Kodi Magazi Anga Anga Anga Amakhala Okhazikika?

Zamkati

• Momwe magazi anu amawonera magazi
• Magazi amitsempha yamagazi
• Kugunda oximeter
• Komwe magazi anu okosijeni amayenera kugwera
• Zomwe zimachitika ngati mpweya wanu ndiwotsika kwambiri
• Momwe mungasinthire mulingo wanu wama oxygen
• Zomwe zimapangitsa kuti magazi azikhala ochepa
• Mfundo yofunika

Zomwe magazi anu okosijeni amawonetsa

Mulingo wa oxygen wanu wamagazi ndiyeso ya kuchuluka kwa mpweya womwe maselo anu ofiira anyamula. Thupi lanu limayang'anira magazi anu okosijeni mosamala kwambiri. Kusunga magazi okwanira okosijeni mokwanira ndikofunikira pa thanzi lanu.

Ana ndi akulu ambiri safunika kuwunika momwe magazi awo alili. M'malo mwake, madokotala ambiri sangayang'ane pokhapokha mutakhala kuti mukuwonetsa zizindikiro za vuto, monga kupuma movutikira kapena kupweteka pachifuwa.

Komabe, anthu omwe ali ndi matenda osachiritsika ambiri amafunika kuwunika momwe mpweya wa oxygen ulili. Izi zimaphatikizapo mphumu, matenda amtima, komanso matenda osokoneza bongo (COPD).

Zikatero, kuwunika kuchuluka kwa mpweya wa oxygen kumatha kuthandizira kudziwa ngati mankhwala akugwira ntchito, kapena ngati angasinthidwe.

Pitilizani kuwerenga kuti muphunzire komwe muyeso wanu wa oxygen uyenera kukhala, zizindikilo ziti zomwe mungakhale nazo ngati mulingo wanu watha, ndi zomwe zimachitika pambuyo pake.

Momwe magazi anu amawonera magazi

Mulingo wa mpweya wanu wamagazi ukhoza kuyezedwa ndi mayeso awiri osiyana:

Magazi amitsempha yamagazi

Kuyezetsa magazi kwamagazi (ABG) ndikuyesa magazi. Imayeza mulingo wa mpweya wamagazi anu.Ikhozanso kuzindikira kuchuluka kwa mpweya wina m'magazi anu, komanso pH (acid / base level). ABG ndiyolondola kwambiri, koma ndiyowopsa.

Kuti mupeze kuyeza kwa ABG, dokotala wanu amatenga magazi kuchokera pamitsempha m'malo mwa mtsempha. Mosiyana ndi mitsempha, mitsempha imakhala ndi kutentha komwe kumamveka. Komanso, magazi ochokera m'mitsempha amatulutsa mpweya. Magazi m'mitsempha mwanu sali.

Mitsempha ya m'manja mwanu imagwiritsidwa ntchito chifukwa imamveka mosavuta poyerekeza ndi ena m'thupi lanu.

Dzanja ndi malo ovuta, kupangitsa kukoka magazi pamenepo kukhala kovuta poyerekeza ndi mtsempha pafupi ndi chigongono chanu. Mitsempha imakhalanso yozama kuposa mitsempha, ndikuwonjezera kusapeza bwino.

Kugunda oximeter

Pulse oximeter (pulse ox) ndichida chosavomerezeka chomwe chimayesa kuchuluka kwa mpweya m'magazi anu. Imatero potumiza kuwala kwa infrared mu ma capillaries mu chala chanu, chala, kapena khutu. Kenako imayesa kuchuluka kwa kuwala komwe kumawonekera kuchokera kumipweya.

Kuwerenga kumawonetsa kuchuluka kwa magazi anu okhutira, otchedwa SpO2 level. Mayesowa ali ndi zenera lolakwika la 2%. Izi zikutanthauza kuti kuwerenga kungakhale kokwera pafupifupi 2 peresenti kapena kutsika kuposa mulingo wanu weniweni wa oxygen.

Mayesowa atha kukhala olondola pang'ono, koma ndizosavuta kuti madotolo achite. Chifukwa chake madotolo amadalira kuti liwerengedwe mwachangu.

Zinthu monga kupukutira kwa misomali yakuda kapena kumapeto kwa kuzizira kumatha kupangitsa kuti ng'ombe yolumikizira kuwerenga kwambiri kuposa zachilendo. Dokotala wanu akhoza kuchotsa polish m'misomali yanu musanagwiritse ntchito makina kapena ngati kuwerenga kwanu kukuwoneka kotsika kwambiri.

Chifukwa ng'ombe yamphongo yosagwira, mutha kuyesa izi nokha. Mutha kugula zida zamagetsi zamagetsi m'masitolo ambiri omwe amakhala ndi zinthu zokhudzana ndi thanzi kapena intaneti. Lankhulani ndi dokotala musanagwiritse ntchito chida chanyumba kuti mumvetsetse momwe mungatanthauzire zotsatirazi.

Komwe magazi anu okosijeni amayenera kugwera

Muyeso wa mpweya wanu wamagazi umatchedwa mulingo wanu wokhutitsa mpweya. Mwachidule cha zamankhwala, mungamve kuti amatchedwa PaO₂ mukamagwiritsa ntchito mpweya wamagazi ndi O₂ sat (SpO2) mukamagwiritsa ntchito ng'ombe yogunda. Malangizo awa akuthandizani kumvetsetsa tanthauzo la zotsatira zanu:

Zachilendo: Mulingo wabwinobwino wa ABG wa mapapu athanzi umagwera pakati pa mamilimita 80 mpaka 100 a mercury (mm Hg). Ng'ombe yamphongo ikamayeza magazi anu okosijeni (SpO2), kuwerengera kwabwino kumakhala pakati pa 95 ndi 100%.

