{"id":1841,"date":"2023-02-18T11:26:41","date_gmt":"2023-02-18T09:26:41","guid":{"rendered":"http:\/\/doctorexpres.ro\/?p=1841"},"modified":"2023-02-18T11:26:24","modified_gmt":"2023-02-18T09:26:24","slug":"factori-care-influenteaza-alcoolemia","status":"publish","type":"post","link":"http:\/\/doctorexpres.ro\/index.php\/2023\/02\/18\/factori-care-influenteaza-alcoolemia\/","title":{"rendered":"Factori care influen\u0163eaz\u0103 alcoolemia"},"content":{"rendered":"

A determina alcoolemia \u00eenseamn\u0103 a stabili nivelul de etanol \u00een s\u00eenge \u015fi este una dintre analizele cele mai frecvent solicitate de laboratoarelor de toxicologie clinic\u0103.<\/p>\n

Mecanism<\/b><\/p>\n

Etanolul se absoarbe cu usurin\u0163\u0103 din tractul gastrointestinal, concentra\u0163iile maxime se \u00eenregistreaz\u0103 de obicei \u00een 40-70 minute la ingestia pe stomacul gol. Etanolul este metabolizat hepatic rapid \u00een acetaldehid\u0103. Odat\u0103 ce s-au atins concentra\u0163iile sanguine maxime, dispari\u0163ia sa este linear\u0103. De exemplu, un barbat matur de aproximativ 70 kg metabolizeaz\u0103 7-10 g alcool\/ or\u0103.<\/strong><\/p>\n

Grade de intoxica\u0163ie cu alcool<\/b><\/p>\n

Simptomele intoxica\u0163iei cu alcool <\/a>instalate \u00een prezen\u0163a unor concentra\u0163ii sc\u0103zute pot indica o problem\u0103 medical\u0103 grav\u0103 \u015fi necesit\u0103 interven\u0163ie terapeutic\u0103 de urgen\u0163\u0103.<\/p>\n

Nivelurile de 50-100 mg\/dL (10.8-21.7 mmol\/L) pot determina: \u00eencetinirea reflexelor, tulbur\u0103ri ale acuit\u0103\u0163ii vizuale.<\/p>\n

Nivelurile >100 mg\/dL (>21.7 mmol\/L) pot induce depresia.<\/p>\n

Nivelurile >300 mg\/dL (>64.8 mmol\/L) s\u00eent asociate cu instalarea comei.<\/p>\n

Nivelurile >400 mg\/dL (>86.4 mmol\/L) pot cauza decesul.<\/p>\n

C\u00eend se testeaz\u0103 alcoolemia?<\/b><\/p>\n

Determinarea alcoolemiei poate fi efectuat\u0103 \u00een scop medical sau medico-legal pentru diagnosticul intoxica\u0163iei cu alcool \u015fi stabilirea terapiei adecvate. Nivelurile de etanol trebuie testate \u00een toate cazurile de com\u0103 de etiologie neclar\u0103, deoarece intoxica\u0163ia cu alcool poate ascunde coma diabetic\u0103<\/a>, traumatismele cerebrale sau supradozarea de droguri. De asemenea, acest test este folosit pentru screening-ul alcoolismului, c\u00eet \u015fi pentru monitorizarea terapiei cu etanol \u00een intoxica\u0163ia cu metanol.<\/p>\n

Factori care influen\u0163eaz\u0103 alcoolemia<\/b><\/p>\n

Cre\u015fterea cetonemiei \u00een cetoacidoza diabetic\u0103 poate cauza false cre\u015fteri a alcoolemiei.<\/p>\n

Ingestia altor tipuri de alcooli (izopropanol, metanol) pot influen\u0163a testele.<\/p>\n

Prezen\u0163a alimentelor \u00een stomac scade absorb\u0163ia alcoolului.<\/p>\n

Interferen\u0163ele medicamentoase pot cre\u015fte nivelul alcoolemiei, precum aspirina, cloralhidrat, cimetidina, antiemetice, inhibitori de pompe de protoni H+ sau sc\u0103deri: acid ascorbic, atropina, fenobarbital, propantelina.<\/p>\n

Articolul integral \u00een sanatateatv.ro<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

A determina alcoolemia \u00eenseamn\u0103 a stabili nivelul de etanol \u00een s\u00eenge \u015fi este una dintre analizele cele mai frecvent solicitate<\/p>\n","protected":false},"author":4,"featured_media":1842,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1359],"tags":[],"class_list":["post-1841","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-investigatii"],"yoast_head":"\nFactori care influen\u0163eaz\u0103 alcoolemia - Doctor Expres<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/doctorexpres.ro\/index.php\/2023\/02\/18\/factori-care-influenteaza-alcoolemia\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Factori care influen\u0163eaz\u0103 alcoolemia - 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