Mulingo wama oksijeni wamagazi

Zamkati

• Kodi kuyesa kwa mpweya wa magazi ndi chiyani?
• Amagwiritsidwa ntchito yanji?
• Chifukwa chiyani ndikufunika kuyesa magazi?
• Kodi chimachitika ndi chiyani mukayezetsa magazi?
• Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
• Kodi pali zoopsa zilizonse pamayeso?
• Kodi zotsatirazi zikutanthauza chiyani?
• Kodi pali china chilichonse chomwe ndiyenera kudziwa pamayeso amwazi wamagazi?
• Zolemba

Kodi kuyesa kwa mpweya wa magazi ndi chiyani?

Kuyezetsa magazi m'magazi, komwe kumadziwikanso kuti kusanthula mpweya wamagazi, kumayeza kuchuluka kwa mpweya ndi mpweya woipa m'magazi. Mukamapuma, mapapu anu amalowetsa mpweya (ndikupumira) mpweya ndikupumira (kutulutsa mpweya) wa carbon dioxide. Ngati pali kusalinganika kwama oxygen ndi kaboni dayokisaidi m'magazi anu, zitha kutanthauza kuti mapapu anu sakugwira ntchito bwino.

Kuyezetsa magazi m'magazi kumawunikiranso kuchuluka kwa zidulo ndi mabasiketi, otchedwa pH balance, m'magazi. Mchere wambiri kapena wochepa kwambiri m'magazi ungatanthauze kuti pali vuto m'mapapu anu kapena impso.

Mayina ena: kuyezetsa magazi, magazi ochepa, ABG, kusanthula kwa magazi, kuyesa kwa oxygen

Amagwiritsidwa ntchito yanji?

Kuyesedwa kwa mpweya wa magazi kumagwiritsidwa ntchito kuti muwone momwe mapapu anu akugwirira ntchito ndikuyesa kuchuluka kwa asidi m'magazi anu. Chiyesocho nthawi zambiri chimakhala ndi izi:

• Oxygen okhutira (O2CT). Izi zimayeza kuchuluka kwa mpweya m'magazi.
• Kukhathamiritsa kwa oxygen (O2Sat). Izi zimayeza kuchuluka kwa hemoglobin m'magazi anu. Hemoglobin ndi mapuloteni m'maselo anu ofiira amwazi omwe amanyamula mpweya kuchokera m'mapapu anu kupita mthupi lanu lonse.
• Kupanikizika pang'ono kwa mpweya (PaO2). Izi zimayeza kuthamanga kwa mpweya wosungunuka m'magazi. Zimathandizira kuwonetsa momwe mpweya wabwino umasunthira kuchokera m'mapapu anu kupita kumwazi wanu.
• Kupanikizika pang'ono kwa kaboni dayokisaidi (PaCO2). Izi zimayeza kuchuluka kwa mpweya woipa m'magazi.
• pH. Izi zimayeza kuchuluka kwa zidulo ndi magazi m'magazi.

Chifukwa chiyani ndikufunika kuyesa magazi?

Pali zifukwa zambiri mayesowa adalamulidwa. Mungafunike kuyezetsa magazi ngati:

• Vuto lakupuma
• Khalani ndi mseru kangapo komanso / kapena kusanza
• Akuchiritsidwa matenda am'mapapo, monga mphumu, matenda osokoneza bongo (COPD), kapena cystic fibrosis. Kuyesaku kungathandize kuwona ngati mankhwala akugwira ntchito.
• Posachedwa wavulaza mutu kapena khosi, zomwe zingakhudze kupuma kwanu
• Ndinali bongo
• Akulandira mankhwala a oxygen ali kuchipatala. Mayesowo atha kuthandizira kuti muwonetsetse kuti mumalandira mpweya wabwino wokwanira.
• Khalani ndi poizoni wa carbon monoxide
• Khalani ndi vuto lovutitsa utsi

Mwana wakhanda angafunikirenso kuyesedwa ngati akuvutika kupuma.

Kodi chimachitika ndi chiyani mukayezetsa magazi?

