So woate nka pɛn sɛ wo home kɔ soro ara kwa esiane ehu anaa dadwen nti, anaasɛ wo ti yɛ wo yaw anaasɛ wo akwaa te nka sɛ wo ho ayɛ wo yaw? Anaasɛ ɛba bere a woanya atiridiinini no? Eyi yɛ tebea a wɔfrɛ no Respiratory Alkalosis a yɛrebɛka ho asɛm nnɛ no fã biako. Biribiara nni hɔ a ɛsɛ sɛ yesuro, momma yɛnte eyi ase kɛkɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne Ɔhome mu Alkalosis?
Ɔhome mu Alkalosis yɛ bere a carbon dioxide dodow a ɛwɔ wo mogya mu no so tew, na ɛma wo mogya mu acid ne base a ɛkari pɛ no sesa. Wɔfrɛ saa kari pɛ yi susuw sɛ pH bo. Wɔ eyi mu no, wo mogya mu pH bo kɔ soro sen sɛnea ɛfata. Susuw ho hwɛ, sɛ yɛhome oxygen a, yɛfa carbon dioxide, na sɛ yɛhome a, yeyi carbon dioxide fi mu. Nanso sɛ wohome ntɛmntɛm dodo, kyerɛ sɛ,
sɛ wo home boro so a , wuyi mframa bɔne pii fi mu sen sɛnea wo nipadua hia. Ɛno ne bere a carbon dioxide dodow a ɛwɔ wo mogya mu no so tew na pH dodow kɔ soro. Mpɛn pii no, ɛsɛ sɛ wo mogya no pH yɛ 7.35 kosi 7.45. Sɛ ɛkɔ soro boro 7.45 a, yɛfrɛ no Alkalosis.
Nsonsonoe a ɛda Ɔhome mu Acidosis ne Alkalosis ntam
Saa abien yi yɛ tebea abien a ɛne ne ho bɔ abira.
- Ɔhome mu Alkalosis: Mogya mu pH bo boro 7.45 (mogya dan alkaline).
- Ɔhome mu Acidosis: Mogya mu pH a ɛso tew a ɛba fam sen 7.35 (mogya no mu asikre).
Nsɛnkyerɛnne bɛn na ebia wubenya wɔ tebea yi mu?
Sɛ saa tebea yi ba a, obiara betumi anya yare no ho sɛnkyerɛnne ahorow. Nanso sɛnkyerɛnne ahorow bi wɔ hɔ a ɛtaa ba. Ma yɛnhwɛ nea wɔyɛ.
| Nsɛnkyerɛnne a ɛkyerɛ | Sɛnea ɛte nka |
|---|
| Adwene a ɛyɛ mmerɛw/tiyɛ a ɛyɛ hare | Ebia ɛbɛyɛ te sɛ nea emu duru biara nni wo tirim, na ebetumi ayɛ den sɛ wubegyina hɔ. |
| Kesereneeyɛ | Ebia wobɛte nka sɛ w’adwene atu afra wɔ baabi a wowɔ anaa nea woreyɛ no ho. |
| Ayɛ a ɛyɛ mmerɛw (Paresthesia) . | Ɛte sɛ nea wo akwaa ada, te sɛ nea nwansena retu mmirika akɔ akyirikyiri. Wobetumi ate eyi nka titiriw wɔ anofafa no ho ne nsateaa ano. |
| Koko a ɛyɛ den | Ɛte sɛ nea ɛyɛ den sɛ wobɛhome, te sɛ nea obi repiapia wo moma so. |
| Abofono | Sɛ wote nka sɛ wo ho ayɛ wo yaw, te sɛ nea worebɛfe. |
| Ɔbrɛ | Sɛ wote nka sɛ wuntumi nyɛ hwee araa ma wuntumi nyɛ hwee. |
Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?
