Kua rongo koe i te tere o tō manawa, i te pōuri, i te kore rānei e mānumanu i a koe e mataku ana, e riri ana rānei? I ētahi wā ka mānumanu koe i tō waha. Tērā pea ka pēhia tō uma. Ahakoa he tokomaha e whakaaro ana he mea noa tēnei, ko te mate hauora kei muri i tēnei ko te mea e kōrerohia ana e tātou i tēnei rā ko te 'Respiratory Alkalosis'. Ahakoa he nui te ahua o tēnei ingoa, kaua e mataku. Me kōrero tātou mō tēnei mea me te ngāwari, me te mārama hoki.
He aha te Respiratory Alkalosis? Me mārama noa iho.
Ki te kī māmā noa, ko te Respiratory Alkalosis te wā e heke ai te nui o te Waro Hauhā (CO2) i roto i tō toto, ka puta he panoni ki te toenga waikawa-pūtake o tō toto.
Whakaarohia, ina manawa tātou, ka mimiti tātou i te hāora, ka whakaputa hoki i te hauhā waro, tika? He tukanga noa tēnei i roto i tō tātou tinana. Engari, ina tere rawa tā tātou manawa, arā, ina nui rawa te manawa , ka tukuna e tō tātou tinana he nui ake te hauhā waro i te mea e hiahiatia ana.
He hau te hauhā waro e tāpiri ana i te waikawa ki roto i ō tātou toto. Nā, he aha te mea ka puta ina nui rawa te waikawa e tukuna ana e tātou mai i ō tātou tinana? Ka heke te waikawa o te toto, ka piki ake te taumata kawakore. He rite ki te tango i te raima mai i tētahi karāhe wai he iti nei te raima kei roto, ā, ka ngaro te kawa.
Ka inehia te taumata waikawa-pūtake i roto i ō tātou toto e te uara e kiia nei ko te pH . Me noho te pH o te toto o te tangata hauora i waenga i te 7.35 me te 7.45 . I roto i te Alkalosis Manawa, ka piki ake tēnei uara pH ki runga ake i te 7.45 nā te hekenga o te hauhā waro.
Tērā anō tētahi āhuatanga e tino rerekē ana i tēnei. Ko te ingoa o tēnei ko te Respiratory Acidosis . Ko te mea ka tupu i reira ko te pikinga o te hauhā waro i roto i te toto, ā, ka heke te uara pH ki raro i te 7.35. Ko te tikanga ka waikawa te toto.
He aha ngā tohu tino kitea o te Respiratory Alkalosis?
Ina heke te taumata o te hauhā waro, ā, ka rerekē te pH o te toto, ka pā ki tō tātou pūnaha io me ngā uaua. Koia tātou ka tīmata ai ki te rongo i ngā tohu rerekē. Ka puta ohorere mai ēnei tohu, inā koa mēnā ka tere tō manawa mō te wā roa.
Ka taea e koe te ako atu mō ēnei āhuatanga mai i te ripanga i raro nei.
| Tohu | Te āhua o ō kare ā-roto |
|---|---|
| Pōuriuri | Kei te āhua hurihuri ngā mea i a koe. Tērā pea ka uaua ki a koe te tū. |
| Mārama te upoko | Te āhua nei kei te ngaro tō māramatanga, me te mea kāore he mea i roto i tōu mahunga. |
| Te ngenge/te wiri - te pāngia o te tinana | He maha ngā wā ka māuiui ngā pito o ngā matimati, ngā waewae, me te taha o te waha, me te mea kei te kopikopiko haere ngā pōpokorua. |
| Te kikī o te uma | Te pēhanga, te mamae rānei i roto i te uma, me te mea he taumaha kei runga. E mataku ana ētahi he mate manawa tēnei. |
| Pōhēhētanga | He uaua ki te arotahi i tō hinengaro, kāore e taea te mārama he aha te mea e tupu ana, kei hea rānei koe. |
| Whakapairuaki | Te āhua kore whakamarie, me te mea kei te ruaki koe. |
| Ngenge | Tino ngenge, kore ora te āhua. |
He aha pea te take o tēnei āhuatanga?
