Koj puas tau muaj ib zaug uas koj xav tias koj lub zog ua pa tsuas yog nce ntxiv vim yog kev ntshai lossis kev ntxhov siab, lossis koj lub taub hau kiv taub hau lossis koj txhais tes xav tias tsis muaj zog? Los yog nws puas tshwm sim thaum koj kub taub hau? Qhov no yog ib qho ntawm tus mob hu ua Respiratory Alkalosis uas peb yuav tham txog hnub no. Tsis muaj dab tsi yuav tsum ntshai, cia peb nkag siab qhov no yooj yim.
Hauv lwm lo lus, Respiratory Alkalosis yog dab tsi?
Alkalosis ua pa yog thaum cov pa roj carbon dioxide hauv koj cov ntshav txo qis, ua rau qhov sib npaug ntawm cov kua qaub-puag ntawm koj cov ntshav hloov pauv. Kev ntsuas qhov sib npaug no hu ua tus nqi pH. Hauv qhov no, tus nqi pH ntawm koj cov ntshav nce siab dua li cov qib ib txwm muaj. Xav txog nws, thaum peb ua pa oxygen, peb nqus cov pa roj carbon dioxide, thiab thaum peb ua pa tawm, peb tso cov pa roj carbon dioxide. Tab sis thaum koj ua pa sai dhau, uas yog,
thaum koj ua pa ntau dhau , koj tso cov pa roj carbon dioxide ntau dua li koj lub cev xav tau. Ntawd yog thaum cov pa roj carbon dioxide hauv koj cov ntshav txo qis thiab tus nqi pH nce siab. Feem ntau, tus nqi pH ntawm koj cov ntshav yuav tsum nyob nruab nrab ntawm 7.35 thiab 7.45. Thaum nws nce siab dua 7.45, peb hu nws ua Alkalosis.
Qhov Sib Txawv Ntawm Kev Ua Pa Acidosis Thiab Alkalosis
Ob qho no yog ob qho xwm txheej sib txawv.
- Alkalosis ntawm cov pa: Cov ntshav pH siab dua 7.45 (cov ntshav dhau los ua alkaline).
- Kab mob ua pa acidosis: Kev txo qis ntawm cov pH ntshav qis dua 7.35 (kev ua kom cov ntshav acidification).
Koj yuav muaj cov tsos mob dab tsi hauv qhov xwm txheej no?
Thaum muaj tus mob no, txhua tus neeg yuav muaj cov tsos mob sib txawv. Tab sis muaj qee cov tsos mob uas feem ntau tshwm sim. Cia peb saib seb lawv yog dab tsi.
| Cov tsos mob | Nws xav li cas |
|---|
| Kiv taub hau/mob taub hau me ntsis | Tej zaum yuav zoo li tsis muaj qhov hnyav hauv koj lub taub hau, thiab tej zaum yuav nyuaj rau sawv ntsug. |
| Kev tsis meej pem | Tej zaum koj yuav xav tsis thoob txog qhov chaw koj nyob thiab koj ua dab tsi. |
| Kev tsis muaj zog (paresthesia) | Zoo li koj ob txhais ceg tsaug zog lawm, zoo li cov ntsaum khiav ncig. Qhov no tuaj yeem hnov tshwj xeeb tshaj yog nyob ib ncig ntawm daim di ncauj thiab ntawm cov ntiv tes. |
| Lub hauv siab nruj | Zoo li nws nyuaj ua pa, zoo li muaj ib tug neeg tab tom zawm koj lub hauv siab. |
| Xeev siab | Xub pwg mob, zoo li koj yuav ntuav. |
| Kev nkees nkees | Xav tias koj tsis muaj zog ua dab tsi li. |
Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?
