Ngaba nawe unengxaki yokuphefumla? Mhlawumbi le yi (Respiratory Acidosis)! Masithethe.

Ngaba ngamanye amaxesha uziva ngathi unengxaki yokuphefumla? Okanye wakha wambona umntu omaziyo enengxaki yokuphefumla? Ngamanye amaxesha asiyihoyi kangako imeko enjalo, kodwa kusenokuba kukho isizathu esibalulekileyo emva kwayo. Yiyo loo nto imeko eyenzeka xa ukuphefumla kuyingxaki ibizwa ngokuba yi-Respiratory Acidosis. Makhe sithethe ngale nto ngokweenkcukacha namhlanje.

Yintoni le (i-Respiratory Acidosis)? Masiyiqonde ngokulula!

Ngamafutshane, i-Respiratory Acidosis yimeko apho inqanaba le-asidi egazini lethu linyuka ngaphezu kwamanqanaba aqhelekileyo , kwaye inqanaba le-pH egazini liyehla . Ubusazi ukuba igazi lethu nalo kufuneka libe nenqanaba elithile le-pH ukuze lisebenze ngokufanelekileyo? Eli nqanaba le-pH lilinganisa ukuba ingakanani i-asidi kunye nesiseko (okanye i-alkaline) segazi lethu. Liqala kwi-0 ukuya kwi-14. I-0 ine-asidi kakhulu, kwaye i-14 ine-alkaline kakhulu. Inqanaba le-pH egazini lomntu ophilileyo kufuneka libe phakathi kwe-7.35 kunye ne-7.45.

Ngoku, uyazi ukuba kutheni (i-Respiratory Acidosis) isenzeka? Le meko yenzeka xa imiphunga yethu ingakwazi ukususa ngokufanelekileyo igesi yekhabhoni diokside (CO2) eveliswa emizimbeni yethu. Ukuba le meko (i-Respiratory Acidosis) isenzeka ngequbuliso, inokuba yingozi ebomini . Ke ngoko, ukuba ngequbuliso unengxaki yokuphefumla okanye uzive ngathi uyafuthaniseka, kufuneka utsalele umnxeba ku-1990 ngokukhawuleza kwaye ufune uncedo lwezonyango olungxamisekileyo .

Ziziphi iintlobo eziphambili ze-Respiratory Acidosis?

Kukho iintlobo ezimbini eziphambili zale meko (i-Respiratory Acidosis):

1. I-Acute Respiratory Acidosis: Oku kuxa i-carbon dioxide iqokelelana emiphungeni yethu ngequbuliso nangokukhawuleza.

2. I-Chronic Respiratory Acidosis: Oku kwenzeka kancinci, ngokuhamba kwexesha.

Ngamanye amaxesha zombini ezi ntlobo zinokwenzeka kunye. Oko kukuthi, ukuba une-chronic (Respiratory Acidosis), usenokuba ne-acute (Respiratory Acidosis) ngaxeshanye.

Ngubani ochaphazeleka kakhulu yile meko (i-Respiratory Acidosis)?

Enyanisweni, le meko ibizwa ngokuba yi-(Respiratory Acidosis) inokukhula nakubani na. Ibangelwa kakhulu zezi:

• Isifo semiphunga sichaphazela imiphunga yakho okanye ezinye iindawo zenkqubo yakho yokuphefumla.
• Izihlunu kwinkqubo yakho yokuphefumla azikwazi ukusebenza kakuhle okanye zidale uxinzelelo olwaneleyo (ukudinwa kwemisipha yokuphefumla) .
• Iimeko ezithile zichaphazela indlela umoya ohamba ngayo emiphungeni yakho.

Zithini iimpawu ze-Respiratory Acidosis?

