Kei te uaua hoki tō manawa? Tērā pea ko te (Respiratory Acidosis) tēnei! Me kōrero tāua.

Kei te ahua uaua koe ki te manawa i ētahi wā? Kua kite rānei koe i tētahi e mōhio ana koe e uaua ana ki te manawa? I ētahi wā kāore tātou e aro nui ki ēnei āhuatanga, engari tera pea he take nui kei muri. Koia te take e kiia ai te mate e puta ana i te wā e āwangawanga ana te manawa ko te Respiratory Acidosis. Me kōrero taipitopito tātou mō tēnei i tēnei rā.

He aha tēnei (Respiratory Acidosis)? Kia mārama tātou!

Ki te whakarapopoto, ko te Acidosis Manawa he āhuatanga e piki ake ai te taumata waikawa o te toto i runga ake i ngā taumata noa , ā, ka heke te taumata pH o te toto. I mōhio koe me whai taumata pH motuhake anō hoki ō tātou toto kia pai ai te mahi? Ko tēnei taumata pH he ine i te nui o te waikawa me te kawakore (te kawakore rānei) o ō tātou toto. Kei waenganui i te 0 ki te 14. He tino waikawa te 0, ā, he tino kawakore te 14. Me noho te taumata pH o te toto o te tangata hauora i waenga i te 7.35 me te 7.45.

Nā, e mōhio ana koe he aha te take o te (Respiratory Acidosis)? Ka puta tēnei āhuatanga ina kore e taea e ō tātou pukahukahu te tango tika i te hau waro hauhā (CO2) i hangaia i roto i ō tātou tinana. Mēnā ka puta ohorere tēnei āhuatanga (Respiratory Acidosis), ka mate pea koe. Nō reira, ki te uaua te manawa, ki te āhua rānei kei te whakamomori koe, me waea tonu atu koe ki te 1990 ka rapu awhina hauora ohorere .

He aha ngā momo matua o te waikawa manawa?

E rua ngā momo matua o tēnei mate (Respiratory Acidosis):

1. Te Waikawa Manawa Whakapeka: Koinei te wā ka puta ohorere, ka tere rawa hoki te hanga o te hauhā waro i roto i ō tātou pukahukahu.

2. Te Waikawa Manawa Mau tonu: Ka āta whanake haere tēnei, i roto i te wā.

I ētahi wā ka puta ngātahi ngā momo e rua. Arā, ki te pāngia koe e te mate pūmau (Respiratory Acidosis), ka pāngia pea koe e te mate pūmau (Respiratory Acidosis) i te wā kotahi.

Ko wai te hunga e tino pāngia ana e tēnei mate (Respiratory Acidosis)?

Ina hoki, ka taea e te tangata te whakawhanake i tēnei āhuatanga e kiia nei ko te (Respiratory Acidosis). Ko te nuinga o te take ko:

• Ka pāngia ōu pukahukahu, ētahi atu wāhanga rānei o tō pūnaha manawa e te mate pūkahukahu .
• Kāore e taea e ngā uaua o tō pūnaha manawa te mahi tika, te waihanga rānei i te pēhanga e ranea ana (ngoikore o te uaua manawa) .
• Ka pā ētahi āhuatanga ki te nekehanga o te hau i roto i ō pukahukahu.

He aha ngā tohu o te waikawa manawa?

Ka rerekē ngā tohu o te waikawa manawa i ia tangata, i ia tangata. Kei runga i te roa o te wā e pāngia ana koe e te mate me tōna kaha. Ko ngā tohu tuatahi ka puta ko:

• Te mataku me te manukanuka (Manukanuka) .
• Te tirohanga pōuri .
• Pōhēhē , uaua ki te arotahi.
• Ko te cyanosis te hurihanga o te kiri ki te kikorangi, ki te papura, ki te hina-kakariki, ki te hina, ki te mā rānei nā te kore o te hāora.
• Te mamae o te upoko .
• Te uaua ki te manawa, te pōturi o te manawa (Dyspnea) .
• Te whewhe .

He aha ngā tohu ka puta mai mēnā ka kino haere te āhua?

Ki te kore koe e whiwhi rongoā mō te Acidosis Manawa, ki te tino kino rānei te mate, ka pāngia pea koe e ngā tohu pēnei i:

• Te tino ngenge (Te ngenge nui) .
• Te āhua e wiriwiri ana ō uaua (Myoclonus) .
• Ngā huringa whanonga.
• Te hopuhopu .
• Koma .

He aha ngā tohu o te Waikawa Manawa Mau tonu?

I roto i tētahi mate mau tonu, roa hoki (Respiratory Acidosis), ka kitea pea ēnei tohu:

• Te ngenge, inā koa i te awatea.
• Te mōrearea o te ngoikore o te ngakau .
• Te toto toto tiketike (hypertension) .
• Te nui haere o ngā toto whero i roto i te toto (Polycythemia) .
• Te ngaronga o te taurite, te ngoikore o te taunga.
• Te ngaronga o te mahara.

He aha ngā tino take o te waikawa manawa?

