Ðe nèsena le ɖokuiwò me be yeƒe ta le ƒoƒom alo wò abɔwo kple afɔwo vuvu ne èle gbɔgbɔm kabakabaa? Esia ate ŋu anye Yagbɔgbɔ ƒe Alkalosis!

Ðe nèse le ɖokuiwò me kpɔ be yegbɔa ya kabakaba, yeƒe ta le ƒoƒom, alo yeƒe lãme gbãna esime vɔvɔ̃ ɖo ye ŋutɔŋutɔ alo do dziku ŋutɔŋutɔa? Ɣeaɖewoɣi la, èsena le ɖokuiwò me be yeƒe nu ƒo xlã wò. Àte ŋu ase le ɖokuiwò me hã be yeƒe akɔta xaxa. Togbɔ be ame geɖe susu be esia sɔ hã la, atikewɔwɔ ƒe nɔnɔme si le megbe na esiae nye nusi ŋu míele nu ƒom tsoe egbea si woyɔna be ‘Yagbɔgbɔ ƒe Alkalosis’. Ne ŋkɔ sia ɖi nya gã aɖe hã la, mègavɔ̃ o. Mina míaƒo nu tso esia ŋu bɔbɔe eye eme nakɔ.

Nukae Nye Yagbɔgbɔ ƒe Alkalosis? Mina míase egɔme bɔbɔe.

Kpuie ko la, Gbɔgbɔme Alkalosis nye ne Carbon Dioxide (CO2) ƒe agbɔsɔsɔ si le wò ʋu me dzi ɖe kpɔtɔ, si na be tɔtrɔ le wò ʋu me acid-base ƒe dadasɔ ŋu.

Bu eŋu kpɔ, ne míele gbɔgbɔm la, míexɔa ɔksidzin eye míegbɔa ya si woyɔna be carbon dioxide ɖe yame, alo? Esia nye nusi sɔ le míaƒe ŋutilã me. Gake ne míegbɔ ya kabakaba akpa, si fia be ne míegbɔ ya fũu akpa , míaƒe ŋutilã ɖea ya si woyɔna be carbon dioxide geɖe ɖe go wu alesi wòhiã.

Carbon dioxide nye ya si naa acid aɖe nɔa míaƒe ʋu me. Azɔ, nukae dzɔna ne míeɖe asi le eŋu fũ akpa le míaƒe ŋutilã me? Ʋua me acid dzi ɖena kpɔtɔna eye alkaline ƒe agbɔsɔsɔ dzina ɖe edzi. Ele abe ɖe woɖe lime ɖa le tsi kplu si me lime vi aɖe le me ene, eye ʋeʋẽa nu yina.

Wotsɔa asixɔxɔ aɖe si woyɔna be pH dzidzea acid-base ƒe agbɔsɔsɔ si le míaƒe ʋu me. Ele be ame si le lãmesẽ me ƒe ʋu ƒe pH nanɔ 7.35 va ɖo 7.45 dome . Le Yagbɔgbɔ ƒe Alkalosis me la, pH ƒe xexlẽme sia dzina ɖe edzi wu 7.45 le carbon dioxide ƒe ɖiɖi ta.

Nukae nye Yagbɔgbɔ ƒe Alkalosis ƒe dzesi siwo bɔ wu?

Ne carbon dioxide ƒe agbɔsɔsɔ ɖiɖi eye ʋua ƒe pH trɔ la, egblẽa nu le míaƒe lãmekawo kple lãmekawo ŋu. Esia tae míedzea dzesi vovovowo sese gɔme ɖo. Dzesi siawo ate ŋu ava kpata, vevietɔ ne èle gbɔgbɔm kabakaba ɣeyiɣi didi aɖe.

Àte ŋu asrɔ̃ nu geɖe tso nɔnɔme siawo ŋu tso kplɔ̃ si le ete la dzi.

Nukae ate ŋu anɔ nɔnɔme sia hem vɛ?

