Wake wazizwa sengathi uphefumula ngokushesha, unesizungu, noma unesizungu lapho wesaba ngempela noma uthukuthele ngempela? Ngezinye izikhathi uzizwa unesizungu emlonyeni wakho. Ungase uzizwe sengathi isifuba sakho sinciphile. Nakuba abantu abaningi becabanga ukuthi lokhu kuyinto evamile, isimo sezokwelapha esingemuva kwalokhu yilokho esikhuluma ngakho namuhla sibizwa ngokuthi 'i-Respiratory Alkalosis'. Ngisho noma leli gama lizwakala njengento enkulu, ungesabi. Ake sixoxe ngalokhu kalula nangokucacile.
Kuyini i-Respiratory Alkalosis? Ake sikuqonde kalula.
Kalula nje, i-Respiratory Alkalosis yilapho inani le-Carbon Dioxide (CO2) egazini lakho lehla, okubangela ushintsho ebhalansini le-acid-base egazini lakho.
Cabanga ngakho, uma siphefumula, sithatha umoya-mpilo bese sikhipha i-carbon dioxide, akunjalo? Lena inqubo evamile emizimbeni yethu. Kodwa uma siphefumula ngokushesha kakhulu, okungukuthi, uma siphefumula kakhulu , umzimba wethu ukhipha i-carbon dioxide eningi kunalokho okudingayo.
I-carbon dioxide iyigesi enezela i-asidi ethile egazini lethu. Manje, kwenzekani uma sikhipha i-asidi eningi kakhulu emizimbeni yethu? I-asidi yegazi iyancipha futhi izinga le-alkaline liyakhuphuka. Kufana nokususa i-lime engilazini yamanzi ene-lime encane kuyo, bese ubumuncu buyanyamalala.
Izinga le-acid-base egazini lethu lilinganiswa ngenani elibizwa nge-pH . I-pH yegazi lomuntu ophilile kufanele ibe phakathi kuka -7.35 no-7.45 . Ku-Respiratory Alkalosis, leli nani le-pH likhuphuka ngaphezu kuka-7.45 ngenxa yokwehla kwe-carbon dioxide.
Kukhona futhi isimo esiphambene ngokuphelele nalokhu. Sibizwa ngokuthi i-Respiratory Acidosis . Okwenzekayo lapho kuba nokwanda kwe-carbon dioxide egazini, futhi inani le-pH lehla ngaphansi kuka-7.35. Lokho kusho ukuthi igazi liba ne-asidi.
Yiziphi izimpawu ezivame kakhulu ze-Respiratory Alkalosis?
Uma amazinga e-carbon dioxide ehla futhi i-pH yegazi ishintsha, kuthinta isimiso sethu sezinzwa kanye nemisipha. Yingakho siqala ukuzwa izimpawu ezahlukahlukene. Lezi zimpawu zingavela ngokuzumayo, ikakhulukazi uma uphefumula ngokushesha isikhathi eside.
Ungafunda kabanzi ngalezi zici kuthebula elingezansi.
| Isibonakaliso | Indlela ongase uzizwe ngayo |
|---|---|
| Isiyezi | Ukuzizwa sengathi izinto ziyakuzungeza. Ungase ukuthole kunzima ukuma. |
| Ubuhlanya | Uzizwa sengathi ulahlekelwa ingqondo, sengathi akukho lutho ngaphakathi ekhanda lakho. |
| Ukuba ndikindiki/Ukuqaqamba - I-Paresthesia | Ngokuvamile iminwe, izinyawo, kanye nomlomo kuzwakala kungathi akunangqondo, njengezintuthwane ezihambahambayo. |
| Ukuqina kwesifuba | Ukuzizwa ucindezelekile noma ungakhululeki esifubeni, njengokungathi kukhona isisindo kuso. Abanye abantu baze besabe ukuthi lokhu kuwukuhlaselwa yinhliziyo. |
| Ukudideka | Kunzima ukugcina ingqondo yakho igxile, ungakwazi ukuqonda ukuthi kwenzekani noma ukuthi ukuphi. |
| Isicanucanu | Ukuzizwa ungakhululekile, sengathi usuzohlanza. |
| Ukukhathala | Ukuzizwa ukhathele kakhulu futhi ungenampilo. |
Yini engabangela lesi simo?
Manje sesiyazi ukuthi i-alkalosis yokuphefumula ibangelwa ukuphefumula ngokushesha kakhulu (ukuphefumula ngokweqile). Ngakho-ke, noma yini esibangela ukuphefumula ngokushesha kakhulu ingaba imbangela. Lezi zimbangela zingasukela ezinhlotsheni ezilula zengqondo kuya ezimweni zezokwelapha ezingathi sína.
