Ke pilikia nei ʻoe i ka hanu ʻana? Malia paha ʻo kēia (Respiratory Acidosis)! E kamaʻilio kākou.

Ke manaʻo nei ʻoe i kekahi manawa he pilikia kou hanu ʻana? A i ʻole ua ʻike anei ʻoe i kekahi āu i ʻike ai e hakakā nei e hanu? I kekahi manawa, ʻaʻole mākou e nānā nui i ia mau kūlana, akā aia paha he kumu koʻikoʻi ma hope o ia mea. ʻO ia ke kumu e kapa ʻia ai kahi kūlana e kū mai ana i ka wā e hopohopo ai ka hanu ʻana he Respiratory Acidosis. E kamaʻilio kākou e pili ana i kēia i kēia lā.

He aha kēia (Respiratory Acidosis)? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka Respiratory Acidosis kahi kūlana kahi e piʻi ai ka pae acidic o ko mākou koko ma luna o nā pae maʻamau , a emi iho ka pae pH o ke koko. Ua ʻike anei ʻoe he pono nō hoʻi i ko mākou koko ke loaʻa kahi pae pH e hana pono ai? ʻO kēia pae pH kahi ana o ka nui o ka waikawa a me ke kumu (a i ʻole alkaline) o ko mākou koko. Aia ia mai 0 a 14. He acidic loa ka 0, a he alkaline loa ka 14. Pono ka pae pH o ke koko o ke kanaka olakino ma waena o 7.35 a me 7.45.

I kēia manawa, ua ʻike anei ʻoe i ke kumu e loaʻa ai (Respiratory Acidosis)? Loaʻa kēia ʻano ke hiki ʻole i ko kākou mau māmā ke hoʻopau pono i ke kinoea kalapona ʻokikene (CO2) i hana ʻia i loko o ko kākou kino. Inā loaʻa koke kēia ʻano (Respiratory Acidosis), hiki ke hoʻoweliweli i ke ola . No laila, inā pilikia koke ʻoe i ka hanu ʻana a i ʻole e manaʻo ana ʻoe e ʻūlū ana, pono ʻoe e kāhea koke i ka 1990 a ʻimi i ke kōkua lapaʻau pilikia .

He aha nā ʻano nui o ka Respiratory Acidosis?

ʻElua ʻano nui o kēia maʻi (Respiratory Acidosis):

1. ʻAcidosis hanu koʻikoʻi: ʻO kēia ka wā e hōʻiliʻili koke ai ke kalapona ʻokikene i loko o ko kākou mau māmā me ka wikiwiki loa.

2. ʻAkikaosis hanu mau loa: Hoʻomohala mālie kēia, i ka hala ʻana o ka manawa.

I kekahi manawa hiki ke hui pū ʻia nā ʻano ʻelua. ʻO ia hoʻi, inā loaʻa iā ʻoe ka maʻi mau (Respiratory Acidosis), hiki iā ʻoe ke loaʻa pū kekahi (Respiratory Acidosis) i ka manawa like.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia maʻi (Respiratory Acidosis)?

ʻO kaʻoiaʻiʻo, hiki ke ulu kēia maʻi i kapa ʻia ʻo (Respiratory Acidosis) i loko o kekahi. ʻO ke kumu nui o ia mea:

• Hoʻopilikia ka maʻi pulmonary i kou mau māmā a i ʻole nā ​​​​​​ʻāpana ʻē aʻe o kou ʻōnaehana hanu.
• ʻAʻole hiki i nā ʻiʻo i loko o kou ʻōnaehana hanu ke hana pono a i ʻole e hana i ke kaomi lawa (luhi o nā ʻiʻo hanu) .
• Hoʻopilikia kekahi mau kūlana i ke ala e neʻe ai ka ea ma kou mau māmā.

He aha nā hōʻailona o ka Acidosis Respiratory?

Hiki ke ʻokoʻa nā hōʻailona o ka acidosis hanu mai kēlā kanaka a kēia kanaka. Aia ia i ka lōʻihi o kou loaʻa ʻana i ke kūlana a me kona koʻikoʻi. ʻO nā hōʻailona mua e ʻike ʻia:

• Manaʻo o ka makaʻu a me ke kaumaha (Hopohopo) .
• ʻIke pōwehiwehi .
• Huikau , paʻakikī i ka noʻonoʻo ʻana.
• ʻO ka cyanosis ka lilo ʻana o ka ʻili i polū, poni, hina-ʻōmaʻomaʻo, hina hina, a keʻokeʻo paha ma muli o ka nele o ka oxygen.
• ʻEha poʻo .
• Paʻakikī ka hanu ʻana, me he mea lā e hanu ana ʻoe (Dyspnea) .
• Hanu ʻana .

