Ingabe nawe unenkinga yokuphefumula? Mhlawumbe lokhu kuyi- (Respiratory Acidosis) ! Ake sixoxe.

Ingabe ngezinye izikhathi uzizwa sengathi unenkinga yokuphefumula? Noma wake wambona umuntu omaziyo ehluleka ukuphefumula? Ngezinye izikhathi asizinaki kakhulu izimo ezinjalo, kodwa kungase kube nesizathu esibucayi ngemuva kwaso. Yingakho isimo esenzeka lapho ukuphefumula kuyinkinga sibizwa ngokuthi i-Respiratory Acidosis. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Kuyini lokhu (i-Respiratory Acidosis)? Masikuqonde kalula!

Kalula nje, i-Respiratory Acidosis yisimo lapho izinga le-acid egazini lethu likhuphuka ngaphezu kwamazinga ajwayelekile , kanti izinga le-pH egazini lehla . Ubuwazi ukuthi igazi lethu lidinga nokuba nezinga elithile le-pH ukuze lisebenze kahle? Leli zinga le-pH liyisilinganiso sokuthi ingakanani i-acid nesisekelo (noma i-alkaline) egazini lethu. Lisukela ku-0 kuya ku-14. U-0 une-acid kakhulu, kanti u-14 une-alkaline kakhulu. Izinga le-pH egazini lomuntu ophilile kufanele libe phakathi kuka-7.35 no-7.45.

Manje, uyazi ukuthi kungani (i-Respiratory Acidosis) yenzeka? Lesi simo senzeka lapho amaphaphu ethu engakwazi ukususa kahle igesi ye-carbon dioxide (CO2) ekhiqizwa emizimbeni yethu. Uma lesi simo (i-Respiratory Acidosis) senzeka ngokuzumayo, singaba yingozi empilweni . Ngakho-ke, uma ngokuzumayo uba nobunzima bokuphefumula noma uzizwa sengathi uyacinana, kufanele ushayele ucingo ku-1990 ngokushesha bese ucela usizo lwezokwelapha oluphuthumayo .

Yiziphi izinhlobo eziyinhloko ze-Respiratory Acidosis?

Kunezinhlobo ezimbili eziyinhloko zalesi simo (i-Respiratory Acidosis):

1. I-Acute Respiratory Acidosis: Lokhu kwenzeka lapho i-carbon dioxide inqwabelana emaphashini ethu ngokuzumayo nangokushesha kakhulu.

2. I-Acidosis Engapheli Yokuphefumula: Lokhu kwenzeka kancane kancane, ngokuhamba kwesikhathi.

Ngezinye izikhathi zombili izinhlobo zingenzeka ndawonye. Okusho ukuthi, uma une-Acidosis engapheli (Respiratory Acidosis), ungase ube ne-Acute (Respiratory Acidosis) ngesikhathi esisodwa.

Ubani othinteka kakhulu yilesi simo (i-Respiratory Acidosis)?

Eqinisweni, lesi simo esibizwa ngokuthi (i-Respiratory Acidosis) singakhula kunoma ubani. Sibangelwa kakhulu yilokhu:

• Isifo samaphaphu sithinta amaphaphu akho noma ezinye izingxenye zesistimu yakho yokuphefumula.
• Imisipha ohlelweni lwakho lokuphefumula ayikwazi ukusebenza kahle noma idale ingcindezi eyanele (ukukhathala kwemisipha yokuphefumula) .
• Izimo ezithile zithinta indlela umoya ohamba ngayo emaphashini akho.

Yiziphi izimpawu ze-Respiratory Acidosis?

