Chii chinonzi Hypoxemia?

Zvemukati

• Hypoxia vs. hypoxemia
• Mhando
• Kufefetedza / perfusion (V / Q) kusarongeka
• Shunt
• Kusanzwisisika kukanganisika
• Hypoventilation
• Low oxygen yezvakatipoteredza
• Zvinokonzera
• Hypoxemia muvacheche vachangozvarwa
• Zviratidzo
• Kuongorora
• Kurapa
• Matambudziko
• Nguva yekuona chiremba
• Chinokosha

Ropa rako rinotakura okisijeni kunhengo uye nyama dzemuviri wako. Hypoxemia ndipo paunenge uine mashoma masosi eoksijeni muropa rako.

Hypoxemia inogona kukonzerwa nemamiriro ezvinhu akasiyana siyana, anosanganisira asthma, pneumonia, uye chirwere chisingaperi chinokanganisa pulmonary chirwere (COPD). Mamiriro ezvinhu akakomba ekurapa uye anoda kurapwa nekukurumidza.

Enderera kuverenga kuti udzidze zvakawanda nezve hypoxemia, chii chinokonzeresa, uye mabatirwo ayo.

Hypoxia vs. hypoxemia

Hypoxia uye hypoxemia zvinoreva zvinhu zviviri zvakasiyana. Nepo hypoxemia ichinongedzera kune yakaderera oxygen mazinga muropa rako, hypoxia inoreva kune yakaderera mazinga eokisijeni mumatumbu emuviri wako.

Iwo maviri anogona dzimwe nguva, asi kwete nguva dzose, kuitika pamwe chete.

Kazhinji, kuvapo kwehypoxemia kunoratidza hypoxia. Izvi zvine musoro nekuti kana makesi eoksijeni akaderera muropa rako, nyama dzemuviri wako pamwe dzinogona kunge dzisiri kuwana oxygen yakakwana kana.

Mhando

Kune akatiwandei mhando dzakasiyana dzehypoxemia, uye mhando yacho inoenderana nemushonga kuburikidza nemazinga eropa okisijeni anoderedzwa.

Kufefetedza / perfusion (V / Q) kusarongeka

Iyi ndiyo yakajairika mhando yehypoxemia. Kufefetedza kwemweya kunoreva kupihwa kweokisijeni mumapapu, nepo perfusion ichinongedzera kukupa kweropa kumapapu.

Kufefetedza uye perfusion kuno kuyerwa muchiyero, chinonzi V / Q ratio. Kazhinji, pane chiyero chidiki chekusaenzana pachiyero ichi, zvisinei kana kusanzwisisika kukava kwakanyanya, matambudziko anogona kuitika.

Pane zvikonzero zviviri zvekufefetera perfusion mismatch:

1. Mapapu ari kuwana oxygen yakakwana, asi hapana kukwana kweropa kuyerera (yakawedzera V / Q reshiyo).
2. Kune kuyerera kweropa kumapapu, asi isina kukwana oxygen (yakadzikira V / Q reshiyo).

Shunt

Kazhinji, ropa rine deoxygenated rinopinda kurudyi kwemoyo, rinofamba kuenda kumapapu kunogamuchira oxygen, uye robva raenda kuruboshwe kwemoyo kuti rigoverwe kune vamwe vese muviri.

Mune mhando iyi yehypoxemia, ropa rinopinda neruboshwe kuruboshwe rwemoyo pasina oxygenated mumapapu.

Kusanzwisisika kukanganisika

Okisijeni painopinda mumapapu, inozadza masaga madiki anonzi alveoli. Midziyo midiki yeropa inonzi capillaries yakatenderedza alveoli. Oxygen inopararira kubva kune alveoli kusvika muropa rinomhanya kuburikidza nem capillaries.

Mune urwu rudzi rwehypoxemia, iko kupararira kweokisijeni muropa hakukanganisi.

Hypoventilation

Hypoventilation ndipo panowanikwa oxygen pamwero unononoka. Izvi zvinogona kukonzera mwero wakakwira weakabhoni dhayokisaidhi muropa uye nemazinga akaderera eoksijeni.

Low oxygen yezvakatipoteredza

Rudzi urwu rwe hypoxemia runowanzoitika munzvimbo dzakakwirira. Okisijeni inowanikwa mumhepo inoderera nekuwedzera kukwira.

Naizvozvo, munzvimbo dzakakwirira kufema kwega kwega mweya unopa iwe nemazinga akaderera eokisijeni kupfuura paunenge uri pagungwa.

Zvinokonzera

Kune akawanda mamiriro anogona kukonzera hypoxemia. Izvi zvinogona kusanganisira:

• acute kufema kunetseka syndrome (ARDS)
• kupererwa neropa
• asima
• ropa rakavhara mumapapu (pulmonary embolism)
• mapapu akadonha
• kuberekwa kwemoyo kusakwana kana chirwere
• COPD
• mvura mumapapu (pulmonary edema)
• nzvimbo dzakakwirira
• chirwere chepapu chemapapu
• mishonga inoderedza mwero wekufema, senge mamwe ma narcotic uye anesthetics
• chirwere chemabayo
• kuora mumapapu (pulmonary fibrosis)
• kurara kufema

Mamiriro akasiyana anogona kukonzera hypoxemia nenzira dzakasiyana. Ngatitarisei pamienzaniso mishoma:

• COPD chirwere chisingaperi umo kutenderera kwemhepo mumapapu kunotadziswa. Kuparadzwa kwemadziro ealveoli uye akapoterera capillaries muCOPD kunogona kutungamira kumatambudziko nekutsinhana kweoksijeni, izvo zvinogona kutungamira ku hypoxemia.

