Mayeso a Gasi wamagazi

Zamkati

• Kodi kuyesa magazi kwamagazi ndi chiyani?
• Nchifukwa chiyani kuyesa magazi kumachitika?
• Kodi kuopsa koyezetsa magazi ndi chiyani?
• Kodi kuyezetsa magazi kumachitika bwanji?
• Kutanthauzira zotsatira za mayeso amwazi wamagazi

Kodi kuyesa magazi kwamagazi ndi chiyani?

Kuyesa kwa magazi m'magazi kumayeza kuchuluka kwa mpweya ndi mpweya woipa m'magazi. Itha kugwiritsidwanso ntchito kudziwa pH yamagazi, kapena kuti ndi acidic bwanji. Chiyesocho chimadziwika kuti kuyesa magazi kapena magazi ochepa (ABG).

Maselo anu ofiira amatengera mpweya komanso mpweya woipa mthupi lanu lonse. Izi zimadziwika ngati mpweya wamagazi.

Magazi akamadutsa m'mapapu anu, mpweya umalowa m'mwazi pomwe carbon dioxide imatuluka m'magazi kupita m'mapapu. Kuyesedwa kwa gazi wamagazi kumatha kudziwa momwe mapapu anu amatha kusunthira mpweya m'magazi ndikuchotsa carbon dioxide m'magazi.

Kusiyanitsa kwa mpweya wa oxygen, carbon dioxide, ndi pH m'magazi anu kungasonyeze kupezeka kwa matenda ena. Izi zingaphatikizepo:

• impso kulephera
• kulephera kwa mtima
• matenda osadwala matenda ashuga
• kukha magazi
• poizoni wamankhwala
• mankhwala osokoneza bongo
• kugwedezeka

Dokotala wanu akhoza kuyitanitsa kuyesa magazi mukamawonetsa zizindikilo za izi. Kuyesaku kumafuna kusonkhanitsidwa kwa magazi pang'ono kuchokera mumtsempha. Ndi njira yotetezeka komanso yosavuta yomwe imangotenga mphindi zochepa kuti mumalize.

Nchifukwa chiyani kuyesa magazi kumachitika?

Kuyesa kwa gazi wamagazi kumapereka mulingo woyenera wama oxygen ndi kaboni dayokisaidi mthupi lanu. Izi zitha kuthandiza dokotala kudziwa momwe mapapo anu ndi impso zanu zikugwirira ntchito.

Ili ndi mayeso omwe amagwiritsidwa ntchito kwambiri kuchipatala kuti adziwe momwe angayang'anire odwala odwala. Ilibe gawo lofunikira kwambiri pakukhazikitsa chisamaliro choyambirira, koma itha kugwiritsidwa ntchito mu labu la ntchito yamapapo kapena kuchipatala.

Dokotala wanu akhoza kuyitanitsa kuyesa magazi ngati mukuwonetsa zizindikiro za mpweya, kaboni dayokisaidi, kapena kusalinganika kwa pH. Zizindikirozi zitha kuphatikiza:

• kupuma movutikira
• kuvuta kupuma
• chisokonezo
• nseru

Zizindikirozi zitha kukhala zizindikilo zamankhwala, kuphatikizapo mphumu ndi matenda osokoneza bongo (COPD).

Dokotala wanu amathanso kuyitanitsa kuyesa magazi ngati akuganiza kuti mukukumana ndi izi:

• matenda am'mapapo
• matenda a impso
• matenda amadzimadzi
• kuvulala kumutu kapena m'khosi komwe kumakhudza kupuma

Kuzindikira kusalinganika kwa pH yanu komanso mpweya wamagazi kumathandizanso dokotala kuti athe kuyang'anira chithandizo cha zinthu zina, monga matenda am'mapapo ndi impso.

Kuyesedwa kwa gasi wamagazi nthawi zambiri kumalamulidwa limodzi ndi mayeso ena, kuyezetsa magazi m'magazi kuti muwone kuchuluka kwa shuga wamagazi komanso kuyesa magazi a creatinine kuti muwone momwe impso imagwirira ntchito.

Kodi kuopsa koyezetsa magazi ndi chiyani?

Popeza kuyesedwa kwa mpweya wamagazi sikufuna magazi ambiri, amawerengedwa kuti ndi njira yocheperako.

Komabe, nthawi zonse muyenera kuuza dokotala za zomwe zilipo kale zomwe zingakupangitseni magazi kuposa momwe amayembekezera. Muyeneranso kuwauza ngati mukumwa mankhwala ena alionse a pa counter kapena akuchipatala, monga opopera magazi, omwe angakhudze magazi anu.

Zotsatira zoyipa zogwirizana ndi kuyesa magazi kwamagazi ndi monga:

• kutuluka magazi kapena kuvulala pamalo obowoka
• kumva kukomoka
• magazi akusonkhana pansi pa khungu
• matenda pamalo opumira

Uzani dokotala wanu ngati mukukumana ndi zotsatira zosayembekezereka kapena zazitali.

