So wo nso worehyia ɔhaw wɔ ahomegye mu? Ebia eyi ne (Ɔhome mu Acidosis)! Momma yɛnkasa.

So ɛtɔ mmere bi a wote nka sɛ ɛyɛ den ma wo sɛ wobɛhome? Anaasɛ woahu obi a wunim no sɛ ɔrepere sɛ ɔbɛhome pɛn? Ɛtɔ mmere bi a yɛmfa yɛn adwene nsi tebea a ɛtete saa so kɛse, nanso ebia ntease a anibere wom bi wɔ akyi. Ɛno nti na wɔfrɛ tebea bi a ɛba bere a ɔhome yɛ ade a ɛhaw adwene no. Momma yɛnka eyi ho asɛm nkɔ akyiri nnɛ.

Dɛn ne eyi (Ɔhome mu Acidosis)? Momma yɛnte ase kɛkɛ!

Sɛ yɛbɛka no tiawa a, Respiratory Acidosis yɛ tebea a ɛma yɛn mogya mu acid dodow kɔ soro sen sɛnea ɛte daa , na mogya no mu pH so tew. So wunim sɛ ɛsɛ sɛ yɛn mogya nso nya pH dodow bi na ama ayɛ adwuma yiye? Saa pH dodow yi yɛ nea ɛkyerɛ sɛnea yɛn mogya no yɛ acid ne base (anaasɛ alkaline) dodow. Ɛfiri 0 kɔsi 14. 0 yɛ acidic paa, na 14 yɛ alkaline paa. Ɛsɛ sɛ obi a ɔwɔ apɔwmuden mogya mu pH yɛ 7.35 kosi 7.45.

Afei, wunim nea enti a (Respiratory Acidosis) ba? Saa tebea yi ba bere a yɛn ahurututu ntumi nyi mframa bɔne (CO2) mframa a ɛba yɛn nipadua mu no mfi hɔ yiye no. Sɛ saa (Respiratory Acidosis) tebea yi ba mpofirim a, ebetumi de nkwa ato asiane mu . Enti, sɛ mpofirim ara ɛyɛ den ma wo sɛ wobɛhome anaasɛ wote nka sɛ wo ho atɔ wo a, ɛsɛ sɛ wofrɛ 1990 ntɛm ara na wohwehwɛ aduruyɛfo mmoa a egye ntɛmpɛ .

Dɛn ne Ɔhome mu Acidosis ahorow atitiriw?

Saa tebea yi ahorow atitiriw abien na ɛwɔ hɔ (Respiratory Acidosis):

1. Acute Respiratory Acidosis: Eyi ne bere a carbon dioxide boaboa ano wɔ yɛn ahurututu mu mpofirim na ɛyɛ ntɛmntɛm yiye.

2. Chronic Respiratory Acidosis: Eyi kɔ so nkakrankakra, bere kɔ so no.

Ɛtɔ mmere bi a, ahorow abien no nyinaa tumi bom ba. Ɛne sɛ, sɛ wowɔ ɔyare a enni sabea (Respiratory Acidosis) a, ebia wubenya acute (Respiratory Acidosis) nso bere koro no ara mu.

Hena na saa tebea yi (Respiratory Acidosis) ka no kɛse?

Nokwarem no, tebea a wɔfrɛ no (Respiratory Acidosis) yi betumi aba obiara mu. Nea ɛde ba titiriw ne:

• Ahurututu mu yare ka w’ahurututu anaa wo home nhyehyɛe no afã afoforo.
• Ntini a ɛwɔ wo home nhyehyɛe mu no ntumi nyɛ adwuma yiye anaasɛ ɛde nhyɛso a ɛdɔɔso mma (ɔhome ntini mu ɔbrɛ) .
• Tebea horow bi ka ɔkwan a mframa fa w’ahurututu mu no.

Dɛn ne Ɔhome mu Acidosis ho sɛnkyerɛnne?

Ɔhome mu acidosis ho sɛnkyerɛnne betumi ayɛ soronko wɔ onipa biara ho. Egyina bere tenten a woanya yare no ne sɛnea emu yɛ den no so. Nsɛnkyerɛnne a edi kan a ɛbɛda adi ne:

• Ehu ne ahotɔ a wɔte nka (Adwennwene) .
• Anisoadehu a ɛyɛ kusuu .
• Confusion , ɛyɛ den sɛ wode w’adwene besi biribi so.
• Cyanosis yɛ honam ani a ɛdan bruu, kɔkɔɔ, fitaa-ahabammono, fitaa, anaa fitaa esiane oxygen a enni hɔ nti.
• Tipaeɛ .
• Ɛyɛ den sɛ wobɛhome, wobɛte nka sɛ woreyɛ ahome (Dyspnea) .
• Ahomegye a ɛyɛ hu .

