Ua nele anei kou kino i ka oxygen? E aʻo kākou e pili ana i ka hypoxia.

Ke manaʻo nei ʻoe i kekahi manawa ua pōkole ka hanu, ua puni, a ua pio paha ke ala? Hiki ke kumu o kēia mau mea i ka hypoxia, kahi kūlana i loaʻa ʻole ai i nā ʻiʻo o kou kino ka lawa o ka oxygen. No ka mea hiki ke lilo i mea koʻikoʻi iki kēia, e kamaʻilio kākou e pili ana i ia mea ma ke ʻano maʻalahi a maʻalahi hoʻi e hoʻomaopopo. Mai hopohopo, ʻo ka mea nui ka makaʻala.

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

ʻAe, e hoʻomaopopo mua kākou i ke ʻano o ka hypoxia. I ka ʻōlelo maʻalahi, ʻo ia ka wā ʻaʻole lawa ka oxygen i nā ʻiʻo o kou kino. Ke hanu kākou, hele ka oxygen i loko o nā māmā. Mai laila mai, ua komo ʻia i loko o ke koko ma o nā ʻeke ea liʻiliʻi i loko o nā māmā (i kapa ʻia ʻo alveoli) a i loko o nā kīʻaha koko liʻiliʻi loa (i kapa ʻia ʻo capillaries) e holo kokoke ana. A laila hele kēia koko waiwai oxygen i loko o ke kino a hāʻawi i ka oxygen i nā ʻiʻo ʻē aʻe.

Hiki iā ʻoe ke noʻonoʻo i ka oxygen e like me ka piliona o nā ohua e hōʻea ana i kahi kahua mokulele (ʻo ia hoʻi, kou mau māmā). Lawe ʻia lākou mai laila mai a lawe ʻia ma ke alaloa (ʻo ia hoʻi, kou koko) i ko lākou wahi i manaʻo ʻia (ʻo ia hoʻi, nā ʻiʻo o kou kino). Ke hiki ka oxygen i kona wahi kūpono, hana ia i ala no kekahi ohua ʻē aʻe , ʻo ke kalapona ʻokikene . He huahana ʻōpala kēia kalapona ʻokikene. Hoʻi ia i loko o kou mau māmā a haʻalele i kou kino ke hanu ʻoe.

No laila, inā ʻaʻole lawa ka oxygen ma kekahi wahi ma ke ala, hiki ke loaʻa ka hypoxia. Pono kēia i ke kahe ʻana o ka ea a me ke kahe ʻana o ke koko . ʻO ia ke kumu e piʻi ai ka pilikia o ka poʻe me ka maʻi māmā a me ka maʻi puʻuwai i ka loaʻa ʻana o ka hypoxia. Kāhea pū mākou i kahi mea e ʻeha nei i ka hypoxia he "hypoxic."

He aha ka ʻokoʻa ma waena o ka Hypoxia a me ka Hypoxemia?

Ua lohe paha ʻoe i kēia mau huaʻōlelo ʻelua - hypoxia a me hypoxemia - i hoʻohana like ʻia. Akā, ʻaʻole like lāua. Ua like nā inoa, a hiki ke huikau, no ka mea, pili nā kūlana ʻelua i ka nele o ka oxygen, akā ma nā ʻāpana like ʻole o ke kino.

• ʻO ka Hypoxia ka emi ʻana o ka oxygen i loko o nā ʻiʻo o kou kino .
• ʻO ka hypoxemia ka emi ʻana o ka oxygen i loko o kou koko .

Hoʻomaka pinepine ka hypoxia ma muli o ka hypoxemia, akā ʻaʻole kēia ka hihia mau. Hiki i ke kanaka ke hypoxia me ka ʻole o ka hypoxemic, a ʻo ka ʻaoʻao ʻē aʻe. Maopopo iā ʻoe?

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka hypoxia?

