Yini i-alkalosis yokuphefumula nokuthi ibangelwa yini

-Delile

• Izimbangela ezingaba khona
• Izimpawu ezingenzeka
• Ungayelapha kanjani i-alkalosis yokuphefumula

I-alkalosis yokuphefumula ibonakala ngokuntuleka kwe-carbon dioxide egazini, eyaziwa nangokuthi yi-CO2, okudala ukuthi ibe ne-acidic encane kunokujwayelekile, ene-pH engaphezulu kuka-7.45.

Lokhu kushoda kwe-carbon dioxide kungadalwa yizinto eziningana, njengokuphefumula okusheshayo nokujule kunokujwayelekile, okungavela ngezikhathi zokukhathazeka, ukucindezeleka, ukuguquka kwengqondo, noma futhi ngenxa yesifo esibangela ukuphefumula okuphuthumayo, njengokutheleleka, imizwa ukuphazamiseka, isifo samaphaphu noma senhliziyo, isibonelo.

Ukwelashwa kwayo kwenziwa, ikakhulukazi, ngokujwayelekile ukuphefumula futhi, ngalokho, kubalulekile ukuthi udokotela athathe isinyathelo sokuxazulula imbangela ebangele ukushintsha kokuphefumula.

Izimbangela ezingaba khona

I-alkalosis yokuphefumula ivame ukubangelwa lapho kukhona ukuphefumula okujulile nokusheshayo kunokujwayelekile, futhi lokhu kungenzeka ezimweni ezilandelayo:

• Hyperventilation, lapho ukuphefumula kushesha futhi kujulile, futhi okuvame ukwenzeka ezimweni zokukhathazeka, ukucindezeleka noma ukuphazamiseka kwengqondo;
• Umkhuhlane omkhulu;
• Izifo zemizwa ezibangela ukwanda kwesikhungo sokuphefumula;
• Ukuphakama okuphezulu, ngenxa yokwehla kwengcindezi yasemkhathini, okwenza umoya ophefumulelwe ube ne-oxygen encane kunolwandle;
• Ubuthi be-salicylate;
• Ezinye izifo zenhliziyo, isibindi noma amaphaphu;
• Ukuphefumula ngezinto zikagesi ezingalungisiwe, okuvame ukuba khona endaweni ye-ICU.

Zonke lezi zimbangela, phakathi kokunye, zingaholela ekwehleni kwe-carbon dioxide egazini, kuyenze ibe ne-alkaline ethe xaxa.

Izimpawu ezingenzeka

Ngokuvamile, izimpawu ezikhona ku-alkalosis yokuphefumula zibangelwa yisifo esidala lokhu kuguquka kanye nemiphumela ebuchosheni be-hyperventilation, engavela ezindebeni nasebusweni, ukuqubuka kwemisipha, isicanucanu, ukuthuthumela ezandleni bese kuphuma ngokoqobo imizuzwana embalwa. Ezimweni ezinzima kakhulu isiyezi, ubunzima bokuphefumula, ukudideka kanye nekhoma kungenzeka.

Indlela eyinhloko yokuqinisekisa i-alkalosis yokuphefumula kungukuhlolwa kwegazi okubizwa ngokuthi yi-arterial blood gas analysis, lapho kungenzeka khona ukubheka amanani we-oxygen ne-carbon dioxide egazini, kanye ne-pH. Ngokuvamile, lokhu kuhlolwa kuzobheka i-pH engaphezulu kuka-7.45 namanani we-CO2 angaphansi kwama-35 mmHg egazini elisegazini. Funda kabanzi ngalokhu kuhlolwa.

Ungayelapha kanjani i-alkalosis yokuphefumula

Ukwelashwa kuya ngesizathu se-alkalosis yokuphefumula. Uma umuntu ephefumula ngokushesha okubangelwa ukukhathazeka, ukwelashwa kusekelwe ekwehliseni izinga labo lokuphefumula, ukunciphisa ukukhathazeka kwabo nokwandisa inani le-carbon dioxide elidonswayo. Ezimweni zomkhuhlane, kufanele ulawulwe ngemithi elwa ne-antipyretic futhi ezimweni zobuthi, kufanele kukhishwe ubuthi.

Kodwa-ke, ezimeni ezinzima futhi ezinzima ukulawula, njengezifo zemizwa, ukuthambeka kungadingeka ukulawula izikhungo zokuphefumula zesiguli. Ngaphezu kwalokho, kungadingeka ukulungisa imingcele yedivayisi yokuphefumula yokufakelwa lapho umuntu ekulesi simo.

Uma i-alkalosis yokuphefumula idalwa ngenxa yokuphakama okuphezulu, kuyinto ejwayelekile ukuthi umzimba ukhokhele lokhu kushoda komoya-mpilo ngokwandisa izinga lokushaya kwenhliziyo nokukhiphayo, kanye nezinga lokuphefumula.