Sɛnea yɛadi kan aka ho asɛm no, ade titiriw nti a ɛte saa ne ahome a wɔhome ntɛmntɛm, a wɔfrɛ no `(hyperventilation)`. Nanso asɛmmisa no ne sɛ, dɛn nti na yɛhome ntɛmntɛm saa? Ntease pii betumi ama eyi aba. Ahurututu, asaabo, ne nhyehyɛe afoforo bom yɛ adwuma ma yɛn nipadua no mu nnuru kari pɛ. Ɛte sɛ nea worekari pɛ wɔ korɔn bridge bi mu. Kari pɛ a ɛda carbon dioxide `(CO2)`, nsuo `(H2O)`, bicarbonate `(HCO3)`, ne hydrogen `(H+)` ions ntam no ho hia wɔ ha. Sɛ yɛhome ntɛmntɛm a, `CO2` fi adi na saa kari pɛ yi sɛe. Nneɛma atitiriw a ɛka `(hyperventilation)` tebea yi bi ni:
| Sɛnti | Ɛka dɛn sɛn? |
|---|
| Adwene mu ntease ahorow | Wɔ mmere a yɛwɔ dadwen ne ehu a emu yɛ den mu no, yɛn home kɔ soro a yenhu mpo. |
| Honam fam ntease ahorow | Ahome nso betumi akɔ soro esiane nsakrae a ɛba nipadua no mu, te sɛ ɛyaw a emu yɛ den, atiridiinini kɛse, nyinsɛn, mmerɛbo mu yare, ne hyperthyroidism nti. |
| Ayaresa mu tebea horow a emu yɛ den | Wɔ nyarewa a emu yɛ den te sɛ sepsis, ahurututu mu embolism, ne ahurututu mu yare mu no, nipadua no mu oxygen dodow so tew. Wɔ mmuaema mu no, nipadua no bɔ mmɔden sɛ ɛbɛhome ntɛmntɛm. |
| Nneɛma afoforo nti | Eyi nso betumi afi nnuru te sɛ aspirin a wɔnom boro so, ti a wopirapira, nicotine a wɔde di dwuma (sigaretnom), ne nea wɔde bata afiri a wɔde home a wɔayɛ (mfiri a wɔde ma mframa) ho. |
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ade a oduruyɛfo bɛyɛ ne sɛ obebisa wo asɛm bi. Afei, ebia wɔbɛyɛ nhwehwɛmu kakraa bi de ahu tebea no na wɔahu nea ɛde ba. Sɔhwɛ a ɛho hia sen biara ne
Arterial Blood Gas (ABG) nhwehwɛmu. Nea ɛka eyi ho ne sɛ wubegye mogya ketewaa bi afi ntini bi a ɛwɔ wo nsateaa mu mu na woasusuw oxygen ne carbon dioxide dodow a ɛwɔ mu, ne pH nso. Nea ɛka ho no, wobetumi ayɛ sɔhwɛ ahorow a edidi so yi de ahu nea ɛde ba:
Ɔkwan bɛn so na wɔsa?
Ade a ɛho hia sɛ yɛte ase wɔ ha ne sɛ nnuruyɛfo nsa tebea a wɔfrɛ no Respiratory Alkalosis no ankasa.
Wɔsa aduruyɛ mu tebea a ɛda adi a ɛde bae no. Sɛ nhwɛso no, sɛ ɔyare mmoawa na ɛde ba a, wo duruyɛfo bɛma wo nnuru a ekum ɔyare mmoawa . Sɛ nea ɛde ba ne mogya a ɛretu wɔ w’ahurututu mu a, wɔbɛma wo nnuru a ekum mogya a ɛtwetwe no ma apete.
Sɛ worehyia dadwen bere nyinaa na wo home kɔ soro a, ayaresa ahorow bi wɔ hɔ a wobetumi de adi dwuma. Ahomegye apɔw-mu-teɛteɛ ne afotu betumi aboa. Ebia nnipa binom nso behia nnuru. Ebia woate sɛ wohome kɔ krataa kotoku mu bere a wo ho yeraw wo. Nea ɛka eyi ho ne sɛ wobɛsan home carbon dioxide a wohome no. Eyi betumi aboa ma CO2 dodow a ɛwɔ wo mogya mu no so atew. Nanso,
ɛho hia sɛ wokɔ oduruyɛfo nkyɛn ansa na woayɛ eyi. Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn? Bere bɛn na ɛsɛ sɛ mekɔ ETU?
