Lactic acidosis is a condition in which a large amount of lactic acid enters the human blood. This has many reasons. The most common is lactic acidosis in diabetes mellitus during admission to patients with biguanides, which significantly reduce the level of sugar in the blood.
Symptoms of lactic acidosis
Lactoacidosis develops within just a few hours. There are practically no precursors of this condition. Patients can only have muscular pain and pain behind the sternum.
The first signs of lactic acidosis - is cardiovascular failure, which is further aggravated by increased acidity. As a result, changes can occur even in the contractility characteristic of the myocardium.
Progressing, lactic acidosis provokes the emergence of other symptoms. The patient appears:
- apathy ;
- vomiting;
- drowsiness or insomnia;
- stomach ache;
- rapid breathing.
If at this stage of the disease does not turn to a doctor, then there may be a variety of neurological symptoms: areflexia, paresis and hyperkinesia. Further, the patient is noisy breathing (with the characteristic of this phenomenon, the smell of acetone is absent). A person can lose consciousness.
In some cases, symptoms of lactic acidosis are involuntary contraction of different muscle groups, seizures or impaired motor activity.
Treatment of lactic acidosis
If you have one or more symptoms of this ailment, you should immediately take a blood test. Only a laboratory blood test can show if the lactic acid content is increased and the reserve alkalinity is understated. It is these indicators that indicate the development of lactic acidosis in the body.
Treatment of lactic acidosis is primarily aimed at the rapid elimination of hypoxia and directly acidosis. The patient must intravenously drop a solution of sodium bicarbonate (4% or 2.5%) with a volume of up to 2 liters per day. Obligatory for this disease is insulin therapy or monocomponent therapy with insulin . As an additional treatment, intravenous carboxylase, blood plasma and small doses of heparin are used.
It is absolutely necessary to urgently eliminate the causes of lactic acidosis. If the appearance of such a condition provoked Metformin, then his reception must be stopped.