Kodi inunso mukuvutika kupuma? Mwina ichi ndi (Respiratory Acidosis)! Tiyeni tikambirane.

Kodi nthawi zina mumamva ngati mukuvutika kupuma? Kapena munawonapo munthu amene mumamudziwa akuvutika kupuma? Nthawi zina sitimasamala kwambiri za zinthu ngati zimenezi, koma pakhoza kukhala chifukwa chachikulu chomwe chikuchititsa zimenezi. Ndicho chifukwa chake vuto lomwe limachitika munthu akamapuma limatchedwa Respiratory Acidosis. Tiyeni tikambirane za izi mwatsatanetsatane lero.

Kodi ichi ndi chiyani (Respiratory Acidosis)? Tiyeni timvetse mosavuta!

Mwachidule, Respiratory Acidosis ndi vuto lomwe asidi m'magazi mwathu amakwera kuposa muyezo wabwinobwino , ndipo pH m'magazi imatsika . Kodi mukudziwa kuti magazi athu amafunikanso kukhala ndi pH inayake kuti agwire ntchito bwino? pH iyi ndi muyeso wa kuchuluka kwa asidi ndi maziko (kapena alkaline) m'magazi mwathu. Imayambira pa 0 mpaka 14. 0 ndi acidic kwambiri, ndipo 14 ndi alkaline kwambiri. pH m'magazi a munthu wathanzi iyenera kukhala pakati pa 7.35 ndi 7.45.

Kodi mukudziwa chifukwa chake (Respiratory Acidosis) imachitika? Vutoli limachitika pamene mapapo athu sangathe kuchotsa bwino mpweya wa carbon dioxide (CO2) womwe umapangidwa m'thupi lathu. Ngati vutoli (Respiratory Acidosis) lichitika mwadzidzidzi, likhoza kukhala pachiwopsezo . Chifukwa chake, ngati mwadzidzidzi mukuvutika kupuma kapena mukumva ngati mukupuma, muyenera kuyimba foni nthawi yomweyo ku 1990 ndikupempha thandizo lachipatala mwamsanga .

Kodi mitundu ikuluikulu ya Respiratory Acidosis ndi iti?

Pali mitundu iwiri ikuluikulu ya vutoli (Respiratory Acidosis):

1. Acidosis Yovuta Kwambiri Yopuma: Apa ndi pamene mpweya woipa umasonkhana m'mapapo mwathu mwadzidzidzi komanso mwachangu kwambiri.

2. Matenda a Acidosis Osatha: Izi zimachitika pang'onopang'ono, pakapita nthawi.

Nthawi zina mitundu yonse iwiri imatha kuchitika limodzi. Izi zikutanthauza kuti, ngati muli ndi matenda osatha (Respiratory Acidosis), mutha kukhalanso ndi matenda a acute (Respiratory Acidosis) nthawi imodzi.

Ndani amene amakhudzidwa kwambiri ndi vutoli (Respiratory Acidosis)?

Ndipotu, vutoli lotchedwa (Respiratory Acidosis) lingayambire mwa aliyense. Limayamba chifukwa cha:

• Matenda a m'mapapo amakhudza mapapo anu kapena ziwalo zina za dongosolo lanu lopumira.
• Minofu yomwe ili m'thupi lanu la kupuma siigwira ntchito bwino kapena kupangitsa kuti minofu yanu ivutike mokwanira (kutopa kwa minofu yopumira) .
• Mavuto ena amakhudza momwe mpweya umayendera m'mapapo mwanu.

Kodi zizindikiro za Respiratory Acidosis ndi ziti?

Zizindikiro za acidosis yopuma zimatha kusiyana malinga ndi munthu aliyense. Zimatengera nthawi yomwe mwakhala ndi vutoli komanso momwe lilili loopsa. Zizindikiro zoyamba kuwonekera ndi izi:

• Kumva mantha ndi kusakhazikika (Nkhawa) .
• Maso osawoneka bwino .
• Kusokonezeka , kuvutika kuganizira.
• Cyanosis ndi khungu lomwe limasintha kukhala labuluu, lofiirira, lobiriwira imvi, lotuwa, kapena loyera chifukwa cha kusowa kwa mpweya.
• Mutu .
• Kuvuta kupuma, kumva kupuma movutikira (Dyspnea) .
• Kupuma movutikira .