Eyi yɛ asɛmmisa a ɛho hia paa efisɛ ɛtɔ mmere bi a ntease a anibere wom betumi aba.
Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn
Sɛ wotaa nya sɛnkyerɛnne ahorow a wɔaka ho asɛm wɔ asɛm yi mu no bi, anaasɛ wote nka sɛ worehome ntɛmntɛm bere nyinaa a,
kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Eyi bɛboa ma wɔahu nea ɛde ba na ama wɔanya ayaresa a ɛho hia.
Bere a ɛsɛ sɛ wokɔ ETU (Emergency Treatment Unit) ntɛm ara
Sɛ wowɔ sɛnkyerɛnne a emu yɛ den a edidi so yi mu biara a, kɔ ayaresabea
Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara.
- Sɛ ɛte sɛ nea ɛyɛ fit (Seizures).
- Sɛ nhumu asɛe, sɛ wuntumi nte nea ɛrekɔ so wɔ wo ho ase (adwene tebea a ɛsakra).
- Sɛ w’ano, wo nsateaa nnadewa, anaa wo honam ani yɛ bruu a.
- Sɛ wote nka sɛ woayɛ mmerɛw kɛse a.
- Nhumu a wɔhwere.
So wobetumi asiw tebea yi ano?
Esiane sɛ nneɛma pii na ɛde ɔhome mu alkalosis ba nti, ɛnyɛ ne nyinaa na wobetumi asiw ano. Nanso nneɛma bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ no so:
- Di adwennwen ne dadwen ho dwuma. Nneɛma te sɛ adwendwene, yoga, ne ahomegye apɔw-mu-teɛteɛ betumi aboa. Hwehwɛ mmoa a efi animdefo hɔ sɛ ɛho hia a.
- Kwati sigaretnom, vaping, anaa nneɛma a nicotine wom a wode bedi dwuma.
- Bɔ wo ho ban fi nyarewa ho. Hohoro wo nsa mpɛn pii na fa wo nnuru a wɔde bɔ wo ho ban no wɔ bere ano.
Yɛn nipadua te sɛ nnwontofo kuw. Akwaa biara wɔ abusuabɔ na ɛyɛ adwuma wɔ biakoyɛ mu ma nipadua no kari pɛ. Ɛtɔ mmere bi a, ɔfã biako, te sɛ ɔfã a ɛhwɛ ɔhome so no, kɔ nea ɛnteɛ. Ɛno ne bere a tebea horow te sɛ alkalosis ba. Mpɛn pii no, ɔhome mu alkalosis nyɛ asiane. Nanso nea ɛde ba no betumi ayɛ aniberesɛm. Enti, sɛ wowɔ sɛnkyerɛnne bi a, nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn na woahu nea ɛde ba a wommu w’ani ngu so.
Nkrasɛm a Wɔde Kɔ Fie
- Ɔhome mu alkalosis yɛ tebea a ɛma ɔhome ntɛmntɛm ma carbon dioxide dodow a ɛwɔ mogya mu no so tew na ɛma mogya no pH kɔ soro.
- Nsɛnkyerɛnne te sɛ adwenemhaw, akwaa a ɛyɛ mmerɛw, ne ti a ɛyɛ hare abu so.
- Ɛwom sɛ tebea yi nyɛ nea asiane wom de, nanso yare a ɛde ba (sɛ nhwɛso no, ɔyare mmoawa, mogya a ɛtɔ wɔ ahurututu mu) betumi ayɛ nea emu yɛ den.
- Ɛnyɛ alkalosis tebea no na wɔde sa yare no, na mmom yare a ɛde ba a ɛde bae no.
- Sɛ saa sɛnkyerɛnne ahorow yi taa ba a, kɔ oduruyɛfo nkyɛn. Sɛ wowɔ sɛnkyerɛnne ahorow a emu yɛ den te sɛ w’adwene a wobɛyera anaasɛ woayɛ akisikuru a, kɔ ETU ntɛm ara.
Ɔhome mu Alkalosis, mframa a ɛboro so, ɔhome a ɛkɔ soro, adwenemhaw, akwaa a ɛyɛ mmerɛw, mogya mu pH, carbon dioxide, ɔhome mu alkalosis
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