Izimpawu ze-respiratory acidosis zingahluka kumuntu nomuntu. Kuya ngokuthi usunesikhathi esingakanani unalesi simo nokuthi sibi kangakanani. Izimpawu zokuqala ezibonakala yilezi:

• Ukuzizwa ukwesaba nokungakhululeki (Ukukhathazeka) .
• Umbono ofiphele .
• Ukudideka , ubunzima bokugxilisa ingqondo.
• I-Cyanosis isikhumba siphenduka sibe luhlaza okwesibhakabhaka, onsomi, ompunga-luhlaza okotshani, ompunga, noma omhlophe ngenxa yokuntuleka komoya-mpilo.
• Ikhanda elibuhlungu .
• Ubunzima bokuphefumula, ukuzizwa uphelelwa umoya (Dyspnea) .
• Ukuphefumula .

Yiziphi izimpawu ezizovela uma isimo siba sibi kakhulu?

Uma ungatholi ukwelashwa kwe-Respiratory Acidosis, noma uma isimo sibi kakhulu, ungase ube nezimpawu ezifana nalezi:

• Ukuzizwa ukhathele kakhulu (Ukukhathala) .
• Ukuzizwa sengathi imisipha yakho iyanyakaza ngokuzumayo (i-Myoclonus) .
• Izinguquko zokuziphatha.
• Ukuquleka .
• I-Coma .

Yiziphi izimpawu ze-Chronic Respiratory Acidosis?

Esimweni esingapheli, sesikhathi eside (i-Respiratory Acidosis), izimpawu ezinjengalezi zingabonakala:

• Ukuzizwa ukhathele, ikakhulukazi emini.
• Ingozi yokwehluleka kwenhliziyo .
• Umfutho wegazi ophezulu (i-Hypertension) .
• Ukwanda kwenani lamaseli abomvu egazini (i-Polycythemia) .
• Ukulahlekelwa ibhalansi, ukwehla kokuxhumana.
• Ukulahlekelwa yinkumbulo.

Yiziphi izimbangela eziyinhloko ze-Respiratory Acidosis?

Izinkinga zokuphefumula ziyimbangela eyinhloko ye-Respiratory Acidosis. Kodwa-ke, lezi zimbangela zingahluka kuye ngohlobo lwe-Respiratory Acidosis onayo.

Izimbangela ze-Chronic Respiratory Acidosis:

• Ukuvuvukala kwamaphaphu okunamandla .
• Izifo ze-neurological ezifana ne-Amyotrophic lateral sclerosis (ALS) noma isifo sikaLou Gehrig.
• Isifuba somoya .
• Isifo samaphaphu esingamahlalakhona (i-COPD) .
• Izifo ze-neuromuscular, njenge-multiple sclerosis (MS) kanye ne-muscular dystrophy, zithinta imizwa elawula imisipha yakho.
• Ukukhuluphala ngokweqile kuvimbela amaphaphu ukuthi akhule kahle.
• I-fibrosis yamaphaphu .
• I-Scoliosis .

Izimbangela ze-Acute Respiratory Acidosis:

• Isifuba somoya .
• Isifo samaphaphu esingamahlalakhona (i-COPD) .
• Ukusetshenziswa ngokweqile kwezinto ezithinta isimiso sezinzwa esiyinhloko, njengotshwala, ama-amphetamine, nama-opioid.
• I-Emphysema (umonakalo emasakeni omoya emaphashini).
• Inyumoniya .
• Ukuphefumula komoya .

Odokotela bayixilonga kanjani i-Respiratory Acidosis?

Uma ubona udokotela, bazobuza ngezimpawu zakho bese benza ukuhlolwa ngokomzimba. Bangase benze izivivinyo eziningana ukuqinisekisa ukutholakala kwe-Respiratory Acidosis.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Udokotela angase acele ukuhlolwa okufana nalokhu:

• Igesi yegazi lemithambo (ABG): Lokhu kulinganisa amazinga e-carbon dioxide kanye nomoya-mpilo egazini.
• Iphaneli ye-metabolic eyisisekelo (i-BMP): Lokhu kulinganisa amakhemikhali ahlukahlukene emzimbeni futhi kubheka ibhalansi yamakhemikhali emzimbeni kanye ne-metabolism.
• I-X-ray yesifuba: Lokhu kuthatha isithombe sesifuba sakho, ikakhulukazi amaphaphu akho.
• Ukuhlolwa kwegazi le-carbon dioxide (CO2): Kuthathwa isampula encane yegazi emthanjeni osengalweni bese kulinganiswa inani le-carbon dioxide egazini.
• I-CT scan (i-computed tomography - i-CT scan): Lokhu kusebenzisa uchungechunge lwe-X-ray ukudala isithombe samaphaphu akho esinobukhulu obuthathu (3D).
• Iphaneli ye-Electrolyte: Lokhu kulinganisa amazinga ama-electrolyte athile egazini. Uma une-respiratory acidosis, amanye amazinga e-electrolyte angaba phezulu noma aphansi kunokuvamile.
• Ukuhlolwa kokusebenza kwamaphaphu (ama-PFT): Lokhu kulinganisa ukuthi amaphaphu akho asebenza kahle kangakanani.

Iphathwa kanjani i-Respiratory Acidosis?

Odokotela belapha imbangela eyisisekelo ye-respiratory acidosis. Lokhu kungafaka:

• Umshini wokucindezela komoya okuqhubekayo (CPAP): Lo mshini usetshenziselwa ukwelapha i-sleep apnea, isimo lapho uyeka ukuphefumula ngenkathi ulele. Usebenza ngokukunikeza umoya ocindezelekile oqhubekayo ngemaski.
• Umoya wokungenisa umoya ngomshini: Uma une-acidosis yokuphefumula enzima, lo mshini usetshenziselwa ukukusiza uphefumule.
• Imithi: Uma unesifo esithinta amaphaphu akho noma indlela yokuphefumula, udokotela wakho uzokunikeza imithi efanele.
• Ukwelashwa nge-oxygen: Lokhu kusiza ukwandisa amazinga e-oxygen egazini lakho.

Yimiphi imithi enikezwa i-Respiratory Acidosis?

Ukuze welaphe imbangela eyinhloko ye-acute respiratory acidosis, udokotela wakho angase asebenzise noma anikeze umuthi owodwa noma ngaphezulu kwale mithi elandelayo:

• Ama-antibiotic: Uma kukhona ukutheleleka ngamagciwane emaphashini, ayasiza ekulweni nakho.
• Ama-Bronchodilator: Lawa aphumuza imisipha ezungeze imigudu yomoya futhi anciphise izimpawu zezifo zamaphaphu.
• Ama-Corticosteroids:Lena imithi enciphisa ukuvuvukala futhi esiza ekunciphiseni ukukhiqizwa kwamafinyila emigwaqweni yomoya.
• Ama-diuretics: Asiza ekunciphiseni umfutho wegazi ngokususa uketshezi oluningi emzimbeni.
• I-Naloxone (Narcan®): Uma kusolwa ukuthi uphuze kakhulu i-opioid, odokotela bangakunikeza lokhu njengesifutho samakhala noma ngemithambo yegazi.
• Imithi yokukusiza uyeke ukubhema: Ama-patches e-nicotine, ama-lozenges, kanye ne-chewing gum kungakusiza uyeke ukubhema. Kukhona nemithi engenayo i-nicotine, njenge-Bupropion kanye ne-Varenicline.

Singayivimbela kanjani i-Respiratory Acidosis?

Lezi zinto zingasiza ekuvimbeleni ezinye zezimbangela ezingaba khona ze-Respiratory Acidosis:

• Yeka ukubhema nokusebenzisa imikhiqizo kagwayi (isib. ugwayi kagesi, ama-vape pen). Lokhu kubaluleke kakhulu.
• Vivinya umzimba njalo.
• Gcina isisindo esinempilo esikufanele.
• Uma udokotela wakho ekunike umuthi, sebenzisa umshini (we-CPAP) njalo.
• Qaphela kakhulu uma usebenzisa imithi yokudambisa ukucindezeleka, njengamaphilisi okulala. Landela imiyalelo ebhalwe ngelebula ngqo, thatha kuphela inani elibekiwe, futhi ungalokothi ulihlanganise notshwala.

