Low saturation - zvikonzero, zviratidzo, kurapwa. Nzira yekuyera sei saturation?

Zvinoenderana nebasa rayo, Iyo Edhiyo Bhodhi yeMedTvoiLokony inoedza neparinogona napo kupa yakavimbika zvekurapa zvemukati zvinotsigirwa neruzivo rwazvino rwesainzi. Mureza wekuwedzera "Zvakatariswa Zvemukati" zvinoratidza kuti chinyorwa chakaongororwa kana kunyorwa zvakananga nachiremba. Iyi nhanho-mbiri yekusimbisa: mutori wenhau wezvekurapa uye chiremba anotitendera kuti tipe zvemhando yepamusoro zvemukati zvinoenderana neruzivo rwekurapa rwazvino.

Kuzvipira kwedu munharaunda iyi kwakaongwa, pakati pevamwe, neSangano reVatori venhau vehutano, iro rakapa iyo Editorial Board yeMedTvoiLokony ine zita rekuremekedza reMudzidzisi Mukuru.

Saturation, kana kuti oxygen saturation yeropa, inoratidza kuti mweya weokisijeni unofamba sei nemuviri wedu pamwe chete nemasero matsvuku eropa. Masero akajairika ekuzara anowanzo pakati pe95% ne100% muvanhu vakuru vane hutano. Chero nhanho pazasi iyi inonzi yakaderera saturation. Low saturation inyaya inoshungurudza uye inoda kurapwa nekukurumidza nekuti zvinoreva kuti nhengo dzedu, matishu, uye maseru haasi kuwana okisijeni yavanoda kuti ishande nemazvo.

Ropa okisijeni kuzadza

Kuti unzwisise kuti ropa rakazadzwa sei neokisijeni, zvinodikanwa kutaura nezve alveoli (Latin. alveoli yemapapu) Kune mamiriyoni eaya “masaga emhepo” asingaoneki ari mumapapu. Vanoita basa rinokosha: kuchinjanisa oxygen uye carbon dioxide mamorekuru kupinda nokubuda muropa.

Apo mamorekuru eokisijeni anopfuura nepakati pealveoli yemapapu, anosunga kuhemoglobin, chinhu chiri muropa.

Hemoglobin zvarinotenderera, okisijeni inonamira pairi uye inoendeswa kumatishu omuviri. Izvi zvinoita kuti hemoglobin iteye kabhoni dhaikisaidhi kubva mumatishu uye kuitakura ichidzokera kumavhesi kuitira kuti kutenderera kutange patsva.

Mwero weokisijeni weropa unoenderana nezvimwe zvakakosha zvinhu:

  1. tinofema oxygen yakawanda sei?
  2. Mafuro anoshandura sei kabhoni dhaikisaidhi kuita okisijeni?
  3. yakawanda sei hemoglobin yakaiswa mumasero matsvuku eropa?
  4. sei hemoglobin inokwezva oksijeni?

Kazhinji yenguva, hemoglobin ine oxygen yakakwana yekuzadzisa zvinodiwa nemuviri. Zvisinei, zvimwe zvirwere zvinoderedza kukwanisa kwayo kusunga neokisijeni.

Sero rimwe nerimwe reropa rine mamorekuru anenge mamiriyoni 270 ehemoglobin. Zvisinei, chero mamiriro ezvinhu anokanganisa kukwanisa kwomuviri kugadzira masero matsvuku anogona kukonzera hemoglobin shoma, zvichiita kuti okisijeni isawanda muropa.

Onawo: Chii chinonzi low hemoglobin?

Low saturation - kutsauka kubva pane zvakajairwa

Mwero weokisijeni weropa unotibatsira kuziva kuti mapapu edu, moyo uye hurongwa hwekutenderera kweropa zviri kushanda zvakanaka sei. Iyo yakajairika mwero weokisijeni muropa remunhu ane hutano unosiyana kubva 95% kusvika 100%. Izvi zvinoreva kuti anenge masero matsvuku eropa anotakura mweya weokisijeni kumasero nematishu. Vanhu vanogara munzvimbo dzakakwirira kana vane mamwe marudzi ezvirwere zvisingaperi, zvakadai seasthma, emphysema, kana chirwere chisingaperi chinodzivirira pulmonary (COPD), vane zvishoma zvishoma.

