Bhuruu kushanduka kweganda

Ruvara rweblue kune ganda kana mucous membrane inowanzo kuve nekuda kwekushayikwa kweo oxygen muropa. Izwi rekurapa ndi cyanosis.

Masero matsvuku eropa anopa okisijeni kumatumbu emuviri. Kazhinji yenguva, anenge ese masero matsvuku eropa mutsinga anotakura zvakakwana kuwanisa oxygen. Aya masero eropa akatsvuka uye ganda rakapinki kana kuti dzvuku.

Ropa rakarasikirwa neoksijeni rakasviba bhuruu-tsvuku. Vanhu vane ropa rakaderera muoksijeni vanowanzove neruvara rwebhuruu paganda ravo. Mamiriro aya anonzi cyanosis.

Zvichienderana nechakakonzera, cyanosis inogona kukura nekukasira, pamwe nekufema kwemweya uye zvimwe zviratidzo.

Cyanosis iyo inokonzereswa neyakareba matambudziko emoyo kana mapapu inogona kukura zvishoma nezvishoma. Zviratidzo zvinogona kunge zviripo, asi kazhinji hazvisi zvakanyanya.

Kana okisijeni mwero wadzikira chete zvishoma, cyanosis inogona kunge yakaoma kuona.

Mune vanhu vane ganda rakasviba, cyanosis inogona kuve nyore kuona mune mucous membranes (miromo, matadza, kutenderedza maziso) nezvipikiri.

Vanhu vane cyanosis havawanzo kuve neanemia (yakaderera ropa kuverenga). Anemia mamiriro ezvinhu umo muviri usina masero matsvuku eropa akagwinya.

Cyanosis inoonekwa muchikamu chimwe chete chemuviri inogona kunge iri nekuda kwe:

• Ropa rinovhara iro rinovharidzira kuwedzerwa kweropa pagumbo, tsoka, ruoko, kana ruoko
• Raynaud phenomenon (mamiriro umo kutonhora kutonhora kana kusimba manzwiro kunokonzera ropa remidziyo spasms, iyo inovhara kuyerera kweropa kuenda kuminwe, zvigunwe, nzeve, uye mhino

KUSHAYA OXYGEN MUROPA

Kazhinji cyanosis inoitika nekuda kwekushayikwa kweoxygen muropa. Izvi zvinogona kukonzerwa nezvinotevera matambudziko.

Zvinetso nemapapu:

• Ropa rinovhara mumatsinga emapapu (pulmonary embolism)
• Kunyura kana padyo-kunyura
• Kukwirira kwakakwirira
• Kutapukirwa mudiki mudiki mweya mapapu mumapapu evana, anonzi bronchiolitis
• Matambudziko emapapu-kwenguva refu anova akaoma, akadai seCOPD, asthma, uye chirwere chepakati chemapapu
• Pneumonia (yakaoma)

Zvinetso nemhepo inoenda kumapapu:

• Kufema-kubata (kunyangwe izvi zvakaoma kwazvo kuita)
• Kudzipwa pane chimwe chinhu chakanamirwa mumhepo
• Kuzvimba kutenderedza tambo dzemazwi (croup)
• Kuzvimba kwetishu (epiglottis) inovhara mhepo (epiglottitis)

Zvinetso nemoyo:

• Kukanganisa kwemoyo kuripo pakuzvarwa (kuberekwa)
• Kutadza kwemoyo
• Mwoyo unomira kushanda (kusungwa kwemoyo)

Mamwe matambudziko:

• Zvinodhaka zvinodhaka (zvinodhaka, benzodiazepines, sedatives)
• Kuratidzira kumhepo inotonhorera kana mvura
• Kutora kunotora nguva yakareba
• Uturu hwakadai sa cyanide

Kune cyanosis inokonzerwa nekuratidzwa nechando kana Raynaud phenomenon, pfeka zvinodziya kana uchienda panze kana kugara mukamuri inodziya kwazvo.

Bluish ganda rinogona kuve chiratidzo cheakawanda akakomba marapirwo matambudziko. Fonera kana kushanyira wako mupi wehutano.

Kune vanhu vakuru, danaidza chiremba wako kana 911 kana uine bhuruu ganda uye chero cheanotevera:

• Iwe haugone kuwana mweya wakadzika kana kufema kwako kuri kuwedzera kuomarara, kana nekukurumidza
• Inoda kusendamira kumberi kana wakagara kufema
• Vari kushandisa mhasuru dzakakomberedza mbabvu kuti vawane mweya wakaringana
• Iva nekurwadziwa pachipfuva
• Uri kuve nemusoro kazhinji kazhinji kupfuura zvakajairwa
• Inzwa kurara kana kuvhiringidzika
• Iva nefivhiri
• Vari kukosora rima mamota

Kune vana, danaidza chiremba kana 911 kana mwana wako ane ganda rebhuruu uye chero cheanotevera:

• Nguva yakaoma kufema
• Tsitsi dzechifuva dzinofamba mukati nekufema kwega kwega
• Kufema nekukurumidza kupfuura makumi mashanu kusvika makumi matanhatu kufema paminiti (kana usiri kuchema)
• Kuita ruzha rwekugunun'una
• Kugara nemapendekete kwakakotamiswa
• Aneta chaizvo
• Haisi kufamba-famba zvakanyanya
• Ane muviri unokamhina kana floppy
• Mhino dziri kubuda kunze kana uchifema
• Haunzwi kuda kudya
• Inotsamwa
• Ane dambudziko pakurara

Mubatsiri wako achaita kuongorora kwepanyama. Izvi zvinosanganisira kuteerera kune wako kufema uye moyo manzwi. Mumamiriro ekukurumidzira (sekuvhunduka), unozotanga kugadzikana.

Iye mupi achabvunza nezve ako zviratidzo. Mibvunzo inogona kusanganisira:

• Iyo bhuruu ganda rakatanga riini? Yakauya zvishoma nezvishoma kana kamwe kamwe?
• Muviri wako uri bhuruu here? Zvakadii nemiromo yako kana zvipikiri?
• Wakambotariswa nechando here kana kuenda kumusoro kwakakwirira?
• Iwe unonetseka kufema here? Une chikosoro kana kurwadziwa pachipfuva here?
• Une gumbo, tsoka, kana gumbo kuzvimba?

Miedzo inogona kurairwa inosanganisira:

• Arterial ropa gasi kuongorora
• Ropa okisijeni kuzadza nekupomba oximetry
• Chest x-ray
• Chest CT scan
• Yakazara kuverenga ropa (CBC)
• ECG
• Echocardiogram (Ultrasound yemoyo)

Kurapa kwaunogashira kunoenderana nechikonzero checyanosis. Semuenzaniso, unogona kugamuchira okisijeni yekufema kwekufema.

Miromo - bhuruu; Nzara - bhuruu; Cyanosis; Miromo yebhuruu nenzara; Bluish ganda

• Cyanosis yemubhedha wechipikiri

Fernandez-Frackelton M. Cyanosis. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 11.

McGee S. Cyanosis. Mune: McGee S, ed. Uchapupu-Hwakagadziriswa Panyama Kuongororwa. 4th ed. Philadelphia, PA: Elsevier; 2018: chits. 9.