Wakambonzwa sekunge uri kufema nekukurumidza, dzungu, kana kuti chiveve pawaitya chaizvo kana kuti wakatsamwa chaizvo here? Dzimwe nguva unonzwa chiveve pamuromo wako. Unganzwawo sekunge chipfuva chako chakamanikana. Kunyange hazvo vanhu vazhinji vachifunga kuti izvi zvakajairika, chirwere chiri shure kweizvi ndicho chatiri kutaura nezvacho nhasi chinonzi 'Respiratory Alkalosis'. Kunyangwe zita iri richinzwika sedambudziko guru, usatya. Ngatitaurei nezvazvo zviri nyore uye zvakajeka.
Chii chinonzi Respiratory Alkalosis? Ngatizvinzwisise zviri nyore.
Zvichitaurwa zviri nyore, Respiratory Alkalosis inoitika kana huwandu hweCarbon Dioxide (CO2) muropa rako huchiderera, zvichikonzera shanduko mu acid-base balance yeropa rako.
Funga nezvazvo, patinofema, tinotora okisijeni toburitsa kabhoni dhayokisaidhi, handiti? Izvi zvinoitika mumuviri wedu. Asi patinofema nekukurumidza, ndiko kuti, patinofema zvakanyanya , muviri wedu unoburitsa kabhoni dhayokisaidhi yakawanda kupfuura yaunoda.
Kabhoni dhayiokisijeni imhepo inowedzera acidity muropa redu. Zvino, chii chinoitika kana tikaburitsa acidity yakawandisa kubva mumiviri yedu? Acid yeropa inoderera uye alkaline inowedzera. Zvakafanana nekubvisa lime mugirazi remvura rine lime shoma mairi, uye kuvava kwacho kunonyangarika.
Huwandu hweacid-base muropa redu hunoyerwa nechinhu chinonzi pH . pH yeropa remunhu ane hutano inofanira kuva pakati pe7.35 ne7.45 . MuRespiratory Alkalosis, huwandu uhwu hwepH hunokwira pamusoro pe7.45 nekuda kwekudzikira kwecarbon dioxide.
Kunewo chirwere chinopesana zvachose neizvi. Chinonzi Respiratory Acidosis . Chinoitika ipapo kuwedzera kwecarbon dioxide muropa, uye pH inodzikira pasi pe7.35. Izvi zvinoreva kuti ropa rinova neacidic.
Ndezvipi zviratidzo zvinowanzoonekwa zveRespiratory Alkalosis?
Kana huwandu hwekabhoni dhayiokisijeni hukadzikira uye pH yeropa ikachinja, zvinokanganisa sisitimu yedu yetsinga netsandanyama. Ndosaka tichitanga kunzwa zviratidzo zvakasiyana-siyana. Zviratidzo izvi zvinogona kungoerekana zvaitika, kunyanya kana ukafema nekukurumidza kwenguva yakareba.
Unogona kudzidza zvakawanda nezvehunhu uhwu kubva patafura iri pazasi.
| Chiratidzo | Manzwiro aungaita |
|---|---|
| Dzungu | Kunzwa sekunge zvinhu zviri kutenderera zvakakupoteredza. Ungawana zvakaoma kumira. |
| Kusava nemusoro | Kunzwa sekunge uri kurasikirwa nepfungwa, sekunge hapana chiri mumusoro mako. |
| Kusanzwa/Kunzwa Kunzwa Kuoma - Paresthesia | Kazhinji minwe, tsoka, uye muromo zvinonzwa zvisina simba, sekunge masvosve ari kufamba-famba. |
| Kusimba kwechipfuva | Kunzwa kumanikidzwa kana kusagadzikana muchipfuva, sekunge pane chinhu chinorema pachiri. Vamwe vanhu vanototya kuti uku kurwara kwemoyo. |
| Kuvhiringidzika | Zvakaoma kuti pfungwa dzako dzirambe dzakatarisa, usingakwanise kuziva zviri kuitika kana kuti uri kupi. |
| Kusvotwa | Kunzwa kusagadzikana, sekunge wava kuda kurutsa. |
| Kuneta | Kunzwa kuneta zvakanyanya uye kusavapo kwehupenyu. |
Chii chingave chiri kukonzera mamiriro ezvinhu aya?
Tava kuziva kuti respiratory alkalosis inokonzerwa nekufema nekukurumidza (hyperventilation). Saka, chero chinhu chinoita kuti tifeme nekukurumidza chinogona kuva chikonzero. Izvi zvinogona kubva pazvikonzero zvepfungwa zviri nyore kusvika kuzvirwere zvakakomba.
