Ke polū nei kou ʻili? E kamaʻilio kākou e pili ana i ka cyanosis!

Ua ʻike anei ʻoe i ka ʻili, nā lehelehe, a i ʻole nā ​​​​kui o kekahi poʻe e polū ana? A i ʻole ua ʻike pū ʻoe. ʻO kēia ka mea i kapa ʻia ʻo cyanosis i ka lāʻau lapaʻau. He aha maoli ka cyanosis? No ke aha e hana ai kēia? E kamaʻilio kākou e pili ana i kēia lā, e like me ke kamaʻilio ʻana me kahi hoaaloha.

He aha ka cyanosis? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ka cyanosis ka wā e lilo ai kou ʻili, lehelehe, a i ʻole nā ​​​​kui lima i ʻano polū ke emi ka nui o ka oxygen i loko o kou koko. Inā he ʻeleʻele kou ʻili, ʻike nui ʻia kēia ʻano polū ma kou mau lehelehe, nā ʻāʻī, nā kui, a puni kou mau maka. Loaʻa ka huaʻōlelo 'cyanosis' mai ka huaʻōlelo 'cyan'. He kala polū-ʻōmaʻomaʻo ka Cyan.

E noʻonoʻo i kēia ʻano. ʻO ka maʻamau, lawe ko mākou mau hunaola koko ʻulaʻula i ka oxygen i kēlā me kēia ʻāpana o ko mākou kino, i kēlā me kēia ʻiʻo. Ke lawa ka oxygen i kēia mau hunaola koko ʻulaʻula, he ʻulaʻula ʻālohilohi lākou. E like me kahi cherry pala maikaʻi. No laila, i ka wā e hele ai kēia koko oxygen i loko o ko mākou kino, lilo ko mākou ʻili i kala poni a ʻulaʻula māmā paha. ʻO ia ke ʻano o kahi hiʻohiʻona olakino.

Eia nō naʻe, inā no kekahi kumu ʻaʻole lawa ka oxygen i ke koko, ʻo ia hoʻi, inā haʻahaʻa ka pae oxygen, e ʻeleʻele iki kēlā koko ʻulaʻula ʻālohilohi, e like me ka poni polū . No laila, ke kaʻapuni kēia koko ʻeleʻele me ka oxygen liʻiliʻi i loko o ke kino, hoʻomaka ka ʻili, nā lehelehe, a me nā kui e nānā polū. ʻO ka ʻike ʻana i kahi i nui loa ai kēia kala polū i loko o ke kino hiki ke kōkua iā mākou e ʻike i ke kumu o ia mea.

He aha ke ʻano o ka cyanosis? He koʻikoʻi anei?

ʻO ka cyanosis kahi hōʻailona ʻaʻole i loaʻa i kāu mau ʻōpū, nā ʻiʻo, a me nā ʻiʻo ʻē aʻe ka lawa o ka oxygen e hana pono ai . Ua like ia me kahi lāʻau e mae ana me ka wai ʻole. ʻAʻole hiki i ko mākou kino ke hana me ka ʻole o ka oxygen.

Nui nā ʻano maʻi like ʻole a me nā kumu e hiki ai ke hoʻoulu i kēia ʻano cyanosis. I kekahi manawa, hiki i ka ʻili polū a me nā lehelehe polū ke lilo i mea maʻamau a ʻino ʻole. No ka laʻana, hiki ke hana ʻia ke loaʻa iā ʻoe ke anu nui. Eia nō naʻe, aia kekahi mau ʻano maʻi i hiki ke koʻikoʻi e pono ai ka mālama lapaʻau ulia pōpilikia . No laila, inā ʻike ʻoe i ka hōʻailona o ka cyanosis, ʻaʻole maikaʻi ke lawe māmā ʻia.

ʻO ke kumu o ka cyanosis e pili nui ana i ko kākou mau māmā, puʻuwai, a i ʻole ke kikowaena o ke kino (ʻo ia hoʻi, ka lolo a me ke kaula kuamoʻo).

He aha nā ʻano cyanosis?

ʻEkolu ʻano nui o ka cyanosis. E nānā kākou i ko lākou ʻano:

1. Polū wale nō a puni ka waha - Circumoral Cyanosis

ʻO kēia ka manawa e polū ai kou mau lehelehe wale nō a i ʻole a puni kou waha.I kekahi manawa ua kapa ʻia kēia he cyanosis perioral.

