He aha ka hanu ʻana o Kussmaul, a he aha ke kumu o ia?

Anter

• He aha ke kumu o ka hanu ʻana o Kussmaul?
• Ketoacidosis diabetes
• Nā kumu ʻē aʻe
• He aha nā hōʻailona?
• Pehea e mālama ai i ka hanu ʻana o Kussmaul?
• Pehea e pale ai i ka hanu ʻana o Kussmaul
• Pehea ka ʻokoʻa o ka hanu ʻana o Kussmaul mai ka hanu ʻana o Cheyne-Stokes?
• Ke laina lalo

Kussmaul ka hanu ʻana e ka hohonu, wikiwiki, a me ka hanu hana. ʻO kēia ʻano hanu ʻokoʻa a me ke ʻano hanu ʻole e hopena ʻia mai kekahi mau ʻano olakino, e like me ka ketoacidosis diabetic, a he pilikia nui ia no ka maʻi kō.

Ua kapa ʻia ka hanu ʻo Kussmaul na Kauka Adolf Kussmaul, ka mea hanu i 1874.

E hoʻomau i ka heluhelu ʻana e ʻike hou aʻe e pili ana i ka hanu ʻana o Kussmaul, me nā kumu a me pehea e ʻike ai i kēia ʻano hanu.

He aha ke kumu o ka hanu ʻana o Kussmaul?

Ke hiki mai i ka hanu ʻana o Kussmaul, kōkua ia e hoʻomanaʻo i ka hoʻāʻo mau ʻana o kou kino e loaʻa ke kaulike.

Mālama kou kino i kahi pae pH paʻa o 7.35 a 7.45. Ke piʻi a haʻahaʻa paha kēia pae PH, e ʻimi i kou kino i nā ala e hoʻāʻo ai e hoʻololi no nā loli pH. ʻO kēia kahi e komo ai ka hanu Kussmaul.

E nānā mākou i kekahi mau kumu kūpono o ka loli pH e alakaʻi ai i ka hanu ʻana o Kussmaul.

Ketoacidosis diabetes

ʻO kekahi o nā kumu maʻamau o ka hanu ʻana o Kussmaul ka ketoacidosis diabetic, kahi pilikia kūpilikiʻi e pili pinepine ʻia me ka maʻi diabetes 1. Eia nō naʻe, ma ke ʻano he diabetes ʻelua.

Hiki ke hoʻomaka ʻia ka ketoacidosis diabetic inā ʻaʻole lawa ka nui o ka insulina o kou kino a ʻaʻole hiki ke hana pono i ka glucose. Hiki i kēia ke alakaʻi i ka make wai, kahi mea, hiki ke hoʻomaka i kou kino e wāwahi i ka momona no ka ikehu ma kahi wikiwiki.

ʻO nā huahana o kēia mea he ketones, he waikawa nui a hiki ke hoʻokumu i ka waikawa i loko o kou kino.

Eia kahi wehewehe pehea e hiki ai i ka ketoacidosis diabetic ke alakaʻi i ka hanu ʻana o Kussmaul:

• ʻO nā ketones keu i kou kino e hoʻokumu i ka waikawa i loko o kou koko.
• Ma muli o kēia, ua hoʻomaka kāu ʻōnaehana hanu e hoʻomaka i ka hanu wikiwiki ʻana.
• Kōkua ka hanu wikiwiki ʻana i ka kipaku ʻana i ke kalapona kalapona, kahi hui ʻakika i kou koko.
• Inā piʻi mau ka pae o ka waikawa a ʻaʻole loaʻa iā ʻoe ka lāʻau, e hōʻailona kou kino e pono ʻoe e lawe i nā hanu hohonu.
• ʻO kēia ka hopena i ka hanu ʻana o Kussmaul, ka mea i hōʻike ʻia e nā hanu hohonu, wikiwiki, e hoʻāʻo e kipaku i ka nui o ke kalapona kalapona i hiki.

