Kua kite koe i tētahi e manawa tere ana, e manawa hōhonu ana, me te mea kua oti noa i a ia te oma roa, kāore he mana whakahaere? Engari kāore ia i te oma. Koinei te mea e kiia nei e tātou ko te 'manawa Kussmaul', e kite ana tātou he tohu mō tētahi āhuatanga morearea. Ehara tēnei i te mea he whakaaro noa iho, engari he whakatūpato nui mai i roto i te tinana. Nō reira, kia mārama tātou ki tēnei i tēnei rā tonu.
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He aha te manawa o Kussmaul?
Ki te kī ngāwari, ko te manawa Kussmohl he manawa tere, hohonu, me te manawa auau. He momo mate e kiia nei ko te hyperventilation.
Whakaarohia, he raruraru nui kei roto i tō tātou tinana. Arā, ka piki te nui o te waikawa o te toto ki tētahi taumata morearea. I roto i ngā kupu hauora, ka kiia tēnei ko te waikawa pūmua . Ina tupu tēnei, ka ngana te tinana ki te tango i tēnei waikawa nui. Ko tētahi o ngā huarahi pai ki te mahi i tēnei ko te whakaputa i te hauhā waro. Nā te mea he waikawa nui anō hoki te hauhā waro i roto i te toto. Nō reira, ka tere, ka hohonu hoki te manawa o te tinana kia tere ai te whakaputa i tēnei waikawa.
He rite tēnei ki te ngana nui a te tinana ki te whakaora i a ia anō. Koia te take e ahua nei kei te pāngia te tangata e kite ana i tēnei e te "hiakai hau".
Ko te mea nui, kāore e taea e te tangata e manawa pēnei ana te whakahaere i a ia anō. He urupare tēnei a te tinana ki tētahi mate hauora e pā ana ki a ia. Nō reira, he āhuatanga ohorere te manawa Kussmohl. Mena kei te manawa pēnei koe, tetahi atu rānei e mōhio ana koe, me kawe tonu atu koe i a ia ki te tari ohorere o te hōhipera (ETU) .
He aha te rerekētanga o tēnei i te manawa noa me ētahi atu tauira manawa?
I ētahi wā ka pōhēhētia ēnei tauira manawa. Engari he nui ngā rerekētanga. Me titiro tātou ki ngā rerekētanga matua.
| Tauira manawa | Rerekētanga matua | Ko te take tino noa |
|---|---|---|
| Te Manawa o Kussmaul | Te manawa tere, hōhonu, auau hoki. He ngana ki te whakaiti i te waikawa o te tinana. | Te ketoacidosis mate huka (DKA). |
| Ngā Manawa Cheyne-Stokes | Ka tere ake te manawa, ka hōhonu ake, ka pōturi anō, ā, ka mutu mō tētahi wā poto. Ka huri tonu te manawataki. | Te ngoikore o te ngākau, te whiu. |
| Te manawa nui whānui | Te manawa tere, te manawa hōhonu rānei, e puta pinepine ana i te ahotea, te manukanuka, te wehi rānei. | Manukanuka, mate pāwera. |
He aha ngā tino take o te manawa o Kussmohl?
E ai ki tā tātou i kōrero ai i mua ake nei, ko te tino take he āhuatanga e kiia nei ko te metabolic acidosis. Ko te tikanga o tēnei ka piki ake te waikawa o te toto. Ko te tino take, ko te tino take o tēnei, ko ngā āhuatanga e pā ana ki te mate huka.
Te take matua: Te Ketoacidosis Diabetic (DKA)
Koinei te tino take o te manawa o Kussmohl. He raruraru morearea te DKA, engari ka taea te rongoā, ka pā ki te tangata mate huka.
- He aha te mea ka tupu i te DKA?: Ina kore e ranea te insulin i roto i te tinana, he homoni e tika ana mō te tinana ki te whakamahi i te hukahuka hei pūngao, ka tīmata te tinana ki te tahu ngako hei pūngao.