Mayeso ambiri amwazi amatenga zitsanzo kuchokera mumtsempha. Pachiyesochi, wothandizira zaumoyo amatenga magazi kuchokera kumtundu. Ndi chifukwa chakuti magazi ochokera mumtsempha amakhala ndi mpweya wokwanira kuposa magazi ochokera mumitsempha. Chitsanzocho nthawi zambiri chimatengedwa kuchokera mumtsempha mkati mwa dzanja. Izi zimatchedwa mitsempha yozungulira. Nthawi zina chitsanzocho chimatengedwa kuchokera pamtsempha m'zigongono kapena m'mimba. Ngati mwana wakhanda akuyesedwa, chitsanzocho chingatengeke pachidendene cha mwana kapena umbilical.

Mukamachita izi, omwe amakupatsani mwayi amaika singano ndi jakisoni mumtsempha. Mutha kumva kupweteka kwambiri ngati singano ikulowa mumtsempha. Kupeza magazi kuchokera pamitsempha nthawi zambiri kumakhala kowawa kuposa kulandira magazi kuchokera mumtsempha, njira yofala kwambiri yoyesera magazi.

Sirinjiyo ikadzaza magazi, wothandizira anu adzaika bandeji pamalo opumira. Pambuyo pa ndondomekoyi, inu kapena wothandizira akuyenera kugwiritsa ntchito kukakamizidwa kwamalowo kwa mphindi 5-10, kapena kupitilira apo ngati mukumwa mankhwala ochepetsa magazi.

Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?

Ngati magazi anu atengedwa m'manja mwanu, wothandizira zaumoyo wanu akhoza kuyesa mayeso a Allen musanatenge chitsanzocho. Poyesa kwa Allen, omwe amakupatsani mwayi azigwiritsa ntchito mitsempha yanu m'manja mwanu kwa masekondi angapo.

Ngati muli ndi mankhwala a oxygen, mpweya wanu ukhoza kuzimitsidwa kwa mphindi pafupifupi 20 mayeso asanayesedwe. Izi zimatchedwa kuyesa mpweya mchipinda. Izi sizingachitike ngati mukulephera kupuma popanda mpweya.

Kodi pali zoopsa zilizonse pamayeso?

Palibe chiopsezo chochepa chayezetsa magazi. Mutha kukhala ndi magazi, mikwingwirima, kapena kupweteka pamalo pomwe singano idayikidwapo. Ngakhale mavuto ndi osowa, muyenera kupewa kunyamula zinthu zolemetsa kwa maola 24 mutayesedwa.

Kodi zotsatirazi zikutanthauza chiyani?

Ngati zotsatira za mpweya wanu wama oxygen sizachilendo, zitha kutanthauza kuti:

• Sakutenga mpweya wokwanira
• Sakuchotsa mpweya wokwanira
• Khalani ndi kusalinganika m'magawo anu okhala ndi asidi

Izi zitha kukhala zizindikilo za matenda am'mapapo kapena impso. Chiyesocho sichingathe kudziwa matenda enaake, koma ngati zotsatira zanu sizachilendo, wothandizira zaumoyo wanu adzaitanitsa mayeso ena kuti atsimikizire kapena kuthana ndi matendawa. Ngati muli ndi mafunso pazotsatira zanu, lankhulani ndi omwe amakuthandizani.

Dziwani zambiri zamayeso a labotale, magawo owerengera, ndi zotsatira zakumvetsetsa.

Kodi pali china chilichonse chomwe ndiyenera kudziwa pamayeso amwazi wamagazi?

Chiyeso china, chotchedwa pulse oximetry, chimayang'ananso kuchuluka kwa mpweya wamagazi. Kuyesaku sikugwiritsa ntchito singano kapena sikufuna magazi. Mu puloteni oximetry, kachipangizo kakang'ono ngati chojambula kamene kali ndi sensa yapadera kumamangiriridwa ku chala chanu, chala, kapena khutu. Popeza chipangizocho chimayeza mpweya "peripherally" (mdera lakunja), zotsatira zake zimaperekedwa monga zotumphukira kwa oxygen, yotchedwanso SpO2.

Zolemba

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11. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2018. Mitsempha Yamagazi Yabwino: Zowopsa; [yasinthidwa 2017 Mar 25; yatchulidwa 2018 Apr 10]; [pafupifupi zowonetsera 7]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/arterial-blood-gases/hw2343.html#hw2397
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13. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2018. Mitsempha yamagazi yamagazi: Chifukwa Chake Amachitidwa; [yasinthidwa 2017 Mar 25; yatchulidwa 2018 Apr 10]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/arterial-blood-gases/hw2343.html#hw2374
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Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.