O le a le hypercapnia ma o a faʻailoga

Anotusi

• O a faʻailoga
• Mafuaʻaga mafuaʻaga
• O a ni tulaga lamatia
• O le a le faʻamaoniga
• Faʻafefea ona fai le togafitiga

O le Hypercapnia e iloga ile faʻateleina ole carbon dioxide ile toto, e masani ona tupu mai ile hypoventilation poʻo le le lava lelei o le manava ina ia mafai ai ona puʻeina le okesene i mama. Hypercapnia mafai ona tupu faʻafuaseʻi ma mafua ai le faʻateleina o le acidity o le toto, taʻua respiratory acidosis.

Togafitiga faʻalagolago i le mafuaʻaga o le hypercapnia ma lona ogaoga, ma masani ona aofia ai le faʻatautaia o le okesene, mataituina o le fatu ma le toto maualuga ma i nisi tulaga, faʻatautaia o vailaʻau, pei o bronchodilators poʻo corticosteroids.

O a faʻailoga

O nisi o faʻailoga e mafai ona tupu i tulaga o hypercapnia aofia ai:

• Paʻu pisia;
• Leai se aoga;
• Ulu o le ulu;
• Faanenefu;
• Le mautonu;
• Paʻu le manava;
• Ua lelava tele.

I se faʻaopopoga i nei mea, e ono tupu ai ni faʻailoga ogaoga, e pei o le le mautonu, mafaufau, faʻanoanoaga, maso maso, le tata lelei o le fatu, faʻateleina le manava o le tino, osofaʻiga o le fefe, faʻafuaseʻi ma matapogia. I tulaga ia, e tatau ona e vave alu i le matagaluega o faʻalavelave faʻafuaseʻi, aua a le lelei ona togafitia, e mafai ona afaina ai.

Mafuaʻaga mafuaʻaga

O se tasi o mafuaʻaga taatele o le hypercapnia o faʻamaʻi pipisi masani, lea e le mafai ai e mama ona mitiia lelei le okesene. Aʻoaʻo pe faʻafefea ona iloa ma togafitia faʻamaʻi pipisi o le toto papala.

I se faʻaopopoga, hypercapnia mafai foi ona mafua mai i le moe apnea, mamafa tele, foma, decompensated faaletonu fatu, pulmonary embolism, acidemia ma neuromuscular faamai e pei o polymyositis, ALS, Guillain-Barré Syndrome, Myasthenia Gravis, Eaton-Lambert Syndrome, diphtheria, botulism, hypophosphatemia poʻo hypermagnesemia.

O a ni tulaga lamatia

O tagata e iai le faʻamaʻi o le fatu poʻo le mama, e faʻaaogaina sikaleti pe o loʻo aʻafia i vailaʻau i aso uma, pei o falefaigaluega, mo se faʻataʻitaʻiga, o loʻo iai i se faʻateleina le ono aʻafia ile hypercapnia.

O le a le faʻamaoniga

Ina ia faʻamaonia le hypercapnia, e mafai ona faia se suʻesuʻega kesi toto, e siaki ai le maualuga o le carbon dioxide i totonu o le toto ma vaai pe o le okesene omiga e masani.

E ono filifili foʻi le fomaʻi e faʻataʻitaʻi le X-ray poʻo le CT scan o māmā e siaki pe o iai ni faʻafitauli tau mama.

Faʻafefea ona fai le togafitiga

I tagata ma le maualalo tulaga o le malamalama, hemodynamic le mautonu poʻo se lamatiaga lata mai o le cardiorespiratory puʻeina, orotracheal osofaʻiga tatau ona faia.

I tulaga laʻititi le ogaoga, faʻamaʻi le fatu ma le toto, pulse oximetry ma le okesene faʻaopopoga e le ufimata poʻo le catheter mafai ona faia. I se faʻaopopoga, o le faʻatautaia o vailaʻau, pei o bronchodilators poʻo corticosteroids, ono fautuaina ma, i le tulaga o se faʻamaʻi pipisi, atonu e manaʻomia vailaʻau.