Kodi mukumva chizungulire kapena dzanzi m'miyendo mwanu mukamapuma mofulumira? Izi zitha kukhala Respiratory Alkalosis!

Kodi munayamba mwamvapo ngati mukupuma mofulumira, chizungulire, kapena dzanzi pamene munali ndi mantha kwambiri kapena kukwiya kwambiri? Nthawi zina mumakhala dzanzi kuzungulira pakamwa panu. Mungamvenso ngati chifuwa chanu chatsekedwa. Ngakhale anthu ambiri amaganiza kuti izi ndi zachilendo, matenda omwe ali kumbuyo kwa izi ndi omwe tikukamba lero amatchedwa 'Respiratory Alkalosis'. Ngakhale dzinali likumveka ngati nkhani yaikulu, musachite mantha. Tiyeni tikambirane za izi mosavuta komanso momveka bwino.

Kodi Respiratory Alkalosis ndi chiyani? Tiyeni timvetse mosavuta.

Mwachidule, Respiratory Alkalosis ndi pamene kuchuluka kwa Carbon Dioxide (CO2) m'magazi anu kumachepa, zomwe zimapangitsa kusintha kwa acid-base balance m'magazi anu.

Taganizirani izi, tikamapuma, timalandira mpweya ndi kutulutsa mpweya wa carbon dioxide, eti? Iyi ndi njira yachibadwa m'thupi lathu. Koma tikamapuma mofulumira kwambiri, ndiko kuti, tikapuma mopitirira muyeso , thupi lathu limatulutsa mpweya wa carbon dioxide wochuluka kuposa womwe limafunikira.

Mpweya wa kaboni dayokisaidi ndi mpweya womwe umawonjezera asidi m'magazi athu. Tsopano, chimachitika ndi chiyani tikatulutsa asidi wochuluka m'thupi lathu? Asidi m'magazi amachepa ndipo kuchuluka kwa alkaline kumawonjezeka. Zili ngati kuchotsa laimu mu kapu yamadzi yomwe ili ndi laimu pang'ono, ndipo kuwawa kwake kumatha.

Mulingo wa acid-base m'magazi athu umayesedwa ndi mtengo wotchedwa pH . pH ya magazi a munthu wathanzi iyenera kukhala pakati pa 7.35 ndi 7.45 . Mu Respiratory Alkalosis, pH iyi imakwera pamwamba pa 7.45 chifukwa cha kuchepa kwa carbon dioxide.

Kodi zizindikiro zofala kwambiri za Respiratory Alkalosis ndi ziti?

Pamene mpweya wa carbon dioxide ukutsika ndipo pH ya magazi ikasintha, zimakhudza mitsempha ndi minofu yathu. Ndicho chifukwa chake timayamba kumva zizindikiro zosiyanasiyana. Zizindikirozi zimatha kubwera mwadzidzidzi, makamaka ngati mupuma mofulumira kwa nthawi yayitali.

Mukhoza kuphunzira zambiri za makhalidwe awa kuchokera pa tebulo ili m'munsimu.

Kodi n’chiyani chingayambitse vutoli?

Tsopano tikudziwa kuti kupuma movutikira kumachitika chifukwa cha kupuma mofulumira kwambiri (hyperventilation). Chifukwa chake, chilichonse chomwe chimatipangitsa kupuma mofulumira kwambiri chingakhale chifukwa. Izi zitha kukhala kuyambira pazifukwa zosavuta zamaganizo mpaka matenda aakulu.

Zifukwa za Maganizo

Ichi ndiye chifukwa chofala kwambiri.

• Nkhawa kapena Mantha:Mukakhala ndi mantha kwambiri kapena nkhawa, mpweya wanu umathamanga kwambiri. Tangoganizani kuti mwachita mantha kwambiri mutatha mayeso. Kapena mukamamva kuti mwadzimbidwa pamalo odzaza anthu. Kenako kupuma kwanu kungawonjezereke ndipo zizindikirozi zingachitike.
• Ululu waukulu: Ululu waukulu m'thupi ungayambitsenso kupuma mofulumira.
• Mkwiyo kapena kupsinjika maganizo kwambiri: Kupsinjika maganizo kwambiri ndi komwe kumayambitsa izi.

