Sɛ wohome ntɛmntɛm a, wote nka sɛ wo ho yɛ wo yaw anaasɛ wo nsa ne wo nan ho yɛ wo yaw? Eyi betumi ayɛ Ɔhome mu Alkalosis!

So woate nka pɛn sɛ worehome ntɛmntɛm, wo ho reyɛ wo yaw, anaasɛ wo ho ayɛ wo hyew bere a ehu aka wo ankasa anaa wo bo fuw ankasa no? Ɛtɔ mmere bi a, wote nka sɛ wo ho ayɛ wo yaw wɔ w’ano. Ebia wobɛte nka nso sɛ wo moma so ayɛ mmerɛw. Bere a nnipa pii susuw sɛ eyi yɛ ade a ɛfata no, aduruyɛ tebea a ɛwɔ eyi akyi no ne nea yɛreka ho asɛm nnɛ no, wɔfrɛ no ‘Respiratory Alkalosis’. Sɛ edin yi te sɛ asɛm kɛse mpo a, nsuro. Momma yɛnka eyi ho asɛm tiawa na emu nna hɔ.

Dɛn ne Ɔhome mu Alkalosis? Momma yɛnte ase tiawa.

Sɛ yɛbɛka no tiawa a, Respiratory Alkalosis yɛ bere a Carbon Dioxide (CO2) dodow a ɛwɔ wo mogya mu no so tew, na ɛma nsakrae ba wo mogya mu acid ne base a ɛkari pɛ no mu.

Susuw ho hwɛ, sɛ yɛhome a, yegye mframa pa na yɛtwe mframa bɔne a wɔfrɛ no carbon dioxide, ɛnte saa? Eyi yɛ adeyɛ a ɛfata wɔ yɛn nipadua mu. Nanso sɛ yɛhome ntɛmntɛm dodo, kyerɛ sɛ, sɛ yɛhome boro so a , yɛn nipadua no ma mframa bɔne pii fi mu sen sɛnea ehia.

Carbon dioxide yɛ mframa a ɛde acid bi ka yɛn mogya ho. Afei, sɛ yeyi emu pii fi yɛn nipadua mu a, dɛn na ɛba? Mogya no mu acid so tew na alkaline dodow kɔ soro. Ɛte sɛ nea woyi lime no afi nsu kuruwa a lime kakra wom mu, na akisikuru no yera.

Wɔde dodow bi a wɔfrɛ no pH na ɛkyerɛ acid-base dodow a ɛwɔ yɛn mogya mu. Ɛsɛ sɛ obi a ɔwɔ apɔwmuden mogya mu pH yɛ 7.35 kosi 7.45 . Wɔ Ɔhome Alkalosis mu no, saa pH yi kɔ soro boro 7.45 esiane carbon dioxide a ɛso tew nti.

Dɛn ne sɛnkyerɛnne ahorow a ɛtaa ba wɔ Ɔhome mu Alkalosis ho?

Sɛ carbon dioxide dodow so tew na mogya no pH sesa a, ɛka yɛn ntini ne yɛn ntini ahorow. Ɛno nti na yefi ase te sɛnkyerɛnne ahorow nka no. Saa sɛnkyerɛnne ahorow yi betumi aba mpofirim, titiriw sɛ wohome ntɛmntɛm bere tenten a.

Wubetumi asua pii afa saa su ahorow yi ho afi pon a ɛwɔ ase ha no so.

Dɛn na ebetumi de tebea yi aba?

Seesei yenim sɛ ɔhome mu alkalosis fi ɔhome a wɔhome ntɛmntɛm dodo (hyperventilation). Enti, biribiara a ɛma yɛhome ntɛmntɛm dodo betumi ayɛ nea ɛde ba. Saa nneɛma a ɛde ba yi betumi afi adwene mu nneɛma a ɛnyɛ den so akosi aduruyɛ mu tebea horow a emu yɛ den so.

Adwene mu Nneɛma a Ɛde Ba

Eyi ne ade a ɛtaa ba.

• Dadwen anaa Ehu a Ɛba:Sɛ ehu aka wo kɛse anaasɛ wo ho yeraw wo a, wo home kɔ soro ara kwa. Fa no sɛ wosuro paa bere a woayɛ sɔhwɛ awie no. Anaasɛ bere a wote nka sɛ wo ho atɔ wo wɔ baabi a nnipa ahyɛ hɔ ma no. Afei wo home betumi akɔ soro ara kwa na saa sɛnkyerɛnne ahorow yi betumi aba.
• Ɛyaw a emu yɛ den: Ɛyaw a emu yɛ den wɔ nipadua no mu nso betumi ama obi home ntɛmntɛm.
• Abufuw anaa adwennwen a ɛtra so: Adwene mu nhyɛso a ɛboro so nso na ɛde eyi ba.

