Makemake ʻoe e ʻike i ka pae oxygen o kou koko? E kamaʻilio maʻalahi kākou e pili ana i kēia!

I kēia lā, e kamaʻilio kākou e pili ana i kahi mea nui loa i ko kākou kino. ʻO ia ke kiʻekiʻe o ka oxygen i loko o ko kākou koko. Ua lohe paha ʻoe i nā kauka e kamaʻilio ana e pili ana i kēia, a i ʻole e hoʻokomo lākou i kahi mīkini liʻiliʻi i loko o kou manamana lima a nānā. No laila, he aha kēia? No ke aha he mea nui loa? E nānā kākou.

He aha ka pae o ka oxygen i loko o ke koko?

I ka ʻōlelo maʻalahi, ʻo ka pae oxygen i ke koko , a i ʻole ka saturation oxygen i ke koko, ʻo ia ka nui o ka oxygen i loko o kou koko.

Ua ʻike kākou a pau he mea nui ka oxygen no ke ola. Pono ko kākou kino i kahi nui o ka oxygen e hana pono ai. Ke hanu kākou (ʻo ia hoʻi, e hanu i loko), hele ka oxygen e komo ana ma o ko kākou ihu a waha paha ma o ko kākou mau māmā a hoʻohui ʻia i ko kākou koko. Mai laila mai, hele pū kēia oxygen me ke koko i nā ʻāpana ma ke kino holoʻokoʻa. E noʻonoʻo wale, pono kēlā me kēia ʻāpana liʻiliʻi i loko o ko kākou kino i ka oxygen e hana i ka ikehu. ʻO kēia ikehu ka mea a kākou e hoʻohana ai no nā mea āpau mai ka ʻeli ʻana i ka meaʻai a hiki i ka noʻonoʻo ʻana a hiki i ka hele wāwae ʻana.

Ma hope o ka hoʻohana ʻana o nā ʻāpana i ka oxygen, hoʻokuʻu lākou i ke kalapona ʻokikene . Eia hou, lawe ko kākou koko i kēia kalapona ʻokikene a lawe iā ia i nā māmā. A laila, i ka wā e hanu ai kākou (exhale), hoʻokuʻu ʻia.

Hoʻoponopono ko mākou kino i nā pae oxygen i loko o ko mākou koko ma ke ʻano kū hoʻokahi. No ka mea, ʻo ka haʻahaʻa o ka pae oxygen i loko o ke koko, i kapa ʻia ʻo hypoxemia , hiki ke alakaʻi i nā maʻi koʻikoʻi loa. Hiki iā ia ke hōʻino i nā ʻōpū koʻikoʻi e like me ko mākou lolo a me ka puʻuwai. ʻO ka haʻahaʻa o ka pae oxygen i loko o ke koko hiki ke manaʻo ʻaʻole hana pono kou mau māmā a i ʻole ka ʻōnaehana kahe koko.

Pehea ʻoe e ana ai i kēia pae oxygen?

ʻElua ala nui e ana ai i nā pae oxygen. ʻO kekahi ma ka lawe ʻana i kahi hāpana koko. ʻO kekahi ma ka hoʻohana ʻana i kahi mea liʻiliʻi i kapa ʻia he pulse oximeter . Eia nō naʻe, hiki i kahi hoʻāʻo koko ke hāʻawi i ka ʻike hou aku ma mua o ka oximeter.

Hoʻāʻo koko

Hiki i nā kauka ke ana i ka pae oxygen i loko o kou koko ma ke ʻano he ʻāpana o kahi hoʻāʻo nui aʻe. Ua kapa ʻia kēia he hoʻāʻo kinoea koko arterial , a i ʻole ka hoʻāʻo ABG . Ana kēia i nā pae o ka oxygen a me ke kalapona dioxide i loko o kou koko. Nānā pū ia i ke kaulike acid-base, a i ʻole pH , o kou koko. ʻO nā pae kiʻekiʻe a me nā pae haʻahaʻa o ka acidity i loko o kou koko he mea ʻino ia no kou olakino.