Khumbula, konke lokhu kusiza ukugcina amaphaphu akho ephilile. Amaphaphu anempilo ayisivikelo esihle kakhulu ezimweni ezifana ne-Respiratory Acidosis.

Hlobo luni lwekusasa umuntu one-(Respiratory Acidosis) angalulindela?

Kunzima kodokotela ukubikezela ngqo ukuthi umuntu one-respiratory acidosis uzolulama kanjani. Indlela osabela ngayo ekwelashweni incike ekutheni yini ebangela izimpawu zakho. Ngakho-ke kungcono ukukhuluma nodokotela. Ngemva kokuhlolwa ngokomzimba kanye nezinye izivivinyo, angakutshela ukuthi yini ongayilindela.

Kufanele simbone nini udokotela?

Uma unezimpawu ezinzima ze-respiratory acidosis, funa usizo lwezokwelapha ngokushesha okukhulu. Futhi, uma unesifo samaphaphu futhi izimpawu zakho ziba zimbi ngokuzumayo, bheka udokotela ngokushesha.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma uya kudokotela, ungakhohlwa ukubuza le mibuzo:

• Wazi kanjani ukuthi ngine-(Respiratory Acidosis)?
• Uma ngingenayo i-Respiratory Acidosis, yisiphi esinye isimo engingaba naso?
• Ingabe ngine-acidosis yokuphefumula ebukhali noma engamahlalakhona?
• Yiziphi izivivinyo ozincomayo ukuqinisekisa (i-Respiratory Acidosis)?
• Yini engenza ngibe ne-Respiratory Acidosis?
• Yikuphi ukwelashwa ongincomayo?

Uyini umehluko phakathi kwe-(Respiratory Acidosis) kanye ne-(Respiratory Alkalosis)?

• I-Respiratory Acidosis yilapho amaphaphu akho engakwazi ukususa yonke i-carbon dioxide ekhiqizwa emzimbeni wakho, okwenza i-pH yegazi lakho ibe ngaphansi kunejwayelekile (i-acidic eningi).
• I-alkalosis yokuphefumula yilapho i-pH yegazi lakho iba phezulu kunokujwayelekile (i-alkaline eningi) uma uphefumula ngokushesha kakhulu (i-hyperventilation) futhi ukhipha i-carbon dioxide eningi kakhulu emaphashini akho.

Uyini umehluko phakathi kwe-(Respiratory Acidosis) kanye ne-(Metabolic Acidosis)?

• I-metabolic acidosis iwukunqwabelana kwe-asidi oketshezini lomzimba wakho. Ibangelwa ukuthi umzimba wakho wenza i-asidi eningi kakhulu, noma ukuthi izinso zakho azisusi i-asidi eyanele egazini lakho.
• I-Respiratory Acidosis , njengoba kushiwo ngaphambili, ukuqongelela kwama-asidi egazini ngoba amaphaphu akho awakwazi ukususa i-carbon dioxide ngokwanele emzimbeni wakho.

Okokugcina, izinto okufanele uzikhumbule

I-Respiratory Acidosis yisimo esibi esingasongela impilo. Ngakho-ke, ungalokothi uzishaye indiva izimpawu ze-Respiratory Acidosis. Lezi zimpawu ziyindlela yomzimba wakho yokukutshela ukuthi kukhona okungahambi kahle futhi udinga ukuthola usizo ngokushesha. Uma unezinye zalezi zimpawu, qiniseka ukuthi ukhuluma nodokotela. Angaxilonga i-Respiratory Acidosis futhi akuncomele ukwelashwa okungcono kakhulu. Impilo yakho ingumthwalo wakho wemfanelo!

I- Acidosis Yokuphefumula, ubunzima bokuphefumula, i-asidi egazini, i-carbon dioxide, isifo samaphaphu, ukwelashwa okuphuthumayo, uhlelo lokuphefumula