Arterial eropa magasi: chii icho, zvazviri uye mareferensi tsika

Zvemukati

• Maitirwo ebvunzo
• Chii ichochi
• Referensi tsika
• Maitiro ekunzwisisa bvunzo mhedzisiro
• Ndeupi musiyano arterial uye venous gasi reropa

Arterial ropa gasi kuongororwa kuongororwa kweropa kunowanzoitwa kune vanhu vanobvumidzwa kuIntensive Care Unit, iyo inotarisira kuona kuti kuchinjana kwegesi kuri kuitika nemazvo uye, nekudaro, kuongorora kukosha kwekuwedzera okisijeni.

Pamusoro pezvo, bvunzo dzinogona kukumbirwa muchipatara kuti ubatsire pakuonekwa kwekufema, itsvo kana hutachiona hwakakomba, mukuwedzera pakuona kana kurapwa kuri kushanda uye, nekudaro, kunogona kushandiswa seimwe yeanogona kukanganisa kuburitswa kubva kumurwere.

Maitirwo ebvunzo

Arterial ropa gasi ongororo inoitwa nekutora muyero weropa kubva mutsinga yeruoko kana gumbo. Rudzi urwu rweunganidzwa runorwadza, sezvo iri irwo rwekuunganidza zvakanyanya. Ropa rakaunganidzwa rinoendeswa kubhabhoritari kunoongororwa bioochemical kuti utarise ropa pH, bicarbonate concentration uye kudzvinyirira kwakasarudzika kwe CO2.

Arterial eropa gasi haifanire kuitirwa kana paine chirwere cheperesi, nekuti panogona kuve nezvinetso mukukweva ropa, kuomesa matambudziko kana kana munhu ari kushandisa anticoagulants. Mumamiriro ezvinhu akadaro, chiremba anogona kuraira mimwe bvunzo kuti aone zvirwere zviri kukonzera kufema.

Chii ichochi

Arterial eropa magasi akakumbirwa nachiremba kuti:

• Tarisa mapapu mashandiro, kunyanya pakurwiswa neasthma kana bronchitis uye kana pakundikana kufema - Tsvaga kuti zviratidzo ndezvipi uye kuti kutadza kufema kunorapwa sei;
• Batsira ongorora pH uye acidity yeropa, iyo inobatsira kubatsira kuongororwa kwekukundikana kwetsvo uye cystic fibrosis, semuenzaniso;
• Wongorora iyo metabolism kushanda, iyo yakakosha mukuziva chirwere chemwoyo, sitiroko (sitiroko) kana rudzi rwechipiri chirwere cheshuga, semuenzaniso;
• Kushanda kwemapapu mushure mekuvhiya kana kuisazve. 

Uye zvakare, kuongororwa kweropa kweropa kunokumbirwawo kana paine kuwandisa kwemishonga. Kuita kwebvunzo iyi hakuna kujairika, hakuitwe mumakiriniki kana mukubvunzana kwakajairika, kuchingokumbirwa nachiremba mumatambudziko akaipisisa.

Referensi tsika

Izvo zvakajairwa kukosha kweiyo arterial yeropa gasi ongororo ndeiyi:

• pH: 7.35 - 7.45
• Bicarbonate: 22 - 26 mEq / L
• PCO2(kumanikidza kudzvanywa kwekabhoni dhayokisaidhi): 35 - 45 mmHg

Iyo arterial ropa gasi bvunzo inoratidza mashandiro ari kuita mapapu, ndiko kuti, kana kuchinjana kwegesi kuri kuitwa nenzira kwayo, zvichiratidza mamiriro emunhu, anogona kunge ari acidosis kana kufema kana metabolic alkalosis. Nzwisisa zvinorehwa nemetabolism uye yekufema acidosis, metabolic alkalosis uye kufema alkalosis zvinoreva.

Maitiro ekunzwisisa bvunzo mhedzisiro

Iyi tafura inotevera inoratidza mimwe mienzaniso yekushandurwa arterial eropa gasi kukosha:

Bvunzo iyi haina kukwana kuvhara kuongororwa, inongopa pfungwa dzekufema, renal kana kusagadzikana kwemagetsi, uye kumwe kuyedza kwakaringana, senge maX-ray, CT scan, kumwe kuongorora kweropa uye kuongororwa kweweti, zvinowanzo kumbirwa nachiremba kuitira kuti kuongororwa kunogona kuvharwa uye kurapwa kunogona kutangwa zvinoenderana nechikonzero chekuchinja kweropa kuongorora ropa.

Ndeupi musiyano arterial uye venous gasi reropa

Arterial ropa magasi anoona iwo chaiwo kukosha kweiyo huwandu hweoksijeni uye kana itsvo nemapapu zvichishanda nemazvo, izvo zvinobatsira mukuongororwa kwemapapu, hosha dzeitsvo uye hutachiona.

Ongororo yegasi yeropa, kune rumwe rutivi, inoitwa sechisarudzo chechipiri kana kuunganidzwa mutsinga kusingaiti, kuunganidzwa kuri kuitwa mutsinga, uye chinangwa chayo chikuru ndechekubatsira kuziva hutachiona hwehutachiona hwehutachiona kana kuvhara ropa. matambudziko.