Kodi kuyezetsa magazi kumachitika bwanji?

Kuyesedwa kwa mpweya wamagazi kumafunikira kuti atenge pang'ono magazi. Magazi amitsempha amatha kupezeka pamitsempha m'manja, mkono, kapena kubuula kwanu, kapena mzere wazomwe zilipo ngati muli mchipatala. Sampulu yamagazi yamagazi amathanso kukhala amanjenje, kuchokera pamitsempha kapena preexisting IV kapena capillary, yomwe imafunikira chidendene pang'ono chidendene.

Wopereka chithandizo chamankhwala ayamba kutsekemera malo opangira jakisoni ndi mankhwala ophera tizilombo. Akapeza mtsempha wamagazi, amalowetsa singano mumtsempha ndikukoka magazi. Mutha kumva kulasa pang'ono singano ikalowa. Mitsempha imakhala ndiminyewa yosalala kwambiri kuposa mitsempha, ndipo ena amatha kupimitsa magazi m'magazi mopweteka kwambiri kuposa magazi ochokera mumitsempha.

Singanoyo itachotsedwa, wophunzirayo amangokakamira kwa mphindi zochepa asanamange bandeji pachilondacho.

Zoyeserera zamagazi ziwunikiridwa ndi makina onyamula kapena labotale pamalo pomwepo. Chitsanzocho chiyenera kusanthula mkati mwa mphindi 10 za njirayi kuti muwonetsetse zotsatira zoyesedwa.

Kutanthauzira zotsatira za mayeso amwazi wamagazi

Zotsatira za kuyesedwa kwa magazi m'magazi zitha kuthandiza dokotala kudziwa matenda osiyanasiyana kapena kudziwa momwe mankhwala akugwirira ntchito pazinthu zina, kuphatikiza matenda am'mapapo. Zimasonyezanso ngati thupi lanu likulipira chifukwa cha kusakhazikika.

Chifukwa cha kuthekera kwakubwezeredwa pamiyeso ina yomwe ingayambitse kuwongolera zina, ndikofunikira kuti munthu amene akumasulira zotsatirazi akhale wophunzitsira waumoyo wodziwa bwino kutanthauzira kwa gazi wamagazi.

Mayeso akuyesa:

• Magazi a pH, zomwe zikuwonetsa kuchuluka kwa ayoni a haidrojeni m'magazi. PH yochepera 7.0 imatchedwa acidic, ndipo pH yoposa 7.0 imatchedwa basic, kapena alkaline. PH yamagazi yocheperako imatha kuwonetsa kuti magazi anu ndi acidic komanso amakhala ndi ma kaboni dayokisaidi ambiri. Magazi apamwamba a pH atha kuwonetsa kuti magazi anu ndiofunika kwambiri ndipo ali ndi mulingo wokwera kwambiri wa bicarbonate.
• Bicarbonate, omwe ndi mankhwala omwe amathandiza kuti pH yamagazi isakhale ndi acidic kapena yofunikira kwambiri.
• Kupanikizika pang'ono kwa mpweya, yomwe ndiyeso ya kuthamanga kwa mpweya wosungunuka m'magazi. Zimatengera momwe mpweya umayendera bwino kuchokera m'mapapu kulowa m'mwazi.
• Kupanikizika pang'ono kwa carbon dioxide, yomwe ndiyeso ya kukakamizidwa kwa kaboni dayokisaidi yomwe imasungunuka m'magazi. Zimatsimikizira momwe kaboni dayokisaidi imatha kutuluka mthupi.
• Kukhuta kwa oxygen, womwe ndi muyeso wa kuchuluka kwa mpweya womwe hemoglobini imanyamula m'maselo ofiira amwazi.

Mwambiri, zoyenera zimaphatikizira:

• magazi ochepa pH: 7.38 mpaka 7.42
• bikarboneti: Miliyoni awiri mpaka 28 a milliequivalents pa lita imodzi
• kuthamanga pang'ono kwa mpweya: 75 mpaka 100 mm Hg
• kupanikizika pang'ono kwa carbon dioxide: 38 mpaka 42 mm Hg
• machulukitsidwe mpweya: 94 mpaka 100 peresenti

Magazi anu a oxygen amatha kukhala ochepa ngati mumakhala pamwamba pamadzi.

Makhalidwe abwinobwino amakhala ndi mawonekedwe osiyana pang'ono ngati akuchokera ku nyerere ya venous kapena capillary.

Zotsatira zosazolowereka zitha kukhala zizindikilo za matenda ena, kuphatikiza omwe ali patebulo lotsatirali:

Mitundu yachilendo komanso yachilendo imatha kusiyanasiyana kutengera labu chifukwa ena amagwiritsa ntchito miyeso kapena njira zosiyanasiyana pofufuza magazi.

Muyenera nthawi zonse kukumana ndi dokotala kuti mukambirane mwatsatanetsatane zotsatira za mayeso anu. Adzakuuzani ngati mukufuna kuyezetsa kwina komanso ngati mungafune chithandizo chilichonse.