ʻO ke kiʻekiʻe o ka oxygen koko (ʻokoʻa o ka oxygen koko koko) hōʻike i ke kiʻekiʻe o ka oxygen i loko o ke koko e kahe ana ma nā aʻa o ke kino.Hoʻohana ka hoʻāʻo ABG i ke koko i huki ʻia mai nā ʻaʻa, hiki ke ana ʻia ma mua o ke komo ʻana i nā ʻiʻo kanaka.Hoʻokomo ʻia ke koko i loko o kahi mīkini ABG (hoʻoponopono kinoea koko), kahi e hāʻawi ai i nā pae oxygen koko ma ke ʻano o ke kaomi ʻāpana o ka oxygen (oxygen partial pressure).
ʻIke pinepine ʻia ka Hyperoxaemia me ka hoʻohana ʻana i ka hoʻāʻo ABG, ʻo ia ka mea i wehewehe ʻia ʻo ke kiʻekiʻe o ka oxygen koko ma luna o 120 mmHg.ʻO ka maʻamau arterial oxygen pressure (PaO2) i ana ʻia me ka hoʻāʻo ʻana i ke kinoea koko koko (ABG) ma kahi o 75 a 100 mmHg (75-100 mmHg).Ke emi ka pae ma lalo o 75 mmHg, ua kapa ʻia kēia maʻi he hypoxemia.He haʻahaʻa loa nā pae ma lalo o 60 mmHg a hōʻike i ka pono o ka oxygen hou.Hāʻawi ʻia ka oxygen hoʻohui ma o ka cylinder oxygen, i hoʻopili ʻia i ka ihu ma o ka paipu me ka uhi ʻole a i ʻole.
He aha ka mea e pono ai ka oxygen?
Hiki ke ana ʻia ke kiʻekiʻe o ka oxygen koko me ka hoʻohana ʻana i kahi mea hana i kapa ʻia he pulse oximeter.ʻO ka pae oxygen maʻamau i ka pulse oximeter he 95% a 100%.Ma lalo o 90% o ka nui o ka oxygen koko he haʻahaʻa (hypoxemia).ʻIke pinepine ʻia ka Hyperoxaemia e ka hoʻāʻo ABG, kahi i wehewehe ʻia ʻo ke kiʻekiʻe o ka oxygen koko ma luna o 120 mmHg.ʻO kēia ka mea maʻamau i ka haukapila, ke hōʻike ʻia ka mea maʻi i ke kaomi kiʻekiʻe o ka oxygen supplemental no ka manawa lōʻihi (3 a 10 mau hola a ʻoi aʻe paha).
He aha ke kumu e emi ai ka pae o ka oxygen i loko o ke koko?
Hiki ke emi iho ka nui o ka oxygen ma muli o kekahi o kēia mau pilikia:
He haʻahaʻa ka ʻike o ka oxygen i ka lewa: Ma nā wahi kiʻekiʻe e like me nā wahi mauna, haʻahaʻa loa ka oxygen i ka lewa.
Hoʻemi ʻia ka hiki o ke kino o ke kanaka ke komo i ka oxygen: Ma muli paha kēia ma muli o kēia mau maʻi māmā: Asthma, emphysema (ka pōʻino o nā ʻeke ea i loko o ka māmā), bronchitis, pneumonia, pneumothorax (leakage ea ma waena o nā māmā a me ka paia o ka umauma), acute respiratory distress syndrome (ARDS), pulmonary edema (ma muli o ka hoʻoulu ʻana o ka ʻāmāmā), Pulmonary fibrosis (scarring of the lungs), interstitial lung maʻi (ka nui o nā maʻi māmā e hoʻoulu pinepine ai i ka maʻi māmā), nā maʻi viral, penei e like me COVID-19
ʻO nā kumu ʻē aʻe e like me: anemia, hiamoe apnea (moe i ka hanu manawa), puhi
Hoʻemi ʻia ka hiki o ka puʻuwai ke hāʻawi i ka oxygen i nā māmā: ʻo ke kumu maʻamau ʻo ia ka maʻi puʻuwai hānau (nā puʻuwai i ka hānau ʻana).
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Ka manawa hoʻouna: Feb-25-2021