Koj lub cev puas tsis muaj oxygen txaus? Cia peb kawm txog hypoxia.

Koj puas muaj tej lub sij hawm koj ua tsis taus pa, kiv taub hau, lossis tsis paub yuav ua li cas? Tej zaum qhov no yog vim hypoxia, ib qho mob uas koj lub cev cov nqaij tsis tau txais oxygen txaus. Vim tias qhov no yuav loj me ntsis, cia peb tham txog nws hauv txoj kev yooj yim thiab nkag siab. Tsis txhob ntshai, qhov tseem ceeb tshaj plaws yog kom paub.

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

Zoo, cia peb xub nkag siab txog qhov hypoxia yog dab tsi. Hais yooj yim xwb, nws yog thaum koj lub cev cov nqaij tsis tau txais oxygen txaus. Thaum peb ua pa, oxygen mus rau hauv lub ntsws. Los ntawm qhov ntawd, nws raug nqus mus rau hauv cov ntshav los ntawm cov hnab cua me me hauv lub ntsws (hu ua alveoli) thiab mus rau hauv cov hlab ntsha me me (hu ua capillaries) uas khiav ze. Cov ntshav uas muaj oxygen ntau no ces mus thoob plaws lub cev thiab xa oxygen mus rau lwm cov nqaij.

Koj xav txog cov pa oxygen zoo li ib billion tus neeg caij tsheb tuaj txog ntawm tshav dav hlau (piv txwv li, koj lub ntsws). Lawv raug tos ntawm qhov ntawd thiab thauj mus rau ntawm txoj kev loj (piv txwv li, koj cov ntshav) mus rau lawv qhov chaw mus (piv txwv li, koj lub cev cov nqaij). Thaum cov pa oxygen mus txog nws qhov chaw zoo, nws ua txoj hauv kev rau lwm tus neeg caij tsheb , carbon dioxide . Cov pa carbon dioxide no yog cov khoom pov tseg. Nws rov qab mus rau hauv koj lub ntsws thiab tawm hauv koj lub cev thaum koj ua pa tawm.

Yog li ntawd, yog tias koj tsis tau txais oxygen txaus qhov twg ntawm txoj kev, hypoxia tuaj yeem tshwm sim. Qhov no xav tau ob qho tib si airflow thiab ntshav ntws . Yog vim li cas cov neeg uas muaj kab mob ntsws thiab kab mob plawv muaj feem ntau ntawm kev mob hypoxia. Peb kuj hu ib tus neeg uas raug kev txom nyem los ntawm hypoxia "hypoxic."

Qhov txawv ntawm Hypoxia thiab Hypoxemia yog dab tsi?

Tej zaum koj twb tau hnov ​​ob lo lus no - hypoxia thiab hypoxemia - siv sib pauv tau. Tab sis lawv tsis zoo ib yam. Cov npe zoo sib xws, uas tuaj yeem ua rau tsis meej pem, vim tias ob qho mob cuam tshuam nrog kev tsis txaus oxygen, tab sis nyob rau hauv qhov sib txawv ntawm lub cev.

• Hypoxia yog qhov txo qis ntawm cov pa oxygen hauv koj lub cev cov nqaij .
• Hypoxemia yog qhov txo qis ntawm cov pa oxygen hauv koj cov ntshav .

Feem ntau hypoxia tshwm sim los ntawm hypoxemia, tab sis qhov no tsis yog txhua lub sijhawm. Ib tug neeg tuaj yeem hypoxia yam tsis muaj hypoxemic, thiab vice versa. Koj puas nkag siab?

Leej twg muaj feem yuav mob hypoxia ntau dua?

Txhua yam mob uas ua rau cov pa oxygen hauv koj cov ntshav tsawg zuj zus, lossis txhua yam uas txwv tsis pub cov ntshav ntws, tuaj yeem ua rau hypoxia. Tshwj xeeb,

• COPD (Kab Mob Ntsws Hlwb Ntev)
• Mob ntsws ua pa nyuaj
• Mob hawb pob

Cov neeg uas muaj kab mob plawv lossis ntsws muaj feem yuav mob hypoxia ntau dua .