Zvikonzero zvepfungwa
Ichi ndicho chikonzero chinowanzoitika.
- Kuzvidya Mwoyo kana Kutya:Kana uchitya zvikuru kana kuti uchinetseka, mwero wekufema kwako unowedzera otomatiki. Fungidzira kuti unotya zvikuru mushure mekunyora bvunzo. Kana kuti paunonzwa kudzipwa uri panzvimbo yakazara vanhu. Ipapo kufema kwako kunogona kuwedzera otomatiki uye zviratidzo izvi zvinogona kuitika.
- Kurwadziwa kwakanyanya: Kurwadziwa kwakanyanya mumuviri kunogona kukonzerawo kufema nekukurumidza.
- Hasha dzakanyanya kana kushushikana: Kushushikana kwepfungwa kwakanyanya ndiko kunokonzerawo izvi.
Zvikonzero zveMuviri uye Mamiriro Ekurapa
- Fivha: Kana tembiricha yemuviri ikawedzera, kugaya kwemuviri kunokurumidza, izvo zvinogonawo kuwedzera mwero wekufema.
- Kubata Pamuviri: Munguva yekuzvitakura, kuchinja kwemahormone uye kumanikidzwa kwe diaphragm kunokonzerwa nemwana ari kukura zvinoita kuti kufema kukurumidze.
- Utachiona hwakanyanya (Sepsis): Muzvirwere zvakakomba zvinobata muviri wese, zvakaita sesepsis.
- Kutadza kushanda zvakanaka kwechiropa: Kusashanda zvakanaka kwechiropa.
- Hyperthyroidism: Kukurumidza kwemabasa emuviri nekuda kwekushanda zvakanyanya kwegland regland.
- Kukuvara Musoro: Kukuvadzwa kwenzvimbo yekudzora kufema muuropi.
- Kushandisa Nikotini: Kunwa nikotini kuburikidza nekusvuta, kuputa fodya, nezvimwewo.
Mamiriro Ekufema
Dzimwe nguva, kana muviri usingawani okisijeni yakakwana (chirwere chinonzi hypoxia ), muviri unoedza kutsiva nekufema nekukurumidza. Zvisinei, izvi zvinogona kukonzera kuburitswa kwecarbon dioxide yakawandisa, zvichikonzera kufema.
- Chirwere chemabayo
- Kubviswa kweMapupa
- ARDS (Acute Respiratory Distress Syndrome)
Zvimwe zvikonzero
- Kunwa mishonga yakawandisa yakadai seaspirin: Mimwe mishonga, kana ikanwiwa yakawandisa, inogona kukurudzira nzvimbo yekufema iri muuropi.
- Kufefetera Kwemuchina: Dambudziko iri rinogona kuitika kumurwere akabatana nemuchina wekufema uri muchikamu chevarwere vakanyanya kurwara muchipatara kana marongero ari pamuchina wacho asina kugadziriswa nemazvo.
Unoona sei izvi, Chiremba?
Paunoenda kunoona chiremba ane zviratidzo izvi, anotanga akubvunza mibvunzo, oziva nezvezviratidzo zvako uye kuti zvinoitika riini. Wobva akuongorora.
Kuongororwa kukuru kwekusimbisa chirwere ichi nemazvo iArterial Blood Gas (ABG) .
Izvi zvinosanganisira kutora ropa diki kubva mutsinga iri muruoko rwako woyera huwandu hweokisijeni, kabhoni dhayokisaidhi, uye pH iri mairi. Izvi zvinokupa pfungwa chaiyo yeacid-base balance yeropa rako.
Pamusoro pezvo, chiremba anogona kuraira mimwe miedzo kuti awane chikonzero.
- Pulse Oximetry: Kuyera mwero weokisijeni muropa uchishandisa kamuchina kadiki kakaita seclip kanonamira pamunwe.
- X-ray yechipfuva kana CT scan: Kuona kana paine dambudziko mumapapu.
- Kumwe kuongororwa kweropa: Kuongororwa kwakadai sekuverengwa kweropa kwakazara (CBC) kana kuti basic metabolic panel (BMP) inoongorora huwandu hwemaminerari mumuviri.
- Miedzo yeMashandiro eMapupa: Tarisa kana paine kusasimba kwekufema kwako.
Ndezvipi zvinorapwa izvi?