E mōhio ana tātou ināianei ko te mate pāwera manawa ka puta mai i te manawa tere rawa (hyperventilation). Nō reira, ko tetahi mea e mea ana i a tātou kia manawa tere rawa ka taea te waiho hei take. Ka taea e ēnei take te ahu mai i ngā take hinengaro māmā ki ngā mate hauora nui.
Ngā Take Hinengaro
Koinei te take tino noa.
- Ngā whakaekenga manukanuka, mataku rānei:Ina tino mataku koe, ina manukanuka rānei, ka piki ake tō tere manawa. Whakaarohia kei te tino mataku koe i muri i te whakamātautau. Ki te mea rānei kei te pōrearea koe i te wāhi kīkī. Kātahi ka piki ake tō manawa, ā, ka puta pea ēnei tohu.
- Mamae nui: Ka tere ake te manawa i te mamae nui o te tinana.
- Te riri nui, te ahotea rānei: Ko te ahotea hinengaro nui rawa tētahi o ngā take o tēnei.
Ngā Take Tinana me ngā Āhuatanga Hauora
- Te kirika: Ina piki te pāmahana o te tinana, ka tere ake te pākia o te tinana, ka piki ake hoki te tere o te manawa.
- Te Hapūtanga: I te wā e hapū ana, ka tere ake te manawa nā ngā huringa homoni me te pēhanga ki te diaphragm e hua mai ana i te pēpi e tipu haere ana.
- Ngā mate urutā kino (Sepsis): Mō ngā mate urutā kino ka pā ki te tinana katoa, pērā i te sepsis.
- Te ngoikore o te ate: Te ngoikore o te mahi a te ate.
- Te Hiperuritīti: Te tere haere o ngā mahi tinana nā te nui rawa o te mahi a te repe tairoiti.
- Whara o te Upoko: Te pakaru o te pokapū whakahaere manawa i roto i te roro.
- Te Whakamahinga o te Nikotīni: Te horomitanga o te nikotīni mā te momi hikareti, te vape, me ētahi atu.
Ngā Āhuatanga Manawa
I ētahi wā, ina kore e nui te hāora e whiwhi ana te tinana (he āhuatanga e kiia nei ko te hypoxia ), ka ngana te tinana ki te whakakapi mā te manawa tere ake. Heoi, ka hua ake pea tēnei i te nui rawa o te hauhā waro ka tukuna, ka arahi ki te alkalosis manawa.
- Pūkahukahu
- Te Pukupuku Pūkahukahu
- ARDS (Te Mate Pōuri Manawa Koretake)
Ētahi atu take
- Te nui rawa o ngā rongoā pēnei i te aspirin: Ko ētahi rongoā, ina tangohia nui rawa, ka taea te whakaoho i te pokapū manawa i roto i te roro.
- Te Whakahaunga Ā-Mīhini: Ka pā tēnei āhuatanga ki tētahi tūroro e hono ana ki tētahi whakahaunga manawa i roto i te wāhanga tiaki nui o te hōhipera mēnā kāore i te tika te whakatakotoranga o ngā tautuhinga o te mīhini.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te tākuta me ēnei tohu, ka pātai tuatahi ia ki a koe, ka ako mō ō tohu me te wā e puta ai. Kātahi ka tirotirohia koe e ia.
Ko te whakamātautau matua hei whakaū tika i tēnei āhuatanga 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, ka ine i te nui o te hāora, te hauhā waro, me te pH o roto. Mā tēnei ka mārama koe ki te taurite waikawa-pūtake o tō toto.
Hei tāpiri, ka taea e te tākuta te tono i ētahi atu whakamātautau hei kimi i te take.
- Pūwero Ārai: Te ine i te taumata hāora i roto i te toto mā te whakamahi i tētahi taputapu iti rite ki te topenga e piri ana ki te maihao.
- Ko te hihi-X o te uma, ko te matawai CT rānei: Hei tirotiro mēnā he raruraru kei ngā pukahukahu.
- Ētahi atu whakamātautau toto: Ngā whakamātautau pēnei i te tatau toto katoa (CBC) me te papatohu pākia taketake (BMP) e tirotiro ana i ngā taumata kohuke o te tinana.
- Ngā Whakamātautau Mahi a te Pūkahukahu: Tirohia mēnā he ngoikore kei roto i tō tukanga manawa.