Tsis tas li ntawd xwb, qee yam kev kis mob xws li mob ntsws, mob khaub thuas, thiab COVID-19 tuaj yeem ua rau muaj kev pheej hmoo no ntau ntxiv.

Cov tsos mob thiab cov tsos mob ntawm hypoxia yog dab tsi?

Cov pa oxygen yog qhov tseem ceeb rau peb lub cev cov cell kom tsim tau lub zog thiab rau peb cov kab mob thiab cov nqaij kom ua haujlwm tau zoo. Txawm hais tias qee cov nqaij tuaj yeem hloov kho rau qhov txo qis ntawm cov pa oxygen ib ntus, hypoxia ntev tuaj yeem ua rau cov kab mob puas tsuaj. Kev puas tsuaj rau lub hlwb thiab lub plawv tshwj xeeb yog qhov txaus ntshai thiab tuaj yeem ua rau tuag tau. Peb hu qhov no tsis muaj oxygen rau lub hlwb cerebral hypoxia .

Cov tsos mob ntawm hypoxia tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg. Nws nyob ntawm qhov hnyav ntawm tus mob, qhov ua rau, thiab qhov twg ntawm lub cev raug cuam tshuam. Thaum koj cov pa oxygen poob qis, koj yuav xav tias koj ua tsis tau pa lossis xav tsis tau.

Nov yog qee cov tsos mob ntawm hypoxia:

• Ib tug neeg tsis muaj zog, tsis muaj kev xav.
• Mob taub hau.
• Kev ntxhov siab, tsis muaj peev xwm npaj ib tus neeg txoj kev xav.
• Kev ntshai thiab kev ntxhov siab tas li.
• Lub plawv dhia ceev (cov kws kho mob hu qhov no ua tachycardia).
• Ua pa sai (qhov no hu ua tachypnea).
• Ua pa nyuaj los yog ua pa luv luv (qhov no hu ua dyspnea).

Thaum hypoxia hnyav zuj zus, lwm cov tsos mob yuav tshwm sim:

• Lub plawv dhia qeeb (bradycardia).
• Kev ntxhov siab ntau dhau.
• Tawv nqaij, daim di ncauj, thiab rau tes xim xiav (hu ua cyanosis). Qhov no yog ib qho cim qhia txog kev phom sij heev.

Tseem Ceeb: Yog tias koj lossis ib tus neeg koj paub muaj cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Dab tsi yog cov ua rau muaj hypoxia tseem ceeb?

Feem ntau cov neeg uas muaj mob hypoxia feem ntau yuav muaj teeb meem kev noj qab haus huv uas cuam tshuam rau kev ncig ntshav lossis kev ua pa. Qee yam mob uas ua rau cov neeg uas muaj mob hypoxia muaj xws li:

• Anemia - tsis muaj ntshav hauv lub cev.
• Mob hawb pob.
• Mob ntsws (Bronchitis) - Kev o ntawm cov hlab ntsws.
• COPD (Kab Mob Hlwb Plab Ntev) - Ib qho kab mob ntsws uas kav ntev.
• Cov teeb meem plawv yug los.
• Qee yam mob ntawm lub plawv tsis ua haujlwm (Congestive heart failure).
• Mob ntsws o (emphysema) - kev puas tsuaj rau cov hnab cua hauv lub ntsws.
• Mob ntsws (Pneumonia) - Tej zaum yuav yog los ntawm cov kab mob lossis cov kab mob.
• Huab cua puv qhov chaw nyob ib puag ncig lub ntsws lossis lub ntsws tawg (Pneumothorax).
• Mob ntsws o.
• Mob ntsws embolism.
• Mob ntshav siab hauv lub ntsws.
• Pulmonary fibrosis - qhov txhab ntawm lub ntsws.
• Kev pw tsaug zog tsis taus pa.

