Ukudinwa okubangelwa kukunyuka kwesantya sokuphefumla? Masithethe nge-Respiratory Alkalosis

Ngaba wakha waziva ngathi izinga lakho lokuphefumla liyanyuka ngenxa yoloyiko okanye ixhala, okanye intloko yakho ivakala ngathi iyadideka okanye amalungu akho aziva ngathi awasebenzi? Okanye ngaba kuyenzeka xa unomkhuhlane? Le yenye yeengxaki zesifo esibizwa ngokuba yiRespiratory Alkalosis esiza kuthetha ngayo namhlanje. Akukho nto yokoyika, masiyiqonde ngokulula le nto.

Ngamafutshane, yintoni i-Respiratory Alkalosis?

I-Respiratory Alkalosis kuxa isixa sekhabhoni diokside egazini lakho sincipha, nto leyo ebangela ukuba ibhalansi ye-asidi-base yegazi lakho itshintshe. Ukulinganiswa kwale balance kuthiwa yi-pH value. Kule meko, ixabiso le-pH egazini lakho liyanda ngaphezu kwamanqanaba aqhelekileyo. Cinga ngako, xa siphefumla ioksijini, sithatha ikhabhoni diokside, kwaye xa sikhupha umoya, sikhupha ikhabhoni diokside. Kodwa xa uphefumla ngokukhawuleza kakhulu, oko kukuthi, xa uphefumla ngamandla , ukhupha ikhabhoni diokside engaphezulu kunokuba umzimba wakho uyidingayo. Kulapho inqanaba lekhabhoni diokside egazini lakho lincipha kwaye ixabiso le-pH liyanda. Ngokwesiqhelo, ixabiso le-pH egazini lakho kufuneka libe phakathi kwe-7.35 kunye ne-7.45. Xa linyuka ngaphezu kwe-7.45, silibiza ngokuba yi-Alkalosis.

Umahluko Phakathi kwe-Respiratory Acidosis kunye ne-Alkalosis

Ezi zimbini ziimeko ezimbini ezichaseneyo.

• I-Respiratory Alkalosis: Ixabiso le-pH yegazi elingaphezulu kwe -7.45 (igazi liba yi-alkaline).
• I-Acidosis yokuphefumla: Ukwehla kwexabiso le-pH egazini elingaphantsi kwe-7.35 (ukwenziwa kwe-asidi egazini).

Ziziphi iimpawu onokuzifumana kule meko?

Xa le meko isenzeka, umntu ngamnye unokufumana iimpawu ezahlukeneyo. Kodwa kukho ezinye iimpawu ezixhaphakileyo. Masibone ukuba zeziphi.

Kutheni oku kusenzeka? Zithini izizathu?

Njengoko besixoxile ngaphambili, isizathu esiphambili soku kukuphefumla ngokukhawuleza, okubizwa ngokuba yi-`(hyperventilation)`. Kodwa umbuzo ngulo, kutheni siphefumla ngokukhawuleza kangaka? Zininzi izizathu zoku. Imiphunga, izintso, kunye nezinye iinkqubo zisebenza kunye ukugcina ibhalansi yeekhemikhali emzimbeni wethu. Kufana nokulinganisela ibhulorho yekhork. Ibhalansi phakathi kwe-carbon dioxide `(CO2)`, amanzi `(H2O)`, i-bicarbonate `(HCO3)`, kunye nee-ion ze-hydrogen `(H+)` ibalulekile apha. Xa siphefumla ngokukhawuleza, i-`CO2` iyakhululwa kwaye le balansi iyaphazamiseka. Nazi ezinye zezizathu eziphambili ezichaphazela le meko `(hyperventilation)`:

Ugqirha uyifumana njani le nto?

Ukuba unale mpawu, into yokuqala ugqirha aza kuyenza kukubuza umbuzo. Emva koko, banokwenza iimvavanyo ezimbalwa ukuqinisekisa imeko kunye nokufumanisa unobangela. Uvavanyo olubaluleke kakhulu luvavanyo lweArterial Blood Gas (ABG) . Oku kuquka ukuthatha isampuli encinci yegazi kwi-artery esihlahleni sakho kunye nokulinganisa amanqanaba eoksijini kunye ne-carbon dioxide kuyo, kunye ne-pH. Ukongeza, banokwenza ezi vavanyo zilandelayo ukufumana unobangela:

• I-Pulse Oximetry: Sisixhobo esinamathela emnweni kwaye silinganisa inqanaba le-oksijini egazini.
• Uvavanyo lokusebenza kwephaphu .
• Ezinye iimvavanyo zegazi : Umzekelo, `( Ubalo lwegazi olupheleleyo - i-CBC)` kunye `( Iphaneli yeMetabolic esisiseko - i-BMP)`.
• I-X -ray yesifuba okanye i-CT scan .