Míenya azɔ be gbɔgbɔtsixe tsia gbɔgbɔtsixe ƒoƒo kabakaba akpa (yagbɔgbɔ fũu akpa) gbɔe gbɔgbɔtsixe ƒe alkalosis tsona. Eyata nusianu si ana míegbɔa ya kabakaba akpa ate ŋu anye nusi gbɔ wòtso. Nusiwo gbɔ wòtsona siawo ate ŋu atso susu me nu bɔbɔewo dzi va ɖo atikewɔwɔ me nɔnɔme sesẽwo dzi.

Susuŋutinunya me Nusiwo Gbɔ Wòtso

Esiae nye susu si bɔ wu.

• Dzimaɖitsitsi alo Vɔvɔ̃ ƒe Amedzidzedze:Ne vɔvɔ̃ ɖo wò ŋutɔ alo nètsi dzimaɖi la, wò gbɔgbɔtsixe tsia dzi ɖe edzi le eɖokui si. Tsɔe be vɔvɔ̃ ɖo wò ŋutɔ le dodokpɔ wɔwɔ vɔ megbe. Alo ne èse le ɖokuiwò me be yegbɔdzɔ le teƒe si amewo sɔ gbɔ ɖo. Emegbe wò gbɔgbɔ ate ŋu adzi ɖe edzi le eɖokui si eye dzesi siawo ate ŋu ado mo ɖa.
• Vevesese sesẽ: Vevesese sesẽ le ŋutilã me hã ate ŋu ana ame nagbɔ ya kabakaba.
• Dziku alo nuteɖeamedzi si gbɔ eme: Susu me nuteɖeamedzi si gbɔ eme hã nye nusi gbɔ esia tsona.

Ŋutilã me Nusiwo Gbɔ Wòtso Kple Atikewɔwɔ ƒe Nɔnɔmewo

• Asrã: Ne ŋutilã ƒe dzoxɔxɔ dzi ɖe edzi la, ŋutilãa ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ kabakaba, si hã ate ŋu ana gbɔgbɔtsixe nadzi ɖe edzi.
• Fufɔfɔ: Le fufɔɣi la, lãmetsiŋusẽ ƒe tɔtrɔ kple nyaƒoɖeamenu si vidzĩ si le tsitsim hena vɛ na akɔtaƒua nana gbɔgbɔtsixe tsia dzodzodzoe vie le dzɔdzɔme nu.
• Dɔlékui sesẽwo (Sepsis): Le dɔlékui sesẽ siwo gblẽa nu le ŋutilã bliboa ŋu, abe dɔlékuiwutike ene, me.
• Aklã ƒe Dɔmawɔmawɔ nyuie: Aklã ƒe dɔwɔwɔ ƒe gbegblẽ.
• Hyperthyroidism: Ŋutilã ƒe dɔwɔwɔ kabakaba le lãkusi ƒe dɔwɔwɔ fũ akpa ta.
• Ta ƒe Nuveviwɔame: Nusiwo gblẽ le gbɔgbɔtsixetsixe ƒe dɔwɔƒe si le ahɔhɔ̃a me ŋu.
• Nicotine Zazã: Nicotine nono to atamanono, vaping, kple bubuawo me.

Yagbɔgbɔ ƒe Nɔnɔmewo

Ɣeaɖewoɣi la, ne ŋutilãa mekpɔ oxygen si sɔ o (nɔnɔme si woyɔna be hypoxia ) la, ŋutilãa dzea agbagba be yeaɖo eteƒe to gbɔgbɔ kabakaba me. Gake esia ate ŋu ana ya si woyɔna be carbon dioxide si sɔ gbɔ la nado, si ana gbɔgbɔtsixe ƒe alkalosis nadze ame dzi.

• Aklãdɔléle
• Aklã me Ʋuʋudedi
• ARDS (Acute Respiratory Distress Dɔléle) .