Tsis txhob ntshai daim ntawv teev npe no. Tsis yog txhua tus neeg uas muaj ib qho ntawm cov no yuav muaj hypoxia, tab sis qhov kev pheej hmoo yeej muaj.

Muaj 4 hom hypoxia tseem ceeb:

Yuav kom cov hlwb hauv peb cov nqaij tau txais cov pa oxygen kom raug, muaj ob peb yam yuav tsum ua kom raug:

1. Cov pa uas peb ua pa yuav tsum muaj cov pa oxygen txaus.

2. Kev ua haujlwm ntawm lub ntsws kom noj qab nyob zoo yog qhov tseem ceeb rau kev nqa cov pa oxygen mus rau peb lub hnab cua ('alveoli').

3. Koj xav tau lub plawv thiab lub cev ncig ntshav kom noj qab nyob zoo kom nqa tau cov ntshav uas muaj oxygen ntau mus rau cov nqaij.

4. Yuav tsum muaj cov qe ntshav liab txaus kom nqa tau oxygen.

5. Cov hlwb hauv cov nqaij yuav tsum muaj peev xwm siv cov pa oxygen.

Qhov tsis muaj oxygen nyob rau hauv ib qho ntawm cov cheeb tsam no tuaj yeem ua rau ib qho ntawm plaub hom hypoxia.

1. Kev mob Hypoxia hauv cov neeg mob uas tsis muaj pa oxygen txaus

Qhov no yog hom hypoxia uas feem ntau tshwm sim . Qhov no yog thaum cov pa oxygen hauv cov ntshav txo qis (hu ua hypoxemia). Qhov mob no tuaj yeem tshwm sim los ntawm cov kab mob ntsws thiab lub plawv, cov teeb meem plawv yug los, thiab qee cov tshuaj uas ua rau ua pa qeeb. Tsis tas li ntawd, thaum koj mus rau thaj chaw siab xws li Nuwara Eliya, cov pa oxygen hauv huab cua qis, uas tuaj yeem ua rau hypoxemia, uas tuaj yeem ua rau hypoxia.

2. Kev Ntshav Tsis Txaus Pa

Qhov no kuj hu ua stagnant hypoxia lossis ischemic hypoxia. Qhov tshwm sim ntawm no yog tias koj cov ntshav yuav muaj ntau oxygen, tab sis yog tias koj lub plawv tsis nqus ntshav kom zoo, lossis yog tias cov hlab ntsha raug thaiv qhov twg, cov pa oxygen ntawd tsis mus txog koj cov nqaij. Congestive heart failure thiab cov ntshav txhaws ua rau muaj kev pheej hmoo ntawm hom hypoxia no.

3. Kab mob ntshav tsis txaus (anemia hypoxia)

Tam sim no, qee tus neeg hais tias lawv muaj ntshav siab qis, puas yog? Qhov ntawd txhais tau tias lawv tsis muaj cov qe ntshav liab txaus. Cov qe ntshav liab no yog cov uas nqa oxygen los ntawm lub ntsws mus rau lwm qhov ntawm lub cev. Yog li, yog tias koj tsis muaj cov qe ntshav liab txaus los nqa oxygen, uas yog, yog tias koj muaj ntshav tsis txaus, hom hypoxia no tshwm sim. Yog tias lub cev tsis tsim cov qe ntshav liab txaus, lossis yog tias cov qe ntshav liab uas tsim tawm yog deformed, ntshav tsis txaus tuaj yeem tshwm sim.

