Ðe gbɔgbɔ le fu ɖem na wò hã? Ðewohĩ esiae nye (Yagbɔgbɔ ƒe Acidosis) ! Mina míaƒo nu.

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be gbɔgbɔ sesẽna na yea? Alo ɖe nèkpɔ ame aɖe si nènya wònɔ agbagba dzem be yeagbɔ ya kpɔa? Ɣeaɖewoɣi la, míeléa ŋku ɖe nɔnɔme mawo ŋu boo o, gake susu vevi aɖe ate ŋu anɔ megbe na esia. Esia tae woyɔa nɔnɔme aɖe si dzɔna ne gbɔgbɔ nye nusi ŋu wotsi dzi ɖo la be Respiratory Acidosis. Mina míaƒo nu tso esia ŋu tsitotsito egbea.

Nukae nye esia (Yagbɔgbɔ ƒe Acidosis)? Mina míase egɔme bɔbɔe!

Kpuie ko la, Gbɔgbɔme Acidosis nye nɔnɔme si me míaƒe ʋu me acid ƒe agbɔsɔsɔ dzina ɖe edzi wu alesi wòle be wòanɔ , eye ʋua ƒe pH dzi ɖena kpɔtɔna. Ènya be ele be míaƒe ʋu hã nanye pH ƒe agbɔsɔsɔ aɖe hafi wòate ŋu awɔ dɔ nyuiea? pH ƒe agbɔsɔsɔ sia nye alesi gbegbe acid kple base (alo alkaline) le míaƒe ʋu me ƒe dzidzenu. Eƒe didime tso 0 va ɖo 14. 0 nye acidic ŋutɔ, eye 14 nye alkaline ŋutɔ. Ele be ame si le lãmesẽ me ƒe ʋu ƒe pH nanɔ 7.35 va ɖo 7.45 dome.

Fifia, ènya nusita (Respiratory Acidosis) dzɔnaa? Nɔnɔme sia dzɔna ne míaƒe lãkusiwo mete ŋu ɖe ya si woyɔna be carbon dioxide (CO2) si dona le míaƒe ŋutilã me la ɖa nyuie o. Ne (Respiratory Acidosis) nɔnɔme sia dzɔ kpata la, ate ŋu ade ame ƒe agbe afɔku me . Eyata ne gbɔgbɔ sesẽ na wò kasia alo nèse le ɖokuiwò me be gbɔgbɔtsixe tsi ƒowò la, ele be nàƒo ka na 1990 enumake aɖadi atikewɔlawo ƒe kpekpeɖeŋu kpata .

Nukawoe nye Yagbɔgbɔ ƒe Acidosis ƒomevi veviwo?

Nɔnɔme sia ƒomevi vevi eve li (Respiratory Acidosis):

1. Yagbɔgbɔ ƒe Acidosis Sesẽ: Esiae nye esime ya si woyɔna be carbon dioxide ƒoa ƒu ɖe míaƒe lãkusiwo me zi ɖeka eye wòwɔa dɔ kabakaba ŋutɔ.

2. Yagbɔgbɔ me Acidosis si nɔa anyi didi: Esia va nɔa blewu, le ɣeyiɣi aɖe megbe.

Ɣeaɖewoɣi la, ƒomevi evea siaa ate ŋu adzɔ ɖekae. Eyae nye be ne dɔléle si nɔa anyi didi (Respiratory Acidosis) le ŋuwò la, àte ŋu axɔ acute (Respiratory Acidosis) hã le ɣeyiɣi ma ke me.

Amekae dɔléle sia (Respiratory Acidosis) gblẽa nu le wu?

