Ngaba inqanaba lam leoksijini legazi liqhelekileyo?

Umxholo

• Indlela inqanaba lakho leoksijini yegazi elinganiswa ngayo
• Irhasi yegazi ejikelezayo
• I-oximeter yentliziyo
• Apho inqanaba leoksijini yegazi lakho kufuneka liwele khona
• Kwenzeka ntoni ukuba inqanaba lakho leoksijini liphantsi kakhulu
• Ungayitshintsha njani inqanaba leoksijini yegazi lakho
• Yintoni ebangela amanqanaba eoksijini egazini abe sezantsi
• Umgca wezantsi

Oko kuboniswa linqanaba lakho leoksijini yegazi

Inqanaba leoksijini yegazi lakho lingumlinganiso wobungakanani beoksijini iiseli zakho ezibomvu zegazi eziphetheyo. Umzimba wakho ulawula ngokusondeleyo inqanaba leoksijini yegazi lakho. Ukugcina ulungelelwaniso oluchanekileyo lwegazi-eligcwele igazi kubalulekile kwimpilo yakho.

Uninzi lwabantwana kunye nabantu abadala abadingi ukubeka esweni inqanaba labo leoksijini yegazi. Ngapha koko, oogqirha abaninzi abayi kuyijonga ngaphandle kokuba ubonakalisa iimpawu zengxaki, njengokuphefumla kancinci okanye iintlungu esifubeni.

Nangona kunjalo, abantu abaneemeko zempilo ezingapheliyo abaninzi kufuneka babeke esweni inqanaba labo leoksijini yegazi. Oku kubandakanya i-asthma, isifo senhliziyo, kunye nesifo esingapheliyo sesifo se-pulmonary (COPD).

Kule meko, ukujonga inqanaba leoksijini yegazi kunokunceda ekuboneni ukuba unyango luyasebenza na, okanye ukuba kufuneka luhlengahlengiswe.

Qhubeka ufunda ukuze ufunde ukuba inqanaba lakho leoksijini yegazi kufuneka libe phi, zeziphi iimpawu onokuzifumana xa inqanaba lakho licinyiwe, kwaye kwenzeka ntoni emva koko.

Indlela inqanaba lakho leoksijini yegazi elinganiswa ngayo

Inqanaba lakho leoksijini yegazi linokulinganiswa ngeemvavanyo ezimbini ezahlukeneyo:

Irhasi yegazi ejikelezayo

Uvavanyo lwearterial gas (ABG) luvavanyo lwegazi. Ilinganisa inqanaba leoksijini yegazi lakho.Ikwanokubona inqanaba lezinye iigesi egazini lakho, kunye ne-pH (asidi / inqanaba lesiseko). I-ABG ichanekile kakhulu, kodwa iyangena.

Ukufumana imilinganiselo ye-ABG, ugqirha wakho uza kutsala igazi kumthambo kunokuba umthambo. Ngokungafaniyo nemithambo, imithambo inokubetha okungavakala. Kwakhona, igazi elitsalwe kwimithambo yegazi lifakwe ioksijini. Igazi kwimithambo yakho alikho.

Umthambo esihlahleni sakho uyasetyenziswa kuba uziva ngokulula xa kuthelekiswa nabanye emzimbeni wakho.

Isandla yindawo ebuthathaka, isenza ukuba igazi litsale apho lingonwabi xa kuthelekiswa nomthambo okufuphi nengqiniba lakho. Iirriji zikwanzulu kunemithambo, zongeza ukungonwabi.

I-oximeter yentliziyo

I-oximeter yokubetha (i-pulse ox) sisixhobo esingafunekiyo esiqikelela ubungakanani beoksijini egazini lakho. Ikwenza oko ngokuthumela ukukhanya kwe-infrared kwii-capillaries emnweni wakho, ezinzwaneni, okanye kwindlebe. Emva koko ilinganisa ukukhanya okungakanani okubonakaliswa kwiigesi.

