Koj daim tawv nqaij puas tig xiav? Cia peb tham txog cyanosis!

Koj puas tau pom ib txhia neeg daim tawv nqaij, daim di ncauj, lossis rau tes tig xiav? Los yog tej zaum koj kuj tau pom thiab. Qhov no yog qhov hu ua cyanosis hauv kev kho mob. Cyanosis yog dab tsi tiag? Vim li cas qhov no thiaj tshwm sim? Cia peb tham txog nws kom meej hnub no, ib yam li tham nrog ib tug phooj ywg.

Cyanosis yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, cyanosis yog thaum koj daim tawv nqaij, daim di ncauj, lossis rau tes hloov xim xiav thaum muaj cov pa oxygen tsawg hauv koj cov ntshav. Yog tias koj muaj daim tawv nqaij tsaus dua, qhov xim xiav no yuav pom tseeb dua ntawm koj daim di ncauj, cov pos hniav, rau tes, thiab ib ncig ntawm koj lub qhov muag. Lo lus 'cyanosis' los ntawm lo lus 'cyan'. Cyan yog xim xiav-ntsuab.

Xav txog nws li no. Feem ntau, peb cov qe ntshav liab nqa cov pa oxygen mus rau txhua qhov ntawm peb lub cev, mus rau txhua cov nqaij. Thaum cov qe ntshav liab no tau txais cov pa oxygen zoo, lawv yog xim liab ci . Zoo li ib lub txiv ntoo cherry zoo nkauj. Yog li, thaum cov ntshav uas muaj cov pa oxygen no mus thoob plaws peb lub cev, peb daim tawv nqaij yuav muaj xim liab dawb lossis xim liab dawb. Qhov ntawd yog qhov zoo li cas rau kev noj qab haus huv.

Txawm li cas los xij, yog tias muaj qee yam ua rau cov ntshav tsis tau txais oxygen txaus , uas yog, yog tias cov pa oxygen qis, cov ntshav liab ci ntawd yuav tsaus me ntsis, zoo li xim xiav ntshav . Yog li, thaum cov ntshav tsaus no uas muaj oxygen tsawg dua ncig hauv lub cev, daim tawv nqaij, daim di ncauj, thiab cov rau tes yuav pib zoo li xiav. Kev paub qhov twg cov xim xiav no muaj ntau tshaj plaws hauv lub cev tuaj yeem pab peb nrhiav seb yog dab tsi ua rau nws.

Txhais li cas rau qhov mob cyanosis? Puas yog qhov teeb meem loj heev?

Kab mob xiav yog ib qho cim qhia tias koj cov kab mob, cov leeg nqaij, thiab lwm cov nqaij tsis tau txais oxygen txaus los ua haujlwm kom zoo . Nws zoo li tsob ntoo qhuav qhawv yog tsis muaj dej. Peb lub cev kuj tsis tuaj yeem ua yam tsis muaj oxygen thiab.

Muaj ntau yam mob sib txawv thiab ua rau muaj mob cyanosis no. Qee zaum, daim tawv nqaij xiav thiab daim di ncauj xiav tuaj yeem yog ib yam dab tsi ib txwm muaj, tsis muaj teeb meem. Piv txwv li, nws tuaj yeem tshwm sim thaum koj raug cua txias heev. Txawm li cas los xij, muaj qee yam mob uas tuaj yeem loj txaus kom xav tau kev kho mob thaum muaj xwm txheej ceev . Yog li ntawd, yog tias koj pom lub cim ntawm cyanosis, nws tsis zoo rau kev coj nws yooj yim.

Cov ua rau mob cyanosis feem ntau yog cuam tshuam nrog peb lub ntsws, lub plawv, lossis lub paj hlwb hauv nruab nrab (uas yog, lub hlwb thiab tus txha caj qaum).

Cov hom mob cyanosis yog dab tsi?

Muaj peb hom mob cyanosis tseem ceeb. Cia peb saib seb lawv yog dab tsi:

1. Xiav tsuas yog nyob ib ncig ntawm lub qhov ncauj xwb - Circumoral Cyanosis

Qhov no yog thaum tsuas yog koj daim di ncauj lossis ib ncig ntawm koj lub qhov ncauj tig xiav xwb.Qhov no qee zaum hu ua perioral cyanosis.

