Lactic acidosis

Lactic acidosis e bua ka asiti ea lactic e kenang maling. Lactic acid e hlahisoa ha maemo a oksijene a fetoha lisele tse tlase kahare ho likarolo tsa mmele moo metabolism e etsahalang.

Lebaka le tloaelehileng haholo la lactic acidosis ke bokuli bo matla ba bongaka moo khatello ea mali e leng tlase mme oksijene e nyane haholo e fihlella lisele tsa 'mele. Boikoetliso bo matla kapa ho tsitsipana ho ka baka sesosa sa nakoana sa lactic acidosis. Maloetse a mang a ka baka boemo ho kenyelletsa:

• AIDS
• Botahoa
• Kankere
• Cirrhosis
• Chefo ea cyyanide
• Ho hloleha ha liphio
• Ho hloleha ho phefumoloha
• Sepsis (tšoaetso e matla)

Meriana e meng e ka baka lactic acidosis ka seoelo:

• Ba bang ba inhalers ba ne ba tloaetse ho phekola asthma kapa COPD
• Epinephrine
• Lithibela-mafu tse bitsoang linezolid
• Metformin, e neng e sebelisetsoa ho alafa lefu la tsoekere (hangata ha e feta tekano)
• Mofuta o mong oa moriana o sebelisetsoang ho alafa tšoaetso ea HIV
• Propofol

Matšoao a ka kenyelletsa:

• Ho nyekeloa
• Ho hlatsa
• Bofokoli

Liteko li ka kenyelletsa tlhahlobo ea mali ho lekola litekanyetso tsa lactate le electrolyte.

Kalafo ea mantlha ea lactic acidosis ke ho lokisa bothata ba bongaka bo bakang boemo boo.

Palmer BF. Metabolic acidosis. Ho: Feehally J, Floege J, Tonelli, Johnson RJ, bahlophisi. Kakaretso ea Nephrology ea Kliniki. La 6th. Philadelphia, PA: Elsevier; 2019: khaolo ea 12.

Seifter JL. Mathata a acid-base. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 118.

Moqapi RJ. Mathata a acid-base. Ka: Marako RM, Hockberger RS, Gausche-Hill M, et al, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier Saunders; 2018: khaolo ea 116.