Uzizwa ukhathele futhi ukhathele ngaso sonke isikhathi? Noma unenkinga yokuphefumula? Ingabe ngezinye izikhathi uhlanza kakhulu noma uhudo? Ngezikhathi ezinjengalezi, udokotela wakho angakucela ukuthi wenze isivivinyo sokuhlola izinga le-carbon dioxide (CO2) egazini lakho. Kulungile, ake sibone ukuthi lokhu kuhlolwa kwegazi le-CO2 kuyini, kungani kwenziwa, nokuthi yini engakuthola.
Kalula nje, kuyini lokhu kuhlolwa kwegazi le-CO2?
Cabanga ngemizimba yethu njengefektri. Njengoba isebenza, ikhiqiza imfucuza, noma udoti. I-Carbon dioxide (CO2) ingenye imfucuza yemvelo ekhiqizwa yimizimba yethu. Igazi lethu lithwala le CO2 liye emaphashini ethu. Bese kuthi, lapho sikhipha umoya, le CO2 iphume emzimbeni wethu.
Ngakho-ke lokhu kuhlolwa kwegazi le-CO2 empeleni kulinganisa inani lento ebizwa ngokuthi i-bicarbonate egazini lakho. Le bicarbonate iyinkomba yokuthi ingakanani i-CO2 egazini. Izinga le-CO2 egazini eliphansi kakhulu, eliphakeme kakhulu, noma eliphansi kakhulu lingaba uphawu lwenye inkinga yezempilo eyisisekelo.
Kungani udokotela angancoma lolu vivinyo?
Lokhu kuhlolwa kwe-CO2 akuvamile ukwenziwa kodwa. Kwenziwa njengengxenye yochungechunge lokuhlolwa kwegazi olubizwa ngokuthi i-electrolyte panel . Uma unezinye zezimpawu ezingezansi, udokotela wakho angase akuyalele lokhu kuhlolwa.
- Ukuhlanza noma uhudo okuvamile noma okweqile (uhudo)
- Ukuzizwa ukhathele kakhulu (Ukukhathala)
- Ubunzima bokuphefumula
- Ukuzizwa ubuthakathaka, umuzwa wobuthakathaka
Lokhu kuhlolwa kuvumela udokotela ukuthi ahlole ukuthi imizimba yethu inebhalansi efanele yama-electrolyte. Ezinye izimo, njengomfutho wegazi ophakeme, isifo sezinso, nesifo samaphaphu, zingaphazamisa leli bhalansi lama-electrolyte.
Ingabe udinga ukulungiselela ukuhlolwa? Ubhala kanjani ukuhlolwa?
Lokhu kulula kakhulu.
Ngaphambi kokuhlolwa
Uma uthatha noma yimiphi imithi noma amavithamini, kufanele utshele udokotela wakho ngaphambi kokuhlolwa. Eminye imithi ingathinta imiphumela yokuhlolwa kwegazi. Ungalokothi uyeke ukuthatha noma yimuphi umuthi ngaphandle kokubuza udokotela wakho.
Ngokuvamile, uma kuwukuhlolwa kwe-CO2 kuphela, akudingeki uzile ukudla. Kodwa-ke, uma wenza ezinye izivivinyo ngalokhu, kungadingeka uzile ukudla. Ngakho-ke, kungcono ukucela udokotela wakho imininingwane ethile ngaphambi kokuhlolwa.
Ngesikhathi sokuhlolwa
Lokhu kumane nje kuyindlela elula yokukhipha igazi. Ngokuvamile, igazi likhishwa emthanjeni ongaphakathi kwendololwane noma engalweni engenhla. Uzozwa umuzwa omncane wokuhlaba lapho inaliti ifakwa, kodwa izophela cishe ngomzuzu. Ngemva kokukhipha igazi, kufakwa ibhandishi elincane phezu kwendawo yokubhoboza.
Isho ukuthini imiphumela?
Uma umbiko wakho ufika, uzoba nezinga le-CO2 njengenombolo kanye nesiqalo esithi `mmol/L`. Lokhu kusho inani le-carbon dioxide kuma-millimoles ngelitha legazi.