Le nyateƒe me la, nɔnɔme sia si woyɔna be (Respiratory Acidosis) ate ŋu adze ame sia ame dzi. Nusiwo gbɔ wòtsona koŋue nye:

• Aklãdɔ gblẽa nu le wò lãkusiwo alo wò gbɔgbɔtsixe ƒe akpa bubuwo ŋu.
• Lãmetsi siwo le wò gbɔgbɔtsixe me mete ŋu wɔa dɔ nyuie o alo wowɔa nyaƒoɖeamenu si sɔ (gbɔgbɔ ƒe lãmekawo ƒe ɖeɖiteameŋu) .
• Nɔnɔme aɖewo kpɔa ŋusẽ ɖe alesi ya zɔna to wò lãkusiwo me dzi.

Nukawoe nye Respiratory Acidosis ƒe dzesiwo?

Yagbɔgbɔ me acidosis ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe ɣeyiɣi didi si dɔlélea le ŋuwò kple alesi wòsẽe dzi. Dzesi gbãtɔ siwo dzenae nye:

• Vɔvɔ̃ kple dzimaɖitsitsi ƒe seselelãme (Dzimaɖitsitsi) .
• Nukpɔkpɔ si me mekɔ o .
• Tɔtɔ , susu tsɔtsɔ ɖo nu ŋu sesẽ.
• Cyanosis nye ŋutigbalẽ si trɔna zua blɔ, aŋutiɖiɖi, ɣi-amadede, ɣi, alo ɣie le oxygen ƒe anyimanɔmanɔ ta.
• Taɖuame .
• Gbɔgbɔ sesẽ, gbɔgbɔtsixetsixe ƒe seselelãme (Dyspnea) .
• Ʋuʋudedi .

Dzesi kawoe adze ne nɔnɔmea gagblẽ ɖe edzi?

Ne mèkpɔ atike na Gbɔgbɔme Acidosis o, alo ne nɔnɔmea nu sẽ ŋutɔ la, àte ŋu akpɔ dzesiwo abe:

• Ðeɖiteameŋu ƒe seselelãme ŋutɔ (Ðeɖiteameŋu) .
• Sese le ɖokuiwò me be yeƒe lãmekawo le ʋuʋum zi ɖeka (Myoclonus) .
• Nuwɔna ƒe tɔtrɔ.
• Nudzisesẽ .
• Coma .

Nukae nye Gbɔgbɔme Acidosis si nɔa anyi didi ƒe dzesiwo?

Le nɔnɔme si nɔa anyi didi, si nɔa anyi didi (Respiratory Acidosis) me la, woate ŋu akpɔ dzesiwo abe esiawo ene:

• Ðeɖiteameŋu ƒe seselelãme, vevietɔ le ŋkeke me.
• Afɔku si le dzidɔ me .
• Ʋusɔgbɔdɔ (Hypertension) .
• Ʋumenugbagbevi dzĩwo ƒe dzidziɖedzi le ʋua me (Polycythemia) .
• Dadasɔ ƒe bu, nuwɔwɔ aduadu dzi ɖeɖe kpɔtɔ.
• Ŋkuɖodzinu ƒe dɔmawɔmawɔ nyuie.

Nukawo koŋue hea Gbɔgbɔme Acidosis vɛ?

Yagbɔgbɔ ƒe kuxiwoe nye nu vevitɔ si gbɔ Yagbɔgbɔ ƒe Acidosis tsona. Gake nusiwo gbɔ wòtsona siawo ate ŋu ato vovo le Respiratory Acidosis ƒomevi si le ŋuwò nu.

Nusiwo Hea Yagbɔgbɔ me Acidosis si Nɔa Anyi Didi vɛ:

• Aklã me ʋuʋu sesẽ .
• Ahɔhɔ̃mekawo ƒe dɔlélewo abe Amyotrophic lateral sclerosis (ALS) alo Lou Gehrig ƒe dɔléle ene.
• Asrãdɔ .
• Aklãdɔléle si xea mɔ na dɔléle si nɔa anyi didi (COPD) .
• Ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie, abe lãmekawo ƒe ʋuʋu sesĩe (MS) kple lãmekawo ƒe dɔmawɔmawɔ nyuie ene, gblẽa nu le lãmeka siwo kpɔa ŋusẽ ɖe wò lãmekawo dzi la dzi.
• Lolo akpa xea mɔ na lãkusiwo mekekena nyuie o.
• Aklã me lãkusi ƒe dɔléle .
• Scoliosis ƒe dɔléle .

