Lactic acidosis inzvimbo iyo iyo yakawanda yelactic acid inopinda muropa revanhu. Izvi zvine zvikonzero zvakawanda. Yakawanda ndeye lactic acidosis mune chirwere cheshuga mellitus panguva yekugamuchirwa kune varwere vane biguanides, iyo inonyanya kuderedza huwandu hwehuga muropa.
Zviratidzo zve lactic acidosis
Lactoacidosis inokura mukati maawa mashoma. Iko kune zvisingatauri vatungamiri vemamiriro ezvinhu aya. Varwere vanogona kungova nemarwadzo ekurwadziwa uye kurwadziwa mushure me sternum.
Zviratidzo zvekutanga zve lactic acidosis - inoshaya mwoyo, izvo zvinowedzera kuwedzera nekuwedzera acidity. Somugumisiro, kushanduka kunogona kuitika kunyange muchibvumirano chechibvumirano chemyocardium.
Kufambira mberi, lactic acidosis inokurudzira kubuda kweimwe zviratidzo. Murwere anoratidzika:
- kusafarira ;
- kurutsa;
- kugona kana kushaya hope;
- kurwadziwa kwepamuviri;
- kufema kufema.
Kana panguva ino yechirwere isingashanduki kuna chiremba, zvino pangave pane zviratidzo zvakasiyana-siyana zvehutano: areflexia, paresis uye hyperkinesia. Uyezve, murwere ari kufema kunofadza (pamwe nemamiriro ezvinhu aya, kunhuwa kweacetone hakusipo). Munhu anogona kurasikirwa.
Mune zvimwe zviitiko, zviratidzo zve lactic acidosis inopesana nekupindirana kwemapoka emasikisi akasiyana-siyana, kugumburwa kana kushaya simba kwemotokari.
Kurapa kwe lactic acidosis
Kana iwe uine imwe kana zviratidzo zvechirwere ichi, iwe unofanira kubva uchitora ropa. Chete chirongwa chekuongorora ropa chinogona kuratidza kana lactic asidi yakagadzirwa uye iyo yakachengetwa zvinyorwa isiri pasi. Izvozvi zviratidzo zvinoratidza kukura kwelactic acidosis mumuviri.
Kurapa kwe lactic acidosis inonyanya kurongerwa nekukurumidza kuparadzwa kwe hypoxia uye zvakananga acidosis. Murwere anofanira kuvhara mhinduro ye sodium bicarbonate (4% kana 2.5%) uye inenge yakaita 2 litres pazuva. Zvinokonzerwa nechirwere ichi insulin therapy kana monocomponent therapy ne insulin . Sekuwedzera kwehutano, intravenous carboxylase, plasma yeropa uye madhii maduku eheparin anoshandiswa.
Zvinonyatsodikanwa kubvisa nokukurumidza zvikonzero zve lactic acidosis. Kana kuonekwa kwechiitiko chakadaro kuchikonzera Metformin, ipapo kugamuchirwa kwake kunofanira kumira.