I thawk chak lutuk hian i lu a hah emaw, i ke ruhteah a na emaw i nei em? Hei hi Respiratory Alkalosis a ni thei!

I hlauh tak tak emaw, i thinrim tak tak emaw lai khan thawk rang zawk, luak chhuak, emaw, rilru hah emaw ang maiin i inhriat ngai em? A chang chuan i hmui vel chu i rilru a buai hle. I rilru a hrual ang maiin i hre thei bawk. Mi tam takin hei hi thil pangngai anga an ngaih laiin, hei hi a hnuaia damdawi lam dinhmun hi tunlaia kan sawi mek hi ‘Respiratory Alkalosis’ an ti a ni. He hming hi thil lian tak angin a ri a nih pawhin hlau suh. Hemi chungchang hi awlsam tak leh chiang takin sawi ila.

Respiratory Alkalosis tih hi eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin sawi ila, Respiratory Alkalosis chu i thisena Carbon Dioxide (CO2) awm zat a tlahniam a, chu chuan i thisen acid-base balance a tidanglam a ni.

Ngaihtuah teh, kan thawh hian oxygen kan la lut a, carbon dioxide kan paih chhuak thin a ni lawm ni? Hei hi kan taksaa thil awm dan pangngai a ni. Mahse kan thawk chak lutuk hian, chu chu kan hyperventilate , kan taksa hian a mamawh aia tam carbon dioxide a tichhuak thin.

Carbon dioxide hi gas a ni a, kan thisenah acidity engemaw zat a belhchhah a ni. Tunah chuan kan taksa atanga kan chhuah tam lutuk hian eng nge thleng thin? Thisen acidity a tlahniam a, alkaline level a sang bawk. Tui glass khata lime tlem awmna atanga lime lakchhuah ang mai a ni a, a thlum chu a bo vek ang.

Kan thisena acid-base level hi pH tih value hmanga teh a ni. Mi hrisel thisen pH chu 7.35 leh 7.45 inkar a ni tur a ni. Respiratory Alkalosis-ah chuan carbon dioxide tlahniam vangin he pH value hi 7.45 aia sangin a sang a ni.

Hei hi a kalh tlat condition pawh a awm bawk. A hming chu Respiratory Acidosis an ti a . Chutah chuan thil thleng chu thisenah carbon dioxide a pung a, pH value chu 7.35 hnuaiah a tlahniam a ni. Chu chu thisen chu acidic a lo ni ta tihna a ni.

Respiratory Alkalosis natna lan chhuah dan tlangpui chu engte nge ni?

Carbon dioxide level a tlahniam a, thisen pH a inthlak chuan kan nervous system leh muscle te a nghawng a ni. Chuvang chuan symptom hrang hrang kan nei tan thin. Heng symptoms te hi a lo lang nghal thei a, a bik takin rei tak thawk rang taka i thawk chuan.

Heng mizia te hi a hnuaia table atang hian i hre belh thei ang.

Eng thilin nge he dinhmun hi a thlen theih?

Tunah chuan thawkna lama alkalosis hi thawk chak lutuk (hyperventilation) avanga lo awm a ni tih kan hre ta. Chuvangin, kan thawk chak lutuk tirtu eng thil pawh hi a chhan a ni thei. Heng chhante hi rilru lam thil awlsam tak atanga damdawi lam thil na tak tak thlengin a awm thei.

Rilru lam thil awm chhan

Hei hi a chhan tam ber a ni.

• Lungkhamna emaw, Panic Attack emaw:I hlauthawng lutuk emaw, i lungkham lutuk emaw chuan i thawk dan chu a sang nghal vek a ni. Exam zawhah i hlauthawng hle ang tih han ngaihtuah teh. A nih loh leh mipui tamna hmuna thawk hah i nih chuan. Tichuan i thawk chu automatic in a pung thei a, heng symptoms te hi a lo awm thei bawk.
• Natna nasa tak: Taksa natna nasa tak chuan thawk chakna a thlen thei bawk.
• Thinrimna nasa lutuk emaw, lungkhamna emaw: Rilru lama lungkhamna nasa lutuk pawh hi chutiang thil thlentu a ni.

Taksa Chhan leh Damdawi lam dinhmun

• Fever: Taksa lumna a san chuan taksa a metabolism a chak a, chu chuan thawk chakna a tisang thei bawk.
• Naupai: Naupai lai hian hormone inthlak danglamna leh naute lo thang lianin diaphragm a pressure avang hian a pianphungah thawk a chak deuh thin.
• Infection na tak (Sepsis): Infection na tak tak, taksa pum a nghawng thei, sepsis ang chi ah te.
• Liver Failure: Liver hnathawh that lohna.
• Hyperthyroidism: Thyroid gland hnathawh tam lutuk avanga taksa kalphung ti chak.
• Lu Injury: Thluaka thawkna control center a chhiat.
• Nicotine hman dan: Meizial zuk, vaping, etc. hmanga nicotine ei.