ʻO kēlā me kēia kūlana e hōʻemi ana i ka nui o ka oxygen i loko o kou koko, a i ʻole kekahi mea e kāohi ana i ke kahe ʻana o ke koko, hiki ke hana i ka hypoxia. Ma ke ʻano kūikawā,

• COPD (Maʻi Puʻuwai Pale Mau)
• ʻEmphysema
• Asthma

ʻOi aku ka nui o ka pilikia o ka poʻe me ka maʻi puʻuwai a i ʻole ka māmā i ka hoʻomohala ʻana i ka hypoxia.

Eia kekahi, hiki i kekahi mau maʻi e like me ka maʻi pneumonia, ka maʻi palū, a me COVID-19 ke hoʻonui i kēia pilikia.

He aha nā hōʻailona a me nā hopena o ka hypoxia?

He mea nui ka oxygen no nā ʻāpana o ko kākou kino e hana i ka ikehu a no ko kākou mau ʻōpū a me nā ʻiʻo e hana pono ai. ʻOiai hiki i kekahi mau ʻiʻo ke hoʻololi i ka emi ʻana o ka nui o ka oxygen no kekahi manawa, hiki i ka hypoxia lōʻihi ke hōʻino i nā ʻōpū. He mea weliweli ka hōʻino ʻana i ka lolo a me ka puʻuwai a hiki ke alakaʻi i ka make. Kāhea mākou i kēia nele o ka oxygen i ka lolo he cerebral hypoxia .

Hiki ke ʻokoʻa nā hōʻailona o ka hypoxia mai kēlā kanaka a kēia kanaka. Aia ia i ke koʻikoʻi o ke kūlana, ke kumu kumu, a me nā ʻāpana o ke kino i hoʻopilikia ʻia. Ke hāʻule kāu pae oxygen, manaʻo paha ʻoe ʻaʻole hiki iā ʻoe ke hanu a noʻonoʻo paha.

Eia kekahi mau hōʻailona maʻamau o ka hypoxia:

• He ʻano hoʻomaha ʻole, he ʻano hoʻomaha ʻole.
• ʻEha poʻo.
• Ka huikau o ka noʻonoʻo, ka hiki ʻole ke hoʻonohonoho i nā manaʻo.
• Ka makaʻu a me ka hopohopo mau.
• Ka puʻuwai wikiwiki (kapa nā kauka i kēia tachycardia).
• ʻO ka hanu wikiwiki (ua kapa ʻia kēia he tachypnea).
• Paʻakikī ka hanu ʻana a i ʻole ka pōkole o ka hanu (ua kapa ʻia kēia ʻo dyspnea).

I ka lilo ʻana o ka hypoxia i mea koʻikoʻi, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe:

• Ka lohi o ka puʻuwai (bradycardia).
• Hoʻonāukiuki nui loa.
• ʻO ke kala polū o ka ʻili, nā lehelehe, a me nā kui (i kapa ʻia ʻo cyanosis). He hōʻailona weliweli loa kēia.

Mea nui: Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kēia mau hōʻailona, ​​​​he mea nui loa e ʻimi koke i ke kōkua lapaʻau.

He aha nā kumu nui o ka hypoxia?

Hoʻokumu pinepine ʻia ka hypoxia e kahi maʻi lapaʻau e hoʻopilikia ai i ke kahe koko a i ʻole ka hanu ʻana. ʻO kekahi mau kūlana e hiki ai ke alakaʻi i ka hypoxia:

• Anemia - nele o ke koko i loko o ke kino.
• ʻO ka hānō.
• Bronchitis - ka mumū o nā ʻōpū bronchial.
• COPD (Maʻi Puʻuwai Pale Mau) - He maʻi puʻuwai lōʻihi.
• Nā kīnā puʻuwai hānau.
• ʻO kekahi mau kūlana o ka hāʻule ʻana o ka puʻuwai (Congestive heart failure).
• Emphysema - ka hōʻino ʻana i nā ʻeke ea i loko o nā māmā.
• Pneumonia - Hiki ke hana ʻia e nā bacteria a i ʻole nā ​​​​virus.
• Ke hoʻopiha nei ka ea i ka hakahaka a puni nā māmā a i ʻole ka hiolo ʻana o ka māmā (Pneumothorax).
• ʻEdema puʻuwai.
• ʻO ka embolism pulmonary.
• Ke koko kiʻekiʻe o ka puʻuwai.
• ʻO ka fibrosis pulmonary - ka ʻeha o nā māmā.
• ʻAneʻane hiamoe.