Nusiwo Hea Yagbɔgbɔ ƒe Acidosis Sesẽ vɛ:

• Asrãdɔ .
• Aklãdɔléle si xea mɔ na dɔléle si nɔa anyi didi (COPD) .
• Nusiwo gblẽa nu le lãmekawo ƒe dɔwɔwɔ ŋu, abe aha sesẽ, amphetamines, kple opioids ene zazã fũ akpa.
• Emphysema (ya kotoku siwo le lãkusi me ƒe gbegblẽ).
• Aklãdɔléle .
• Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe .

Aleke ɖɔktawo wɔa dea dzesi Respiratory Acidosis?

Ne èyi ɖɔkta gbɔ la, woabia wò dɔlélea ƒe dzesiwo eye wòado wò ŋutilã kpɔ. Emegbe woate ŋu awɔ dodokpɔ geɖe atsɔ aɖo kpe edzi be wokpɔ dɔléle si nye Respiratory Acidosis.

Dodokpɔ kawoe wole wɔwɔm na esia?

Ðɔktaa ate ŋu aɖe gbe be woawɔ dodokpɔwo abe esiawo ene:

• Ʋuka me gas (ABG): Esia dzidzea carbon dioxide kple oxygen ƒe agbɔsɔsɔ le ʋua me.
• Basic metabolic panel (BMP): Esia dzidzea atike vovovo siwo le ŋutilãa me eye wòléa ŋku ɖe ŋutilãa ƒe atikewo ƒe dadasɔ kple lãmenugbagbeviwo ƒe dɔwɔwɔ ŋu.
• Akɔta ƒe X-ray: Esia ɖea wò akɔta ƒe foto, vevietɔ wò lãkusi.
• Carbon dioxide (CO2) ʋudodokpɔ: Woɖea ʋu sue aɖe tso ʋuka aɖe si le alɔnu me eye wodzidzea carbon dioxide ƒe agbɔsɔsɔ si le ʋua me.
• CT scan (Computed tomography - CT scan): Esia zãa X-ray siwo kplɔ wo nɔewo ɖo tsɔ wɔa wò lãkusi ƒe nɔnɔmetata si le akpa etɔ̃ (3D).
• Electrolyte panel: Esia dzidzea electrolyte aɖewo ƒe agbɔsɔsɔ le ʋua me. Ne gbɔgbɔtsixe ƒe acidosis le ŋuwò la, elektrikŋusẽ aɖewo ate ŋu asɔ gbɔ alo aɖiɖi wu alesi wòle be wòanɔ.
• Aklã ƒe dɔwɔwɔ dodokpɔ (PFT): Esiawo dzidzea alesi wò aklã le dɔ wɔm nyuie.

Aleke wodaa Gbɔgbɔme Acidosis?

Ðɔktawo daa nusi gbɔ gbɔgbɔtsixe ƒe acidosis tsona. Esia ate ŋu alɔ:

• Continuous positive airway pressure (CPAP) machine: Wozãa esia tsɔ daa alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe, si nye nɔnɔme si me nèdzudzɔa gbɔgbɔ ne èle alɔ̃ dɔm. Ewɔa dɔ to ya si wotsɔ nyaƒoɖeamenu wɔe ƒe sisi atraɖii to ametakpɔnu dzi nana wò me.
• Mɔ̃ɖaŋununya ƒe yaƒoƒo: Ne gbɔgbɔtsixe ƒe acidosis sesẽ aɖe le ŋuwò la, wozãa mɔ̃ sia tsɔ kpena ɖe ŋuwò nègbɔa ya.
• Atike: Ne dɔléle aɖe le ŋuwò si gblẽa nu le wò lãkusi alo gbɔgbɔtsixe ŋu la, wò ɖɔkta aŋlɔ atike si sɔ na wò.
• Oxygen zazã: Esia kpena ɖe ŋuwò be oxygen ƒe agbɔsɔsɔ si le wò ʋu me dzina ɖe edzi.

