Chizungulire chomwe chimabwera chifukwa cha kuchuluka kwa mpweya wopuma? Tiyeni tikambirane za Respiratory Alkalosis

Kodi munayamba mwamvapo ngati kupuma kwanu kukukwera chifukwa cha mantha kapena nkhawa, kapena mutu wanu ukugwedezeka kapena miyendo yanu ikugwedezeka? Kapena kodi zimachitika mukakhala ndi malungo? Iyi ndi mbali imodzi ya matenda otchedwa Respiratory Alkalosis yomwe tikambirana lero. Palibe choopa, tiyeni timvetse izi mosavuta.

Mwachidule, kodi Respiratory Alkalosis ndi chiyani?

Kupuma kwa Alkalosis ndi pamene kuchuluka kwa kaboni dayokisaidi m'magazi mwanu kumachepa, zomwe zimapangitsa kuti acid-base balance yamagazi anu isinthe. Kuyeza kwa pH iyi kumatchedwa pH value. Pankhaniyi, pH yamagazi anu imakwera kuposa milingo yabwinobwino. Taganizirani izi, tikamapuma mpweya, timatenga kaboni dayokisaidi, ndipo tikamapuma, timatulutsa kaboni dayokisaidi. Koma mukapuma mofulumira kwambiri, ndiko kuti, mukapuma mopitirira muyeso , mumatulutsa kaboni dayokisaidi wochuluka kuposa momwe thupi lanu limafunira. Pamenepo ndiye pamene kuchuluka kwa kaboni dayokisaidi m'magazi mwanu kumachepa ndipo pH imakwera. Nthawi zambiri, pH yamagazi anu iyenera kukhala pakati pa 7.35 ndi 7.45. Ikakwera pamwamba pa 7.45, timaitcha Alkalosis.

Kusiyana Pakati pa Acidosis Yopuma ndi Alkalosis

Izi ndi zochitika ziwiri zosiyana.

• Alkalosis Yopuma: pH ya magazi pamwamba pa 7.45 (magazi amakhala amchere).
• Kupuma kwa Acidosis: Kutsika kwa pH ya magazi pansi pa 7.35 (kuchuluka kwa acid m'magazi).

Ndi zizindikiro ziti zomwe mungakumane nazo mu mkhalidwe uwu?

Vutoli likachitika, munthu aliyense akhoza kukhala ndi zizindikiro zosiyanasiyana. Koma pali zizindikiro zina zomwe zimawoneka kawirikawiri. Tiyeni tiwone zomwe zili.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Monga tafotokozera kale, chifukwa chachikulu cha izi ndi kupuma mofulumira, komwe kumatchedwa `(hyperventilation)`. Koma funso ndi lakuti, nchifukwa chiyani timapuma mofulumira chonchi? Pakhoza kukhala zifukwa zambiri za izi. Mapapu, impso, ndi machitidwe ena amagwira ntchito limodzi kuti asunge bwino mankhwala m'thupi lathu. Zili ngati kulinganiza mlatho wa cork. Kulinganiza pakati pa carbon dioxide `(CO2)`, madzi `(H2O)`, bicarbonate `(HCO3)`, ndi hydrogen `(H+)` ayoni ndikofunikira pano. Tikapuma mofulumira, `CO2` imatulutsidwa ndipo kulinganiza kumeneku kumasokonezeka. Nazi zina mwa zifukwa zazikulu zomwe zimakhudza vutoli `(hyperventilation)`:

Kodi dokotala amapeza bwanji izi?

Ngati muli ndi zizindikiro izi, chinthu choyamba chomwe dokotala angachite ndikukufunsani funso. Kenako, angachite mayeso angapo kuti atsimikizire vutoli ndikupeza chomwe chikuyambitsa. Kuyesa kofunikira kwambiri ndi kuyesa kwa Arterial Blood Gas (ABG) . Izi zimaphatikizapo kutenga chitsanzo cha magazi kuchokera mumtsempha wamagazi womwe uli m'dzanja lanu ndikuyesa kuchuluka kwa mpweya ndi carbon dioxide womwe uli mmenemo, komanso pH. Kuphatikiza apo, angachite mayeso otsatirawa kuti apeze chomwe chikuyambitsa:

• Pulse Oximetry: Chipangizo chomwe chimamangirira pa chala ndikuyesa kuchuluka kwa mpweya m'magazi.
• Mayeso a ntchito ya m'mapapo .
• Mayeso ena a magazi : Mwachitsanzo, `( Kuchuluka kwa Magazi Okwanira - CBC)` ndi `( Basic Metabolic Panel - BMP)`.
• X -ray ya pachifuwa kapena CT scan .