Iimpawu ze-respiratory acidosis zingahluka kumntu nomntu. Kuxhomekeke ekubeni sele unexesha elingakanani na le meko kwaye imbi kangakanani. Iimpawu zokuqala ezibonakala zezi:

• Ukuziva uloyiko nokungakhululeki (ixhala) .
• Umbono ofipheleyo .
• Ukudideka , ubunzima bokugxila.
• I-Cyanosis lulusu olujika lube luhlaza okwesibhakabhaka, mfusa, ngwevu-luhlaza, ngwevu, okanye mhlophe ngenxa yokunqongophala kweoksijini.
• Intloko ebuhlungu .
• Ubunzima bokuphefumla, ukuziva uphelelwa ngumphefumlo (Dyspnea) .
• Ukuphefumla .

Zeziphi iimpawu eziya kuvela ukuba imeko iba mandundu?

Ukuba awufumani unyango lwe-Respiratory Acidosis, okanye ukuba imeko imbi kakhulu, unokufumana iimpawu ezifana nezi:

• Ndiziva ndidiniwe kakhulu (Ndidinwe kakhulu) .
• Ukuziva ngathi izihlunu zakho ziyashukuma ngequbuliso (iMyoclonus) .
• Utshintsho kwindlela yokuziphatha.
• Ukuhluthwa .
• I-Coma .

Zithini iimpawu ze-Chronic Respiratory Acidosis?

Kwimeko engapheliyo nehlala ixesha elide (i-Respiratory Acidosis), iimpawu ezifana nezi zinokubonakala:

• Ukudinwa, ingakumbi emini.
• Ingozi yokusilela kwentliziyo .
• Uxinzelelo lwegazi oluphezulu (iHypertension) .
• Ukwanda kwenani leeseli ezibomvu zegazi egazini (i-Polycythemia) .
• Ukulahlekelwa yibhalansi, ukuncipha kolungelelwaniso.
• Ukulahlekelwa yinkumbulo.

Ziziphi izizathu eziphambili ze-Respiratory Acidosis?

Iingxaki zokuphefumla zezona zibangela i-Respiratory Acidosis. Nangona kunjalo, ezi zizathu zinokwahluka ngokuxhomekeke kuhlobo lwe-Respiratory Acidosis onayo.

Izizathu ze-Chronic Respiratory Acidosis:

• Ukudumba okubukhali kwemiphunga .
• Izifo ze-neurological ezifana ne-Amyotrophic lateral sclerosis (ALS) okanye isifo sikaLou Gehrig.
• Isifuba .
• Isifo semiphunga esingapheliyo (i-COPD) .
• Izifo ze-neuromuscular, ezifana ne-multiple sclerosis (MS) kunye ne-muscular dystrophy, zichaphazela imithambo-luvo elawula imisipha yakho.
• Ukutyeba kakhulu kuthintela imiphunga ukuba ingakhuli kakuhle.
• I-pulmonary fibrosis .
• I-Scoliosis .

Izizathu ze-Acute Respiratory Acidosis:

• Isifuba .
• Isifo semiphunga esingapheliyo (i-COPD) .
• Ukusetyenziswa kakhulu kwezinto ezichaphazela inkqubo yemithambo-luvo, ezinje ngotywala, ii-amphetamines, kunye nee-opioids.
• I-Emphysema (umonakalo kwiingxowa zomoya ezikwimiphunga).
• Ukukrala kwemiphunga .
• I-apnea yokulala .

Oogqirha bayixilonga njani i-Respiratory Acidosis?

Xa ubona ugqirha, baza kukubuza ngeempawu zakho baze bakwenze uvavanyo lomzimba. Emva koko banokwenza uvavanyo oluninzi ukuqinisekisa ukufunyaniswa kwe-Respiratory Acidosis.

Zeziphi iimvavanyo ezenziwayo koku?

