Yintoni enokubangela ukungabikho kweoksijini

Umxholo

• 1. Ukuphakama
• 2. Izifo zemiphunga
• 3. Utshintsho egazini
• 4. Ukujikeleza kwegazi okungalunganga
• 5. Ukunxila
• 6. Unyango lweNeonatal hypoxia
• 7. Izizathu zengqondo
• 8. Imozulu
• Ziintoni iimpawu
• Kufuneka wenze ntoni xa kungekho oksijini

Ukunqongophala kweoksijini, okunokwaziwa ngokuba yihypoxia, kubandakanya ukunciphisa ukubonelelwa kweoksijini kwizicwili emzimbeni wonke. Ukunqongophala kweoksijini egazini, ekunokuthiwa yihypoxemia, sisimo esibi, esinokubangela ukonakala kwezicubu kwaye, ngenxa yoko, umngcipheko wokufa.

Ingqondo lelona lungu lichaphazelekayo kule meko, njengoko iiseli zayo zinokufa malunga nemizuzu emi-5 ngenxa yokuswela ioksijini. Ke ngoko, nangaliphi na ixesha xa kuchongwa iimpawu zokunqongophala kweoksijini, njengokuphefumla kancinci, ukudideka engqondweni, isiyezi, isiqaqa, isiqaqa okanye ukuprinta iminwe, kubalulekile ukuya kwigumbi likaxakeka ngokukhawuleza.

Ukuchonga ukunqongophala kweoksijini, ugqirha unokuchonga imiqondiso ngokuhlolwa komzimba kunye nokuvavanywa kwe-odolo, ezinje nge-pulse oximetry okanye iiarterial gases zegazi, umzekelo, ezinokuthi zichonge uxinzelelo lweoksijini egazini. Fumana ngakumbi malunga neemvavanyo ezingqina ukungabikho kweoksijini.

Ukunqongophala kweoksijini egazini nakwizicubu kunokuba nezizathu ezahlukeneyo, kubandakanya:

1. Ukuphakama

Kuvela xa isixa seoksijini emoyeni ophefumlelweyo singonelanga, esihlala senzeka kwiindawo ezinobude obuphezulu kuneemitha ezingama-3 000, ukusukela ekude kakhulu kwinqanaba lolwandle, okuhlisa uxinzelelo lweoksijini emoyeni.

Le meko yaziwa ngokuba yi-hypobaric hypoxia kwaye inokubangela ezinye iingxaki, ezinje nge-acute non-cardiogenic pulmonary edema, i-cerebral edema, ukuphelelwa ngamanzi emzimbeni kunye ne-hypothermia.

2. Izifo zemiphunga

Utshintsho emiphungeni olubangelwa zizifo ezifana ne-asthma, i-emphysema, i-pneumonia okanye i-edema ye-lung edema, umzekelo, yenza kube nzima ngeoksijini ukungena egazini ngeembumba zayo, kunciphisa inani leoksijini emzimbeni.

Kukho ezinye iintlobo zeemeko ezithintela ukuphefumla, ezinje ngenxa yezifo zemithambo-luvo okanye isiqaqa, apho imiphunga ingakwaziyo ukwenza umsebenzi wayo ngokufanelekileyo.

3. Utshintsho egazini

I-anemia, ebangelwa kukungabikho kwentsimbi okanye iivithamini, ukopha, okanye ukuphazamiseka kwemfuza okunje nge-sickle cell anemia kunokubangela ukunqongophala kweoksijini emzimbeni, nokuba ukuphefumla kusebenza ngesiqhelo.

Kungenxa yokuba ii-anemias zibangela isixa esoneleyo sehemoglobin, eyiprotein ekhoyo kwiiseli ezibomvu zegazi ezinoxanduva lokuthwala ioksijini efakwe emiphungeni kwaye uyihambise kwizicwili zomzimba.

4. Ukujikeleza kwegazi okungalunganga

Kwenzeka xa isixa seoksijini sanele egazini, nangona kunjalo, igazi alinakufikelela kwizicubu zomzimba, ngenxa yesithintelo, njengoko kusenzeka kwi-infarction, okanye xa ukujikeleza kwegazi kubuthathaka, kubangelwa ukusilela kwentliziyo, umzekelo. umzekelo.