Nā kumu ʻē aʻe

ʻO kekahi mau kumu ʻē aʻe o ka hanu ʻana o Kussmaul me:

• maikaʻi ʻole o ke kino, e like me ka puʻuwai, ka puʻuwai, a i ʻole ke kōpaʻa ate
• kekahi ʻano maʻi ʻaʻai
• ʻoi loa o ka inu rama
• ka ingning o nā mea make, e like me salicylates (aspirin), methanol, ethanol, a i ʻole antifreeze
• ka hopu ʻana
• sepsis
• overexertion, ka mea maʻa mau e hoʻoholo wikiwiki me ke koena

Kēlā me kēia o kēia mau kumu i ke kumu o ka buildup o ka waikawa i loko o ke koko. Me ka ʻokoʻa o ka overexertion, pili ka hapa nui o kēia mau kumu i nā kumu metabolic.

ʻO kēia ka manaʻo o nā ʻokana maʻamau no ka kānana ʻana i nā huahana neoneo ʻaʻole hiki ke mālama e like me ka mea e pono ai. Kūkulu kēia mau huahana neoneo, he waikawa maʻamau, i loko o ke koko, a hoʻāʻo kou kino e hoʻohuli i kēia kaulike ʻole.

He aha nā hōʻailona?

ʻO kekahi o nā ʻōuli o ka hanu ʻana o Kussmaul:

• hanu hohonu
• kahi wikiwiki hanu
• kahi pae hanu i kūlike a kūlike i ka helu a me ka rhythm

Hōʻike kekahi poʻe i ka hanu ʻana o Kussmaul ma ke ʻano he "pōloli lewa." ʻO ke kumu kēia inā ʻike ʻoe iā ia, ʻike ʻia ʻoe e like me ka hanu ʻana i ka hanu, a me he mea lā e weliweli paha kou hanu.

ʻAʻohe o ka poʻe me ka hanu Kussmaul e kaohi i ke ala a lākou e hanu nei. ʻO ka pane o ke kino i kahi kūlana paʻa.

Ma muli o ke kumu o ka hanu ʻana o Kussmaul e ka diabetic ketoacidosis, he mea nui ia e ʻike i nā hōʻailona hōʻailona o kēia ʻano, i hiki ke hele koke mai me ka wikiwiki.

ʻO kekahi mau ʻōuli maʻamau o ka ketoacidosis diabetic me:

• kiʻekiʻe pae kō kō
• make wai loa
• nausea a luaʻi paha
• hoʻonui urination
• huikau
• hanu ʻaʻala a momona paha
• kiʻekiʻe pae ketone i ka mimi
• luhi

Ke kumu ʻole nā ​​ʻōuli e ka overexertion, pono ia i kēlā me kēia mea me nā ʻōuli o ka hanu ʻana o Kussmaul e loaʻa koke i ka lāʻau lapaʻau.

Pehea e mālama ai i ka hanu ʻana o Kussmaul?

ʻO ka mālama ʻana i ka hanu ʻana o Kussmaul e pili ana i ke kamaʻilio ʻana i ke ʻano kumu i hoʻokumu ʻia. ʻO ka hapanui pinepine, pono ka lapaʻau i kahi noho haukapila.

ʻO ka mālama ʻana no ka ketoacidosis diabetic ka mea e koi pinepine ai i ka wai a me ka hoʻololi electrolyte. E mālama ʻia paha ka insulin ma ke ala like, a hiki i ka pae o kāu kō kō ma lalo o 240 milligrams ma ka deciliter.

I ke kumu o ka uremia, koi paha ʻoe i ka dialysis e hōʻemi i ke kūkulu ʻana o nā toxins keu i hiki ʻole i kāu mau puʻupaʻa ke kānana.

Pehea e pale ai i ka hanu ʻana o Kussmaul

ʻO ka pale ʻana i ka hanu ʻana o Kussmaul e pili pinepine ana i ka mālama pono ʻana i nā kūlana olakino mau.