Ugqirha angayalela iimvavanyo ezifana nezi:

• Igesi yegazi yemithambo (ABG): Le ilinganisa amanqanaba ekhabhoni diokside kunye neoksijini egazini.
• Iphaneli ye-metabolic esisiseko (BMP): Le ilinganisa iikhemikhali ezahlukeneyo emzimbeni kwaye ijonga ibhalansi yeekhemikhali zomzimba kunye ne-metabolism.
• I-X-reyi yesifuba: Oku kuthatha umfanekiso wesifuba sakho, ingakumbi imiphunga yakho.
• Uvavanyo lwegazi lwe-carbon dioxide (CO2): Kuthathwa isampuli yegazi encinci kumthambo osengalweni kwaye kulinganiswa ubungakanani be-carbon dioxide egazini.
• I-CT scan (i-computed tomography - i-CT scan): Oku kusebenzisa uthotho lwee-X-rays ukudala umfanekiso wemiphunga yakho onemilinganiselo emithathu (3D).
• Iphaneli ye-Electrolyte: Oku kulinganisa amanqanaba ee-electrolyte ezithile egazini. Ukuba une-acidosis yokuphefumla, amanye amanqanaba e-electrolyte anokuba phezulu okanye angaphantsi kunesiqhelo.
• Uvavanyo lomsebenzi wemiphunga (ii-PFT): Olu vavanyo lulinganisa indlela esebenza kakuhle ngayo imiphunga yakho.

Inyangwa njani i-Respiratory Acidosis?

Oogqirha banyanga unobangela we-respiratory acidosis. Oku kungabandakanya:

• Umatshini woxinzelelo lomoya oluqhubekayo (CPAP): Lo matshini usetyenziselwa ukunyanga i-sleep apnea, imeko apho uyeka ukuphefumla ngelixa ulele. Usebenza ngokukunika umoya oxinezelekileyo ohamba ngemaski.
• Umoya ongeniswa ngoomatshini: Ukuba une-acidosis yokuphefumla eqatha, lo matshini usetyenziselwa ukukunceda uphefumle.
• Amayeza: Ukuba unesifo esichaphazela imiphunga yakho okanye indlela yokuphefumla, ugqirha wakho uya kukunika amayeza afanelekileyo.
• Unyango lweoksijini: Oku kunceda ukonyusa amanqanaba eoksijini egazini lakho.

Ngawaphi amayeza anikwa i-Respiratory Acidosis?

Ukunyanga unobangela oyintloko we-acute respiratory acidosis, ugqirha wakho angasebenzisa okanye anike elinye okanye ngaphezulu la mayeza alandelayo:

• Ii-antibiotics: Ukuba kukho usulelo lwebhaktiriya emiphungeni, ziyanceda ekulweni nalo.
• Iibronchodilators: Ezi ziphumza izihlunu ezijikeleze iindlela zomoya kwaye zithomalalise iimpawu zezifo zemiphunga.
• IiCorticosteroids:La ngamayeza anciphisa ukudumba kwaye anceda ekunciphiseni ukuveliswa kwe-mucus kwimibhobho yomoya.
• I-Diuretics: Zinceda ekunciphiseni uxinzelelo lwegazi ngokususa ulwelo olugqithisileyo emzimbeni.
• I-Naloxone (Narcan®): Ukuba kurhanelwa ukuba kukho i-opioid egqithisileyo, oogqirha banokuyinika le nto njenge-spray yempumlo okanye nge-intravenous.
• Amayeza okukunceda uyeke ukutshaya: Iipatches zeNicotine, iilozenji, kunye netshizi zinokukunceda uyeke ukutshaya. Kukwakho namayeza angenayo i-nicotine, njengeBupropion kunye neVarenicline.

Singayithintela njani i-Respiratory Acidosis?

Ezi zinto zinokunceda ukuthintela ezinye zezizathu ezinokubangela i-Respiratory Acidosis:

• Yeka ukutshaya nokusebenzisa iimveliso zecuba (umz. ii-e-cigarettes, ii-vape pens). Oku kubaluleke kakhulu.
• Zilolonge rhoqo.
• Gcina ubunzima obusempilweni obukufaneleyo.
• Ukuba ugqirha wakho ukunike umyalelo wokuba usebenzise, ​​sebenzisa umatshini (CPAP) rhoqo.
• Lumka kakhulu xa usebenzisa amayeza okuthomalalisa, anjengeepilisi zokulala. Landela imiyalelo ebhalwe kwileyibhile ngqo, thatha kuphela isixa esimiselweyo, kwaye ungaze uwadibanise notywala.