5. Ukunxila

Iimeko ezinje ngetyhefu esekwe kwi-carbon monoxide okanye ukunxila ngamayeza athile, i-cyanide, utywala okanye izinto ezinokuthintela ukusebenza kwengqondo zinokuthintela ukubopha kweoksijini kwi-hemoglobin okanye kuthintele ukufunxwa kweoksijini ngamathishu, ke oko kunokubangela ukunqongophala kweoksijini.

6. Unyango lweNeonatal hypoxia

I-hypoxia ye-Neonatal yenzeka ngenxa yokunqongophala konikezelo lweoksijini emntwaneni ngeplasenta yomama, ebangela uxinzelelo lomntwana.

Ingabonakala ngaphambi, ngexesha okanye emva kokubeleka, ngenxa yotshintsho koomama, enxulumene ne-placenta okanye i-fetus, enokuba neziphumo kumntwana njengokukhubazeka kwengqondo kunye nokudodobala kwengqondo.

7. Izizathu zengqondo

Abantu abanoluhlobo oluthile lokuphazamiseka kwengqondo basebenzisa isixa esikhulu seoksijini xa bekwimeko yoxinzelelo, ekhokelela ekubonakaleni kweempawu kunye neempawu ezinje ngokuphefumla kancinci, ukubetha kwentliziyo kunye nokudideka kwengqondo.

8. Imozulu

Kwiimeko zokusingqongileyo ezibandayo okanye ubushushu, kukho isidingo esonyukayo seoksijini ukugcina imetabolism yomzimba kwimisebenzi yayo yesiqhelo, kunye nokwehla kokunyamezelana kwihypoxia.

Ziintoni iimpawu

Iimpawu ezibonisa ukunqongophala kweoksijini egazini zezi:

• Ukuphefumla okufutshane;
• Ukuphefumla ngokukhawuleza;
• Ubambo:
• Irabha;
• Isiyezi;
• Ukubila okugqithisileyo;
• Ukudideka kwengqondo;
• Ubuthathaka;
• Ukufa;
• I-cyanosis, ephela kwiminwe okanye imilebe e-purplish;
• Ne.

Nangona kunjalo, xa ukunqongophala kweoksijini kufumaneka kwilungu elinye kuphela okanye kummandla womzimba, ukwenzakala okuthe ngqo kubangelwa lelo thambo, libizwa ngokuba sischemia okanye infarction. Eminye imizekelo yale meko kukuchaphazeleka kwentliziyo, kwamathumbu, kwemiphunga okanye kokubetha, umzekelo.

Ukongeza, ukonakala kwethishu okubangelwa kukuswela ioksijini kunokubuyiselwa umva, emva kokulungisa le ngxaki kunye nokufumana iiseli, nangona kunjalo, kwezinye iimeko, ukunqongophala kweoksijini kubangela ukubhubha kwezicubu, kubangele ukulandelelana okungapheliyo. Fumanisa ukuba yeyiphi eyona ndlela iphambili inokuvela emva kokubetha.

Kufuneka wenze ntoni xa kungekho oksijini

Unyango lokunqongophala kweoksijini kuhlala kuqalwa ngokusetyenziswa kwesigqumathelo seoksijini ukuzama ukumisela amanqanaba egazi, kodwa imeko iya kunyangwa kuphela ngesisombululo.

Ke, kuxhomekeke kwisizathu, unyango oluthile luboniswa ngugqirha, njengokusebenzisa ii-antibiotics zenyumoniya, i-nebulization ye-asthma, amayeza okuphucula ukusebenza kwemiphunga okanye intliziyo, unyango lwe-anemia okanye i-antidotes yeetyhefu, umzekelo.

Kwiimeko ezinzima, ezibangelwa ngumonakalo wobuchopho okanye ezingenakusonjululwa ngoko nangoko, ukusetyenziswa kokuphefumla okungekuko ngezixhobo, kwindawo ye-ICU kunye nokusetyenziswa kwezidambisi, kunokuba yimfuneko de ugqirha akwazi ukuzinzisa amandla okuphefumla. Qonda xa kufuneka isiqaqa siyimfuneko.