Lactic acidosis

Lactic acidosis waxaa loola jeedaa aashitada lactic ee ku soo baxda dhiiga. Lactic acid waxaa la soo saaraa marka heerarka oksijiinta, ay ku yaraadaan unugyada ku dhex jira aagagga jidhka ee ay dheef-shiid kiimikaadku ka dhacaan.

Sababta ugu badan ee keenta lactic acidosis waa jirro caafimaad oo daran taas oo cadaadiska dhiigu uu hooseeyo oo ogsijiin aad u yar ay gaareyso unugyada jirka. Jimicsi xoog leh ama gariir ayaa sababi kara sababo ku meel gaar ah oo laastikoksiis ah. Cudurada qaarkood ayaa sidoo kale sababi kara xaalada oo ay ka mid yihiin:

• AIDS-ka
• Khamriga
• Kansarka
• Cirrhosis
• Sumowga Syanide
• Kelyaha oo hawl gab
• Neefsashada oo xumaata
• Sepsis (infekshin daran)

Daawooyinka qaarkood waa dhif inay sababaan aashitada lactic acid:

• Neefsashada qaarkood ayaa lagu daaweyn jiray neef ama COPD
• Epinephrine
• Antibiyootig la yiraahdo linezolid
• Metformin, waxaa loo isticmaali jiray in lagu daaweeyo cudurka macaanka (badiyaa marka si xad dhaaf ah loo qaato)
• Mid ka mid ah daawooyinka loo isticmaalo daaweynta cudurka HIV
• Propofol

Calaamadaha waxaa ka mid noqon kara:

• Lallabbo
• Matagid
• Tabar darrida

Tijaabooyinka waxaa ku jiri kara baaritaanka dhiigga si loo hubiyo heerarka nuujinta iyo korantada.

Daaweynta ugu weyn ee lactic acidosis waa in la saxo dhibaatada caafimaad ee keenta xaaladda.

Palmer BF. Acid acidosis. Gudaha: Feehally J, Floege J, Tonelli, Johnson RJ, eds. Neefroloji Caafimaad oo dhameystiran. 6aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 12.

Seifter JL. Ciladaha ku dhaca Acid-base. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 118.

Strayer RJ. Ciladaha ku dhaca Acid-base. Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, et al, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier Saunders; 2018: cutubka 116.