Mi pakhat chu tlan chak tak leh thuk tak, tlan rei tak zawh tawh ang maia, thunun theih loha thawk i hmu tawh em? Mahse, an tlan chhuak lo. Hei hi ‘Kussmaul breathing’ kan tih \henkhat chu a ni a, chu chu dinhmun hlauhawm tak chhinchhiahna anga kan ngai a ni. Hei hi duhthusam mai ni lovin, taksa chhung atanga vaukhânna pawi tak a ni. Chuvangin, vawiinah hian hei hi chiang takin i hrethiam ang u.
Kussmaul Thâwk hi eng nge ni?
A awlsam zawngin, Kussmohl thawk hi a danglam bik taka rang, thuk leh rhythmic taka thawk a ni. Hyperventilation an tih natna chi khat a ni.
Ngaihtuah teh, kan taksa chhungah hian harsatna lian tak a awm a. Chu chu thisena acid awm zat chu hlauhawm takah a pung tihna a ni. Damdawi lam hawi chuan hei hi metabolic acidosis kan ti a ni. Chutiang a nih chuan taksain he acid tam lutuk hi paih chhuah a tum thin. Chutianga tih theih dan tha ber pakhat chu carbon dioxide exhale hi a ni. A chhan chu carbon dioxide hi thisenah acid lian tak a ni bawk. Chuvangin, taksa hian he acid hi rang taka paih chhuah theih nan a thawk rang lutuk a, a thûk hle bawk.
Hei hi taksain beidawng taka inchhandam a tumna ang a ni. Chuvangin hetiang hmutu hian "air hunger" a tuar niin a lang.
A pawimawh ber chu hetianga thawktu hian a thunun thei lo a ni. Damdawi lam dinhmun hnuaia taksain a chhanletna a ni. Chuvangin Kussmohl thawk hi medical emergency a ni. Nangmah emaw i hriat mi emaw hetianga thawk a nih chuan damdawi in emergency department (ETU) ah i hruai nghal tur a ni .
Hei hi thawk dan pangngai leh thawk dan dang nen engtin nge a danglam?
A chang chuan heng thawk dan te hi a inthlau thei hle. Mahse, danglamna lian tak a awm. A danglamna berte han thlir ila.
| Thâwk chhuah dan | A danglamna ber | A chhan tlanglawn ber |
|---|---|---|
| Kussmaul Thâwk chhuak | Thâwk rang, thuk, rhythmic tak. Taksa acidity tihziaawm tumna. | Zunthlum vei ketoacidosis (DKA) natna vei a ni. |
| Cheyne-Stokes thawk chhuahna | Thâwk chu a rang a, a thuk a, a slow leh a, rei lo te chhung chu a tawp ta a ni. Rhythm pawh a danglam zel. | Lung natna, stroke. |
| A tlangpuiin hyperventilation a awm | Thâwk rang emaw, thûk tak emaw, lungkhamna, lungkhamna emaw, hlauhna emaw avânga lo awm fo a ni. | Lungkhamna, hlauhna (panic disorder) a awm. |
Kussmohl thawk chhuah chhan berte chu engte nge ni?
Kan sawi tawh ang khan a chhan ber chu metabolic acidosis an tih natna a ni. Chumi awmzia chu thisen acidity a sang tihna a ni. Hei hi a chhan ber leh a tam ber chu zunthlum kaihhnawih natna a ni.
A chhan ber: Zunthlum natna (DKA) .
Hei hi Kussmohl thawkna thlentu ber a ni. DKA hi nunna atana hlauhawm, mahse enkawl theih, zunthlum vei tan chuan a awm thei a ni.
- DKA-ah hian eng nge thleng?: Taksain chakna atana glucose a hman theihna tura taksain a mamawh hormone insulin a tlakchham chuan taksain chakna atan thau a hal tan thin.
- Buaina chu hetah hian a intan a ni: Thau i hal hian chemical ketone an tih chu thisenah byproduct angin a pung khawm thin. Heng ketones te hi acid chi khat an ni.
- Result: Zunthlum vei thisenah heng ketone te hi a lo awm khawm chuan a thisen acidity (pH) chu hlauhawm takin a tlahniam thin.
- End-stage: Kussmohl thawk hi DKA natna na tak, end-stage a nihna chhinchhiahna a ni. Enkawl nghal loh chuan thihna thlengin a thlen thei a ni.
A chhan dang engte nge ni?
DKA bakah hian Kussmohl thawkna tichhe thei thil dang a awm bawk.
- Kidney Failure: Kidney-in zun hmanga acid a paih chhuah theih loh chuan thisenah acid a pung khawm thin. Hei hian ``Renal tubular acidosis`` ang chi dinhmun a thlen thei a ni.
- Sepsis natna: 1.1.Infection taksaa lut tawh chu a na hle thin.
- Toxin thenkhat ei: Entirnan, methanol ang chi rulhut ei a nih chuan, chutiang a nih chuan Colombo National Hospital-a National Poison Information Center-ah thurawn dil theih a ni.
- Zu in hmansualna.
- Thinlung leh thin ang chi taksa peng lian tham tak takte hlawhchhamna.
- Natna thenkhat cancer ang chi te .
He natna hi engtin nge enkawl leh ven theih ang?
Kussmohl thawk hi a symptom a nih avangin enkawlna chu a chhan bulpui (underlying condition) lam hawi a ni. Damdawi inah enkawl a ni tlangpui.
Doctor-te chuan thisen acid-base balance siam that nan intravenous (IV) fluid leh electrolyte an pe tlangpui. DKA ah chuan intravenous (IV) insulin hi a pawimawh hle.
A pawimawh ber chu he natna hi ven hi a ni a, a bik takin DKA hi a ni.
- Zunthlum i vei chuan: I thisen sugar level enfiah fo ang che. I insulin leh damdawi dangte chu i doctor-in a tih angin a hun takah ei thin ang che. I damlo (khawsik emaw, flu emaw nei ang chi) chuan DKA vei theihna a sang zawk a, chuvangin he hun chhung hian i zunthlum enkawl dan tur chu i doctor nen sawiho rawh.
- Zunthlum hriat loh: DKA hi ven a harsa hle. Chuvangin a vaukhânna chhinchhiahnate hriat hi nunna chhanhimna a ni thei a ni.
| Diabetic ketoacidosis (DKA) vei vaukhânna chhinchhiahna . | |
|---|---|
| A hmaa a lan chhuah dan | |
| |
| Symptoms na tak tak a awm | |
|
Nangmah emaw, i fa emaw hian heng symptoms te hi i nei a nih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal la, tihkhawtlai lohvin.
Take-Home Thuchah a ni
- Kussmohl thawk hi a pangngai lo. Damdawi lama harsatna lian tak, metabolic acidosis ang chi chhinchhiahna a ni.
- Hei hi a thlen tam ber chu zunthlum natna hlauhawm tak, diabetic ketoacidosis (DKA) a ni.
- Hei hi medical emergency a ni. Hetianga thawk chhuak i hmuh chuan damdawi in Emergency Department (ETU)-ah hruai nghal rawh.
- Zunthlum i vei chuan a enkawl dan dik hi DKA laka invenna tha ber a ni. I doctor thupek zawm rawh.
- DKA chhinchhiahna hmasa ber, tuihal lutuk, zun tam lutuk, thawkna thlenga thei rimtui te hi hre reng ang che. Thâwk dan inthlak danglam nghah ai chuan, thiltih vat rawh.
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