Ndi zizindikiro ziti zomwe zingawoneke ngati vutoli litakula kwambiri?

Ngati simulandira chithandizo cha Respiratory Acidosis, kapena ngati vutoli ndi lalikulu kwambiri, mutha kuwonanso zizindikiro monga:

• Kumva kutopa kwambiri (Kutopa) .
• Kumva ngati minofu yanu ikugwedezeka mwadzidzidzi (Myoclonus) .
• Kusintha kwa khalidwe.
• Kugwidwa .
• Chikomokere .

Kodi zizindikiro za Chronic Respiratory Acidosis ndi ziti?

Mu matenda osatha komanso a nthawi yayitali (Respiratory Acidosis), zizindikiro ngati izi zitha kuoneka:

• Kumva kutopa, makamaka masana.
• Chiwopsezo cha kulephera kwa mtima .
• Kuthamanga kwa magazi (BP) .
• Kuchuluka kwa maselo ofiira m'magazi (Polycythemia) .
• Kutaya kulinganiza bwino zinthu, kuchepa kwa mgwirizano.
• Kutaya kukumbukira.

Kodi zifukwa zazikulu za Respiratory Acidosis ndi ziti?

Mavuto opuma ndiye omwe amayambitsa Respiratory Acidosis. Komabe, zifukwazi zimatha kusiyana kutengera mtundu wa Respiratory Acidosis yomwe muli nayo.

Zomwe Zimayambitsa Matenda Osatha a Acidosis:

• Kutupa kwa m'mapapo koopsa .
• Matenda a mitsempha monga Amyotrophic lateral sclerosis (ALS) kapena matenda a Lou Gehrig.
• Mphumu .
• Matenda osatha oletsa kupuma (COPD) .
• Matenda a mitsempha, monga multiple sclerosis (MS) ndi muscular dystrophy, amakhudza mitsempha yomwe imalamulira minofu yanu.
• Kunenepa kwambiri kumalepheretsa mapapo kukula bwino.
• Matenda a m'mapapo (pulmonary fibrosis ).
• Scoliosis .

Zifukwa za Acidosis Yovuta Kwambiri Yopumira:

• Mphumu .
• Matenda osatha oletsa kupuma (COPD) .
• Kugwiritsa ntchito kwambiri zinthu zomwe zimakhudza dongosolo la mitsempha, monga mowa, amphetamines, ndi opioids.
• Emphysema (kuwonongeka kwa matumba a mpweya m'mapapo).
• Chibayo .
• Kulephera kupuma mokwanira .

Kodi madokotala amazindikira bwanji Respiratory Acidosis?

Mukapita kwa dokotala, adzakufunsani za zizindikiro zanu ndikukuyesani thupi. Kenako angachite mayeso angapo kuti atsimikizire kupezeka kwa Respiratory Acidosis.

Ndi mayeso ati omwe akuchitidwa pa izi?

Dokotala akhoza kuyitanitsa mayeso monga awa:

• Mpweya wa m'magazi a m'mitsempha (ABG): Izi zimayesa kuchuluka kwa mpweya wa carbon dioxide ndi mpweya m'magazi.
• Gawo loyambira la kagayidwe kachakudya (BMP): Izi zimayesa mankhwala osiyanasiyana m'thupi ndipo zimayang'ana momwe mankhwala ndi kagayidwe kachakudya m'thupi zimagwirira ntchito.
• X-ray ya pachifuwa: Izi zimatenga chithunzi cha pachifuwa chanu, makamaka mapapo anu.
• Kuyezetsa magazi a carbon dioxide (CO2): Katemera kakang'ono ka magazi kamatengedwa kuchokera m'mitsempha yomwe ili m'dzanja ndipo kuchuluka kwa carbon dioxide m'magazi kumayesedwa.
• Kujambula kwa CT (Computed tomography - CT scan): Izi zimagwiritsa ntchito X-rays zingapo kuti zipange chithunzi cha mapapu anu cha magawo atatu (3D).
• Electrolyte panel: Izi zimayesa kuchuluka kwa ma electrolyte ena m'magazi. Ngati muli ndi acidosis yopuma, kuchuluka kwa ma electrolyte ena kungakhale kokwera kapena kotsika kuposa kwachizolowezi.
• Mayeso a ntchito ya m'mapapo (PFTs): Izi zimayesa momwe mapapu anu akugwirira ntchito.

