Yu dɔn ɛva fil lɛk se yu de blo jɔs de go ɔp bikɔs yu de fred ɔr de wɔri, ɔr yu ed de fil diziz ɔ yu limb dɛn de fil nɔr? Ɔ i kin apin we yu gɛt fiva? Dis na wan pat pan de sik wae dɛn kɔl Respiratory Alkalosis wae wi go tɔk bɔt tide. Natin nɔ de fɔ fred, lɛ wi ɔndastand dis simpul wan.
Fɔ tɔk am simpul wan, wetin na Respiratory Alkalosis?
Respiratory Alkalosis na we di amount of kabon dayɔgzayd na yu blɔd de go dɔŋ, we de mek di asid-base balans na yu blɔd chenj. di mεzhɔmεnt fכ dis bεlε dεn kכl am pH valyu. If na so i bi, di pH valyu na yu blɔd de go ɔp pas di nɔmal lɛvɛl. Tink bɔt am, we wi de blo ɔksijɛn, wi de tek kabon dayɔgzayd, ɛn we wi de blo, wi de pul kabon dayɔgzayd. Bɔt we yu de blo tumɔs, dat min se
we yu de blo pasmak , yu de pul mɔ kabon dayɔgzayd pas aw yu bɔdi nid. Na da tɛm de di kabon dayɔgzayd lɛvɛl na yu blɔd de go dɔŋ ɛn di pH valyu de go ɔp. Nɔmal wan, di pH valyu fɔ yu blɔd fɔ de bitwin 7.35 ɛn 7.45. We i go ɔp pas 7.45, wi kin kɔl am Alkalosis.
Difrεns Bitwin Respiratory Acidosis εn Alkalosis
Dɛn tu tin ya na tu tin dɛn we difrɛn.
- Respiratory Alkalosis: di bכdi pH valyu pas 7.45 (blכd de bi alkaline).
- Respiratory Acidosis: na di bכ di pH valyu we de dכn dכn 7.35 (asidifikεshכn fכ di bכdi).
Us sayn dɛm wae yu kin gɛt pan dis kayn tin?
We dis sik kin apin, ɔlman kin gɛt difrɛn sayn dɛm. Bɔt sɔm sayn dɛn de we kin apin mɔs. Lɛ wi si wetin dɛn bi.
| Di sayn we de sho se di sik de | Aw i kin fil |
|---|
| Diziz/layt ed | I kin fil lɛk se no wet nɔ de insay yu ed, ɛn i kin at fɔ tinap. |
| Kɔnfyus | Yu kin fil se yu kɔnfyus bɔt usay yu de ɛn wetin yu de du. |
| Nɔmbɔdi (Paresthesia) . | I kin tan lɛk se yu an ɛn fut dɛn dɔn slip, lɛk se ant dɛn de rɔn rawnd. yu kin fil dis spεshal wan arawnd di lip dεm εn na di finga dεm. |
| Chɛst tayt | I kin fil lɛk se i at fɔ blo, lɛk se sɔmbɔdi de swɛt yu chɛst. |
| Vɔmit | Fɔ fil nauseous, lɛk se yu de kam fɔ vɔmit. |
| We pɔsin taya | Fɔ fil se yu nɔ ebul fɔ du natin so dat yu nɔ go ebul fɔ du natin. |
Wetin mek dis de apin? Wetin na di rizin dɛn?
as wi bin dכn tכk bכt, di men rizin fכ dis na fכ brith kwik kwik wan, we dεn kכl `(hyperventilation)`. Bɔt di kwɛstyɔn na, wetin mek wi de blo fast fast? Bɔku rizin dɛn kin de fɔ dis. Di lכng, kidni, εn כda sistεm dεm de wok tכgeda fכ mek di kεmikכl bεlε na wi bכdi. I tan lɛk se yu de balans kɔk brij. Di balans bitwin kabon dayɔgzayd `(CO2)`, wata `(H2O)`, baykabɔnɛt `(HCO3)`, ɛn haydrojɛn `(H+)` ayɔn dɛn impɔtant ya. we wi de brith fast, `CO2` de kכmכt εn dis bεlε de disrupt. Na sɔm pan di men rizin dɛm we de afɛkt dis `(hyperventilation)` kɔndishɔn:
| Rizin | Aw i kin afɛkt? |
|---|
| Saikɔlɔjik rizin dɛn | Di tɛm we wi kin wɔri bad bad wan ɛn we wi kin fred, wi kin blo mɔ ɛn mɔ ɛn wi nɔ kin ivin no. |
| Rizin dɛn we gɛt fɔ du wit bɔdi | di brith kin bכku bak biכs fכ chenj dεm na di bכdi, lεk fכ pen bad bad wan, hεvi fiva, bεlε, liva sik, εn haypa tayroyd. |
| Siriɔs mɛdikal kɔndishɔn dɛn | pan bad bad infεkshכn lεk sepsis, pulmonary embolism, εn nyumonia, di כksijεn lεvεl na di bכdi de dכn. Fɔ ansa dis, di bɔdi kin tray fɔ blo kwik kwik wan. |
| Ɔda rizin dɛn | Dis kin bi bak we yu tek ɔvados fɔ drɔgs lɛk aspirin, injuri na yu ed, yu de yuz nikotin (smok), ɛn yu kɔnɛkt am to atifishal respiratɔ (mɛkanikal ventileshɔn). |
Aw dɔktɔ kin fɛn dis?