Zomwe Zimayambitsa Thupi ndi Matenda

• Malungo: Kutentha kwa thupi kukakwera, kagayidwe ka thupi m'thupi kamathamanga, zomwe zingawonjezerenso kuthamanga kwa mpweya.
• Mimba: Pa nthawi ya mimba, kusintha kwa mahomoni ndi kupanikizika kwa diaphragm komwe kumachitika chifukwa cha mwana amene akukula mwachibadwa kumapangitsa kuti kupuma kukhale kofulumira pang'ono.
• Matenda oopsa (Sepsis): Mu matenda oopsa omwe amakhudza thupi lonse, monga sepsis.
• Kulephera kwa Chiwindi: Kulephera kugwira ntchito kwa chiwindi.
• Hyperthyroidism: Kuthamanga kwa ntchito za thupi chifukwa cha kugwira ntchito mopitirira muyeso kwa chithokomiro.
• Kuvulala Mutu: Kuwonongeka kwa malo owongolera kupuma muubongo.
• Kugwiritsa ntchito Nikotini: Kumwa nikotini kudzera mu kusuta fodya, kusuta fodya, ndi zina zotero.

Matenda a Kupuma

Nthawi zina, thupi likapanda kupeza mpweya wokwanira (vuto lotchedwa hypoxia ), thupi limayesetsa kupuma mofulumira. Komabe, izi zingayambitse kutulutsidwa kwa carbon dioxide wochuluka, zomwe zimapangitsa kuti munthu ayambe kupuma movutikira.

• Chibayo
• Kutsekeka kwa M'mapapo
• Matenda Ovuta Kwambiri Okhudza Kupuma (ARDS)

Zifukwa zina

• Kumwa mankhwala mopitirira muyeso monga aspirin: Mankhwala ena, akamwedwa mopitirira muyeso, amatha kuyambitsa kupuma muubongo.
• Kupuma Moyenera: Vutoli lingachitike mwa wodwala wolumikizidwa ndi makina opumira m'chipinda chosamalira odwala kwambiri m'chipatala ngati makinawo sanakonzedwe bwino.

Kodi mwapeza bwanji izi, Dokotala?

Mukapita kukaonana ndi dokotala yemwe ali ndi zizindikirozi, choyamba adzakufunsani mafunso, kudziwa za zizindikiro zanu komanso nthawi yomwe zimawonekera. Kenako adzakuyesani.

Kuyesa kwakukulu kotsimikizira vutoli molondola ndi mayeso a Arterial Blood Gas (ABG) .

Kuphatikiza apo, dokotala angafunenso kuyitanitsa mayeso ena kuti apeze chomwe chikuyambitsa vutoli.

• Kuyeza kuchuluka kwa mpweya m'magazi pogwiritsa ntchito chipangizo chaching'ono chofanana ndi chogwirira chala.
• Kujambula pachifuwa X-ray kapena CT scan: Kuti muwone ngati pali vuto m'mapapo.
• Mayeso ena a magazi: Mayeso monga kuwerengera magazi konse (CBC) kapena basic metabolic panel (BMP) yomwe imayang'ana kuchuluka kwa mchere m'thupi.
• Mayeso a Ntchito ya M'mapapo: Yang'anani ngati mukufooka pa kupuma kwanu.

Kodi mankhwala ochizira izi ndi otani?

Chofunika kwambiri kumvetsetsa apa ndichakuti Respiratory Alkalosis ndi chizindikiro osati matenda. Izi zikutanthauza kuti akamachichiza, madokotala amaika chidwi chawo chachikulu osati pa chizungulire kapena dzanzi, koma pa chomwe chimayambitsa vutoli.

• Ngati chifukwa chake ndi matenda , maantibayotiki amaperekedwa.
• Ngati chifukwa chake ndi magazi kuundana m'mapapo , mankhwala ochepetsa magazi adzaperekedwa kuti asungunule magazi kuundana.
• Ngati chifukwa chake ndi nkhawa , pali njira zothetsera vutoli, ndipo mwina mankhwala angakupatseni.

Ngati nthawi zambiri mumadzipeza mukupuma movutikira chifukwa cha nkhawa, pali chinthu chosavuta chomwe mungachite. Ndicho kuyesa kulamulira kupuma kwanu. Yesani kupuma modekha, pang'onopang'ono, komanso mozama.

Kodi ndiyenera kupita ku dokotala? Kodi ndiyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU)?

Funso ili ndi lofunika kwambiri, chifukwa nthawi zina zizindikirozi zimatha kukhala chizindikiro cha matenda aakulu. Chifukwa chake, ndikofunikira kudziwa nthawi yoti mukaonane ndi dokotala komanso nthawi yoti mupite kuchipatala nthawi yomweyo.