Likhombisani izinga le-oxygen egazini lakho
Izinga le-oxygen egazini lakho liyisilinganiso sokuthi amangqamuzana abomvu egazi aphethe umoya-mpilo ongakanani.Umzimba wakho ulilawula ngokuqinile inani lomoya-mpilo egazini lakho.Ukugcina ibhalansi enembile ye-blood oxygen saturation kubalulekile empilweni yakho.
Iningi lezingane kanye nabantu abadala abadingi ukuqapha amazinga abo oksijini egazini.Eqinisweni, ngaphandle kokuthi ubonise izimpawu zezinkinga ezinjengokuphelelwa umoya noma ubuhlungu besifuba, odokotela abaningi ngeke bakuhlole.
Kodwa-ke, abantu abaningi abanezifo ezingapheli badinga ukuqapha amazinga abo oksijini wegazi.Lokhu kubandakanya isifuba somoya, isifo senhliziyo kanye nesifo esingamahlalakhona sokuvimbela amaphaphu (COPD).
Kulezi zimo, ukuqapha amazinga akho komoyampilo wegazi kungasiza ekunqumeni ukuthi ukwelashwa kuyasebenza noma kufanele kulungiswe.
Funda ukuze uthole ukuthi izinga le-oxygen egazini kufanele libe kuphi, yiziphi izimpawu ongase ube nazo uma izinga le-oxygen egazini lehla, nokuthi yini ezokwenzeka ngokulandelayo.
I-arterial blood gas
Ukuhlolwa kwe-arterial blood gas (ABG) ukuhlola igazi.Ingakwazi ukukala okuqukethwe komoyampilo egazini.Ingakwazi futhi ukubona izinga lamanye amagesi egazini kanye ne-pH (i-acid/base level).I-ABG inembe kakhulu, kodwa iyahlasela.
Ukuze uthole isilinganiso se-ABG, udokotela wakho uzokhipha igazi emithanjeni esikhundleni somthambo.Ngokungafani nemithambo, imithambo ine-pulse ezwakalayo.Ngaphezu kwalokho, igazi elithathwe emthanjeni we-artery li-oxidized.Igazi alikho.
Umthambo osesihlakaleni usetshenziswa ngoba kulula ukuwuzwa uma uqhathaniswa neminye imithambo esemzimbeni.
Isihlakala siyindawo ebucayi eyenza igazi lalapho lingakhululeki kunemithambo eseduze kwendololwane.Imithambo nayo ijulile kunemithambo, okwandisa ukungakhululeki
Lapho amazinga e-oxygen egazini kufanele ehle
Inani lomoya-mpilo egazini libizwa ngokuthi ukugcwaliswa kwe-oxygen.Ngesifinyezo sezokwelapha, i-PaO 2 izozwakala lapho kusetshenziswa igesi yegazi, futhi i-O 2 sat (SpO2) izozwakala uma inkomo eshaywayo isetshenziswa.Le mihlahlandlela izokusiza ukuthi uqonde ukuthi imiphumela ingasho ukuthini:
Okuvamile: Okuqukethwe kwe-oxygen ye-ABG evamile emaphashini anempilo kuphakathi kuka-80 mmHg no-100 mmHg.Uma inkomo eshayelayo ikala izinga lakho le-oxygen egazini (SpO2), ukufunda okuvamile kuvame ukuba phakathi kuka-95% no-100%.
Kodwa-ke, ku-COPD noma ezinye izifo zamaphaphu, lezi zigaba zingase zingasebenzi.Udokotela wakho uzokutshela ukuthi yini evamile esimweni esithile.Isibonelo, akuvamile ukuthi abantu abane-COPD eqinile balondoloze izinga labo le-pulse oxygen (SpO2) phakathi kuka-88% no-92% wemithombo ethembekile.
Ngaphansi kunokujwayelekile: Amazinga komoyampilo wegazi aphansi kunokujwayelekile abizwa nge-hypoxemia.I-Hypoxemia ngokuvamile ibangela ukukhathazeka.Ukuncipha kokuqukethwe kwe-oksijini, i-hypoxemia iba nzima kakhulu.Lokhu kungabangela izinkinga ezicutshini nasezithweni zomzimba.
Ngokuvamile, ukufundwa kwe-PaO 2 ngaphansi kuka-80 mm Hg noma i-pulse OX (SpO2) ngaphansi kuka-95% kuthathwa njengokuphansi.Kubalulekile ukuqonda isimo sakho esijwayelekile, ikakhulukazi uma unesifo samaphaphu esingamahlalakhona.
Udokotela wakho angakweluleka ngebanga lamazinga komoyampilo ongawamukela.
Ngaphezulu kwamazinga avamile: Uma ukuphefumula kunzima, kunzima ukuba nomoya-mpilo omningi kakhulu.Ezimweni eziningi, abantu abane-oksijeni eyengeziwe bazobhekana namazinga aphezulu e-oxygen.Ingatholwa ku-ABG.
Isikhathi sokuthumela: Dec-28-2020