ʻO ka Pulse Oximetry

Hiki i kahi pulse oximeter ke ana i ka nui o ka oxygen i loko o kou koko. He ʻūmiʻi liʻiliʻi ia āu e ʻūmiʻi ai i kou manamana lima a manamana wāwae paha. Hōʻike ka heluhelu ma ka oximeter i ka pakeneka o kou koko i piha i ka oxygen. Ua kapa ʻia kēia ʻo kou pae SpO2.Hōʻike pū ia i kou helu puʻuwai. He ala wikiwiki kēia, ʻaʻole invasive e nānā ai inā haʻahaʻa nā pae oxygen koko o kekahi.

Hoʻohana pinepine nā kauka ma nā haukapila i kēia mau pulse oximeters. Hiki iā ʻoe ke kūʻai i kahi pulse oximeter no ka hoʻohana ʻana ma ka home. Hiki iā ʻoe ke kūʻai i kēia mau mea mai nā hale kūʻai lāʻau lapaʻau, kekahi mau hale kūʻai, a i ʻole nā ​​​​​​pūnaewele.

No ke aha e pono ai iaʻu e nānā i kaʻu pae oxygen?

Makemake paha kāu kauka e nānā i kāu pae oxygen inā loaʻa iā ʻoe kahi maʻi koʻikoʻi koke. Eia kekahi laʻana:

• Inā pilikia ʻoe i ka hanu ʻana (hiki i kahi pēpē hānau hou ke pilikia i ka hanu ʻana inā hana ʻia kēia hoʻāʻo).
• Inā ua loaʻa iā ʻoe kahi ʻeha ma kou poʻo a ʻāʻī paha i hoʻopilikia i kou hanu ʻana.
• Inā loaʻa iā ʻoe ka maʻi coronavirus "(COVID-19)".
• Inā loaʻa iā ʻoe ka maʻi niumonia .
• Inā loaʻa iā ʻoe ka lāʻau make carbon monoxide .
• Inā ua ʻeha ʻoe i ka hanu ʻana i ka uahi ('ʻeha hanu uahi').
• Inā loaʻa iā ʻoe ka nausea a me/a i ʻole ka luaʻi mau ʻana.
• Inā ua lawe ʻoe i kahi overdose lāʻau lapaʻau.

Eia kekahi, inā loaʻa iā ʻoe kekahi o nā maʻi māmā, e nānā paha kāu kauka i kāu pae oxygen e ʻike ai inā e hana pono ana kāu lāʻau lapaʻau:

• Asthma
• COPD `(Maʻi ʻŌpikipikiʻo Mau Loa)`
• ʻO ka Fibrosis Cystic
• Maʻi puʻuwai

Inā ʻoe e loaʻa ana i ka lāʻau lapaʻau oxygen ma ka haukapila, e nānā mau nā limahana lapaʻau i kāu pae oxygen e hōʻoia i ka loaʻa ʻana o ka nui kūpono o ka oxygen.

Aia kekahi mau mea hiki iā mākou ke hana ma ka home e hoʻonui ai i nā pae oxygen?

Aia kekahi mau ala e hoʻonui ai i ka nui o ka oxygen i loko o ke koko ma ke ʻano kūlohelohe. E nānā iā ia:

• Ka hanu ʻana i ka ea hou: ʻO ka wehe ʻana i nā puka makani a i ʻole ka hele wāwae ʻana i waho e hoʻonui i ka nui o ka oxygen e komo ana i kou kino. Hoʻonui pū kēia i ka pae oxygen i loko o kou koko.
• Ka haʻalele ʻana i ka puhipaka: I loko o ʻelua a ʻekolu pule o ka haʻalele ʻana, e holomua nui ana ke kahe o ke koko. I loko o hoʻokahi a ʻeiwa mahina, e emi ana kou hanu pōkole. Kōkua kēia mau mea ʻelua i kou kino e loaʻa ka oxygen hou aku.
• E hoʻomaʻamaʻa i nā hoʻomaʻamaʻa hanu: ʻO nā mea maʻalahi e like me ka hanu ʻana me ka lehelehe pursed a me ka hanu ʻōpū hohonu e hiki ke kōkua i ka wehe ʻana i kou mau ala ea a hoʻonui i ka nui o ka oxygen i loko o kou koko.