Nipadua mu Nneɛma a Ɛde Ba ne Aduruyɛ Tebea Ahorow

• Atiridii: Sɛ nipadua mu hyew kɔ soro a, nipadua no mu nneɛma a ɛsakra no yɛ ntɛmntɛm, na ɛno nso betumi ama ahome a ɛkɔ soro.
• Nyinsɛn: Wɔ nyinsɛn mu no, nkwaadɔm mu nsakrae ne nhyɛso a akokoaa a ɔrenyin no de ba ahurututu no so no fi awosu mu ma ɔhome yɛ ntɛmntɛm kakra.
• Nyarewa a emu yɛ den (Sepsis): Wɔ nyarewa a emu yɛ den a ɛka nipadua no nyinaa te sɛ sepsis mu.
• Mmerɛbo a Ɛnyɛ Yiye: Mmerɛbo no ntumi nyɛ adwuma yiye.
• Hyperthyroidism: Nipadua mu nneɛma a ɛkɔ so ntɛmntɛm esiane thyroid ntini no dwumadi boro so nti.
• Ti a Wopirapira: Ɛsɛe beae a wɔhwɛ ɔhome so wɔ amemene no mu.
• Nicotine a Wɔde Di Dwuma: Nicotine a wɔnom denam sigaretnom, vaping, ne nea ɛkeka ho so.

Ɔhome Tebea Ahorow

Ɛtɔ mmere bi a, sɛ nipadua no nnya oxygen a ɛdɔɔso (tebea a wɔfrɛ no hypoxia ) a, nipadua no bɔ mmɔden sɛ ɛbɛtua denam home a ɛhome ntɛmntɛm no so. Nanso, eyi betumi ama carbon dioxide a ɛboro so no afi mu, na ɛde ɔhome mu alkalosis aba.

• Ahurututu mu yare
• Ahurututu mu Nkwammoaa a Ɛyɛ Fɛ
• ARDS (Ɔhome mu Ahokyere a Ɛyɛ Den) .

Nneɛma afoforo nti

• Nnuru te sɛ aspirin a wɔnom boro so: Nnuru bi betumi akanyan ɔhome a ɛwɔ amemene no mu no bere a wɔnom boro so no.
• Mfiri a Wɔde Mframa: Saa tebea yi betumi aba ɔyarefo a wɔde mframa afiri a ɛwɔ ayaresabea a wɔhwɛ wɔn a wɔyare denneennen no abɔ mu, sɛ wɔanhyehyɛ nhyehyɛe a ɛwɔ afiri no so no yiye a.

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a ɔwɔ saa sɛnkyerɛnne yi a, obedi kan abisa wo nsɛm, asua wo sɛnkyerɛnne ne bere a ɛba no ho ade. Afei ɔbɛhwehwɛ wo mu.

Sɔhwɛ titiriw a wɔde si tebea yi so dua pɛpɛɛpɛ ne Arterial Blood Gas (ABG) nhwehwɛmu .

Nea ɛka ho no, oduruyɛfo no betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo na ama wɔahu nea ɛde ba.

• Pulse Oximetry: Wɔde afiri ketewaa bi a ɛte sɛ clip a ɛbata nsateaa no ho susuw oxygen dodow a ɛwɔ mogya no mu.
• Chest X-ray anaa CT scan: Sɛnea ɛbɛyɛ a wobɛhwɛ sɛ ɔhaw bi wɔ ahurututu no mu anaa.
• Mogya mu nhwehwɛmu afoforo: Nhwehwɛmu te sɛ mogya dodow a edi mũ (CBC) anaasɛ basic metabolic panel (BMP) a ɛhwɛ nipadua no mu mineral dodow.
• Ahurututu mu Dwumadi Ho Sɔhwɛ: Hwɛ sɛ mmerɛwyɛ biara wɔ wo home mu anaa.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ade a ɛho hia sen biara a ɛsɛ sɛ yɛte ase wɔ ha ne sɛ Respiratory Alkalosis yɛ sɛnkyerɛnne mmom sen sɛ ɛbɛyɛ yare. Eyi kyerɛ sɛ, sɛ nnuruyɛfo resa a, ɛnyɛ adwenem naayɛ anaa akisikuru no so na wɔde wɔn adwene si so kɛse, na mmom nea ɛde ba no so.

• Sɛ nea ɛde ba ne ɔyare mmoawa , wɔma nnuru a ekum ɔyare mmoawa.
• Sɛ nea ɛde ba ne mogya a ɛretu wɔ ahurututu mu a , wɔbɛma mogya a ɛma mogya tu no ma apete akisikuru no.
• Sɛ nea ɛde ba ne dadwen , akwan bi wɔ hɔ a wɔfa so di ho dwuma, na ebia wobetumi akyerɛw nnuru ama obi.

Sɛ wotaa hu sɛ wo ho yɛ wo hyew dodo esiane dadwen nti a, ade tiawa bi wɔ hɔ a wubetumi ayɛ. Ɛno ne sɛ wobɛbɔ mmɔden sɛ wubedi wo home so. Bɔ mmɔden sɛ wobɛhome brɛoo, brɛoo, na woakɔ akyiri.

So ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn? So ɛsɛ sɛ mekɔ Dwumadibea a Ɛhwɛ Nneɛma a Egye Ntɛmpɛ So (ETU)?

Eyi yɛ asɛmmisa a ɛho hia yiye, efisɛ ɛtɔ mmere bi a saa sɛnkyerɛnne ahorow yi betumi ayɛ aduruyɛ mu tebea a emu yɛ den ho sɛnkyerɛnne. Enti, ɛho hia sɛ wuhu bere a ɛsɛ sɛ wokɔ oduruyɛfo a ɔhwɛ ayarefo nyinaa nkyɛn ne bere a ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.