Ingabe Izinga Le-oksijini Legazi Lami Lijwayelekile?

-Delile

• Linganiswa kanjani izinga lakho le-oxygen yegazi
• Igazi legazi lomzimba
• I-oximeter yokudonsa
• Lapho izinga lakho le-oxygen yegazi kufanele liwele khona
• Kwenzekani uma izinga lakho le-oxygen liphansi kakhulu
• Ungaliguqula kanjani izinga lakho le-oxygen yegazi
• Yini ebangela amazinga eoksijini egazi abe phansi
• Okubalulekile

Okukhonjiswa ileveli yakho ye-oxygen yegazi

Izinga lakho le-oksijeni egazini liyisilinganiso samangqamuzana akho abomvu egazi athwala kangakanani. Umzimba wakho ulilawula kahle izinga leoksijini legazi lakho. Ukugcina ibhalansi eqondile yegazi eligcwele umoya-mpilo kubalulekile empilweni yakho.

Iningi lezingane nabantu abadala abadingi ukuqapha izinga lomoya-mpilo wegazi labo. Eqinisweni, odokotela abaningi ngeke bayihlole ngaphandle kokuthi ubonise izimpawu zenkinga, njengokuphelelwa umoya noma ubuhlungu besifuba.

Kodwa-ke, abantu abanezimo zezempilo ezingamahlalakhona abaningi badinga ukuqapha izinga labo le-oxygen egazini. Lokhu kufaka phakathi i-asthma, isifo senhliziyo, nesifo esingapheliyo se-pulmonary disease (COPD).

Kulezi zimo, ukuqapha izinga le-oxygen yakho kungasiza ekunqumeni ukuthi ngabe ukwelashwa kuyasebenza yini, noma kufanele kulungiswe.

Qhubeka ufunda ukuze ufunde ukuthi kufanele libe liphi izinga leoksijini legazi lakho, ukuthi yiziphi izimpawu ongazithola uma izinga lakho licishiwe, nokuthi kwenzekani ngokulandelayo.

Linganiswa kanjani izinga lakho le-oxygen yegazi

Izinga lakho le-oksijeni yegazi lingalinganiswa ngokuhlolwa okubili okuhlukile:

Igazi legazi lomzimba

Ukuhlolwa kwegesi yegazi (i-ABG) ukuhlolwa kwegazi. Ilinganisa izinga leoksijini legazi lakho. Futhi ingathola izinga lamanye amagesi egazini lakho, kanye ne-pH (i-acid / base level). I-ABG inembile kakhulu, kepha iyahlasela.

Ukuze uthole isilinganiso se-ABG, udokotela wakho uzodonsa igazi emthanjeni kunasemthanjeni. Ngokungafani nemithambo, imithambo ine-pulse engazwakala. Futhi, igazi elithathwe emithanjeni lifakwa umoya-mpilo. Igazi emithanjeni yakho alikho.

Umthambo esihlakaleni sakho uyasetshenziswa ngoba uzwakala kalula uma uqhathaniswa neminye esemzimbeni wakho.

Isihlakala siyindawo ebucayi, okwenza ukudonswa kwegazi lapho kungakhululeki kakhulu uma kuqhathaniswa nomthambo oseduze kwendololwane yakho. Imithambo yegazi nayo ijule kakhulu kunemithambo, engeza ukungakhululeki.

I-oximeter yokudonsa

I-pulse oximeter (i-pulse ox) iyithuluzi elingahlaseli elilinganisela inani le-oxygen egazini lakho. Ikwenza lokho ngokuthumela ukukhanya kwe-infrared kuma-capillaries eminwe yakho, kuzwane, noma endlebeni. Bese ilinganisa ukuthi kungakanani ukukhanya okuboniswa ngaphandle kwamagesi.

