I-acidosis yokuphefumula

Ukuphefumula i-acidosis yisimo esenzeka lapho amaphaphu engakwazi ukususa yonke i-carbon dioxide eyenziwa ngumzimba. Lokhu kubangela ukuthi uketshezi lomzimba, ikakhulukazi igazi, lube ne-asidi kakhulu.

Izimbangela zokuphefumula i-acidosis zifaka:

• Izifo zomoya, njenge-asthma ne-COPD
• Izifo zezicubu zamaphaphu, njenge-pulmonary fibrosis, ebangela ukushuba nokuqina kwamaphaphu
• Izifo ezingathinta isifuba, njenge-scoliosis
• Izifo ezithinta izinzwa nemisipha ekhombisa amaphaphu ukuthi afuthele noma anciphise
• Imithi ecindezela ukuphefumula, kufaka phakathi imithi enamandla yezinhlungu, njengama-narcotic (ama-opioid), kanye nama- "downers," njenge-benzodiazepines, imvamisa uma ihlanganiswa notshwala
• Ukukhuluphala ngokweqile, okuvimbela ukuthi amaphaphu angakhula kangakanani
• I-apnea yokulala evimbela

Isifo sokuphefumula esingamahlalakhona senzeka isikhathi eside. Lokhu kuholela esimweni esizinzile, ngoba izinso zandisa amakhemikhali omzimba, njenge-bicarbonate, asiza ukubuyisela ibhalansi yomzimba ye-acid-base.

I-acute yokuphefumula i-acidosis yisimo lapho i-carbon dioxide yakha khona ngokushesha okukhulu, ngaphambi kokuba izinso zibuyisele umzimba esimweni sokulinganisela.

Abanye abantu abane-acidosis engapheli yokuphefumula bathola i-acidosis yokuphefumula kanzima ngoba ukugula okunamandla kwenza isimo sabo sibe sibi kakhulu futhi kuphazamise i-acid-base balance yomzimba wabo.

Izimpawu zingafaka:

• Ukudideka
• Ukukhathazeka
• Ukukhathala okulula
• Imikhuba emibi
• Ukuphelelwa umoya
• Ukulala
• Ukuthuthumela (ukuthuthumela)
• Isikhumba esifudumele nesiflashiwe
• Ukujuluka

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu.

Ukuhlolwa okungenziwa kufaka phakathi:

• Iarterial blood gas, elinganisa amazinga e-oxygen ne-carbon dioxide egazini
• Iphaneli eyisisekelo ye-metabolic
• I-x-ray yesifuba
• I-CT scan yesifuba
• Ukuhlolwa komsebenzi wePulmonary ukukala ukuphefumula nokuthi amaphaphu asebenza kahle kanjani

Ukwelashwa kuhloselwe isifo okuyisona, futhi kungafaka:

• Imithi ye-Bronchodilator kanye ne-corticosteroids yokuguqula ezinye izinhlobo zokuvinjelwa komoya
• Ukungenisa umoya okucindezelayo okuhle (kwesinye isikhathi okubizwa nge-CPAP noma i-BiPAP) noma umshini wokuphefumula, uma kudingeka
• Oxygen uma izinga le-oxygen yegazi liphansi
• Ukwelashwa kokuyeka ukubhema
• Ezimweni ezinzima, umshini wokuphefumula (i-ventilator) ungadingeka
• Ukushintsha imithi lapho kufanele

Ukwenza kahle kangakanani kuya ngesifo esibangela i-acidosis yokuphefumula.

Izinkinga ezingaba nomphumela zifaka:

• Umsebenzi wesitho esibi
• Ukwehluleka kokuphefumula
• Ukushaqeka

I-acidosis yokuphefumula enamandla iyisimo esiphuthumayo sezokwelapha. Funa usizo lwezokwelapha ngokushesha uma unezimpawu zalesi simo.

Shayela umhlinzeki wakho uma unezimpawu zesifo samaphaphu esiba sibi ngokungazelelwe.

UNGABHALI. Ukubhema kuholela ekwakhekeni kwezifo eziningi ezinzima zamaphaphu ezingadala i-acidosis yokuphefumula.

Ukwehla kwesisindo kungasiza ekuvimbeleni i-acidosis yokuphefumula ngenxa yokukhuluphala (ukukhuluphala-hypoventilation syndrome).

Qaphela ngokuthatha imishanguzo yokuthambisa, futhi ungalokothi uhlanganise le mithi notshwala.

Sebenzisa idivaysi yakho ye-CPAP njalo uma unqunyelwe yona.

Ukwehluleka komoya; Ukwehluleka ukuphefumula; Acidosis - ukuphefumula

• Uhlelo lokuphefumula

I-Effros RM, iSwenson ER. Ibhalansi ye-acid-base. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 7.

Seifter JL. Izinkinga ze-acid-base. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 110.

I-Strayer RJ. Izinkinga ze-acid-base. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 116.