E noʻonoʻo i kahi pēpē, inā loaʻa iā ia kahi anu iki, e lilo paha kona mau lehelehe i polū. He mea maʻamau kēia no nā pēpē hānau hou , no laila ʻaʻole ia he mea e hopohopo ai. Ua ʻike anei ʻoe i ke aha? Ke hoʻopilikia ʻia mākou e ke anu, ʻūlū iki nā kīʻaha koko liʻiliʻi i loko o ko mākou kino, a mākou e kapa nei he mau kīʻaha koko. A laila emi iki ke kahe o ke koko, a no laila e emi ana ka lako o ka oxygen. ʻO ia ke kumu e polū ai nā lehelehe.

ʻOiai nā keiki makua, no ka laʻana, i ka wā e pāʻani ana ma waho i kahi lā anuanu loa, a i ʻole i ke anu ʻana i ke kakahiaka nui ma kahi e like me Nuwara Eliya, hiki ke polū ko lākou mau lehelehe. Nalo pinepine kēia ma hope o kekahi manawa ke mahana ke kino.

2. Polū o nā lālā - Peripheral Cyanosis

Ma kēia ʻano , ʻo nā lima, nā manamana lima, nā manamana wāwae, a me/a i ʻole nā ​​manamana wāwae wale nō e polū. Ua noho anei ʻoe i kahi anuanu loa a ʻaʻole i ʻaʻahu ʻia nā socks a i ʻole nā ​​​​socks? Hiki i kou mau lima a me kou mau wāwae ke polū a manaʻo he mae. ʻO ia ka mea like.

ʻAʻole kēia he mea hoʻoweliweli i ke ola . Eia nō naʻe, he mea nui e ʻike i ke kumu o ia mea, no ka mea, i kekahi manawa, pono e mālama koke ʻia ke kumu kumu. A i ʻole, hiki ke hōʻino mau loa ʻia.

3. Ke polū nei ma ke kino holoʻokoʻa - Cyanosis Waena

He kūlana kēia i ʻoi aku ka koʻikoʻi ma mua o nā ʻano ʻelua ʻē aʻe . I ka cyanosis waena, me nā lālā, e lilo pū kekahi mau ʻāpana o ke kino i polū . No ka laʻana, nā wahi e like me ka umauma, nā papālina, ke alelo, nā ʻāʻī, a me nā lehelehe.

Hoʻokumu pinepine ʻia kēia e nā maʻi koʻikoʻi o ka puʻuwai, nā māmā, a i ʻole ke koko . No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea nui loa ia e ʻimi koke i ke kōkua lapaʻau .

He aha nā hōʻailona o ka cyanosis?

ʻO ka hōʻailona nui ka ʻili polū . Hiki ke ʻike ʻia kēia ʻili polū ma kou mau lehelehe, alelo, ʻāʻī, pepeiao, a me nā kui.

Inā he ʻili ʻeleʻele kou, hiki ke ʻike ʻia ka cyanosis he hina a keʻokeʻo paha. ʻIke nui ʻia ia ma nā lehelehe, ke alelo, nā ʻāʻī, nā kui lima, a puni nā maka.

No ka mea, ʻo ka cyanosis he hōʻailona maʻamau ia o kekahi maʻi ʻē aʻe, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe ma muli o ke kumu. ʻO kekahi o lākou:

• Haʻahaʻa o ke kino (Hypothermia)
• ʻO ka numbness a i ʻole ke kani ʻana o ka ʻili ma nā lima a me nā wāwae
• Kuke
• Wheezing ( he leo e puka mai ana mai ka lua o ka umauma i ka wā e hanu ana)
• Paʻakikī ka hanu ʻana
• Pōʻino
• Manaʻo luhi loa (Fatigue)
• Nāwaliwali

Pehea ke ʻano o ka cyanosis?

Ma muli o ke ʻano o ka cyanosis āu e loaʻa ai, hiki i kou ʻili, lehelehe, alelo, ʻāʻī, maka, a i ʻole nā ​​​​kui ke ʻike ʻia i nā ʻano uliuli a poni paha . E like me ka mea i ʻōlelo ʻia ma mua, inā he ʻili ʻeleʻele kou, hiki ke ʻike ʻia he keʻokeʻo a hina paha .

He aha nā kumu o ka cyanosis?

ʻO ke kumu nui o ka cyanosis ʻaʻole lawa ka oxygen i loko o kou koko . Hiki ke hana ʻia kēia e ʻelua mau mea: ʻo kou koko paha he haʻahaʻa maoli ka oxygen, a i ʻole ua hōʻike ʻia kou mau kīʻaha koko i ke anu nui.

