A.
Lokacin da aka gano cewa an rage yawan iskar oxygen na majiyyaci da ke haɗa kai tsaye da kebul na ECG, ya kamata a yi la'akari da waɗannan abubuwa ɗaya bayan ɗaya don gano matsalar.
1. Shin juzu'in matsa lamba na iskar oxygen da aka shaka yayi ƙasa sosai?Lokacin da abun cikin iskar oxygen a cikin iskar da aka shaka bai isa ba, jikewar iskar oxygen a cikin jini na iya raguwa.Ya kamata a tambayi marasa lafiya ko sun taba zuwa tudun ruwa sama da 3000m sama da matakin teku, suna tashi sama da tsayi, hawan bayan nutsewa, da kuma wuraren da ba su da kyau bisa tarihin likita.
1.Shin akwai toshewar iska?Ya zama dole a yi la'akari da ko akwai rashin jin daɗi da ke haifar da cututtuka irin su asma da COPD, zubar harshe, da ɓoyewar numfashi.
2. Yana daSpO2 firikwensinsuna da tabarbarewar iska saboda karancin iskar oxygen?Yi la'akari da ko majiyyaci yana da ciwon huhu mai tsanani, tarin fuka mai tsanani, fibrosis na huhu, edema na huhu, ciwon huhu da sauran cututtuka da ke shafar iska.
3. Menene inganci da adadin Hb da ke jigilar iskar oxygen a cikin jini?Abubuwan da ba su da kyau kamar guba na carbon monoxide, guba na nitrite da haɓakar haemoglobin mara kyau ba kawai yana shafar jigilar iskar oxygen a cikin jini ba, har ma yana tasiri sosai ga sakin oxygen.
B.
1.Ko majiyyaci yana da matsi na colloid osmotic da kuma karfin jini.Matsi na osmotic colloidal daidai da isasshen adadin jini sune mahimman abubuwan don kiyaye daidaitaccen iskar oxygen na yau da kullun wanda babban yatsa ya nuna.SpO2 firikwensin.
2.What is the patient cardiac fitarwar?Adadin iskar oxygen da ake bayarwa don kula da gabobin al'ada yakamata a goyi bayan isassun kayan aikin zuciya.
3.Microcirculation na kyallen takarda da gabobin.Ko don kula da iskar oxygen mai kyau kuma yana da alaƙa da metabolism na jiki.Lokacin da metabolism na jiki ya yi yawa, abun da ke cikin iskar oxygen a cikin jini zai ragu sosai, kuma jinin venous zai haifar da hypoxia mai tsanani bayan shunting na huhu.
4.Yi amfani da iskar oxygen a cikin kyallen da ke kewaye.Kwayoyin nama ba za su iya amfani da iskar oxygen kyauta kawai ba, kuma iskar oxygen da aka haɗa tare da Hb za a iya sakin su kawai zuwa nama don amfani.Canje-canje a cikin pH, 2,3-DPG, da dai sauransu zai shafi rarrabawar iskar oxygen a cikin Hb.
5. Bayan kawar da duk abubuwan da ke sama, don Allah kar a manta cewa wannan na iya zama sanadin raguwar yawan iskar oxygen wanda ya haifar da rashin aiki na firikwensin matsar yatsa.
https://www.medke.com/products/patient-monitor-accessories/
Lokacin aikawa: Oktoba-28-2020