Kufuridzira acidosis

Respiratory acidosis chiitiko chinoitika kana mapapu asingakwanise kubvisa ese carbon dioxide inoburitswa nemuviri. Izvi zvinokonzera kuti mvura yemuviri, kunyanya iro ropa, riwedzere kuva acidic.

Zvinokonzera kufema acidosis zvinosanganisira:

• Zvirwere zvemumhepo, senge asthma neCOPD
• Zvirwere zvemapapu tishu, senge pulmonary fibrosis, iyo inokonzeresa kuora uye kuonda kwemapapu
• Zvirwere zvinogona kukanganisa chipfuva, senge scoliosis
• Zvirwere zvinokanganisa tsinga nemhasuru zvinoratidzira mapapu kuti afutidze kana kufefetera
• Mishonga inodzvinyirira kufema, inosanganisira yakasimba mishonga inorwadza, senge ma narcotic (opioid), uye "zvinodzika pasi," senge benzodiazepines, kazhinji kana ichibatanidzwa nedoro
• Kunyanyisa kufutisa, uko kunotadzisa kuti mapapu anogona kuwedzera sei
• Kurambidza kufema kufema

Chisingaperi kufema acidosis kunoitika kwenguva yakareba. Izvi zvinotungamira kune yakadzikama mamiriro, nekuti itsvo dzinowedzera makemikari emuviri, akadai sebicarbonate, ayo anobatsira kudzoreredza muviri acid-base chiyero.

Acute yekufema acidosis mamiriro umo kabhoni dhayokisaidhi inovaka nekukurumidza, itsvo dzisati dzidzorera muviri kuhutano.

Vamwe vanhu vane chisingaperi mweya wekufema acidosis vanowana zvakanyanya kufema acidosis nekuti chirwere chakakomba chinoita kuti mamiriro avo awedzere uye kukanganisa muviri wavo acid-base balance.

Zviratidzo zvinogona kusanganisira:

• Kuvhiringidzika
• Kufunganya
• Kuneta kuri nyore
• Lethargy
• Kufema kwekufema
• Kurara
• Kudengenyeka (kudedera)
• Rinodziya uye rakatsetseka ganda
• Kudikitira

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezve zviratidzo.

Miedzo inogona kuitwa inosanganisira:

• Arterial ropa gasi, iro rinoyera oxygen uye carbon dioxide mazinga muropa
• Yekutanga metabolic pani
• Chest x-ray
• CT scan yechifuva
• Pulmonary basa bvunzo kuyera kufema uye mashandiro emapapu ari kushanda

Kurapa kunoitirwa chirwere chiri pasi, uye chinogona kusanganisira:

• Bronchodilator mishonga uye corticosteroids kudzosera mamwe marudzi ekudzivirira kwemhepo
• Noninvasive yakanaka-kumanikidza mweya (dzimwe nguva inonzi CPAP kana BiPAP) kana muchina wekufema, kana zvichidikanwa
• Oxygen kana iyo oxygen oxygen yakaderera
• Mushonga wekurega kusvuta
• Kwezviitiko zvakakomba, muchina wekufema (ventilator) ungangodiwa
• Kuchinja mishonga pazvinenge zvakakodzera

Kunyatsoita kwaunoita kunoenderana nechirwere chinokonzera kufema acidosis.

Matambudziko anogona kuguma anosanganisira:

• Basa rakashata renhengo
• Kukundikana kwekufema
• Shock

Yakanyanya kufema acidosis chirwere chekukurumidzira. Tsvaga rubatsiro rwechiremba ipapo kana iwe uine zviratidzo zveichi chiitiko.

Fonera mupiki wako kana iwe uine zviratidzo zvechirwere chemapapu izvo zvinongoerekana zvanyanya.

USASVIRA. Kusvuta kunotungamira mukukudziridzwa kwezvirwere zvakakomba zvemapapu izvo zvinogona kukonzera kufema acidosis.

Kurasikirwa nehuremu kunogona kubatsira kudzivirira kufema acidosis nekuda kwekufutisa (kufutisa-hypoventilation syndrome).

Ive nekuchengera nezve kutora mishonga inodzikamisa, uye usambofa wakabatanidza iyi mishonga nedoro.

Shandisa yako CPAP chishandiso nguva dzose kana iwe wakanyorerwa iwe.

Kufefetedza mweya; Kutadza kufema; Acidosis - kufema

• Kufuridzira system

Effros RM, Swenson ER. Acid-base chiyero. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheRefiratory Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.

Seifter JL. Acid-base kusagadzikana. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 110.

Anonyengera RJ. Acid-base kusagadzikana. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 116.