Wopɛ sɛ wuhu oxygen dodow a ɛwɔ wo mogya mu? Momma yɛnka eyi ho asɛm tiawa!

Ɛnnɛ yɛrebɛka biribi a ɛho hia yɛn nipadua paa ho asɛm. Ɛno ne oxygen dodow a ɛwɔ yɛn mogya mu. Ebia woate sɛ nnuruyɛfo reka eyi ho asɛm, anaasɛ wɔde afiri ketewaa bi hyɛ wo nsateaa mu hwɛ. Enti, dɛn ne eyi? Dɛn nti na ɛho hia saa? Momma yɛnhwɛ.

Dɛn ne oxygen dodow a ɛwɔ mogya mu?

Sɛ yɛbɛka no tiawa a, oxygen dodow a ɛwɔ mogya mu , anaa oxygen a ɛdɔɔso wɔ mogya mu no yɛ oxygen dodow a ɛwɔ wo mogya mu.

Yɛn nyinaa nim sɛ oxygen ho hia ma nkwa. Yɛn nipadua hia oxygen dodow bi na ama ayɛ adwuma yiye. Sɛ yɛhome (kyerɛ sɛ, yɛhome) a, mframa pa a ɛfa yɛn hwene anaa yɛn ano mu no fa yɛn ahurututu mu na ɛde ka yɛn mogya ho. Efi hɔ no, mframa pa yi ne mogya no kɔ nkwammoaa a ɛwɔ nipadua no nyinaa mu no mu. Susuw ho hwɛ, nkwammoaa ketewaa biara a ɛwɔ yɛn nipadua mu no hia mframa pa na ama anya ahoɔden. Saa ahoɔden yi ne nea yɛde yɛ biribiara fi aduan a yɛbɛyam so kosi nsusuwii so kosi nantew so.

Sɛ nkwammoaa no de oxygen no di dwuma wie a, ɛma mframa bɔne a wɔfrɛ no carbon dioxide . Bio nso, yɛn mogya fa mframa bɔne yi na ɛde kɔ ahurututu mu. Afei, sɛ yɛtwe ahome (home) a, wogyae.

Yɛn nipadua no hwɛ oxygen dodow a ɛwɔ yɛn mogya mu no so wɔ ɔkwan a ɛyɛ nwonwa yiye so. Efisɛ, oxygen dodow a ɛba fam wɔ mogya mu, a wɔfrɛ no hypoxemia , no betumi de nyarewa a emu yɛ den paa aba. Ebetumi asɛe akwaa a ɛho hia te sɛ yɛn amemene ne yɛn koma nso. Oxygen dodow a ɛba fam wɔ mogya mu no betumi akyerɛ sɛ w’ahurututu anaa w’akwantu nhyehyɛe no ntumi nyɛ adwuma yiye.

Wobɛyɛ dɛn asusuw oxygen dodow yi?

Akwan titiriw abien na ɛwɔ hɔ a wɔfa so susuw oxygen dodow. Biako ne sɛ wɔbɛfa mogya. Ɔfoforo no nam afiri ketewaa bi a wɔfrɛ no pulse oximeter a wɔde bedi dwuma so . Nanso, mogya mu nhwehwɛmu betumi ama wɔanya nsɛm pii sen oximeter.

Mogya mu nhwehwɛmu

Nnuruyɛfo betumi asusuw oxygen dodow a ɛwɔ wo mogya mu sɛ nhwehwɛmu kɛse bi fã. Wɔfrɛ eyi mogya mu mframa a ɛwɔ ntini mu nhwehwɛmu , anaa ABG nhwehwɛmu . Eyi kyerɛ oxygen ne carbon dioxide dodow a ɛwɔ wo mogya mu. Ɛsan nso hwɛ sɛnea acid ne base kari pɛ, anaa pH , wɔ wo mogya mu. Acid a ɛdɔɔso ne nea ɛba fam wɔ wo mogya mu nyinaa nye mma w’akwahosan.

