Umda weCyanosis (Izandla eziBlue kunye neenyawo)

Umxholo

• Imifanekiso yezandla neenyawo eziluhlaza okwesibhakabhaka
• Ukuqonda imeko kaxakeka kwezonyango
• Oonobangela bezandla eziluhlaza okanye iinyawo
• Ukuchonga izandla eziluhlaza okanye iinyawo
• Ukunyanga izandla okanye iinyawo eziluhlaza okwesibhakabhaka

Yintoni ipheripheral cyanosis?

I-Cyanosis ibhekisa kwi-bluish cast eluswini kunye nakwiimbumba ezinamaqhuqhuva. Ipheripheral cyanosis kuxa kukho umbala okombala oluhlaza okwesibhakabhaka ezandleni zakho okanye iinyawo. Ihlala ibangelwa ngamanqanaba eoksijini asezantsi kwiiseli ezibomvu zegazi okanye iingxaki ekufumaneni igazi leoksijini emzimbeni wakho. Igazi elisisityebi kwioksijini ngumbala oqaqambileyo obomvu oqhele ukudibaniswa negazi. Xa igazi linenqanaba elisezantsi leoksijini kwaye libe bomvu mnyama, kukhanya ngakumbi ukukhanya okuluhlaza okwesibhakabhaka, kusenza ukuba ulusu lubonakale lunombala oluhlaza okwesibhakabhaka.

Ngamanye amaxesha amaqondo obushushu abandayo anokubangela ukuba umthambo wegazi unciphise kwaye ukhokelele kulusu olu-blue-tinged okwesikhashana. Ukufudumeza okanye ukuphulula indawo eziluhlaza kufuneka kubuyise ukuhamba kwegazi okuqhelekileyo kunye nombala kulusu.

Ukuba ukufudumeza izandla okanye iinyawo zakho akubuyisi ukuhamba kwegazi okuqhelekileyo kunye nombala, inokuba luphawu lwemeko engaphantsi. Nokuba siyintoni na isizathu, umbala ohlaza okwesibhakabhaka uthetha ukuba uphazamisa amandla omzimba wakho wokuhambisa igazi eline-oksijini kuzo zonke izihlunu ezizifunayo. Kubalulekile ukubuyisela ioksijini kwizicubu zomzimba ngokukhawuleza ukwenzela ukuthintela iingxaki.

Imifanekiso yezandla neenyawo eziluhlaza okwesibhakabhaka

Ukuqonda imeko kaxakeka kwezonyango

Kwiimeko ezininzi, imilebe eluhlaza okwesibhakabhaka okanye ulusu lunokuba luphawu lwengozi esongela ubomi. Ukuba umbala ohlaza okwesibhakabhaka ukhatshwa zezi zinto zilandelayo, tsalela umnxeba ku-911:

• indlala yomoya okanye ukukhefuzela
• ifiva
• intloko ebuhlungu
• ukuphefumla kancinci okanye ubunzima bokuphefumla
• iintlungu zesifuba
• ukubila kakhulu
• iintlungu okanye ukuba ndindisholo ezingalweni, emilenzeni, ezandleni, eminweni okanye kwiinzwane
• pallor okanye blanching yeengalo, imilenze, izandla, iminwe, okanye iinzwane
• isiyezi okanye isiqaqa

Oonobangela bezandla eziluhlaza okanye iinyawo

Ukubanda yeyona nto ixhaphakileyo yezandla eziluhlaza okanye iinyawo. Kuyenzeka ukuba ube nezandla okanye iinyawo eziluhlaza nangona zishushu.

Izandla eziluhlaza okanye iinyawo kunokuba luphawu lomcimbi kunye nenkqubo yomzimba wakho yokuhambisa igazi eline-oksijini kwizicwili zezandla neenyawo zakho. Igazi lakho linoxanduva lokuthwala ioksijini emzimbeni wakho, usuka kwimiphunga yakho uye entliziyweni yakho, apho lifakwa khona ngemithambo yakho liye kuwo wonke umzimba wakho. Nje ukuba ihambise igazi kwizicubu zomzimba wakho, igazi eliphelelwe lioksijini libuyela entliziyweni nakwimiphunga yakho ngemithambo yakho.

Nantoni na ethintela igazi ukuba lingabuyeli entliziyweni yakho ngemithambo yakho, okanye eliyinqandayo ekufikeleleni kwizicubu zakho kwasekuqaleni, kuthetha ukuba izicwili zakho azilifumani igazi eline-oksijini eziyifunayo.

Izizathu zibandakanya:

• iimpahla ezixineneyo okanye ubucwebe
• I-vein thrombosis enzulu (DVT)
• ukungoneli kwemithambo, okubangelwa ziimeko ezicothisa ukuhamba kwegazi kwimithambo yakho
• Into kaRaynaud
• lymphedema
• ukumelwa yintliziyo
• ukungoneli kwemithambo, okubangelwa ziimeko ezicothisa ukuhamba kwegazi kwimithambo yakho
• uxinzelelo lwegazi oluqatha, okanye uxinzelelo lwegazi olusezantsi kakhulu, olunokubangelwa ziimeko ezinje ngokugungqiswa sisibetho
• hypovolemia, apho igazi elincinci lijikeleza emzimbeni wakho kunesiqhelo

Ukuchonga izandla eziluhlaza okanye iinyawo

Ulusu oluhlaza okwesibhakabhaka luhlala luphawu lwento enzulu. Ukuba umbala oqhelekileyo awubuyi xa ulusu lwakho lufudunyezwa, biza ugqirha ngoko nangoko ukuze ufumane unobangela.

Ugqirha wakho kuya kufuneka enze uvavanyo lomzimba. Baza kuphulaphula intliziyo yakho kunye nemiphunga. Kuya kufuneka ubonelele ngesampulu yegazi kwaye wenze olunye uvavanyo.

Ugqirha wakho unokusebenzisa i-oximeter ye-pulse oineter engabonakaliyo ukulinganisa i-oxygenation yegazi lakho. Banokuyalela ukuba kwenziwe uvavanyo lwegesi yegazi. Olu vavanyo lilinganisa i-asidi kunye namanqanaba ecarbon dioxide kunye neoksijini egazini lakho. Unokuba ne-X-ray yesifuba okanye i-CT scan ukuvavanya intliziyo kunye nemiphunga yakho.

Ukunyanga izandla okanye iinyawo eziluhlaza okwesibhakabhaka

Kubalulekile ukufuna unyango ukuba unezandla okanye iinyawo eziluhlaza kwaye ukuzifudumeza akubuyisi umbala oqhelekileyo. Unyango lubandakanya ukuchonga kunye nokulungisa oyena nobangela ukuze kubuyiswe ukuhamba kweoksijini kwiindawo ezichaphazelekayo zomzimba. Ukufumana unyango olufanelekileyo ngexesha elifanelekileyo kuya kuphucula iziphumo kwaye kunciphise naziphi na iingxaki.

Kukho amayeza akhoyo anokunceda imithambo yegazi iphumle. Oku kubandakanya:

• iziyobisi
• iziyobisi ezichasene noxinzelelo lwegazi
• iziyobisi ze-erectile dysfunction