Mitsempha yamagazi yamagazi: ndi chiyani, ndi chiyani komanso mfundo zake

Zamkati

• Momwe mayeso amachitikira
• Ndi chiyani
• Malingaliro owonetsera
• Momwe mungamvetsetse zotsatira za mayeso
• Kodi pali kusiyana kotani m'magazi am'magazi komanso amitsempha yamagazi

Kusanthula mpweya wamagazi wamagazi ndimayeso amwazi omwe nthawi zambiri amachitidwa kwa anthu omwe alandila ku Intensive Care Unit, yomwe cholinga chake ndi kutsimikizira kuti kusinthana kwa gasi kukuchitika moyenera, motero, kuti awone kufunikira kwa mpweya wowonjezera.

Kuphatikiza apo, ndimayeso omwe angafunsidwe kuchipatala kuti athandizire kupeza matenda opuma, impso kapena matenda opatsirana, kuphatikiza kutsimikizira ngati mankhwalawa ndi othandiza ndipo, chifukwa chake, atha kugwiritsidwa ntchito ngati imodzi mwanjira zomwe kuthandizira kutulutsa kwa wodwalayo.

Momwe mayeso amachitikira

Kusanthula kwamagazi kwamagazi kumachitika posonkhanitsa magazi kuchokera pamitsempha ya mkono kapena mwendo. Zosonkhanitsa zamtunduwu ndizopweteka kwambiri, chifukwa ndizosavuta kuwononga. Magazi omwe amatengedwa amatengedwa kupita ku labotale kukayezetsa magazi kuti awone ngati magazi ndi pH, kuchuluka kwa bicarbonate komanso kupsinjika pang'ono kwa CO2.

Mitsempha yamagazi yamagazi siyenera kuchitidwa ngati pangakhale matenda owopsa, chifukwa pakhoza kukhala zovuta pakukoka magazi, kutseka mavuto kapena ngati munthuyo akugwiritsa ntchito maantibayotiki. Zikatero, adokotala amatha kuyitanitsa mayeso ena kuti adziwe matenda omwe akuyambitsa kupuma.

Ndi chiyani

Magazi am'magazi amafunsidwa ndi dokotala kuti:

• Onani momwe mapapo amagwirira ntchito, makamaka pamatenda a mphumu kapena bronchitis komanso mukalephera kupuma - Pezani zizindikiro zake komanso momwe amathandizira kupuma;
• Thandizeni werengani pH ndi acidity yamagazi, yomwe imathandiza kuthandizira matenda a impso kulephera ndi cystic fibrosis, mwachitsanzo;
• Unikani kagayidwe kagwiritsidwe, yomwe ndi yofunikira pozindikira matenda amtima, stroke (stroke) kapena mtundu wachiwiri wa shuga, mwachitsanzo;
• Kugwira ntchito kwa mapapu pambuyo pochita opaleshoni kapena kumuika. 

Kuphatikiza apo, amafufuzanso kusanthula kwa magazi m'magazi ngati atha kugwiritsa ntchito mankhwala osokoneza bongo. Kuchita kwa mayesowa siofala, sikumachitika kuzipatala kapena pamafunso azizolowezi, kufunsidwa ndi adokotala milandu yovuta kwambiri.

Malingaliro owonetsera

Makhalidwe abwinowa pofufuza magazi ochepa ndi awa:

• pH: 7.35 - 7.45
• Bicarbonate: 22 - 26 mEq / L
• Zamgululi(kuthamanga pang'ono kwa carbon dioxide): 35 - 45 mmHg

Mayeso am'magazi am'magazi amawonetsa momwe mapapo akugwirira ntchito, ndiye kuti, ngati kusinthana kwa gasi kukuchitika moyenera, kuwonetsa mkhalidwe wa munthu, yemwe atha kukhala acidosis kapena kupuma kapena kagayidwe kachakudya alkalosis. Mvetsetsani zomwe kagayidwe kachakudya ndi kupuma acidosis, kagayidwe kachakudya alkalosis ndi kupuma alkalosis kumatanthauza.

Momwe mungamvetsetse zotsatira za mayeso

Tebulo lotsatirali likuwonetsa zitsanzo za kusintha kwamwazi wamagazi wamagazi:

Kuyesaku sikokwanira kutseka matendawa, kumangowonetsa kupuma, impso kapena kagayidwe kachakudya, ndi mayeso ena othandizira, monga X-rays, CT scan, kuyesa magazi ena ndi mayeso amkodzo, amafunsidwa ndi dokotala kuti Matendawa amatha kutsekedwa ndipo chithandizochi chitha kuyambika malinga ndi zomwe zasintha pakuwunika kwa magazi.

Kodi pali kusiyana kotani m'magazi am'magazi komanso amitsempha yamagazi

Magazi am'magazi am'magazi amawonetsa kuchuluka kwa mpweya wabwino komanso ngati impso ndi mapapo zikugwira ntchito moyenera, zomwe zimathandizira kupeza matenda am'mapapo, matenda a impso ndi matenda.

Kusanthula kwa magazi am'magazi am'magazi, mbali ina, kumachitika ngati njira yachiwiri pomwe kusonkhanitsa pamitsempha sikutheka, ndikutolera mumitsempha, ndipo cholinga chake chachikulu ndikuthandizira kupeza matenda am'mitsempha kapena kuwundana kwa magazi. mavuto.