Mpweya wamagazi

Magazi amwazi ndiyeso ya kuchuluka kwa mpweya ndi mpweya woipa m'mwazi mwanu. Amadziwitsanso acidity (pH) yamagazi anu.

Kawirikawiri, magazi amatengedwa pamtsempha. Nthawi zina, magazi ochokera mumtsinje amatha kugwiritsidwa ntchito (mpweya wamagazi wamagazi).

Nthawi zambiri, magazi amatha kusonkhanitsidwa kuchokera pamitsempha yotsatirayi:

• Mitsempha yoyandikira m'manja
• Mitsempha yachikazi muubweya
• Mitsempha ya brachial m'manja

Wopereka chithandizo chamankhwala amatha kuyesa kufalikira kwa dzanja asanatengeko magazi kuchokera m'manja.

Woperekayo amalowetsa singano tating'onoting'ono pakhungu. Chitsanzocho chimatumizidwa mwachangu ku labotale kuti zikawunikidwe.

Palibe kukonzekera kwapadera. Ngati muli ndi mankhwala a oxygen, mpweya wa oxygen uyenera kukhalabe wosadukiza kwa mphindi 20 mayeso asanayesedwe.

Uzani wothandizira wanu ngati mukumwa mankhwala aliwonse ophera magazi (anticoagulants), kuphatikizapo aspirin.

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka. Kupweteka ndi kusapeza kumakhala koipitsitsa kuposa kutulutsa magazi kuchokera mumtsinje.

Kuyesaku kumagwiritsidwa ntchito poyesa matenda opuma ndi zomwe zimakhudza mapapu. Zimathandiza kudziwa momwe mankhwala a oxygen alili othandizira kapena mpweya wabwino wosagwira (BiPAP). Chiyesocho chimaperekanso chidziwitso chokhudza kuchepa kwa thupi kwa asidi / m'munsi, komwe kumatha kuwunikira mayankho ofunikira am'mapapo ndi ntchito ya impso komanso kagayidwe kachakudya ka thupi.

Makhalidwe panyanja:

• Kupanikizika pang'ono kwa oxygen (PaO2): 75 mpaka 100 millimeter a mercury (mm Hg), kapena 10.5 mpaka 13.5 kilopascal (kPa)
• Kupanikizika pang'ono kwa carbon dioxide (PaCO2): 38 mpaka 42 mm Hg (5.1 mpaka 5.6 kPa)
• Magazi a pH: 7.38 mpaka 7.42
• Kukhathamiritsa kwa oxygen (SaO2): 94% mpaka 100%
• Bicarbonate (HCO3): 22 mpaka 28 milliequivalents pa lita (mEq / L)

Pamtunda wa mamita 900 ndi kupitirira apo, mtengo wa oxygen ndi wotsika.

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma laboratories ena amakhala ndimiyeso yosiyanasiyana. Lankhulani ndi dokotala wanu tanthauzo la zotsatira zanu zoyesa.

Zotsatira zosazolowereka zimatha kukhala chifukwa cha mapapo, impso, matenda amadzimadzi, kapena mankhwala. Kuvulala pamutu kapena m'khosi kapena kuvulala kwina komwe kumakhudza kupuma kumatha kubweretsanso zotsatira zina.

Palibe chiopsezo chochepa pamene njirayi yachitika molondola. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kutenga magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakoka magazi ndi zochepa, koma mwina ndi izi:

• Kukomoka kapena kumva mopepuka
• Ma punctures angapo kuti mupeze mitsempha yamagazi
• Hematoma (magazi omanga pansi pa khungu)
• Kutaya magazi kwambiri
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Kusanthula kwamagazi kwamagazi; ABG; Hypoxia - ABG; Kulephera kupuma - ABG

• Mayeso amwazi wamagazi

Chernecky CC, Berger BJ. Magazi a magazi, ochepa (ABG) - magazi. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 208-213.

Weinberger SE, Cockrill BA, Mandel J. Kuunika kwa wodwala yemwe ali ndi matenda am'mapapo. Mu: Weinberger SE, Cockrill BA, Mandel J, olemba. Mfundo za Pulmonary Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2019: chaputala 3.