Chinhu chakakosha kunzwisisa pano ndechekuti Respiratory Alkalosis chiratidzo kwete chirwere. Izvi zvinoreva kuti pavanenge vachirapa, vanachiremba vanonyanya kutarisa kwete dzungu kana kusanzwa, asi pane chinokonzera.
- Kana chikonzero chiri hutachiona , mushonga unorwisa mabhakitiriya unopihwa.
- Kana chikonzero chiri kuumbwa kweropa mumapapu , mishonga inodzikisa ropa ichapihwa kuti inyungudise kuumbwa kweropa.
- Kana chikonzero chiri kuzvidya mwoyo , pane nzira dzekuzvigadzirisa, uye pamwe mishonga inogona kupihwa.
Kana uchiwanzozviwana uchifema zvakanyanya nekuda kwekuzvidya mwoyo, pane chinhu chiri nyore chaunogona kuita. Kuedza kudzora kufema kwako. Edza kufema wakadzikama, zvishoma nezvishoma, uye zvakadzama.
Ungave wakambonzwa vanhu vachikurudzira kufemera mubhegi repepa. Chinangwa ndechekufemerazve kabhoni dhayokisaidhi yaunoburitsa uye kudzoreredza huwandu hweCO2 muropa rako. Zvisinei, usambofa wakaita izvi usina kupiwa mazano nachiremba. Kana zviratidzo zvako zvichikonzerwa nekushaikwa kweokisijeni (hypoxia), kuita izvozvo kunogona kuita kuti zvinhu zvinyanye kuipa.
Ndinofanira kuona chiremba here? Ndinofanira kuenda kuEmergency Department (ETU) here?
Uyu mubvunzo unokosha zvikuru, nekuti dzimwe nguva zviratidzo izvi zvinogona kuva chiratidzo chechirwere chakakomba. Saka, zvakakosha kuziva nguva yekuona chiremba uye nguva yekuenda kuchipatara nekukasika.
| Mamiriro ezvinhu | Chiito Chekutora |
|---|---|
| Ona Chiremba Wako Kana... | |
| Kana uchifanira kufema nekukurumidza nguva nenguva (hyperventilate). | Kuona kana chikonzero cheizvi chiri kuzvidya mwoyo kana chimwe chikonzero chemuviri uye kutsvaga kurapwa kwakakodzera. |
| Kana uchigara uchiona zviratidzo zvine chekuita neRespiratory Alkalosis (dzungu, kusanzwa). | Zvakakosha zvikuru kutarisa chikonzero chiripo. |
| Enda kuEmergency Treatment Unit (ETU) nekukasika kana... | |
| Kana uchinzwa kurwadziwa kwakanyanya pachipfuva kana kufema zvakaoma . | Izvi zvinogona kuva chiratidzo chechirwere chakakomba, chakadai sekurwadziwa kwemoyo kana kuvharika kweropa mumapapu. |
| Kufenda kana kuchinja mafungiro . | Izvi zvinogona kuva chiratidzo chekuti uropi hausi kuwana oxygen yakakwana. |
| Kana paine kubatwa nepfungwa (pfari) . | Iyi idambudziko rinoda kurapwa nekukasika. |
| Ganda rebhuruu, miromo kana nzara . | Ichi chiratidzo chekuti mwero weokisijeni mumuviri wakaderera zvikuru. |
Mharidzo Yekuenda Nayo Kumba
- Kufema nekufema zvakanyanya (hyperventilation) chirwere chinokonzerwa nekufema nekukurumidza (carbon dioxide) chinoita kuti ropa rive nealkaline.
- Izvi zvinogona kukonzera zviratidzo zvakaita sedzungu, kusanzwa simba mumakumbo nemumuromo, uye kuomarara kwechipfuva.
- Kunyangwe chirwere ichi chisina njodzi, chikonzero chacho chinogona kubva pane chimwe chinhu chiri nyore sekuzvidya mwoyo kusvika kune chimwe chinhu chakakomba sekugwamba kweropa mumapapu (pulmonary embolism).
- Kurapwa hakusi kwezviratidzo, asi kwechikonzero chaicho. Saka, zvakakosha zvikuru kuwana chikonzero chaicho.
- Kana ukaona zviratidzo zvakakomba zvakaita sekurwadziwa pachipfuva, kurasikirwa nepfungwa, pfari, kana miromo yebhuruu , enda kuEmergency Department (ETU) nekukasika. Taura nachiremba wako uye uzive zviri nani nezveizvi.
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