He aha ka hōʻike ʻana o kou pae oxygen koko
ʻO ke kiʻekiʻe o ka oxygen kou koko he ana ia o ka nui o ka oxygen i lawe ʻia e kāu mau koko ʻulaʻula.Hoʻoponopono paʻa kou kino i ka nui o ka oxygen i kou koko.ʻO ka mālama ʻana i kahi kaulike pololei o ka saturation oxygen koko he mea nui ia i kou olakino.
ʻAʻole pono ka hapa nui o nā keiki a me nā mākua e nānā i ko lākou pae oxygen koko.ʻO kaʻoiaʻiʻo, keʻoleʻoe e hōʻike i nā hōʻailona o nā pilikia e like me ka pōkole o ka hanu a me kaʻeha o ka umauma, nui nā kauka e nānāʻole.
Eia nō naʻe, pono ka nui o nā poʻe me nā maʻi maʻi e nānā i ko lākou pae oxygen koko.Hoʻopili kēia i ka hānō, ka maʻi puʻuwai a me ka maʻi pulmonary obstructive maʻi (COPD).
I kēia mau hihia, hiki i ka nānā ʻana i kou pae o ka oxygen koko ke kōkua i ka hoʻoholo ʻana inā pono ka lāʻau lapaʻau a inā paha e hoʻoponopono ʻia.
E heluhelu no ka ʻike ʻana i hea ka pae o ka oxygen koko, he aha nā hōʻailona āu e ʻike ai inā hāʻule ka pae o ka oxygen koko, a he aha ka mea e hiki mai ana.
kinoea koko aʻa
ʻO ka hoʻāʻo ʻana i ke koko koko (ABG) he hōʻike koko.Hiki iā ia ke ana i ka oxygen ma loko o ke koko.Hiki iā ia ke ʻike i ke kiʻekiʻe o nā kinoea ʻē aʻe i loko o ke koko a me ka pH (ka kiʻekiʻe o ka waikawa/base).He pololei loa ka ABG, akā he invasive.
No ka loaʻa ʻana o kahi ana ABG, e huki kāu kauka i ke koko mai kahi aʻa ma mua o kahi vein.ʻAʻole like me nā veins, loaʻa ka puʻuwai i hiki ke ʻike ʻia.Eia kekahi, ua oxidized ke koko i unuhi ʻia mai ke aʻa.ʻAʻole koko.
Hoʻohana ʻia ke aʻaʻa ma ka pulima no ka mea maʻalahi ke hoʻohālikelike ʻia me nā aʻaʻa ʻē aʻe o ke kino.
ʻO ka pulima lima kahi wahi maʻalahi e hōʻoluʻolu ʻole ai ke koko ma mua o nā veins kokoke i ka kuʻekuʻe.ʻOi aku ka hohonu o nā aʻa ma mua o nā veins, kahi e hoʻonui ai i ka ʻeha
Ma kahi e hāʻule ai nā pae oxygen koko
ʻO ka nui o ka oxygen i loko o ke koko i kapa ʻia ka saturation oxygen.Ma ka pōkole lāʻau lapaʻau, e lohe ʻia ka PaO 2 ke hoʻohana ʻia ke kinoea koko, a e lohe ʻia ʻo O 2 sat (SpO2) ke hoʻohana ʻia ka bipi pulupulu.E kōkua kēia mau alakaʻi iā ʻoe e hoʻomaopopo i ke ʻano o nā hopena:
Maʻamau: Aia ma waena o 80 mmHg a me 100 mmHg ka mea maʻamau ABG oxygen o nā māmā olakino.Inā ana ka pipi pulupulu i kou pae oxygen koko (SpO2), ma waena o 95% a me 100% ka heluhelu maʻamau.
Eia naʻe, ma COPD a i ʻole nā maʻi ʻē aʻe, ʻaʻole pili kēia mau pae.Na kāu kauka e haʻi iā ʻoe i ka mea maʻamau no kahi kūlana.No ka laʻana, ʻaʻole ia he mea maʻamau no ka poʻe me COPD koʻikoʻi e mālama i kā lākou pulse oxygen pae (SpO2) ma waena o 88% a me 92% mau kumu hilinaʻi.
Haʻahaʻa ma mua o ka maʻamau: ʻO ka pae o ka oxygen koko ma lalo o ka maʻamau i kapa ʻia ʻo hypoxemia.Hoʻomaka pinepine ka hypoxemia i ka hopohopo.ʻO ka haʻahaʻa o ka oxygen, ʻoi aku ka paʻakikī o ka hypoxemia.Hiki i kēia ke hoʻopilikia i nā ʻiʻo a me nā kino.
ʻO ka maʻamau, ʻo ka heluhelu ʻana o PaO 2 ma lalo o 80 mm Hg a i ʻole pulse OX (SpO2) ma lalo o 95% i manaʻo ʻia he haʻahaʻa.He mea nui e hoʻomaopopo i kou ʻano maʻamau, ʻoi aku ka nui inā loaʻa iā ʻoe ka maʻi ʻulaʻula mau.
Hiki i kāu kauka ke aʻo aku iā ʻoe i ka nui o nā pae oxygen āu e ʻae ai.
Ma luna o nā pae maʻamau: Inā paʻakikī ka hanu, paʻakikī ka loaʻa ʻana o ka oxygen.I ka hapanui o nā hihia, ʻike ka poʻe me ka oxygen supplemental i nā pae oxygen kiʻekiʻe.Hiki ke ʻike ʻia ma ka ABG.
Ka manawa hoʻouna: Dec-28-2020