He aha nā hōʻailona e ʻike ʻia inā e ʻoi aʻe ka ʻino o ke kūlana?

Inā ʻaʻole ʻoe e loaʻa i ka lāʻau no ka Respiratory Acidosis, a inā he koʻikoʻi loa ke ʻano, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Manaʻo luhi loa (Fatigue) .
• Manaʻo e like me ka neʻe koke ʻana o kou mau ʻiʻo (Myoclonus) .
• Nā loli ʻano.
• Hoʻopaʻa ʻana .
• Koma .

He aha nā hōʻailona o ka Chronic Respiratory Acidosis?

I loko o kahi maʻi lōʻihi a lōʻihi (Respiratory Acidosis), hiki ke ʻike ʻia nā hōʻailona e like me kēia:

• Manaʻo luhi, ʻoi aku hoʻi i ke ao.
• Ka pilikia o ka hāʻule ʻana o ka puʻuwai .
• Ke koko kiʻekiʻe (hypertension) .
• Hoʻonui ʻia ka nui o nā hunaola koko ʻulaʻula i loko o ke koko (Polycythemia) .
• Ka nalowale o ke kaulike, ka emi ʻana o ka hoʻonohonoho ʻana.
• Poho ka hoʻomanaʻo.

He aha nā kumu nui o ka Respiratory Acidosis?

ʻO nā pilikia hanu ke kumu nui o ka Respiratory Acidosis. Eia nō naʻe, hiki ke ʻokoʻa kēia mau kumu ma muli o ke ʻano o ka Respiratory Acidosis āu e loaʻa ai.

Nā kumu o ka Acidosis Respiratory Mau Loa:

• ʻEdema pulmonary koʻikoʻi .
• Nā maʻi neurological e like me ka Amyotrophic lateral sclerosis (ALS) a i ʻole ka maʻi ʻo Lou Gehrig.
• ʻAsthma .
• Ka maʻi ʻōpū paʻa mau (COPD) .
• ʻO nā maʻi neuromuscular, e like me ka sclerosis maha (MS) a me ka dystrophy muscular, hoʻopilikia i nā aʻalolo e kaohi ana i kou mau ʻiʻo.
• ʻAʻole hiki i ka momona ke pale i ka ulu pono ʻana o nā māmā.
• ʻO ka fibrosis puʻuwai .
• ʻO ke skoliosis .

Nā kumu o ka Acute Respiratory Acidosis:

• ʻAsthma .
• Ka maʻi ʻōpū paʻa mau (COPD) .
• Ka hoʻohana nui ʻana i nā mea e hoʻopilikia ai i ka ʻōnaehana nerve waena, e like me ka waiʻona, nā amphetamines, a me nā opioids.
• ʻEmphysema (hōʻino ʻia nā ʻeke ea i loko o nā māmā).
• Pneumonia .
• ʻAneʻane hiamoe .

Pehea e ʻike ai nā kauka i ka Respiratory Acidosis?

Ke ʻike ʻoe i ke kauka, e nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. A laila e holo paha lākou i kekahi mau hoʻokolohua e hōʻoia i ka hōʻoia o ka Respiratory Acidosis.

He aha nā hoʻokolohua e hana ʻia nei no kēia?

Hiki i ke kauka ke kauoha i nā hoʻokolohua e like me kēia:

• ʻO ke kinoea koko arterial (ABG): Ke ana kēia i nā pae o ke kalapona ʻokikene a me ka oxygen i loko o ke koko.
• Panel metabolic kumu (BMP): Ke ana kēia i nā kemika like ʻole i loko o ke kino a nānā i ke kaulike kemika a me ka metabolism o ke kino.
• X-ray o ka umauma: Lawe kēia i ke kiʻi o kou umauma, ʻoiai hoʻi kou mau māmā.
• Hoʻāʻo koko kalapona ʻokikene (CO2): Lawe ʻia kahi hāpana koko liʻiliʻi mai kahi aʻa koko ma ka lima a ana ʻia ka nui o ke kalapona ʻokikene i loko o ke koko.
• CT scan (Computed tomography - CT scan): Hoʻohana kēia i kahi moʻo o nā kukuna X e hana i kahi kiʻi ʻekolu-dimensional (3D) o kou mau māmā.
• Panel electrolyte: Ke ana kēia i nā pae o kekahi mau electrolytes i loko o ke koko. Inā loaʻa iā ʻoe ka acidosis respiratory, hiki ke kiʻekiʻe a haʻahaʻa paha kekahi mau pae electrolyte ma mua o ka maʻamau.
• Nā hoʻāʻo hana pulmonary (PFTs): Ke ana kēia i ka maikaʻi o ka hana ʻana o kou mau māmā.

