Yini i-hypercapnia futhi yiziphi izimpawu

-Delile

• Ziyini izimpawu
• Izimbangela ezingaba khona
• Yiziphi izinto eziyingozi
• Yini ukuxilongwa
• Yelashwa kanjani

I-Hypercapnia ibonakala ngokwanda kwe-carbon dioxide egazini, okuvame ukwenzeka ngenxa ye-hypoventilation noma ukungakwazi ukuphefumula kahle ukuze kuthathwe i-oxygen eyanele emaphashini. I-Hypercapnia ingenzeka ngokuzumayo futhi ibangele ukwanda kwe-asidi yegazi, ebizwa ngokuthi i-respiratory acidosis.

Ukwelashwa kuya ngesizathu se-hypercapnia nobukhulu bayo, futhi imvamisa kuqukethe ukuphathwa komoya-mpilo, ukuqapha inhliziyo nomfutho wegazi futhi kwezinye izimo, ukuphathwa kwemithi, njenge-bronchodilators noma i-corticosteroids.

Ziyini izimpawu

Ezinye zezimpawu ezingenzeka ezimweni ze-hypercapnia zifaka:

• Isikhumba esinamabala;
• Ubuthakathaka;
• Ikhanda;
• Isiyezi;
• Ukudideka;
• Ukuphefumula okufishane;
• Ukukhathala ngokweqile.

Ngaphezu kwalokhu, izimpawu ezinzima zingase zivele, ezinjengokudideka, ukuphazamiseka kwengqondo, ukudangala, ukuqhuma kwemisipha, ukushaya kwenhliziyo okungavamile, ukukhuphuka kwezinga lokuphefumula, ukwethuka, ukudlikizela noma ukuquleka. Kulezi zimo, kufanele uye ngokushesha emnyangweni ophuthumayo, ngoba uma ungelashwa kahle, ungabulala.

Izimbangela ezingaba khona

Enye yezimbangela ezivame kakhulu ze-hypercapnia yisifo esingelapheki sokuvimbela, lapho amaphaphu engakwazi khona ukuthola umoya-mpilo kahle. Funda ukuthi ungasibona kanjani futhi uselaphe isifo esingamahlalakhona sokuvuvukala kwamaphaphu.

Ngaphezu kwalokho, i-hypercapnia nayo ingabangelwa ukuphefumula ubuthongo, ukukhuluphala ngokweqile, isifuba somoya, ukwehluleka kwenhliziyo ukubola, ukubola kwamaphaphu, i-acidemia kanye nezifo ze-neuromuscular ezifana ne-polymyositis, i-ALS, i-Guillain-Barré Syndrome, i-Myasthenia Gravis, i-Eaton-Lambert Syndrome, i-diphtheria, i-botulism, i-hypophosphatemia noma i-hypermagnesemia.

Yiziphi izinto eziyingozi

Abantu abanomlando wesifo senhliziyo noma samaphaphu, abasebenzisa osikilidi noma abachayeka kumakhemikhali nsuku zonke, njengasemsebenzini, basengozini enkulu yokuhlushwa yi-hypercapnia.

Yini ukuxilongwa

Ukuhlonza i-hypercapnia, kungenziwa ukuhlolwa kwegazi, ukuhlola amazinga e-carbon dioxide egazini bese ubona ukuthi ingcindezi yomoya-mpilo ijwayelekile yini.

Udokotela angakhetha futhi ukwenza i-X-ray noma i-CT scan yamaphaphu ukuze ahlole ukuthi kukhona yini izinkinga zamaphaphu.

Yelashwa kanjani

Kubantu abanezinga eliphansi lokwazi, ukungazinzi kwe-hemodynamic noma ingozi eseduze yokuboshwa kwe-cardiorespiratory, kufanele kwenziwe i-orotracheal intubation.

Ezimweni ezingaphansi kakhulu, ukuqapha kwenhliziyo nokucindezelwa kwegazi, ukushaywa kwe-oximetry kanye ne-oxygen supplementation nge-mask noma i-catheter kungenziwa. Ngaphezu kwalokho, ukuphathwa kwemithi, njenge-bronchodilators noma i-corticosteroids, kunganconywa futhi, esimweni sokutheleleka ngokuphefumula, ama-antibiotic angadingeka.