Xav txog ib tug me nyuam mos, yog tias nws txias me ntsis, nws daim di ncauj yuav tig xiav. Qhov no yog ib txwm muaj rau cov menyuam mos tshiab , yog li nws tsis yog ib yam dab tsi uas yuav tsum txhawj txog. Koj puas paub dab tsi? Thaum peb raug txias, cov hlab ntsha me me hauv peb lub cev, uas peb hu ua cov hlab ntsha, yuav nqaim me ntsis. Tom qab ntawd cov ntshav ntws txo qis me ntsis, thiab yog li ntawd cov pa oxygen txo qis. Yog vim li cas daim di ncauj thiaj tig xiav.

Txawm tias cov menyuam yaus loj dua, piv txwv li, thaum ua si sab nraum zoov thaum hnub txias heev, lossis thaum lawv nyob hauv qhov txias thaum sawv ntxov hauv thaj chaw zoo li Nuwara Eliya, lawv daim di ncauj tuaj yeem xiav. Qhov no feem ntau ploj mus tom qab ib pliag thaum lub cev sov so.

2. Xim xiav ntawm ob txhais ceg - Peripheral Cyanosis

Hauv hom no , tsuas yog txhais tes, ntiv tes, ntiv taw, thiab/lossis cov ntiv taw thiaj li hloov xiav xwb. Koj puas tau nyob hauv qhov chaw txias heev thiab tsis tau hnav thom khwm lossis thom khwm? Koj txhais tes thiab taw tuaj yeem hloov xiav thiab xav tias loog. Qhov no yog tib yam.

Qhov no feem ntau tsis ua rau tuag taus . Txawm li cas los xij, nws yog ib qho tseem ceeb kom nrhiav seb dab tsi ua rau nws, vim tias qee zaum qhov ua rau mob yuav xav tau kev kho mob tam sim ntawd. Txwv tsis pub, kev puas tsuaj mus tas li yuav tshwm sim.

3. Tig xiav thoob plaws lub cev - Central Cyanosis

Qhov no yog ib qho mob uas yuav hnyav dua li ob hom mob no . Hauv qhov mob cyanosis hauv nruab nrab, ntxiv rau ceg, lwm qhov ntawm lub cev kuj tig xiav . Piv txwv li, thaj chaw xws li lub hauv siab, sab plhu, tus nplaig, cov pos hniav, thiab daim di ncauj.

Qhov no feem ntau yog tshwm sim los ntawm cov mob hnyav ntawm lub plawv, lub ntsws, lossis cov ntshav . Yog li ntawd, yog tias koj muaj cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev kho mob tam sim ntawd .

Cov tsos mob ntawm cyanosis yog dab tsi?

Cov tsos mob tseem ceeb yog daim tawv nqaij xiav . Cov xim xiav no kuj tseem pom tau hauv koj daim di ncauj, tus nplaig, cov pos hniav, pob ntseg, thiab cov rau tes.

Yog koj daim tawv nqaij tsaus, qhov mob cyanosis yuav zoo li xim grey lossis daj ntseg. Nws pom tseeb tshaj plaws ntawm daim di ncauj, tus nplaig, cov pos hniav, cov rau tes, thiab nyob ib ncig ntawm lub qhov muag.

Vim tias cyanosis feem ntau yog ib qho tsos mob ntawm lwm yam mob uas koj muaj, koj kuj tseem yuav muaj lwm yam tsos mob nyob ntawm seb qhov ua rau mob ntawd yog dab tsi. Ib txhia ntawm lawv suav nrog:

• Lub cev kub qis (Hypothermia)
• Kev hnov ​​​​​​mob loog lossis tingling hauv tes thiab taw
• Hnoos
• Ua pa nrov nrov ( lub suab nrov los ntawm lub hauv siab thaum ua pa)
• Ua pa nyuaj
• kiv taub hau
• Xav tias nkees heev (Fatigue)
• Tsis muaj zog

Kab mob cyanosis zoo li cas?

Nyob ntawm seb koj muaj hom mob cyanosis li cas, koj daim tawv nqaij, daim di ncauj, tus nplaig, cov pos hniav, qhov muag, lossis cov rau tes yuav tshwm sim ntau yam xim xiav lossis ntshav . Raws li tau hais ua ntej, yog tias koj muaj daim tawv nqaij tsaus, qhov no yuav tshwm sim dawb lossis grey .

