokuqhelekileyo ngaphandle iimpawu. Maxa wambi iimpawu lactic loo wavakalisa isicaphucaphu qatha okanye ukugabha, a fatigue kancinane. kakhulu lwe lactic pathways luphawulwa ukubonakala gipernoe. Xa gipernoe kuqala ukwanda ubunzulu ukuphefumla, uze emva koko rhoqo yayo. Xa lactic seswekile nga ukunciphisa ETSZH mali (extracellular (extracellular) fluid). Into efanayo xa ilahleko iziseko yenkqubo zesisu yokwetyisa. Xa lactic kakhulu maxa wambi wabona mothuko yokujikeleza, ngenxa na ukunyhashwa contractility engabalulekanga. Kusenokwenzeka ukuba elinganeno, okanye eqhiphuke umbilini isimo soporous.

Xa ukusola incinane lobukho lactic imfuneko engxamisekileyo oyenzayo. Iimviwo iqinisekisiwe igazi esimbaxa ukwakheka igesi, urinalysis kwenziwa pH kunye nohlalutyo electrolytes serum. Ezi zifundo bakwazi ukubonisa ubukho okanye ukungabikho lactic pathways esikuyo ityala layo.

Ukuba asidi wabonakala, unyango ngokuqhelekileyo luqhutywa kwi complex: wayilungisa nokuphefumla ukuphelisa into causative, ukuphazamiseka electrolyte, ukuphucula rheology igazi, bunjani kwegazi, iinkqubo igcwala izicwili kuphelisa anemia kunye hypoproteinemia. Ukulungiselela le njongo, kuqala kwiinto zonke, kusetyenziswa izisombululo kwealkali. Lactic ne ingahlawulwa ngokusebenzisa sodium hydrogencarbonate, nicotinic acid hydrochloride, cocarboxylase. Ukunyanga lactic kakhulu uncompensated yenziwa ukumnika unyango alkalizing kunye sodium yesoda e yekhabhoni trisamin.

Ngexesha ukusetyenziswa kweziyobisi eziyimfuneko ukulawula izalathi si zokunikwa eseleyo acid-isiseko kwaye ngaxeshanye ukucacisa ionogram. Oku kwenziwa ukuze siphephe iingxaki ezivela ekusetyenzisweni isisombululo alkalizing.

Ngenxa yoko, lactic metabolic unzima kakhulu kwaye isifo esimandundu. unyango lwakhe oluqhutywa esibhedlele phantsi kweliso lomgadi gqirha. Self-amayeza kulo mzekelo akwamkelekanga ngokupheleleyo kwaye kunokubangela iingxaki zempilo ezinzulu. Akukho xesha uphethwe - eli asiloxesha zolwaluko zonyango.