Ropa Gazi Rinoedzwa

Zvemukati

• Chii chinonzi gasi reropa bvunzo?
• Nei kuongorora gasi reropa kuchiitwa?
• Ndeipi njodzi dzebvunzo yegasi reropa?
• Ko gasi reropa rinoedzwa sei?
• Kuturikira zvabuda muropa gasi bvunzo

Chii chinonzi gasi reropa bvunzo?

Kuongororwa kweropa reropa kunoyera huwandu hwe oxygen uye carbon dioxide muropa. Inogona zvakare kushandiswa kuona iyo pH yeropa, kana kuti acidic sei. Chiyero chinowanzozivikanwa sekuongororwa kweropa reropa kana arterial ropa gasi (ABG) bvunzo.

Masero ako matsvuku eropa anotakura okisijeni uye carbon dioxide mumuviri wako wese. Aya anozivikanwa semweya weropa.

Ropa parinopfuura nemapapu ako, oxygen inoyerera ichipinda muropa nepo carbon dioxide ichiyerera ichibva muropa ichienda mumapapu. Iyo yeropa gasi bvunzo inogona kuona kuti mapapu ako anokwanisa sei kufambisa okisijeni muropa uye kubvisa carbon dioxide kubva muropa.

Kusawirirana muoksijeni, kabhoni dhayokisaidhi, uye pH mazinga eropa rako anogona kuratidza kuvepo kwehumwe hutano mamiriro. Izvi zvinogona kusanganisira:

• itsvo kutadza
• kutadza kwemoyo
• isingadzorwe chirwere cheshuga
• kubuda ropa
• kemikari chepfu
• kupindwa muropa nezvinodhaka
• kuvhunduka

Chiremba wako anogona kuraira gasi reropa bvunzo kana iwe uchiratidza zviratidzo zvechero yeaya mamiriro. Chiyero chinoda kuunganidzwa kweropa shoma kubva mutsinga. Iyo yakachengeteka uye yakapusa maitiro ayo anongotora maminetsi mashoma kuti apedze.

Nei kuongorora gasi reropa kuchiitwa?

Kuongororwa kweropa reropa kunopa chiyero chaicho cheiyo oxygen uye carbon dioxide mazinga mumuviri wako. Izvi zvinogona kubatsira chiremba wako kuona kuti mapapu ako neitsvo zviri kushanda zvakadii.

Uyu ndiwo muedzo unonyanya kushandiswa muchimiro chechipatara kuona manejimendi evarwere vanorwara zvakanyanya. Icho hachina basa rakakosha mukugadzwa kwekutanga, asi rinogona kushandiswa mupurmonary function lab kana kiriniki.

Chiremba wako anogona kuraira gasi reropa bvunzo kana iwe uri kuratidza zviratidzo zveoksijeni, carbon dioxide, kana pH kusaenzana. Zviratidzo zvinogona kusanganisira:

• mweya wekufema
• kunetseka kufema
• kuvhiringidzika
• kusvotwa

Zviratidzo izvi zvinogona kunge zviri zviratidzo zvemamwe marapirwo, kusanganisira asthma uye chisingaperi obstructive pulmonary chirwere (COPD).

Chiremba wako anogona zvakare kuraira gasi reropa bvunzo kana vachifungidzira kuti uri kusangana nechero cheanotevera mamiriro:

• chirwere chemapapu
• chirwere cheitsvo
• chirwere chemagetsi
• kukuvara mumusoro kana mumutsipa izvo zvinokanganisa kufema

Kuziva kusaenzana mune yako pH uye neropa gasi mazinga anogona zvakare kubatsira chiremba wako kuongorora kurapwa kwemamwe mamiriro, senge mapapu uye itsvo zvirwere.

Kuongororwa kweropa reropa kunowanzo kurairwa pamwe nekumwe kuyedzwa, kwakadai kuyerwa kweropa glucose kutarisa huwandu hweshuga yeropa uye kuyedza kwerino creatinine kuongorora kushanda kweitsvo.

Ndeipi njodzi dzebvunzo yegasi reropa?

Sezvo kuongororwa kweropa reropa kusingade muyero wakakura weropa, inoonekwa senge nzira ine njodzi shoma.

Nekudaro, iwe unofanirwa kugara uchiudza chiremba wako nezve aripo mamiriro ekurapa ayo angaite kuti ubude ropa kupfuura zvinotarisirwa. Iwe unofanirwa zvakare kuvaudza kana iwe uri kutora chero epamusoro-e-iyo counter kana mishonga yemishonga, yakadai sevachenesi veropa, izvo zvinogona kukanganisa kubuda kwako ropa.

Zvinogona kuitika mhedzisiro inosanganisirwa neropa gasi bvunzo inosanganisira:

• kubuda ropa kana kupwanya panzvimbo yekubaya
• kunzwa kupera simba
• ropa rinoungana pasi peganda
• hutachiona panzvimbo yekubaya

Udza chiremba wako kana ukasangana nemhedzisiro isingatarisirwe kana yakareba.