Dab tsi yog cov ua rau mob cyanosis?

Qhov ua rau mob cyanosis yog tsis muaj oxygen txaus hauv koj cov ntshav . Qhov no tuaj yeem tshwm sim los ntawm ob yam: koj cov ntshav tsis muaj oxygen txaus, lossis koj cov hlab ntsha raug cua txias heev.

Xav txog nws, peb cov kab mob thiab lub cev qhov chaw tau khaws cia kom sov los ntawm kev ncig ntawm cov ntshav hauv peb lub cev. Txawm li cas los xij, yog tias qhov chaw txias heev, txhawm rau kom peb lub cev kub nyob rau theem ib txwm, cov hlab ntsha hauv peb txhais tes, taw, thiab pob ntseg yuav nqaim. Qhov no txo ​​cov ntshav ntws, uas tuaj yeem ua rau muaj xim xiav.

Muaj ntau lwm yam mob thiab ua rau muaj peev xwm ua rau cov pa oxygen tsawg hauv cov ntshav:

Teeb meem ntawm txoj hlab pa

• Ua tsis taus pa . Piv txwv li, ua tsis taus pa thaum noj mov.
• O nyob ib ncig ntawm cov vocal cords (piv txwv li, croup)
• Kev kis kab mob thiab o ntawm lub epiglottis, qhov zoo li daim tawv ntawm lub caj pas uas npog lub raj cua.

Teeb meem ntsws

• Mus rau qhov chaw siab (deb saum hiav txwv) qhov chaw uas muaj oxygen tsawg dua hauv huab cua.
• Kab mob ntsws .
• Kab mob hauv txoj hlab pa.
• Muaj cov ntshav txhaws hauv cov hlab ntsha hauv lub ntsws (pulmonary embolism).
• Kab mob ntsws ntev (COPD) (ib yam kab mob ntsws uas kav ntev).
• Mob ntshav siab hauv lub ntsws (ntshav siab hauv lub ntsws).
• Mob ntsws '(Pneumonia)' .

Teeb meem plawv

• Cov teeb meem plawv yug los , xws li ob lub qhov hluav taws xob sab xis thiab tetralogy of Fallot.
• Cov mob plawv (mob plawv tsis ua haujlwm).
• Kev ua haujlwm ntawm lub plawv tsis ua haujlwm tam sim ntawd (lub plawv nres ).

Lwm yam ua rau mob cyanosis

• Kev txwv ntawm kev ncig ntshav vim hnav khaub ncaws nruj .
• Raug rau qhov txias heev .
• Raynaud tus mob , uas cov hlab ntsha cia li nqaim.
• Qee cov tshuaj siv los kho cov ntshav siab.
• Qaug dab peg .
• Tshuaj ntau dhau.
• Kev raug cov tshuaj lom .

Yuav ua li cas thiaj paub txog cyanosis?

Vim tias cyanosis yog ib qho tsos mob, koj tus kws kho mob yuav xav paub seb qhov ua rau muaj qhov teeb meem yog dab tsi .

Ua ntej, tus kws kho mob yuav kuaj koj lub cev . Tom qab ntawd lawv yuav nug koj txog koj cov tsos mob. Lawv yuav nug cov lus nug xws li:

• Koj thawj zaug pom cov xim xiav no thaum twg?
• Qhov no puas tshwm sim sai sai, los yog nws nce zuj zus maj mam?
• Koj lub cev xiav nyob qhov twg?
• Koj puas tau mus ncig teb chaws nyob qhov twg tsis ntev los no? (tshwj xeeb tshaj yog mus rau qhov chaw siab)
• Koj puas muaj teeb meem ua pa?
• Koj txhais tes los yog koj txhais taw puas o?
• Koj muaj lwm yam tsos mob dab tsi ntxiv?

Cov kev kuaj twg siv los kuaj mob cyanosis?