Komabe, mu COPD kapena matenda ena am'mapapo, maguluwa sangagwire ntchito. Dokotala wanu adzakudziwitsani zomwe zili zachilendo pa matenda anu. Mwachitsanzo, si zachilendo kwa anthu omwe ali ndi COPD yovuta kuti azikhala ndi ziweto zawo (SpO2) pakati.

Zosasintha: Mulingo wocheperako wama oxygen m'mwazi umatchedwa hypoxemia. Hypoxemia nthawi zambiri imayambitsa nkhawa. Kutsika kwa mpweya wa okosijeni, ndikovuta kwambiri kwa hypoxemia. Izi zitha kubweretsa zovuta m'thupi ndi ziwalo.

Nthawi zambiri, PaO₂ kuwerenga pansipa 80 mm Hg kapena pulse ng'ombe (SpO2) pansi pa 95% amaonedwa kuti ndi otsika. Ndikofunika kudziwa zomwe zimakhala zachilendo kwa inu, makamaka ngati muli ndi vuto la mapapo.

Dokotala wanu akhoza kukulangizani za kuchuluka kwama oxygen omwe mungavomereze.

Koposa zachilendo: Ngati kupuma kwanu kulibe kuthandizidwa, ndizovuta kuti mpweya wanu ukhale wokwera kwambiri. Nthaŵi zambiri, mpweya wambiri umapezeka mwa anthu omwe amagwiritsa ntchito oxygen yowonjezera. Izi zitha kupezeka pa ABG.

Zomwe zimachitika ngati mpweya wanu ndiwotsika kwambiri

Magazi anu okosijeni akamatuluka mopyola muyeso, mutha kuyamba kukumana ndi zizindikilo.

Izi zikuphatikiza:

• kupuma movutikira
• kupweteka pachifuwa
• chisokonezo
• mutu
• kugunda kwamtima mwachangu

Ngati mupitilizabe kukhala ndi magazi ochepa, mutha kuwonetsa zizindikiro za cyanosis. Chizindikiro chodziwikiratu cha vutoli ndikusintha kwamabedi amisomali yanu, khungu, ndi mamina.

Cyanosis imawerengedwa kuti ndi yadzidzidzi. Ngati mukukumana ndi zizindikiro, muyenera kupita kuchipatala mwachangu. Cyanosis imatha kupangitsa kupuma kupuma, komwe kumatha kupha moyo.

Momwe mungasinthire mulingo wanu wama oxygen

Ngati mpweya wanu wamagazi wocheperako ndiwotsika kwambiri, mungafunike kupititsa patsogolo mpweya wanu wokwanira. Izi nthawi zambiri zimachitika ndi oxygen yowonjezera.

Oxygen yowonjezera kunyumba imatengedwa ngati mankhwala, ndipo dokotala ayenera kukupatsani. Ndikofunika kutsatira upangiri wapadera wa adotolo momwe oxygen ya kunyumba ingagwiritsidwe ntchito popewa zovuta. Inshuwalansi yaumoyo wanu ikhoza kubweza ndalamazo.

Zomwe zimapangitsa kuti magazi azikhala ochepa

Zinthu zomwe zingasokoneze kuchuluka kwa mpweya wamagazi ndi monga:

• COPD, kuphatikiza bronchitis yanthawi yayitali komanso emphysema
• ntenda yopuma movutikira
• mphumu
• mapapo anakomoka
• kuchepa kwa magazi m'thupi
• kobadwa nako kupindika mtima
• matenda amtima
• embolism ya m'mapapo mwanga

Izi zitha kuteteza mapapu anu kuti asapumire mokwanira mpweya wokhala ndi mpweya ndikutulutsa kaboni dayokisaidi. Momwemonso, kusokonezeka kwa magazi ndi zovuta zamagetsi anu zimatha kuletsa magazi anu kuti asatengere mpweya ndikuuyendetsa mthupi lanu lonse.

Iliyonse mwamavuto kapena zovuta izi zitha kubweretsa kuchepa kwa kuchuluka kwa mpweya wa oxygen. Mpweya wanu wa okosijeni ukamatsika, mutha kuyamba kukhala ndi matenda a hypoxemia.

Anthu omwe amasuta amatha kuwerengera ng'ombe yolondola molakwika. Kusuta kumayambitsa kaboni monoxide m'magazi anu. Ng'ombe yogunda imatha kusiyanitsa gasi wina ndi mpweya.

Ngati mumasuta ndikusowa kudziwa kuchuluka kwa mpweya wamagazi, ABG ikhoza kukhala njira yokhayo yowerengera molondola.

Mfundo yofunika

Anthu ambiri safunika kuwunika pafupipafupi kuchuluka kwa mpweya wamagazi. Anthu okha omwe ali ndi mavuto azaumoyo omwe amayambitsa mpweya wochepa wa oxygen nthawi zambiri amafunsidwa kuti awone kuchuluka kwawo. Ngakhale zili choncho, njira yochepetsera yoximetry yocheperako nthawi zambiri imakhala yothandiza ngati ABG yovuta.

Ngakhale kuti ili ndi malire olakwika, kuwerengera kwa ng'ombe kumakhala kolondola mokwanira. Ngati dokotala akufuna muyeso wolondola, atha kutsatira mayeso a ABG.