Ukufundwa kukhombisa ukuthi liphi iphesenti legazi lakho eligcwele, elaziwa njengezinga le-SpO2. Lokhu kuhlolwa kunewindi lephutha lamaphesenti ama-2. Lokho kusho ukuthi ukufunda kungaba ngamaphesenti ama-2 ngaphezulu noma ngaphansi kuneleveli yakho yangempela yomoya-mpilo wegazi.

Lokhu kuhlolwa kungenzeka kunganembi kancane, kepha kulula kakhulu ukuthi odokotela bakwenze. Ngakho-ke odokotela bathembele kuyo ukuze ifundwe ngokushesha.

Izinto ezifana ne-nail polish emnyama noma izingqimba ezibandayo zingadala ukuthi i-pulse ox ifunde iphansi kunokujwayelekile. Udokotela wakho angasusa noma yikuphi ukupholisha kuzipikili zakho ngaphambi kokusebenzisa umshini noma uma ukufunda kwakho kubonakala kuphansi ngokungavamile.

Ngoba i-pulse ox ayisebenzi, ungazenzela lesi sivivinyo. Ungathenga amadivayisi we-pulse ox ezitolo eziningi ezithwala imikhiqizo ehlobene nempilo noma ku-inthanethi. Khuluma nodokotela wakho ngaphambi kokusebenzisa idivaysi yasekhaya ukuze uqonde ukuthi ungayichaza kanjani imiphumela.

Lapho izinga lakho le-oxygen yegazi kufanele liwele khona

Isilinganiso se-oxygen yakho yegazi sibizwa ngeleveli yakho yokugcwaliswa komoya-mpilo. Esikhathini esifushane sezokwelapha, ungezwa kuthiwa yi-PaO₂ lapho usebenzisa igesi yegazi ne-O₂ sat (SpO2) lapho usebenzisa i-pulse ox. Le mihlahlandlela izokusiza uqonde ukuthi umphumela wakho ungasho ukuthini:

Jwayelekile: Izinga elijwayelekile le-ABG oxygen lamaphaphu aphilile liwela phakathi kwamamilimitha angama-80 kuya kwayi-100 e-mercury (mm Hg). Uma i-pulse ox ilinganisa izinga lakho le-oxygen yegazi (SpO2), ukufundwa okujwayelekile ngokuvamile kuphakathi kwamaphesenti angama-95 kuya kwayi-100.

Kodwa-ke, ku-COPD noma kwezinye izifo zamaphaphu, lezi zigaba kungenzeka zingasebenzi. Udokotela wakho uzokwazisa okujwayelekile ngesimo sakho esithile. Isibonelo, akuyona into engavamile ngabantu abane-COPD enamandla ukugcina amazinga abo we-pulse ox (SpO2) phakathi.

Ngaphansi kokujwayelekile: Izinga le-oxygen elingaphansi kwesijwayelekile libizwa nge-hypoxemia. I-Hypoxemia ivame ukudala imbangela yokukhathazeka. Izinga eliphansi le-oxygen, i-hypoxemia iba nzima kakhulu. Lokhu kungaholela ezinkingeni zezicubu zomzimba nezitho zomzimba.

Imvamisa, i-PaO₂ ukufunda ngaphansi kwama-80 mm Hg noma i-pulse ox (SpO2) engaphansi kwamaphesenti angama-95 kubhekwa njengokuphansi. Kubalulekile ukwazi ukuthi yini ejwayelekile kuwe, ikakhulukazi uma unesimo samaphaphu esingapheli.

Udokotela wakho angakunikeza izincomo ngokuqondene nokuthi iziphi izigaba zamazinga oksijini ezamukelekayo kuwe.

Ngaphezu kokujwayelekile: Uma ukuphefumula kwakho kungasizwa, kunzima ukuthi amazinga akho e-oxygen abe phezulu kakhulu. Ezimweni eziningi, amazinga aphezulu e-oxygen avela kubantu abasebenzisa i-oxygen eyengeziwe. Lokhu kungatholakala ku-ABG.

Kwenzekani uma izinga lakho le-oxygen liphansi kakhulu

Lapho izinga lakho le-oksijeni yegazi liphuma ngaphandle kwebanga elijwayelekile, ungaqala ukuthola izimpawu.

