A.
Uma kutholakala ukuthi ukugcwala komoya-mpilo kwesiguli esixhunywe ngokuqondile kukhebula le-ECG kuncishisiwe, izici ezilandelayo kufanele zicatshangelwe ngayinye ngayinye ukuze kutholwe inkinga.
1. Ingabe umfutho wengxenye womoya-mpilo ohogeliwe uphansi kakhulu?Uma okuqukethwe komoyampilo kugesi ehogeliwe kunganele, ukugcwala komoyampilo egazini kungase kwehle.Iziguli kufanele zibuzwe ukuthi zike zaya yini emathafeni angaphezu kuka-3000m ngaphezu kolwandle, zindiza ezindaweni eziphakeme, zikhuphuka ngemva kokutshuza, kanye nezindawo ezingenawo umoya ohlanzekile ngokusekelwe emlandweni wezokwelapha.
1.Ingabe kukhona ukuphazamiseka kokugeleza komoya?Kuyadingeka ukucabangela ukuthi kukhona yini i-hypoventilation evimbelayo ebangelwa izifo ezifana nesifuba somoya kanye ne-COPD, ukwehla kolimi, nokuphuma kokuphefumula.
2.Ingabe iInzwa ye-SpO2ube nokungasebenzi kahle kwe-ventilatory ngenxa yokugcwala komoyampilo okuphansi?Cabangela ukuthi isiguli sinenyumoniya enzima, isifo sofuba esibi kakhulu, i-pulmonary fibrosis esabalele, i-pulmonary edema, i-pulmonary embolism nezinye izifo ezithinta umoya.
3.Iyini ikhwalithi nenani le-Hb ehambisa umoya-mpilo egazini?Ukwenzeka kwezinto ezingavamile ezifana nobuthi be-carbon monoxide, ubuthi be-nitrite kanye nokwanda kwe-hemoglobin engavamile akuthinti nje kuphela ukuthuthwa komoya-mpilo egazini, kodwa futhi kuthinta kakhulu ukukhululwa komoya-mpilo.
B.
1.Kungakhathaliseki ukuthi isiguli sine-colloid osmotic pressure efanele kanye nevolumu yegazi.I-colloidal osmotic pressure efanele kanye nevolumu yegazi eyanele yizici ezibalulekile zokugcina ukugcwala komoyampilo okuvamile okuboniswa isiqeshana somunwe womuntu omdala.Inzwa ye-SpO2.
2.Kuyini ukuphuma kwenhliziyo yesiguli?Inani le-oxygen elethwa ukuze kugcinwe izitho ezijwayelekile kufanele zisekelwe okwanele kwenhliziyo.
3.I-Microcirculation yezicubu nezitho.Ukuthi ukugcinwa komoyampilo ngendlela efanele nakho kuhlobene nokusetshenziswa komzimba komzimba.Uma umzimba we-metabolism uphezulu kakhulu, okuqukethwe komoyampilo egazini le-venous kuzoncipha kakhulu, futhi igazi le-venous lizodala i-hypoxia enzima kakhulu ngemuva kokuvala ukujikeleza kwamaphaphu.
4.Sebenzisa umoya-mpilo ezicutshini ezizungezile.Amangqamuzana ezicubu angasebenzisa umoya-mpilo wamahhala kuphela, futhi umoya-mpilo ohlangene ne-Hb ungakhishelwa esicutshini ukuze usetshenziswe.Izinguquko ku-pH, 2,3-DPG, njll. zizophazamisa ukuhlukaniswa komoyampilo ku-Hb.
5. Ngemva kokuqeda zonke izici ezingenhla, sicela ungakhohlwa ukuthi lokhu kungase kubangelwe ukwehla kokugcwala komoyampilo okubangelwa ukungasebenzi kahle kwenzwa yesigxivizo somunwe omdala.
https://www.medke.com/products/patient-monitor-accessories/
Isikhathi sokuthumela: Oct-28-2020