I-Peripheral Cyanosis (Izandla Ezihlaza Nezinyawo)

-Delile

• Izithombe zezandla nezinyawo eziluhlaza okwesibhakabhaka
• Ukuqaphela isimo esiphuthumayo sezokwelapha
• Izimbangela zezandla noma izinyawo eziluhlaza okwesibhakabhaka
• Ukuhlonza izandla noma izinyawo eziluhlaza okwesibhakabhaka
• Ukwelapha izandla noma izinyawo eziluhlaza okwesibhakabhaka

Kuyini i-peripheral cyanosis?

I-cyanosis ibhekisa ekubunjweni okuluhlaza okwesibhakabhaka nolwelwesi lwamafinyila. I-peripheral cyanosis kulapho kunombala ohlaza okwesibhakabhaka ezandleni noma ezinyaweni zakho. Ngokuvamile kubangelwa amazinga e-oxygen aphansi kumaseli abomvu egazi noma izinkinga zokuthola igazi elinomoya-mpilo emzimbeni wakho. Igazi elinothe nge-oxygen umbala obomvu ogqamile ohambisana negazi. Lapho igazi linezinga eliphansi lomoya-mpilo futhi liba bomvu ngokumnyama, kukhanya ukukhanya okuluhlaza okwesibhakabhaka okwengeziwe, okwenza isikhumba sibonakale sinombala oluhlaza okwesibhakabhaka.

Kwesinye isikhathi amazinga okushisa abandayo angadala ukuthi umthambo wegazi unciphise futhi uholele esikhunjeni esinezikhumba eziluhlaza okwesikhashana. Ukufudumeza noma ukubhucunga izindawo eziluhlaza okwesibhakabhaka kufanele kubuyisele ukugeleza kwegazi okujwayelekile nombala esikhumbeni.

Uma ukufudumeza izandla noma izinyawo zakho phezulu kungakubuyisi ukugeleza kwegazi okujwayelekile nombala, kungaba uphawu lwesimo esingaphansi. Noma ngabe iyini imbangela eyisisekelo, umbala oluhlaza okwesibhakabhaka usho ukuthi kuphazamisa amandla omzimba wakho wokuletha igazi elicebile oksijini kuzo zonke izicubu ezidinga zona. Kubalulekile ukubuyisela umoya-mpilo ezicutshini zomzimba ngokushesha okukhulu ukuze kuvinjelwe izinkinga.

Izithombe zezandla nezinyawo eziluhlaza okwesibhakabhaka

Ukuqaphela isimo esiphuthumayo sezokwelapha

Ezimweni eziningi, izindebe eziluhlaza okwesibhakabhaka noma isikhumba kungaba uphawu lwesimo esiphuthumayo esisongela ukuphila. Uma ukuguqulwa kombala oluhlaza okwesibhakabhaka kuhambisana nokunye okulandelayo, shayela ku-911:

• indlala yomoya noma ukuhefuzela ukuphefumula
• imfiva
• ikhanda
• ukuphefumula kanzima noma ubunzima bokuphefumula
• ubuhlungu besifuba
• ajuluke ubala
• ubuhlungu noma ukuba ndikindiki ezingalweni, emilenzeni, ezandleni, eminweni, noma ezinzwaneni
• pallor noma blanching izingalo, imilenze, izandla, iminwe, noma izinzwane
• isiyezi noma ukuquleka

Izimbangela zezandla noma izinyawo eziluhlaza okwesibhakabhaka

Ukubanda kuyimbangela evame kakhulu yezandla noma izinyawo eziluhlaza okwesibhakabhaka. Kungenzeka futhi ukuba nezandla noma izinyawo eziluhlaza okwesibhakabhaka yize zifudumele.

Izandla noma izinyawo eziluhlaza okwesibhakabhaka kungaba uphawu lwenkinga ngohlelo lomzimba wakho lokuletha igazi elinomoya-mpilo ezicutshini zezandla nezinyawo zakho. Igazi lakho linesibopho sokuthwala umoya-mpilo emzimbeni wakho, lisuke emaphashini liye enhliziyweni yakho, lapho lifakwa ngemithambo yakho liye kuwo wonke umzimba wakho. Lapho selilethe igazi egazini lezicubu zomzimba wakho, igazi eliphelelwe umoya-mpilo libuyela enhliziyweni nasemaphashini ngemithambo yakho.

Noma yini evimbela igazi ukuthi libuyele enhliziyweni yakho ngemithambo yakho, noma eliyivimba ukuthi ifinyelele ezicutshini zakho kwasekuqaleni, kusho ukuthi izicubu zakho azilitholi igazi elicebile nge-oxygen elizidingayo.

Izimbangela zifaka:

• izingubo ezinzima noma ubucwebe
• i-vein thrombosis ejulile (i-DVT)
• ukunganeli kwemithambo yegazi, okubangelwa yizimo ezehlisa ukuhamba kwegazi emithanjeni yakho
• Isimo sikaRaynaud
• lymphedema
• ukuhluleka kwenhliziyo
• ukungabi namandla emithanjeni, okubangelwa yizimo ezehlisa ukugeleza kwegazi ngemithambo yakho
• i-hypotension ebucayi, noma umfutho wegazi ophansi ngokweqile, ongadalwa yizimo ezinjengokushaqeka okubangelwa yisepptic
• i-hypovolemia, lapho igazi elincane lijikeleza emzimbeni wakho kunokujwayelekile

Ukuhlonza izandla noma izinyawo eziluhlaza okwesibhakabhaka

Isikhumba se-Bluish imvamisa siyisibonakaliso sento ebucayi. Uma umbala ojwayelekile ungabuyi lapho isikhumba sakho sifudunyezwa, shayela udokotela wakho ngokushesha ukuze uthole imbangela.

Udokotela wakho uzodinga ukwenza ukuhlolwa komzimba. Bazolalela inhliziyo yakho namaphaphu. Kuzofanele unikeze isampula segazi bese wenza ezinye izivivinyo.

Udokotela wakho angasebenzisa i-oximeter ye-pulse oximeter engabonakali ukukala umoya-mpilo wegazi lakho. Bangaphinde ba-oda ukuhlolwa kwegazi kwe-arterial. Lokhu kuhlolwa kukala i-asidi namazinga e-carbon dioxide ne-oxygen egazini lakho. Ungase ube ne-X-ray yesifuba noma i-CT scan ukuze uhlole inhliziyo namaphaphu akho.

Ukwelapha izandla noma izinyawo eziluhlaza okwesibhakabhaka

Kubalulekile ukufuna ukwelashwa uma unezandla noma izinyawo eziluhlaza okwesibhakabhaka futhi ukuzifudumeza akubuyisi umbala ojwayelekile. Ukwelashwa kubandakanya ukukhomba nokulungisa imbangela eyimbangela yokubuyisela ukugeleza kwegazi okwenziwe umoya-mpilo ezingxenyeni ezithintekile zomzimba. Ukuthola ukwelashwa okufanele ngesikhathi esifanele kuzothuthukisa umphumela futhi kukhawulele noma yiziphi izinkinga.

Kunemithi etholakalayo engasiza imithambo yegazi iphumule. Lokhu kufaka phakathi:

• imishanguzo
• izidakamizwa zokunciphisa umfutho wegazi ophezulu
• izidakamizwa zokungasebenzi kahle kwe-erectile