Okisijeni yakaderera, inozivikanwawo se hypoxemia, inoonekwa sekuverenga pakati pe90% ne92%. Kuverenga kwakaderera uku kunoreva kuti tingangoda okisijeni yakawedzerwa kana kuti matambudziko angamuka anokanganisa kushanda kwemapapu edu. Chigumisiro chiri pasi pe90% chinoratidza kuti tinofanira kutsvaga kurapwa.

Low saturation - zvikonzero

Matambudziko eropa, matambudziko ekutenderera, uye matambudziko emapapu anogona kudzivirira muviri wako kutora kana kutakura oxygen yakakwana. Izvi, zvakare, zvinogona kuderedza chiyero chekuzara kweokisijeni muropa.

Mienzaniso yemamiriro ezvinhu anogona kukanganisa saturation anosanganisira:

  1. zvirwere zvekufema (semuenzaniso kutonhora, furuu, COVID-19) sezvo zvichigona kukanganisa kufema uye nekudaro kushandiswa kweokisijeni;
  2. chronic obstructive pulmonary disease (COPD): boka rezvirwere zvisingaperi zvemapapu zvinoita kuti kufema kunetse;
  3. asthma: chirwere chemapapu chisingaperi chinokonzera kupera kwenzira dzekufema;
  4. pneumothorax: kuparara kwepapu zvishoma kana kuperera;
  5. anemia: kushayikwa kwemasero matsvuku eropa ane utano;
  6. heart disease: chirwere chemwoyo: boka remamiriro ezvinhu anokanganisa mashandiro anoita mwoyo;
  7. pulmonary embolism: apo ropa rinoputika rinokonzera kuvhara mutsinga yemapapu;
  8. Congenital heart disease: chirwere chemoyo chechimiro chinoitika pakuzvarwa.

Onawo: Zvirwere gumi zvakajairika zvekutenderera kweropa

Nzira yekuyera sei saturation?

Oxygen saturation inowanzoyerwa nenzira mbiri: gasometry uye pulse oximetry.

Gasi reropa rinowanzoitwa chete muchipatara, nepo pulse oximetry inoitwa munzvimbo dzakasiyana siyana dzehutano, kusanganisira hofisi yechiremba.

Saturation bvunzo - gasometry

Gasi reropa kuongorora ropa. Inoyera mwero weokisijeni muropa. Inogona zvakare kuona huwandu hwemamwe magasi muropa pamwe neiyo pH (acid / base level). Kuongororwa kwegasi reropa ndiko kwakaringana, asi kunokanganisa.

Kuti uwane kuyerwa mumuedzo uyu, chiremba wako achatora ropa kubva mutsinga yako, kwete mutsinga. Kusiyana netsinga, tsinga dzine kupuruzira kwaunogona kunzwa. Ropa rinotorwa kubva mutsinga rinewo oxygen, uye ropa mutsinga dzedu harina. Muedzo unoshandisa tsinga iri muchanza nekuti zviri nyore kunzwa zvichienzaniswa nemamwe tsinga. Zvakadaro, wrist inzvimbo inonzwisa tsitsi inoita kuti sampling yeropa isanyanya kunetsa kana ichienzaniswa netsinga iri padyo negokora. Mitsipa yacho yakadzikawo kudarika mitsipa, iyo inowedzera kusagadzikana. Sample inoongororwa pakarepo nemuchina kana murabhoritari.

Mhedzisiro yakawanikwa kubva muyedzo yegasometry inogona kupa chiremba wedu pfungwa yekuti hemoglobin inochinjana sei okisijeni uye kabhoni dhaikisaidhi.

Saturation bvunzo - pulse oximetry

A pulse oximeter mudziyo usingapindiki unofungidzira huwandu hweokisijeni muropa rako. Inoita izvi nekutumira mwenje we infrared kuma capillaries emunwe, tsoka, kana nzeve. Zvadaro zvinoyera kuti chiedza chakawanda sei chinoratidzwa kubva mumagasi.