Ko ngā raruraru manawa te tino take o te waikawa manawa. Heoi, ka rerekē pea ēnei take i runga i te momo waikawa manawa kei a koe.

Ngā Take o te Waikawa Manawa Mau tonu:

• Te pupuhi pūkahukahu whakapeka .
• Ngā mate pūnaha io pērā i te Amyotrophic lateral sclerosis (ALS) me te mate a Lou Gehrig.
• Te mate huango .
• Te mate pūkahukahu ārai mau tonu (COPD) .
• Ko ngā mate pūnaha io, pērā i te multiple sclerosis (MS) me te muscular dystrophy, ka pā ki ngā io e whakahaere ana i ō uaua.
• Ka ārai te momona i te whānui tika o ngā pukahukahu.
• Te mate pukupuku pūkahukahu .
• Te mate korokoro .

Ngā Take o te Waikawa Manawa Whakapeka:

• Te mate huango .
• Te mate pūkahukahu ārai mau tonu (COPD) .
• Te whakamahi nui rawa i ngā matū e pā ana ki te pūnaha io matua, pērā i te waipiro, te amphetamines, me ngā opioids.
• Te mate pūkahukahu (te pakaru o ngā pēke hau i roto i ngā pukahukahu).
• Pūngāwerewere .
• Te apnea moe .

Me pēhea te tautuhi a ngā tākuta i te waikawa manawa?

Ina kite koe i tētahi tākuta, ka pātai atu rātou ki a koe mō ō tohumate, ā, ka tirotirohia hoki ō tinana. Kātahi ka whakahaerehia pea e rātou ētahi whakamātautau hei whakaū i te mate o te Manawa Acidosis.

He aha ngā whakamātautau e mahia ana mō tēnei?

Ka taea e te tākuta te tono i ngā whakamātautau penei:

• Te hau toto uaua (ABG): Ka ine tēnei i ngā taumata o te hauhā me te hāora i roto i te toto.
• Paewhiri Pūnaha Taketake o te Pūnaha Whakaora (BMP): Ka ine tēnei i ngā matū maha i roto i te tinana, ka titiro ki te taurite matū me te pākia o te tinana.
• X-ray o te uma: Ka tangohia he pikitia o tō uma, inā koa ō pukahukahu.
• Whakamātautau toto mō te hauhā waro (CO2): Ka tangohia he tauira toto iti mai i tētahi uaua i te ringa, ā, ka inehia te nui o te hauhā waro i roto i te toto.
• Matawai CT (Tomography rorohiko - Matawai CT): Ka whakamahia he raupapa hihi-X hei hanga i tētahi whakaahua toru-ahu (3D) o ō pukahukahu.
• Paewhiri irahiko: Ka ine tēnei i ngā taumata o ētahi irahiko i roto i te toto. Mena he waikawa manawa tōu, tera pea ka teitei ake, ka iti iho rānei ētahi taumata irahiko i te mea noa.
• Ngā whakamātautau mahi pūkahukahu (PFT): Ka ine ēnei i te pai o te mahi a ō pūkahukahu.

Me pēhea te rongoā i te waikawa manawa?

Ka rongoāhia e ngā tākuta te pūtake o te waikawa manawa. Kei roto pea i tēnei:

• Mīhini pēhanga manawa pai tonu (CPAP): Ka whakamahia tēnei hei rongoā i te apnea moe, he āhuatanga ka mutu te manawa i a koe e moe ana. Ka mahi mā te tuku i te rere tonu o te hau pēhanga mā roto i te kopare.
• Whakahauora ā-ringa: Mena he nui te waikawa o te manawa kei roto i a koe, ka whakamahia tēnei mīhini hei āwhina i a koe ki te manawa.
• Rongoā: Mena he mate hauora tōu e pā ana ki ō pukahukahu, ki tō ara manawa rānei, ka tohua e tō tākuta te rongoā tika māu.
• Te whakaora hāora: Ka āwhina tēnei ki te whakanui ake i ngā taumata hāora i roto i tō toto.

He aha ngā rongoā e hoatu ana mō te Acidosis Manawa?

Hei rongoā i te pūtake o te waikawa manawa ohorere, ka whakamahia pea e tō tākuta, ka tohua rānei tētahi, ētahi rānei o ngā rongoā e whai ake nei:

• Ngā rongoā paturopi: Mēnā he mate kitakita kei roto i ngā pukahukahu, ka āwhina ēnei ki te whawhai.
• Ngā rongoā whakawhanui i te manawa: Ka whakangāwari ēnei i ngā uaua huri noa i ngā ara manawa, ā, ka whakamamae i ngā tohu o ngā mate pūkahukahu.
• Ngā corticosteroids:He rongoā ēnei hei whakaiti i te mumura, hei āwhina hoki ki te whakaiti i te whakaputanga hūpē i roto i ngā ara manawa.
• Ngā rongoā whakaheke toto: Ka āwhina i te whakaheke i te toto mā te tango i te wai nui mai i te tinana.
• Naloxone (Narcan®): Mēnā e whakapaetia ana he nui rawa te opioid, ka taea e ngā tākuta te hoatu i tēnei hei rehu ihu, hei werohanga uaua rānei.
• Ngā rongoā hei āwhina i a koe ki te whakamutu i te kai hikareti: Ka taea e ngā pāti nikotīni, ngā lozenges, me te kapia ngaungau te āwhina i a koe ki te whakamutu i te kai hikareti. Tērā anō hoki ngā rongoā kāore he nikotīni i roto, pērā i te Bupropion me te Varenicline.