Pulse Oximetry a Wɔde Yɛ Adwuma

Pulse oximeter betumi asusuw oxygen dodow a ɛwɔ wo mogya mu. Mpɛn pii no ɛyɛ ade ketewaa bi a wode kyekyere wo nsateaa anaa wo nansoaa so. Akenkan a ɛwɔ oximeter no so no kyerɛ wo mogya mu ɔha biara mu nkyem ahe na oxygen ahyɛ mu ma. Wɔfrɛ eyi wo SpO2 level.Ɛsan nso kyerɛ wo koma bɔ. Eyi yɛ ɔkwan a ɛyɛ ntɛm a ɛnyɛ nea wɔde hyɛ obi mu a wɔfa so hwɛ sɛ ebia oxygen dodow a ɛwɔ obi mogya mu no sua anaa.

Nnuruyɛfo a wɔwɔ ayaresabea ahorow taa de saa mfiri a ɛma obi koma bɔ kɛse yi di dwuma. Wubetumi nso atɔ pulse oximeter a wode bedi dwuma wɔ fie. Wubetumi atɔ eyinom afi nnurutɔnbea ahorow, sotɔɔ ahorow bi, anaa wɛbsaet ahorow so.

Dɛn nti na ɛsɛ sɛ mehwɛ oxygen dodow a ɛwɔ me mu?

Ebia wo duruyɛfo bɛpɛ sɛ ɔhwɛ oxygen dodow a ɛwɔ wo mu sɛ wowɔ tebea bi a emu yɛ den mpofirim a. Nhwɛsoɔ:

• Sɛ ɛyɛ den ma wo sɛ wobɛhome a (akokoaa a wɔawo no foforo mpo betumi ayɛ den sɛ ɔbɛhome sɛ wɔyɛ sɔhwɛ yi a).
• Sɛ nnansa yi ara woapira wo ti anaa wo kɔn mu a aka wo home a.
• Sɛ wowɔ coronavirus yareɛ ``(COVID-19)`` a.
• Sɛ wowɔ ahurututu mu yare a .
• Sɛ wowɔ awuduru a wɔfrɛ no carbon monoxide a .
• Sɛ wusiw a wɔhome (`Smoke inhalation injury`) apira wo a.
• Sɛ wowɔ akisikuru a ɛkɔ so daa ne/anaasɛ wofe a.
• Sɛ woanom nnubɔne bi a ɛboro so a.

Afei nso, sɛ wowɔ ahurututu mu yare a edidi so yi mu biara a, wo duruyɛfo betumi ahwɛ oxygen dodow a ɛwɔ wo mu ahwɛ sɛ w’ayaresa no reyɛ adwuma yiye anaa:

• Akisikuru
• COPD `(Ahurututu mu Yare a Ɛnkɔ Anim)`
• Cystic Fibrosis a Ɛyɛ Fɛ
• Koma Yare

Sɛ worenya oxygen ayaresa wɔ ayaresabea a, nnuruyɛfo no bɛhwɛ wo oxygen dodow so daa ahwɛ ahu sɛ worenya oxygen dodow a ɛfata.

So nneɛma bi wɔ hɔ a yebetumi ayɛ wɔ fie de ama oxygen dodow akɔ soro?

Akwan pii wɔ hɔ a wɔfa so ma oxygen dodow a ɛwɔ mogya no mu no yɛ kɛse wɔ awosu mu. Hwɛ mu:

• Mframa pa a wobɛhome: Sɛ wubue mfɛnsere mu anaasɛ wufi abɔnten kɔ nantew a, ɛma mframa pa dodow a ɛkɔ wo nipadua mu no yɛ kɛse. Eyi nso ma oxygen dodow a ɛwɔ wo mogya mu no kɔ soro.
• Sigaretnom a wubegyae: Wɔ adapɛn abien kosi abiɛsa akyi bere a woagyae no, wo mogya a ɛkɔ nipadua no mu no bɛtu mpɔn kɛse. Wɔ asram biako kosi akron mu no, wo home tiaa so bɛtew. Saa nneɛma abien yi nyinaa boa wo nipadua no ma onya mframa pa pii.
• Fa ahomegye apɔw-mu-teɛteɛ yɛ adwuma: Nneɛma nketenkete te sɛ ahome a wode anofafa abɔ mu ne yafunu mu ahome a emu dɔ betumi aboa ma woabue wo mframa kwan na ama oxygen dodow a ɛwɔ wo mogya mu no akɔ soro.