Iko kuverenga kunoratidza kuti ndeipi muzana yeropa redu rakazara, inozivikanwa seSpO2 level. Muedzo uyu une 2% kukanganisa hwindo. Izvi zvinoreva kuti kuverenga kunogona kusvika ku2 muzana yakakwirira kana kuti yakaderera pane mwero chaiwoiwo weokisijeni muropa rako. Pulse oximetry inogona kunge isina kunyatsojeka, asi vanachiremba vanogona kuzviita zviri nyore.

Nekudaro, zvakakosha kuziva kuti, semuenzaniso, yakasviba mbambo polish kana kutonhora mitezo inogona kuita kuti mhedzisiro yebvunzo ive yakaderera pane yakajairika. Chiremba wako anogona kubvisa mbambo yezvipikiri asati ashandisa mudziyo kana kana kuverenga kuchiita kunge kwakaderera.

Sezvo pulse oximeter isiri-invasive, inzwa wakasununguka kuita iyi bvunzo iwe pachako. Pulse monitors inogona kutengwa kubva kuzvitoro zvakawanda zvine chekuita nehutano kana online. Nekudaro, ipfungwa yakanaka kutaura nachiremba wako usati washandisa mudziyo wako wepamba pachine nguva kuti unzwisise nzira yekududzira mhinduro.

zvakakosha

Vanosvuta vangava nekuverenga kurova kwemwoyo kwakanyanya zvisina kururama. Kusvuta kunokonzera kuungana kwecarbon monoxide muropa. Chiyero chekurova kwemoyo hachikwanise kusiyanisa iyi imwe mhando yegesi kubva kuokisijeni. Kana uchisvuta uye uchida kuziva mazinga ako eropa reokisijeni, kuongororwa kwegasi reropa kunogona kunge iri nzira chete yekuwana kuverenga kwakarurama.

Onawo: Kusvuta chirwere!

Low saturation - zviratidzo

Low saturation inogona kukonzera kutenderera kwakashata uye kukonzera zvinotevera zviratidzo:

  1. dyspnea;
  2. musoro;
  3. kuzvidya mwoyo;
  4. chizoro;
  5. kukurumidza kufema;
  6. kurwadziwa muchipfuva;
  7. kuvhiringidzika;
  8. BP;
  9. kusava nekubatana;
  10. chiratidzo chisina kunaka;
  11. kunzwa kufara;
  12. kukurumidza kurova kwemoyo.

Kana tiine kuderera kwakaderera kwenguva yakareba, tinogona kuratidza zviratidzo zvecyanosis. Chiratidzo chechiitiko ichi kuve kwebhuruu kubuda kwemavara ezvipikiri, ganda, uye mucous membranes. Cyanosis inoonekwa sechimbichimbi. Kana tikaona zviratidzo zvayo, tinofanira kutsvaka rubatsiro kuna chiremba nokukurumidza. Cyanosis inogona kukonzera kutadza kufema izvo zvinogona kutyisa hupenyu.

Low saturation - matambudziko

Low saturation inogona kukanganisa mazinga eokisijeni mumatishu emuviri, kusanganisira nhengo uye tsandanyama. Ichi chirwere chinonzi hypoxia.

Masero edu anogona kuenderana nekushaikwa kweokisijeni kana kushomeka kuri kushoma. Nekudaro, nekushomeka kwakakura, kukuvara kwesero kunogona kuitika, kuchiteverwa nerufu rwesero.

Hypoxia inowanzokonzerwa ne hypoxemia, asi inogonawo kuitika kana:

  1. hakuna masero matsvuku akakwana ekutakura okisijeni kuenda kumatishu. Zvinokonzera zvinosanganisira kubuda ropa kwakanyanya kubva mukukuvadzwa kana kuti sickle cell anemia.
  2. kusakwana kweropa kuyerera. Muchiitiko ichi, semuenzaniso, sitiroko, inoitika kana ropa rinopihwa kune imwe nzvimbo yehuropi rakaderera, kana kurwisa kwemoyo, kana paine kushomeka kweropa kumhasuru yemoyo. Mamiriro ese ari maviri anotungamira kurufu rwesero uye tishu.
  3. matishu anoda ropa rakawanda rine oxygen kupfuura rinogona kupihwa. Zvirwere zvakakomba, zvinotungamira ku sepsis, zvinogona kukonzera hypoxemia uye pakupedzisira nhengo yekutadza.