Hiki iā ʻoe ke nānā i kāu pae oxygen ma ka home me ka hoʻohana ʻana i ka pulse oximeter a ʻike inā hoʻonui kēia mau ʻano kūlohelohe i kāu pae oxygen.

Eia nō naʻe, e hoʻomanaʻo i kēia. Inā loaʻa iā ʻoe kahi maʻi olakino ma lalo, ʻoi aku hoʻi kahi maʻi koʻikoʻi e like me ka pneumonia a i ʻole ka lāʻau make carbon monoxide, ʻaʻole hiki i kēia mau lāʻau lapaʻau kūlohelohe wale nō ke lawe mai i kāu pae oxygen i kahi pae kūpono.

Inā ʻoe e ʻike nei i nā hōʻailona o ka hypoxemia , ʻo ia hoʻi ka haʻahaʻa o ka oxygen i loko o ke koko, e hele i ka haukapila kokoke loa i ka hikiwawe loa.

ʻO wai ka mea e hana i kēia mau hoʻāʻo pae oxygen? Pehea e hana ai?

ʻO ka maʻamau, lawe kahi kauka hanu i kahi hāpana koko e nānā i kou pae oxygen no ka hoʻāʻo ABG. Lawe ʻia kēia mai kahi aʻa koko ma kou pulima. A laila hoʻāʻo koke ʻia ka hāpana e ka kauka hanu a hoʻouna ʻia paha i kahi keʻena hoʻokolohua. Ma laila, hoʻāʻo nā kānaka ʻepekema keʻena hoʻokolohua lapaʻau.

Hiki i kekahi mea mālama ola ke hoʻohana i kahi pulse oximeter e nānā i kāu mau pae oxygen. Hiki iā ʻoe ke hoʻohana i kahi pulse oximeter ma ka home, no ʻoe iho a no kekahi paha.

Nā kikoʻī o ka hoʻāʻo ʻana i ke koko

Ma mua o ka lawe ʻana o kahi mea lapaʻau hanu i ke koko mai kahi aʻa i loko o kou pulima lima, hiki iā lākou ke hana i kahi mea i kapa ʻia ʻo ka hoʻāʻo Allen . Pili kēia i ka hāpai ʻana i kou lima a me ka mālama ʻana i kou pulima lima i ke kūlou. A laila e kau ke kauka lapaʻau i ke kaomi i ke aʻa i loko o kou pulima lima no kekahi mau kekona. Nānā kēia hoʻāʻo maʻalahi e ʻike inā ua wehe ʻia nā aʻa ʻelua i loko o kou pulima lima a hana pono.

Inā ʻoe e loaʻa ana i ka lāʻau lapaʻau oxygen pākuʻi, hiki ke pio ʻia kāu oxygen ma kahi o 20 mau minuke ma mua o ke kaha koko. Ua kapa ʻia kēia he hoʻāʻo ea lumi . Eia nō naʻe, inā ʻaʻole hiki iā ʻoe ke hanu me ka ʻole o ka oxygen pākuʻi, ʻaʻole e hana kāu kauka i kēia hoʻāʻo.

ʻO ka mea pōʻino, ʻo ka huki ʻana i ke koko mai kahi aʻa koko hiki ke ʻoi aku ka ʻeha ma mua o ka huki ʻana i ke koko mai kahi aʻa koko. ʻO kēia no ka mea ʻoi aku ka hohonu o nā aʻa koko ma mua o nā aʻa koko a ua hoʻopuni ʻia e nā aʻalolo. Hiki iā ʻoe ke manaʻo iki i ka poniuniu, ka māmā o ke poʻo, a i ʻole ka luaʻi i ka wā e huki ʻia ai ke koko.