4. Kev mob Hypoxia ntawm cov tsiaj txhu

Qhov no txawv me ntsis. Ntawm no, koj lub ntsws tau txais oxygen txaus, thiab koj cov ntshav tau txais nws. Tab sis vim qee qhov laj thawj, cov hlwb hauv cov nqaij tsis tuaj yeem siv cov pa oxygen ntawd kom raug. Qhov no zoo ib yam li qhov tuaj yeem tshwm sim thaum koj noj cov tshuaj lom xws li cyanide. Txawm hais tias cov hlwb tau txais oxygen, lawv tsis tuaj yeem siv nws.

Yuav kuaj mob hypoxia li cas?

Koj tus kws kho mob yuav xub kuaj koj, mloog koj lub plawv thiab lub ntsws. Lawv kuj tseem yuav kuaj koj daim tawv nqaij, rau tes, thiab daim di ncauj seb puas muaj xim xiav. Tsis tas li ntawd xwb, lawv yuav xaj lwm yam kev kuaj los xyuas koj cov pa oxygen thiab nrhiav qhov ua rau hypoxia:

• Kev ntsuas pa oxygen hauv koj cov ntshav: Qhov no yog ib qho kev sim yooj yim heev, tsis mob. Muaj ib lub sensor me me txuas rau ntawm koj tus ntiv tes. Nws ntsuas qhov ntau ntawm cov pa oxygen hauv koj cov ntshav. Tej zaum koj twb tau pom qhov no ntau zaus lawm.
• Kev kuaj roj ntshav hauv cov hlab ntsha (ABG): Qhov no suav nrog kev siv ib rab koob nyias nyias los ntsuas koj cov pa oxygen hauv koj lub dab teg, caj npab, lossis qhov chaw mos.
• Kev Ntsuas Kev Ua Haujlwm ntawm Lub Plab (PFT): Qhov no suav nrog koj ua pa nkag thiab tawm los ntawm lub qhov ncauj uas txuas nrog lub tshuab. Nws ntsuas seb koj lub ntsws ua haujlwm zoo npaum li cas.
• Kev kuaj duab: Kev kuaj xws li X-rays, CT scans, thiab V/Q scans thaij duab ntawm koj cov kab mob sab hauv. Cov no tuaj yeem pab txiav txim seb qhov ua rau hypoxia.
• Kev Ntsuas Kev Taug Kev Rau Rau Feeb (6MWT): Qhov kev ntsuas no ntsuas seb koj tuaj yeem taug kev deb npaum li cas hauv thaj chaw tiaj tiaj rau rau feeb. Qhov kev ntsuas no tuaj yeem muab lub tswv yim rau koj txog koj lub ntsws thiab lub plawv ua haujlwm.

Yuav kho tus mob hypoxia li cas?

Kev kho mob rau hypoxia nyob ntawm seb qhov ua rau muaj qhov no yog dab tsi . Nws tuaj yeem yog ib qho xwm txheej ib zaug xwb lossis mob ntev. Cov kev xaiv kho mob suav nrog:

• Cov tshuaj uas qhib koj txoj hlab pa, xws li cov tshuaj steroids uas nqus pa tau, los kho mob hawb pob lossis lwm yam kab mob ntsws.
• Cov tshuaj uas txo cov kua dej ntau dhau hauv lub ntsws (hu ua "Diuretics").
• Siv lub npog ntsej muag CPAP (Continuous Positive Airway Pressure) los kho mob pw tsaug zog apnea.
• Kev siv BiPAP® (BiLevel Positive Airway Pressure) (feem ntau hu ua lub npe lag luam BiPAP®) rau COPD thiab qee yam mob pw tsaug zog apnea.
• Kev muab pa oxygen ntxiv rau cov neeg uas lub cev tsis muaj pa oxygen ntev. Qhov no suav nrog kev muab lub tshuab muab pa oxygen, los ntawm lub npog ntsej muag lossis lub raj, rau ntawm koj lub qhov ntswg kom nce cov pa oxygen uas mus txog koj lub ntsws thiab cov hnab cua (alveoli).
• Thaum muaj mob hnyav heev uas hypoxia, kev siv tshuab ua pa yuav ua tau hauv tsev kho mob.