If yu gɛt dɛn sik ya, di fɔs tin we dɔktɔ go du na fɔ aks yu kwɛstyɔn. Dɔn, dɛn kin du sɔm tɛst fɔ no if pɔsin gɛt di sik ɛn fɔ no wetin mek i gɛt am. Di tɛst we impɔtant pas ɔl na
di tɛst we dɛn kɔl Arterial Blood Gas (ABG) . Dis min se yu fɔ tek smɔl blɔd frɔm wan at we de na yu an ɛn mɛzhɔ di ɔksijɛn ɛn kabon dayɔgzayd we de insay, ɛn di pH. Apat frɔm dat, dɛn kin du dɛn tɛst ya fɔ no wetin mek i apin:
Aw dɛn kin trit am?
Di impɔtant tin fɔ ɔndastand ya na dat dɔktɔ dɛn nɔ de trit di sik we dɛn kɔl Respiratory Alkalosis insɛf.
Dɛn kin trit di ɔndalayn mɛdikal kɔndishɔn we mek i kam. Fɔ ɛgzampul, if di tin we kin mek yu gɛt di sik, yu dɔktɔ go gi yu antibayɔtik . If di tin we kin mek yu blɔd na yu lɔng, dɛn go gi yu antikɔagulant fɔ mek i sɔlv.
If yu de wɔri ɔltɛm ɛn yu de blo bɔku, tritmɛnt dɛn de we yu kin gɛt. Ɛksesaiz fɔ blo ɛn advays kin ɛp. Sɔm pipul dɛn kin nid mɛrɛsin bak. Yu go dɔn yɛri se yu de blo insay pepa bag we yu de wɔri. Dis min se yu fɔ blo bak di kabon dayɔgzayd we yu de pul. Dis kin ɛp fɔ mek yu blɔd CO2 lɛvɛl go dɔŋ. Bɔt
i impɔtant fɔ go to dɔktɔ bifo yu du dis. Ustɛm a fɔ go to dɔktɔ? Ustɛm a fɔ go na di ETU?
Dis na rili impɔtant kwɛstyɔn bikɔs sɔntɛnde, siriɔs rizin kin de biɛn am.
Ustɛm fɔ go to dɔktɔ
If yu kin gɛt ɛni wan pan di sayn dɛn we wi tɔk bɔt na dis atikul bɔku tɛm, ɔ if yu fil lɛk se yu de blo fast ɔltɛm,
go to dɔktɔ kwik kwik wan. Dis go ɛp fɔ no wetin mek i sik ɛn gi di tritmɛnt we dɛn nid.
Ustɛm fɔ go na di ETU (Imejɛnsi Tritmɛnt Yunit) wantɛm wantɛm
If yu gɛt ɛni wan pan dɛn siriɔs sayn ya, go na ɔspitul in
Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If i fil lɛk se i fit (Seizures).
- If yu nɔr de fil fayn, if yu nɔr ebul fɔ ɔndastand wetin de apin rawnd yu (altered mental state).
- If yu lip, yu finga nel, ɔ yu skin tɔn blu.
- If yu fil se yu wik bad bad wan.
- Nɔbɔdi nɔ kin no natin.
Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?
Bikɔs bɔku tin dɛn de we kin mek pɔsin gɛt alkalosis we i de blo, nɔto ɔl dɛn tin ya kin apin. Bɔt sɔm tin dɛn de we yu kin du fɔ ridyus di prɔblɛm we yu gɛt:
- Manej di strɛs ɛn wɔri we yu de wɔri. Tin dɛn lɛk fɔ tink gud wan, yoga, ɛn ɛksesaiz fɔ blo kin ɛp. Aks pɔsin we sabi du di wok fɔ ɛp yu if nid de.
- Nɔ smok, vap, ɔ yuz tin dɛn we gɛt nikotin.
- Protɛkt yusɛf frɔm infɛkshɔn. Wash yu an ɔltɛm ɛn gɛt yu vaysin dɛn di rayt tɛm.
Wi bɔdi tan lɛk ɔkestra. כl di כgan dεm kכnekt to wan an εn i de wok wan wan fכ mek di bכdi bεlε. Sɔntɛnde, wan pat, lɛk di pat we de kɔntrol aw pɔsin de blo, kin kɔmɔt na di tyu. Na da tɛm de kɔndishɔn lɛk alkalosis kin apin. Bɔku tɛm, di alkalosis we de na di we aw pɔsin de blo nɔ kin denja. Bɔt di tin we kin mek i apin kin rili siriɔs. So, if yu gɛt sɔm sayn dɛn, i go fayn fɔ mek yu go to dɔktɔ ɛn no wetin mek yu gɛt dis sik ɛn nɔ pe atɛnshɔn to dɛn.
Mɛsej we dɛn kin kɛr go na os
- di rεspiretכri alkalosis na wan kכndyushכn we di brith kwik kwik wan de mek di kabon dayכksayd lεvεl dεm na di bכdi dכn εn di pH na di bכdi de inkrεs.
- Di sayn dɛm lɛk diziz, yu an ɛn fut nɔr de fil fayn, ɛn yu ed nɔr de shayn.
- Pan ɔl we dis sik nɔ denja, di ɔndalayn sik we de mek i apin (e.g., infɛkshɔn, blɔd we de klɔt na di lɔng) kin siriɔs.
- Di tritmɛnt nɔto fɔ di kɔndishɔn fɔ alkalosis, bɔt na fɔ di ɔndalayn sik we mek i kam.
- If dɛn sayn ya kin apin ɔltɛm, go to dɔktɔ. If yu gɛt siriɔs sayn lɛk fɔ lɛ yu nɔ no natin ɔ yu gɛt fit, go na di ETU wantɛm wantɛm.
Respiratory Alkalosis, hyperventilation, inkris brith rate, diziz, numbness of di limbs, blɔd pH, kabon dayɔgzayd, respiratory alkalosis
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