Wubetumi de pulse oximeter ahwɛ wo oxygen dodow wɔ fie na woahwɛ sɛ ebia saa abɔde mu akwan yi ma wo oxygen dodow kɔ soro anaa.

Nanso, ma eyi ntra w’adwenem. Sɛ wowɔ aduruyɛ mu tebea bi a ɛhyɛ wo ase, titiriw nea emu yɛ den te sɛ ahurututu mu yare anaa carbon monoxide awuduru a, ebia saa abɔde mu nnuru yi nkutoo rentumi mma wo oxygen dodow nkɔ baabi a ɛma abotɔyam.

Sɛ worehu hypoxemia , a ɛyɛ oxygen dodow a ɛba fam wɔ mogya no mu ho sɛnkyerɛnne a, kɔ ayaresabea a ɛbɛn wo ntɛm ara sɛnea wubetumi.

Henanom na wɔyɛ oxygen dodow ho nhwehwɛmu yi? Ɔkwan bɛn so na ɛyɛ adwuma?

Mpɛn pii no, ɔhome ho ɔyaresafo bi fa mogya de hwɛ sɛnea oxygen dodow a ɛwɔ wo mu no yɛ ABG nhwehwɛmu no. Wɔfa eyi fi ntini bi a ɛwɔ wo nsateaa mu mu. Afei ɔhome ho ɔyaresafo no sɔ nhwɛsode no hwɛ anaasɛ wɔde kɔ aduruyɛdan mu ntɛm ara. Ɛhɔ no, nyansahufo a wɔyɛ nnuruyɛ mu nhwehwɛmu sɔ hwɛ.

Akwahosan ho ɔyaresafo biara betumi de pulse oximeter adi dwuma de ahwɛ wo oxygen dodow. Wubetumi nso de pulse oximeter adi dwuma wɔ fie, ama w’ankasa anaa obi foforo.

Mogya a wɔtwe ho sɔhwɛ ho nsɛm

Ansa na ɔhome ho ɔyaresafo bi begye mogya afi ntini bi a ɛwɔ wo nsateaa mu mu no, ebia wɔbɛyɛ biribi a wɔfrɛ no Allen nhwehwɛmu . Nea ɛka eyi ho ne sɛ wobɛma wo nsa so na woakɔ so abɔ wo nsateaa. Afei ɔyaresafo no de nhyɛso ba ntini a ɛwɔ wo nsateaa mu no so sikɔne kakraa bi. Saa sɔhwɛ a ɛnyɛ den yi hwɛ sɛ ntini abien a ɛwɔ wo nsateaa mu no abue na ɛreyɛ adwuma yiye anaa.

Sɛ worenya oxygen ayaresa foforo a, ebia wobedum wo oxygen bɛyɛ simma 20 ansa na wɔatwe mogya no. Wɔfrɛ eyi sɛ dan mu mframa sɔhwɛ . Nanso, sɛ wuntumi nhome a oxygen foforo nka ho a, wo duruyɛfo renyɛ nhwehwɛmu yi.

Nea ɛyɛ awerɛhow no, mpɛn pii no, mogya a wɔbɛtwe afi ntini bi mu no betumi ayɛ yaw kakra sen sɛ wɔbɛtwe mogya afi ntini mu. Nea enti a ɛte saa ne sɛ ntini ahorow no mu dɔ sen ntini ahorow na ntini ahorow atwa ho ahyia. Ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra, wo ti ayɛ wo hare, anaasɛ wo ho ayɛ wo yaw bere a wɔretwe mogya no.

