Wakamboona munhu achifema nekukurumidza uye zvakadzama, sekunge achangopedza kumhanya kwenguva refu, asina kana simba rekudzora? Asi akanga asiri kumhanya. Izvi ndizvo zvatinowanzoti 'Kussmaul breathing', izvo zvatinoona sechiratidzo chechirwere chine njodzi. Izvi hazvisi kungofungidzira chete, asi nyevero yakakomba kubva mumuviri. Saka, ngatinzwisise izvi chaizvo nhasi.
Chii chinonzi Kussmaul Breathing?
Zvichitaurwa zviri nyore, kufema kwaKussmohl kufema kunokurumidza, kwakadzika, uye kune mutinhimira. Imhando yechirwere chinonzi hyperventilation.
Fungidzira, pane dambudziko guru mumuviri wedu. Kureva kuti, huwandu hweasidhi muropa hunowedzera kusvika padanho rine njodzi. Mukurapa, tinodana izvi kuti metabolic acidosis . Kana izvi zvikaitika, muviri unoedza kubvisa iyi acid yakawandisa. Imwe yenzira dzakanakisisa dzekuita izvi ndeyekuburitsa carbon dioxide. Nekuti carbon dioxide zvakare iasidhi huru muropa. Saka, muviri unofema nekukurumidza uye zvakadzama kuti ukurumidze kuburitsa iyi acid.
Izvi zvakafanana nekuedza kwemuviri kuzviponesa. Ndosaka munhu anoona izvi achiita seari kutambura ne "nzara yemhepo."
Chinhu chakakosha ndechekuti munhu ari kufema nenzira iyi haakwanise kuzvidzora. Imhinduro yemuviri wega kune chimwe chirwere chiripo. Saka, kufema kweKussmohl idambudziko rehutano. Kana iwe kana mumwe munhu waunoziva ari kufema nenzira iyi, unofanira kuenda naye kuchipatara nekukurumidza.
Izvi zvakasiyana sei nekufema kwakajairika nedzimwe nzira dzekufema?
Dzimwe nguva maitiro aya ekufema anogona kuvhiringidzwa. Asi pane misiyano mikuru. Ngatitarisei misiyano mikuru.
| Maitiro ekufema | Musiyano mukuru | Chikonzero chinonyanya kuzivikanwa |
|---|---|---|
| Kufema kweKussmaul | Kufema nekukurumidza, kwakadzika, uye kune mutinhimira. Kuedza kuderedza acidity yemuviri. | Chirwere cheshuga chinonzi ketoacidosis (DKA). |
| Kufema kweCheyne-Stokes | Kufema kunokurumidza, kudzika, kunonoka zvakare, uye kunomira kwechinguva. Mutinhimira unoramba uchichinja. | Kukundikana kwemoyo, sitiroko. |
| Kufema kwakanyanya | Kufema nekukurumidza kana kwakadzika, kazhinji kunokonzerwa nekushushikana, kuzvidya mwoyo, kana kutya. | Kunetseka, kutya kukuru. |
Ndezvipi zvikonzero zvikuru zvekufema kweKussmohl?
Sezvatakambokurukura, chikonzero chikuru chirwere chinonzi metabolic acidosis. Izvi zvinoreva kuti acidity muropa inowedzera. Chikonzero chikuru uye chinowanzoonekwa cheizvi zvirwere zvine chekuita nechirwere cheshuga.
Chikonzero chikuru: Chirwere cheshuga Ketoacidosis (DKA)
Ichi ndicho chinonyanya kukonzera kufema kweKussmohl. DKA idambudziko rinotyisidzira hupenyu, asi rinorapika, rinogona kuitika kumunhu ane chirwere cheshuga.
- Chii chinoitika muDKA?: Kana muviri usina insulin yakakwana, hormone inokosha kuti muviri ushandise glucose sesimba, muviri unotanga kupisa mafuta kuti uwane simba.
