Acid na numfashi

Sinadarin numfashi yanayi ne da ke faruwa yayin da huhu ba zai iya cire duk carbon dioxide da jiki yake samarwa ba. Wannan yana sanya ruwan jikin mutum, musamman jini, ya zama ya zama asid.

Abubuwan da ke haifar da acidosis na numfashi sun haɗa da:

• Cututtuka na hanyoyin iska, kamar asma da COPD
• Cututtuka na huhun huhu, kamar su fibrosis na huhu, wanda ke haifar da tabo da kaurin huhu
• Cututtukan da ka iya shafar kirji, kamar su scoliosis
• Cututtukan da suka shafi jijiyoyi da tsokoki da ke nuna huhu ya kumbura ko kumbura
• Magungunan da ke hana numfashi, gami da magungunan ciwo masu ƙarfi, kamar su narcotics (opioids), da "downers," kamar su benzodiazepines, galibi idan ana haɗuwa da barasa
• Tsananin ƙiba, wanda ke ƙuntata yadda huhu zai iya faɗaɗa
• Barcin barcin mai cutarwa

Kullum acidosis na numfashi yana faruwa na dogon lokaci. Wannan yana haifar da yanayin kwanciyar hankali, saboda kodan suna kara sinadaran jiki, kamar su bicarbonate, wadanda ke taimakawa wajen dawo da daidaiton-acid na jiki.

Cutar Acid mai saurin gaske yanayi ne wanda carbon dioxide ke saurin tashi cikin sauri, kafin kodan su dawo da jiki zuwa ga daidaito.

Wasu mutanen da ke fama da cutar sanyin numfashi na yau da kullun suna samun iska mai saurin gaske saboda wata rashin lafiya mai saurin sa yanayinsu ya zama mai lalacewa kuma ya rikitar da daidaitaccen tsarin jikinsu.

Kwayar cutar na iya haɗawa da:

• Rikicewa
• Tashin hankali
• Gajiya mai sauƙi
• Rashin nutsuwa
• Rashin numfashi
• Bacci
• Girgizar ƙasa (girgiza)
• Dumi da flushed fata
• Gumi

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya yi tambaya game da alamun.

Gwajin da za a iya yi sun hada da:

• Gas na jini na jini, wanda ke auna matakan oxygen da carbon dioxide a cikin jini
• Basic na rayuwa panel
• Kirjin x-ray
• CT scan na kirji
• Gwajin aikin huhu don auna numfashi da yadda huhu ke aiki

Jiyya yana nufin cutar mai mahimmanci, kuma na iya haɗawa da:

• Magungunan Bronchodilator da corticosteroids don juya wasu nau'ikan toshewar hanyar iska
• Rashin iska mai tasiri mai ƙarfi (wani lokaci ana kiransa CPAP ko BiPAP) ko injin numfashi, idan an buƙata
• Oxygen idan matakin oxygen na jini yayi ƙasa
• Jiyya don dakatar da shan taba
• Don lokuta masu tsanani, ana iya buƙatar injin numfashi (mai amfani da iska)
• Canza magunguna lokacin da ya dace

Ta yaya za ku yi kyau ya dogara da cutar da ke haifar da acidosis na numfashi.

Matsalolin da zasu iya haifar sun hada da:

• Ayyukan gabobi mara kyau
• Rashin numfashi
• Shock

Tsananin cututtukan acidosis na gaggawa ne na gaggawa. Nemi taimakon likita yanzunnan idan kuna da alamun wannan cutar.

Kira mai ba ku sabis idan kuna da alamomin cutar huhu wanda ba zato ba tsammani ya zama daɗi.

KADA KA shan taba. Shan sigari na haifar da ci gaba da cututtukan huhu masu tsanani waɗanda ke iya haifar da acidosis na numfashi.

Rashin nauyi na iya taimakawa wajen hana acidosis na numfashi saboda kiba (ciwon kiba-hypoventilation syndrome).

Yi hankali game da shan magungunan kwantar da hankali, kuma kar a taɓa haɗa waɗannan magungunan da barasa.

Yi amfani da na'urar CPAP a kai a kai idan an tsara maka.

Rashin iska; Rashin numfashi; Acidosis - na numfashi

• Tsarin numfashi

Effros RM, Swenson ER. Aikin acid-base. A cikin: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Littafin Murray da Nadel na Magungunan numfashi. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2016: sura 7.

Seifter JL. Rikicin Acid-base. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi 110.

Strayer RJ. Rikicin Acid-base. A cikin: Walls RM, Hockberger RS, Gausche-Hill M, eds. Magungunan gaggawa na Rosen: Ka'idoji da Aikin Gwajin Asibiti. 9th ed. Philadelphia, PA: Elsevier; 2018: babi na 116.