E noʻonoʻo e pili ana i ia mea, ua mālama ʻia ko kākou mau ʻōpū a me nā ʻāpana kino i ka mahana e ke kahe ʻana o ke koko i loko o ko kākou kino. Eia nō naʻe, inā anuanu loa ke kaiapuni, i mea e mālama ai i ka mahana o ko kākou kino ma kahi pae maʻamau, ʻūlū nā kīʻaha koko i loko o ko kākou mau lima, nā wāwae, a me nā pepeiao. Hoʻēmi kēia i ke kahe ʻana o ke koko, a hiki ke alakaʻi i kahi kala polū.

Nui nā kumu a me nā kumu ʻē aʻe e hiki ai ke hoʻohaʻahaʻa i ka oxygen i loko o ke koko:

Nā pilikia o ke ala ea

• Ka hanu ʻana . Eia kekahi laʻana, ka ʻū ʻana i ka meaʻai.
• ʻO ka pehu a puni nā kaula leo (e.g., croup)
• ʻO ka maʻi a me ka pehu ʻana o ka epiglottis, ka ʻāpana e like me ka ʻūhā o ka puʻu e uhi ana i ka ʻōpū hanu.

Nā pilikia o ka māmā

• Ke hele nei i nā wahi kiʻekiʻe (ma luna o ka ʻilikai) kahi i emi ai ka oxygen i ka lewa.
• Maʻi hānō .
• Nā maʻi ʻōpū hanu.
• He ʻūpā koko i loko o ke aʻa koko i loko o nā māmā (pulmonary embolism).
• ʻO ka maʻi puʻuwai ālai mau loa (COPD) (kahi maʻi puʻuwai lōʻihi).
• ʻO ke koko kiʻekiʻe i loko o nā māmā (ka piʻi ʻana o ke koko i loko o nā māmā).
• ʻO ka niumonia `(Pneumonia)` .

Nā pilikia o ka puʻuwai

• Nā kīnā puʻuwai hānau ʻole , e like me ka ventricle ʻākau puka pālua a me ka tetralogy o Fallot.
• Nā pilikia o ka puʻuwai (ka hāʻule ʻana o ka puʻuwai congestive).
• Ka pau koke ʻana o ka hana a ka puʻuwai ( ka hopu ʻana o ka puʻuwai).

Nā kumu ʻē aʻe o ka cyanosis

• Ka palena o ke kahe koko ma muli o ke komo ʻana i nā lole paʻa .
• Ka ʻike ʻia ʻana i ke anu loa .
• ʻO ka hanana ʻo Raynaud , kahi e haiki koke ai nā kīʻaha koko.
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ke koko kiʻekiʻe.
• Nā ʻūlū .
• Ka nui o ka lāʻau lapaʻau.
• Ka hōʻike ʻana i nā mea ʻawahia .

Pehea e ʻike ai i ka cyanosis?

No ka mea he hōʻailona ka cyanosis, makemake kāu kauka e ʻike pono i ke kumu kumu .

ʻO ka mea mua, e hana ke kauka i kahi hoʻokolokolo kino . A laila e nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona. Hiki iā lākou ke nīnau i nā nīnau e like me:

• I ka manawa hea ʻoe i ʻike mua ai i kēia kala polū?
• Ua hiki koke mai anei kēia, a ua piʻi mālie paha?
• Ma hea kahi polū o kou kino?
• Ua huakaʻi anei ʻoe i kekahi wahi i hala koke aku nei? (ʻoi aku hoʻi i nā wahi kiʻekiʻe)
• Ke pilikia nei ʻoe i ka hanu ʻana?
• Ua pehu kou mau lima a i ʻole kou mau wāwae?
• He aha nā hōʻailona ʻē aʻe āu e loaʻa nei?

He aha nā hoʻokolohua i hoʻohana ʻia e ʻike ai i ka cyanosis?