Iphathwa njani?

Into ebalulekileyo ekufuneka uyiqonde apha kukuba oogqirha abayinyangi imeko ebizwa ngokuba yiRespiratory Alkalosis ngokwayo. Banyanga imeko yezonyango ebangele oko.Ukuba uhlala ujongene noxinzelelo kwaye izinga lakho lokuphefumla liyanyuka, kukho unyango olufumanekayo. Ukuzilolonga nokuphefumla kunye neengcebiso kunokunceda. Abanye abantu banokufuna amayeza. Usenokuba ukhe weva ngokuphefumlela ebhegini yephepha xa uxhalabile. Oku kuquka ukuphefumlela kwakhona kwi-carbon dioxide oyikhuphayo. Oku kunokunceda ukunciphisa amanqanaba e-CO2 egazini lakho. Nangona kunjalo, kubalulekile ukubonana nogqirha ngaphambi kokuba wenze oku.

Ndifanele ndimbone nini ugqirha? Ndifanele ndiye nini kwi-ETU?

Lo ngumbuzo obaluleke kakhulu kuba ngamanye amaxesha kunokubakho isizathu esibalulekileyo emva kwawo.

Ufika nini kugqirha

Ukuba ufumana naziphi na iimpawu ezikhankanyiweyo kweli nqaku rhoqo, okanye ukuba uziva ngathi uhlala uphefumla ngokukhawuleza, bona ugqirha ngokukhawuleza. Oku kuya kunceda ekufumaneni unobangela kwaye kubonelelwe ngonyango olufunekayo.

Ixesha lokuya kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko

Ukuba unezinye zeempawu ezinzulu ezilandelayo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.

• Ukuba kuvakala ngathi kukuphazamiseka (Ukuxhuzula).
• Ukuba ingqondo ayisebenzi kakuhle, ukuba awukwazi ukuqonda okwenzekayo kufutshane nawe (imeko yengqondo etshintshileyo).
• Ukuba imilebe yakho, iinzipho, okanye ulusu lwakho lujika lube luhlaza okwesibhakabhaka.
• Ukuba uzive ubuthathaka kakhulu.
• Ukulahlekelwa yingqondo.

Ngaba le meko ingathintelwa?

Ngenxa yokuba zininzi izinto ezibangela i-respiratory alkalosis, azizizo zonke ezinokuthintelwa. Kodwa kukho izinto onokuzenza ukunciphisa umngcipheko wakho:

• Lawula uxinzelelo kunye nexhala. Izinto ezifana nokucamngca, i-yoga, kunye nokuzilolonga ukuphefumla zinokunceda. Funa uncedo lweengcali ukuba kuyimfuneko.
• Kuphephe ukutshaya, ukutshaya i-vape, okanye ukusebenzisa iimveliso ezine-nicotine.
• Zikhusele kwiintsholongwane. Hlamba izandla zakho rhoqo kwaye ufumane imijovo yakho ngexesha.

Umzimba wethu ufana neqela le-orchestra. Zonke izitho zidibene kwaye zisebenza ngokubambisana ukugcina umzimba ulungelelene. Ngamanye amaxesha, elinye ilungu, njengelungu elilawula ukuphefumla, liyaphambuka. Kulapho ke iimeko ezifana ne-alkalosis zenzeka khona. Uninzi lwexesha, i-alkalosis yokuphefumla ayiyongozi. Kodwa unobangela unokuba yingozi. Ke ngoko, ukuba uneempawu, bubulumko ukubona ugqirha kwaye ufumane unobangela ngaphandle kokuzityeshela. I-Alkalosis yokuphefumla, ukuphefumla ngamandla, isantya sokuphefumla esinyukayo, isiyezi, ukungaziva malungu, i-pH yegazi, i-carbon dioxide, i-alkalosis yokuphefumla