Inā loaʻa ʻoe i ka maʻi diabetes, pili pū kēia:

• lawe i ka lāʻau diabetes e like me ke kuhikuhi
• e hāhai ana i ka papa ʻaina e like me ke kuhikuhi a ka mea mālama ola
• noho hydrated maikaʻi
• ke nānā mau nei i nā pae kō kō
• e hoʻāʻo nei i ka mimi no nā ketone

Inā loaʻa iā ʻoe kahi ʻano pili i ka hakuʻala, pili pū kēia:

• hānai i kahi papaʻai hoʻopōmaikaʻi
• pale ʻana i ka ʻalekohola
• noho hydrated maikaʻi
• ke mālama nei i nā pae kō kō

Pehea ka ʻokoʻa o ka hanu ʻana o Kussmaul mai ka hanu ʻana o Cheyne-Stokes?

ʻO kekahi ʻano o nā ʻano hanu ʻokoʻa ʻo Cheyne-Stokes e hanu nei. ʻOiai hiki ke hana kēia ke ala ʻoe, ʻoi aku ka maʻamau i ka wā hiamoe.

ʻO Cheyne-Stokes ka hanu ʻana e ʻike ʻia e:

• he piʻi mālie o ka hanu ʻana, ukali ʻia e ka hōʻemi
• kahi apneic, a i ʻole hanu ʻole, pae i kū ma hope o ka hanu ʻana o ka hanu o kekahi kanaka i kahi hou aʻe
• kahi manawa apneic e mau ma 15 a 60 kekona

Pili pinepine ka hanu Cheyne-Stokes i ka hanu ʻole o ka naʻau a i ʻole ka hahau ʻana. Hiki iā ia ke kumu ʻia e nā ʻano pili i ka lolo, e like me:

• ʻōpū o ka lolo
• hōʻeha lolo lolo
• encephalitis
• hoʻonui i ka puʻuwai waena

Eia ka hoʻohālikelike ma waena o Cheyne-Stokes a me Kussmaul e hanu nei:

• Kumu: Hoʻokumu pinepine ʻia ka hanu Kussmaul e nā pae acidity kiʻekiʻe i ke koko. Pili pinepine ka hanu Cheyne-Stokes i ka naʻau ʻole, hahau, ʻeha poʻo, a me nā kūlana lolo.
• Kumu hoʻohālike: ʻAʻole kū iki ka hanu Kussmaul ma waena o nā wā o ka hanu wikiwiki a me ka lohi. ʻAʻole ia e kumu i ka hoʻomaha ʻana o ka hanu ʻana e like me ka hanu ʻana o Cheyne-Stokes.
• Uku paneʻe: ʻO ka hanu ʻana o Kussmaul maʻamau a wikiwiki hoʻi. ʻOiai ʻo Cheyne-Stokes hanu hiki ke wikiwiki i kekahi manawa, ʻaʻole kūlike ke ʻano. Hiki iā ia ke hoʻolohi a kū hoʻi ma mua o ka hanu hou ʻana o ke kanaka.

Ke laina lalo

Hoʻohālikelike ʻia ka hanu ʻana o Kussmaul e kahi ʻano hanu hohonu a wikiwiki. He hōʻailona ia no ke kino a i ʻole nā ​​mea i lilo i acidic. I ka hoʻāʻo e kipaku i ke kalaponaʻokikene, kahi hui waikawa i ke koko, hoʻomaka ke kino e hanu wikiwiki a hohonu.

Hoʻokumu pinepine ʻia kēia ʻano hanu maʻamau e ka diabetic ketoacidosis, kahi pilikia koʻikoʻi o ka ʻano 1 a, ʻoi aku ka liʻiliʻi, ʻano diabetes he 2. Hiki iā ia ke kumu ʻia e ke kōpaʻa a i ʻole ke kūpaʻa o ke ake, kekahi mau maʻi ʻalā, a i ʻole ke komo ʻana o nā toxins.

Inā manaʻo ʻoe ʻo ʻoe a i ʻole kahi mea aloha he hōʻailona o ka hanu Kussmaul a i ʻole ke ketoacidosis diabetic, he mea nui e ʻimi koke ʻoe i ka lāʻau.