Mai hopohopo i kēia papa inoa. ʻAʻole nā ​​​​kānaka a pau i loaʻa i kekahi o kēia mau mea e loaʻa i ka hypoxia, akā aia ka pilikia.

Aia he 4 mau ʻano nui o ka hypoxia:

I mea e loaʻa pono ai i nā pūnaewele i loko o ko kākou mau ʻiʻo ka oxygen, pono e pololei kekahi mau mea:

1. Pono ka ea a kākou e hanu ai i ka nui o ka oxygen.

2. Pono ka hana olakino o ka māmā e lawe i ka oxygen i ko kākou mau ʻeke ea (`alveoli`).

3. Pono ʻoe i kahi puʻuwai olakino a me ka ʻōnaehana kahe koko e lawe i ke koko waiwai i ka oxygen i nā ʻiʻo.

4. Pono e lawa nā hunaola koko ʻulaʻula e lawe i ka oxygen.

5. Pono nā pūnaewele i loko o nā ʻiʻo e loaʻa ka hiki ke hoʻohana i ka oxygen.

ʻO ka nele o ka oxygen ma kekahi o kēia mau wahi hiki ke hana i kekahi o nā ʻano hypoxia ʻehā.

1. Hypoxemic Hypoxia

ʻO kēia ke ʻano maʻamau o ka hypoxia . ʻO kēia ka wā e emi ai ka nui o ka oxygen i loko o ke koko (i kapa ʻia ʻo hypoxemia). Hiki ke hana ʻia kēia kūlana e nā maʻi māmā a me ka puʻuwai, nā kīnā puʻuwai hānau, a me kekahi mau lāʻau lapaʻau e hoʻolohi ana i ka hanu ʻana. Eia kekahi, ke hele ʻoe i kahi kiʻekiʻe e like me Nuwara Eliya, haʻahaʻa ka pae oxygen i ka lewa, hiki ke alakaʻi i ka hypoxemia, hiki ke alakaʻi i ka hypoxia.

2. Ka Hypoxia o ke Kaʻapuni

Ua kapa ʻia kēia he stagnant hypoxia a i ʻole ischemic hypoxia. ʻO ka mea e hana ʻia ma ʻaneʻi, loaʻa paha i kou koko ka nui o ka oxygen, akā inā ʻaʻole e pamu pono ana kou puʻuwai i ke koko, a inā paha ua ālai ʻia kekahi kīʻaha koko i kekahi wahi, ʻaʻole hiki aku kēlā oxygen i kou mau ʻiʻo. Hoʻonui ka hāʻule ʻana o ka puʻuwai congestive a me nā ʻūpā koko i ka pilikia o kēia ʻano hypoxia.

3. Hypoxia Anemia

I kēia manawa, ʻōlelo kekahi poʻe he haʻahaʻa ko lākou koko, ʻeā? ʻO ia hoʻi, ʻaʻole lawa ko lākou mau hunaola koko ʻulaʻula. ʻO kēia mau hunaola koko ʻulaʻula ka mea e lawe i ka oxygen mai nā māmā a i ke koena o ke kino. No laila, inā ʻaʻole lawa kou mau hunaola koko ʻulaʻula e lawe i ka oxygen, ʻo ia hoʻi, inā loaʻa iā ʻoe ka anemia, hiki mai kēia ʻano hypoxia. Inā ʻaʻole lawa ka hana ʻana o ke kino i nā hunaola koko ʻulaʻula, a inā paha ua hoʻololi ʻia nā hunaola koko ʻulaʻula i hana ʻia, hiki ke loaʻa ka anemia.