- Ka tīmata te raruraru i konei: Ina tahuna te ngako, ka kohia ngā matū e kiia nei ko ngā ketone ki roto i te toto hei hua taha. He momo waikawa ēnei ketone.
- Hua: Ina kohia ēnei ketone i roto i te toto o te tangata mate huka, ka tino heke te waikawa (pH) o te toto.
- Wāhanga Mutunga: Ko te manawa Kussmohl he tohu o te wāhanga whakamutunga kino o te DKA. Ka taea e ia te mate mena kāore e rongoatia tonutia.
He aha ngā take kē atu?
Haunga te DKA, kei reira anō ētahi atu take ka pā ki te manawa o Kussmohl.
- Te ngoikore o te whatukuhu: Ina kore e taea e ngā whatukuhu te tango i ngā waikawa mā te mimi, ka kohia ngā waikawa ki roto i te toto. Ka arahi pea tēnei ki ngā āhuatanga pēnei i te "Renal tubular acidosis".
- Te mate pāwera:Ka tino kino te mate kua uru ki te tinana.
- Te horomitanga o ētahi paitini: Hei tauira, ki te horomia he paitini pēnei i te methanol, i roto i tēnei āhuatanga, ka taea e koe te waea atu ki te National Poison Information Center i te Colombo National Hospital mō ētahi tohutohu.
- Te mate whakamahi waipiro.
- Te ngoikore o ngā whekau nui pērā i te ngākau me te ate.
- Ko ētahi mate pēnei i te mate pukupuku .
Me pēhea te rongoā me te ārai i tēnei mate?
Nā te mea he tohu te manawa o Kussmohl, ka aro te maimoatanga ki te mate taketake i puta ai. Ko te tikanga ka mahia te maimoatanga i roto i te hōhipera.
I te nuinga o te wā ka hoatu e ngā tākuta he wai me he electrolytes mā roto i te uaua (IV) hei whakahoki mai i te taurite waikawa-pūtake o te toto. I roto i te DKA, he mea nui te insulin mā roto i te uaua (IV) .
Ko te mea nui ko te ārai i tēnei mate, inā koa ko te DKA.
- Mena he mate huka tōu: Tirohia ō taumata huka toto i ia wā. Tangohia tō insulin me ētahi atu rongoā e ai ki tā tō tākuta i te wā tika. Mena kei te mate koe (pēnei i te makariri, te rewharewha rānei), he nui ake te mōrearea o te DKA ki a koe, nō reira kōrero ki tō tākuta mō te whakahaere i tō mate huka i tēnei wā.
- Mate huka kāore anō kia kitea: He uaua te ārai i te DKA. Nō reira, mā te mōhio ki ōna tohu whakatūpato ka taea te whakaora i te ora.
| Ngā tohu whakatūpato o te ketoacidosis mate huka (DKA) | |
|---|---|
| Ngā Tohu Tūatahi | |
| |
| Ngā Tohumate Kino | |
|
Mena kei a koe, kei tāu tamaiti rānei ēnei tohu, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata rawa atu, kaua e whakaroa.
Karere Tangohia ki te Kāinga
- Kāore te manawa o Kussmohl i te mea noa. He tohu tēnei nō tētahi raruraru hauora nui, pērā i te waikawa pūmua.
- Ko te tino take o tēnei ko te ketoacidosis diabetic (DKA), he raruraru nui o te mate huka.
- He āhuatanga ohorere hauora tēnei. Ki te kite koe i tētahi e manawa pēnei ana, haria tonutia ki te Tari Ohorere o te hōhipera (ETU).
- Mena he mate huka tōu, ko te whakahaere tika i tōna mate te huarahi pai hei ārai i te DKA. Whaia ngā tohutohu a tō tākuta.
- Kia tūpato ki ngā tohu tōmua o te DKA, pērā i te matewai nui, te mimi pinepine, me te kakara hua ki te manawa. Kia tere te mahi, kaua e tatari kia rerekē te āhua o te manawa.
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