Sɛ tebea no mu yɛ den a, sɛnkyerɛnne bɛn na ɛbɛda adi?

Sɛ woannya Respiratory Acidosis ayaresa, anaasɛ tebea no mu yɛ den yiye a, wubetumi nso anya sɛnkyerɛnne ahorow te sɛ:

• Ɔbrɛ kɛse a wɔte nka (Ɔbrɛ) .
• Sɛ wote nka sɛ wo ntini reyɛ wo ho mpofirim (Myoclonus) .
• Suban mu nsakrae.
• Gye no ɔhyɛ so .
• Coma .

Dɛn ne sɛnkyerɛnne ahorow a ɛwɔ Chronic Respiratory Acidosis ho?

Wɔ tebea a enni sabea, a ɛtra hɔ kyɛ (Respiratory Acidosis) mu no, wobetumi ahu sɛnkyerɛnne ahorow te sɛ eyinom:

• Ɔbrɛ a wɔte nka, titiriw awiabere.
• Asiane a ɛwɔ hɔ sɛ koma no bɛyɛ adwuma .
• Mogya mmoroso (Hypertension) .
• Mogya mu nkwammoaa kɔkɔɔ dodow a ɛkɔ soro wɔ mogya no mu (Polycythemia) .
• Kari a wɔhwere, nhyehyɛe a ɛso tew.
• Nkae a ɛyera.

Dɛn ne nneɛma atitiriw a ɛde Ɔhome mu Acidosis ba?

Ɔhome mu haw ne ade titiriw a ɛde Ɔhome mu Acidosis ba. Nanso, nneɛma a ɛde ba yi betumi ayɛ soronko a egyina Ɔhome mu Acidosis ko a wowɔ so.

Nneɛma a ɛde Ɔhome mu Acidosis a Enni sabea Ba:

• Ahurututu mu akisikuru a emu yɛ den .
• Ntini mu yare te sɛ Amyotrophic lateral sclerosis (ALS) anaa Lou Gehrig yare.
• Akisikuru .
• Ahurututu mu yare a enni sabea (COPD) .
• Ntini mu ntini mu yare te sɛ multiple sclerosis (MS) ne muscular dystrophy ka ntini a ɛhwɛ wo ntini so no.
• Kɛse mmoroso mma ahurututu no ntrɛw yiye.
• Ahurututu mu ntini a ɛyɛ mmerɛw .
• Scoliosis a ɛma obi ho kyere no .

Nneɛma a ɛde Ɔhome mu Acidosis a Ɛyɛ Hu ba:

• Akisikuru .
• Ahurututu mu yare a enni sabea (COPD) .
• Nneɛma a ɛka ntini a ɛwɔ nipadua no mfinimfini te sɛ nsa, amphetamines, ne opioids a wɔde di dwuma dodo.
• Emphysema (mframa kotoku a ɛwɔ ahurututu mu a ɛsɛe).
• Ahurututu mu yare .
• Dae mu ahomegye a ɛyɛ den .

Ɔkwan bɛn so na nnuruyɛfo hu sɛ obi anya Ɔhome mu Acidosis?

Sɛ wokɔ oduruyɛfo nkyɛn a, wobebisa wo wo yare no ho sɛnkyerɛnne na wɔayɛ wo nipadua mu nhwehwɛmu. Afei wobetumi ayɛ nhwehwɛmu pii de akyerɛ sɛ wɔahu sɛ wɔwɔ Ɔhome mu Acidosis.

Sɔhwɛ ahorow bɛn na wɔreyɛ ama eyi?