Tus kws kho mob yuav hais kom kuaj ntau yam kom paub seb yog vim li cas thiaj muaj cyanosis. Tej zaum yuav muaj xws li kuaj ntshav, kuaj ntsws, thiab kuaj lub plawv:

• Kev ntsuas pa oxygen hauv koj lub cev: Qhov no suav nrog kev muab ib lub cuab yeej me me (xws li ib lub clip) txuas rau koj tus ntiv tes thiab ntsuas qhov ntau ntawm cov pa oxygen hauv koj cov ntshav. Nws tsis mob.
• Kev tshuaj xyuas roj ntshav hauv cov hlab ntsha (ABG): Qhov no suav nrog kev coj cov ntshav me me los ntawm koj cov hlab ntsha (cov ntshav uas muaj cov pa oxygen ntau tshaj plaws) thiab ntsuas qhov ntau ntawm cov pa oxygen thiab lwm yam khoom hauv nws.
• X-ray hauv siab .
• Ib daim duab xoo hluav taws xob (CT) ntawm lub hauv siab .
• Kev kuaj ntshav tag nrho (CBC) .
• Electrocardiogram (EKG/ECG): Qhov no ntsuas qhov ua haujlwm hluav taws xob ntawm lub plawv.
• Echocardiogram: Qhov no yog kev kuaj lub plawv los ntawm kev siv ultrasound. Nws tuaj yeem saib seb lub plawv muaj qauv thiab ua haujlwm li cas.
• Kev ntsuam xyuas kev ua haujlwm ntawm lub ntsws (PFTs): Cov no pab kuaj mob ntsws.
• Kev siv catheter rau lub plawv: Qhov kev kuaj no pab kuaj mob plawv kom tob.

Yuav kho tus mob cyanosis li cas?

Vim tias cyanosis yog ib qho tsos mob los ntawm ntau yam mob, kev kho mob uas koj tau txais yuav nyob ntawm seb qhov ua rau koj tus mob cyanosis yog dab tsi .

Ib qho ntawm thawj qhov kev kho mob uas koj tus kws kho mob yuav muab rau koj yog kev kho mob oxygen . Qhov no yog ua los ntawm kev muab oxygen ntxiv rau koj, ua rau cov pa oxygen hauv koj cov ntshav nce ntxiv sai sai. Nyob ntawm seb koj tus mob hnyav npaum li cas, koj yuav xav tau lub tshuab ua pa (ventilator).Txawm li cas los xij, nws yuav tsim nyog.

Lwm cov kev xaiv kho mob yog:

• Kub thiab zaws: Cyanosis uas tshwm sim los ntawm kev raug cua txias lossis cov mob xws li Raynaud's phenomenon tuaj yeem txo tau los ntawm kev ua kom sov cov cheeb tsam uas raug mob thiab maj mam zaws lawv.
• Cov Tshuaj Tua Kab Mob: Cov tshuaj tua kab mob yuav muab tau rau cov kab mob xws li mob ntsws.
• Lwm cov tshuaj: Koj tus kws kho mob yuav sau ntawv kom muab lwm cov tshuaj los kho cov kab mob plawv thiab ntsws.
• Tsum tsis txhob noj tshuaj: Qee zaum, yog tias qhov mob no yog los ntawm qee yam tshuaj uas koj tab tom noj, koj tus kws kho mob yuav qhia koj kom tsum tsis txhob noj cov tshuaj ntawd.
• Cov tshuaj nqus pa: Yog tias cyanosis yog los ntawm kab mob ntsws xws li mob hawb pob lossis COPD, cov tshuaj nqus pa yuav raug sau tseg kom pab cov ntsws ua haujlwm zoo dua.
• Kev Phais Mob: Cov mob plawv uas yug los, xws li Tetralogy of Fallot, yuav xav tau kev phais mob sai tom qab yug los.

Kuv yuav saib xyuas kuv tus kheej li cas?

Yog tias koj muaj mob cyanosis vim yog mob khaub thuas lossis mob zoo li Raynaud's phenomenon, koj yuav tsum tau hloov qee yam rau koj txoj kev ua neej .

Thaum koj tawm mus sab nraud, tshwj xeeb tshaj yog thaum hnub txias, koj yuav tsum hnav khaub ncaws sov so . Txawm tias thaum koj nyob hauv tsev, ua kom chav sov. Qhov tseem ceeb tshaj plaws yog ua kom koj lub cev sov .

Thiab, yog tias koj yog ib tug neeg haus luam yeeb, koj yuav tsum tsis txhob haus kiag li . Txo koj cov dej haus uas muaj caffeine (xws li tshuaj yej thiab kas fes) . Vim tias ob qho tib si caffeine thiab nicotine ua rau koj cov hlab ntsha nqaim. Qhov no ua rau muaj kev pheej hmoo ntawm cyanosis.

