Chii chinonzi kufema alkalosis uye chinokonzeresa chii

Zvemukati

• Zvinogona kukonzerwa
• Zviratidzo zvinogona kuitika
• Maitiro ekurapa kufema alkalosis

Respiratory alkalosis inoratidzirwa nekushaikwa kwekabhoni dhayokisaidhi muropa, inozivikanwawo seEC2, ichikonzera kuti ive isina acidic kupfuura zvakajairwa, ine pH iri pamusoro pe7.

Uku kushayikwa kwekabhoni dhayokisaidhi kunogona kukonzerwa nezvinhu zvinoverengeka, sekumhanyisa nekukurumidza kufema kupfuura zvakajairwa, izvo zvinogona kumuka munguva yekushushikana, kushushikana, shanduko yepfungwa, kana zvakare nekuda kwechirwere chinokonzera kufema kukurumidza, senge hutachiona, hunyoro kusagadzikana, chirwere chemapapu kana chemwoyo, semuenzaniso.

Kurapa kwayo kunoitwa, kunyanya, kuburikidza neyakajairika yekufema uye, kune izvo, zvakakosha kuti chiremba aite kugadzirisa chinokonzera kukonzeresa mweya wekufema.

Zvinogona kukonzerwa

Respiratory alkalosis inowanzo kukonzerwa kana paine kufema kwakadzama uye nekukurumidza kupfuura zvakajairwa, uye izvi zvinogona kuitika mune zvinotevera mamiriro:

• Hyperventilation, umo kufema kunokurumidza uye kwakadzika, uye izvo zvinowanzoitika mumamiriro ekushushikana, kushushikana kana kusagadzikana kwepfungwa;
• Kupisa zvakanyanya;
• Neurological honzeri dzinokonzeresa kuputsa nzvimbo yekufema;
• Nzvimbo dzakakwirira, nekuda kwekuderera kwekumanikidza kwemhepo, zvichikonzera mweya wakafemerwa kuti uve neokisijeni shoma pane yegungwa;
• Salicylate chepfu;
• Zvimwe zvirwere zvemwoyo, chiropa kana mapapu;
• Kufema nemidziyo yakasarudzika, iyo inowanzo kuve iriko munharaunda yeICU.

Zvese izvi zvikonzero, pakati pevamwe, zvinogona kutungamira mukudzikira kwecarbon dioxide muropa, zvichiita kuti iwedzere alkaline.

Zviratidzo zvinogona kuitika

Kazhinji, zviratidzo zviripo mukufema alkalosis zvinokonzerwa nechirwere chinokonzeresa shanduko iyi uyezve nemhedzisiro pauropi ye hyperventilation, iyo inogona kuoneka pamiromo uye kumeso, mhasuru, mhasuru, kudedera mumaoko uye kubuda chokwadi kwenguva pfupi. Mune zvimwe zviitiko zvakakomba dzungu, kutambudzika kwekufema, kuvhiringidzika uye coma zvinogona kuitika.

Nzira huru yekusimbisa kufema alkalosis iri kuburikidza nekuongororwa kweropa kunonzi arterial ropa gasi kuongororwa, umo izvo zvinokwanisika kutarisa kukosha kweoksijeni uye carbon dioxide muropa, pamwe nePH. Kazhinji, bvunzo iyi inotarisa pH iri pamusoro 7. 7.45 uye CO2 kukosha pazasi pe35 mmHg muropa reropa. Dzidza zvakawanda nezve bvunzo iyi.

Maitiro ekurapa kufema alkalosis

Kurapa kunoenderana nechikonzero chekufema alkalosis. Kana munhu wacho akurumidzira kufema kunokonzerwa nekushushikana, kurapwa kunoenderana nekuderedza mwero wekufema, kudzikisira kushushikana kwavo uye nekuwedzera huwandu hwekabhoni dhayokisaini yakafemerwa. Muzviitiko zvefivha, inofanirwa kudzorwa ne antipyretic zvinodhaka uye kana mune chepfu, detoxification inofanira kuitwa.

Nekudaro, mune yakaoma uye yakaoma kudzora makesi, akadai sezvirwere zvetsinga, sedation inogona kunge ichidikanwa kudzora nzvimbo dzekufema dzemurwere. Uye zvakare, zvingave zvakafanira kugadzirisa iwo mafaera echishandiso chekufema kwekunyepera kana munhu ari muchimiro ichi.

Kana kufema alkalosis kuchikonzerwa nekuda kwenzvimbo dzakakwirira, zvakajairika kuti muviri ubhadhare kushayikwa kweo okisijeni nekuwedzera kurova kwemoyo uye kubuda, pamwe neyakafema mweya.