Uri kunetsekawo here kufema? Pamwe izvi ndizvo (Respiratory Acidosis) ! Ngatikurukurei.

Dzimwe nguva unonzwa sekunge une dambudziko rekufema here? Kana kuti wakamboona mumwe munhu waunoziva achinetseka kufema here? Dzimwe nguva hatinyatsotarisiri mamiriro ezvinhu akadaro, asi panogona kunge paine chikonzero chakakomba chiri shure kwazvo. Ndosaka chirwere chinoitika kana kufema kuchinetsa chinonzi Respiratory Acidosis. Ngatitaurei nezvazvo zvakadzama nhasi.

Chii ichi (Respiratory Acidosis)? Ngatinzwisise zviri nyore!

Zvichitaurwa zviri nyore, Respiratory Acidosis chirwere chinokonzerwa nekuti acidity yeropa redu inowedzera kupfuura mwero wenguva dzose , uye pH yeropa inodzikira . Waizviziva here kuti ropa redu rinofanirawo kuva ne pH yakati kuti rishande zvakanaka? Iyi pH chiyero chinoyera kuti ropa redu rine acid yakawanda sei uye base (kana alkaline). Chinotangira pa0 kusvika pa14. 0 ine acid yakawanda, uye 14 ine alkaline yakawanda. pH yeropa remunhu ane hutano inofanira kuva pakati pe7.35 ne7.45.

Zvino, unoziva here kuti nei (Respiratory Acidosis) ichiitika? Chirwere ichi chinoitika kana mapapu edu asingakwanise kubvisa zvakanaka gasi recarbon dioxide (CO2) rinogadzirwa mumuviri wedu. Kana chirwere ichi (Respiratory Acidosis) chikaitika kamwe kamwe, chinogona kuisa hupenyu panjodzi . Saka, kana ukangoerekana waomerwa nekufema kana kunzwa sekunge uri kudzipwa, unofanira kufonera 1990 nekukurumidza wotsvaga rubatsiro rwechiremba rwekukurumidzira .

Ndeapi marudzi makuru eRespiratory Acidosis?

Kune mhando mbiri huru dzechirwere ichi (Respiratory Acidosis):

1. Acute Respiratory Acidosis: Apa ndipo apo kabhoni dhayiokisaidhi inoungana mumapapu edu kamwe kamwe uye nekukurumidza zvikuru.

2. Chronic Respiratory Acidosis: Izvi zvinokura zvishoma nezvishoma, nekufamba kwenguva.

Dzimwe nguva mhando dzese dziri mbiri dzinogona kuitika pamwe chete. Kureva kuti, kana uine chirwere chisingaperi (Respiratory Acidosis), unogona zvakare kuva nechirwere cheAcute (Respiratory Acidosis) panguva imwe chete.

Ndiani anonyanya kubatwa nechirwere ichi (Respiratory Acidosis)?

Kutaura zvazviri, chirwere ichi chinonzi (Respiratory Acidosis) chinogona kuitika kune chero munhu. Chinonyanya kukonzerwa ne:

• Chirwere chemapapu chinokanganisa mapapu ako kana zvimwe zvikamu zvemuviri wako wekufema.
• Tsandanyama dziri muhurongwa hwako hwekufema hadzikwanisi kushanda zvakanaka kana kugadzira kumanikidzwa kwakakwana (kuneta kwetsandanyama dzekufema) .
• Mamwe mamiriro ezvinhu anokanganisa kufamba kwemhepo mumapapu ako.

Ndezvipi zviratidzo zveRespiratory Acidosis?

Zviratidzo zve respiratory acidosis zvinogona kusiyana kubva pamunhu kusvika pamunhu. Zvinoenderana nekuti wava nenguva yakareba sei uine chirwere ichi uye kuti chakakomba sei. Zviratidzo zvekutanga kuoneka ndeizvi:

• Kunzwa kutya uye kusagadzikana (Kunetseka) .
• Kuona kusina kujeka .
• Kuvhiringidzika , kuoma kuisa pfungwa pachinhu chimwe nechimwe.
• Cyanosis ganda rinoshanduka kuita bhuruu, pepuru, grey-green, grey, kana chena nekuda kwekushaikwa kweokisijeni.
• Musoro .
• Kutadza kufema zvakanaka, kunzwa kushaya mweya (Dyspnea) .
• Kufemera kwemhepo .

Ndezvipi zviratidzo zvichaonekwa kana mamiriro acho akawedzera kuipa?

Kana ukasawana mushonga weRespiratory Acidosis, kana kuti chirwere chacho chakanyanya kuipa, unogona zvakare kuona zviratidzo zvakaita se:

• Kunzwa kuneta zvakanyanya (Kuneta) .
• Kunzwa sekunge tsandanyama dzako dziri kugwinha kamwe kamwe (Myoclonus) .
• Kuchinja kwemaitiro.
• Kubatwa nepfungwa .
• Kushaya simba (coma) .

Ndezvipi zviratidzo zveChronic Respiratory Acidosis?

