Wakambonzwa here kuti kufema kwako kuri kuwedzera nekuda kwekutya kana kuzvidya mwoyo, kana kuti musoro wako uri kunzwa dzungu kana nhengo dzako dzichinzwa kusanzwa? Kana kuti zvinoitika here kana uine fivha? Ichi chimwe chezvinhu zvechirwere chinonzi Respiratory Alkalosis chatichataura nezvacho nhasi. Hapana chekutya, ngatinzwisisei izvi zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi Respiratory Alkalosis?
Respiratory Alkalosis inyaya yekuti huwandu hwecarbon dioxide muropa rako hunoderera, zvichiita kuti acid-base balance yeropa rako ichinje. Kuyerwa kwechiyero ichi kunonzi pH value. Muchiitiko ichi, pH value yeropa rako inowedzera kupfuura mwero wakajairika. Funga nezvazvo, patinofema okisijeni, tinotora carbon dioxide, uye patinoburitsa mweya, tinoburitsa carbon dioxide. Asi paunofema nekukurumidza, ndiko kuti,
paunofema zvakanyanya , unoburitsa carbon dioxide yakawanda kupfuura inodiwa nemuviri wako. Ndipo apo huwandu hwecarbon dioxide muropa rako hunoderera uye pH value inowedzera. Kazhinji, pH value yeropa rako inofanira kunge iri pakati pe7.35 ne7.45. Kana ikawedzera pamusoro pe7.45, tinoidaidza kuti Alkalosis.
Musiyano Pakati peRespiratory Acidosis neAlkalosis
Izvi zviviri mamiriro maviri akasiyana.
- Respiratory Alkalosis: pH yeropa iri pamusoro pe7.45 (ropa rinova alkaline).
- Respiratory Acidosis: Kudzikira kwe pH yeropa pasi pe7.35 (acidization yeropa).
Ndezvipi zviratidzo zvaungaona mumamiriro ezvinhu aya?
Kana chirwere ichi chikaitika, munhu wese anogona kusangana nezviratidzo zvakasiyana. Asi pane zvimwe zviratidzo zvinonyanya kuitika. Ngationei kuti chii.
| Chiratidzo | Zvinonzwa sei |
|---|
| Dzungu/musoro wakareruka | Zvinganzwa sekunge hapana chinhu chinorema mumusoro mako, uye zvingava zvakaoma kumira. |
| Kuvhiringidzika | Ungangonzwa kuvhiringidzika kuti uri kupi uye kuti uri kuitei. |
| Kushaya simba (Paresthesia) | Zvinonzwa sekunge nhengo dzako dzakarara, sekunge masvosve ari kumhanya-mhanya. Izvi zvinogona kunzwikwa kunyanya pamiromo nepaminwe. |
| Kusimba kwechipfuva | Zvinoita sekunge zvakaoma kufema, sekunge mumwe munhu ari kukudzvanya chipfuva. |
| Kusvotwa | Kunzwa kuda kurutsa, sekunge wava kuda kurutsa. |
| Kuneta | Kunzwa sekuti hauna simba zvekuti haugone kuita chero chinhu. |
Sei izvi zvichiitika? Ndezvipi zvikonzero?
Sezvatakambokurukura, chikonzero chikuru cheizvi kufema nekukurumidza, kunonzi `(hyperventilation)`. Asi mubvunzo ndewokuti, sei tichifema nekukurumidza kudaro? Panogona kuva nezvikonzero zvakawanda zveizvi. Mapapu, itsvo, nedzimwe nzira dzinoshanda pamwe chete kuchengetedza kuenzana kwemakemikari mumuviri wedu. Zvakafanana nekubatanidza zambuko rekork. Kuenzana pakati pe carbon dioxide `(CO2)`, mvura `(H2O)`, bicarbonate `(HCO3)`, uye hydrogen `(H+)` ions kwakakosha pano. Patinofema nekukurumidza, `CO2` inoburitswa uye kuenzana uku kunokanganiswa. Heano mamwe ezvikonzero zvikuru zvinokanganisa mamiriro aya `(hyperventilation)`:
| Chikonzero | Zvinokanganisa sei? |
|---|
| Zvikonzero zvepfungwa | Munguva dzekuzvidya mwoyo kwakanyanya uye kurwiswa nekutya, mwero wekufema kwedu unowedzera tisingatombozvizivi. |
| Zvikonzero zvemuviri | Kufema kunogonawo kuwedzera nekuda kwekuchinja kwemuviri, kwakadai sekurwadziwa kwakanyanya, fivha yakanyanya, pamuviri, chirwere chechiropa, uye hyperthyroidism. |
| Matambudziko ehutano akakomba | Muzvirwere zvakakomba zvakaita se sepsis, pulmonary embolism, uye pneumonia, mwero weokisijeni mumuviri unodzikira. Mukupindura, muviri unoedza kufema nekukurumidza. |
| Zvimwe zvikonzero | Izvi zvinogonawo kukonzerwa nekushandisa mishonga yakawandisa yakadai seaspirin, kukuvara mumusoro, kushandisa nicotine (kusvuta), uye kubatanidzwa nemuchina wekufema wekugadzira (mechanical ventilation). |
Chiremba anowana sei izvi?
