Kua rongo koe i te piki haere o tō manawa nā te wehi, nā te manukanuka rānei, kua pōuri rānei tō mahunga, kua ngoikore rānei ō waewae? Ka puta rānei tēnei i te wā e pāngia ana koe e te kirika? Koinei tētahi o ngā āhuatanga o te mate e kiia nei ko te Respiratory Alkalosis ka kōrerohia e tātou i tēnei rā. Kāore he mea hei wehi, kia mārama noa tātou ki tēnei.
He aha te tikanga o te Respiratory Alkalosis?
Ko te Alkalosis Manawa ko te hekenga o te nui o te hauhā waro i roto i ō toto, ka huri te taurite waikawa-pūtake o ō toto. Ko te ine i tēnei taurite ka kiia ko te uara pH. I tēnei wā, ka piki ake te uara pH o ō toto i runga ake i ngā taumata noa. Whakaarohia, ina manawa tātou ki te hāora, ka tangohia e tātou te hauhā waro, ā, ina manawa tātou, ka tukuna e tātou te hauhā waro. Engari ki te tere rawa tō manawa, arā, ki
te tere rawa tō manawa, ka tukuna e koe he nui ake te hauhā waro i tā te tinana e hiahia ana. Koinei te wā ka heke te taumata o te hauhā waro i roto i ō toto, ā, ka piki ake te uara pH. I te nuinga o te wā, me noho te uara pH o ō toto i waenga i te 7.35 me te 7.45. Ki te piki ake i runga ake i te 7.45, ka kiia ko te Alkalosis.
Te Rerekētanga i waenga i te Acidosis Manawa me te Alkalosis
He rerekē ngā āhuatanga e rua nei.
- Te mate pāwera manawa: Te pH toto neke atu i te 7.45 (ka kawakore te toto).
- Te waikawa o te manawa: He hekenga o te pH toto i raro i te 7.35 (te waikawa o te toto).
He aha ngā tohu ka pā ki a koe i tēnei āhuatanga?
Ina puta tēnei āhuatanga, ka rerekē pea ngā tohu o ia tangata. Engari tera ētahi tohu e tino kitea ana. Kia tirohia tātou he aha ēnei.
| Tohu | Te āhua o te āhua |
|---|
| Pōuriuri/māmā te upoko | Tērā pea ka rite ki te kore he taumaha i roto i tōu mahunga, ā, he uaua pea ki te tū. |
| Pōhēhētanga | Tērā pea ka pōhēhē koe mō tō wāhi noho, me tāu mahi hoki. |
| Te ngoikore (Paresthesia) | Me te mea kei te moe ō waewae, me te mea kei te oma haere ngā pōpokorua. Ka taea te rongo i tēnei, inā koa i te taha o ngā ngutu me ngā matimati. |
| Te kikī o te uma | He uaua ki te manawa, me te mea kei te pēhia tō uma e tetahi. |
| Whakapairuaki | E whakapairuaki ana, me te mea kei te ruaki koe. |
| Ngenge | Te āhua ngoikore, kāore e taea e koe te mahi i tetahi mea. |
He aha tēnei e tupu nei? He aha ngā take?
E ai ki tā tātou i kōrero ai i mua ake nei, ko te take matua mō tēnei ko te manawa tere, e kiia nei ko te `(hyperventilation)`. Engari ko te pātai, he aha tātou ka tere ai te manawa? He maha ngā take mō tēnei. Ka mahi tahi ngā pukahukahu, ngā whatukuhu, me ētahi atu pūnaha ki te pupuri i te taurite matū o tō tātou tinana. He rite ki te taurite i tētahi piriti kōka. He mea nui te taurite i waenga i te hauhā waro `(CO2)`, te wai `(H2O)`, te paikāponate `(HCO3)`, me ngā iona hauwai `(H+)` ki konei. Ina tere tā tātou manawa, ka tukuna te `CO2`, ā, ka whakararuraruhia tēnei taurite. Anei ētahi o ngā take matua e pā ana ki tēnei āhuatanga `(hyperventilation)`:
| Take | He aha tōna pānga? |
|---|
| Ngā take hinengaro | I ngā wā o te manukanuka nui me ngā whakaekenga mataku, ka piki ake te tere o te manawa me te kore e mōhiotia e tātou. |
| Ngā take ā-tinana | Ka piki ake hoki te manawa nā ngā huringa o te tinana, pērā i te mamae nui, te kirika nui, te hāputanga, te mate ate, me te hyperthyroidism. |
| Ngā āhuatanga hauora nui | I roto i ngā mate kino pērā i te sepsis, te pulmonary embolism, me te niumōnia, ka heke te taumata hāora o te tinana. Hei whakautu, ka ngana te tinana ki te manawa tere ake. |
| Ētahi atu take | Ka taea hoki tēnei te puta mai i te nui rawa o te tango i ngā rongoā pēnei i te aspirin, ngā whara o te mahunga, te whakamahi i te nikotīni (momi hikareti), me te hono atu ki tētahi taputapu manawa horihori (whakahaunga mīhini). |
Me pēhea te kitenga a te tākuta i tēnei?