4. Hypoxia Histotoxic

He ʻokoʻa iki kēia. Maanei, ke loaʻa nei i kou mau māmā ka oxygen lawa, a ke loaʻa nei i kou koko. Akā no kekahi kumu, ʻaʻole hiki i nā cell i loko o nā ʻiʻo ke hoʻohana pono i kēlā oxygen. Ua like kēia me ka mea hiki ke hana ke ale ʻoe i kahi mea make e like me ka cyanide. ʻOiai ke loaʻa nei i nā cell ka oxygen, ʻaʻole hiki iā lākou ke hoʻohana.

Pehea e ʻike ʻia ai ka hypoxia?

E nānā mua kāu kauka iā ʻoe, e hoʻolohe i kou puʻuwai a me kou mau māmā. Hiki iā lākou ke nānā i kou ʻili, nā kui, a me nā lehelehe no ka uliuli. Eia kekahi, hiki iā lākou ke kauoha i nā hoʻokolohua ʻē aʻe e nānā i kāu mau pae oxygen a ʻike i ke kumu o ka hypoxia:

• ʻO ka Pulse Oximetry: He hoʻāʻo maʻalahi loa kēia a ʻeha ʻole. Hoʻopaʻa ʻia kahi sensor liʻiliʻi i kou manamana lima. Ana ia i ka nui o ka oxygen i loko o kou koko. Ua ʻike paha ʻoe i kēia i nā manawa he nui.
• Hoʻāʻo Kinoea Koko Arterial (ABG): Pili kēia i ka lawe ʻana i kahi koko liʻiliʻi mai kahi aʻa i loko o kou pulima lima, lima, a i ʻole ka ʻūhā me ka hoʻohana ʻana i kahi nila lahilahi e nānā i kāu pae oxygen.
• Hoʻāʻo Hana Mama (PFT): Pili kēia iā ʻoe e hanu i loko a i waho ma o kahi waha i hoʻopili ʻia i kahi mīkini. Ana ia i ka maikaʻi o ka hana ʻana o kou mau māmā.
• Nā hoʻāʻo kiʻi: ʻO nā hoʻāʻo e like me nā X-ray, CT scans, a me V/Q scans e kiʻi i nā kiʻi o kou mau kino i loko. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ke kumu o ka hypoxia.
• Hoʻāʻo Hele Waewae ʻEono Minuke (6MWT): Ke ana kēia hoʻāʻo i ka mamao e hiki ai iā ʻoe ke hele ma kahi pālahalaha no ʻeono mau minuke. Hiki i kēia hoʻāʻo ke hāʻawi iā ʻoe i kahi manaʻo o ka hana o kou māmā a me ka puʻuwai.

Pehea e mālama ai ka hypoxia?

ʻO ka mālama ʻana no ka hypoxia e pili ana i ke kumu kumu . Hiki ke lilo i hanana hoʻokahi manawa a i ʻole he maʻi mau. ʻO nā koho lapaʻau e komo pū me:

• Nā lāʻau lapaʻau e wehe ai i kou mau ala ea, e like me nā steroids inhaled, e mālama i ka hānō a i ʻole nā ​​​​maʻi māmā ʻē aʻe.
• Nā lāʻau lapaʻau e hōʻemi ana i ka wai keu i loko o nā māmā (i kapa ʻia ʻo "Diuretics").
• Ke hoʻohana nei i ka pale maka CPAP (Continuous Positive Airway Pressure) e mālama ai i ka apnea hiamoe.
• ʻO ka hoʻohana ʻana o BiPAP® (BiLevel Positive Airway Pressure) (i ʻike pinepine ʻia e ka inoa inoa ʻo BiPAP®) no ka COPD a me kekahi mau maʻi apnea hiamoe.
• ʻOkikene hoʻohui no ka hypoxia mau loa. Pili kēia i ka hoʻopili ʻana i kahi mīkini oxygen, ma o kahi pale maka a i ʻole kahi paipu, i kou ihu e hoʻonui i ka nui o ka oxygen e hiki aku i kou mau māmā a me nā ʻeke ea (alveoli).
• I nā hihia o ka hypoxia koʻikoʻi, hiki ke hana ʻia ka ea mechanical ma kahi haukapila.