Ukufunda kubonisa ukuba yeyiphi ipesenti yegazi lakho eligcweleyo, elibizwa ngokuba yinqanaba le-SpO2. Olu vavanyo lunepesenti ye-2 yefestile yefestile. Oko kuthetha ukuba ukufundwa kunokuba ngaphezulu kweepesenti ezi-2 eziphezulu okanye ezantsi kunenqanaba lakho leoksijini yegazi.

Olu vavanyo lunokuchaneka kancinci, kodwa kulula kakhulu koogqirha ukuba benze. Ke oogqirha bathembele kuyo ukuze ifundwe ngokukhawuleza.

Izinto ezinjenge-nail polish emnyama okanye iindawo ezibandayo ezinokubangela ukuba inkomo ye-pulse ifunde ngaphantsi kunesiqhelo. Ugqirha wakho angasusa nayiphi na ipolishi kwizikhonkwane zakho ngaphambi kokusebenzisa umatshini okanye ukuba ukufunda kwakho kubonakala ngathi kuphantsi ngokungaqhelekanga.

Kuba inkomo yokubetha ayisebenzi, unokwenza olu vavanyo ngokwakho. Ungathenga izixhobo ze-pulse ox kwiivenkile ezininzi ezithwala iimveliso ezinxulumene nempilo okanye kwi-Intanethi. Thetha nogqirha wakho ngaphambi kokusebenzisa isixhobo sasekhaya ukuze uqonde indlela yokutolika iziphumo.

Apho inqanaba leoksijini yegazi lakho kufuneka liwele khona

Umlinganiso weoksijini wegazi lakho ubizwa ngokuba linqanaba lokugcwalisa ioksijini. Kwixesha elifutshane lonyango, unokukuva kuthiwa yi-PaO₂ xa usebenzisa igesi yegazi kunye ne-O₂ sat (SpO2) xa usebenzisa inkomo yokubetha. Ezi zikhokelo ziya kukunceda uqonde ukuba isiphumo sakho sinokuthetha ntoni:

Eqhelekileyo: Inqanaba eliqhelekileyo le-ABG ye-oksijini yemiphunga esempilweni liwela phakathi kwe-80 kunye ne-100 leemilimitha zemekyuri (mm Hg). Ukuba inkomo yokubetha ilinganisa inqanaba leoksijini yegazi (SpO2), ukufundwa kwesiqhelo kuhlala phakathi kwe-95 kunye ne-100 yeepesenti.

Nangona kunjalo, kwi-COPD okanye ezinye izifo zemiphunga, la manqanaba anokungasebenzi. Ugqirha wakho uya kukwazisa into eqhelekileyo kwimeko yakho ethile. Umzekelo, akuqhelekanga kubantu abane-COPD enzima ukugcina amanqanaba enkomo ye-pulse (SpO2) phakathi.

Apha ngezantsi kwesiqhelo: Inqanaba leoksijini yegazi elingaphantsi kwesiqhelo libizwa ngokuba yihypoxemia. Ihypoxemia ihlala ibangela inkxalabo. Ezantsi inqanaba leoksijini, kokukhona ibaxekileyo ihypoxemia. Oku kunokukhokelela kwiingxaki kumzimba womzimba nakwizitho zomzimba.

Ngokwesiqhelo, yi-PaO₂ ukufunda ngezantsi kwe-80 mm Hg okanye i-pulse ox (SpO2) engaphantsi kweepesenti ezingama-95 ithathwa njengephantsi. Kubalulekile ukwazi ukuba yintoni eqhelekileyo kuwe, ngakumbi ukuba unesifo esinganyangekiyo semiphunga.

Ugqirha wakho unokubonelela ngezindululo malunga nokuba zeziphi amanqanaba eoksijini awamkelekileyo kuwe.

Ngaphezulu kwesiqhelo: Ukuba ukuphefumla kwakho akuncedwanga, kunzima kumanqanaba akho eoksijini ukuba abe phezulu kakhulu. Kwiimeko ezininzi, amanqanaba aphezulu eoksijini ayenzeka kubantu abasebenzisa ioksijini eyongezelelweyo. Oku kunokufunyanwa kwi-ABG.

