Kodi mulingo wa okosijeni wamagazi anu ukuwonetsa chiyani
Mulingo wa okosijeni m'magazi anu ndi muyeso wa kuchuluka kwa oxygen yomwe maselo ofiira a m'magazi anu amanyamula.Thupi lanu limayendetsa mwamphamvu kuchuluka kwa okosijeni m'magazi anu.Kusunga moyenera kuchuluka kwa oxygen m'magazi ndikofunikira ku thanzi lanu.
Ana ambiri ndi akuluakulu safunika kuyang'anitsitsa kuchuluka kwa okosijeni m'magazi awo.Ndipotu, pokhapokha mutasonyeza zizindikiro za mavuto monga kupuma movutikira kapena kupweteka pachifuwa, madokotala ambiri sangayang'ane.
Komabe, anthu ambiri omwe ali ndi matenda osachiritsika ayenera kuyang'anitsitsa momwe mpweya wawo wa oxygen ukuyendera.Izi zikuphatikizapo mphumu, matenda a mtima ndi matenda osachiritsika a m'mapapo (COPD).
Zikatere, kuyang'anira kuchuluka kwa okosijeni m'magazi anu kungathandize kudziwa ngati chithandizo chili chothandiza kapena chiyenera kusinthidwa.
Werengani kuti mudziwe komwe mulingo wa okosijeni wa m'magazi uyenera kukhala, ndi zizindikiro ziti zomwe mungakumane nazo ngati mulingo wa okosijeni m'magazi watsika, ndi zomwe zidzachitike kenako.
Mpweya wamagazi wamagazi
Mayeso a arterial blood gas (ABG) ndi kuyesa magazi.Imatha kuyeza kuchuluka kwa okosijeni m'magazi.Imathanso kudziwa kuchuluka kwa mpweya wina m'magazi ndi pH (acid/base level).ABG ndiyolondola kwambiri, koma ndiyosokoneza.
Kuti mupeze muyeso wa ABG, dokotala wanu adzatenga magazi kuchokera ku mitsempha m'malo mwa mitsempha.Mosiyana ndi mitsempha, mitsempha imakhala ndi kugunda komwe kumamveka.Komanso, magazi otengedwa mu mtsempha wamagazi amakhala oxidized.Magazi sali.
Mtsempha wa pa dzanja umagwiritsidwa ntchito chifukwa ndi wosavuta kumva poyerekeza ndi mitsempha ina ya m'thupi.
Dzanja ndi gawo lovuta kwambiri lomwe limapangitsa magazi kumeneko kukhala osamasuka kuposa mitsempha yomwe ili pafupi ndi chigongono.Mitsempha imakhalanso yozama kuposa mitsempha, zomwe zimawonjezera kusamva bwino
Kumene mpweya wa okosijeni wa magazi uyenera kutsika
Kuchuluka kwa mpweya m'magazi kumatchedwa oxygen saturation.Mwachidule chachipatala, PaO 2 idzamveka pamene mpweya wa magazi ukugwiritsidwa ntchito, ndipo O 2 anakhala (SpO2) adzamveka pamene ng'ombe yamphongo ikugwiritsidwa ntchito.Malangizowa akuthandizani kumvetsetsa zomwe zotsatira zingatanthauze:
Zabwinobwino: Mpweya wabwinobwino wa ABG wopezeka m'mapapo athanzi ndi pakati pa 80 mmHg ndi 100 mmHg.Ngati ng'ombe yamphongo ikuyesa mlingo wanu wa okosijeni m'magazi (SpO2), kuwerenga kwabwino nthawi zambiri kumakhala pakati pa 95% ndi 100%.
Komabe, mu COPD kapena matenda ena am'mapapo, magawowa sangakhale othandiza.Dokotala wanu adzakuuzani zomwe zili zachilendo pazochitika zinazake.Mwachitsanzo, si zachilendo kuti anthu omwe ali ndi COPD apitirizebe kukhala ndi mpweya wa okosijeni (SpO2) pakati pa 88% ndi 92% yodalirika.
Otsika kuposa momwe timakhalira: Mlingo wa okosijeni wamagazi otsika kuposa wanthawi zonse umatchedwa hypoxemia.Hypoxemia nthawi zambiri imayambitsa nkhawa.Kutsika kwa okosijeni kumapangitsa kuti hypoxemia ikhale yovuta kwambiri.Izi zingayambitse zovuta m'magulu a thupi ndi ziwalo.
Kawirikawiri, kuwerengera kwa PaO 2 pansi pa 80 mm Hg kapena pulse OX (SpO2) pansi pa 95% kumaonedwa kuti ndi otsika.Ndikofunika kumvetsetsa momwe mulili, makamaka ngati muli ndi matenda aakulu a m'mapapo.
Dokotala wanu akhoza kukulangizani pamitundu yosiyanasiyana ya oxygen yomwe mungavomereze.
Kuposa mulingo wabwinobwino: Ngati kupuma kuli kovuta, kumakhala kovuta kukhala ndi mpweya wochuluka.Nthawi zambiri, anthu omwe ali ndi oxygen yowonjezera amakhala ndi mpweya wambiri.Itha kudziwika pa ABG.
Nthawi yotumiza: Dec-28-2020