Kodi Respiratory Acidosis imachiritsidwa bwanji?

Madokotala amachiritsa chomwe chimayambitsa acidosis ya kupuma. Izi zitha kuphatikizapo:

• Makina opumira mpweya (CPAP) opitilira: Izi zimagwiritsidwa ntchito pochiza matenda a kupuma movutikira, vuto lomwe limakulepheretsani kupuma mukamagona. Zimagwira ntchito pokupatsani mpweya wopanikizika nthawi zonse kudzera mu chigoba.
• Kupuma bwino pogwiritsa ntchito makina: Ngati muli ndi vuto lalikulu la acidosis yopuma, makina awa amagwiritsidwa ntchito kukuthandizani kupuma.
• Mankhwala: Ngati muli ndi vuto la matenda lomwe limakhudza mapapo anu kapena njira yopumira, dokotala wanu adzakupatsani mankhwala oyenera.
• Chithandizo cha okosijeni: Izi zimathandiza kuwonjezera kuchuluka kwa okosijeni m'magazi anu.

Kodi mankhwala otani omwe amaperekedwa a Respiratory Acidosis?

Pofuna kuchiza chifukwa chachikulu cha acidosis yopuma, dokotala wanu angagwiritse ntchito kapena kukupatsani mankhwala amodzi kapena angapo mwa awa:

• Mankhwala opha tizilombo toyambitsa matenda: Ngati pali matenda a bakiteriya m'mapapo, amathandiza kulimbana nawo.
• Ma bronchodilator: Izi zimamasula minofu yozungulira njira zopumira komanso zimathandiza kuchepetsa zizindikiro za matenda a m'mapapo.
• Mankhwala a Corticosteroids:Mankhwalawa amachepetsa kutupa komanso amathandiza kuchepetsa kupanga mamina m'njira zopumira.
• Mankhwala ochepetsa kuthamanga kwa magazi: Amathandiza kuchepetsa kuthamanga kwa magazi mwa kuchotsa madzi ochulukirapo m'thupi.
• Naloxone (Narcan®): Ngati mukukayikira kuti munthu wamwa mankhwala owonjezera opioid, madokotala angapereke mankhwalawa ngati mankhwala opopera m'mphuno kapena kudzera m'mitsempha.
• Mankhwala okuthandizani kusiya kusuta: Mapaketi a nikotini, ma lozenges, ndi chingamu zingakuthandizeni kusiya kusuta. Palinso mankhwala omwe alibe nikotini, monga Bupropion ndi Varenicline.

Kodi tingapewe bwanji Respiratory Acidosis?

Zinthu izi zingathandize kupewa zina mwa zomwe zingayambitse Respiratory Acidosis:

• Siyani kusuta fodya ndi kugwiritsa ntchito zinthu zopangidwa ndi fodya (monga ndudu zamagetsi, ma vape pen). Izi ndizofunikira kwambiri.
• Kuchita masewera olimbitsa thupi nthawi zonse.
• Khalani ndi kulemera koyenera komwe kungakuyenerereni.
• Ngati dokotala wanu wakupatsani mankhwala, gwiritsani ntchito makina a (CPAP) nthawi zonse.
• Samalani kwambiri mukamagwiritsa ntchito mankhwala ogonetsa, monga mapiritsi ogonetsa. Tsatirani malangizo omwe ali pa lebulo molondola, imwani kuchuluka kokha komwe mwapatsidwa, ndipo musawaphatikize ndi mowa.