Into ebaluleke kakhulu ukuthi, ungakhathazeki ngenombolo ekulo mbiko ephezulu noma ephansi. Lokhu kuhlolwa kukodwa akukwazi ukukutshela ukuthi yisiphi isifo onayo. Lokhu kumane nje kuyinkomba udokotela angakunika yona ngesimo sakho.
Ngokuvamile, izinga le-CO2 egazini lomuntu ophilile kufanele libe phakathi kuka -20-29 mmol/L . Kodwa-ke, khumbula ukuthi la manani ajwayelekile angahluka kancane kuye ngelebhu eqhuba ukuhlolwa. Uma imiphumela yakho iphansi noma iphakeme kunaleli banga elijwayelekile, kungaba uphawu lokuthi kunenkinga ngezinso noma amaphaphu akho. Uma kunjalo, udokotela wakho uzoyala ukuhlolwa okwengeziwe ukuthola imbangela eqondile.
Uma izinga le-CO2 egazini liphezulu (i-CO2 ephezulu)
Uma izinga le-CO2 egazini liphezulu kunokujwayelekile, kusho ukuthi umzimba awukwazi ukukhulula i-CO2 ngendlela efanele. Lokhu kubizwa nangokuthi i-hypercapnia . Kunezimo eziningana ezingabangela lokhu, ezibalwe ngezansi.
| Izimo ezibangela ukwenyuka kwamazinga e-CO2 |
|---|
| I-alkalosis yokuphefumula noma ye-metabolic |
| Izifo ezihlobene nama-hormone njenge-Cushing's syndrome |
| Izifo zezinso |
| Izifo zamaphaphu zesikhathi eside njenge-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu) |
Uma unesifo esifana ne-COPD, ukwelashwa nge-oxygen ngezinye izikhathi kungasiza ekulawuleni amazinga e-CO2. Ukuvuselelwa kwamaphaphu kanye nemithi ethile nakho kungasiza. Kungcono ukukhuluma nodokotela wakho ukuze unqume ukuthi yikuphi ukwelashwa okukulungele.
Uma izinga le-CO2 egazini liphansi (i-CO2 ephansi)
Izinga le-CO2 eliphansi kunelijwayelekile egazini lisho ukuthi umzimba ukhipha i-CO2 eningi kunalokho okufanele. Lokhu kungaba uphawu lwezinkinga ezithile zempilo.
| Izimo ezibangela amazinga e-CO2 ehle |
|---|
| Isifo sika-Addison |
| I-Ketoacidosis - isimo esingathinta abantu abanesifo sikashukela |
| Izifo ezihlobene nezinso |
| I-Metabolic acidosis - ukwanda kwe-asidi egazini |
| Ukushaqeka |
Ezimweni ezinjalo, kunezimo lapho kusetshenziswa khona amaphilisi e-sodium bicarbonate noma i-sodium citrate ukwelapha lesi simo. Futhi, ukushintsha ukudla kwakho, njengokunciphisa inyama, amaqanda, noshizi nokudla izithelo nemifino eminingi, kungasiza. Kodwa-ke, udokotela wakho kuphela onganquma ukuthi lezi zinto zikulungele yini nokuthi uzenze kanjani. Ungaziphathi ngokwakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwegazi kwe-CO2 ukuhlolwa kwegazi okulula okukala izinga lokungcola kwe-carbon dioxide egazini lakho.
- Lokhu kungakunikeza izinkomba ezibalulekile mayelana nokusebenza kwezinso zakho, amaphaphu, kanye nebhalansi ye-electrolyte.
- Udokotela angase akuncome lokhu kuhlolwa uma unezimpawu ezifana nokukhathala njalo, ukuphelelwa umoya, ukuhlanza ngokweqile, noma isifo sohudo.
- Umphumela wokuhlolwa ophansi noma ophakeme kunojwayelekile awusona isiphetho sokugcina. Kumane nje kuyisiqalo sokuthola imbangela.
- Khuluma nodokotela wakho ngokukhululekile njalo ngemiphumela yakho, okufanele ukwenze ngokulandelayo, kanye nokwelashwa kwakho.
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