Sanadin cututtuka, cututtukan cututtuka, da jiyya na Dioxide Carbon Dioxide riƙe da jini
Hypercapnia yana da yanayin da ke faruwa yayin da yawancin carbon dioxide ya kasance - samfurin sharar gida na respiration - cikin jini. Yayinda wasu lokuta yakan haifar da abubuwa kamar kamuwa da cututtuka ko narkewar miyagun ƙwayoyi, dalilin daya shine cutar kututture COPD .
COPD da Hypercapnia Link
Kullum magana, lokacin da muke numfashi, muna ƙyamar oxygen da exhale carbon dioxide.
Ana yin musayar wadannan gas biyu na numfashi cikin zurfin huhu a cikin ƙananan ƙwayoyi, 'ya'yan inabi, ko jakar iska, mai suna alveoli .
A cikin mutanen da ke tare da COPD, wannan tsari ya ɓace saboda an kashe alveoli, yana barin ƙasa da ƙasa don oxygen don samun daga cikin huhu a cikin jini da kuma carbon dioxide don samun daga jini zuwa cikin huhu. Wannan yana haifar da ƙananan oxygen a cikin jini, yanayin da ake kira hypoxemia , da kuma babban matakin carbon dioxide cikin jini, yanayin da ake kira hypercapnia.
Wannan riƙewar carbon dioxide a cikin mutanen da ke tare da COPD ne saboda tsarin da ake kira iska-infusion mismatch (V / Q mismatch) a cikin huhu. Wannan yana faruwa a lokacin da capillaries da alveoli a cikin huhu ba sa layi kamar yadda ya saba don musayar gas na dacewa ya faru.
Dalilin Hypercapnia
Baya ga COPD, akwai wasu yanayi waɗanda zasu iya haifar da matsananciyar carbon dioxide cikin jini.
Wasu misalai sun haɗa da:
- Drug overdose, kamar tare da opioid ko benzodiazepine
- Binciken zuciya
- Hypothermia
- Wasu cututtuka na rayuwa (alal misali, low phosphate da matakan magnesium a jini)
- Wasu ƙwayoyin tsoka ko juyayi suna kama da ƙananan ƙwayoyin cuta, dystrophy na muscular, ALS, ko myasthenia gravis
- Ƙarshen mataki Ciwon kututtuka na Interstitial Lung (ILD)
- Abincin barci mai barci
- Abun ciwon ciwo na hypoventilation
Symptoms of Hypercapnia
Mutane da yawa basu ma gane suna da hypercapnia. A cikin lokuta inda ya tasowa a hankali a tsawon lokaci kuma yana da matukar m, bazai iya samun komai ba. Idan bayyanar cututtuka sun faru, zasu iya haɗawa da gajeren numfashi, ciwon kai, rashin iyawa tunani, ko jin dadi ko barci. Saboda yana da wuya a rasa alamun mile milecapnia, sani shine mabuɗin.
A gefe guda kuma, alamun cututtuka na hypercapnia mai tsanani suna da karin bayani. Cikakken maganin mai tsanani zai iya haifar da gazawar numfashi da yiwuwar mutuwa. Kwayoyin cututtuka da alamu sun haɗa da:
- Paranoia, damuwa, da rikice-rikice, wanda zai iya cigaban ci gaba
- Muscle twitches
- Riƙe
- Rushewa ko kuma fadada ganyayyaki a cikin fata
- Papilledema - alama ce ta karuwa a kwakwalwa
Jiyya ga Hypercapnia
Jiyya ga hypercapnia ya dogara da tsananin da ya fara tare da magance matsalar mahimmanci.
- Ƙara iska mai banbanci : Ƙunƙashin iska maras amfani ya bada goyon bayan ventilatory ga mai haƙuri ta hanyar jirgin sama. Yana inganta tsarin numfashi ta hanyar ba wa marasa lafiya wani cakuda iska da iskar oxygen daga gwanin wutar lantarki ta hanyar rufe fuska ta fuskar fuska ko hanci.
- Tsarin iska da kuma motsa jiki : Inganci shine tsari na saka tube ta musamman ta bakin bakin sannan kuma zuwa cikin jirgin sama. Ƙungiyar sai ta zama ƙuƙwalwa har zuwa wani motsa jiki wanda yake daukar nauyin numfashi ga mai haƙuri.
Lokacin da za a kira likita
Hypercapnia zai iya haifar da gazawar numfashi da mutuwa idan aka bar shi ba tare da gurguntawa ba. Idan kana da COPD, kasancewa da sanin cututtuka na hypercapnia yana da mahimmanci ga ganowa da wuri. Kira likitan ku da wuri idan kun fuskanci kowace canji a cikin alamarku ko lafiyar lafiya. Idan likitanku ya damu game da hypercapnia, zai iya yin gwajin da ake kira jini mai zurfi - mai sauƙi, gwagwarmayar gado a inda jini ya fito daga wani maganin a cikin wuyan hannu.
Kalma Daga
Lokacin da kake koyo game da maganin hypercapnia, ka yi ƙoƙari kada ka yi rikici tare da ƙananan hanyoyi na wannan lokacin likita. Maimakon haka, fahimci babban hoto - hypercapnia yana aiki a matsayin alamar cewa rashin daidaituwa yana faruwa a jiki.
Bugu da ƙari, kyakkyawan shiri don kunna kanka a kai shi ne kamar yadda hypercapnia yana da asali da yawa kuma ba dole ba ne daga COPD, ba duk wanda ke da COPD yana da hypercapnia ba.
> Sources:
> Feller-Kopman DJ, Schwartzstein RM. (2017). Tambaya, ganewar asali, da kuma kula da marasa lafiya da yawa tare da mummunan rashin lafiya na numfashi. A cikin: UpToDate, Stoller JK (Ed), UpToDate, Waltham, MA.
> Poon CS, Tin C, Song G. Submissive hypercapnia: Me ya sa COPD marasa lafiya sun fi dacewa da CO2 riƙewa fiye da marasa lafiya zuciya rashin lafiya. Respir Physiol Neurobiol. 2015. Sep 15; 216: 86-93.
> Yamma JB. Dalilin da kuma biya ga hypoxemia da hypercapnia. Compr Physiol . 2011 Jul; 1 (3): 1541-53.