Cyanosis: chomwe chiri, zoyambitsa zazikulu ndi momwe angachiritsire

Zamkati

• Mitundu ya cyanosis
• Zoyambitsa zazikulu
• Momwe mankhwalawa amachitikira

Cyanosis ndimatenda amtundu wa khungu, misomali kapena pakamwa, ndipo nthawi zambiri chimakhala chizindikiro cha matenda omwe angasokoneze mpweya wabwino komanso magazi, monga congestive heart failure (CHF) kapena matenda osokoneza bongo (COPD).

Popeza kusintha kwa oxygenation yamagazi kumatha kuonedwa ngati kusintha kwakukulu, ndikofunikira kuti chifukwa chake chizindikiridwe ndipo chithandizo choyenera chimayambitsidwa, popeza njira imeneyi imatha kupewa zovuta.

Mitundu ya cyanosis

Cyanosis imatha kugawidwa molingana ndi kuthamanga, kuthamanga kwa magazi ndi kuchuluka kwa magazi okosijeni omwe amafikira ziwalo mu:

• Zotumphukira, zomwe zimachitika liwiro loyenda likucheperachepera, kusayenda kokwanira kwa magazi ampweya mthupi lonse;
• Pakatikati, momwe magazi amafika m'mitsempha yopanda oxygen, pokhala choyambitsa chachikulu cha matenda am'mapapo;
• Zosakaniza, yomwe imachitika pomwe sikuti mpweya wokha womwe umachitika m'mapapu ndiwosokonekera, koma mtima sungathe kupititsa patsogolo magazi okwanira mpweya wokwanira.

Ndikofunika kuti mayeso ayesedwe kuti azindikire mtundu wa cyanosis ndi zomwe zimayambitsa kuti mankhwala ayambe pomwepo.

Matendawa amapangidwa kutengera kuyezetsa thupi, kuwunika mbiri ya zamankhwala ndi mayeso a labotale omwe amayesa kuchuluka kwa hemoglobin m'magazi ndi kusinthasintha kwa gasi, komwe kumatsimikiziridwa pogwiritsa ntchito kuwunika kwa magazi m'magazi ochepa. Mvetsetsani chomwe chiri komanso momwe kuwunika kwa magazi kumachitikira.

Zoyambitsa zazikulu

Cyanosis imatha kuyambitsidwa ndi vuto lililonse lomwe limasokoneza mpweya komanso mayendedwe amwazi ndipo zimatha kuchitika munthu atakalamba komanso makanda. Zomwe zimayambitsa cyanosis ndi izi:

• Matenda am'mapapo, monga COPD, embolism pulmonary embolism kapena chibayo chachikulu, mwachitsanzo;
• Matenda amtima, ndi CHF kapena thrombosis;
• Mankhwala osokoneza bongo, monga Sulfa, mwachitsanzo;
• Tetralogy of Fallot kapena Blue Baby Syndrome, omwe ndi matenda amtundu womwe amadziwika ndi kusintha kwa mtima komwe kumachepetsa kugwira ntchito bwino;
• Kusintha kwa hemoglobin, yomwe imatha kudziwika pogwiritsa ntchito mayeso a chidendene atangobadwa kumene.

Kuphatikiza apo, cyanosis imakonda kupezeka nthawi yayitali malo ozizira, owonongeka kwambiri kapena okwera kwambiri, chifukwa amachepetsa kuyendetsa magazi.

Momwe mankhwalawa amachitikira

Chithandizo cha cyanosis chimachitika molingana ndi chifukwa chake, kugwiritsa ntchito maski a oxygen, kuchita masewera olimbitsa thupi kuti apititse patsogolo magazi ndi kayendedwe ka oxygenation, kapena kuvala zovala zotentha, cyanosis ikayambitsidwa ndi kuzizira, mwina.