Kutulutsa kwa buluu pakhungu

Mtundu wabuluu pakhungu kapena ntchofu nthawi zambiri umakhala chifukwa chosowa mpweya wamagazi. Mawu azachipatala ndi cyanosis.

Maselo ofiira ofiira amapereka mpweya kumatenda amthupi. Nthawi zambiri, pafupifupi maselo ofiira onse m'mitsempha amakhala ndi mpweya wathunthu. Maselo amwaziwa ndi ofiira kwambiri ndipo khungu limakhala lachi pinki kapena lofiira.

Magazi omwe ataya mpweya wake ndi ofiira amtundu wabuluu. Anthu omwe magazi awo alibe oxygen amakhala ndi khungu labuluu. Matendawa amatchedwa cyanosis.

Kutengera zomwe zimayambitsa, cyanosis imayamba mwadzidzidzi, komanso kupuma pang'ono komanso zizindikilo zina.

Cyanosis yomwe imayambitsidwa ndi mavuto amtima kapena mapapo atha kuyamba pang'onopang'ono. Zizindikiro zitha kupezeka, koma nthawi zambiri sizikhala zowopsa.

Mpweya wa okosijeni ukangotsika pang'ono, cyanosis imatha kukhala yovuta kuipeza.

Kwa anthu akhungu lakuda, cyanosis ikhoza kukhala yosavuta kuwona m'matumbo (milomo, chingamu, mozungulira maso) ndi misomali.

Anthu omwe ali ndi cyanosis samakhala ndi kuchepa kwa magazi m'thupi (magazi ochepa). Kuchepa kwa magazi m'thupi ndimomwe thupi limakhala lilibe maselo ofiira okwanira okwanira.

Cyanosis yomwe imangowoneka m'gawo limodzi lokha la thupi itha kukhala chifukwa cha:

• Magazi omwe amatseka magazi mwendo, phazi, dzanja, kapena mkono
• Chodabwitsa cha Raynaud (momwe kutentha kozizira kapena kukhudzika kwamphamvu kumayambitsa kupindika kwa magazi, komwe kumalepheretsa magazi kulowa zala, zala, makutu, ndi mphuno)

KUSOWA KWA OXYGEN MWAGAZI

Matenda ambiri a cyanosis amapezeka chifukwa chosowa mpweya wamagazi. Izi zitha kuyambitsidwa ndi mavuto otsatirawa.

Mavuto ndi mapapu:

• Magazi amagazi m'mitsempha ya m'mapapo (pulmonary embolism)
• Kumira kapena pafupi kumira
• Kutalika kwambiri
• Kutenga kachilombo kochepa kwambiri m'mapapu a ana, otchedwa bronchiolitis
• Mavuto am'mapapo amtsogolo omwe amakhala oopsa kwambiri, monga COPD, mphumu, ndi matenda am'mapapo amkati
• Chibayo (chowopsa)

Mavuto ndi maulendowa opita kumapapu:

• Kupuma (ngakhale izi ndizovuta kwambiri kuchita)
• Kutsamwa pachinthu china chomwe chatsekedwa mlengalenga
• Kutupa kuzungulira zingwe zamawu (croup)
• Kutupa kwa minofu (epiglottis) yomwe imakwirira mphepo (epiglottitis)

Mavuto ndi mtima:

• Zofooka zamtima zomwe zimakhalapo pobadwa (zobadwa)
• Mtima kulephera
• Mtima umasiya kugwira ntchito (kumangidwa kwamtima)

Mavuto ena:

• Mankhwala osokoneza bongo (mankhwala osokoneza bongo, benzodiazepines, sedatives)
• Kuwonetseredwa ndi mpweya wozizira kapena madzi
• Kulanda komwe kumatenga nthawi yayitali
• Poizoni monga cyanide

Matenda a cyanosis omwe amayamba chifukwa cha kuzizira kapena chodabwitsa cha Raynaud, valani bwino mukamatuluka panja kapena mukakhala mchipinda chotentha.

Khungu labuluu limatha kukhala chizindikiro cha zovuta zambiri zamankhwala. Imbani kapena pitani kuchipatala chanu.

Kwa akulu, itanani dokotala wanu kapena 911 ngati muli ndi khungu labuluu ndi izi:

• Simungathe kupuma movutikira kapena kupuma kwanu kukukulira, kapena kuthamanga
• Muyenera kudalira patsogolo mukakhala kuti mupume
• Mukugwiritsa ntchito minofu kuzungulira nthiti kuti mupeze mpweya wokwanira
• Mukhale ndi ululu pachifuwa
• Mukudwala mutu nthawi zambiri kuposa masiku onse
• Kumva kugona kapena kusokonezeka
• Khalani ndi malungo
• Akukosola nthunzi zakuda

Kwa ana, itanani dokotala kapena 911 ngati mwana wanu ali ndi khungu labuluu ndi izi:

• Kupuma kovuta
• Minofu pachifuwa ikuyenda ndi mpweya uliwonse
• Kupuma mofulumira kuposa mpweya 50 mpaka 60 pamphindi (osalira)
• Kupanga phokoso lodandaula
• Kukhala pansi ndi mapewa atatsamira
• Watopa kwambiri
• Sikuyenda mozungulira kwambiri
• Ali ndi thupi lopunduka kapena floppy
• Mphuno zimawuluka mukamapuma
• Sizimva ngati kudya
• Amakwiya
• Ali ndi vuto logona

Wothandizira anu adzayesa. Izi ziphatikizapo kumvera kupuma kwanu komanso kumveka kwa mtima wanu. Pazochitika zadzidzidzi (monga mantha), mudzakhazikika poyamba.

Wothandizira adzakufunsani za matenda anu. Mafunso angaphatikizepo:

• Kodi khungu labuluu lidayamba liti? Kodi zidayamba pang'onopang'ono kapena mwadzidzidzi?
• Kodi thupi lanu ndi labuluu paliponse? Nanga bwanji milomo yanu kapena misomali?
• Kodi mwakhala mukuzizira kapena mwapita kumtunda?
• Kodi mukuvutika kupuma? Kodi mumakhala ndi chifuwa kapena chifuwa?
• Kodi muli ndi chotupa, phazi, kapena mwendo kutupa?

Mayeso omwe atha kulamulidwa ndi awa:

• Kusanthula kwa magazi kwamagazi
• Kukhathamiritsa kwa mpweya wamagazi ndi oximetry wamagetsi
• X-ray pachifuwa
• Chifuwa cha CT
• Kuwerengera kwathunthu kwa magazi (CBC)
• ECG
• Echocardiogram (ultrasound ya mtima)

Chithandizo chomwe mumalandira chimadalira chifukwa cha cyanosis. Mwachitsanzo, mutha kulandira mpweya wokhala ndi mpweya wochepa.

Milomo - yamtambo; Zikhomo - zamtambo; Chisokonezo; Milomo yabuluu ndi zikhadabo; Khungu labuluu

• Cyanosis ya bedi la msomali

Fernandez-Frackelton M. Cyanosis. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 11.

McGee S. Cyanosis. Mu: McGee S, mkonzi. Kuzindikira Kwathupi Kutengera Umboni. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 9.