ʻO hypoventilation alveolar kumu

ʻO ka hypoventilation alveolar mua kahi maʻi laha ʻole kahi i lawa ʻole ka hanu o ke kanaka i kēlā me kēia minuke. ʻO nā māmā a me nā alaloa he maʻamau.

ʻO ka maʻamau, ke haʻahaʻa ka pae o ka oxygen ma ke koko a kiʻekiʻe paha ke kiʻekiʻe o ke kalapona, aia kahi hōʻailona mai ka lolo e hanu hohonu a wikiwiki paha. I ka poʻe me ka hypoventilation alveolar mua, ʻaʻole kū kēia hoʻololi i ka hanu.

ʻAʻole ʻike ʻia ke kumu o kēia ʻano. Loaʻa i kekahi poʻe kahi kīnā ʻiʻo kikoʻī.

Hoʻopili ka maʻi i nā kāne 20 a 50 mau makahiki. Hiki paha i nā keiki.

ʻOi aku ka maikaʻi o nā ʻōuli ma ka hiamoe. Hana pinepine ʻia nā ʻāpana o ka hoʻomaha hanu ʻana (apnea) ʻoiai e hiamoe ana. ʻAʻole pinepine ka hanu i ka lā.

ʻO nā hōʻailona me:

• ʻO ka waihoʻoluʻu Bluish o ka ʻili i hana ʻia e ka nele o ka oxygen
• Hiamoe lā
• Ka luhi
• Poʻo poʻo poʻo kakahiaka
• ʻO ka pehu ʻana o nā kuʻekuʻe wāwae
• E ala ana mai ka hiamoe ʻole
• Ke ala ala i nā manawa he nui i ka pō

ʻO ka poʻe me kēia maʻi maʻalahi loa i nā lāʻau liʻiliʻi o nā sedative a i ʻole narcotics. Hiki i kēia mau lāʻau ke hana i ko lākou hanu pilikia i ʻoi aku ka maikaʻi.

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i nā ʻōuli.

E hana ʻia nā hoʻāʻo e kāpae i nā kumu ʻē aʻe. ʻO kahi laʻana, hiki i ka distrophy muscular ke hoʻonāwaliwali i nā iwi ʻaoʻao, a hōʻino ʻia ka maʻi pulmonary obstructive maʻi (COPD) i kaʻiʻo māmā ponoʻī. Hiki i kahi hahau liʻiliʻi ke hoʻololi i ke kikowaena hanu i ka lolo.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Ke ana ʻana i nā pae o ka oxygen a me carbon dioxide i loko o ke koko (nā kinoea koko arterial)
  
• Pākuʻi x-ray a i ʻole CT scan
• ʻO nā hoʻokolohua hoʻokolohua Hematocrit a me hemoglobin e nānā i ka oxygen e hāpai ana i ka hiki i nā ʻulaʻula koko
• Nā hoʻāʻo hana lung
• Nā ana pae o ka oxygen i ka pō (oximetry)
• Nā kinoea koko
• ʻImi hiamoe (polysomnography)

ʻO nā lāʻau e hoʻonāukiuki i ka ʻōnaehana hanu e hoʻohana ʻia akā ʻaʻole holo mau. ʻO nā hāmeʻa mīkini e kōkua ai i ka hanu ʻana, keu hoʻi i ka pō, kōkua paha i kekahi poʻe.Hiki i ka oxygen therapy ke kōkua i kekahi mau kānaka, akā e hoʻomāhuahua paha i nā hōʻailona pō i kekahi poʻe ʻē aʻe.

ʻOkoʻa ka pane i ka mālama ʻana.

Hiki i ke kiʻekiʻe o ka oxygen oxygen ke hana i ke koko kiʻekiʻe i nā kīʻaha koko māmā. Hiki i kēia ke alakaʻi i ka pulmonale cor (ʻaoʻao puʻuwai ʻaoʻao ʻākau).

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o kēia maʻi. E ʻimi koke i ka lāʻau lapaʻau inā kū ka ʻili bluish (cyanosis).

ʻAʻohe pale e ʻike ʻia. Pono ʻoe e hōʻalo i ka hoʻohana ʻana i nā lāʻau moe a i ʻole nā ​​lāʻau ʻē aʻe i hiki ke hoʻoulu i ka hiamoe.

Hōʻino a Ondine; Hewa hāhā; Hoʻoiho i ka hoʻokele hoʻokomo ea hypoxic; Hoʻoiho hoʻokele hypercapnic ventilator

• ʻŌnaehana hanu

Cielo C, Marcus CL. Nā syndrome hypoventilation kikowaena. Moe Med Med. 2014; 9 (1): 105-118. PMID: 24678286 pubmed.ncbi.nlm.nih.gov/24678286/.

Malhotra A, Powell F. Nā maʻi o ka hoʻokele ea. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 80.

ʻO Weinberger SE, ʻo Cockrill BA, ʻo Mandel J. Nā maʻi o ka mālama ʻana i ka ea. I: Weinberger SE, ʻo Cockrill BA, Mandel J, eds. Nā Kumu o ka lāʻau lapaʻau pulmonary. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 18.