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Letsatsi La Creation: 16 Phuptjane 2021
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Teko ea lactic acid ke eng?

Teko ena e lekanya boemo ba lactic acid, e tsejoang hape e le lactate, maling a hau. Lactic acid ke ntho e entsoeng ke lisele tsa mesifa le lisele tse khubelu tsa mali, tse tsamaisang oksijene matšoafong a hao ho ea likarolong tse ling tsa 'mele oa hau. Ka tloaelo, boemo ba asiti ea lactic maling bo tlase. Lactic acid e phahama ha maemo a oksijene a fokotseha. Maemo a tlase a oksijene a ka bakoa ke:

  • Ho ikoetlisa ka thata
  • Ho hloleha ha pelo
  • Tšoaetso e matla
  • Ho tsosoa, boemo bo kotsi bo thibelang phallo ea mali ho litho tsa hau le lisele tsa hau

Haeba litekanyetso tsa acid ea lactic li phahama haholo, li ka lebisa boemong bo sokelang bophelo bo tsejoang ka hore ke lactic acidosis. Teko ea lactic acid e ka thusa ho fumana lactic acidosis pele e baka mathata a tebileng.

Mabitso a mang: Teko ea lactate, acid e lactic: plasma

E sebelisetsoa eng?

Hangata liteko tsa lactic acid li sebelisoa ho fumana lactic acidosis. Teko e kanna ea sebelisoa ho:

  • Thusa ho fumana hore na oksijene e lekaneng e fihla lisele tsa 'mele
  • Thusa ho tseba sepsis, e leng ts'oaetso e sokelang bophelo ho tšoaetso ea baktheria

Haeba ho belaelloa hore meningitis, tlhahlobo e kanna ea sebelisoa ho thusa ho fumana hore na e bakoa ke baktheria kapa vaerase. Meningitis ke tšoaetso e tebileng ea boko le mokokotlo oa mokokotlo. Teko ea lactate ka mokelikeli oa cerebrospinal e sebelisoa ka tlhahlobo ea mali ea lactic acid ho fumana mofuta oa ts'oaetso.


Hobaneng ha ke hloka tlhahlobo ea asiti ea lactic?

U kanna oa hloka tlhahlobo ea asiti ea lactic haeba u na le matšoao a lactic acidosis. Tsena li kenyelletsa:

  • Ho nyekeloa le ho hlatsa
  • Bofokoli ba mesifa
  • Ho fufuleloa
  • Phefumoloho e khutšoanyane
  • Bohloko ba mpeng

U kanna ua hloka teko ena haeba u na le matšoao a sepsis kapa meningitis. Matšoao a sepsis a kenyelletsa:

  • Feberu
  • Ho bata
  • Ho otla ha pelo ka potlako
  • Ho hema ka potlako
  • Pherekano

Matšoao a meningitis a kenyelletsa:

  • Ho tšoaroa ke hlooho e bohloko
  • Feberu
  • Molala o thata
  • Ho ba le kutlo ho khanya

Ho etsahalang nakong ea tlhahlobo ea acid ea lactic?

Ngaka e tla nka sampole ea mali methapong kapa mothapong. Ho nka sampole ho tsoa mothapong, setsebi sa tlhokomelo ea bophelo se tla kenya nale e nyane letsohong la hao. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano. Etsa bonnete ba hore ha u koale setebele nakong ea tlhahlobo, hobane sena se ka phahamisa nakoana acid ea lactic.


Mali a tsoang mothapong a na le oksijene e ngata ho feta mali a tsoang mothapong, ka hona mofani oa tlhokomelo ea bophelo a ka khothaletsa mofuta ona oa tlhahlobo ea mali. Mohlala hangata o nkuoa mothapong o kahare ho letsoho. Nakong ea ts'ebetso, mofani oa hau o tla kenya nale e nang le sering mothapong. U ka utloa bohloko bo boholo ha nale e kena mothapong. Hang ha seringe e tlatsitsoe ka mali, mofani oa hau o tla beha bandage holim'a sebaka sa marang-rang. Kamora ts'ebetso, uena kapa mofani oa litšebeletso o tla hloka ho kenya khatello e tiileng sebakeng seo metsotso e 5-10, kapa le ho feta haeba o noa moriana o fokotsang mali.

Haeba ho belaelloa hore meningitis, mofani oa hau a ka laela tlhahlobo e bitsoang pompong ea mokokotlo kapa lumbar puncture ho fumana sampole ea mokelikeli oa hau oa cerebrospinal.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Mofani oa hao oa tlhokomelo ea bophelo a ka u joetsa hore u se ke ua ikoetlisa lihora tse 'maloa pele ho tlhahlobo. Ho ikoetlisa ho ka baka keketseho ea nakoana maemong a asiti ea lactic.

Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali. U kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.


Teko ea mali e tsoang mothapong o bohloko ho feta teko ea mali e tsoang mothapong, empa bohloko bona hangata bo fela kapele. U kanna oa ba le ho tsoa mali, ho khoba kapa ho opeloa sebakeng seo nale e kentsoeng ho sona. Le ha mathata a le teng ka seoelo, o lokela ho qoba ho phahamisa lintho tse boima lihora tse 24 kamora 'tlhahlobo.

Liphetho li bolelang?

