Oximetry: ndi chiyani komanso zikhalidwe zowoneka bwino

Zamkati

• 1. Kugunda kwa oximetry (kosasokoneza)
• 2. Oximetry / mpweya wamagazi wamagazi (wowopsa)
• Makhalidwe abwinobwino
• Kusamalira zotsatira zolondola kwambiri

Oximetry ndi mayeso omwe amakulolani kuti muyese kuchuluka kwa mpweya wamagazi, ndiye kuchuluka kwa mpweya womwe umanyamulidwa m'magazi. Kuyesaku, komwe kumatha kuchitika kuchipatala kapena kunyumba ndi oximeter ya pulse, ndikofunikira pamene matenda omwe amalepheretsa kapena kusokoneza magwiridwe antchito am'mapapo, matenda amtima kapena matenda amitsempha, mwachitsanzo.

Nthawi zambiri, oximetry yoposa 90% imawonetsa mpweya wabwino wama oxygenation, komabe, ndikofunikira kuti dokotala awunike mulimonsemo. Kuchepa kwa mpweya wa oxygenation kumatha kuwonetsa kufunikira kokalandira chithandizo kuchipatala ndi mpweya, komanso kumatha kuwonetsa zoopsa zomwe sizingakonzedwe bwino. Mvetsetsani zomwe zingakhale zovuta zakusowa mpweya m'magazi.

Pali njira ziwiri zoyezera kukhathamira kwa oxygen:

1. Kugunda kwa oximetry (kosasokoneza)

Imeneyi ndiyo njira yogwiritsira ntchito kuyeza mpweya wokwanira, popeza ndi njira yosagwiritsa ntchito yomwe imayesa kuchuluka kwa mpweya kudzera mu kachipangizo kakang'ono, kotchedwa pulse oximeter, komwe kumalumikizana ndi khungu, nthawi zambiri kumapeto kwa chala.

Ubwino waukulu pamlingo uwu ndikuti sikofunikira kusonkhanitsa magazi, kupewa kulumidwa. Kuphatikiza pa oximetry, chipangizochi chikhozanso kuyeza deta zina zofunika, monga kuchuluka kwa kugunda kwa mtima komanso kupuma, mwachitsanzo.

• Momwe imagwirira ntchito: pulse oximeter ili ndi kachipangizo kowala kamene kamatenga mpweya wochuluka womwe umadutsa m'magazi pansi pa malo omwe mayesowo akuyesedwapo ndipo, m'masekondi ochepa, akuwonetsa phindu. Masensawa amatenga miyeso mwachangu, pafupipafupi ndipo amapangidwa kuti agwiritsidwe ntchito zala, zala zakumapazi kapena khutu.

Pulofesa oximetry amagwiritsidwa ntchito kwambiri ndi madotolo ndi akatswiri ena azaumoyo pakuwunika kwamankhwala, makamaka pakagwa matenda omwe amayambitsa kupuma, monga mapapo, mtima ndi matenda amitsempha, kapena panthawi ya anesthesia, koma atha kugwiritsidwa ntchito kuwunika momwe angakhalire athanzi Matenda a coronavirus. Oximeter itha kugulidwanso m'malo ogulitsa azachipatala kapena azachipatala.

2. Oximetry / mpweya wamagazi wamagazi (wowopsa)

Mosiyana ndi kugunda kwa magazi, kusanthula magazi m'magazi ndi njira yodziwira kuchuluka kwa mpweya m'magazi, chifukwa zimachitika posonkhanitsa magazi mu sirinji, ndipo izi ndizofunikira ndodo ya singano. Pachifukwa ichi, kuyezetsa kotereku sikucheperako poyerekeza ndi kugunda kwa oximetry.

Ubwino wamagesi am'magazi ndi njira yolondola kwambiri yodzikongoletsera kwamagazi m'magazi, kuphatikiza pakupereka njira zina zofunika, monga kuchuluka kwa kaboni dayokisaidi, pH kapena kuchuluka kwa zidulo ndi bicarbonate m'magazi, chifukwa Mwachitsanzo.

• Momwe imagwirira ntchito: ndikofunikira kupanga magazi osungunuka pang'ono kenako chitsanzochi chimatengedwa kuti chikayesedwe mu chipangizo china chake mu labotore. Mitsempha yamagazi yomwe imagwiritsidwa ntchito kwambiri pamayeso amtunduwu ndi mtsempha wamagazi, m'manja, kapena chachikazi, m'mimba, koma ena amathanso kugwiritsidwa ntchito.

Kuyeza kwamtunduwu kumangogwiritsidwa ntchito pokhapokha ngati wodwalayo akuyenera kuyang'aniridwa mosalekeza kapena molondola, zomwe zimafala kwambiri nthawi zambiri ngati opaleshoni yayikulu, matenda amtima, arrhythmias, matenda opatsirana, kusintha kwadzidzidzi kwa kuthamanga kwa magazi kapena Mwachitsanzo, kulephera kupuma, mwachitsanzo. Phunzirani tanthauzo la kupuma komanso momwe lingachepetse mpweya wokwanira.

Makhalidwe abwinobwino

Munthu wathanzi, wokhala ndi mpweya wokwanira mthupi, nthawi zambiri amakhala ndi mpweya wokwanira pamwamba pa 95%, komabe, ndizofala kuti m'malo ofatsa, monga chimfine kapena chimfine, machulukitsidwe amakhala pakati pa 90 ndi 95%, popanda chifukwa chodera nkhawa.

Machulukitsidwe akafika pamtengo wotsika 90%, zitha kuwonetsa kuchepa kwa mpweya m'thupi chifukwa chakupezeka kwa matenda ena owopsa omwe amatha kuchepetsa kusinthana kwa mpweya pakati pa mapapo ndi magazi, monga monga mphumu, chibayo, emphysema, kulephera kwa mtima kapena matenda amitsempha komanso vuto la Covid-19, mwachitsanzo.

M'magazi am'magazi, kuphatikiza muyeso wa kukhathamiritsa kwa oxygen, kuthamanga kwa oxygen pang'ono (Po2) kuyesedwanso, komwe kuyenera kukhala pakati pa 80 ndi 100 mmHg.

Kusamalira zotsatira zolondola kwambiri

Ndikofunikira kwambiri kuti zida zomwe zimayeza kuyeza kwa mpweya ndizoyeserera pafupipafupi, kupewa zotsatira zosintha. Kuphatikiza apo, mukamagwiritsa ntchito oximeter ya pulse, njira zina zodzitetezera kuti musasinthe mayeso ndi awa:

• Pewani kugwiritsa ntchito enamel kapena misomali yabodza, chifukwa imasintha njira yolumikizira;
• Khalani omasuka ndi pansi pamlingo wamtima;
• Tetezani chipangizocho pamalo owala kwambiri kapena dzuwa;
• Onetsetsani kuti chipangizocho chili bwino.

Asanayese kukayezetsa, adotolo amayeneranso kufufuza matenda ena monga kuchepa kwa magazi kapena kufalikira kwa magazi, komwe kumatha kusokoneza kuyeza kwa mpweya wa magazi.