Anamɔn a ɛsɛ sɛ wodi akyi bere a wɔrenom mogya na wɔrehwɛ oxygen dodow ne nea edidi so yi:

• Wobɛtena nkongua so anaasɛ wobɛda mpa so. Afei ɔhome ho ɔyaresafoɔ no bɛhunu ntini bi - mpɛn pii no ɛwɔ wo nsateaa mu. Wobetumi de ultrasound nso adi dwuma de ahu ntini no.
• Sɛ wohu ntini no wie a, wɔhohoro baabi a ɛwɔ no na wɔde nnuru a ekum mmoawa gu mu.
• Afei wɔde ade ketewaa bi hyɛ ntini no mu na wogye mogya. Ebia wobɛte ɛyaw a ano yɛ den nka bere a wɔde ade no ahyɛ mu no.
• Bere a wɔde ade no ahyɛ mu wie no, wɔboaboa mogya kakraa bi ano gu syringe mu.
• Sɛ wɔboaboa mogya no ano wie a, woyi ade no na wɔde kotoku anaa gauze bi gu baabi a mogya no retu no ano. Sɛ worenom nnuru a ɛma mogya yɛ mmerɛw a, ebia ebehia sɛ wode nhyɛso gu so simma 5-10 anaa nea ɛboro saa.
• Afei wɔde plaster gu saa beae no. Afei adwuma no yɛ.

Pulse oximeter ho nsɛm a ɛkɔ akyiri

Sɛ wode pulse oximeter hwɛ wo oxygen dodow a, eyinom ne nneɛma a ɛba:

• Wo duruyɛfoɔ twitwa ɛlɛtrɔnik afiri ketewa bi a wɔde plastic a wɔfrɛ no pulse oximeter gu wo nipadua no fã bi so - mpɛn pii no ɛyɛ wo nsateaa ano.
• Oximeter no ma hann soronko bi a wɔfrɛ no infrared hann ba . Ɛfa wo honam ani kɔ mogya a ɛwɔ wo mogya ntini (capillaries) mu no mu. Ɛnyɛ yaw, na worente biribiara nka.
• Afei oximeter no susuw hann dodow a hemoglobin nketenkete a ɛwɔ wo mogya mu no san dan no. Eyi na wɔde kyerɛ oxygen dodow a ɛwɔ wo mogya mu.
• Wɔ sikɔne kakraa bi mu no, oximeter no bɛma woanya nɔma bi a ɛkyerɛ wo koma bɔ ne oxygen dodow.

Wubetumi nso de pulse oximeter adi dwuma wɔ fie. Nanso, ma ɛntra w’adwenem sɛ ebia ɛbɛtew sɛnea pulse oximeter akenkan no yɛ pɛpɛɛpɛ no so esiane nneɛma a edidi so yi nti:

• Nsateaa a worehwehwɛ mu no wɔ nnadewa a wɔde hyɛ so.
• Hann dɔɔso dodo wɔ dan a wode oximeter no redi dwuma no mu.
• Wowosow dodo bere a wode oximeter no redi dwuma no.

Dɛn na sɔhwɛ no mu aba ka?

Mogya mu nhwehwɛmu amanneɛbɔ ahorow a oxygen dodow nhwehwɛmu amanneɛbɔ ka ho no taa kura nsɛm a edidi so yi:

• Mogya nhwehwɛmu no din ne nea wɔsusu wɔ wo mogya mu.
• So nɔma ne susuw a ɛwɔ wo mogya mu nhwehwɛmu aba so no teɛ?
• Ɛno ne susuw a wɔtaa de yɛ sɔhwɛ no.
• Nsɛm a ɛkyerɛ sɛ ebia nea efi mu ba no yɛ nea ɛfata, ɛnyɛ nea ɛfata, ɛba fam, anaasɛ ɛkɔ soro.

Sɛ oxygen dodow a ɛwɔ wo mogya mu no nyɛ nea ɛfata a, ebetumi akyerɛ nea edidi so yi:

• Worennya oxygen a ɛdɔɔso .
• Wonnye mframa bɔne a ɛdɔɔso mfi mu .
• Wo mogya no pH a ɛnkari pɛ (a ɛyɛ acid dodo anaasɛ alkaline dodo).

