Acidosis hanu

ʻO kahi acidosis hanu kahi kūlana i kū i ka wā ʻaʻole hiki i nā māmā ke hemo i nā carbon dioxide a ke kino e hana ai. ʻO kēia ke kumu o nā wai o ke kino, ʻo ke koko hoʻi, e lilo i acidic.

Kumu o ka hanu acidosis nā:

• Nā maʻi o nā ala wai, e like me ka hānō a me COPD
• ʻO nā maʻi o kaʻiʻo māmā, e like me ka pulmonary fibrosis, ka mea e hoʻoweliweli a mānoanoa o nā akemāmā
• Nā maʻi i hiki ke hoʻopili i ka umauma, e like me scoliosis
• Nā maʻi e hoʻopili ana i nā aʻalolo a me nā mākala e hōʻailona ai i nā akemāmā e hoʻoulu a deflate paha
• Nā lāʻau e kāohi i ka hanu ʻana, me nā lāʻau ʻehaʻeha, e like me narcotics (opioids), a me "downers," e like me benzodiazepines, ke hoʻohui pinepine ʻia me ka wai ʻona.
• ʻO ka momona momona, ka mea e kaupalena ai i ka nui o nā māmā e hiki ke hoʻonui
• ʻAha moe hiamoe

Hana ʻia ka acidosis hanu maʻi ma kahi lōʻihi. Ke alakaʻi nei kēia i kahi kūlana paʻa, no ka mea hoʻonui nā puʻupaʻa i nā kemika o ke kino, e like me ka bicarbonate, i kōkua i ka hoʻihoʻi hou ʻana i ke kaulike acid-base o ke kino.

ʻO kahi acidosis respiratory akomi kahi kūlana kahi e kūkulu wikiwiki ʻia ai ʻo carbon dioxide, ma mua o ka hoʻihoʻi ʻana o nā puʻupaʻa i ke kino i kahi kūlana kaulike.

Loaʻa i kekahi poʻe me ka acidosis hanu mau loa e loaʻa i ka acidosis respiratory respiratory no ka mea ʻo kahi maʻi maʻi e hoʻonui i ko lākou kūlana a hoʻohaunaele i ke kaulike acid-base a ko lākou kino.

Pākuʻi ʻia paha nā ʻōuli:

• Huikau
• Hopohopo
• Ka luhi maʻalahi
• Lethargy
• Pokole o ka hanu
• Hiamoe
• Nā haʻalulu (haʻalulu)
• ʻIli mahana a ʻulaʻula
• Hoʻoulu

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

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Ke kinoea koko arterial, e ana ana i ka oxygen a me nā pae kalapona kalapona i ke koko
• Panela metaboliko maʻamau
• Pākuʻi x-ray
• CT scan o ka umauma
• Hōʻike i ka hana Pulmonary e ana i ka hanu ʻana a pehea ke ʻano o ka hana o nā māmā

Hoʻolālā ʻia ka mālama ʻana i ka maʻi ma lalo, a hiki ke hoʻopili ʻia:

• ʻO nā lāʻau Bronchodilator a me nā corticosteroids e hoʻohuli i kekahi ʻano o ke ālai ala
• Noninvasive positive-pressure ventilation (i kekahi manawa i kapa ʻia ʻo CPAP a i ʻole BiPAP) a i ʻole kahi mīkini hanu, inā pono
• Oxygen inā haʻahaʻa ka pae o ka oxygen
• Hoʻōla e hōʻoki i ka puhipaka
• No nā hihia koʻikoʻi, pono ʻia kahi mīkini hanu (ventilator)
• Ke hoʻololi nei i nā lāʻau i ka wā kūpono

Maikaʻi kāu hilinaʻi ʻana i ka maʻi e hiki ai i ka acidosis respiratory.

Nā pilikia e hopena paha me:

• ʻOihana maikaʻi ʻole
• Hoʻoikaika hanu ʻole
• Pāhaʻi

ʻO ka acidosis hanu koʻikoʻi kahi pilikia olakino. E ʻimi koke i ke kōkua lapaʻau inā loaʻa nā ʻōuli o kēia ʻano.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka maʻi maʻi a ʻoi aku ka maikaʻi.

MAI Puhi. ʻO ke puhipaka ke alakaʻi i ka ulu ʻana o nā maʻi maʻi nui i hiki ke hana i ka acidosis respiratory.

Hiki i ka lilo o ke kaupaona ke pale aku i ka acidosis respiratory ma muli o ka momona (obesity-hypoventilation syndrome).

E akahele e pili ana i ka lawe ʻana i nā lāʻau hoʻomālie, a mai hoʻohui i kēia mau lāʻau i ka ʻalekohola.

E hoʻohana mau i kāu hāmeʻa CPAP inā ua kuhikuhi ʻia no ʻoe.

Hewa hāhā; Hoʻoikaika hanu ʻole; Acidosis - hanu

• ʻŌnaehana hanu

ʻO Effros RM, Swenson ER. Koena hoʻowahāwahā kumu. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 7.

Seifter JL. Nā maʻi kūmole. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 110.

ʻO Strayer RJ. Nā maʻi kūmole. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 116.