Kodi imachiritsidwa bwanji?

Chofunika kumvetsetsa apa ndichakuti madokotala sachiza matenda otchedwa Respiratory Alkalosis okha, koma amachiza matenda omwe amayambitsa matendawa.Ngati mumakhala ndi nkhawa nthawi zonse ndipo kupuma kwanu kumawonjezeka, pali mankhwala omwe alipo. Zochita zolimbitsa thupi zopumira komanso upangiri zingathandize. Anthu ena angafunikenso mankhwala. Mwina mudamvapo za kupuma m'thumba la pepala mukakhala ndi nkhawa. Izi zimaphatikizapo kupuma mpweya wa carbon dioxide womwe mumapuma. Izi zingathandize kuchepetsa kuchuluka kwa CO2 m'magazi mwanu. Komabe, ndikofunikira kufunsa dokotala musanachite izi.

Kodi ndiyenera kupita liti kwa dokotala? Kodi ndiyenera kupita liti ku ETU?

Funso ili ndi lofunika kwambiri chifukwa nthawi zina pangakhale chifukwa chachikulu chomwe chimayambitsa vutoli.

Nthawi yoti mukaonane ndi dokotala

Ngati mumakumana ndi zizindikiro zilizonse zomwe zatchulidwa m'nkhaniyi pafupipafupi, kapena ngati mukumva ngati mukupuma mofulumira nthawi zonse, pitani kwa dokotala mwachangu momwe mungathere. Izi zidzakuthandizani kudziwa chomwe chikuyambitsa vutoli ndikupereka chithandizo chofunikira.

Nthawi yoti mupite ku ETU (Emergency Treatment Unit) nthawi yomweyo

Ngati muli ndi zizindikiro zazikulu zotsatirazi, pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala nthawi yomweyo.

• Ngati zikumveka ngati kukomoka (Kugwidwa ndi khunyu).
• Ngati chikumbumtima chanu chasokonekera, ngati simungathe kumvetsetsa zomwe zikuchitika mozungulira inu (kusintha kwa maganizo).
• Ngati milomo yanu, misomali, kapena khungu lanu lasanduka labuluu.
• Ngati mukumva kufooka kwambiri.
• Kutaya chidziwitso.

Kodi vutoli lingapewedwe?

Popeza pali zifukwa zambiri zomwe zimayambitsa matenda a kupuma, si zonse zomwe zingapewedwe. Koma pali zinthu zina zomwe mungachite kuti muchepetse chiopsezo chanu:

• Sinthani kupsinjika maganizo ndi nkhawa. Zinthu monga kusinkhasinkha, yoga, ndi masewera olimbitsa thupi opumira zingathandize. Pezani thandizo la akatswiri ngati pakufunika.
• Pewani kusuta fodya, kusuta fodya, kapena kugwiritsa ntchito zinthu zomwe zili ndi nikotini.
• Dzitetezeni ku matenda. Sambani m'manja nthawi zambiri ndipo landirani katemera wanu pa nthawi yake.

Thupi lathu lili ngati gulu la oimba. Chiwalo chilichonse chimalumikizana ndipo chimagwira ntchito mogwirizana kuti thupi likhale bwino. Nthawi zina, gawo lina, monga gawo lomwe limalamulira kupuma, limasokonekera. Pamenepo ndi pomwe matenda monga alkalosis amachitikira. Nthawi zambiri, kupuma kwa alkalosis sikoopsa. Koma chifukwa chake chingakhale chachikulu. Chifukwa chake, ngati muli ndi zizindikiro, ndi bwino kupita kwa dokotala ndikupeza chomwe chimayambitsa popanda kuzinyalanyaza. Kupuma kwa Alkalosis, kupuma movutikira, kupuma movutikira, chizungulire, dzanzi la miyendo, pH ya magazi, carbon dioxide, kupuma kwa alkalosis