Tekanyo e phahameng ea lactic acid e bolela hore o kanna oa ba le lactic acidosis. Ho na le mefuta e 'meli ea lactic acidosis: mofuta oa A le mofuta oa B. Sesosa sa lactic acidosis ea hau se ipapisitse le mofuta oo u nang le oona.

Mofuta oa A ke mofuta o tloaelehileng haholo oa lefu lena. Maemo a bakang mofuta oa A lactic acidosis a kenyelletsa:

  • Sepsis
  • Ho tshoha
  • Ho hloleha ha pelo
  • Boloetse ba sefuba
  • Khaello ea mali

Mofuta oa B oa lactic acidosis o ka bakoa ke a mang a maemo a latelang:

  • Lefu la sebete
  • Lefuemia
  • Lefu la liphio
  • Ho ikoetlisa ka thata

Haeba u ne u e-na le pompo ea mokokotlo ho hlahloba tšoaetso ea meningitis, liphetho tsa hau li ka bonts'a:

  • Mefuta e phahameng ea lactic acid. Mohlomong sena se bolela hore o na le meningitis ea baktheria.
  • Maemo a tloaelehileng kapa a hanyane hanyane a asiti ea lactic. Sena se bolela hore o na le mofuta oa vaerase ea tšoaetso.

Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka tlhahlobo ea lactic?

Meriana e meng e etsa hore 'mele o etse acid e ngata haholo ea lactic. Tsena li kenyelletsa kalafo ea HIV le moriana oa lefu la tsoekere la mofuta oa 2 o bitsoang metformin. Haeba u noa efe kapa efe ea meriana ena, u kanna oa ba kotsing e kholo ea lactic acidosis. Bua le mofani oa tlhokomelo ea bophelo haeba u tšoenyehile ka meriana eo u e sebelisang.

Litšupiso

  1. AIDSinfo [Inthanete]. Rockville (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. HIV le Lactic Acidosis; [e ntlafalitsoeng 2019 Aug 14; ho qotsitsoe 2019 Aug 14]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://aidsinfo.nih.gov/understanding-hiv-aids/fact-sheets/22/68/hiv-and-lactic-acidosis
  2. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC; Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2019. Lactate; [e ntlafalitsoeng 2018 Dec 19; ho qotsitsoe 2019 Aug 14]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/lactate
  3. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC; Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2019. Meningitis le Encephalitis; [e ntlafalitsoeng 2018 Feb 2; ho qotsitsoe 2019 Aug 14]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://labtestsonline.org/conditions/meningitis-and-encephalitis
  4. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC; Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2019. Sepsis; [e ntlafalitsoeng 2017 Sep 7; ho qotsitsoe 2019 Aug 14]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://labtestsonline.org/conditions/sepsis
  5. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC; Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2019. Makala; [e ntlafalitsoeng 2017 Nov 27; ho qotsitsoe 2019 Aug 14]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://labtestsonline.org/glossary/shock
  6. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida Health; c2019. Lactic acidosis: Kakaretso; [e ntlafalitsoeng 2019 Aug 14; ho qotsitsoe 2019 Aug 14]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/lactic-acidosis
  7. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida Health; c2020. Likhase tsa mali: Kakaretso; [e ntlafalitsoeng 2020 Aug 8; e qotsitsoeng 2020 Aug 8]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/blood-gases
  8. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida Health; c2019. Teko ea Lactic acid: Kakaretso; [e ntlafalitsoeng 2019 Aug 14; ho qotsitsoe 2019 Aug 14]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/lactic-acid-test
  9. National Heart, Lung, le Setsi sa Mali [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Liteko tsa Mali; [e qotsitsoeng ka la 9 Phato 14]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health-topics/blood-tests
  10. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Tlhahisoleseling ea Bophelo: Likhase tsa Mali tse Akaretsang: Kamoo e Ikutloang Kateng; [e ntlafalitsoeng 2018 Sep 5; ho qotsitsoe 2019 Aug 14]; [li-skrini tse ka bang 6]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/arterial-blood-gas/hw2343.html#hw2395
  11. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Tlhahisoleseling ea Bophelo: Likhase tsa Mali tse Akaretsang: Kamoo E Etsoang Kateng; [e ntlafalitsoeng 2018 Sep 5; ho qotsitsoe 2019 Aug 14]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/arterial-blood-gas/hw2343.html#hw2384
  12. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Tlhahisoleseling ea Bophelo: Meroallo ea Mali ea Likotsi: Likotsi; [e ntlafalitsoeng 2018 Sep 5; ho qotsitsoe 2019 Aug 14]; [tse ka bang li-skrini tse 7]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/arterial-blood-gas/hw2343.html#hw2397
  13. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Tlhahisoleseling ea Bophelo: Lactic Acid: Liphetho; [e ntlafalitsoeng 2018 Jun 25; ho qotsitsoe 2019 Aug 14]; [li-skrini tse ka bang 8]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/lactic-acid/hw7871.html#hw7899
  14. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Tlhahisoleseling ea Bophelo: Lactic Acid: Kakaretso ea Teko; [e ntlafalitsoeng 2018 Jun 25; ho qotsitsoe 2019 Aug 14]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/lactic-acid/hw7871.html#hw7874
  15. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Tlhahisoleseling ea Bophelo: Lactic Acid: Hobaneng e Etsoa; [e ntlafalitsoeng 2018 Jun 25; ho qotsitsoe 2019 Aug 14]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/lactic-acid/hw7871.html#hw7880

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.

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