Kwenzeka ntoni ukuba inqanaba lakho leoksijini liphantsi kakhulu

Xa inqanaba lakho leoksijini yegazi liphuma ngaphandle kuluhlu oluqhelekileyo, ungaqala ukufumana iimpawu.

Oku kubandakanya:

• ukuqhawukelwa ngumphefumlo
• iintlungu zesifuba
• ukudideka
• intloko ebuhlungu
• ukubetha kwentliziyo ngokukhawuleza

Ukuba uqhubeka unamanqanaba eoksijini egazi aphantsi, unokubonisa iimpawu zecyanosis. Uphawu oluphawuleka kwale meko kukutshintsha kombala okwesibhakabhaka kweebhedi zakho zezikhonkwane, ulusu kunye neembumba zencindi.

ICyanosis ithathwa njengengxamisekileyo. Ukuba ufumana iimpawu, kufuneka ufune unyango lwangoko. I-Cyanosis ingakhokelela ekusileleni kokuphefumla, okunokusongela ubomi.

Ungayitshintsha njani inqanaba leoksijini yegazi lakho

Ukuba inqanaba leoksijini yegazi liphantsi kakhulu, kuya kufuneka ukonyuse ukwanda kweoksijini. Oku kuhlala kwenziwa ngeoksijini eyongezelelweyo.

Ukongezwa kweoksijini yekhaya kuthathwa njengonyango, kwaye ugqirha wakho kufuneka amisele. Kubalulekile ukulandela ingcebiso kagqirha wakho malunga nokuba ioksijini yasekhaya kufuneka isetyenziswe njani ukuthintela iingxaki. I-inshurensi yakho yezempilo inokugubungela iindleko.

Yintoni ebangela amanqanaba eoksijini egazini abe sezantsi

Iimeko ezinokuchaphazela kakubi inqanaba lakho leoksijini yegazi kubandakanya:

• I-COPD, kubandakanya i-bronchitis engapheliyo kunye ne-emphysema
• isifo esimandundu soxinzelelo lwamalungu okuphefumla
• umbefu
• umphunga owileyo
• ianemia
• iziphene zentliziyo ozelwe nayo
• isifo sentliziyo
• Ukunyanzelwa kwemiphunga

Ezi meko zinokuthintela imiphunga yakho ekungeniseni ngokwaneleyo umoya oqukethe ioksijini kunye nokukhupha icarbon dioxide. Kwangokunjalo, ukuphazamiseka kwegazi kunye neengxaki kwinkqubo yakho yokujikeleza kwegazi kunokuthintela igazi lakho ekuthatheni ioksijini kwaye ihambise umzimba wakho wonke.

Naziphi na kwezi ngxaki okanye ukuphazamiseka kunokukhokelela ekwehleni kwenqanaba lokugcwalisa ioksijini. Njengoko amanqanaba eoksijini ehla, ungaqala ukufumana iimpawu zehypoxemia.

Abantu abatshayayo banokufunda ngokungaqhelekanga ngokungaqhelekanga. Ukutshaya kubangela ukuba ikharbon monoksayidi yakhele egazini lakho. I-pulse ox ayikwazi ukwahlula phakathi kolunye uhlobo lwegesi kunye neoksijini.

Ukuba uyatshaya kwaye ufuna ukwazi inqanaba leoksijini yegazi lakho, iABG inokuba kuphela kwendlela yokufumana ukufundwa ngokuchanekileyo.

Umgca wezantsi

Uninzi lwabantu aludingi ukubeka esweni rhoqo inqanaba labo leoksijini yegazi. Kuphela ngabantu abaneengxaki zempilo ezibangela ioksijini ephantsi bahlala becelwa ukuba bajonge amanqanaba abo. Nokuba kunjalo, indlela ye-oximetry ye-pulse ye-pulse engasebenziyo ihlala iluncedo njenge-ABG engenayo.

Nangona inemida yempazamo, ukufundwa kwenkomo yokubetha kuhlala kuchanekile ngokwaneleyo. Ukuba ugqirha wakho ufuna imilinganiselo echanekileyo, banokulandela uvavanyo lwe-ABG.