Pehea e mālama ai i nā hōʻailona o ka hypoxia?

Inā manaʻo ʻoe e kūpaʻa ʻole ana kou mau wāwae, wikiwiki ka helu o kou puʻuwai a i ʻole ka hanu ʻana, a i ʻole e uliuli kou mau kui, lehelehe, a i ʻole kou ʻili, pono ʻoe e ʻimi koke i ke kōkua lapaʻau . ʻIke anei ʻoe i ke aha? ʻO ka Hypoxia kahi maʻi e pono e mālama koke ʻia. Inā ʻaʻole, hiki iā ia ke hōʻino i nā ʻōpū koʻikoʻi i loko o ko mākou kino.

I nā kūlana lōʻihi e like me COPD, hiki ke hoʻomau kēia hypoxia, akā ʻaʻole paha e koʻikoʻi nā hōʻailona. I ia mau hihia, e haʻi aku kāu kauka iā ʻoe pehea e mālama ai i kou kūlana a hōʻemi i ka pilikia o nā pae oxygen haʻahaʻa. Mai hoʻowahāwahā i nā hōʻailona hou. Inā ʻike ʻoe i kekahi mea ʻokoʻa, e haʻi i kāu kauka.

Pehea e hōʻemi ai i ka pilikia o ka hypoxia?

ʻO ke ala maikaʻi loa e hōʻemi ai i kou pilikia o ka hypoxia, ʻo ia ka hoʻokele pono ʻana i nā kūlana olakino ma lalo e hōʻemi ana paha i kāu pae oxygen. Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole ka maʻi māmā, e kamaʻilio me kāu kauka e pili ana i nā ala kikoʻī e hōʻemi ai i kou pilikia.

E hoʻomanaʻo i kekahi mau lāʻau lapaʻau a me nā kūlana e like me ka hele ʻana i nā wahi kiʻekiʻe e hiki ke hoʻonui i ka pilikia o ka hypoxia. E nīnau i kāu kauka e pili ana i nā hana palekana kūikawā āu e lawe ai i ka wā e hele ai a i ʻole e hoʻololi i nā lāʻau lapaʻau.

Pehea lā wau e noho ai me kēia kūlana?

ʻO ka maʻamau, pono ka mālama koke ʻana o ke kauka i ka maʻi hypoxia. E wehewehe kāu kauka iā ʻoe i ke kumu nui a pehea e hoʻokele ai iā ia i ka wā e hiki mai ana.

I kekahi mau hihia, hoʻopau ʻia ka hypoxia ke mālama ʻia ke kūlana kumu, e hoʻopau ana i ka pono no ka oxygen hoʻohui. Eia nō naʻe, i kekahi mau hihia, pono paha ka oxygen hoʻohui mau e pale aku i ka hypoxia a pale i ka hōʻino ʻia o nā ʻiʻo mai nā pae oxygen haʻahaʻa. E kūkākūkā kāu kauka i nā koho kūpono iā ʻoe.

Pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe kahi maʻi olakino i hoʻokumu ai a i ʻole paha e hoʻoulu ai i ka hypoxia, ʻo ka mālama ʻana i kēlā kūlana ke ala maikaʻi loa e hōʻemi ai i ka pilikia o ka hana hou ʻana.