Me pēhea tātou e ārai ai i te mate waikawa manawa?

Ka āwhina ēnei mea ki te ārai i ētahi o ngā tino take o te Acidosis Manawa:

• Kati te momi hikareti me te whakamahi i ngā hua tupeka (hei tauira, ngā hikareti hiko, ngā pene vape). He mea tino nui tēnei.
• Whakakorikori tinana i ia wā, i ia wā.
• Kia mau ki te taumaha hauora e tika ana mōu.
• Mena kua tohua e tō tākuta, whakamahia te mīhini (CPAP) i ia wā, i ia wā.
• Kia tino tupato i te wā e whakamahi ana i ngā rongoā whakamoe, pērā i ngā pire moe. Me whai i ngā tohutohu kei runga i te tapanga, me tango noa te nui kua tohua, ā, kaua rawa e whakakotahi ki te waipiro.

Kia maumahara, mā ēnei katoa ka noho ora ōu pūkahukahu. Ko ngā pūkahukahu hauora te parepare pai rawa atu mō ngā āhuatanga pēnei i te Acidosis Manawa.

He aha te momo āpōpō ka taea e te tangata e pāngia ana e te (Respiratory Acidosis) te tumanako?

He uaua ki ngā tākuta te matapae tika i te āhua o te ora o te tangata e pāngia ana e te mate manawa waikawa. Ko te āhua o tō urupare ki te maimoatanga ka whakawhirinaki ki te pūtake o ō tohu. Nō reira, he pai ake te kōrero ki te tākuta. Whai muri i te whakamātautau tinana me ētahi atu whakamātautau, ka taea e ia te kī atu ki a koe he aha ngā mea hei tumanako atu.

Āhea tātou me toro atu ki te tākuta?

Mena he nui ngā tohu o te waikawa manawa, rapua he awhina hauora i te wā e taea ai. Waihoki, ki te mea he mate pūkahukahu tōu, ā, ka kino haere ō tohu, me toro atu ki te tākuta tonu.

He aha ngā pātai nui hei pātai atu ki te tākuta?

Ina haere koe ki te tākuta, kaua e wareware ki te pātai i ēnei pātai:

• Me pēhea koe e mōhio ai mēnā kei a au te (Respiratory Acidosis)?
• Mena kāore he mate manawa pāwera kei ahau, he aha atu anō ngā mate ka pā mai ki ahau?
• He mate waikawa manawa whakapeka, he mate waikawa manawa mau tonu rānei tōku?
• He aha ngā whakamātautau e taunaki ana koe hei whakaū i te (Respiratory Acidosis)?
• He aha te take e pāngia ai ahau e te mate waikawa manawa?
• He aha te maimoatanga e taunaki ana koe māku?

He aha te rerekētanga i waenga i te (Respiratory Acidosis) me te (Respiratory Alkalosis)?

• Ko te waikawa manawa te wā e kore ai e taea e ō pukahukahu te tango i te hauhā waro katoa e hangaia ana i roto i tō tinana, ka iti iho te pH o tō toto i te mea noa (ka nui ake te waikawa).
• Ko te alkalosis manawa ko te wā ka teitei ake te pH o tō toto i te mea noa (ka nui ake te kawakore) ina tere rawa tō manawa (whakahauhau nui) ā, ka nui rawa te hauhā waro e tukuna ana mai i ō pukahukahu.

He aha te rerekētanga i waenga i te (Acidosis Manawa) me te (Acidosis Pūmua)?

• Ko te waikawa pūmua he putunga waikawa i roto i ngā wai o tō tinana. Nā te nui rawa o te waikawa e hangaia ana e tō tinana, nā te kore rānei e tangohia e ō whatukuhu te nui o te waikawa mai i ō toto.
• Ko te waikawa manawa , e ai ki te kōrero i mua ake nei, ko te kohikohinga o ngā waikawa i roto i te toto nā te mea kāore e taea e ō pukahukahu te tango tika i te hauhā waro mai i tō tinana.

Hei whakamutunga, ngā mea hei maumahara

He mate kino te waikawa manawa, ā, ka mate pea koe. Nō reira, kaua rawa e warewarehia ngā tohu o te waikawa manawa. Ko ēnei tohu te huarahi a tō tinana ki te kī atu kei te hē tetahi mea, ā, me rapu āwhina tonu koe. Mena kei a koe tētahi o ēnei tohu, me kōrero ki te tākuta. Ka taea e ia te tātaritanga i te waikawa manawa me te tūtohu i te maimoatanga pai rawa atu māu. Ko tō hauora te kawenga!

Te waikawa o te manawa, te uaua ki te manawa, te waikawa o te toto, te hauhā waro, te mate pūkahukahu, te maimoatanga ohorere, te pūnaha manawa