Oduruyɛfo no betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ eyinom:

• Arterial blood gas (ABG): Eyi kyerɛ sɛnea carbon dioxide ne oxygen dodow a ɛwɔ mogya no mu.
• Basic metabolic panel (BMP): Eyi susuw nnuru ahorow a ɛwɔ nipadua no mu na ɛhwɛ sɛnea nipadua no mu nnuru kari pɛ ne sɛnea ɛsakra no.
• Chest X-ray: Eyi twa wo koko mfonini, titiriw w’ahurututu.
• Carbon dioxide (CO2) mogya mu nhwehwɛmu: Wogye mogya ketewaa bi fi ntini bi a ɛwɔ abasa no mu mu na wosusuw carbon dioxide dodow a ɛwɔ mogya no mu.
• CT scan (Computed tomography - CT scan): Eyi de X-ray ahorow di dwuma de yɛ w’ahurututu ho mfonini a ɛwɔ afã abiɛsa (3D).
• Electrolyte panel: Eyi na ɛkyerɛ sɛnea electrolyte ahorow bi wɔ mogya no mu. Sɛ wowɔ ɔhome mu acidosis a, ebia electrolyte dodow bi bɛkɔ soro anaasɛ ɛbɛba fam sen sɛnea ɛte daa.
• Pulmonary function tests (PFTs): Eyinom kyerɛ sɛnea w’ahurututu reyɛ adwuma yiye.

Ɔkwan bɛn so na wɔsa Ɔhome mu Acidosis?

Nnuruyɛfo sa nea ɛde ɔhome mu acidosis ba no. Ebia eyi bi ne:

• Continuous positive airway pressure (CPAP) afiri: Wɔde eyi sa nna mu ahomegye, tebea a ɛma wugyae home bere a woada no. Ɛyɛ adwuma denam mframa a wɔahyɛ no den a ɛkɔ so fa akataso mu a ɛma wunya no so.
• Mfiri a wɔde ma mframa: Sɛ wowɔ ɔhome mu acidosis a emu yɛ den a, wɔde saa afiri yi boa wo ma wohome.
• Nnuru: Sɛ wowɔ aduruyɛ mu yare bi a ɛka w’ahurututu anaa wo home kwan a, wo duruyɛfo bɛkyerɛw wo aduru a ɛfata ama wo.
• Oxygen ayaresa: Eyi boa ma oxygen dodow a ɛwɔ wo mogya mu no kɔ soro.

Nnuru bɛn na wɔde ma wɔ Respiratory Acidosis ho?

Sɛnea ɛbɛyɛ na wɔasa nea ɛde ɔhome mu acidosis a emu yɛ den ba no, wo duruyɛfo betumi de nnuru a edidi so yi mu biako anaa nea ɛboro saa adi dwuma anaa akyerɛw ama wo:

• Nnuru a ekum ɔyare mmoawa: Sɛ ɔyare mmoawa bi wɔ ahurututu mu a, ɛboa ma wɔko tia.
• Bronchodilators: Eyinom ma ntini a atwa mframa kwan no ho ahyia no dwo na ɛma ahurututu mu nyarewa ho sɛnkyerɛnne ahorow fi hɔ.
• Nnuru a wɔde yɛ corticosteroids:Eyinom yɛ nnuru a ɛtew ɔfe so na ɛboa nso ma nsu a ɛyɛ nwini a ɛba mframa kwan mu no so tew.
• Nnuru a ɛma mogya tu: Ɛboa ma mogya mmoroso so tew denam nsu a ɛboro so a woyi fi nipadua no mu no so.
• Naloxone (Narcan®): Sɛ wosusuw sɛ opioid dodow bi boro so a, nnuruyɛfo betumi de eyi ama sɛ aduru a wɔde petepete hwene mu anaasɛ wɔde fa ntini mu.
• Nnuru a ɛbɛboa wo ma woagyae sigaretnom: Nicotine a wɔde ahyɛ mu, aduru a wɔde hyɛ nipadua mu, ne aduru a wɔde hyɛ anom betumi aboa wo ma woagyae sigaretnom. Nnuru bi nso wɔ hɔ a nicotine nni mu, te sɛ Bupropion ne Varenicline.

Yɛbɛyɛ dɛn asiw Ɔhome mu Acidosis ano?

Saa nneɛma yi betumi aboa ma wɔasiw nneɛma a ebetumi de Ɔhome mu Acidosis aba no bi ano:

• Gyae sigaretnom ne tawa nneɛma a wode bedi dwuma (e.g. e-sigaret, vape pen). Eyi ho hia paa.
• Yɛ apɔw-mu-teɛteɛ daa.
• Kura mu duru a ɛfata a ɛfata wo mu.
• Sɛ wo duruyɛfo akyerɛw ama wo a, fa (CPAP) afiri no di dwuma daa.
• Hwɛ yiye paa bere a wode nnuru a ɛma obi dwo te sɛ nnuru a wɔde da nna redi dwuma no. Di akwankyerɛ a wɔakyerɛw wɔ krataa so no akyi pɛpɛɛpɛ, fa dodow a wɔakyerɛw ama no nkutoo, na mfa nka nsa nka ho da.