• Mai hoʻowahāwahā i nā hōʻailona hou. Inā manaʻo ʻoe ua hewa kekahi mea, e hilinaʻi i kou manaʻo ponoʻī a e ʻike i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) .
• E mālama pono iā ʻoe iho. Inā loaʻa iā ʻoe ka hānō, e makaʻala i nā mea hoʻonāukiuki. E lawe mau i kahi inhaler hoʻopakele me ʻoe, inā i kuhikuhi ʻia e kāu kauka. E hana i nā hoʻomaʻamaʻa hanu e like me ke kauoha a kāu kauka.
• E pale i ka puhipaka a me ka hoʻohana ʻana i nā huahana paka.Inā ʻoe e puhipaka, hiki i ka haʻalele ʻana ke hoʻomaikaʻi i ka hana o kou māmā a pale i ka hōʻino hou ʻana.
• E lawe i kekahi lāʻau lapaʻau a kāu kauka e kuhikuhi pololei ai.
• Inā ʻoe e hele ana i nā wahi kiʻekiʻe, e hana i kahi hoʻolālā. ʻOiai nā poʻe me ka ʻole o nā kūlana olakino ma lalo, hiki ke paʻakikī i ka hanu ʻana ma nā wahi kiʻekiʻe. E hoʻomaopopo pehea e pili ai kēia iā ʻoe a hana i kahi hoʻolālā e hoʻololi ai i ka loli. E noʻonoʻo pū i ka mea e hana ai inā pono ʻoe i ka ʻōlelo aʻoaʻo lapaʻau. E hāʻawi iā ʻoe iho i ka manawa kūpono e hoʻomaʻamaʻa ai, inā pono, a lawe mai i nā lako a i ʻole nā ​​​​lāʻau lapaʻau āu e pono ai.

Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU) ?

He kūlana hoʻoweliweli paha ka Hypoxia i ke ola. Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka hypoxia, a inā ʻike kekahi poʻe i kahi loli koke i kou ʻano a i ʻole ka ʻike (huikau, hoʻonāukiuki, ʻike i hoʻololi ʻia), e hele koke i ka Emergency Department (ETU) . Inā loaʻa iā ʻoe kahi maʻi e hoʻomau nei a e ʻoi koke ka ʻino o kāu mau hōʻailona maʻamau, a inā paha e loaʻa iā ʻoe nā hōʻailona hou āu e manaʻo nei he hypoxia, e hele i ka Emergency Department.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Inā ʻike ʻia ʻoe a i ʻole kahi mea aloha me ka hypoxia, eia kekahi mau nīnau e nīnau aku i kāu kauka:

• Kauka, aia kēia hypoxia ma muli o kekahi maʻi ʻē aʻe?
• Pehea e hiki ai iaʻu ke mālama i koʻu kūlana e hōʻemi i koʻu pilikia o ka hypoxia?
• Ua hōʻeha anei kēia i koʻu mau kino, a i ʻole he mau pilikia ʻē aʻe paha?
• Pono anei iaʻu e hana i kekahi mau hoʻololi i koʻu nohona e hōʻemi ai i ka pilikia o ka hypoxia?
• Hiki i ka hoʻololi ʻana i kaʻu mau hoʻolālā huakaʻi a i ʻole nā ​​​​lāʻau lapaʻau ke hoʻonui i koʻu pilikia o ka hypoxia?

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

He maʻi hoʻoweliweli ola ka Hypoxia, akā hiki ke mālama ʻia me ka nānā koke ʻana i ke kauka. Inā he maʻi puʻuwai a māmā paha kou e hoʻoweliweli ai iā ʻoe no ka hypoxia, e kamaʻilio me kāu kauka e pili ana i nā hōʻailona e makaʻala ai a me ka mea e hana ai inā manaʻo ʻoe ua haʻahaʻa kāu pae oxygen.

E hoʻomanaʻo, ʻo ʻoe ka mea ʻike maikaʻi loa i kou kino. No laila, inā loaʻa iā ʻoe kekahi mau hōʻailona e hopohopo nei iā ʻoe, mai kānalua e kāhea koke i kāu kauka a i ʻole e hele i ka ʻOihana Pilikia kokoke loa (ETU) . E noho olakino!

ʻO ka hypoxia, oxygen, paʻakikī ka hanu ʻana, maʻi māmā, maʻi puʻuwai, nā hōʻailona, ​​​​​​ka lāʻau lapaʻau