Susu bubuwo tae

• Atikewo abe aspirin ene zazã fũ akpa: Atike aɖewo ate ŋu aʋã gbɔgbɔtsixe ƒe titina le ahɔhɔ̃a me ne wozãe wògbɔ eme.
• Mɔ̃ ƒe Yaƒoƒo: Nɔnɔme sia ate ŋu adzɔ le dɔnɔ si wotsɔ do ka kple yagbɔgbɔmɔ̃ le kɔdzi ƒe dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ vevie ne womeɖo mɔ̃a ƒe ɖoɖowo nyuie o.

Aleke nèwɔ kpɔ esia, Ðɔkta?

Ne èyi ɖɔkta gbɔ kple dzesi siawo la, abia nya wò gbã, asrɔ̃ nu tso wò dzesiwo kple ɣeyiɣi si me wodzɔna ŋu. Emegbe ado wò kpɔ.

Dodokpɔ vevitɔ si woatsɔ aɖo kpe nɔnɔme sia dzi pɛpɛpɛe nye Ʋukawo me Ʋu ƒe Ya (ABG) dodokpɔ .

Tsɔ kpe ɖe eŋu la, ɖɔkta ate ŋu aɖe gbe be woagawɔ dodokpɔ bubuwo atsɔ anya nusi gbɔ wòtso.

• Pulse Oximetry: Wotsɔa mɔ̃ sue aɖe si le abe klip ene si léna ɖe asibidɛa ŋu dzidzea oxygen ƒe agbɔsɔsɔ le ʋua me.
• Akɔta ƒe X-ray alo CT scan: Be woakpɔe ɖa be kuxi aɖe le lãkusiwo ŋu hã.
• Ʋudodokpɔ bubuwo: Dodokpɔwo abe ʋu ƒe xexlẽme blibo (CBC) alo basic metabolic panel (BMP) si léa ŋku ɖe ŋutilãa me mineral ƒe agbɔsɔsɔ ŋu ene.
• Aklã ƒe Dɔwɔwɔ Dodokpɔwo: Kpɔe ɖa be gbɔdzɔgbɔdzɔ aɖeke le wò gbɔgbɔ me hã.

Nukawoe nye atike siwo wozãna na esia?

Nu vevitɔ kekeake si gɔme wòle be míase le afisia enye be Yagbɔgbɔ ƒe Alkalosis nye dzesi tsɔ wu be wòanye dɔléle. Esia fia be ne ɖɔktawo le edam la, menye taɖuame alo lãmetutudɔa ŋue woƒe susu nɔna akpa gãtɔ o, ke boŋ nusi gbɔ wòtso ŋu.

• Ne dɔlékui aɖe gbɔe wòtso la, wonaa dɔlékuiwutikewo.
• Ne nusi gbɔ wòtsoe nye ʋu ƒe sisi le lãkusi me , woana ʋu ƒe sisi na ame be wòatsɔ alɔ ʋuka me.
• Ne nusi gbɔ wòtsoe nye dzimaɖitsitsi , mɔ aɖewo li siwo dzi woato akpɔ egbɔ, eye ɖewohĩ woate ŋu aŋlɔ atike na ame.

Ne zi geɖe la, èkpɔnɛ be yegbɔa ya fũu akpa le dzimaɖitsitsi ta la, nu bɔbɔe aɖe li nàte ŋu awɔ. Emae nye be nàdze agbagba aɖu wò gbɔgbɔ dzi. Dze agbagba nàgbɔ ya le dziɖeɖi me, blewu, eye nàgbɔ ya sesĩe.

Ðe wòhiã be makpɔ ɖɔktaa? Ðe wòhiã be mayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU)a?

Esia nye nyabiase vevi aɖe ŋutɔ, elabena ɣeaɖewoɣi la, dzesi siawo ate ŋu anye atikewɔwɔ me nɔnɔme sesẽ aɖe ƒe dzesi. Eya ta ele vevie be nànya ɣeyiɣi si wòle be nàkpɔ atikewɔla si kpɔa dɔlélewo gbɔ kple ɣeyiɣi si wòle be nàyi kɔdzi enumake.