Kae sɛ eyinom nyinaa boa ma w’ahurututu yɛ yiye. Ahurututu a ɛwɔ apɔwmuden ne kyɛm a eye sen biara a ɛko tia tebea horow te sɛ Respiratory Acidosis.

Daakye bɛn na obi a ɔwɔ (Respiratory Acidosis) betumi ahwɛ kwan?

Ɛyɛ den ma nnuruyɛfo sɛ wɔbɛka sɛnea obi a ɔwɔ ɔhome mu acidosis bɛsan anya ahoɔden ankasa. Sɛnea woyɛ w’ade wɔ ayaresa ho no gyina nea ɛde wo sɛnkyerɛnne ahorow no reba so. Enti ɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa. Bere a wɔayɛ nipadua mu nhwehwɛmu ne sɔhwɛ afoforo akyi no, obetumi akyerɛ wo nea ɛsɛ sɛ wohwɛ kwan.

Bere bɛn na ɛsɛ sɛ yɛkɔ oduruyɛfo nkyɛn?

Sɛ wowɔ ɔhome mu acidosis ho sɛnkyerɛnne a emu yɛ den a, kɔ oduruyɛfo ntɛm ara sɛnea wubetumi. Afei nso, sɛ wowɔ ahurututu mu yare na wo sɛnkyerɛnne no mu yɛ den mpofirim a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wobisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, mma wo werɛ mmfi sɛ wubebisa nsɛm yi:

• Wobɛyɛ dɛn ahu sɛ mewɔ (Respiratory Acidosis) anaa?
• Sɛ minni Respiratory Acidosis a, tebea foforo bɛn na metumi anya?
• So mewɔ ɔhome mu acidosis a emu yɛ den anaasɛ enni sabea?
• Nhwehwɛmu bɛn na wokamfo kyerɛ sɛ wɔmfa nsi so dua sɛ (Respiratory Acidosis)?
• Dɛn na ɛma minya Respiratory Acidosis?
• Ayaresa bɛn na wokamfo kyerɛ me?

Nsonsonoe bɛn na ɛda (Ɔhome mu Acidosis) ne (Ɔhome mu Alkalosis) ntam?

• Respiratory Acidosis yɛ bere a w’ahurututu ntumi nyi carbon dioxide a ɛba wo nipadua mu no nyinaa mfi hɔ, na ɛma wo mogya mu pH kɔ fam sen sɛnea ɛte daa (acid kɛse).
• Ɔhome mu alkalosis yɛ bere a wo mogya mu pH kɔ soro sen sɛnea ɛte daa (alkaline kɛse) bere a wohome ntɛmntɛm dodo (hyperventilation) na woyi carbon dioxide pii fi w’ahurututu mu no.

Nsonsonoe bɛn na ɛda (Ɔhome mu Acidosis) ne (Metabolic Acidosis) ntam?

• Metabolic acidosis yɛ acid a ɛboaboa ano wɔ wo nipadua mu nsu mu. Ɛyɛ wo nipadua a ɛyɛ acid pii dodo, anaasɛ w’asaabo a entumi nyi acid a ɛdɔɔso mfi wo mogya mu na ɛba.
• Respiratory Acidosis , sɛnea yɛadi kan aka no, yɛ acid a ɛboaboa ano wɔ mogya no mu efisɛ w’ahurututu ntumi nyi carbon dioxide mfi wo nipadua mu yiye.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Ɔhome mu Acidosis yɛ tebea a emu yɛ den a ebetumi de nkwa ato asiane mu. Enti, mmu w’ani ngu Ɔhome mu Acidosis ho sɛnkyerɛnne ahorow so da. Saa nsɛnkyerɛnne yi yɛ ɔkwan a wo nipadua fa so ka kyerɛ wo sɛ biribi anyɛ yiye na ɛsɛ sɛ wunya mmoa ntɛm ara. Sɛ wowɔ saa sɛnkyerɛnne yi bi a, hwɛ hu sɛ wo ne oduruyɛfo bɛkasa. Obetumi ahu sɛ ɔwɔ Respiratory Acidosis na wakamfo ayaresa a eye sen biara ama wo. W’akwahosan yɛ w’asɛyɛde!

` Ɔhome mu Acidosis, ɔhome a ɛyɛ den, mogya mu acid, carbon dioxide, ahurututu mu yare, ayaresa a egye ntɛmpɛ, ɔhome nhyehyɛe