关于管酸性症的综述
Manju Gauri Kunchur1, Teri Jo Mauch2,3, Max Parkanzky4
1Thrive Pet Healthcare, Boise, Idaho, USA.
概括
管性酸性 (RTA) 涉及脏酸调节受损,导致代谢性酸性. 本综述涵盖了人类和动物的RTA类型,原因和诊断,强调了兽医影响.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 腎臟病學 (nephrology) 是一種醫學.
- 酸生理学 酸生理学
背景情况:
- 管性酸性症 (RTA) 是一种由脏酸调节缺陷所表现的疾病,导致正常的阴离子间隙高性代谢性酸性症.
- RTA可以是主要的遗传疾病,也可以是各种潜在疾病的次要疾病.
- 了解RTA对于人类和兽医都至关重要,因为它对酸平衡的影响.
研究的目的:
- 审查当前关于人体和小动物管酸性病 (RTA) 的科学文献.
- 专注于兽医中导致二次RTA的疾病.
- 在人类和兽医环境中比较RTA.
主要方法:
- 综合审查科学文献,包括评论和原创研究.
- 专注于关于人类和小动物种群的RTA的出版物.
- 分析RTA病理生理学,分类和诊断方法.
主要成果:
- RTA被分为远端 (类型 1),近端 (类型 2),类型 3 (碳酸无水酶II突变) 和高血 (类型 4).
- 芬科尼综合征是一种特定形式的近道RTA,附带额外的近道管状缺陷.
- 人类和动物的二次RTA可能源于免疫介导,有毒或传染性原因.
结论:
- 人类和兽医之间在RTA类型中存在显著的共同点.
- 虽然在人类中已知许多主要的RTA遗传缺陷,但它们在伴侣动物中基本上未被识别,除了巴森吉品种.
- 迅速识别和治疗RTA对于逆转管管功能障碍和促进重症患者康复至关重要.
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