He aha ka hypercapnia a he aha nā hōʻailona
Anter
Hoʻohālikelike ʻia ʻo Hypercapnia e ka hoʻonui ʻia ʻana o carbon dioxide i loko o ke koko, kahi hopena ma ke ʻano he hypoventilation a i ʻole hiki ʻole ke hanu kūpono i mea e hopu pono ai ka oxygen i nā akemāmā. Hiki koke ʻo Hypercapnia a hoʻomaka i ka hoʻonui ʻana o ka acidity o ke koko, i kapa ʻia ka acidosis respiratory.
Pili ka mālama ʻana i ke kumu o ka hypercapnia a me kona koʻikoʻi, a ʻo ka hana nui ʻana o ka oxygen, ka mālama ʻana i ka puʻuwai a me ke kahe o ke koko a i kekahi mau manawa, ka lawelawe ʻana i nā lāʻau, e like me nā bronchodilators a i ʻole nā corticosteroids.
He aha nā hōʻailona
ʻO kekahi o nā ʻōuli e hiki ke hana i nā hihia o hypercapnia e komo pū ana:
- ʻIli kīnā ʻia;
- Somnolence;
- ʻEha poʻo poʻo;
- Puʻupuʻu;
- Disorientation;
- Ka pōkole o ka hanu;
- Ka luhi nui loa.
Hoʻohui ʻia i kēia mau mea, hiki ke loaʻa nā hōʻailona koʻikoʻi ʻoi aku, e like me ka huikau, paranoia, kaumaha, spasms muscle, kuʻi puʻuwai maikaʻi ʻole, hoʻonui i ka hanu ʻana, nā hōʻeha weliweli, nā lūlū a nāwaliwali paha. I kēia mau hihia, pono ʻoe e hele koke i ka ʻoihana pōpilikia, no ka mea inā ʻaʻole mālama pono ʻia, hiki ke make.
Nā kumu kūpono
ʻO kekahi o nā kumu maʻamau o hypercapnia ka maʻi kūpilikiʻi mau, kahi hiki ʻole i nā māmā ke omo pono i ka oxygen. E aʻo pehea e ʻike ai a mālama ai i ka maʻi pulmonary obstructive mau loa.
Eia kekahi, hypercapnia hiki ke kumu ʻia e ka sleep apnea, overweight, hānō, decompensated puʻuwai puʻuwai, pulmonary embolism, acidemia a me nā maʻi neuromuscular e like me polymyositis, ALS, Guillain-Barré Syndrome, Myasthenia Gravis, Eaton-Lambert Syndrome, diphtheria, botulism, hypophosphatemia a i ʻole hypermagnesemia.
He aha nā mea pilikia
ʻO ka poʻe me ka mōʻaukala o ka maʻi puʻuwai a i ʻole pūhū, e hoʻohana ana i ka paka a i ʻole e hōʻike ʻia i nā kemika i kēlā me kēia lā, e like me ka wahi hana, e laʻa me ka nui o ka pilikia o ka hypercapnia.
He aha ke kuhi
No ke kuhi ʻana i ka hypercapnia, hiki ke hana ʻia kahi hoʻokolohua kinoea koko, e nānā i nā kiʻekiʻe o ke kalapona kalapona i loko o ke koko a ʻike inā maʻamau ke kaomi oxygen.
Hiki paha i ke kauka ke koho e hana i kahi X-ray a i ʻole CT scan o nā akemāmā e nānā inā aia kekahi mau pilikia māmā.
Pehea e hana ai i ka lāʻau
I ka poʻe me ka pae haʻahaʻa o ka ʻike, ka hemodynamic instability a i ʻole ka hopena kokoke i ka hopu ʻia ʻana o ka cardiorespiratory, a i ʻole ka intotration orotracheal e pono ai.
I nā hihia ʻoi aku ka paʻakikī, hiki ke hoʻokō ʻia ka puʻuwai puʻuwai a me ke kaomi koko, ka lāʻau pulse oximetry a me ka oxygen e ka mask a i ʻole ka catheter. Hoʻohui ʻia, koi ʻia paha ka lawelawe ʻana o nā lāʻau, e like me nā bronchodilators a i ʻole nā corticosteroids, a inā he maʻi hanu, pono paha nā antibiotic.
HoʻOmaopopo Mākou IāʻOe EʻIke
Hoʻolālā o ka pēpē ma 18 mau mahina: ke kaupaona, ka hiamoe a me nā meaʻai