Khumbula, konke oku kunceda ukugcina imiphunga yakho isempilweni. Imiphunga esempilweni yeyona khuselo ilungileyo kwiimeko ezifana ne-Respiratory Acidosis.

Luhlobo luni lwekamva umntu one-(Respiratory Acidosis) anokulilindela?

Kunzima koogqirha ukuqikelela ngqo indlela umntu one-respiratory acidosis aza kuphila ngayo. Indlela osabela ngayo kunyango ixhomekeke kwinto ebangela iimpawu zakho. Ngoko ke kungcono ukuthetha nogqirha. Emva kovavanyo lomzimba kunye nezinye iimvavanyo, angakuxelela into omawuyilindele.

Sifanele siye kugqirha nini?

Ukuba uneempawu eziqatha ze-respiratory acidosis, funa uncedo lwezonyango ngokukhawuleza. Kwakhona, ukuba unesifo semiphunga kwaye iimpawu zakho ziba mandundu ngequbuliso, bona ugqirha ngoko nangoko.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Xa usiya kugqirha, ungalibali ukubuza le mibuzo:

• Uyazi njani ukuba ndine (Respiratory Acidosis)?
• Ukuba andinayo i-Respiratory Acidosis, yeyiphi enye imeko endinokuba nayo?
• Ingaba ndine-acidosis yokuphefumla ebukhali okanye engapheliyo?
• Zeziphi iimvavanyo ozicebisayo ukuqinisekisa (i-Respiratory Acidosis)?
• Yintoni ebangela ukuba ndibe ne-Respiratory Acidosis?
• Loluphi unyango olundicebisayo?

Yintoni umahluko phakathi kwe (Respiratory Acidosis) kunye ne (Respiratory Alkalosis)?

• I-Respiratory Acidosis kuxa imiphunga yakho ingakwazi ukususa yonke i-carbon dioxide eveliswa emzimbeni wakho, nto leyo ebangela ukuba i-pH yegazi lakho ibe phantsi kunesiqhelo (ibe ne-acidic engaphezulu).
• I-alkalosis yokuphefumla iyenzeka xa i-pH yegazi lakho iphakama kunesiqhelo (i-alkaline engaphezulu) xa uphefumla ngokukhawuleza kakhulu (i-hyperventilation) kwaye ukhupha i-carbon dioxide eninzi kakhulu kwimiphunga yakho.

Yintoni umahluko phakathi kwe (Respiratory Acidosis) kunye ne (Metabolic Acidosis)?

• I-metabolic acidosis kukuqokelelana kwe-asidi kulwelo lomzimba wakho. Ibangelwa kukuba umzimba wakho wenza i-asidi eninzi kakhulu, okanye zizintso zakho azisusi i-asidi eyaneleyo egazini lakho.
• I-Respiratory Acidosis , njengoko bekutshiwo ngaphambili, kukuqokelelana kwee-asidi egazini kuba imiphunga yakho ayikwazi ukususa i-carbon dioxide ngokwaneleyo emzimbeni wakho.

Okokugqibela, izinto ekufuneka uzikhumbule

I-Respiratory Acidosis yimeko embi kakhulu enokuba yingozi ebomini. Ngoko ke, ungaze uzityeshele iimpawu ze-Respiratory Acidosis. Ezi mpawu yindlela umzimba wakho okuxelela ngayo ukuba kukho into engalunganga kwaye kufuneka ufumane uncedo ngokukhawuleza. Ukuba unayo nayiphi na kwezi mpawu, qiniseka ukuba uthetha nogqirha. Angaxilonga i-Respiratory Acidosis aze akucebise ngonyango olungcono kuwe. Impilo yakho luxanduva lwakho!

I- Acidosis yokuphefumla, ubunzima bokuphefumla, i-asidi yegazi, i-carbon dioxide, isifo semiphunga, unyango olungxamisekileyo, inkqubo yokuphefumla