I-acidosis yokuphefumla

Ukuphefumla i-acidosis yimeko eyenzeka xa imiphunga ingenako ukuyisusa yonke ikhabhon dayoksayidi eveliswa ngumzimba. Oku kubangela ukuba ulwelo lomzimba, ngakumbi igazi, lube neasidi kakhulu.

Izizathu zokuphefumla i-acidosis zibandakanya:

• Izifo zomoya, njenge-asthma kunye neCOPD
• Izifo zamathambo emiphunga, ezinje nge-pulmonary fibrosis, ebangela amanxeba kunye nokuqina kwemiphunga
• Izifo ezinokuchaphazela isifuba, njenge-scoliosis
• Izifo ezichaphazela imithambo-luvo kunye nezihlunu ezibonisa imiphunga ukuba inyuse okanye iyekelele
• Amayeza acinezela ukuphefumla, kubandakanya amayeza eentlungu anamandla, anje ngee-narcotic (opioids), kunye ne "downers," ezinjenge-benzodiazepines, rhoqo xa zidityaniswe notywala
• Ukutyeba kakhulu, okuthintela ubungakanani bemiphunga
• Ukuphefumla kokulala okuthintelayo

Isifo sokuphefumla esingapheliyo senzeka ixesha elide. Oku kukhokelela kwimeko ezinzileyo, kuba izintso zonyusa iikhemikhali zomzimba, ezifana ne-bicarbonate, enceda ukubuyisela i-acid-base yomzimba.

Acute yokuphefumla acidosis yimeko apho icarbon dioxide yakha ngokukhawuleza okukhulu, phambi kokuba izintso zibuyisele umzimba kwimeko efanelekileyo.

Abanye abantu abane-acidosis yokuphefumla engapheliyo bafumana i-acidosis yokuphefumula ngenxa yokuba isifo esibuhlungu senza imeko yabo ibe nzima kwaye iphazamise i-acid-base balance body.

Iimpawu zingabandakanya:

• Ukudideka
• Ixhala
• Ukudinwa okulula
• Ukuhamba
• Ukuqhawukelwa ngumphefumlo
• Ukulala
• Ukuthuthumela (ukugubha)
• Ulusu olufudumeleyo nolugudileyo
• Ukubila

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu.

Uvavanyo olunokwenziwa lunokubandakanya:

• Igazi learterial yegazi, elinganisa ioksijini kunye nekhabhon diokside egazini
• Iphaneli esisiseko yokutya
• I-x-ray yesifuba
• Ukuxilongwa kwe-CT kwesifuba
• Uvavanyo lomsebenzi wePulmonary ukulinganisa ukuphefumla kunye nendlela esebenza kakuhle ngayo imiphunga

Unyango lujolise kwesi sifo, kwaye sinokubandakanya:

• Amayeza eBronchodilator kunye ne-corticosteroids yokuguqula ezinye iintlobo zokuthintelwa komoya
• Umoya ongenisa umoya opholileyo (ngamanye amaxesha ubizwa ngokuba yi-CPAP okanye i-BiPAP) okanye umatshini wokuphefumla, ukuba uyafuneka
• Ioksijini ukuba inqanaba leoksijini yegazi liphantsi
• Unyango lokuyeka ukutshaya
• Kwiimeko ezinzima, umatshini wokuphefumla (i-ventilator) unokufuneka
• Ukutshintsha amayeza xa kufanelekile

Ukusebenza kakuhle kuxhomekeke kwisifo esibangela i-acidosis yokuphefumla.

Iingxaki ezinokubangela zibandakanya:

• Ukusebenza kakubi komzimba
• Ukusilela kokuphefumla
• Umothuko

Ukuphefumla ngamandla kwe-acidosis kungxamiseko kwezonyango. Funa uncedo lwezonyango kwangoko ukuba uneempawu zale meko.

Biza umnikezeli wakho ukuba unempawu zesifo semiphunga esiba mandundu ngesiquphe.

Musa ukutshaya. Ukutshaya kukhokelela kuphuhliso lwezifo zemiphunga ezininzi ezinokubangela i-acidosis yokuphefumla.

Ukuphulukana nobunzima kunokunceda ekuthinteleni i-acidosis yokuphefumla ngenxa yokutyeba (ukutyeba-hypoventilation syndrome)

Lumka malunga nokuthatha amayeza okuthambisa, kwaye ungaze uwahlanganise la mayeza notywala.

Sebenzisa isixhobo sakho se-CPAP rhoqo ukuba umiselwe wena.

Ukungaphumeleli komoya; Ukungaphumeleli kokuphefumla; Acidosis - ukuphefumla

• Inkqubo yokuphefumla

I-Effros RM, iSwenson ER. Ibhalansi yesiseko se-Acid. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 7.

Seifter JL. Ukuphazamiseka kwesiseko se-Acid. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 110.

Isitshisi RJ. Ukuphazamiseka kwesiseko se-Acid. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: Iikhonsepthi kunye nokuziqhelanisa neKlinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 116.