Atike kawoe wonana na Gbɔgbɔme Acidosis?

Be nàda nusi gbɔ gbɔgbɔtsixe ƒe acidosis sesẽ tsona la, wò ɖɔkta ate ŋu azã atike siwo gbɔna dometɔ ɖeka alo esi wu nenema alo aŋlɔe na wò:

• Dɔlékuiwutikewo: Ne dɔlékui aɖe le lãkusi me la, wokpena ɖe ame ŋu wòwɔa avu kplii.
• Aɖuɖɔtoekekewo: Esiawo naa lãmeka siwo ƒo xlã yaƒoƒomɔ̃wo la ɖea dzi ɖi eye woɖea aɖuɖɔtoedɔléle ƒe dzesiwo dzi kpɔtɔna.
• Corticosteroid-tikewo:Esiawo nye atike siwo ɖea dɔdzẽ dzi kpɔtɔna eye wokpena ɖe ame ŋu hã be ʋuʋudedi ƒe dodo le yaƒoƒomɔ̃wo me dzi ɖena kpɔtɔna.
• Aɖuɖɔtoemetikewo: Wokpena ɖe ame ŋu wòɖea ʋu ƒe sisi dzi kpɔtɔna to tsi si sɔ gbɔ ɖe ŋutilãa me ɖeɖeɖa me.
• Naloxone (Narcan®): Ne wosusu be wozã opioid wògbɔ eme la, ɖɔktawo ate ŋu ana esia abe atike si woatsɔ aƒu gbe ɖe no me alo adoe ɖe ʋuka me ene.
• Atike siwo akpe ɖe ŋuwò nàdzudzɔ atamanono: Nicotine-tikewo, atike siwo wotsɔna tsia atamanono, kple aŋetu ate ŋu akpe ɖe ŋuwò nàdzudzɔ atamanono. Atike siwo me nicotine mele o hã li, abe Bupropion kple Varenicline ene.

Aleke míewɔna xea mɔ na Gbɔgbɔme Acidosis?

Nu siawo ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe nusiwo ate ŋu ahe Gbɔgbɔme Acidosis vɛ dometɔ aɖewo nu:

• Dzudzɔ atamanono kple atamanuwo zazã (e.g. e-sigaret, vape pens). Esia le vevie ŋutɔ.
• De kame edziedzi.
• Lé kpekpeme si sɔ na wò la me ɖe asi.
• Ne wò ɖɔkta ŋlɔe na wò la, zã (CPAP) mɔ̃a edziedzi.
• Kpɔ nyuie ŋutɔ ne èle atike siwo naa ame ƒe dzi dzea eme, abe alɔ̃dɔdɔtikewo ene, zãm. Wɔ ɖe mɔfiame siwo woŋlɔ ɖe agbalẽa dzi dzi pɛpɛpɛ, no agbɔsɔsɔ si woɖo ɖi ko, eye mègatsɔ wo akpe ɖe aha ŋu gbeɖe o.

Ðo ŋku edzi be esiawo katã kpena ɖe ŋuwò be wò lãkusiwo nanɔ lãmesẽ me. Aɖuɖɔtoe siwo le lãmesẽ me nye akpoxɔnu nyuitɔ kekeake tso nɔnɔmewo abe Yagbɔgbɔ ƒe Acidosis ene me.

Etsɔme ka ƒomevie amesi ŋu (Respiratory Acidosis) le ate ŋu akpɔ mɔ na?