Sɔhwɛ a ɛkyerɛ oxygen dodow nkutoo ntumi nhu yare pɔtee bi. Sɛ nea efi mu ba no nyɛ nea ɛfata a, wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu foforo de si so dua anaasɛ wɔapow sɛ woahu sɛ wowɔ yare no.

Dɛn ne oxygen dodow a ɛfata?

Ebia lab ahorow benya nea wɔhwehwɛ bere a wɔresusuw mogya mu oxygen dodow a ɛfata no. Sɛ wunya wo mogya mu nhwehwɛmu amanneɛbɔ a, ɛbɛkyerɛ nea ɛyɛ dodow a ɛfata ma susuw biara a efi saa lab no mu. Sɛ wowɔ nsɛmmisa bi fa nea efi mu ba no ho a, hwɛ hu sɛ wubebisa wo duruyɛfo.

Wɔ nnipa dodow no ara fam no, oxygen dodow a ɛfata, sɛnea wɔde pulse oximeter susuw no, yɛ 95% kosi 100%.Aane. Sɛ wowɔ ahurututu mu yare te sɛ COPD anaa ahurututu mu yare a, ebia oxygen dodow a ɛfata no bɛba fam asen eyi. Wo duruyɛfo bɛkyerɛ wo dodow a wogye tom. Sɛ wote mmeae a ɛkorɔn a, ebia mframa pa a ɛwɔ wo mu nso bɛba fam kakra.

Adeɛ a ɛho hia sɛ yɛkae ne sɛ ɛnyɛ berɛ nyinaa na pulse oximeters yɛ pɛpɛɛpɛ 100%. Wo mogya mu oxygen dodow ankasa betumi akɔ soro anaasɛ akɔ fam 2% kosi 4% asen nea oximeter no kyerɛ no. Nea ɛbɛyɛ na woanya nea efi mu ba no pɛpɛɛpɛ no, ebia wo duruyɛfo bɛpɛ sɛ ɔde mogya mu nhwehwɛmu hwɛ oxygen dodow a wowɔ no.

Dɛn ne oxygen dodow a ɛba fam? Dɛn na ɛde ba?

Hypoxemia yɛ tebea a ɛma oxygen dodow a ɛwɔ mogya no mu no sua sen sɛnea ɛte daa. (Wɔ Sinhala kasa mu no, oxygen a ɛba fam wɔ mogya mu). Esiane sɛ oxygen ho hia ma nneɛma a ɛkɔ so wɔ yɛn nipadua mu nyinaa nti, hypoxemia taa yɛ tebea a ɛsɛ sɛ wobu no aniberesɛm. Dodow a oxygen dodow kɔ fam no, dodow no ara na asiane a ɛwɔ hɔ sɛ ɛbɛsɛe nipadua no ntini ne akwaa ahorow no yɛ kɛse.

Ayaresa mu tebea horow ne tebea horow betumi asiw wo nipadua no kwan sɛ ɛremfa oxygen dodow a ɛfata nkɔ wo mogya mu. Nneɛma bi a ɛtaa ma oxygen dodow a ɛba mogya mu (hypoxemia) ni:

• Koma mu yare
• Ahurututu mu nyarewa (sɛ nhwɛso no, ayamtu, ahurututu mu yare, ahurututu mu yare) .
• Nnuru a ano yɛ den bi a wɔde kum ɛyaw anaa ɔhaw afoforo a ɛma obi home brɛoo
• Sleep Apnea (ɛyɛ den sɛ wobɛhome bere a woada) .
• W’ahurututu mu ntini a ɛyɛ hyew anaa akuru
• Sɛ wɔtra mmeae a ɛkorɔn (baabi a oxygen kakraa bi na ɛwɔ wim) .