Thluak lam dinhmun

A châng chuan taksain oxygen a hmuh tlem chuan ( hypoxia an tih dinhmun) taksa chuan thawk rang zawkin a compensate a tum ṭhin. Mahse, hei hian carbon dioxide tam lutuk a chhuah tir thei a, chu chuan thawkna lama alkalosis a thlen thei a ni.

• Pneumonia natna (Pneumonia) a ni
• Pulmonary Embolism natna a awm
• ARDS (Acute Respiratory Distress Syndrome) tih a ni a, a rilru a hah lutuk chuan a rilru a buai em em a ni.

Chhan dang

• Aspirin ang chi damdawi ei tam lutuk: Damdawi thenkhat hi a tam lutuk chuan thluaka thawkna hmun (respiratory center) a tichak thei a ni.
• Mechanical Ventilation: Hetiang dinhmun hi damdawi in intensive care unit-a ventilator nena inzawm damloah chuan machine-a settings dik taka set a nih loh chuan a thleng thei a ni.

Engtin nge hei hi i hmuh theih, Doctor?

Heng symptoms nei doctor i pan hunah zawhna a zawt hmasa ang che, i symptoms te leh engtikah nge a lo awm tih te a zir ang che. Tichuan a enfiah ang che.

Hetiang dinhmun dik tak finfiah theihna tur test ber chu Arterial Blood Gas (ABG) test a ni.

Hei hian i kutphah chhunga artery pakhat atanga thisen sample tlemte lak a, a chhunga oxygen, carbon dioxide leh pH awm zat tehna a huam a ni. Hei hian i thisen acid-base balance dik tak a pe che a ni.

Chu bâkah, doctor chuan a chhan hriat nân test dang neih belh tûrin thu a pe thei bawk.

• Pulse Oximetry: Thisena oxygen level tehna, kut zungtang nena inzawm clip ang chi hmanrua te tak te hmanga tehna.
• Chest X-ray emaw CT scan emaw: Lung lamah harsatna a awm leh awm loh en nan.
• Thisen test dang: Test, complete blood count (CBC) emaw, taksaa mineral level enfiahna basic metabolic panel (BMP) emaw.
• Pulmonary Function Tests: I thawk danah chak lohna a awm leh awm loh enfiah thin ang che.

Hei hi eng enkawlna nge ni?

Hetah hian hriatthiam tur pawimawh tak chu Respiratory Alkalosis hi natna aiin symptom a ni zawk tih hi a ni. Chumi awmzia chu a enkawl hian doctor-te chuan an ngaihtuahna tam zawk chu luak chhuak emaw, luak chhuak emaw ni lovin, a chhan bulpui ber lam an ngaihtuah zawk tihna a ni.

• A chhan chu infection a nih chuan , antibiotics pek thin a ni.
• A chhan chu lung chhunga thisen zam a nih chuan , thisen tithianghlimtu pek a ni ang a, chu chu thisen zam chu a tithianghlim ang.
• A chhan chu lungkhamna a nih chuan , enkawl dan a awm a, damdawi pawh pek theih a ni mai thei.

Lungkhamna avanga hyperventilating i neih fo chuan thil awlsam tak i tih theih a awm. Chu chu i thawk dan thunun tumna a ni. Thâwk muang tak, zawi zawiin, thûk takin thawk tum ang che.

Miten paper bag chhunga thawk chhuah an rawt tih i hre tawh mai thei. A tum ber chu i thawk chhuah carbon dioxide kha thawk nawn leh a, i thisena CO2 level siam that leh a ni. Mahse, damdawi lam thurawn tel lo chuan hetiang hi ti ngai suh. I natna lan chhuah dan hi oxygen tlakchham (hypoxia) avanga lo awm a nih chuan, chutianga tih chuan thil a ti na zual thei a ni.

Doctor hmuh ka ngai em? Emergency Department (ETU) ah kal a ngai em?

Hei hi zawhna pawimawh tak a ni a, a chhan chu a chang chuan heng symptoms te hi damdawi lam dinhmun khirh tak chhinchhiahna a ni thei a ni. Chuvangin, engtikah nge General Practitioner hmuh tur leh engtikah nge damdawi in pan nghal tur tih hriat a pawimawh hle.