Hiki i ke kauka ke kauoha i nā hoʻokolohua like ʻole e ʻike ai i ke kumu o ka cyanosis. Hiki i kēia mau mea ke komo pū me ke koko, ka māmā, a me nā hoʻokolohua puʻuwai:

• ʻO ka pulse oximetry: Pili kēia i ke kau ʻana i kahi mea liʻiliʻi (e like me kahi clip) i kou manamana lima a me ke ana ʻana i ka nui o ka oxygen i loko o kou koko. ʻAʻole ia e ʻeha.
• ʻO ka nānā ʻana i ke kinoea koko arterial (ABG): Pili kēia i ka lawe ʻana i kahi hāpana liʻiliʻi o ke koko mai kou mau aʻa (ke koko i loaʻa ka nui o ka oxygen) a me ke ana ʻana i ka nui o ka oxygen a me nā mea ʻē aʻe i loko.
• X-ray o ka umauma .
• ʻO ke kiʻi ʻikepili helu ʻia (CT) o ka umauma .
• Ka helu koko piha (CBC) .
• Electrocardiogram (EKG/ECG): Ke ana kēia i ka hana uila o ka puʻuwai.
• Echocardiogram: He hoʻāʻo ultrasound kēia o ka puʻuwai. Hiki iā ia ke nānā i ke ʻano a me ka hana o ka puʻuwai.
• Nā hoʻāʻo hana pulmonary (PFTs): Kōkua kēia i ka ʻike ʻana i nā maʻi māmā.
• Catheterization Cardiac: Kōkua kēia hoʻāʻo i ka ʻike hohonu ʻana i nā maʻi puʻuwai.

Pehea e mālama ʻia ai ka cyanosis?

No ka mea, he hōʻailona ka cyanosis i hoʻokumu ʻia e nā ʻano maʻi like ʻole, ʻo ka lāʻau āu e loaʻa ai e pili ana i ke kumu o kāu cyanosis .

ʻO kekahi o nā lāʻau lapaʻau mua a kāu kauka e hāʻawi ai iā ʻoe, ʻo ia ka oxygen therapy . Hana ʻia kēia ma ka hāʻawi ʻana iā ʻoe i ka oxygen keu, e hoʻonui koke ana i ka pae oxygen i loko o kou koko. Ma muli o ke koʻikoʻi o kou kūlana, pono paha ʻoe i kahi mīkini hanu (ventilator).He mea pono nō naʻe paha.

ʻO nā koho lapaʻau ʻē aʻe:

• Wela a me ka lomilomi: Hiki ke hoʻomaha ʻia ka cyanosis i hoʻokumu ʻia e ka ʻike ʻana i ke anu a i ʻole nā ​​​​kūlana e like me ka hanana ʻo Raynaud ma ka hoʻomehana ʻana i nā wahi i hoʻopilikia ʻia a me ka lomilomi mālie iā lākou.
• Nā lāʻau antibiotic: Hiki ke hāʻawi ʻia nā lāʻau antibiotic no nā maʻi e like me ka niumonia.
• Nā lāʻau lapaʻau ʻē aʻe: Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe e mālama ai i nā maʻi puʻuwai a me nā māmā.
• Ke hoʻōki ʻana i ka lāʻau lapaʻau: I kekahi manawa, inā loaʻa kēia ʻano ma muli o kekahi mau lāʻau lapaʻau āu e lawe nei, hiki i kāu kauka ke aʻo iā ʻoe e hoʻōki i ka lawe ʻana i kēlā mau lāʻau lapaʻau.
• Nā mea hanu: Inā loaʻa ka cyanosis i kahi maʻi māmā e like me ka hānō a i ʻole COPD, hiki ke kuhikuhi ʻia nā mea hanu e kōkua i ka hana maikaʻi ʻana o nā māmā.
• ʻO ke ʻoki kino: ʻO nā maʻi puʻuwai hānau, e like me Tetralogy o Fallot, pono paha ke ʻoki ʻana ma hope koke iho o ka hānau ʻana.

Pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe ka cyanosis ma muli o ke anu a i ʻole kahi kūlana e like me ka hanana ʻo Raynaud, pono paha ʻoe e hana i kekahi mau hoʻololi i kou nohona .

Ke hele ʻoe i waho, ʻoiai i nā lā anuanu, pono ʻoe e ʻaʻahu mehana . ʻOiai ʻoe ma ka home, e hoʻomehana i ka lumi. ʻO ka mea nui loa, ʻo ia ka hoʻomehana ʻana i kou kino .

Eia kekahi, inā he mea puhi paka ʻoe, pono ʻoe e hoʻōki loa . E hōʻemi i kāu ʻai ʻana i nā mea inu i loaʻa ka caffeine (e like me ke kī a me ke kofe) . No ka mea, ʻo ka caffeine a me ka nicotine ke kumu o ka hoʻohaiki ʻana o kou mau kīʻaha koko. Hoʻonui kēia i ka pilikia o ka cyanosis.

