Hypercapnia yog dab tsi thiab cov tsos mob zoo li cas

Zoo Siab

• Cov tsos mob zoo li cas
• Cov teeb meem muaj peev xwm
• Dab tsi yog qhov muaj kev pheej hmoo
• Kev kuaj mob yog dab tsi
• Yuav kho tus mob li cas

Hypercapnia yog tus cwj pwm los ntawm kev nce rau hauv cov pa roj carbon dioxide nyob rau hauv cov ntshav, uas feem ntau tshwm sim los ntawm hypoventilation lossis tsis tuaj yeem ua pa zoo kom thiaj li ua tau cov pa oxygen txaus rau hauv lub ntsws. Hypercapnia tuaj yeem tshwm sim sai thiab ua rau muaj kev nce ntxiv hauv cov kua qaub ntshav ntawm cov ntshav, hu ua ua pa acidosis.

Kev kho yog nyob ntawm qhov ua rau hyper hypernia thiab nws qhov mob hnyav, thiab feem ntau muaj kev tswj hwm ntawm oxygen, saib xyuas lub plawv thiab ntshav siab thiab qee qhov xwm txheej, kev tswj hwm tshuaj, xws li bronchodilators lossis corticosteroids.

Cov tsos mob zoo li cas

Qee cov tsos mob uas tuaj yeem tshwm sim thaum mob hypercapnia suav nrog:

• Tawv tawv nqaij;
• Somnolence;
• Mob taub hau;
• Kiv taub hau;
• Kev Tsis Txaus Siab;
• Ua tsis taus pa;
• Nkees dhau heev lawm.

Ntxiv rau cov no, cov tsos mob hnyav ntxiv tuaj yeem tshwm sim, xws li tsis meej pem, tsis meej pem, kev nyuaj siab, mob plab, lub plawv dhia tsis zoo, nce siab ua pa, ntshai tuaj, ua kom ntog lossis tsaus muag. Hauv cov rooj plaub no, koj yuav tsum mus rau chav saib xyuas xwm txheej kub ntxhov ceev, vim tias yog tias tsis kho kom zoo, nws tuaj yeem ua rau tuag taus.

Cov teeb meem muaj peev xwm

Ib qho ntawm cov kev mob tshwm sim tshaj plaws ntawm hypercapnia yog mob ob ntu, uas lub ntsws tsis tuaj yeem nqus tau oxygen zoo. Kawm paub yuav ua li cas paub thiab kho tus kab mob ntsws tas mus li.

Ntxiv rau, hypercapnia tuaj yeem ua rau pw tsaug zog apnea, rog dhau, hawb pob, decompensated lub plawv tsis ua hauj lwm, mob ntsws embolism, mob ntshav qab zib thiab mob neuromuscular xws li polymyositis, ALS, Guillain-Barré Syndrome, Myasthenia Gravis, Eaton-Lambert Syndrome, diphtheria, botulism, hypophosphatemia lossis hypermagnesemia.

Dab tsi yog qhov muaj kev pheej hmoo

Cov neeg uas muaj keeb kwm mob plawv lossis mob ntsws, uas siv luam yeeb lossis tus neeg siv tshuaj lom neeg nyob rau ib hnub, xws li tom chaw ua haujlwm, piv txwv, muaj kev pheej hmoo ntawm kev txom nyem los ntawm hypercapnia.

Kev kuaj mob yog dab tsi

Txhawm rau kuaj hypercapnia, kuaj ntshav roj yuav ua tau, txhawm rau ntsuas cov pa carbon dioxide nyob rau hauv cov ntshav thiab saib seb lub pa oxygen nyob qhov twg.

Tus kws kho mob tej zaum yuav xaiv los xoo hluav taws xob los sis kuaj ntsuas lub ntsws ntawm lub ntsws seb puas muaj teeb meem ntsws.

Yuav kho tus mob li cas

Hauv cov neeg muaj kev paub tab qis dua, hemodynamic tsis txaus ntseeg lossis yuav muaj kev pheej hmoo ntawm lub plawv nres, orotracheal intubation yuav tsum tau ua.

Hauv qee qhov xwm txheej tsis zoo, kev kuaj xyuas ntshav thiab ntshav siab, cov mem tes oximetry thiab ntxiv oxygen los ntawm daim npog ntsej muag lossis lub raj yas tuaj yeem ua. Ntxiv rau, kev tswj hwm kev siv tshuaj, xws li bronchodilators lossis corticosteroids, tuaj yeem pom zoo thiab, thaum muaj mob ua pa, tshuaj tua kab mob yuav tsim nyog.