Gịnị bụ hypercapnia na ihe bụ mgbaàmà

Ndinaya

• Kedu ihe mgbaàmà
• Ihe nwere ike ibute ya
• Kedu ihe bụ nsogbu
• Kedu ihe bụ nchoputa
• Otu esi eme ọgwụgwọ ahụ

A na-ahụ Hypercapnia site na mmụba nke carbon dioxide n'ime ọbara, nke na-emekarị n'ihi hypoventilation ma ọ bụ enweghị ike iku ume nke ọma iji wepụta oxygen zuru ezu na ngụgụ. Hypercapnia nwere ike ime na mberede ma mee ka mmụba nke acidity nke ọbara, nke a na-akpọ iku ume iku ume.

Ọgwụgwọ dabere na ihe kpatara hypercapnia na oke ike ya, ma n'ozuzu ya gụnyere nchịkwa oxygen, nyochaa obi na ọbara mgbali na ụfọdụ, nchịkwa ọgwụ, dịka bronchodilators ma ọ bụ corticosteroids.

Kedu ihe mgbaàmà

Fọdụ n'ime ihe mgbaàmà ndị nwere ike ime na hypercapnia gụnyere:

• Akpụkpọ anụ ahụ;
• Ogbenye;
• Isi ọwụwa;
• Ntughari;
• Ọgba aghara;
• Iku ume dị mkpụmkpụ;
• Oké ike ọgwụgwụ.

Na mgbakwunye na ndị a, mgbaàmà ndị ka njọ nwere ike ịpụta, dị ka mgbagwoju anya, mkparịta ụka, ịda mbà n'obi, akwara mgbu, obi mgbawa na-adịghị mma, ume iku ume na-arịwanye elu, ọgụ ụjọ, ahụ ụfụ ma ọ bụ ịda mba. N'okwu ndị a, ị ga-aga ozugbo na ngalaba mberede, n'ihi na ọ bụrụ na anaghị edozi ya nke ọma, ọ nwere ike ịnwụ.

Ihe nwere ike ibute ya

Otu ihe na-ebutekarị hypercapnia bụ ọrịa na-egbochi mmadụ igbochi ya, nke ngụgụ ya enweghị ike ịmịkọrọ oxygen nke ọma. Mụọ otu esi achọpụta ma gwọọ ọrịa na-adịghị ala ala nke na-egbochi ọrịa akpa ume.

Na mgbakwunye, enwere ike ibute hypercapnia site na mkpịsị ụra, oke ibu, ụkwara ume ọkụ, nkụda mmụọ obi obi, akpa ume, acidemia na ọrịa neuromuscular dịka polymyositis, ALS, Guillain-Barré Syndrome, Myasthenia Gravis, Eaton-Lambert Syndrome, diphtheria, botulism, hypophosphatemia ma ọ bụ hypermagnesemia.

Kedu ihe bụ nsogbu

Ndị mmadụ nwere akụkọ ihe mere eme nke obi ma ọ bụ ọrịa akpa ume, ndị na-eji sịga ma ọ bụ ndị na-ekpughere ọgwụ na kwa ụbọchị, dị ka ọrụ, dịka ọmụmaatụ, nọ n'ihe ize ndụ dị ukwuu nke ịrịa ọrịa hypercapnia.

Kedu ihe bụ nchoputa

Iji chọpụta hypercapnia, enwere ike ịme nyocha gas, iji lelee ogo nke carbon dioxide n'ime ọbara ma hụ ma ọ bụrụ na ikuku oxygen dị nkịtị.

Dọkịta ahụ nwekwara ike ịhọrọ ime ihe ngosi X-ray ma ọ bụ CT nke ngụgụ iji chọpụta ma enwere nsogbu akpa ume ọ bụla.

Otu esi eme ọgwụgwọ ahụ

N'ime ndị nwere ọkwa mmụọ nke ala, nkwarụ hemodynamic ma ọ bụ ihe egwu dị nso nke ijide cardiorespiratory, ekwesịrị ime intubation orotracheal.

N'okwu ndị na-esighi ike, a na-enyocha obi na ọbara mgbali, ikuku oximetry na oxygen oxygen site na nkpuchi ma ọ bụ catheter. Na mgbakwunye, nchịkwa ọgwụ, dịka bronchodilators ma ọ bụ corticosteroids, nwere ike ịkwado yana, n'ihe banyere ọrịa iku ume, ọgwụ mgbochi nwere ike ịdị mkpa.