Muchirwere chisingaperi uye chenguva refu (Respiratory Acidosis), zviratidzo zvakaita seizvi zvinogona kuonekwa:

• Kunzwa kuneta, kunyanya masikati.
• Njodzi yekukundikana kwemoyo .
• Kukwira kweropa (BP) .
• Kuwedzera kwehuwandu hwemasero matsvuku eropa muropa (Polycythemia) .
• Kurasikirwa nekuenzana, kudzikira kwekubatana.
• Kurasikirwa nendangariro.

Ndezvipi zvikonzero zvikuru zveRespiratory Acidosis?

Matambudziko ekufema ndiwo anonyanya kukonzera Respiratory Acidosis. Zvisinei, zvikonzero izvi zvinogona kusiyana zvichienderana nerudzi rweRespiratory Acidosis yaunayo.

Zvinokonzera Kugara Uchifema Asidhi:

• Kuzvimba kwemapapu kwakanyanya .
• Zvirwere zvetsinga zvakaita seAmyotrophic lateral sclerosis (ALS) kana chirwere chaLou Gehrig.
• Asima .
• Chirwere chemapapu chinogara kwenguva refu (COPD) .
• Matambudziko etsinga dzemutsinga, akadai se multiple sclerosis (MS) uye muscular dystrophy, anokanganisa tsinga dzinodzora tsandanyama dzako.
• Kufuta kunodzivirira mapapu kukura zvakanaka.
• Kuora kwemapapu .
• Kurwara kwemusoro (scoliosis ).

Zvikonzero zveAcute Respiratory Acidosis:

• Asima .
• Chirwere chemapapu chinogara kwenguva refu (COPD) .
• Kushandisa zvakanyanya zvinhu zvinokanganisa tsinga dzemuviri, zvakaita sedoro, amphetamines, uye opioids.
• Emphysema (kukuvara kwemapapu ane mhepo).
• Chirwere chemabayo .
• Kutadza kufema zvakanaka pakurara .

Vanachiremba vanoongorora sei Respiratory Acidosis?

Kana ukaona chiremba, vachakubvunza nezvezviratidzo zvako uye voita bvunzo yemuviri. Vanogona kuita bvunzo dzakawanda kuti vasimbise kuongororwa kweRespiratory Acidosis.

Ndedzipi bvunzo dziri kuitwa pakuita izvi?

Chiremba anogona kuraira bvunzo dzakadai sedzinotevera:

• Gasi reropa reArterial (ABG): Izvi zvinoyera huwandu hwekabhoni dioxide neokisijeni muropa.
• Chikamu cheBasic metabolic panel (BMP): Ichi chinoyera makemikari akasiyana-siyana mumuviri uye chinotarisa kuenzana kwemakemikari mumuviri uye metabolism.
• X-ray yechipfuva: Izvi zvinotora mufananidzo wechipfuva chako, kunyanya mapapu ako.
• Kuongororwa kweropa reCarbon dioxide (CO2): Ropa diki rinotorwa kubva mutsinga iri muruoko uye huwandu hwecarbon dioxide muropa hunoyerwa.
• CT scan (Computed tomography - CT scan): Izvi zvinoshandisa X-rays dzakatevedzana kugadzira mufananidzo wemapapu ako une mativi matatu (3D).
• Panel yeElectrolyte: Iyi inoyera huwandu hwemamwe ma electrolyte muropa. Kana uine respiratory acidosis, mamwe ma electrolyte anogona kunge akakwira kana kuderera pane akajairwa.
• Kuongororwa kwebasa remapapu (PFTs): Izvi zvinoyera kuti mapapu ako ari kushanda zvakanaka sei.

Respiratory Acidosis inorapwa sei?

Vanachiremba vanorapa chikonzero chikuru cheacidosis yekufema. Izvi zvinogona kusanganisira:

• Muchina weCPAP unoshanda kurapa sleep apnea, chirwere chinoita kuti urege kufema paunenge wakarara. Unoshanda nekukupa mweya unomanikidzwa unoramba uchibuda kuburikidza nemasiki.
• Kufema kwemuchina: Kana uine acidosis yakanyanya yekufema, muchina uyu unoshandiswa kukubatsira kufema.
• Mishonga: Kana uine chirwere chinokanganisa mapapu ako kana nzira yekufema, chiremba wako achakupa mushonga wakakodzera.
• Kurapa neokisijeni: Izvi zvinobatsira kuwedzera huwandu hweokisijeni muropa rako.

Ndeipi mishonga inopiwa yeRespiratory Acidosis?