Mena kei a koe ēnei tohu, ko te mea tuatahi ka mahia e te tākuta ko te pātai atu ki a koe. Kātahi ka whakahaerehia pea e rātou ētahi whakamātautau hei whakaū i te āhua me te kimi i te take. Ko te whakamātautau tino nui ko
te whakamātautau Hau Toto Arterial (ABG) . Ko te tikanga o tēnei ko te tango i tētahi tauira toto iti mai i tētahi uaua i roto i tō ringaringa me te ine i ngā taumata o te hāora me te hauhā waro i roto, me te pH hoki. Hei tāpiri, ka whakahaerehia pea e rātou ēnei whakamātautau hei kimi i te take:
Me pēhea te rongoā?
Ko te mea nui kia mārama ki konei, kāore ngā tākuta e rongoā i te mate e kiia nei ko te Respiratory Alkalosis.
E rongoā ana rātou i te mate hauora taketake i puta ai. Hei tauira, mēnā he mate pāwera te take, ka hoatu e tō tākuta he rongoā paturopi ki a koe. Mēnā he toto totoka i roto i ō pukahukahu te take, ka hoatu he rongoā ārai toto hei whakarewa i te toto.
Mena kei te pāngia tonu koe e te manukanuka, ā, ka piki ake tō tere manawa, kei reira ngā maimoatanga e wātea ana. Ka taea e ngā mahi manawa me te tohutohu te āwhina. Tērā pea ka hiahia rongoā ētahi tāngata. Kua rongo pea koe mō te manawa ki roto i te pēke pepa ina manukanuka koe. Kei roto i tēnei ko te manawa anō i te hauhā waro ka tukuna e koe. Ka taea e tēnei te āwhina i te whakaheke i ō taumata CO2 i roto i te toto. Heoi,
he mea nui kia kōrero ki te tākuta i mua i te mahi i tēnei. Āhea ahau me toro atu ki te tākuta? Āhea ahau me haere ki te ETU?
He pātai tino nui tēnei nā te mea i ētahi wā he take nui kei muri i tēnei.
Āhea te wā e kite ai i te tākuta
Ki te pāngia koe e tētahi o ngā tohu kua whakahuatia i roto i tēnei tuhinga i ngā wā katoa, ki te mea rānei kei te tere haere tonu tō manawa,
me toro atu ki te tākuta i te wā e taea ai. Mā tēnei ka āwhina i a koe ki te whakatau i te take me te whakarato i te maimoatanga e tika ana.
Āhea te wā tika ki te haere ki te ETU (Emergency Treatment Unit) tonu atu?
Mena kei a koe tētahi o ngā tohu kino e whai ake nei, haere tonu ki te
Tari Whawhati Tata (ETU) o te hōhipera.
- Ki te mea kei te pāngia koe e te mate urutā (ngā haurangi).
- Mena kua ngoikore te hinengaro, mena kāore e taea e koe te mārama ki ngā mea e tū ana i tō taha (kua rerekē te āhua hinengaro).
- Mena ka kikorangi ō ngutu, ō maikuku, tō kiri rānei.
- Ki te mea kei te tino ngoikore koe.
- Te ngaronga o te māramatanga.
Ka taea te ārai i tēnei āhuatanga?
Nā te mea he maha ngā take o te mate pāwera manawa, kāore e taea te ārai i ngā mea katoa. Engari he mea anō hei whakaiti i tō mōrearea:
- Whakahaerehia te ahotea me te manukanuka. Ka taea e ngā mahi pēnei i te whakaaroaro, te yoga, me ngā mahi manawa te āwhina. Rapua he āwhina ngaio mēnā e tika ana.
- Kaua e kai hikareti, e vape, e whakamahi rānei i ngā hua kei roto te nikotīni.
- Tiakina koe i ngā mate urutā. Horoia ō ringaringa i ngā wā katoa, ā, me whiwhi koe i ō werohanga i te wā tika.
He rite tō tātou tinana ki tētahi tira puoro. He hononga tō ia okana tetahi ki tetahi, ā, he mahi tahi kia taurite ai te tinana. I ētahi wā, ka hē te taunga o tētahi wāhanga, pērā i te wāhanga e whakahaere ana i te manawa. Koinei te wā ka puta ai ngā āhuatanga pēnei i te alkalosis. I te nuinga o te wā, kāore te alkalosis manawa i te morearea. Engari he tino kino te take. Nō reira, ki te pāngia koe e ngā tohu, he mea whakaaro nui kia toro atu ki tētahi tākuta, kia kitea ai te take me te kore e warewarehia.
Karere Tangohia ki te Kāinga
- Ko te alkalosis manawa he āhuatanga e heke ai ngā taumata hauhā waro i roto i te toto me te pikinga ake o te pH o te toto i te manawa tere.
- He mea noa ngā tohu pēnei i te whanoke, te ngoikore o ngā peka me ngā waewae, me te māuiui o te mahunga.
- Ahakoa ehara tēnei āhua i te mea morearea, ka taea e te mate pūtake e hua ai tēnei (hei tauira, te mate pāwera, te toto totoka i roto i ngā pukahukahu) te noho kino.
- Ehara te rongoā i te mea mō te mate alkalosis, engari mō te mate pūtake i puta ai te mate.
- Mena ka puta pinepine ēnei tohu, me toro atu ki te tākuta. Mena ka pāngia koe e ngā tohu kino pēnei i te ngaronga o te māramatanga, te mate pāwera rānei, me haere tonu ki te ETU.
Te mate pāwera manawa, te nui haere o te manawa, te tere o te manawa, te whanoke, te ngoikore o ngā peka, te pH o te toto, te hauhā waro, te mate pāwera manawa
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