Acid-base balance inoreva nzira inoumbwa nemuviri kuchengetedza mvura yomuviri seyo pedyo nepasutivi nehutachiona hwepamusoro sezvinobvira. Mukuita kudaro, mvura yomuviri inochengetwa kubva pakuva yakaoma zvikuru (ine yakawandisa asidi) kanawo yakakosha (iine alkaline yakawandisa). Nhengo yakakodzera ye-acid-basing inobvumira muviri kuti uite mune imwe nyika yekuenzana, kana kugadzikana.
Chii Chimiro Chawo PH pH?
Mutumbi pH unoyerwa pachiyero kubva pa1 kusvika ku14 uye 1 kuva yakanyanya acidic uye 14 kuva zvimwe zvakakosha.
Muviri wepod pH uri pakati pe7,35 uye 7.45.
- Kana muviri pH uri pasi pe7,35, muviri unonzi "acidotic."
- Kana muviri pH mukuru kudarika 7.45, muviri unonzi "alkalotic" kana kuti "zvinokosha."
Kana uine utano, muviri unotungamirira pH zvakanyatsonaka kuburikidza neitsvo (nekubvisa kana kuchengetedza acids uye zvigaro) kana kuburikidza nemapapu (kuburikidza nekufema nekukurumidza kana kunonoka.) Acids inobudiswa nehutachiona hwemagabhahydrates, mapuroteni, nemafuta, itsvo dzinopa chikwereti nekubvisa asidi.
Mutumbi pH Matanho
Muviri pH unowanzotariswa kuburikidza nekubatanidzwa kwezviedzo zvinogona kusanganisira pH yeropa mune mitsetse, pamwe nehuwandu hwe electrolytes mu plasma.
Kubhadhara
Kana iyo pH yemuviri inowira kunze kwehutano hwakanaka, muviri unoshanda kudzorera "homeostasis" kana kuti nyika yekuenzanisa. Zvinodaro izvi:
- Renal remari - Itsvo inogona kukonzera pH nekunyanyisa asidi kana nekuchengetedza bicarbonate (nheyo.)
- Chipo chemapurmonary - Kana pH inowira, nemamwe mazwi, kana muviri uri acidotic, kufema kunogona kuwedzera kukuvadza carbon dioxide kuti idzorere.
Abnormalities
Kazhinji, PH yemuviri iri mukati mechidiki ichi. Kana varwere vasingakwanisi kubhadhara kuchinja kwepH, somuenzaniso, nemhaka yehutano hwakakomba, chirwere chekushaya ropa, kana kupererwa kwezvokudya, humwe huwandu hwehuwandu hweasiti kana hwaro hunogona kuitika. Izvi zvinogona kusanganisira zvinotevera:
Metabolic Acidosis
Mune metamic acidosis kune huwandu huwandu hwemuviri wega-mune mamwe mazwi, pH yemuviri inowira pasi pe 7.35.
Mamiriro ezvinhu anogona kuita izvi zvinosanganisira:
- Diabetic ketoacidosis
- Lactic acidosis
- Dharare yakanyanya
- Kuora kweiyo
- Mishonga yakadai sa aspirin
Metabolic Alkalosis
Muchidimbu chemagetsi, chiyero cheBicarbonate chinowedzera, kazhinji nekuda kwekurasikirwa kwemaitiro emagetsi. Mamiriro ezvinhu anogona kukonzera izvi zvinogona kusanganisira:
- Kushandiswa kwe diuretics (mvura mapiritsi)
- Kudzora
- Mishonga yakadai steroids
- Cushing's syndrome
Kuporesa Acidosis
Mukupemha acidosis, muviri unochengetedza zvakanyanya carbon dioxide zvichiita kuti muviri unonzi acidic pH. Mamiriro ezvinhu angaita kuti izvi zvinosanganisira:
- Hypoventilation - Nemamwe mazwi, kuburikidza nokufema kwakadzika kana kusingagumi
- COPD nemamwe zvirwere zvemapapu
- Kuwedzera kweopioid uye doro
Respiratory Alkalosis
Mukuputira alkalosis, imwe yakanyanya ye carbon dioxide inobviswa nemapapu. Mamiriro ezvinhu angaita kuti izvi zvinosanganisira:
- Hyperventilation pa mechanical ventilator
- Chiropa chechiropa
- Kuberekwa
- Septicemia nezvimwe zvirwere zvakakomba
- Fever
- Kufunganya
Muenzaniso
I-acid-based balance balance in munhu ane COPD dzimwe nguva inokanganiswa nekuda kwekushaya kufema kwemitemo uye yekuvaka-carbon kaboni dioxide. Izvi zvinogona dzimwe nguva zvinotungamirira kukundikana kupora, chimwe chezvinetso zveCOPD.
Uyewo Anozivikanwa Se: pH kuenzanisa
Sources:
Ayers, P., Dixon, C., uye A. May. Matambudziko e-Acid-base: kudzidza zvidzidzo. Chikafu muKliniki Practice . 2015. 30 (1): 14-20.
Gooch, M. Kuziva kushandiswa kwe-acid-base uye electrolyte kusaenzana. Nurse Practitioner . 2015. 40 (8): 37-42.