Izimbangela Zengqondo
Lesi yisona sizathu esivame kakhulu.
- Ukukhathazeka Noma Ukuhlaselwa Uvalo:Uma wesaba kakhulu noma ukhathazekile, izinga lakho lokuphefumula liyakhuphuka ngokuzenzakalelayo. Cabanga ukuthi wesaba kakhulu ngemva kokuhlolwa. Noma uma uzizwa uminyaniswe endaweni egcwele abantu. Khona-ke ukuphefumula kwakho kunganda ngokuzenzakalelayo futhi lezi zimpawu zingase zivele.
- Ubuhlungu obukhulu: Ubuhlungu obukhulu emzimbeni bungabangela nokuphefumula okusheshayo.
- Intukuthelo noma ukucindezeleka okukhulu: Ukucindezeleka kwengqondo ngokweqile nakho kuyimbangela yalokhu.
Izimbangela Zomzimba Nezimo Zezokwelapha
- Umkhuhlane: Uma izinga lokushisa lomzimba likhuphuka, ukushintshwa kwe-metabolism yomzimba kuyashesha, okungakhulisa nesivinini sokuphefumula.
- Ukukhulelwa: Ngesikhathi sokukhulelwa, izinguquko zamahomoni kanye nokucindezela kwe-diaphragm okubangelwa ingane ekhulayo ngokwemvelo kubangela ukuphefumula kusheshe kancane.
- Ukutheleleka okukhulu (i-Sepsis): Ezifweni ezinzima ezithinta umzimba wonke, njenge-sepsis.
- Ukwehluleka kwesibindi: Ukungasebenzi kahle kwesibindi.
- I-Hyperthyroidism: Ukusheshisa kwezinqubo zomzimba ngenxa yokusebenza ngokweqile kwendlala yegilo.
- Ukulimala Ekhanda: Ukulimala kwesikhungo sokulawula ukuphefumula ebuchosheni.
- Ukusetshenziswa kwe-Nicotine: Ukungenisa i-nicotine ngokubhema, ukubhema i-vaping, njll.
Izimo Zokuphefumula
Ngezinye izikhathi, lapho umzimba ungatholi umoya-mpilo owanele (isimo esibizwa ngokuthi i-hypoxia ), umzimba uzama ukubuyisa umoya ngokuphefumula ngokushesha. Kodwa-ke, lokhu kungabangela ukukhishwa kwe-carbon dioxide eningi, okuholela ku-alkalosis yokuphefumula.
- Inyumoniya
- I-Pulmonary Embolism
- I-ARDS (i-Acute Respiratory Distress Syndrome)
Ezinye izizathu
- Ukuthatha imithi eminingi njenge-aspirin: Eminye imithi, uma ithathwa ngokweqile, ingavuselela isikhungo sokuphefumula ebuchosheni.
- Umoya Ongenisiwe: Lesi simo singase senzeke esigulini esixhunywe kumshini womoya ongenisiwe esibhedlela uma izilungiselelo zomshini zingasethwanga kahle.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela onalezi zimpawu, uzoqala ngokukubuza imibuzo, afunde ngezimpawu zakho nokuthi zivela nini. Ngemuva kwalokho uzokuhlola.
Ukuhlolwa okuyinhloko kokuqinisekisa lesi simo ngokunembile ukuhlolwa kwe-Arterial Blood Gas (ABG) .
Lokhu kuhilela ukuthatha isampula encane yegazi emthanjeni osesihlakaleni sakho bese ulinganisa inani lomoya-mpilo, i-carbon dioxide, kanye ne-pH kuwo. Lokhu kukunikeza umbono oqondile webhalansi ye-acid-base yegazi lakho.
Ngaphezu kwalokho, udokotela angase acele ukuhlolwa okwengeziwe ukuthola imbangela.
- I-Pulse Oximetry: Ukulinganisa izinga le-oxygen egazini ngedivayisi encane efana ne-clip enamathela emunweni.
- I-X-ray yesifuba noma i-CT scan: Ukubona ukuthi kunenkinga yini ngamaphaphu.
- Okunye ukuhlolwa kwegazi: Ukuhlolwa okufana nokubalwa kwegazi okuphelele (i-CBC) noma iphaneli ye-metabolic eyisisekelo (i-BMP) ehlola amazinga amaminerali emzimbeni.
- Ukuhlolwa Kokusebenza Kwamaphaphu: Hlola noma yikuphi ubuthakathaka enkambisweni yakho yokuphefumula.
Yiziphi izindlela zokwelapha lokhu?