Yuav ua li cas thiaj tswj tau cov tsos mob ntawm hypoxia?

Yog tias koj xav tias koj txhais taw tsis ruaj khov, koj lub plawv dhia lossis ua pa ceev, lossis koj cov rau tes, daim di ncauj, lossis daim tawv nqaij zoo li xiav, koj yuav tsum nrhiav kev kho mob tam sim ntawd . Koj puas paub dab tsi? Hypoxia yog ib qho mob uas yuav tsum tau kho tam sim ntawd. Yog tias tsis yog, nws qee zaum tuaj yeem ua rau puas tsuaj rau cov kabmob tseem ceeb hauv peb lub cev.

Hauv cov mob ntev xws li COPD, qhov hypoxia no yuav nyob ntev, tab sis cov tsos mob yuav tsis hnyav heev. Hauv cov xwm txheej zoo li no, koj tus kws kho mob yuav qhia koj yuav ua li cas tswj koj tus mob thiab txo qhov kev pheej hmoo ntawm cov pa oxygen tsawg. Tsis txhob tsis quav ntsej cov tsos mob tshiab. Yog tias koj pom muaj dab tsi txawv, qhia rau koj tus kws kho mob.

Yuav ua li cas kom txo tau qhov kev pheej hmoo ntawm hypoxia?

Txoj kev zoo tshaj plaws los txo koj txoj kev pheej hmoo ntawm hypoxia yog tswj hwm txhua yam mob uas ua rau koj cov pa oxygen tsawg. Yog tias koj muaj kab mob plawv lossis ntsws, nrog koj tus kws kho mob tham txog cov hau kev tshwj xeeb los txo koj txoj kev pheej hmoo.

Nco ntsoov tias qee cov tshuaj thiab tej yam xwm txheej xws li kev mus ncig teb chaws rau qhov chaw siab tuaj yeem ua rau muaj kev pheej hmoo ntawm hypoxia. Nug koj tus kws kho mob txog cov kev ceev faj tshwj xeeb uas koj yuav tsum tau ua thaum mus ncig teb chaws lossis hloov cov tshuaj.

Kuv yuav ua li cas nyob nrog qhov xwm txheej no?

Feem ntau cov neeg uas muaj hypoxia yuav tsum tau mus kho mob tam sim ntawd. Koj tus kws kho mob yuav piav qhia rau koj txog qhov ua rau muaj qhov teeb meem no thiab yuav ua li cas thiaj li tswj tau qhov teeb meem no mus tom ntej.

Muaj tej lub sij hawm, hypoxia yuav ploj mus thaum kho qhov mob tseem ceeb, ua rau tsis tas yuav tau txais cov pa oxygen ntxiv. Txawm li cas los xij, muaj tej lub sij hawm, tej zaum yuav xav tau cov pa oxygen ntxiv mus tas li kom tiv thaiv tau hypoxia thiab tiv thaiv cov nqaij puas tsuaj los ntawm cov pa oxygen tsawg. Koj tus kws kho mob yuav tham txog cov kev xaiv uas zoo rau koj.

Kuv yuav saib xyuas kuv tus kheej li cas?

Yog tias koj muaj ib qho mob uas ua rau lossis yuav ua rau hypoxia, kev tswj hwm qhov mob ntawd yog txoj hauv kev zoo tshaj plaws los txo qhov kev pheej hmoo ntawm nws tshwm sim dua.

