Yintoni i-hypercapnia kwaye zithini iimpawu

Umxholo

• Ziintoni iimpawu
• Izizathu ezinokubangela
• Ziziphi izinto ezinobungozi
• Yintoni isifo
• Unyango lwenziwa njani

I-Hypercapnia ibonakaliswa ngokwanda kwecarbon dioxide egazini, edla ngokwenzeka ngenxa yehypoventilation okanye ukungakwazi ukuphefumla ngokufanelekileyo ukuze ibambe ioksijini eyaneleyo kwimiphunga. I-Hypercapnia inokwenzeka ngesiquphe kwaye ibangele ukonyuka kweasidi yegazi, ebizwa ngokuba yi-acidosis yokuphefumla.

Unyango luxhomekeke kwisizathu sehypercapnia kunye nobukhali bayo, kwaye ngokubanzi kubandakanya ukulawulwa kweoksijini, ukubeka esweni intliziyo kunye noxinzelelo lwegazi kwaye kwezinye iimeko, ukulawulwa kwamayeza, anje ngebronchodilators okanye i-corticosteroids.

Ziintoni iimpawu

Ezinye zeempawu ezinokuthi zenzeke kwiimeko ze-hypercapnia zibandakanya:

• Ulusu olugciniweyo;
• Ubuthathaka;
• Intloko ebuhlungu;
• Isiyezi;
• Ukuphazamiseka;
• Ukuphefumla okufutshane;
• Ukudinwa okugqithisileyo.

Ukongeza koku, iimpawu ezinzulu zinokubakho, ezinje ngokudideka, paranoia, uxinzelelo, ukudumba kwemisipha, ukubetha kwentliziyo okungaqhelekanga, ukonyuka kwendlela yokuphefumla, uloyiko, ukuxhuzula okanye isiqaqa. Kule meko, kuya kufuneka uye kwangoko kwisebe likaxakeka, kuba ukuba alunyangwa kakuhle, linokubulala.

Izizathu ezinokubangela

Esinye sezona zinto zixhaphakileyo zesifo sehypercapnia sisifo esinganyangekiyo, apho imiphunga ingakwaziyo ukufumana ioksijini ngokufanelekileyo. Funda indlela yokuchonga kunye nokunyanga isifo esinganyangekiyo semiphunga.

Ukongeza, i-hypercapnia nayo inokubangelwa kukuphefumla kokulala, ukutyeba kakhulu, isifuba, ukungaphumeleli kwentliziyo, ukubola kwemiphunga, i-acidemia kunye nezifo ze-neuromuscular ezifana ne-polymyositis, i-ALS, i-Guillain-Barré Syndrome, i-Myasthenia Gravis, i-Eaton-Lambert Syndrome, i-diphtheria, i-botulism, hypophosphatemia okanye hypermagnesemia.

Ziziphi izinto ezinobungozi

Abantu abanembali yesifo sentliziyo okanye semiphunga, abasebenzisa iisigarethi okanye abachaphazeleka kwimichiza yonke imihla, njengasemsebenzini, umzekelo, basemngciphekweni omkhulu wokubandezeleka ngenxa yehypercapnia.

Yintoni isifo

Ukuchonga i-hypercapnia, uvavanyo lwegesi lunokwenziwa, ukujonga amanqanaba ecarbon dioxide egazini kwaye ubone ukuba uxinzelelo lweoksijini luqhelekile na.

Ugqirha unokukhetha ukwenza i-X-ray okanye i-CT scan yemiphunga ukujonga ukuba kukho naziphi na iingxaki zemiphunga.

Unyango lwenziwa njani

Kubantu abanenqanaba elisezantsi lokuqonda, ukungazinzi kwe-hemodynamic okanye umngcipheko osondeleyo wokubanjwa kwe-cardiorespiratory, kufuneka kwenziwe i-orotracheal intubation.

Kwiimeko ezingaginyisi mathe, ukubekwa esweni kwentliziyo kunye noxinzelelo lwegazi, ukubetha kwe-oximetry kunye nokongezwa kweoksijini ngumaski okanye ngecatheter. Ukongeza, ukulawulwa kwamayeza, anjenge-bronchodilators okanye i-corticosteroids, kunokucetyiswa kwaye, kwimeko yosulelo lokuphefumla, ii-antibiotics zinokufuneka.