Into ebaluleke kakhulu okufanele uyiqonde lapha ukuthi i-Respiratory Alkalosis iyisibonakaliso hhayi isifo. Lokhu kusho ukuthi lapho beyelapha, odokotela bagxila kakhulu ekugxileni kwabo ekuzizweni kwesiyezi noma ekungazwelini, kodwa embangeni eyinhloko.
- Uma imbangela kuyisifo , kunikezwa ama-antibiotic.
- Uma imbangela kuyi -blood clot emaphashini , kuzonikezwa ama-blood thinner ukuze kuncibilikiswe i-clot.
- Uma imbangela iwukukhathazeka , kunezindlela zokukulawula, futhi mhlawumbe imithi inganikezwa.
Uma uvame ukuzithola uphefumula kakhulu ngenxa yokukhathazeka, kukhona into elula ongayenza. Lokho ukuzama ukulawula ukuphefumula kwakho. Zama ukuphefumula ngokuthula, kancane kancane, nangokujulile.
Kungenzeka ukuthi uke wezwa abantu bencoma ukuphefumulela esikhwameni sephepha. Umgomo uwukuphinda uphefumule i-carbon dioxide oyikhiphayo bese ubuyisela amazinga e-CO2 egazini lakho. Kodwa-ke, ungalokothi wenze lokhu ngaphandle kweseluleko sikadokotela. Uma izimpawu zakho zibangelwa ukuntuleka komoya-mpilo (i-hypoxia), ukwenza kanjalo kungenza izinto zibe zimbi kakhulu.
Ingabe ngidinga ukubona udokotela? Ingabe ngidinga ukuya eMnyangweni Wezimo Eziphuthumayo (ETU)?
Lona umbuzo obaluleke kakhulu, ngoba ngezinye izikhathi lezi zimpawu zingaba uphawu lwesimo esibucayi sezokwelapha. Ngakho-ke, kubalulekile ukwazi ukuthi kufanele ubonane nini nodokotela ojwayelekile nokuthi kufanele uye nini esibhedlela ngokushesha.
| Isimo | Isinyathelo Okufanele Sithathwe |
|---|---|
| Bona Udokotela Wakho Uma... | |
| Uma kufanele uphefumule ngokushesha njalo (hyperventilate). | Ukunquma ukuthi imbangela yalokhu ukukhathazeka noma enye imbangela engokomzimba bese ucela ukwelashwa okufanele. |
| Uma uvame ukuzwa izimpawu ezihlobene ne-Respiratory Alkalosis (isiyezi, ukungazweli). | Kubaluleke kakhulu ukuhlola imbangela eyisisekelo. |
| Yiya e-Emergency Treatment Unit (ETU) Ngokushesha Uma... | |
| Uma uzwa ubuhlungu obukhulu esifubeni noma ubunzima bokuphefumula . | Lokhu kungaba uphawu lwesimo esibucayi, njengokuhlaselwa yinhliziyo noma ukuqhekeka kwegazi emaphashini. |
| Ukuquleka noma ukushintsha kwesimo sengqondo . | Lokhu kungaba uphawu lokuthi ubuchopho abutholi umoya-mpilo owanele. |
| Uma kwenzeka ukuxhuzula (ukuxhuzula) . | Lesi yisimo esiphuthumayo esidinga ukwelashwa ngokushesha. |
| Isikhumba esiluhlaza okwesibhakabhaka, izindebe noma izinzipho . | Lokhu kuwuphawu lokuthi izinga lomoya-mpilo emzimbeni liphansi kakhulu. |
Umlayezo Wokuya Nawe Ekhaya
- I-alkalosis yokuphefumula yisimo lapho ukuphefumula okusheshayo (ukuphefumula ngokweqile) kubangela ukwehla kwe-carbon dioxide (CO2) egazini, okubangela ukuba igazi libe yi-alkaline.
- Lokhu kungabangela izimpawu ezifana nokuzungeza, ukungazweli ezithweni nasezindaweni ezizungezile umlomo, kanye nokuqina kwesifuba.
- Nakuba lesi simo singeyona ingozi, imbangela yaso ingasukela entweni elula njengokukhathazeka kuya entweni engathi sína njengokuqhekeka kwegazi emaphashini (pulmonary embolism).
- Ukwelashwa akusikho okwezimpawu, kodwa okwembangela eyisisekelo. Ngakho-ke, kubaluleke kakhulu ukuthola imbangela eqondile.
- Uma uhlangabezana nezimpawu ezinkulu njengobuhlungu obukhulu besifuba, ukulahlekelwa ukwazi, ukuquleka, noma izindebe eziluhlaza okwesibhakabhaka , iya eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha. Khuluma nodokotela wakho futhi uthole ulwazi olufanele ngalokhu.
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