Manava acidosis

Respiratory acidosis o se tulaga e tupu pe a le mafai e le mama ona aveʻesea uma le carbon dioxide o le tino e gaosia. Lenei mafua ai suavai o le tino, aemaise lava le toto, ia avea mavaa tele.

Mafuaʻaga o respiratory acidosis aofia:

• Faʻamaʻi o alatele, pei o le sela ma le COPD
• O maʻi o ponaivi, e pei o le pulmonary fibrosis, e mafua ai le maʻila ma le mafiafia o mama
• O faʻamaʻi e mafai ona aʻafia ai le fatafata, pei o le scoliosis
• O faʻamaʻi e afaina ai neula ma maso e faʻailo ai le mama e feula pe faʻapipiʻi
• O vailaʻau e taofiofia le manava, e aofia ai vailaʻau tiga, pei o nakoti (opioids), ma "downers," pei o benzodiazepines, e masani pe a tuʻufaʻatasia ma le 'ava malosi
• Ova tele gaʻo, lea e faʻagata ai le tele e mafai ona faʻalauteleina le mama
• Faʻalavelave moe moe

O le gasegase masani ole respiratory respiratory e tupu i se taimi umi. O lenei mea e tau atu ai i se tulaga mautu, aua o fatugaʻo faʻateleina vailaʻau o le tino, pei o le bicarbonate, e fesoasoani e toe faʻaleleia le tino o le tino acid-base.

Ogaoga respiratory acidosis o se tulaga i le carbon dioxide fausia vave i luga, ae lei mafai e fatugaʻo toe faafoi le tino i se tulaga paleni.

O nisi tagata e maua i le respiratory respiratory acidosis e maua ai respiratory acidosis tiga ona o se maʻi tuga e atili ai ona leaga o latou tulaga ma faʻalavelaveina ai le paleni o le tino o a latou tino.

Faʻailoga e ono aofia ai:

• Le mautonu
• Popole
• Faigofie vaivai
• Faʻanoanoa
• Manava le mānava
• Moe
• Lulu (lulu)
• Paʻu mafanafana ma pupula
• Afu

O le tausi soifua maloloina o le a faia se faʻataʻitaʻiga tino ma fesili e uiga faʻailoga.

O suʻega e mafai ona faia e aofia ai:

• O le kesi toto o le toto, e fua ai le okesene ma le karaponi taiokisene i le toto
• Laʻasaga faʻatulagaina metabolic
• Fatafata x-ray
• CT faʻataʻitaʻi le fatafata
• Pulmonary function test e fua ai le manava ma le faʻalelei o gaioiga o mama

Togafitiga e faʻatatau i le faʻamaʻi autu, ma ono aofia ai:

• Bronchodilator vailaʻau ma corticosteroids e fesuiaʻi nisi ituaiga o auala auala poloka
• Noninvasive positive-pressure ventilation (o nisi taimi e taʻua ole CPAP poʻo le BiPAP) poʻo se masini manava, pe a manaʻomia
• Oxygen pe a fai e maualalo le maualuga ole okesene ile toto
• Togafitiga e taofi le ulaula
• Mo tulaga ogaoga, atonu e manaʻomia se masini manava (ea)
• Suiga vailaʻau pe a talafeagai

E faʻapefea ona e faʻalagolago i le faʻamaʻi e mafua ai le respiratory acidosis.

Faʻafitauli e ono iʻuga aofia ai:

• Le lelei le faʻagaioiga o okeni
• Faʻamalologa manava
• Teʻi

O le ogaoga o le respiratory acidosis o se faʻalavelave faʻafuaseʻi. Saili loa le fesoasoani faʻafomaʻi pe a fai oe maua faʻailoga o lenei tulaga.

Valaʻau lau tautua pe a fai oe maʻi i faʻamaʻi mama ua faafuaseʻi ona leaga.

AUA le ulaula. O le ulaula e tau atu i le atinaʻeina o le tele o faʻamaʻi mama o le mama e mafua ai le acidosis respiratory.

Ole leiloa ole mamafa e ono fesoasoani e puipuia le respiratory acidosis ona o le lapoʻa (obesity-hypoventilation syndrome).

Faʻaitete i le inuina o vailaʻau faʻasolo, ae aua le tuʻufaʻatasia nei vailaʻau ma le 'ava malosi.

Faʻaaoga lau masini CPAP i taimi uma pe a fai na faʻatonuina mo oe.

Toilalo ea; Maʻi manava; Acidosis - manava

• Respiratory system

Effros RM, Swenson ER. Paleni oona-faʻavae. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray ma Nadel's Textbook of Respiratory Medicine. 6th ed. Filatelefaia, PA: Elsevier Saunders; 2016: mata 7.

Seifter JL. Faʻaletonu oona-faʻavae. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: chap 110.

Strayer RJ. Faʻaletonu oona-faʻavae. I: Puipui RM, Hockberger RS, Gausche-Hill M, eds. Togafitiga Faʻafuaseʻi a Rosen: Faʻataʻitaʻiga ma Togafitiga Faʻafomaʻi. 9th ed. Filatelefia, PA: Elsevier; 2018: mata 116.