Pehea e mālama ʻia ai ka Respiratory Acidosis?

Hoʻōla nā kauka i ke kumu nui o ka acidosis hanu. Hiki i kēia ke komo pū me:

• Mīkini kaomi ea maikaʻi mau (CPAP): Hoʻohana ʻia kēia e mālama i ka apnea hiamoe, kahi kūlana e pau ai kou hanu ʻana i kou hiamoe ʻana. Hana ia ma ka hāʻawi ʻana iā ʻoe i kahi kahe mau o ka ea i kaomi ʻia ma o kahi pale maka.
• Hoʻoulu ʻea mīkini: Inā loaʻa iā ʻoe ka acidosis hanu koʻikoʻi, hoʻohana ʻia kēia mīkini e kōkua iā ʻoe e hanu.
• Lāʻau lapaʻau: Inā loaʻa iā ʻoe kahi maʻi e hoʻopilikia ai i kou mau māmā a i ʻole ke ala hanu, e kuhikuhi kāu kauka i ka lāʻau lapaʻau kūpono nāu.
• Oxygen therapy: Kōkua kēia i ka hoʻonui ʻana i nā pae oxygen i loko o kou koko.

He aha nā lāʻau lapaʻau i hāʻawi ʻia no ka Respiratory Acidosis?

No ka mālama ʻana i ke kumu nui o ka acidosis respiratory acute, hiki i kāu kauka ke hoʻohana a kuhikuhi paha i hoʻokahi a ʻoi aku paha o nā lāʻau lapaʻau:

• Nā lāʻau antibiotic: Inā he maʻi bacteria i loko o nā māmā, kōkua lākou i ke kaua ʻana.
• Nā Bronchodilators: Hoʻomaha kēia i nā ʻiʻo a puni nā alaloa a hōʻoluʻolu i nā hōʻailona o nā maʻi māmā.
• Nā Corticosteroids:ʻO kēia nā lāʻau lapaʻau e hōʻemi i ka mumū a kōkua pū i ka hōʻemi ʻana i ka hana mucus i loko o nā alaloa.
• Diuretics: Kōkua lākou i ka hoʻohaʻahaʻa ʻana i ke koko ma ka wehe ʻana i ke kahe nui mai ke kino.
• Naloxone (Narcan®): Inā kānalua ʻia kahi overdose opioid, hiki i nā kauka ke hāʻawi i kēia ma ke ʻano he ihu pīpī a i ʻole intravenously.
• Nā lāʻau lapaʻau e kōkua iā ʻoe e haʻalele i ka puhipaka: Hiki i nā ʻāpana nikotine, nā lozenges, a me ka chewing gum ke kōkua iā ʻoe e haʻalele i ka puhipaka. Aia kekahi mau lāʻau lapaʻau ʻaʻohe nikotine, e like me Bupropion lāua ʻo Varenicline.

Pehea mākou e pale aku ai i ka Respiratory Acidosis?

Hiki i kēia mau mea ke kōkua i ka pale ʻana i kekahi o nā kumu kūpono o ka Respiratory Acidosis:

• E hoʻōki i ka puhipaka a me ka hoʻohana ʻana i nā huahana paka (e.g. e-cigarettes, vape pens). He mea nui loa kēia.
• E hoʻoikaika kino i nā manawa a pau.
• E mālama i kahi kaumaha olakino e kūpono iā ʻoe.
• Inā ua kuhikuhi kāu kauka iā ia, e hoʻohana mau i ka mīkini (CPAP).
• E akahele loa i ka hoʻohana ʻana i nā lāʻau hoʻomaha, e like me nā lāʻau hiamoe. E hahai pono i nā kuhikuhi i ka lepili, e lawe wale i ka nui i kuhikuhi ʻia, a mai hoʻohui pū me ka waiʻona.

E hoʻomanaʻo, kōkua kēia mau mea a pau i ka mālama ʻana i kou mau māmā i ke olakino. ʻO nā māmā olakino ka pale maikaʻi loa e kūʻē i nā maʻi e like me ka Respiratory Acidosis.

He aha ke ʻano o ka wā e hiki mai ana e hiki i kekahi me (Respiratory Acidosis) ke manaʻo?

He mea paʻakikī i nā kauka ke wānana pololei pehea e hoʻōla ai kekahi me ka acidosis hanu. ʻO ke ʻano o kāu pane ʻana i ka lāʻau lapaʻau e pili ana i ke kumu o kāu mau hōʻailona. No laila ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka. Ma hope o ka hoʻokolokolo kino a me nā hoʻokolohua ʻē aʻe, hiki iā ia ke haʻi iā ʻoe i ka mea e manaʻo ai.

Āhea mākou e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi o ka acidosis respiratory, e ʻimi koke i ke kōkua lapaʻau. Eia kekahi, inā loaʻa iā ʻoe kahi maʻi māmā a piʻi koke ka ʻino o kāu mau hōʻailona, ​​e ʻike koke i ke kauka.

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Ke hele ʻoe i ke kauka, mai poina e nīnau i kēia mau nīnau:

• Pehea ʻoe e ʻike ai inā loaʻa iaʻu (Respiratory Acidosis)?
• Inā ʻaʻohe oʻu Respiratory Acidosis, he aha nā maʻi ʻē aʻe e loaʻa iaʻu?
• Loaʻa iaʻu ka acidosis hanu koʻikoʻi a mau paha?
• He aha nā hoʻokolohua āu e ʻōlelo ai e hōʻoia i ka (Respiratory Acidosis)?
• He aha ke kumu e loaʻa ai iaʻu ka Respiratory Acidosis?
• He aha ka lāʻau lapaʻau āu e paipai mai ai iaʻu?

He aha ka ʻokoʻa ma waena o (Respiratory Acidosis) a me (Respiratory Alkalosis)?

• ʻO ka Acidosis Respiratory ka wā hiki ʻole i kou mau māmā ke hoʻopau i nā kalapona dioxide āpau i hana ʻia i loko o kou kino, e hoʻohaʻahaʻa ai i kou pH koko ma mua o ka maʻamau (ʻoi aku ka waikawa).
• ʻO ka alkalosis hanu ka wā e piʻi aʻe ai ka pH o kou koko ma mua o ka maʻamau (ʻoi aku ka alkaline) ke hanu wikiwiki ʻoe (hyperventilation) a hoʻokuʻu i ka nui o ke kalapona ʻokikene mai kou mau māmā.

He aha ka ʻokoʻa ma waena o (Respiratory Acidosis) a me (Metabolic Acidosis)?

• ʻO ka metabolic acidosis kahi hōʻiliʻili ʻana o ka waikawa i loko o kou mau wai kino. Hoʻokumu ʻia ia e kou kino e hana ana i ka nui o ka waikawa, a i ʻole e hoʻoneʻe ʻole kou mau puʻupaʻa i ka lawa o ka waikawa mai kou koko.
• ʻO ka Acidosis Respiratory , e like me ka mea i ʻōlelo ʻia ma mua, ʻo ia ka hōʻiliʻili ʻana o nā waikawa i loko o ke koko no ka mea ʻaʻole hiki i kou mau māmā ke hoʻopau pono i ke kalapona ʻokikene mai kou kino.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He maʻi koʻikoʻi ka Respiratory Acidosis hiki ke hoʻoweliweli i ke ola. No laila, mai hoʻowahāwahā i nā hōʻailona o ka Respiratory Acidosis. ʻO kēia mau hōʻailona ke ala o kou kino e haʻi aku ai iā ʻoe ua hewa kekahi mea a pono ʻoe e kiʻi koke i ke kōkua. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e kamaʻilio me ke kauka. Hiki iā ia ke nānā i ka Respiratory Acidosis a ʻōlelo i ka lāʻau maikaʻi loa nāu. ʻO kou olakino kou kuleana!

ʻO ka Acidosis hanu, paʻakikī ka hanu ʻana, ka waikawa o ke koko, ke kalapona ʻokikene, ka maʻi māmā, ka mālama ʻana i ka pilikia, ka ʻōnaehana hanu