• Anemia mamiriro ezvinhu umo pasina masero matsvuku eropa akakwana kutakura zvinobudirira oxygen. Nekuda kweizvi, munhu ane chirwere chekushaya ropa anokwanisa kuve nemazinga akaderera eoksijeni muropa rake.

Uyezve, hypoxemia inogona kuve chiratidzo cheimwe mamiriro sekutadza kufema.

Kukundikana kwekufema kunoitika kana isina kukwana oxygen inopfuura kubva mumapapu ako ichienda muropa rako. Naizvozvo, yakaderera ropa okisijeni mazinga anogona kuve chiratidzo chekufema kutadza.

Hypoxemia muvacheche vachangozvarwa

Hypoxemia inogona dzimwe nguva kuitika mune vacheche vane kuberekwa kwemoyo hurema kana chirwere. Muchokwadi, kuyera iwo mazinga eoksijeni muropa kunoshandiswa kune vacheche kune yekuzvarwa kwemoyo hurema.

Preterm vacheche zvakare vari panjodzi yehypoxemia, kunyanya kana vakaiswa pamushini wekufema.

Zviratidzo

Mumwe munhu ane hypoxemia anogona kuona zvinotevera zviratidzo:

• mweya wekufema
• kukosora kana kufema
• musoro
• kukurumidza kurova kwemoyo
• kunzwa kunetseka kana kusagadzikana
• ruvara rwebhuruu kune ganda, miromo, uye nzara

Kuongorora

Kuti uongorore hypoxemia, chiremba wako achaita ongororo yepanyama panguva yavanotarisa moyo nemapapu. Vanogona zvakare kutarisa ruvara rweganda rako, nzara, kana miromo.

Pane mimwe bvunzo dzekuwedzera dzavanogona kuita kuti vaongorore maokisijeni uye kufema kwako. Izvi zvinogona kusanganisira:

• Pulse oximetry, iyo inoshandisa sensor yakaiswa pamunwe wako kuyera mazinga eropa okisijeni.
• Arterial yeropa gasi bvunzo, iyo inoshandisa tsono kukwevera muyero weropa kubva mutsinga kuyera ropa reokisijeni mazinga.
• Kufema kwekuyedza, uko kunogona kuongorora kufema kwako kuburikidza nemuchina kana nekufemera mukati mehubhu.

Kurapa

Sezvo hypoxemia inosanganisira yakaderera ropa okisijeni nhanho, chinangwa chekurapa kuyedza kukwidza ropa reropa reokisijeni kumashure kune akajairwa.

Oxygen therapy inogona kushandiswa kurapa hypoxemia. Izvi zvinogona kusanganisira kushandisa mask okisijeni kana chubhu diki yakatemerwa mumhino dzako kuti uwane okisijeni yekuwedzera.

Hypoxemia inogona zvakare kukonzerwa nemamiriro ezvinhu epasi seasthma kana pneumonia. Kana mamiriro ezvinhu ari kukonzera hypoxemia yako, chiremba wako achashanda kuti arape iwo mamiriro zvakare.

Matambudziko

Nhengo uye zvinyama zvemuviri wako zvinoda oxygen kuti ishande nemazvo.

Kukuvadza kunogona kuitika kunhengo dzakakosha senge moyo nehuropi mukushaikwa kwe oxygen yakakwana. Hypoxemia inogona kuuraya kana ikasarapwa.

Nguva yekuona chiremba

Iwe unofanirwa kugara uchitsvaga kurapwa kwekukurumidzira kana kupfupika kwemweya kuchioneka kamwe kamwe uye kukanganisa iko kugona kwako kuita.

Mune zvimwe zviitiko, kupererwa nemweya wega paunenge uchiri kugona kubvumidza kushanya kwachiremba. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona.

• kufema kushoma kunoitika nekuita kushoma kana kana uchinge wazorora
• kufema kufema kunoitika nekurovedza muviri uye kunotowedzera
• kumuka kamwe kamwe kubva kuhope nekufema kwekufema

Chinokosha

Hypoxemia ndipo paunenge uine mashoma masosi eoksijeni muropa rako. Kune akatiwandei mhando dzakasiyana dzehypoxemia uye akawanda akasiyana mamiriro anogona kukonzera.

Hypoxemia chirwere chakakomba uye inogona kutungamira kukuvara kwemuviri kana kunyangwe kufa ikasiiwa isina kurapwa.

Iwe unofanirwa kugara uchitsvaga kurapwa kwekukurumidzira kana iwe uine kupfupika kwekufema kunoitika kamwe kamwe uye kunokanganisa kugona kwako kushanda.