Raws li peb tau tham ua ntej lawm, qhov laj thawj tseem ceeb rau qhov no yog ua pa sai, uas hu ua '(hyperventilation)'. Tab sis lo lus nug yog, vim li cas peb thiaj ua pa sai ua luaj? Muaj ntau yam ua rau qhov no. Lub ntsws, lub raum, thiab lwm yam kab ke ua haujlwm ua ke los tswj kev sib npaug ntawm peb lub cev. Nws zoo li kev sib npaug ntawm tus choj cork. Qhov sib npaug ntawm cov pa roj carbon dioxide '(CO2)', dej '(H2O)', bicarbonate '(HCO3)', thiab hydrogen '(H+)' ions yog qhov tseem ceeb ntawm no. Thaum peb ua pa sai, 'CO2' raug tso tawm thiab qhov sib npaug no raug cuam tshuam. Nov yog qee qhov laj thawj tseem ceeb uas cuam tshuam rau qhov xwm txheej '(hyperventilation)' no:
| Vim li cas | Nws cuam tshuam li cas? |
|---|
| Cov laj thawj ntawm kev puas siab puas ntsws | Thaum lub sijhawm ntxhov siab thiab ntshai heev, peb lub zog ua pa nce ntxiv yam tsis paub txog. |
| Cov laj thawj ntawm lub cev | Ua pa kuj tseem tuaj yeem nce ntxiv vim muaj kev hloov pauv hauv lub cev, xws li mob hnyav, kub taub hau heev, cev xeeb tub, kab mob siab, thiab hyperthyroidism. |
| Cov mob hnyav | Thaum muaj kab mob hnyav xws li sepsis, pulmonary embolism, thiab pneumonia, lub cev cov pa oxygen poob qis. Ua li ntawd, lub cev sim ua pa sai dua. |
| Lwm yam laj thawj | Qhov no kuj tseem tuaj yeem tshwm sim los ntawm kev noj tshuaj ntau dhau xws li aspirin, raug mob taub hau, siv nicotine (haus luam yeeb), thiab txuas nrog lub tshuab ua pa cuav (tshuab ua pa). |
Tus kws kho mob nrhiav tau qhov no li cas?
Yog tias koj muaj cov tsos mob no, thawj qhov uas tus kws kho mob yuav ua yog nug koj ib lo lus nug. Tom qab ntawd, lawv yuav ua ob peb qhov kev kuaj kom paub meej tias muaj mob thiab nrhiav qhov ua rau. Qhov kev kuaj tseem ceeb tshaj plaws yog kev kuaj
ntshav hauv koj lub dab teg (ABG) . Qhov no suav nrog kev noj cov ntshav me me los ntawm cov hlab ntsha hauv koj lub dab teg thiab ntsuas cov pa oxygen thiab carbon dioxide hauv nws, nrog rau pH. Tsis tas li ntawd, lawv yuav ua cov kev kuaj hauv qab no kom nrhiav tau qhov ua rau:
Yuav kho li cas?
Qhov tseem ceeb uas yuav tsum nkag siab ntawm no yog tias cov kws kho mob tsis kho tus mob hu ua Respiratory Alkalosis nws tus kheej.
Lawv kho tus mob uas ua rau nws. Piv txwv li, yog tias qhov ua rau yog kev kis kab mob, koj tus kws kho mob yuav muab tshuaj tua kab mob rau koj. Yog tias qhov ua rau yog cov ntshav txhaws hauv koj lub ntsws, koj yuav tau txais cov tshuaj anticoagulants kom yaj nws.
Yog tias koj pheej muaj kev ntxhov siab thiab koj lub zog ua pa nce ntxiv, muaj kev kho mob. Kev tawm dag zog ua pa thiab kev sab laj tuaj yeem pab tau. Qee tus neeg kuj tseem yuav xav tau tshuaj. Tej zaum koj yuav tau hnov txog kev ua pa rau hauv lub hnab ntawv thaum koj ntxhov siab. Qhov no suav nrog kev ua pa rov qab rau hauv cov pa roj carbon dioxide uas koj tso tawm. Qhov no tuaj yeem pab txo koj cov ntshav CO2. Txawm li cas los xij,
nws yog ib qho tseem ceeb uas yuav tsum sab laj nrog kws kho mob ua ntej ua qhov no. Thaum twg kuv yuav tsum mus ntsib kws kho mob? Thaum twg kuv yuav tsum mus rau ETU?