Kumbukirani, zonsezi zimathandiza kuti mapapu anu akhale athanzi. Mapapu athanzi ndi chitetezo chabwino kwambiri ku matenda monga Respiratory Acidosis.

Kodi munthu amene ali ndi matenda a (Respiratory Acidosis) angayembekezere tsogolo lotani?

N'zovuta kwa madokotala kuneneratu momwe munthu amene ali ndi acidosis yopuma adzachira. Momwe mumachitira mukalandira chithandizo zimadalira zomwe zikuyambitsa zizindikiro zanu. Chifukwa chake ndi bwino kulankhula ndi dokotala. Pambuyo poyezetsa thupi ndi mayeso ena, iye angakuuzeni zomwe mungayembekezere.

Kodi tiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro zoopsa za respiratory acidosis, pitani kuchipatala mwamsanga. Komanso, ngati muli ndi vuto la m'mapapo ndipo zizindikiro zanu zikuipiraipira mwadzidzidzi, pitani kwa dokotala nthawi yomweyo.

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Mukapita kwa dokotala, musaiwale kufunsa mafunso awa:

• Kodi mungadziwe bwanji ngati ndili ndi (Respiratory Acidosis)?
• Ngati ndilibe Respiratory Acidosis, ndi vuto lina liti lomwe ndingakhale nalo?
• Kodi ndili ndi vuto la kupuma loopsa kapena losatha?
• Ndi mayeso ati omwe mumalimbikitsa kuti mutsimikizire (Respiratory Acidosis)?
• Kodi n’chiyani chimandipangitsa kukhala ndi Respiratory Acidosis?
• Kodi mukundilangiza chithandizo chanji?

Kodi kusiyana pakati pa (Respiratory Acidosis) ndi (Respiratory Alkalosis) ndi kotani?

• Acidosis yopuma ndi pamene mapapu anu sangathe kuchotsa mpweya wonse wa carbon dioxide womwe umapangidwa m'thupi lanu, zomwe zimapangitsa kuti pH ya magazi anu ikhale yotsika kuposa yachibadwa (acidity yambiri).
• Kupuma kwa mpweya (Respiratory alkalosis) ndi pamene pH ya magazi anu imakwera kuposa yachibadwa (alkaline yambiri) mukapuma mofulumira kwambiri (hyperventilation) ndikutulutsa carbon dioxide yambiri m'mapapu anu.

Kodi kusiyana pakati pa (Respiratory Acidosis) ndi (Metabolic Acidosis) ndi kotani?

• Matenda a kagayidwe kachakudya (metabolic acidosis) ndi kuchuluka kwa asidi m'madzi am'thupi. Amayamba chifukwa chakuti thupi lanu limapanga asidi wochuluka, kapena chifukwa chakuti impso zanu sizichotsa asidi wokwanira m'magazi.
• Matenda a kupuma otchedwa Respiratory Acidosis , monga tafotokozera kale, ndi kuchuluka kwa ma acid m'magazi chifukwa mapapo anu sangathe kuchotsa mpweya woipa m'thupi lanu mokwanira.

Pomaliza, zinthu zoti muzikumbukira

Matenda a Respiratory Acidosis ndi matenda oopsa omwe angawononge moyo wanu. Chifukwa chake, musanyalanyaze zizindikiro za Respiratory Acidosis. Zizindikirozi ndi njira yomwe thupi lanu limakuuzani kuti pali vuto ndipo muyenera kupeza thandizo nthawi yomweyo. Ngati muli ndi zizindikiro izi, onetsetsani kuti mwalankhula ndi dokotala. Iye akhoza kuzindikira Respiratory Acidosis ndikukupatsani chithandizo chabwino kwambiri. Thanzi lanu ndi udindo wanu!

Acidosis yopuma, kuvutika kupuma, acidity m'magazi, carbon dioxide, matenda a m'mapapo, chithandizo chadzidzidzi, dongosolo la kupuma