Puas tiv thaiv tau kab mob cyanosis?

Vim muaj ntau yam ua rau mob cyanosis, nws tsis tuaj yeem tiv thaiv txhua yam. Txawm li cas los xij, muaj qee yam koj tuaj yeem ua tau los txo koj txoj kev pheej hmoo ntawm kev mob no:

• Yog tias koj noj cov tshuaj uas txwv koj cov ntshav ntws, nrog koj tus kws kho mob tham txog qhov ntawd thiab tau txais kev qhia txog kev tsum tsis txhob noj yog tias tsim nyog.
• Tsis txhob haus luam yeeb.
• Txwv koj cov caffeine noj.
• Thaum mus rau ib qho chaw txias, hnav khaub ncaws kom sov , tshwj xeeb tshaj yog npog cov qhov chaw xws li koj pob ntseg, ntiv tes, thiab qhov ntswg.

Yog tias kuv muaj mob cyanosis, yuav ua li cas?

Qhov tshwm sim ntawm koj tus mob cyanosis nyob ntawm seb ua rau thiab koj nrhiav kev kho mob sai npaum li cas .

Qhov no feem ntau tsis ua rau koj tuag taus, tab sis yog tias koj muaj lwm yam tsos mob nrog rau xim xiav no, lossis yog tias koj mob cyanosis txawm tias koj sov so thiab so,Mus ntsib kws kho mob tiag tiag .

Thaum twg kuv yuav tsum nrhiav kev pab kho mob? Puas yog xwm txheej ceev?

Kab mob xiav (cyanosis) tuaj yeem tshwm sim los ntawm ntau yam mob thiab kev tsis zoo. Qee qhov mob hnyav dua li lwm tus. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no nrog rau koj daim tawv nqaij tig xiav, mus rau chav kho mob ceev ntawm koj lub tsev kho mob ze tshaj plaws tam sim ntawd, lossis hu rau 1990 :

• Ua pa nyuaj
• Mob hauv siab
• Mob taub hau ntau zaus
• Kev qaug zog
• Kev ntxhov siab (kev hloov pauv ntawm lub siab)
• Ua npaws
• Kev tawm hws ntau dhau (hyperhidrosis)
• Hnoos ntshav los yog cov hnoos qeev xim tsaus
• Mob los yog loog tes, ntiv tes, los yog caj npab.

Koj tus me nyuam mos lossis tus menyuam yaus puas muaj cov tsos mob no nrog rau cyanosis?

Yog koj tus me nyuam mos los yog me nyuam yaus muaj mob cyanosis thiab muaj cov tsos mob hauv qab no, coj lawv mus rau tsev kho mob ze tshaj plaws tam sim ntawd, lossis hu rau 1990 :

• Ua pa nyuaj
• Nyuaj haus los yog noj mis nyuj
• Lub qhov ntswg tawg thaum ua pa
• Lub hauv siab rub (o) thaum ua pa
• Ua pa sai
• Lub suab nrov thaum ua pa
• Kev qaug zog
• Nyuaj siab tsaug zog lossis sawv ntau zaus
• Lub cev qaug zog
• Tsis xis nyob heev, chim siab (Irtability)

Thaum kawg, yuav tsum nco ntsoov li cas (Cov Lus Coj Mus Tsev)

Kab mob cyanosis yog ib yam mob uas koj daim tawv nqaij, rau tes, lossis daim di ncauj tig xiav thaum tsis muaj oxygen txaus hauv koj cov ntshav. Qhov no muaj ntau yam ua rau. Txawm hais tias nws tsis yog ib txwm mob hnyav, qee zaum kab mob cyanosis tuaj yeem yog ib qho cim ntawm ib qho mob hnyav .

Yog li ntawd, yog tias koj lossis koj tus menyuam muaj mob cyanosis nrog rau lwm cov tsos mob xws li ua pa nyuaj, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd . Tsuas yog thaum ntawd koj thiaj li tau txais cov txiaj ntsig zoo tshaj plaws. Tsis txhob ntshai, tab sis ceev faj.

Cyanosis , tawv nqaij xiav, tsis muaj oxygen, ua pa nyuaj, kab mob plawv, kab mob ntsws, cov tsos mob