Qhov no yog ib lo lus nug tseem ceeb heev vim tias qee zaum yuav muaj ib qho laj thawj loj heev tom qab nws.
Thaum twg yuav tsum mus ntsib kws kho mob
Yog tias koj muaj cov tsos mob uas tau hais hauv tsab xov xwm no ntau zaus, lossis yog tias koj xav tias koj ua pa sai dua,
mus ntsib kws kho mob sai li sai tau. Qhov no yuav pab txiav txim seb yog vim li cas thiab muab kev kho mob tsim nyog.
Thaum twg yuav tsum mus rau ETU (Chav Kho Mob Thaum Muaj Xwm Ceev) tam sim ntawd
Yog tias koj muaj ib qho ntawm cov tsos mob hnyav hauv qab no, mus rau
chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Yog tias nws zoo li haum (Qaug dab peg).
- Yog tias lub siab tsis nco qab zoo, yog tias koj tsis nkag siab txog yam uas tshwm sim nyob ib puag ncig koj (lub siab hloov pauv).
- Yog tias koj daim di ncauj, rau tes, lossis daim tawv nqaij tig xiav.
- Yog koj xav tias koj lub cev tsis muaj zog heev.
- Poob siab.
Puas tiv thaiv tau qhov teeb meem no?
Vim muaj ntau yam ua rau ua pa alkalosis, tsis yog txhua yam ntawm lawv tuaj yeem tiv thaiv tau. Tab sis muaj qee yam koj tuaj yeem ua tau los txo koj qhov kev pheej hmoo:
- Tswj kev ntxhov siab thiab kev ntxhov siab. Tej yam xws li kev xav, kev ua yoga, thiab kev ua pa yuav pab tau. Nrhiav kev pab los ntawm cov kws tshaj lij yog tias xav tau.
- Tsis txhob haus luam yeeb, vaping, lossis siv cov khoom muaj nicotine.
- Tiv thaiv koj tus kheej kom tsis txhob muaj kab mob. Ntxuav koj txhais tes ntau zaus thiab mus txhaj tshuaj tiv thaiv kab mob raws sijhawm.
Peb lub cev zoo li ib pab pawg suab paj nruag. Txhua lub cev txuas nrog ib leeg thiab ua haujlwm sib haum xeeb kom lub cev sib npaug. Qee zaum, ib feem, zoo li feem uas tswj kev ua pa, tsis sib haum. Thaum ntawd cov mob zoo li alkalosis tshwm sim. Feem ntau, kev ua pa alkalosis tsis txaus ntshai. Tab sis qhov ua rau tuaj yeem loj heev. Yog li ntawd, yog tias koj muaj cov tsos mob, nws yog qhov zoo kom mus ntsib kws kho mob thiab nrhiav qhov ua rau yam tsis quav ntsej lawv.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Alkalosis ntawm txoj pa yog ib qho mob uas ua pa sai ua rau cov pa roj carbon dioxide hauv cov ntshav qis thiab ua rau pH ntawm cov ntshav nce siab.
- Cov tsos mob xws li kiv taub hau, loog ntawm ob txhais ceg, thiab mob taub hau yog ib qho uas pom ntau.
- Txawm hais tias tus mob no tsis txaus ntshai los, tus kab mob hauv qab uas ua rau nws (piv txwv li, kev kis kab mob, cov ntshav txhaws hauv lub ntsws) tuaj yeem ua rau mob hnyav.
- Kev kho mob tsis yog rau qhov mob ntawm alkalosis, tab sis rau qhov mob hauv qab uas ua rau nws.
- Yog tias cov tsos mob no tshwm sim ntau zaus, mus ntsib kws kho mob. Yog tias koj muaj cov tsos mob loj xws li tsis nco qab lossis mob taub hau, mus rau ETU tam sim ntawd.
Alkalosis ua pa, hyperventilation, ua pa nrawm dua, kiv taub hau, loog ntawm ob txhais ceg, pH ntshav, carbon dioxide, ua pa alkalosis
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus