Yu dɔn ɛva fil lɛk se yu de blo fast, yu ed de tɔn, ɔ yu nɔ de fil we yu rili de fred ɔ yu rili vɛks? Sɔntɛnde, yu kin fil lɛk se yu nɔ gɛt natin rawnd yu mɔt. Yu kin fil bak se yu chɛst dɔn kɔnstrikt. Pan ɔl we bɔku pipul dɛn kin tink se dis na nɔmal tin, di mɛdikal kɔndishɔn biɛn dis na wetin wi de tɔk bɔt tide dɛn kɔl am ‘Respiratory Alkalosis’. Ivin if dis nem soun laik big tin, no fred. Lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.
Wetin na Respiratory Alkalosis? Lɛ wi ɔndastand am simpul wan.
Fɔ tɔk am simpul wan, Respiratory Alkalosis na we di amount of Carbon Dioxide (CO2) na yu blɔd de go dɔŋ, we de mek chenj na di acid-base balans na yu blɔd.
Tink bɔt am, we wi de blo, wi de tek ɔksijɛn ɛn pul kabon dayɔgzayd, nɔto so? Dis na nɔmal tin we kin apin na wi bɔdi. Bɔt we wi de blo tumɔs, dat min se we wi de blo pasmak , wi bɔdi de pul mɔ kabon dayɔgzayd pas aw i nid.
Kabon dayɔgzayd na gas we de ad sɔm asid to wi blɔd. Naw, wetin kin apin we wi pul am tumɔs na wi bɔdi? di asid na di bכdi de dכn εn di alkaline lεvεl de inkrεs. I tan lɛk se yu pul di laym na wan glas wata we gɛt smɔl laym insay, ɛn di sɔl we de sɔl nɔ de igen.
di asid-bεys lεvεl na wi bכdi dεn kin mכsu bay wan valyu we dεn kכl pH . di pH fכ hεlty pכsin in bכdi fכ de bitwin 7.35 εn 7.45 . insay Respiratory Alkalosis, dis pH valyu de inkrεs oba 7.45 bikoz fכ di dכn pan di kabכn dayכksayd.
Wan kɔndishɔn de bak we rili difrɛn frɔm dis. Dɛn kɔl am Respiratory Acidosis . wetin de apin de na di inkris na di kabon dayoksayd na di bכdi, εn di pH valyu de dכn dכn 7.35. Dat min se di blɔd kin bi asid.
Wetin na di sayn dɛm wae de sho se yu gɛt Respiratory Alkalosis?
We di kabon dayɔgzayd lɛvɛl go dɔŋ ɛn di pH na di blɔd chenj, i kin afɛkt wi nervɔs sistɛm ɛn wi mɔsul dɛn. Na dat mek wi kin bigin fɔ fil difrɛn sayn dɛm. Dɛn sayn ya kin kam wantɛm wantɛm, mɔ if yu de blo kwik kwik wan fɔ lɔng tɛm.
Yu kin lan mɔ bɔt dɛn kwaliti dɛn ya frɔm di tebul we de dɔŋ ya.
| Di sayn we de sho se di sik de | Aw yu go fil |
|---|---|
| Diziz we pɔsin kin gɛt | Fɔ fil lɛk se tin de spin rawnd yu. Sɔntɛm i nɔ kin izi fɔ yu fɔ tinap. |
| Layt ed we pɔsin kin gɛt | Fɔ fil lɛk se yu de lɔs kɔnshɛns, lɛk se natin nɔ de insay yu ed. |
| Numbness/Tingling - Paresthesia we de mek pɔsin nɔ fil fayn | Bɔku tɛm di finga dɛn, fut, ɛn rawnd di mɔt kin fil lɛk se ant de waka rawnd. |
| Chɛst tayt | Fɔ fil se yu de prɛs ɔ yu nɔ de fil fayn na yu chɛst, lɛk se wet de pan am. Sɔm pipul dɛn kin ivin fred se dis na at atak. |
| Kɔnfyus | I nɔ kin izi fɔ mek yu tink gud wan, nɔ ebul fɔ no wetin de apin ɔ usay yu de. |
| Vɔmit | Fɔ fil nɔ kɔmfyut, lɛk se yu de kam fɔ vɔmit. |
| Taya | Fɔ fil se yu taya bad bad wan ɛn yu nɔ gɛt layf. |
Wetin go de mek dis tin apin?
wi no naw se di alkalosis we de na di rεspiretכri de kכz fכ brith tu fast (hyperventilation). So, ɛnitin we de mek wi blo tumɔs kin bi wan kɔz. Dɛn tin ya kin kɔmɔt frɔm simpul saykilɔjik kɔz to siriɔs mɛdikal kɔndishɔn.
Saykolojik Kɔz dɛn
Dis na di rizin we bɔku pipul dɛn kin du.
- Wae yu de wɔri ɔr yu de panik:We yu de fred ɔ wɔri bad bad wan, di we aw yu de blo kin go ɔp ɔtomɛtik wan. Imajin se yu de fred bad bad wan afta yu dɔn tek ɛgzam. Ɔ we yu fil se yu de swɛla na ples we bɔku pipul dɛn de. Dɔn yu brith kin go ɔp ɔtomɛtik ɛn dɛn sayn ya kin apin.
- Bɔrku pen: Bɔrku pen na yu bɔdi kin mek bak yu de blo kwik kwik wan.
- Wae yu vɛks pasmak ɔr strɛs: Fɔ strɛs pasmak na yu maynd kin mek dis sik bak.
Di tin dɛn we kin mek pɔsin gɛt bɔdi ɛn di tin dɛn we kin apin to pɔsin
- Fiva: We di bɔdi in tɛmpracha go ɔp, di bɔdi in mɛtabolism de spid, we kin mek bak di rit we pɔsin de blo go ɔp.
- Bεlε: We di bεlε de, di כmon dεm we de chenj εn di prεshכn we di pikin we de gro de kכz pan di dayafragm, na in nכmal fכ mek i brith fast sכmtεm.
- Sivεr infεkshכn (Sepsis): Na siriכs infεkshכn dεm we de afekt di wan ol bכdi, lεk sepsis.
- Liva Failure: Di liva nɔ de wok fayn.
- haypa tayroyd: I de aksεlεrayshכn fכ di bכdi prכsεs dεm bikoz fכ di כva aktiviti fכ di tayroyd gland.
- Ɛd Injuri: Damej to di brith kɔntrol sɛnta na di bren.
- Yuz Nikotin: Fɔ it nikotin tru smok, vaping, ɛn ɔda tin dɛn.
Di Kɔndishɔn dɛn we pɔsin kin gɛt we i de blo
Sɔntɛnde, we di bɔdi nɔ gɛt bɛtɛ ɔksijɛn (wan tin we dɛn kɔl haypoksia ), di bɔdi kin tray fɔ kɔmpɛns bay we i de blo kwik kwik wan. Bɔt dis kin mek di kabɔn dayɔgzayd we pasmak kɔmɔt, we kin mek di pɔsin gɛt alkalosis we i de blo.
- Nyumonia
- Pɔlmonari Ɛmbolizm
- ARDS (Akyu rεspiratכri Distress Sεndrכm) .
Ɔda rizin dɛn
- Fɔ tek mɛrɛsin pasmak lɛk aspirin: Sɔm mɛrɛsin kin mek di say we yu de blo fayn na di bren we yu tek am pasmak.
- Mɛkanikal Ventilashɔn: Dis kɔndishɔn kin apin pan pɔsin we dɛn kɔnɛkt to ventilatɔ na ɔspitul in intensiv kia yunit if dɛn nɔ sɛt di sɛtin dɛn na di mashin kɔrɛkt wan.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ wit dɛn sik ya, i go aks yu kwɛstyɔn dɛn fɔs, lan bɔt yu sik dɛn ɛn ustɛm dɛn kin apin. Dɔn i go chɛk yu.
Di men tɛst fɔ kɔnfɔm dis kɔndishɔn kɔrɛkt wan na di Arterial Blood Gas (ABG) tɛst .
Dis min se yu fɔ tek smɔl blɔd frɔm wan at we de na yu an ɛn mɛzhɔ di ɔksijɛn, kabon dayɔgzayd, ɛn pH we de insay. Dis de gi yu di rayt aidia bɔt di asid ɛn bays balans na yu blɔd.
Apat frɔm dat, di dɔktɔ kin tɛl dɛn fɔ du ɔda tɛst fɔ no wetin mek dɛn du dis.
- Pulse Oximetry: fכ mכsu di כksijεn lεvεl na di bכdi wit wan sכmכl tin we lεk klip we de atak di finga.
- Chɛst X-ray ɔ CT skan: Fɔ si if prɔblɛm de wit di lɔng dɛn.
- כda bכdi tεst dεm: Tεst dεm lεk komplit bכdi kכnt (CBC) כ bεsik mεtabolik panεl (BMP) we de chεk di bכdi in minral lεvεl dεm.
- Pulmonary Function Tests: Chɛk fɔ ɛni wikɛd tin we yu de blo.
Wetin na di tritmɛnt dɛm fɔ dis?
Di impɔtant tin fɔ ɔndastand ya na dat Respiratory Alkalosis na wan sayn pas wan sik. Dis min se we dɔktɔ dɛn de trit am, dɛn nɔ de pe atɛnshɔn mɔ pan di tin we de mek pɔsin in ed de tɔn ɔ we i de swɛla, bɔt dɛn kin pe atɛnshɔn mɔ pan di tin we mek i de rɔtin.
- If di kɔz na infɛkshɔn , dɛn kin gi am antibayɔtik.
- If di kɔz na blɔd we de rɔtin na di lɔng , dɛn go gi blɔd tin fɔ mek di blɔd rɔtin.
- If di tin we kin mek pɔsin wɔri , we dɛn de fɔ kɔntrol am, ɛn sɔntɛm dɛn kin gi am mɛrɛsin.
If yu kin si yusɛf de hyperventilate bikɔs ɔf wɔri, wan simpul tin de wae yu kin du. Dat na fɔ tray fɔ kɔntrol di we aw yu de blo. Tray fɔ blo kwayɛt wan, sloslo, ɛn dip dip wan.
Yu go dɔn yɛri pipul dɛn kin se yu fɔ blo insay pepa bag. Di gol na fɔ brith bak di kabɔn dayɔgzayd we yu de pul ɛn mek yu blɔd CO2 lɛvɛl kam bak. Bɔt, nɔ ɛva du dis if yu nɔ gɛt dɔktɔ advays. If yu sik na bikɔs yu nɔ gɛt ɔksijɛn (hypoxia), if yu du dat, dat kin mek tin wɔs.
A fɔ go to dɔktɔ? A fɔ go na di Imejɛnsi Dipatmɛnt (ETU)?
Dis na rili impɔtant kwɛstyɔn, bikɔs sɔmtɛm dɛn kayn sik ya kin bi sayn fɔ wan siriɔs mɛrɛsin. So, i impɔtant fɔ no ustɛm fɔ go to jenɛral dɔktɔ ɛn ustɛm fɔ go na ɔspitul wantɛm wantɛm.
| We aw tin bi naw | Akshɔn fɔ Tek |
|---|---|
| Si Yu Dɔkta If... | |
| If yu kin gɛt fɔ blo kwik kwik wan (hyperventilate). | Fɔ no if di tin we kin mek dis apin na fɔ wɔri ɔ ɔda tin we kin mek pɔsin gɛt bɔdi ɛn fɔ go to di rayt tritmɛnt. |
| If yu kin gɛt sɔm kayn sayn dɛm wae gɛt fɔ du wit Respiratory Alkalosis (diziz, numbness). | I rili impɔtant fɔ chɛk fɔ wan ɔndalayn kɔz. |
| Go na di Imejɛnsi Tritmɛnt Yunit (ETU) Wantɛm wantɛm If... | |
| If yu gɛt siriɔs pen na yu chɛst ɔ yu nɔ ebul fɔ blo . | Dis kin bi sayn fɔ wan siriɔs sik, lɛk at atak ɔ blɔd we de rɔtin na di lɔng. |
| Faint ɔ chenj di we aw pɔsin de tink . | Dis kin bi sayn fɔ se di bren nɔ de gɛt bɛtɛ ɔksijɛn. |
| If fit (seizures) apin. | Dis na imejensi we nid fɔ trit kwik kwik wan. |
| Blu skin, lip ɔ nel . | Dis na sayn fɔ se di ɔksijɛn lɛvɛl na di bɔdi rili smɔl. |
Mɛsej we dɛn kin kɛr go na os
- di rεspiretכri alkalosis na wan kכndyushכn we di brith kwik kwik wan (hyperventilation) de mek di kabon dayכksayd (CO2) we de na di bכdi dכn, we de mek di bכdi bi alkaline.
- Dis kin mek yu gɛt sɔm sayn dɛm lɛk diziz, yu an ɛn yu an ɛn yu mɔt kin swɛla, ɛn yu chɛst kin tayt.
- Pan ɔl we dis sik nɔ denja, di tin we kin mek i apin kin kɔmɔt frɔm sɔntin we simpul lɛk fɔ wɔri to sɔntin we siriɔs lɛk we blɔd kin klɔt na di lɔng (pulmonary embolism).
- Tritmɛnt nɔto fɔ di sayn dɛm, bɔt na fɔ di ɔndalayn kɔz. So, i rili impɔtant fɔ fɛn di rayt rizin.
- If yu gɛt siriɔs sayn lɛk fɔ pen bad bad wan na yu chɛst, yu nɔ de no natin, yu de sik, ɔ yu lip blu , go to di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Tɔk to yu dɔktɔ ɛn tɛl yu fayn fayn wan bɔt dis.
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