Kana uine zviratidzo izvi, chinhu chekutanga chinoitwa nachiremba ndechekukubvunza mubvunzo. Zvadaro, vanogona kuita bvunzo shoma kuti vasimbise chirwere chacho uye vaone chikonzero chacho. Bvunzo inonyanya kukosha ndeyekuyedzwa
kweArterial Blood Gas (ABG) . Izvi zvinosanganisira kutora sampuro diki yeropa kubva mutsinga iri muruoko rwako uye kuyera huwandu hweoxygen necarbon dioxide mairi, pamwe nepH. Pamusoro pezvo, vanogona kuita bvunzo dzinotevera kuti vaone chikonzero chacho:
Inorapwa sei?
Chinhu chakakosha kunzwisisa pano ndechekuti vanachiremba havarapi chirwere chinonzi Respiratory Alkalosis pachacho.
Vanorapa chirwere chakakonzera chirwere ichi. Semuenzaniso, kana chikonzero chiri hutachiona, chiremba wako achakupa mishonga inorwisa mabhakitiriya . Kana chikonzero chiri ropa rakagwamba mumapapu ako, uchapihwa mishonga inorwisa ropa kuti inyungudike.
Kana uchigara uchinetseka uye kufema kwako kuchikwira, kune mishonga iripo. Kurovedza muviri nekupa mazano zvinogona kubatsira. Vamwe vanhu vangangodawo mishonga. Ungave wakambonzwa nezvekufemera mubhegi repepa paunenge uchinetseka. Izvi zvinosanganisira kufema zvakare mucarbon dioxide yaunoburitsa. Izvi zvinogona kubatsira kuderedza huwandu hweCO2 muropa rako. Zvisinei,
zvakakosha kubvunza chiremba usati waita izvi. Ndinofanira kuona chiremba riini? Ndinofanira kuenda kuETU riini?
Uyu mubvunzo unokosha zvikuru nekuti dzimwe nguva panogona kunge paine chikonzero chakakomba chiri shure kwawo.
Nguva yekuona chiremba
Kana ukasangana nezviratidzo zvataurwa munyaya ino kakawanda, kana kuti uchinzwa sekunge uri kufema nekukurumidza nguva dzose,
enda kuna chiremba nekukurumidza. Izvi zvichabatsira kuona chikonzero uye kupa kurapwa kwakakodzera.
Nguva yekuenda kuETU (Emergency Treatment Unit) nekukasika
Kana uine chimwe chezviratidzo zvikuru zvinotevera, enda kuchipatara
kuEmergency Department (ETU) nekukasika.
- Kana zvichiita sekunge uri kurwara (Seizures).
- Kana pfungwa dzako dzisina kugadzikana, kana usingakwanise kunzwisisa zviri kuitika zvakakupoteredza (mamiriro epfungwa akachinja).
- Kana miromo yako, nzara, kana ganda rako zvikaita bhuruu.
- Kana uchinzwa usina simba zvakanyanya.
- Kurasikirwa nepfungwa.
Mamiriro ezvinhu aya anogona kudzivirirwa here?
Nekuti kune zvakawanda zvinokonzera kufema alkalosis, hazvisi zvese zvinogona kudzivirirwa. Asi pane zvimwe zvaunogona kuita kuderedza njodzi yako:
- Dzora kushushikana nekuzvidya mwoyo. Zvinhu zvakaita sekufungisisa, yoga, uye maekisesaizi ekufema zvinogona kubatsira. Tsvaga rubatsiro rwenyanzvi kana zvichidikanwa.
- Dzivisa kusvuta, kuputa fodya, kana kushandisa zvinhu zvine nicotine.
- Zvidzivirire kubva kuzvirwere. Geza maoko ako nguva nenguva uye tora majekiseni ako ekudzivirira chirwere nenguva.
Muviri wedu wakafanana nechikwata chevaimbi. Nhengo yega yega yakabatana uye inoshanda pamwe chete kuti muviri ugare wakadzikama. Dzimwe nguva, chikamu chimwe chete, sechikamu chinodzora kufema, chinobuda mugwara. Ndipo panoitika mamiriro akaita sealkalosis. Kazhinji, alkalosis yekufema haina njodzi. Asi chikonzero chacho chinogona kunge chakakomba. Saka, kana uine zviratidzo, kuchenjera kuona chiremba woona chikonzero chacho usingazviregeredzi.
Mharidzo Yekuenda Nayo Kumba
- Respiratory alkalosis chirwere chinokonzerwa nekufema nekukurumidza kunokonzera kudzikira kwehuwandu hwecarbon dioxide muropa uye kuwedzera kwepH muropa.
- Zviratidzo zvakaita sedzungu, kusanzwa simba mumakumbo, uye kushaya musoro zvakajairika.
- Kunyangwe chirwere ichi chisina njodzi, chirwere chiri kukonzera chirwere ichi (semuenzaniso, hutachiona, kuvharika kweropa mumapapu) chinogona kuva chakakomba.
- Kurapa hakusi kwechirwere chealkalosis, asi kwechirwere chakakonzera chirwere ichi.
- Kana zviratidzo izvi zvikaitika kakawanda, ona chiremba. Kana uine zviratidzo zvakakomba zvakaita sekurasikirwa nepfungwa kana kurwara, enda kuETU nekukasika.
Kufema neAlkalosis, kufema zvakanyanya, kuwedzera kwekufema, dzungu, kusanzwa kwemakumbo, pH yeropa, carbon dioxide, kufema nealkalosis
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