Eia nā hana e hahai ai i ka wā e lawe ai i ke koko a me ka nānā ʻana i nā pae oxygen:

• E noho ʻoe ma kahi noho a moe paha ma kahi moe. A laila e ʻike ka mea lapaʻau hanu i kahi aʻa - ma ka ʻaoʻao o loko o kou pulima. Hiki ke hoʻohana ʻia kahi ultrasound e ʻike i ke aʻa.
• Ke loaʻa ka aʻa, hoʻomaʻemaʻe ʻia a disinfect ka ʻāina.
• A laila hoʻokomo ʻia kahi nila liʻiliʻi i loko o ke aʻa a lawe ʻia kahi hāpana koko. Hiki iā ʻoe ke ʻeha nui i ka wā e hoʻokomo ʻia ai ka nila.
• Ma hope o ke kau ʻana i ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi syringe.
• Ke hōʻiliʻili ʻia ke koko, wehe ʻia ke kui a hoʻopili ʻia kahi ʻāpana pulupulu a gauze paha ma kahi e hoʻōki ai i ke kahe ʻana o ke koko. Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko, pono paha ʻoe e kaomi no 5-10 mau minuke a ʻoi aku paha.
• A laila ua hoʻopili ʻia kahi palaki ma kēlā wahi. A laila ua pau ka hana.

Nā kikoʻī o ka pulse oximeter

Ke nānā ʻoe i kāu pae oxygen me ka pulse oximeter, eia nā mea e hana ʻia:

• Hoʻopaʻa kāu kauka i kahi mea uila liʻiliʻi, plastik i kapa ʻia he pulse oximeter i kahi ʻāpana o kou kino - ʻo ia hoʻi ka piko o kou manamana lima.
• Hoʻopuka ka oximeter i kahi ʻano kukui kūikawā i kapa ʻia he kukui infrared . Hele ia ma kou ʻili a i loko o ke koko i loko o kou mau kīʻaha koko (capillaries). ʻAʻole ia e ʻeha, a ʻaʻole ʻoe e manaʻo i kekahi mea.
• A laila, ana ka oximeter i ka nui o ke kukui i hoʻihoʻi ʻia e nā ʻāpana hemoglobin i loko o kou koko. Hoʻohana ʻia kēia e hoʻoholo i ka pae o ka oxygen i loko o kou koko.
• I loko o kekona kekona, e hāʻawi ka oximeter iā ʻoe i kahi helu e hōʻike ana i kou helu puʻuwai a me ka pae oxygen.

Hiki nō hoʻi iā ʻoe ke hoʻohana i ka pulse oximeter ma ka home. Eia nō naʻe, e hoʻomanaʻo e hiki ke emi ka pololei o ka heluhelu ʻana o ka pulse oximeter ma muli o kēia mau kumu:

• Aia ka pena kui ma ka manamana lima āu e nānā nei.
• Nui loa ka mālamalama i loko o ka lumi kahi āu e hoʻohana ai i ka oximeter.
• Ka haʻalulu nui ʻana i ka wā e hoʻohana ai i ka oximeter.

He aha ka ʻōlelo a nā hopena o ka hoʻāʻo?

ʻO nā hōʻike hoʻāʻo koko, me nā hōʻike hoʻāʻo pae oxygen, aia mau i kēia mau ʻike:

• ʻO ka inoa o ka hoʻāʻo koko ka mea i ana ʻia i loko o kou koko.
• Ua pololei anei ka helu a me ke ana ma kāu hopena hoʻāʻo koko?
• ʻO ia ka pae ana maʻamau no ka hoʻāʻo.
• ʻIke e hōʻike ana inā he maʻamau, ʻano ʻē, haʻahaʻa, a kiʻekiʻe paha kāu hopena.

Inā ʻaʻole maʻamau kou pae oxygen koko, hiki ke ʻano o kēia:

• ʻAʻole lawa ka oxygen iā ʻoe.
• ʻAʻole ʻoe e hanu nui ana i ke kalapona ʻokikene .
• He pH kaulike ʻole ko kou koko (ʻoi aku ka waikawa a i ʻole ka alkaline).