Esesẽna na ɖɔktawo be woagblɔ alesi tututu amesi ŋu gbɔgbɔtsixe ƒe acidosis le ahaya. Alesi nàwɔ nui ɖe atikewɔwɔ ŋu nɔ te ɖe nusi gbɔ wò dzesiawo tso dzi. Eyata anyo wu be nàƒo nu kple ɖɔkta. Le ŋutilãmedodokpɔ kple dodokpɔ bubuwo wɔwɔ vɔ megbe la, ate ŋu agblɔ nusi nàkpɔ mɔ na na wò.

Ɣekaɣie wòle be míayi ɖɔkta gbɔ?

Ne gbɔgbɔtsixe ƒe acidosis ƒe dzesi sesẽwo le ŋuwò la, yi atikewɔƒe kaba ale si nàte ŋui. Azɔ hã, ne aɖuɖɔtoedɔ aɖe le ŋuwò eye wò dzesiwo gagblẽ ɖe edzi zi ɖeka la, yi ɖɔkta gbɔ enumake.

Nya vevi kawoe wòle be míabia ɖɔktaa?

Ne èyi ɖɔkta gbɔ la, mègaŋlɔ be be yeabia nya siawo o:

• Aleke nàwɔ anya ne (Respiratory Acidosis) le ŋunye?
• Ne Respiratory Acidosis mele ŋunye o la, nɔnɔme bubu kae ate ŋu anɔ ŋunye?
• Ðe gbɔgbɔtsixe ƒe acidosis si nu sẽ alo esi nɔa anyi didi le ŋunyea?
• Dodokpɔ kawoe nèkafu be woatsɔ aɖo kpe edzi (Respiratory Acidosis)?
• Nukae nana mexɔa Respiratory Acidosis?
• Atikewɔwɔ kae nèkafu nam?

Vovototo kae le (Respiratory Acidosis) kple (Respiratory Alkalosis) dome?

• Yagbɔgbɔ ƒe Acidosis nye ne wò lãkusiwo mete ŋu ɖea carbon dioxide siwo katã dona le wò ŋutilã me ɖa o, si wɔnɛ be wò ʋu ƒe pH ɖiɖina wu alesi wòle be wòanɔ (aɖi geɖe wu).
• Yagbɔgbɔ me alkalosis nye ne wò ʋu ƒe pH dzi ɖe edzi wu alesi wòle dzɔdzɔmee (alkaline sɔ gbɔ wu) ne ègbɔ ya kabakaba akpa (yagbɔgbɔ fũu akpa) eye nèɖe carbon dioxide geɖe tso wò lãkusi me.

Vovototo kae le (Yagbɔgbɔ ƒe Acidosis) kple (Metabolic Acidosis) dome?

• Metabolic acidosis nye acid ƒe ƒuƒoƒo ɖe wò ŋutilã me tsiwo me. Etso wò ŋutilã ƒe acid wɔwɔ fũ akpa gbɔ, alo wò ayikuwo meɖe acid si sɔ le wò ʋu me o gbɔ.
• Respiratory Acidosis , abe alesi míegblɔe va yi ene la, nye acid siwo ƒoa ƒu ɖe ʋua me le esi wò lãkusiwo mete ŋu ɖea carbon dioxide ɖa le wò ŋutilã me nyuie o ta.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Yagbɔgbɔ me Acidosis nye dɔléle sesẽ aɖe si ate ŋu ade ame ƒe agbe afɔku me. Eyata mègaŋe aɖaba ƒu Respiratory Acidosis ƒe dzesiwo dzi gbeɖe o. Dzesi siawo nye mɔ si wò ŋutilã tona gblɔna na wò be nane gblẽ eye wòhiã be nàxɔ kpekpeɖeŋu enumake. Ne dzesi siawo dometɔ aɖe le ŋuwò la, kpɔ egbɔ be yeƒo nu kple ɖɔkta. Ate ŋu anya Respiratory Acidosis eye wòakafu atike nyuitɔ kekeake na wò. Wò lãmesẽe nye wò agbanɔamedzi!