An ƙayyade ta kasancewar kasancewar acidity mai yawa a cikin jini, acidosis shine sakamakon rikice -rikice na rayuwa daban -daban da cututtukan da ake haifar da yawan acidity. Wani lokaci gaggawa ce mai mahimmanci. Sarrafa ta ta dogara ne akan magance sanadin. 

Kasancewar acidosis na rayuwa a cikin jiki yana da alaƙa da haɓaka samarwa ko cin acid da / ko raguwar fitar acid. Hakanan wani lokacin yana haifar da asara ta hanyar narkewar abinci ko koda na bicarbonates (HCO3-) wanda galibi yana hana yawan wuce haddi na acid a cikin jini kuma yana shiga cikin daidaiton-tushen acid.

Yawanci, plasma (wani ɓangare na jini ba tare da jajayen ƙwayoyin jini, farin jini da platelet) ruwa ne mai tsaka tsaki na lantarki, wato, yana ƙunshe da yawan cajin ionic mara kyau kamar na tabbatacce (HCOE-, H +, Na +, K +, CL-…). Lokacin da tabbatattun cajin sun fi yawa ne adadin acidosis na rayuwa ke faruwa.

Akwai dalilai da yawa na acidosis na rayuwa. Metabolic acidosis ba cuta ba ce da kanta, amma bayyanar halittar rashin daidaituwa a cikin jini tsakanin acidity da bicarbonates. Wannan rashin daidaiton sakamakon illoli da dama.

Kasancewar yawan lactic acid ta hanyar tarawa cikin jini

Wannan kwayoyin acidic acidosis saboda: 

• yanayin girgiza ilimin lissafi; 
• gazawar hanta (hanta ba ta sake yin ayyukanta don tsaftace jini);
• cutar jini kamar ciwon sankarar bargo ko lymphoma (ciwon daji na ƙwayoyin lymph);
• cututtukan koda na kullum (kodan ba sa cire yawan acid daga jini); 
• guba abinci (methanol, salicylates, ethylene glycol, da sauransu);
• ketoacidosis (ciwon sukari lokacin da insulin ya ƙare).

Kasancewar yawan lactic acid a cikin jini ta hanyar rage kawar da shi

Wannan acidosis na ma'adinai yana fitowa daga:

• m koda gazawar;
• wuce haddi na jiko na NaCl chloride (gishiri);
• asarar bicarbonate daga kodan;
• asarar bicarbonate daga narkewar abinci (gudawa);
• gazawar adrenal.

Metabolic acidosis kuma na iya faruwa a cikin gazawar numfashi mai ƙarfi wanda jiki ba zai iya kawar da carbon dioxide ta cikin huhu ba, wanda ke haifar da gurɓataccen ruwan plasma. Sannan ana kiran acidosis “numfashi”.

Lokacin da ma'aunin acid-base na jiki ya baci ba tare da la'akari da dalilin ba, ana iya bayyana alamomi daban-daban. Idan wannan rashin daidaituwa ya kasance matsakaici, ba za a sami alamun bayyanar ba sai abubuwan da ke haifar da shi (zawo, rashin jin daɗi da ke da alaƙa da ciwon sukari marasa daidaituwa, da sauransu). Amma rashin daidaituwa yana ƙarfafawa (pH <7,10), alamun masu zuwa na iya faruwa:

• Nausea;
• amai;
• jin rashin lafiya;
• ƙãra ƙimar numfashi (polypnea a ƙoƙarin kawar da yawan acidity na rayuwa);
• saukar karfin jini (hypotension) ko ma bugun zuciya da bugun zuciya da bugun zuciya.

Lokacin da wannan acidosis ya kasance a cikin hanya ta yau da kullun (gazawar numfashi mai rauni…), yana iya haifar da asarar kalsiyum daga kasusuwa (osteoporosis, rickets).

Bayan binciken wani dalili na asali ta hanyar gwaje -gwajen ci gaba, gwajin jini a matakin jijiyoyin da ke auna gas ɗin jini da ƙwayoyin lantarki zai ba da damar haskaka sakamakon ilimin halittar acidosis.

Za a tuhumi abubuwan da ke haifar da acid acid na rayuwa ta hanyar tarihin likita (ciwon sukari, na numfashi, na koda ko gazawar hanta…) amma kuma ta hanyar nazarin halittu da ke binciken matakan sukari na jini, aikin hanta da na koda, sodium da chlorine na jini, ko samfur mai guba a cikin jini (methanol, salicylate, ethylene glycol).

Jiyya na acidosis na rayuwa shine farkon abin da ke haifar (ciwon sukari mara daidaituwa, gudawa, hanta, koda ko gazawar numfashi, da sauransu). Amma a cikin gaggawa lokacin da acidosis na rayuwa ke da ƙarfi, wani lokacin ya zama dole a aiwatar da jiko na sodium bicarbonate don rage acidity na jini na jini.

Idan akwai gazawar koda ko guba mai tsanani, hemodialysis (tace gubobi daga jini) zai tsaftace jini kuma ya maye gurbin aikin kodan.

A ƙarshe, a gaban matsakaicin matsakaicin acidosis, ana ba da shawarar abinci don dawo da ma'aunin acid-tushen jini tare da nasihu da yawa:

• zabi abinci mai yawan alkaline (maganin lemo, shayi na ginger, tsaba, da sauransu);
• samun isashshen oxygen ta hanyar yin aikin motsa jiki na yau da kullun a sararin sama;
• supplementsauki kayan abinci waɗanda ke inganta alkalization na jini.