ʻAʻole hiki i kahi hoʻokolohua e ana wale ana i nā pae oxygen ke ʻike i kahi maʻi kikoʻī. Inā ʻokoʻa kāu mau hopena, e kauoha kāu kauka i nā hoʻokolohua hou aʻe e hōʻoia a kāpae paha i kahi hōʻailona.

He aha ka pae oxygen maʻamau?

Hiki i nā keʻena hoʻokolohua like ʻole ke loaʻa nā pae maʻamau like ʻole no ka mea a lākou e nānā ai i ke ana ʻana i nā pae oxygen koko. Ke loaʻa iā ʻoe kāu hōʻike hoʻāʻo koko, e haʻi ʻia nā pae maʻamau no kēlā me kēia ana mai kēlā keʻena hoʻokolohua. Inā he mau nīnau kāu e pili ana i kāu mau hopena, e ʻoluʻolu e nīnau i kāu kauka.

No ka hapanui o nā kānaka, ʻo nā pae oxygen maʻamau, e like me ke ana ʻia e ka pulse oximeter, ma waena o 95% a me 100%.ʻAe. Inā loaʻa iā ʻoe kahi maʻi māmā e like me COPD a i ʻole ka maʻi pneumonia, ʻoi aku ka haʻahaʻa o kāu pae oxygen maʻamau ma mua o kēia. E haʻi aku kāu kauka iā ʻoe i nā pae i ʻae ʻia. Inā noho ʻoe ma kahi kiʻekiʻe, ʻoi aku ka haʻahaʻa o kāu pae oxygen.

ʻO ka mea nui e hoʻomanaʻo ai, ʻaʻole pololei mau nā pulse oximeters i nā manawa a pau. Hiki i kou pae oxygen koko maoli ke 2% a 4% kiʻekiʻe a haʻahaʻa paha ma mua o ka mea i hōʻike ʻia e ka oximeter. No ka loaʻa ʻana o kahi hopena pololei, makemake paha kāu kauka e nānā i kou pae oxygen me kahi hoʻāʻo koko.

He aha nā pae oxygen haʻahaʻa? He aha nā kumu?

ʻO ka Hypoxemia kahi kūlana i haʻahaʻa ai ka pae oxygen i loko o ke koko ma mua o ka maʻamau. (Ma ka ʻōlelo Sinhala, haʻahaʻa ka oxygen i loko o ke koko). ʻOiai he mea nui ka oxygen no nā kaʻina hana āpau i loko o ko mākou kino, ʻo ka hypoxemia pinepine kahi kūlana e pono ai ke lawe koʻikoʻi. ʻO ka haʻahaʻa o ka pae oxygen, ʻoi aku ka nui o ka pilikia o ka hōʻino ʻana i nā ʻiʻo a me nā ʻōpū o ke kino.

Hiki i nā ʻano maʻi like ʻole ke pale i kou kino mai ka hāʻawi ʻana i nā pae maʻamau o ka oxygen i kou koko. Eia kekahi mau kumu maʻamau o nā pae oxygen koko haʻahaʻa (hypoxemia):

• Maʻi puʻuwai
• Nā maʻi o ka māmā (e.g. hānō, emphysema, bronchitis)
• ʻO kekahi mau mea hoʻomaha ʻeha ikaika a i ʻole nā ​​​​pilikia ʻē aʻe e hoʻolohi ai i ka hanu ʻana
• ʻO ka Apnea hiamoe (paʻakikī ka hanu ʻana i ka wā hiamoe)
• Ka mumū a i ʻole ka ʻeha o kou ʻiʻo māmā
• Noho ma nā wahi kiʻekiʻe (kahi i emi ai ka oxygen i ka lewa)

Inā haʻahaʻa kou pae oxygen i ke koko, e kauoha kāu kauka i nā hoʻokolohua hou aʻe e ʻike i ke kumu. ʻAʻole hiki i kahi hoʻokolohua e ana i kou pae oxygen wale nō ke hoʻoholo i ke kumu.