- Dambudziko rinotanga pano: Paunopisa mafuta, makemikari anonzi ma ketone anoungana muropa semugumisiro. Ma ketone aya rudzi rweasidhi.
- Mugumisiro: Kana ma ketone aya akaungana muropa remunhu ane chirwere cheshuga, acidity (pH) yeropa inodonha zvine njodzi.
- Kupera kwechikamu: Kufema kweKussmohl chiratidzo chekupera kweDKA kwakanyanya. Kunogona kutokonzera rufu kana kukasarapwa nekukasika.
Ndezvipi zvimwe zvikonzero?
Pamusoro peDKA, kune zvimwe zvikonzero zvinogona kukanganisa kufema kweKussmohl.
- Kukundikana kweitsvo: Kana itsvo dzikatadza kubvisa maasidhi kuburikidza neweti, maasidhi anoungana muropa. Izvi zvinogona kukonzera zvirwere zvakaita se "Renal tubular acidosis".
- Sepsis:Utachiona hwapinda mumuviri hunova hwakaoma zvikuru.
- Kumedzwa kwechepfu dzakati wandei: Semuenzaniso, kana chepfu yakaita semethanol ikamedzwa, muchiitiko chakadaro, munogona kufonera National Poison Information Center paColombo National Hospital kuti muwane mazano.
- Dambudziko rekushandisa doro.
- Kukundikana kwenhengo huru dzakadai semwoyo nechiropa.
- Zvimwe zvirwere zvakaita sekenza .
Nzira yekurapa uye kudzivirira chirwere ichi?
Nekuti kufema kweKussmohl chiratidzo, kurapwa kwakanangana nechirwere chakakonzera. Kurapa kunowanzoitirwa muchipatara.
Vanachiremba vanowanzopa mishonga yeropa (IV) uye maelectrolyte kuti vadzorere acid-base balance muropa. MuDKA, insulin yeropa (IV) inopinzwa muropa inokosha.
Chinhu chinonyanya kukosha kudzivirira chirwere ichi, kunyanya DKA.
- Kana uine chirwere cheshuga: Tarisa huwandu hweshuga yako muropa nguva nenguva. Inwa insulin yako nemimwe mishonga sezvawakarairwa nachiremba wako nenguva. Kana uchirwara (senge nedzihwa kana furuu), uri panjodzi huru yekubatwa neDKA, saka taura nachiremba wako nezvekuti ungabata sei chirwere chako cheshuga panguva iyi.
- Chirwere cheshuga chisati chaonekwa: DKA yakaoma kudzivirira. Saka, kuziva zviratidzo zvayo zvinogona kuponesa hupenyu.
| Zviratidzo zvinonyevera zvechirwere cheshuga ketoacidosis (DKA) | |
|---|---|
| Zviratidzo Zvekutanga | |
| |
| Zviratidzo Zvakanyanya | |
|
Kana iwe kana mwana wako muine zviratidzo izvi, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika, pasina kunonoka.
Mharidzo Yekuenda Nayo Kumba
- Kufema kwaKussmohl hakuna kunaka. Ichi chiratidzo chedambudziko guru rehutano, rakadai se metabolic acidosis.
- Chikonzero chikuru cheizvi chirwere cheshuga chinonzi ketoacidosis (DKA), dambudziko guru rechirwere cheshuga.
- Iyi inyaya yekurapa. Kana ukaona munhu achifema seizvi, muendese kuchipatara kuEmergency Department (ETU) nekukasika.
- Kana uine chirwere cheshuga, kuchirapa nemazvo ndiyo nzira yakanakisisa yekudzivirira DKA. Tevedzera mirairo yachiremba wako.
- Ziva zviratidzo zvekutanga zveDKA, zvakaita senyota yakawandisa, kuita weti kakawanda, uye kunhuhwirira kwemuchero. Ita chiito nekukurumidza, pane kumirira shanduko mukufema.
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