He hōʻailona weliweli anei kēia hanu hohonu a wikiwiki? E aʻo kākou e pili ana i ka hanu ʻana o Kussmaul

Ua ʻike anei ʻoe i kekahi e hanu wikiwiki a hohonu loa, me he mea lā ua pau kā lākou holo lōʻihi, me ke kaohi ʻole? Akā, ʻaʻole lākou e holo ana. ʻO kēia ka mea a mākou e kapa nei i kekahi manawa ʻo 'Kussmaul breathing', a mākou e ʻike nei he hōʻailona o kahi kūlana weliweli. ʻAʻole kēia he manaʻo wale nō, akā he ʻōlelo aʻo koʻikoʻi mai loko mai o ke kino. No laila, e hoʻomaopopo pono kākou i kēia i kēia lā.

He aha ka hanu ʻana o Kussmaul?

I ka ʻōlelo maʻalahi, ʻo ka hanu ʻana o Kussmohl ka hanu wikiwiki loa, hohonu, a me ka rhythmic. He ʻano ia o kahi kūlana i kapa ʻia ʻo hyperventilation.

E noʻonoʻo, aia kahi pilikia nui i loko o ko kākou kino. ʻO ia hoʻi, piʻi ka nui o ka waikawa o ke koko i kahi pae weliweli. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he metabolic acidosis . Ke hana ʻia kēia, hoʻāʻo ke kino e hoʻopau i kēia waikawa keu. ʻO kekahi o nā ala maikaʻi loa e hana ai i kēia, ʻo ia ke hoʻokuʻu i ke kalapona ʻokikene. No ka mea, he waikawa nui nō hoʻi ke kalapona ʻokikene i loko o ke koko. No laila, hanu wikiwiki a hohonu ke kino e hoʻokuʻu koke i kēia waikawa.

ʻO ka mea nui, ʻo ke kanaka e hanu ana ma kēia ʻano ʻaʻole hiki ke kāohi iā ia. ʻO ia ka pane ponoʻī a ke kino i kahi maʻi maʻi. No laila, he pilikia olakino ka hanu ʻana o Kussmohl. Inā ʻoe a i ʻole kekahi āu i ʻike ai e hanu ana ma kēia ʻano, pono ʻoe e lawe koke iā lākou i ka ʻoihana pilikia o ka haukapila (ETU) .

Pehea ka ʻokoʻa o kēia mai ka hanu maʻamau a me nā ʻano hanu ʻē aʻe?

I kekahi manawa hiki ke huikau kēia mau ʻano hanu kekahi i kekahi. Akā, aia nā ʻokoʻa nui. E nānā kākou i nā ʻokoʻa nui.

He aha nā kumu nui o ka hanu ʻana o Kussmohl?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui he kūlana i kapa ʻia ʻo metabolic acidosis. ʻO ke ʻano kēia, piʻi ka ʻakika o ke koko. ʻO ke kumu nui a maʻamau o kēia, ʻo ia nā kūlana e pili ana i ka maʻi diabetes.

Ke kumu nui: Diabetic Ketoacidosis (DKA)

ʻO kēia ke kumu maʻamau o ka hanu ʻana o Kussmohl. He pilikia hoʻoweliweli ola ka DKA, akā hiki ke mālama ʻia, hiki ke loaʻa i kekahi me ka maʻi diabetes.

• He aha ka mea e hana ʻia ma DKA?: Ke nele ke kino i ka insulin lawa, kahi hormone e pono ai ke kino e hoʻohana i ka glucose no ka ikehu, hoʻomaka ke kino e puhi i ka momona no ka ikehu.
• Hoʻomaka ka pilikia ma aneʻi: Ke puhi ʻoe i ka momona, hōʻiliʻili nā kemika i kapa ʻia ʻo ketones i loko o ke koko ma ke ʻano he huahana ʻaoʻao. He ʻano waikawa kēia mau ketones.
• Hopena: Ke hōʻiliʻili kēia mau ketones i loko o ke koko o kahi kanaka me ka maʻi diabetes, hāʻule nui ka acidity (pH) o ke koko.
• Kahua Hopena: ʻO ka hanu ʻana o Kussmohl he hōʻailona ia o ke kahua hope loa o DKA. Hiki iā ia ke alakaʻi i ka make inā ʻaʻole e mālama koke ʻia.

He aha nā kumu ʻē aʻe?

Ma waho aʻe o DKA, aia kekahi mau kumu ʻē aʻe e hiki ke hoʻopilikia i ka hanu ʻana o Kussmohl.

• Ka Hāʻule ʻana o nā Puʻupaʻa: Ke hiki ʻole i nā puʻupaʻa ke hoʻohemo i nā waikawa ma o ka mimi, hōʻiliʻili nā waikawa i loko o ke koko. Hiki i kēia ke alakaʻi i nā kūlana e like me ka "Renal tubular acidosis".
• Sepsis:ʻO ka maʻi i komo i loko o ke kino e lilo i mea koʻikoʻi loa.
• Ka ʻai ʻana i kekahi mau mea ʻawahia: No ka laʻana, inā ʻai ʻia kahi mea ʻawahia e like me ka methanol, i ia hihia, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke ʻAi ʻawahia Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
• Ka pilikia o ka hoʻohana ʻana i ka waiʻona.
• Ka hemahema o nā ʻōpū nui e like me ka puʻuwai a me ke akepaʻa.
• ʻO kekahi mau maʻi e like me ke kanesa .

Pehea e mālama ai a pale aku i kēia maʻi?

No ka mea, he hōʻailona ka hanu ʻana o Kussmohl, kuhikuhi ʻia ka lāʻau lapaʻau i ke kūlana kumu i hoʻokumu ai. Hana pinepine ʻia ka lāʻau lapaʻau ma ka haukapila.

ʻO ka maʻamau, hāʻawi nā kauka i nā wai intravenous (IV) a me nā electrolytes e hoʻihoʻi i ke kaulike acid-base o ke koko. I ka DKA, he mea nui ka insulin intravenous (IV) .

ʻO ka mea nui loa, ʻo ia ka pale ʻana i kēia maʻi, ʻoiai ʻo DKA.

• Inā loaʻa iā ʻoe ka maʻi diabetes: E nānā mau i kou pae kō koko. E lawe i kāu insulin a me nā lāʻau lapaʻau ʻē aʻe e like me ke kuhikuhi ʻana a kāu kauka i ka manawa kūpono. Inā maʻi ʻoe (e like me ke anu a i ʻole ka maʻi flu), ʻoi aku kou pilikia o ka DKA, no laila e kamaʻilio me kāu kauka e pili ana i ke ʻano o ka mālama ʻana i kāu maʻi diabetes i kēia manawa.
• ʻO ka maʻi diabetes i ʻike ʻole ʻia: He paʻakikī ke pale aku i ka DKA. No laila, ʻo ka ʻike ʻana i kona mau hōʻailona hōʻike hiki ke hoʻōla i ke ola.