Kuti arape chikonzero chikuru che acute respiratory acidosis, chiremba wako anogona kushandisa kana kunyora imwe kana kupfuura yemishonga inotevera:

• Mishonga inorwisa mabhakitiriya: Kana paine hutachiona hwemabhakitiriya mumapapu, hunobatsira kurwisa.
• Mabronchodilator: Aya anozorodza tsandanyama dziri munzira dzekufema uye anorerutsa zviratidzo zvezvirwere zvemapapu.
• Corticosteroids:Iyi mishonga inoderedza kuzvimba uye inobatsirawo kuderedza kugadzirwa kwemate mumhepo.
• Mishonga inobvisa ropa mumuviri: Inobatsira kuderedza BP nekubvisa mvura yakawandisa mumuviri.
• Naloxone (Narcan®): Kana zvichifungidzirwa kuti munhu anwa opioid yakawanda kupfuura mwero, vanachiremba vanogona kuimwa semushonga wemumhino kana kuti netsinga.
• Mishonga inokubatsira kurega kusvuta: Mapatches eNicotine, ma lozenges, uye chewing gum zvinogona kukubatsira kurega kusvuta. Kunewo mishonga isina nicotine, yakaita seBupropion neVarenicline.

Tingadzivirira sei Respiratory Acidosis?

Zvinhu izvi zvinogona kubatsira kudzivirira zvimwe zvezvikonzero zvinogona kukonzera Respiratory Acidosis:

• Rega kusvuta uye kushandisa zvigadzirwa zvefodya (semuenzaniso e-cigarettes, vape pens). Izvi zvakakosha zvikuru.
• Rovedza muviri nguva dzose.
• Ramba uine huremu hwakanaka hunokunakira.
• Kana chiremba wako akakunyorera mushonga uyu, shandisa muchina we (CPAP) nguva dzose.
• Chenjerera zvikuru paunenge uchishandisa mishonga inonyaradza marwadzo, yakaita semapiritsi ekurara. Tevedzera mirayiridzo yakanyorwa zvakanaka, tora huwandu hwakatarwa chete, uye usambozvisanganisa nedoro.

Yeuka kuti zvese izvi zvinobatsira kuchengetedza mapapu ako aine hutano. Mapapu ane hutano ndiwo anonyanya kudzivirira zvirwere zvakaita seRespiratory Acidosis.

Munhu ane (Respiratory Acidosis) angatarisira remangwana rerudzii?

Zvakaoma kuti vanachiremba vafembere kuti munhu ane respiratory acidosis achapora sei. Maitiro aunoita kana warapwa zvinoenderana nekuti chii chiri kukonzera zviratidzo zvako. Saka zvakanaka kutaura nachiremba. Mushure mekuongororwa muviri wako nedzimwe bvunzo, anogona kukuudza zvaunotarisira.

Tinofanira kuona chiremba rini?

Kana uine zviratidzo zvakakomba zve respiratory acidosis, tsvaga rubatsiro rwechiremba nekukurumidza. Uyewo, kana uine chirwere chemapapu uye zviratidzo zvako zvikawedzera, enda kuna chiremba nekukasika.

Ndeipi mibvunzo inokosha yekubvunza chiremba?

Paunoenda kuna chiremba, usakanganwa kubvunza mibvunzo iyi:

• Unoziva sei kana ndine (Respiratory Acidosis)?
• Kana ndisina Respiratory Acidosis, ndechipi chimwe chirwere chandingawana?
• Ndine acidosis yekufema inouraya zvakanyanya here kana kuti isingaperi?
• Ndezvipi zviedzo zvamunokurudzira kuti musimbise (Respiratory Acidosis)?
• Chii chinoita kuti ndive neRespiratory Acidosis?
• Munondikurudzira kurapwa kupi?

Ndeupi musiyano uripo pakati pe (Respiratory Acidosis) ne (Respiratory Alkalosis)?

• Respiratory Acidosis inoitika kana mapapu ako asingakwanise kubvisa kabhoni dhayokisaidhi yese inogadzirwa mumuviri wako, zvichiita kuti pH yeropa rako ive yakaderera pane yakajairika (yakawanda ine acidity).
• Respiratory alkalosis inoitika kana pH yeropa rako yakwira kupfuura yakajairwa (yakawanda alkaline) paunofema nekukurumidza (hyperventilation) woburitsa carbon dioxide yakawandisa kubva mumapapu ako.

Chii chiri musiyano uripo pakati pe (Respiratory Acidosis) ne (Metabolic Acidosis)?

• Metabolic acidosis kuunganidzwa kweasidhi mumuviri wako. Inokonzerwa nemuviri wako kugadzira acid yakawandisa, kana kuti itsvo dzako hadzibvisi acid yakakwana muropa rako.
• Respiratory Acidosis , sezvambotaurwa, kuunganidzwa kwemaacid muropa nekuti mapapu ako haakwanise kubvisa carbon dioxide mumuviri wako zvakakwana.

Pakupedzisira, zvinhu zvekurangarira

Respiratory Acidosis chirwere chakakomba chinogona kuisa hupenyu panjodzi. Saka, usambofa wakafuratira zviratidzo zveRespiratory Acidosis. Zviratidzo izvi inzira yemuviri wako yekukuudza kuti pane chakaipa uye unofanirwa kuwana rubatsiro nekukasika. Kana uine chimwe chezviratidzo izvi, iva nechokwadi chekutaura nachiremba. Iye anogona kuongorora Respiratory Acidosis uye kukupa mushonga wakanakisa. Hutano hwako ibasa rako!