Lokhu kufaka:

• ukuphelelwa umoya
• ubuhlungu besifuba
• ukudideka
• ikhanda
• ukushaya kwenhliziyo okusheshayo

Uma uqhubeka nokuba namazinga e-oxygen ephansi egazi, ungakhombisa izimpawu ze-cyanosis. Uphawu oluphawuleka lwalesi simo ukushintsha kombala okuluhlaza okwesibhakabhaka kwemibhede yakho yezipikili, isikhumba, nolwelwesi lwamafinyila.

I-cyanosis ibhekwa njengesimo esiphuthumayo. Uma uhlangabezana nezimpawu, kufanele ufune usizo lwezokwelapha ngokushesha. I-cyanosis ingaholela ekwehlulekeni kokuphefumula, okungasongela impilo.

Ungaliguqula kanjani izinga lakho le-oxygen yegazi

Uma izinga lakho le-oksijeni egazini liphansi kakhulu, kungadingeka ukuthi ukhulise ukusuthiswa kwakho komoya-mpilo. Lokhu kuvame ukwenziwa ngeoksijini eyengeziwe.

I-oxygen eyengeziwe yasekhaya ibhekwa njengomuthi, futhi nodokotela wakho kufanele akunikeze. Kubalulekile ukulandela izeluleko ezithile zikadokotela wakho mayelana nokuthi i-oxygen yasekhaya kufanele isetshenziswe kanjani ukugwema izinkinga. Umshuwalense wakho wezempilo ungakhokhela izindleko.

Yini ebangela amazinga eoksijini egazi abe phansi

Izimo ezingathinta kabi izinga lakho le-oxygen oxygen zifaka:

• I-COPD, kufaka phakathi i-bronchitis engapheli ne-emphysema
• isifo sengcindezi ephathelene nenkinga yokuphefumula engamahlalakhona
• isifuba somoya
• wawa amaphaphu
• i-anemia
• ukukhubazeka kwenhliziyo okuzelwe
• Isifo senhliziyo
• embolism yamaphaphu

Lezi zimo zingavimbela amaphaphu akho ekuhogeleni ngokwanele umoya oqukethe umoya-mpilo futhi akhiphe isikhutha. Ngokufanayo, ukuphazamiseka kwegazi nezinkinga zesistimu yakho yokujikeleza kwegazi kungavimbela igazi lakho ekutholeni umoya-mpilo futhi liwuhambise emzimbeni wakho wonke.

Noma yiziphi zalezi zinkinga noma ukuphazamiseka kungaholela ekwehliseni amazinga okugcwaliswa komoya-mpilo. Njengoba amazinga akho e-oxygen ehla, ungaqala ukuthola izimpawu ze-hypoxemia.

Abantu ababhemayo bangaba nokufundwa kwenkomo yokushaya kwenhliziyo okuphezulu ngokungachazeki. Ukubhema kudala i-carbon monoxide egazini lakho. I-pulse ox ayikwazi ukutshela umehluko phakathi kwalolu hlobo oluthile lwegesi ne-oxygen.

Uma ubhema futhi udinga ukwazi izinga lakho le-oxygen yegazi, i-ABG kungaba ukuphela kwendlela yokuthola ukufundwa okunembile.

Okubalulekile

Iningi labantu alidingi ukuqapha njalo izinga lomoya-mpilo wegazi labo. Abantu abanezinkinga zempilo kuphela ezibanga amazwe aphansi e-oxygen bavame ukucelwa ukuthi bahlole amazinga abo. Noma kunjalo, indlela ye-pulse oximetry engashisi kangako ivame ukuba wusizo njenge-ABG engenayo.

Yize inawo umkhawulo wephutha, ukufundwa kwezinkomo okushaywayo kuvame ukunemba ngokwanele. Uma udokotela wakho edinga isilinganiso esithe xaxa, bangalandela ukuhlolwa kwe-ABG.