Hana ʻia ka ʻakika lactic i nā ʻiʻo like ʻole o ke kino ke nele ka oxygen. ʻO kēia ka hihia i ka wā o ka hoʻomaʻamaʻa kino. ʻO kāna dosage he hoʻāʻo koko i kuhikuhi ʻia e ʻike i ka lactic acidosis.

ʻO ka waikawa lactic kahi mea i hana ʻia e nā keʻena koko ʻulaʻula, nā ʻiʻo ʻiʻo, nā puʻupaʻa, nā ʻili ʻili, akā pū kekahi o ka puʻuwai, i ka wā o ka anaerobic degradation o ka glucose. He kaʻina hana kemika kēia i ka nele o ka oxygen a ʻaʻole ia e ʻae i ka glucose e hoʻoheheʻe ʻia. He laʻana kēia i ka wā o ka myocardial infarction a i ʻole ka hoʻoikaika kino ikaika loa.

E hoʻomaopopo ma lalo o nā kūlana aerobic, ʻo ia hoʻi ma ke alo o ka oxygen, ʻo nā huahana hope o ka hoʻohana ʻana i ka glucose ʻaʻole ia ka lactic acid akā ka wai a me ke kalapona kalapona.

I ke komo ʻana i ka hoʻoikaika kino, pono ke kino i ka oxygen ma mua o ka hiki ke hana ʻia e nā kaʻina hana aerobic. No laila hoʻonohonoho ʻo ia i nā hana anaerobic e hana i ka ikehu. A ʻo ka ʻakika lactic ka huahana o kēia mau hopena kemika.

ʻO ka hapa nui o ka lactic acid i hana ʻia i loko o nā ʻiʻo ʻiʻo e hele i loko o ke koko a hoʻopau ʻia mai ka ʻiʻo ʻiʻo i loko o 30 mau minuke o ka hoʻomaha ʻana i ka hana kino. ʻO nā ʻiʻo ʻē aʻe, e like me ke ake, nā puʻupaʻa a i ʻole ka puʻuwai, hopu i ka lactic acid a hoʻohana iā ia i kumu o ka ikehu.

Kau ʻia ke kauka i kahi loiloi lactic acid e loiloi i ke kūlana oxidation o nā ʻiʻo a ʻike i kekahi lactic acidosis. He maʻi ia o ke koena acid-base o ke kino ma muli o ka nui o ka waika lactic.

ʻO kekahi mau hōʻailona ke ʻano o kēia hoʻouka ʻana. Aia kēia mau mea:

• ka emi ʻana o ka nui o ke koko (ua kapa ʻia kēia hypovolemia);
• he kulana haalulu;
• ka hanu hohonu a me ka wikiwiki (ua kapa ʻia kēia he hyperventilation);
• ʻeha e laha maʻamau;
• ʻūpē mākala;
• a i ʻole ka nausea a me ka luaʻi.

ʻO nā waiwai maʻamau o ka lactic acid i ke koko venous ma waena o 4,5 a me 19,8 mg / dl.

E hoʻomanaʻo e loli iki paha kēia mau helu kuhikuhi ma muli o ke keʻena loiloi olakino e hana ana i nā hoʻokolohua a me nā ʻenehana a lākou e hoʻohana ai.

Inā ʻaʻole i loaʻa nā waiwai i loko o kēia ʻano o nā waiwai, ʻo ia ka mea ʻaʻole lawa ka oxygen i nā ʻiʻo.

ʻO kahi kiʻekiʻe o ka lactic acid he hōʻailona o:

• maʻi maʻi akepaʻa;
• ka hanu, renal a ventricular hemahema;
• hopu puuwai ;
• he maʻi nui e pili ana i ke kino holoʻokoʻa (sepsis);
• hypoxia, ʻo ia hoʻi ka haʻahaʻa o ka oxygen i loko o ke koko;
• ʻona ʻona;
• a leukemia ;
• ai ole ia, he diabetes.

Aia ka hoʻokolokolo ʻana i kahi laʻana o ke koko venous, maʻamau ma ke kiʻekiʻe o ka pae kuʻekuʻe.

ʻAʻole pono e hana i kekahi hoʻoikaika kino ma mua o ka hana ʻana i ka loiloi, a ma ka ʻōpū ʻole. ʻO ka koho maikaʻi loa ʻo ia ke lawe i ka hāpana ma hope o ka moe ʻana ma kahi o 15 mau minuke.

I ka hihia o ka lactic acidosis, ʻo ia hoʻi ka nui o ka lactic acid i loko o ke kino e hōʻiliʻili wikiwiki aʻe ma mua o ka hiki ke hoʻololi ʻia, ʻo ka mālama ʻana i ka ventila artificial a me ka infusion. nā bicarbonates.

I ka hihia kūikawā o ka hoʻomaʻamaʻa kino, hiki ke hoʻolōʻihi i ka hōʻiliʻili ʻana o ka lactic acid ma ka hydrating pono (pono e inu i ka wai ma mua, i ka wā a ma hope o ke aʻo ʻana).

E hoʻomaopopo i ka lawe ʻana i kekahi mau lāʻau lapaʻau ke kumu o ka loaʻa ʻana o ka metabolic acidosis. No laila, he mea pono e hoʻomaopopo i ke kauka e pili ana i kāu mau lāʻau lapaʻau, e hōʻike iā ia i kāu mau kuhikuhi hou.