He aha ngā maimoatanga mō tēnei?
Ko te mea nui kia mārama ki konei, he tohu te Respiratory Alkalosis, ehara i te mate. Ko te tikanga, i te wā e rongoatia ana, ka aro nui ngā tākuta ki te tino take o te whanoke, te ngoikore rānei o te ngākau.
- Mena he mate pāwera te take, ka hoatu he paturopi.
- Mena he toto totoka i roto i ngā pukahukahu te take, ka hoatu he rongoā whakangawari toto hei whakarewa i te toto totoka.
- Mena ko te manukanuka te take, tera pea he huarahi hei whakahaere i taua mea, ā, tera pea ka taea te tohu rongoā.
Ki te mea he maha ngā wā ka kitea koe e tere ana te manawa nā te manukanuka, he mea ngāwari noa iho tēnei ka taea e koe. Arā, te whakahaere i tō manawa. Ngāna kia mārie, kia puhoi, kia hōhonu hoki te manawa.
Kua rongo pea koe i ētahi e kī ana kia manawa ki roto i te pēke pepa. Ko te whāinga he manawa anō i te hauhā waro e tukuna ana e koe, me te whakahoki mai i ngā taumata CO2 o tō toto. Heoi, kaua rawa e mahi i tēnei me te kore he tohutohu hauora. Mena ko te kore o te hāora (hypoxia) te take o ō tohu, ka kino ake pea te āhua.
Me haere ahau ki te tākuta? Me haere ahau ki te Tari Ohotata (ETU)?
He pātai tino nui tēnei, nā te mea i ētahi wā ka taea e ēnei tohu te tohu i tētahi mate hauora nui. Nō reira, he mea nui kia mōhio koe ki te wā e tika ai kia kite i tētahi tākuta whānui, me te wā e tika ai kia haere tonu ki te hōhipera.
| Āhuatanga | Te Mahi hei Mahi |
|---|---|
| Tirohia tō Tākuta mēnā... | |
| Mena me tere tonu tō manawa (whakapūngahau nui). | Hei whakatau mēnā he manukanuka, he take tinana rānei te take, ā, me rapu maimoatanga tika. |
| Mena he maha ngā wā ka pāngia koe e ngā tohu e pā ana ki te Respiratory Alkalosis (pōuri, māuiui). | He mea tino nui kia tirohia mēnā he tino take. |
| Haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) mēnā... | |
| Mena ka pāngia koe e te mamae nui o te uma, e te uaua rānei ki te manawa . | He tohu pea tēnei mō tētahi mate kino, pērā i te mate manawa, i te toto totoka rānei i roto i ngā pukahukahu. |
| Te ngoikore, te rerekētanga rānei o te āhua hinengaro . | He tohu pea tēnei kāore e nui te hāora e whiwhi ana te roro. |
| Mena ka puta he mate urutā (ngā hopi) . | He āhuatanga ohorere tēnei e tika ana kia rongoātia tonutia. |
| Kiri kikorangi, ngutu, whao rānei . | He tohu tēnei kei te tino iti te taumata hāora i roto i te tinana. |
Karere Tangohia ki te Kāinga
- Ko te alkalosis manawa he āhuatanga e heke ai te nui o te hauhā waro (CO2) i roto i te toto i te tere o te manawa (hyperventilation), ka huri te toto hei kawakore.
- Ka puta pea ngā tohu pēnei i te whanoke, te ngoikore o ngā peka me te waha, me te kikī o te uma.
- Ahakoa ehara tēnei āhuatanga i te mea morearea, ko tōna pūtake ka rerekē mai i te mea noa iho pēnei i te manukanuka ki te mea nui pēnei i te toto totoka i roto i ngā pukahukahu (embolism pūkahukahu).
- Ehara i te mea ko ngā tohu anake te rongoā, engari ko te pūtake o te mate. Nō reira, he mea tino nui kia kitea te tino pūtake.
- Ki te pāngia koe e ngā tohu kino pēnei i te mamae nui o te uma, te ngaronga o te māramatanga, te haurangi, te kikorangi rānei o ngā ngutu , haere tonu ki te Tari Whawhati Tata (ETU). Kōrero ki tō tākuta, kia mōhio ai koe ki tēnei mea.
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