Sɛ oxygen dodow a ɛwɔ wo mogya mu no sua a, wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu foforo na ama wɔahu nea ɛde ba. Sɔhwɛ a ɛkyerɛ wo oxygen dodow nkutoo ntumi nhu nea ɛde ba.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wode pulse oximeter redi dwuma wɔ fie a, frɛ wo duruyɛfo sɛ wo oxygen dodow yɛ 92% anaa nea ɛba fam a. Sɛ ɛyɛ 88% anaa nea ɛba fam a, kɔ baabi a ɛbɛn hɔ a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara sɛnea wubetumi.

Sɛ wowɔ ahurututu mu yare a ɛkyɛ te sɛ COPD anaa ayamtu a, ɛho behia sɛ wokɔ oduruyɛfo nkyɛn daa na ama woahwɛ ahu sɛ w’ayaresa no reyɛ adwuma yiye. Sɛ wunya sɛnkyerɛnne biara a ɛhaw adwene a ɛfa w’ahurututu mu yare no ho a, wo ne wo duruyɛfo nkasa ntɛm ara sɛnea wubetumi.

So oxygen dodow a ɛba fam no yɛ COVID-19 ho sɛnkyerɛnne?

Covid-19COVID-19 nka obiara pɛ. Nnipa a wɔanya yareɛ no wɔ nsɛnkyerɛnneɛ ahodoɔ - ebinom wɔ nsɛnkyerɛnneɛ a ɛnyɛ den koraa, ebinom nso wɔ yareɛ a emu yɛ den. Nnipa binom a wonya COVID-19 - nanso ɛnyɛ wɔn nyinaa - wɔ mogya mu oxygen dodow a ɛba fam. Esiane sɛ wowɔ sɛnkyerɛnne afoforo na wo oxygen dodow yɛ nea ɛfata nti, ɛnkyerɛ sɛ wunni COVID-19. Afei nso, sɛ wo oxygen dodow sua mpo a, wobɛda so ara betumi anya COVID-19.

Ɔkwan baako pɛ a wobɛfa so ahu sɛ wowɔ COVID-19 ne sɛ wobɛkɔ akɔyɛ nhwehwɛmu. Bere a ɛtɔ mmere bi a ofie pulse oximeter betumi aboa no, ɛwɔ anohyeto ahorow na ɛkyerɛ w’akwahosan fã ketewaa bi pɛ. Mfa wo ho nto oximeter nko ara so mfa nhu COVID-19.

Sɛ wowɔ COVID-19 ho sɛnkyerɛnne a, kɔ wo duruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ oxygen sua wɔ mogya no mu?

Nsɛnkyerɛnne a ɛkyerɛ sɛ oxygen dodow a ɛba mogya mu (Hypoxemia) no gu ahorow wɔ onipa biara mu, na egyina sɛnea tebea no mu yɛ den so. Ebia nea ɛka ho ne:

• Tipaeɛ
• Ahome a ɛyɛ tiaa
• Koma a ɛbɔ ntɛmntɛm
• Ɛwa
• Ahomegye a ɛyɛ hu
• Kesereneeyɛ
• Bruu bi a ɛwɔ wo honam ani, wo nnadewa, ne/anaasɛ w’anofafa so .
• Cherry kɔkɔɔ kɔla a ɛba wo honam ani, wo nnadewa, ne/anaasɛ w’anofafa so (eyi yɛ carbon monoxide awuduru ho sɛnkyerɛnne).

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Gye sɛ wowɔ akwahosan tebea bi a ɛda adi a ɛka sɛnea wutumi twetwe mframa pa no, enhia sɛ wohwɛ mframa pa dodow a ɛwɔ wo mogya mu bere nyinaa. Bere a ɛtɔ mmere bi a ofie pulse oximeter betumi aboa no, ɛnyɛ pɛpɛɛpɛ te sɛ mogya mu nhwehwɛmu. Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ mframa pa a ɛwɔ wo mogya mu no so tew, te sɛ ɛyɛ den sɛ wobɛhome a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.

` Mogya mu oxygen dodow, oxygen, hypoxemia, pulse oximeter, ABG nhwehwɛmu, ahome a ɛyɛ tiaa, ahurututu mu yare