Āhea wau e ʻike ai i ke kauka?

Inā ʻoe e hoʻohana ana i ka pulse oximeter ma ka home, e kelepona i kāu kauka inā he 92% a haʻahaʻa paha kou pae oxygen. Inā he 88% a haʻahaʻa paha, e hele i ka lumi pilikia kokoke loa i ka hikiwawe loa.

Inā loaʻa iā ʻoe kahi maʻi māmā lōʻihi e like me COPD a i ʻole ka hānō, pono ʻoe e ʻike pinepine i ke kauka e hōʻoia i ka hana pono ʻana o kāu lāʻau. Inā loaʻa iā ʻoe kekahi mau hōʻailona hopohopo e pili ana i kou maʻi māmā, e kamaʻilio me kāu kauka i ka hikiwawe loa.

He hōʻailona anei ka haʻahaʻa o ka oxygen o COVID-19?

Covid-19ʻAʻole like ka hopena o COVID-19 i nā kānaka a pau. He ʻokoʻa nā hōʻailona o ka poʻe i loaʻa i ka maʻi - he mau hōʻailona iki ko kekahi, he maʻi koʻikoʻi ko kekahi. ʻO kekahi poʻe i loaʻa i ka COVID-19 - akā ʻaʻole nā ​​​​mea a pau - he haʻahaʻa ko lākou pae oxygen i ke koko. ʻOiai he mau hōʻailona ʻē aʻe kou a he maʻamau kou pae oxygen, ʻaʻole ia he manaʻo ʻaʻole ʻoe he COVID-19. Eia kekahi, hiki nō iā ʻoe ke loaʻa i ka COVID-19 ʻoiai inā haʻahaʻa kou pae oxygen.

ʻO ke ala wale nō e ʻike pono ai inā he COVID-19 kou, ʻo ia ke hoʻāʻo ʻia. ʻOiai hiki i kahi oximeter pulse home ke kōkua i kekahi manawa, he mau palena kona a hōʻike wale i kahi hapa liʻiliʻi o kou olakino. Mai hilinaʻi i kahi oximeter wale nō e ʻike ai i ka COVID-19.

Inā loaʻa iā ʻoe nā hōʻailona o COVID-19, e ʻike koke i kāu kauka.

He aha nā hōʻailona o ka haʻahaʻa o ka oxygen i loko o ke koko?

ʻOkoʻa nā hōʻailona o ka haʻahaʻa o ka oxygen koko (Hypoxemia) mai kēlā kanaka a kēia kanaka, ma muli o ke koʻikoʻi o ke kūlana. Hiki iā lākou ke komo pū me:

• ʻEha poʻo
• Pōkole o ka hanu
• Ka wikiwiki o ka puʻuwai
• Kuke
• Hanu ʻana
• Ka huikau
• He waihoʻoluʻu polū i kou ʻili, nā kui, a me/a i ʻole nā ​​lehelehe .
• He kala ʻulaʻula i kou ʻili, nā kui, a/a i ʻole nā ​​lehelehe (he hōʻailona kēia o ka lāʻau make kalapona monoxide).

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Inā ʻaʻole ʻoe he maʻi olakino e hoʻopilikia ana i kou hiki ke omo i ka oxygen, ʻaʻole pono ʻoe e nānā mau i kou pae oxygen koko. ʻOiai hiki i kahi oximeter pulse home ke kōkua i kekahi manawa, ʻaʻole ia e like me ka pololei o kahi hoʻāʻo koko. Inā loaʻa iā ʻoe nā hōʻailona o nā pae oxygen koko haʻahaʻa, e like me ka paʻakikī o ka hanu ʻana, e ʻike pono i kāu kauka i ka hikiwawe loa.

Pae oxygen koko, oxygen, hypoxemia, pulse oximeter, hoʻāʻo ABG, pōkole o ka hanu, maʻi māmā