Alkalosis hanu
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ʻO ke alkalosis hanu kahi kūlana i kaha ʻia e kahi pae haʻahaʻa o carbon dioxide i loko o ke koko ma muli o ka hanu nui ʻana.
ʻO nā kumu maʻamau ka:
- Ka pīhoihoi a i ʻole ka panic
- Fiva
- Overbreathing (hyperventilation)
- Hāpai keiki (maʻamau kēia)
- ʻEha
- Tumo
- Trauma
- Anemia ʻaʻano koʻikoʻi
- Maʻi maʻi ate
- Overdose o kekahi mau lāʻau, e like me salicylates, progesterone
ʻO nā maʻi pūpū e hiki ai i ka hanu liʻiliʻi hiki ke hana i ka alkalosis hanu (e like me ka embolism pulmonary a me ka hānō).
Pākuʻi ʻia paha nā ʻōuli:
- Puʻupuʻu
- ʻĀlohilohi
- Numbness o nā lima a me nā wāwae
- Ka hanu ʻana
- Huikau
- Hōʻoluʻolu o ka umauma
E hana i kāu mea mālama ola i kahi hoʻokolohua kino. 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
- Nā hoʻāʻo ʻana o ka hana pulmonary e ana i ka hanu ʻana a me ka maikaʻi o ka hana ʻana o nā māmā
Mālama ʻia ka mālama ʻana i ke ʻano e kumu ai ka alkalosis respiratory. Ka hanu ʻana i loko o kahi ʻeke pepa - a i ʻole ka hoʻohana ʻana i ka pale maka e hoʻohoho hou ai ʻoe i ka carbon dioxide - i kekahi manawa kōkua i ka hōʻemi ʻana i nā hōʻailona inā ʻo ka hopohopo ke kumu nui o kēia ʻano.
Pili ʻo Outlook i ke ʻano o ke kumu o ka alkalosis respiratory.
Kūpono ka hopu ʻana inā ikaika loa ka alkalosis. Kākaʻikahi loa kēia a ʻoi aku paha ka hopena inā pili ka alkalosis i ka hoʻonui ʻia o ka ea mai kahi mīkini hanu.
Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi mau ʻōuli o ka maʻi puʻupuʻu, e like me ka uha wā lōʻihi (mau) a i ʻole ka liʻiliʻi o ka hanu.
Alkalosis - 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.