Zvinokonzera, Zviratidzo, uye Kurapa kweKarbon Dioxide Kuchengetwa muRopa
Hypercapnia mamiriro ezvinhu anoitika kana pane yakawandisa carbon dioxide - tsvina yekupemha - muropa. Kunyange zvazvo dzimwe nguva inokonzerwa nezvinhu zvakadai se hypoventilation kana zvinodhaka zvinodhaka zvinodhaka, chinowanzokonzera chirwere chepapu COPD .
COPD uye Hypercapnia Link
Kazhinji kutaura, patinofema, tinoshandisa oksijeni uye tinobudisa carbon dioxide.
Izvozvi magasi maviri anoporesa anochinjana mukati mukati memapapu mune zviduku, mashizha akaita semadhiro, kana mabhazi emhepo, anonzi alveoli .
Mune vanhu vane COPD, izvi hazvina kukwana nokuti inonzi alveoli inoparadzwa, ichisiya nzvimbo shomanana ye okisijeni kuti iwane kubva kumapapu kusvika muropa uye carbon dioxide kuti iwane kubva muropa ichipinda mumapapu kuti ibudise. Izvi zvinoguma nehuwandu hwemhepo yakakosha muropa, chirwere chinonzi hypoxemia , uye mazinga akakwirira e carbon dioxide muropa, chirwere chinonzi hypercapnia.
Uku kuchengetedza kabhoni dioxide kune vanhu vane COPD kunokonzerwa nehutano hunonzi ventilation-perfusion mismatch (V / Q mismatch) mumapapu. Izvi zvinoitika apo capillaries uye alveoli mumapapupa hazvikwiri pamwe chete uye zvinowanzoita kuti kuchinjana kwakakodzera kwegasi kuitike.
Zvinokonzera Hypercapnia
Kunze kweCOPD, pane zvimwe zviitiko zvinogona kutungamirira kumazinga akakwirira e carbon dioxide muropa.
Mimwe mienzaniso inosanganisira:
- Zvinodhaka zvinodhaka, sezvinoitwa opioid kana benzodiazepine
- Brainstem stroke
- Hypothermia
- Zvimwe zvinetso zvemagetsi (semuenzaniso, pasi phosphate uye magesium muropa mumvura)
- Mimwe misungo kana nervous system disorders se encephalitis, muscular dystrophy, ALS, kana myasthenia gravis
- Kuguma-gadziriro Inhengo yeLung Disease (ILD)
- Kudzivisa kubatwa nehope
- Obesity hypoventilation syndrome
Zviratidzo zveHypercapnia
Vanhu vazhinji havazivi kuti vane hypercapnia. Mumamiriro ezvinhu apo inowedzera zvishoma nezvishoma uye inonyanya kunyorova, iwe unogona kusaona zviratidzo zvacho zvachose. Kana zviratidzo zvikaitika, zvinogona kusanganisira kufema kwekufema, kushaya musoro, kusakwanisa kufunga zvakananga, kana kunzwa kunetseka kana kurara. Nokuti zviri nyore kwazvo kupotsa zviratidzo zvekufungidzira kwemairenda, kuziva ndiko kunokosha.
Kune rumwe rutivi, zviratidzo zvekushaya simba zvakanyanya zvinowanzotaurwa. Kunyanya kunetseka kunogona kuita kuti pakupedzisira kusaputsika uye zvichida kufa. Zviratidzo uye zviratidzo zvinogona kusanganisira:
- Paranoia, kuora mwoyo, uye kuvhiringidzika, izvo zvinogona kufambira mberi ku coma
- Tsvina tsvina
- Kugumburwa
- Kusuruvara kana kupararira kwemasuruva asina kunyanya muganda
- Papilledema - chiratidzo chekuwedzera kuwedzera muuropi
Kurapa kweHypercapnia
Kurapa kwekushaya hanya kunoenderana nekutsungirira kwayo uye kunotanga nekugadzirisa chinokonzera chinokonzera.
- Noninvasive ventilation : Noninvasive ventilation inopa rutsigiro rwemhepo kune murwere kuburikidza nepamusoro pemhepo. Inogadzirisa nzira yekufema nekupa murwere musanganiswa wemhepo uye oksijeni kubva mumhepo inoyerera kuburikidza nesimba rakanyatsogadzikana kana kuti masal mask.
- Intubation uye mechanical ventilation : Intubation ndiyo nzira yekuisa chidimbu chakakosha mumuromo uye ndokupinda mumhepo. Iyo tube inobva yatora hove kusvika kune mechanical ventilator inotora kupfuurira kufema kumurwere.
Nguva Yokudaidza Chiremba
Hypercapnia inogona kukonzera kukundikana kwekupemha uye rufu kana ikasara isingateereri. Kana iwe uine COPD, kuziva zviratidzo zve hypercapnia ndicho chinhu chinokosha pakuona kwokutanga. Dana chiremba wako nekukurumidza kana zvichibvira kana iwe uchinge uchinzwa kuchinja kwezviratidzo zvako kana hutano huzhinji. Kana chiremba wako ane hanya nehuwandu hwehutachiona, anogona kuita chirwere chinonzi ropa rinokonzerwa neropa - iri nyore, mutsara wechipfuva umo ropa rinotorwa kubva mune ariti iri muchiuno chako.
Shoko Rinobva
Paunodzidza pamusoro pekushaya hanya, edza kuti urege kuvharwa zvakare nehutano hwakaoma hwechirevo chechiremba. Pane kudaro, tora mufananidzo wakawanda-huwandu hunoshumira sechiratidzo chokuti kusaenzana kuri kuitika mumuviri.
Uyewo, mashoko akanaka ekuputira musoro wako kwakapoteredza ndeyekuti hypercapnia ine zvikonzero zvakawanda uye hazvibvi kubva kuCOPD, kwete vose vane COPD vane hypercapnia.
> Sources:
> Feller-Kopman DJ, Schwartzstein RM. (2017). Kuongorora, kuongororwa, uye kurapwa kwevarwere vakura vane acute hypercapnic respiratory failure. Mu: UpToDate, Stoller JK (Ed), UpToDate, Waltham, MA.
> Poon CS, Tin C, Rwiyo G. Kuzviisa pasi kwehuwandu: Nei varwere veCOPD vachiwanzochengetedzwa nekuchengetedza kweC22 kudarika mwoyo kukanganisa varwere. Respir Physiol Neurobiol. 2015. Sep 15; 216: 86-93.
> West JB. Zvinokonzera uye zvinokonzerwa ne hypoxemia uye hypercapnia. Compr Physiol . 2011 Jul; 1 (3): 1541-53.