• Tsis txhob tsis quav ntsej cov tsos mob tshiab. Yog tias koj xav tias muaj qee yam tsis raug, ntseeg koj lub siab xav thiab mus ntsib koj tus kws kho mob lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) .
• Saib xyuas koj tus kheej. Yog tias koj muaj mob hawb pob, nco ntsoov txog tej yam uas ua rau koj mob. Ib txwm nqa lub tshuaj nqus pa cawm siav nrog koj, yog tias koj tus kws kho mob tau sau ntawv kom ua. Ua cov kev tawm dag zog ua pa raws li koj tus kws kho mob tau sau ntawv.
• Tsis txhob haus luam yeeb thiab siv cov khoom luam yeeb.Yog koj haus luam yeeb, kev tso tseg tuaj yeem txhim kho koj lub ntsws ua haujlwm thiab tiv thaiv kev puas tsuaj ntxiv.
• Noj cov tshuaj uas koj tus kws kho mob sau ntawv kom raug.
• Yog koj mus ncig teb chaws rau thaj chaw siab, npaj ib txoj kev npaj. Txawm tias cov neeg uas tsis muaj mob nkeeg kuj tuaj yeem ua pa nyuaj thaum nyob rau thaj chaw siab. Nkag siab tias qhov no yuav cuam tshuam li cas rau koj thiab npaj ib txoj kev npaj los hloov kho rau qhov kev hloov pauv. Xav txog seb yuav ua li cas yog tias koj xav tau kev qhia kho mob. Muab sijhawm txaus rau koj tus kheej kom hloov kho tau, yog tias tsim nyog, thiab nqa cov khoom siv lossis tshuaj ntxiv uas koj xav tau.

Kuv yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) thaum twg?

Hypoxia yog ib qho mob uas yuav ua rau tuag taus. Yog tias koj muaj cov tsos mob ntawm hypoxia, lossis yog tias lwm tus pom tias koj tus cwj pwm lossis kev nco qab hloov pauv sai sai (tsis meej pem, ntxhov siab, hloov pauv kev nco qab), mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) tam sim ntawd. Yog tias koj muaj mob uas tsis tu ncua thiab koj cov tsos mob ib txwm zuj zus tuaj, lossis yog tias koj muaj cov tsos mob tshiab uas koj xav tias yuav yog hypoxia, mus rau Chav Kho Mob Thaum Muaj Xwm Ceev.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Yog tias koj lossis ib tus neeg koj hlub raug kuaj pom tias muaj hypoxia, ntawm no yog qee cov lus nug uas koj yuav tsum nug koj tus kws kho mob:

• Kws kho mob, qhov hypoxia no puas yog vim muaj lwm yam kab mob hauv qab?
• Kuv yuav ua li cas thiaj tswj tau kuv tus mob kom txo tau kuv txoj kev pheej hmoo ntawm hypoxia?
• Qhov no puas ua rau kuv cov kab mob puas tsuaj, lossis puas muaj lwm yam teeb meem?
• Kuv puas yuav tsum tau hloov kuv txoj kev ua neej kom txo tau qhov kev pheej hmoo ntawm hypoxia?
• Puas yog kev hloov kuv cov phiaj xwm mus ncig lossis tshuaj kho mob ua rau kuv muaj feem yuav mob hypoxia ntau ntxiv?

Thaum kawg, nco ntsoov (Cov Lus Coj Mus Tsev)

Hypoxia yog ib qho mob uas txaus ntshai rau lub neej, tab sis nws tuaj yeem kho tau nrog kev kho mob sai. Yog tias koj muaj mob plawv lossis ntsws uas ua rau koj muaj feem yuav hypoxia, nrog koj tus kws kho mob tham txog cov tsos mob uas yuav tsum tau saib xyuas thiab yuav ua li cas yog tias koj xav tias koj cov pa oxygen qis.

Nco ntsoov tias, koj paub koj lub cev zoo tshaj plaws. Yog li ntawd, yog tias koj muaj cov tsos mob uas ua rau koj txhawj xeeb, tsis txhob yig hu rau koj tus kws kho mob tam sim ntawd lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ze tshaj plaws. Nyob kom noj qab nyob zoo!

` Hypoxia, oxygen, ua pa nyuaj, kab mob ntsws, kab mob plawv, cov tsos mob, kev kho mob