Onawo: Brain hypoxia - zviratidzo, migumisiro

Low saturation - kurapwa

Pakazara, kuzara pazasi 95% kunoonekwa sechinhu chisina kujairika, uye chero chinhu chiri pasi pe90% ndeye emergency.

Kana izvi zvikaitika, kurapwa kweokisijeni kunodiwa - dzimwe nguva nekukurumidza. Uropi ndihwo mutezo une hypoxic zvakanyanya, uye masero europi anogona kutanga kufa mukati memaminitsi mashanu kubva pakushaikwa kweokisijeni. Kana hypoxia ikatora nguva yakareba, coma, pfari, uye kufa kweuropi kunogona kuitika.

Zvinonyanya kukosha kusimbisa chikonzero chekuzara kwakaderera kugadzirisa dambudziko. Mune zvirwere zvisingaperi zvakadai seCOPD uye asthma, chikonzero chinowanzokonzera kuderera kwemhepo mumapapu uye alveoli. Mukuwedzera kune okisijeni therapy, steroids kana bronchodilators (kununura inhalers) inogona kudiwa kuzarura nzira dzemhepo.

Mumamiriro ekutenderera kweropa akadai sechirwere chemoyo, kusakwana kweropa kuyerera kunogona kuderedza oxygen. Zvinodhaka zvinovandudza kushanda kwemoyo, senge beta blockers yekutadza kwemoyo kana zvinodhaka zvemoyo arrhythmias, zvinogona kubatsira kuvandudza oxygenation.

Neanemia, kupihwa kweropa kumatishu kunodzikira nekuti hakuna masero matsvuku eropa ane hutano akakwana ane hemoglobin kuti atakure oxygen. Dzimwe nguva kuwedzerwa kwesero dzvuku kunodiwa kuwedzera mazinga ehutano hwemasero matsvuku eropa.

Onawo: Pharmacological coma - chii ichocho? Murwere anoiswa sei mu pharmacological coma? [TINOTSANANGURA]

Low oxygen saturation - nzira yekuwedzera oksijeni muropa?

Iwe unogona zvisikwa kuwedzera huwandu hweokisijeni muropa rako. Dzimwe nzira dzinosanganisira zviito zvatingaite isu pachedu.

Vhura hwindo kana kubuda panze kuti ufeme mweya mutsva. Chimwe chinhu chakareruka sekuvhura mahwindo kana kufamba kwenguva pfupi kunowedzera huwandu hweokisijeni inopihwa kumuviri, izvo zvinowedzera huwandu hwese hweokisijeni muropa. Iinewo mabhenefiti akadai sekugaya zviri nani uye simba rakawanda.

Regedza kusvuta. Pashure pemavhiki maviri chete efodya isina fodya, vakawanda vanoona kuti zvose zviri zviviri kutenderera kwavo uye mwero weokisijeni wose unovandudzika zvikuru. Munguva pfupi iyi yenguva, kushanda kwemapapu kunogona kuwedzera kusvika ku30%.

Kuchengeta zvirimwa zvishoma kumba. Zvirimwa zvemumba zvakaratidzwa kubatsira kuchenesa mhepo yemukati. Vanobvisa kabhoni dhiokisi uye vanozadza mwero weokisijeni mukamuri, zvichiita kuti muviri utore okisijeni yakawanda.

Kufema kurovedza muviri. Nyanzvi dzekuvandudza kufema dzinokurudzira kushandisa zviitwa zvekufema zviri nyore, sekudzvinya kufema kwemuromo uye kufema mudumbu kwakadzika, kuvhura nzira dzako dzekufema uye kuwedzera huwandu hweokisijeni mumuviri wako.

Tinogona kushandisa pulse oximeter kutarisa mwero weokisijeni yeropa kumba uye kushandisa dzimwe dzeidzi nzira dzechisikigo kuwedzera mwero weokisijeni muropa isu pachedu.

Onawo: Kufamba ndiyo nzira yehutano

Leave a Reply