Ko gasi reropa rinoedzwa sei?

Kuongororwa kweropa reropa kunoda kuunganidzwa kwesampula diki reropa. Ropa reArterial rinogona kuwanikwa kubva kune arteri muchanza chako, ruoko, kana kugomera, kana preexist arterial mutsara kana iwe uri muchipatara izvozvi. Ropa gasi sampuro inogona zvakare kuve ine huturu, kubva mutsinga kana preexisting IV kana capillary, iyo inoda chidiki chidiki kune chitsitsinho.

Anopa hutano anotanga kubaya iyo jekiseni saiti neantiseptic. Kana vachinge vawana tsinga, vanozoisa tsono mune tsinga uye votora ropa. Unogona kunzwa kubaya padiki apo tsono inopinda. Tsinga dzine tsinga dzakatsetseka kupfuura tsinga, uye vamwe vanogona kuwana kuongororwa kweropa reropa kunorwadza kupfuura kukweva ropa kubva mutsinga.

Mushure mekubviswa kwetsono, nyanzvi inobata kumanikidza kwemaminetsi mashoma vasati vaisa bhandeji pane ronda rakabayiwa.

Muenzaniso weropa unozoongororwa nemuchina unotakurika kana murabhoritari iri panzvimbo. Muenzaniso unofanirwa kuongororwa mukati memaminitsi gumi enzira yekuona chaiyo mhinduro bvunzo.

Kuturikira zvabuda muropa gasi bvunzo

Mhedzisiro yekubvunzwa kweropa reropa kunogona kubatsira chiremba wako kuti aongorore hosha dzakasiyana siyana kana kuona kuti kurapa kuri kushanda sei kune mamwe mamiriro, kusanganisira zvirwere zvemapapu. Izvo zvinotaridzawo kana kwete kana kuti muviri wako uri kubhadhara kusaenzana.

Nekuda kwekukwanisa kuripwa mune mamwe maitiro ayo anokonzeresa kugadzirisa kwehumwe hunhu, zvakakosha kuti munhu anodudzira mhedzisiro ave mudzidzisi wezvehutano akadzidziswa ane ruzivo mukududzira gasi reropa.

Bvunzo matanho:

• Ropa reropa pH, iyo inoratidza huwandu hwehydrogen ions muropa. PH iri pasi pe7.0 inonzi acidic, uye pH inopfuura 7.0 inonzi basic, kana alkaline. Ropa rakaderera pH rinogona kuratidza kuti ropa rako rakanyanya acidic uye rine yakakwira carbon dioxide mazinga. Ropa repamusoro pH rinogona kuratidza kuti ropa rako rakanyanya kukosha uye riine mwero wepamusoro webicarbonate.
• Bicarbonate, inova kemikari inobatsira kudzivirira iyo pH yeropa kuti isanyanya kuva acidic kana kunyanya kukosha.
• Kusarura kwakakwana kweokisijeni, inova chiyero chekumanikidzwa kweoksijeni yakanyungudika muropa. Inotarisa kuti okisijeni inokwanisa sei kuyerera ichibva mumapapu ichipinda muropa.
• Kudzvinyirira kwakasarudzika kwekabhoni dhayokisaidhi, inova chiyero chekumanikidza kwecarbon dioxide yakanyungudika muropa. Inotarisa kuti carbon dioxide inokwanisa sei kuyerera ichibuda mumuviri.
• Oxygen saturation, inova chiyero cheuwandu hweokisijeni inotakurwa nehemoglobin iri mumasero matsvuku eropa.

Muzhinji, zvakajairwa tsika zvinosanganisira:

• arterial ropa pH: 7.38 kusvika 7.42
• bicarbonate: 22 kusvika 28 milliequivalents pa litita
• kumanikidzwa kwakakwana kweokisijeni: 75 kusvika 100 mm Hg
• kumanikidzwa kwakasangana kwekabhoni dhayokisaidhi: 38 kusvika 42 mm Hg
• oxygen saturation: 94 kusvika 100 muzana

Ropa rako reoksijeni mazinga anogona kunge akaderera kana iwe uchigara pamusoro pegungwa.

Izvo zvakajairwa tsika zvinove neakasiyana zvakasiyana mareferenzi renji kana zvichibva kune venous kana capillary sampuro.

Mhedzisiro isina kujairika inogona kuve zviratidzo zvemamwe marapirwo, kusanganisira aya ari mune inotevera tafura:

Zvakajairika uye zvisina kujairika maseru anogona kusiana zvichienderana nerabhu nekuti vamwe vanoshandisa zviyero zvakasiyana kana nzira dzekuongorora masampula eropa.

Iwe unofanirwa kugara uchisangana nachiremba wako kuti ukurukure zviedzo zvako zvebvunzo zvakadzama. Ivo vanozogona kukuudza iwe kana iwe uchida kumwe kuyedzwa kwakawanda uye kana iwe uchizoda chero kurapwa.