Hiki ke pale ʻia ka Cyanosis?

No ka mea, he nui nā kumu o ka cyanosis, ʻaʻole hiki ke pale aku iā lākou āpau. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o kēia maʻi:

• Inā ʻoe e lawe nei i kekahi mau lāʻau lapaʻau e kaupalena ana i kou kahe koko, e kamaʻilio me kāu kauka e pili ana i ia mea a e kiʻi i ka ʻōlelo aʻoaʻo no ka hoʻōki ʻana iā lākou inā pono.
• E pale i ka puhipaka.
• E kaupalena i kāu lawe ʻana i ka caffeine.
• I ke hele ʻana i kahi anu, e ʻaʻahu mehana , ʻoiai e uhi ana i nā ʻāpana e like me kou mau pepeiao, nā manamana lima, a me ka ihu.

He aha ka mea e hana inā loaʻa iaʻu ka cyanosis?

ʻO ka hopena o kāu cyanosis e pili ana i ke kumu a me ka wikiwiki o kou ʻimi ʻana i ka lāʻau lapaʻau .

ʻAʻole kēia he mea hoʻoweliweli i ke ola, akā inā loaʻa iā ʻoe nā hōʻailona ʻē aʻe me kēia kala polū, a inā loaʻa iā ʻoe ka cyanosis ʻoiai ʻoe e mahana ana a hoʻomaha,E ʻike pono i ke kauka .

Āhea wau e ʻimi ai i ke kōkua lapaʻau? He pilikia anei ia?

Hiki ke hana ʻia ka cyanosis e nā ʻano maʻi like ʻole. ʻOi aku ka koʻikoʻi o kekahi ma mua o nā mea ʻē aʻe. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona me kou ʻili e polū ana, e hele koke i ka ʻoihana pilikia o ka haukapila kokoke loa iā ʻoe, a i ʻole e kelepona iā 1990 :

• Paʻakikī ka hanu ʻana
• ʻEha umauma
• ʻEha poʻo pinepine
• Luhi
• Ka huikau (nā loli o ke ʻano)
• kuni
• Ka hou nui ʻana (hyperhidrosis)
• ʻUmiʻumi i ke koko a i ʻole ka mucus ʻeleʻele
• ʻEha a mae paha i nā lima, nā manamana lima, a i ʻole nā ​​​​pūhaka.

Loaʻa i kāu pēpē a keiki paha kēia mau hōʻailona me ka cyanosis?

Inā loaʻa i kāu pēpē a keiki liʻiliʻi paha ka cyanosis a me kekahi o nā hōʻailona ma lalo nei, e lawe koke iā lākou i ka haukapila kokoke loa, a i ʻole e kelepona iā 1990 :

• Paʻakikī ka hanu ʻana
• Ka paʻakikī i ka inu ʻana a i ʻole ka ʻai ʻana i ka waiū
• Ke ʻōhū nei ka puka ihu i ka wā e hanu ana
• Ka huki ʻana o ka umauma i loko (pehu ʻana) i ka wā e hanu ana
• Hanu wikiwiki
• He kani ʻūlū i ka wā e hanu ana
• Luhi
• Ka paʻakikī i ka hiamoe ʻana a i ʻole ke ala pinepine ʻana
• Kino palupalu
• Ka hoʻomaha nui ʻole, ka huhū (Irritability)

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO ka cyanosis kahi maʻi e polū ai kou ʻili, nā kui, a i ʻole nā ​​lehelehe ke ʻole lawa ka oxygen i loko o kou koko. Hiki i kēia ke loaʻa i nā kumu he nui. ʻOiai ʻaʻole ia he mea koʻikoʻi mau, hiki i ka cyanosis ke lilo i hōʻailona o kahi maʻi koʻikoʻi .

No laila, inā loaʻa iā ʻoe a i ʻole kāu keiki ka cyanosis me nā hōʻailona ʻē aʻe e like me ka paʻakikī o ka hanu ʻana, he mea nui loa ia e ʻimi koke i ke kōkua lapaʻau . A laila hiki iā ʻoe ke loaʻa nā hopena maikaʻi loa. Mai hopohopo, akā e makaʻala.

ʻO Cyanosis, ʻili polū, nele i ka oxygen, paʻakikī ka hanu ʻana, maʻi puʻuwai, maʻi māmā, nā hōʻailona