I-Lactic acidosis yisimo lapho inani elikhulu lactic acid lingena egazini lomuntu. Lokhu kunezizathu eziningi. Okuvame kakhulu ukuthi i-lactic acidosis yesifo sikashukela esikhungweni sokushukela kweziguli ezine-biguanides, okunciphisa kakhulu izinga leshukela egazini.
Izimpawu ze-lactic acidosis
I-Lactoacidosis iqala ngaphakathi kwamahora ambalwa nje. Kukhona cishe akekho ababikezeli balesi simo. Iziguli zingaba nobuhlungu besisindo kanye nobuhlungu ngemuva kwe-sternum.
Izibonakaliso zokuqala ze-lactic acidosis - ukuhluleka kwenhliziyo, okuyinto eqhutshwa phambili ngokukhula kwe-asidi. Ngenxa yalokho, izinguquko zingenzeka ngisho nasesimweni sokuthengisa isivumelwano se-myocardium.
Ukuthuthuka, i-lactic acidosis iveza ukuvela kwezinye izimpawu. Isiguli sibonakala:
- ukunganakwa ;
- ukuhlanza;
- ukulala noma ukulala;
- ubuhlungu besisu;
- ukuphefumula ngokushesha.
Uma lesi sigaba sesifo singaphenduki kudokotela, khona-ke kungenzeka kube nezimpawu ezihlukahlukene ze-neurological: areflexia, paresis ne-hyperkinesia. Ngaphezu kwalokho, isiguli siyaphumelela kakhulu (sinesici salesi simo, iphunga le-acetone alikho). Umuntu angalahlekelwa.
Kwezinye izimo, izimpawu ze-lactic acidosis yiziphazamiso ezingekho emthethweni zamaqembu ahlukene, amaqhawe noma ukukhubazeka kwemishini.
Ukwelashwa kwe-lactic acidosis
Uma unesifo esisodwa noma ngaphezulu salesi sifo, kufanele uthathe ngokushesha ukuhlolwa kwegazi. Ukuhlolwa kwegazi kuphela kubonisa ukuthi ngabe okuqukethwe kwe-lactic acid kwandisiwe futhi ukugcinwa kwe-alkalinity kuncike phansi. Yizimbonakaliso ezikhombisa ukuthuthukiswa kwe-lactic acidosis emzimbeni.
Ukwelashwa kwe-lactic acidosis ngokuyinhloko kuhloswe ngokuqedwa ngokushesha kwe-hypoxia kanye ngqo ne-acidosis. Isiguli kumele siphume ngesibindi isisombululo se-sodium bicarbonate (4% noma 2.5%) ngevolumu yezingu-2 amalitha ngosuku. Okubalulekile kwalesi sifo yi-insulin therapy noma ukwelashwa okukodwa okune- insulin . Njengokwelashwa okwengeziwe, i-carboxylase engenayo, i-plasma yegazi kanye namanani amancane we-heparin asetshenzisiwe.
Kubaluleke kakhulu ukuqeda ngokushesha izimbangela ze lactic acidosis. Uma ukubukeka kwesimo esinjalo kubangela i-Metformin, khona-ke ukwamukela kwakhe kufanele kumiswe.