Sɔntɛnde, yu kin fil lɛk se yu nɔ de blo fayn, yu chɛst kin tayt, ɔ yu kin fil lɛk yu ed de tɔn ivin afta yu dɔn waka fɔ shɔt tɛm? Ɔ yu kin gɛt ed we de at bɔku tɛm? Wan rizin we mek dis kin bi we di ɔksijɛn we de na yu blɔd kin go dɔŋ. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis hypoxemia . Bikɔs dis kin bi siriɔs sik, lɛ wi tɔk bɔt am simpul wan ɛn klia wan.
Okay, wetin na dis Hypoxemia?
Fɔ tɔk am simpul wan, Hypoxemia na wan sik we yu blɔd nɔ gɛt bɛtɛ ɔksijɛn pas di nɔmal ɔksijɛn. Ɔksijɛn impɔtant fɔ mek ɔl di sɛl ɛn ɔgan dɛn na wi bɔdi wok fayn, jɔs lɛk aw motoka nid petrol fɔ mek i ebul fɔ rɔn.
Tink bɔt am dis we. We wi de blo, di ɔksijɛn we de na di ays kin go insay wi lɔng. insay di lכng dεm na wan nεtwכk fכ sכm sכm sכm εya sak dεm we dεn kכl alveoli. dεn ay sak dεm ya de rawnd fayn fayn bכdi vεsul dεm (kapilari dεm). We wi de blo, di ɔksijɛn we de go insay di lɔng dɛn kin pas tru dɛn ay sak dɛn ya ɛn go insay di blɔd vesel dɛn. Dɔn di blɔd kin pik dis ɔksijɛn ɛn sheb am to di tisu dɛn ɔlsay na di bɔdi.
Hypoxemia kin apin we sɔmtin nɔr fayn wit dis prɔses. Yu nɔ ebul fɔ blo bɛtɛ ɔksijɛn , ɔ di ɔksijɛn we yu de blo nɔ go ebul fɔ go insay yu blɔd fayn fayn wan . Dis na wae mek pipul dɛm wae gɛt lɔng sik ɛn at sik kin gɛt dis sik.
Yu tink se Hypoxemia ɛn Hypoxia na tu difrɛn tin?
Yɛs, pan ɔl we bɔku pipul dɛn kin kɔnfyus dɛn tu wɔd ya, smɔl difrɛns de. I impɔtant fɔ no dat.
- Hypoxemia na we di ɔksijɛn we de na di blɔd de go dɔŋ .
- haypoksia na we di ɔksijɛn we de rich na di bɔdi in tisu dɛn de go dɔŋ .
Tink bɔt blɔd lɛk ‘delivri trak’ we de kɛr ɔksijɛn. Tisu dεm na ‘kכstom' dεm we de wet fכ כksijεn. Hypoxemia na we di trak in kago (ɔksijɛn) nɔ bɔku. So, Hypoxia na we di kɔstɔma nɔ gɛt di kago. Bɔku tɛm, we ɔksijɛn na di blɔd nɔ bɔku (Hypoxemia), di tisu dɛn nɔ kin gɛt ɔksijɛn bak (Hypoxia). Bɔt nɔto ɔltɛm dat kin apin.
Wetin na di sayn dɛm fɔ dis sik?
Di sayn dɛm fɔ haypoxemia kin difrɛn difrɛn wan bay aw i siriɔs ɛn di tin wae de mek i apin. Sɔm kɔmɔn sayn dɛm de na di tebul wae de dɔŋ ya.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| I nɔ kin izi fɔ yu fɔ blo | Fɔ fil se yu de swɛla, i nɔ izi fɔ blo (dyspnea). |
| Ed de at | Ɛd we de at, mɔ na mɔnin. |
| Di at we de blo | Di at rit we de go ɔp (tachycardia). |
| Kɔf ɛn nɔys na di chɛst | Fɔ kɔf ɛn swɛt bɔku tɛm we yu de blo. |
| Kɔnfyus | Kɔnfyushɔn ɛn agyumɛnt kin apin we di bren nɔ gɛt ɔksijɛn. |
| Blu we pɔsin kin gɛt (Cyanosis) . | Dis na imejensi! Blu di kɔlɔ we de chenj na di skin, di lip dɛn, ɛn di nel dɛn. |
Wetin mek dis kin apin? Wetin na di tin dɛm wae kin mek pɔrsin gɛt hypoxemia?
Bɔku rizin dɛn kin de fɔ dis. Di men rizin na wan ɔndalayn mɛdikal kɔndishɔn we kin afɛkt di we aw pɔsin de blo ɔ di we aw di blɔd de go. Fɔ ɛgzampul, we yu go na say we ay, lɛk say we gɛt mawnten, dis kin apin fɔ sɔm tɛm bikɔs ɔksijɛn nɔ de na di say we yu de.
Dis dɔŋ ya na sɔm pan de men mɛrɛsin wae kin mek pɔrsin gɛt hypoxemia.
- Asma we gɛt asma
- Nyumonia
- COPD (Krכnik Obstrכktiv Pulmonari Disiz) .
- Kɔnjɛstiv At Failure
- Pɔlmonari Ɛmbolizm
- Pulmonari Ɛdima
- Slip apnɛa fɔ slip
- Anemia we nɔ gɛt bɛtɛ blɔd
- Di Dɛfɛkt dɛn we dɛn kin gɛt we dɛn bɔn wit di at
- Sivεr respiratory infεkshכn lεk COVID-19
5 men mεkanism dεm we de kכntribyut fכ כksijεn dεplεshכn
If yu luk di mɛrɛsin, 5 men tin dɛn de we kin mek ɔksijɛn nɔ de na di blɔd. Dɛn tin ya kɔmplikt smɔl, bɔt lɛ wi kip am simpul.
1. 1. 1. .Ventilation-Perfusion (V/Q) Mismatch: Tink bɔt di lɔng dɛn lɛk bɔs stand. Air (oxygen) na di pasenja dɛn. Blɔd na di bɔs. Sɔntɛnde, di stand kin ful-ɔp wit pasenja dɛn, bɔt bɔs nɔ de (blɔd nɔ kin flɔ). Ɔ bɔku bɔs dɛn de, bɔt pasenja nɔ de (low ventilation). dis mismatch bitwin di fכlכ fכ briz εn di fכlכ fכ b כdi dεn kכl am V/Q mismatch.
2. Diffusion Impairment: Naw imajin se di pasenja dɛn (ɔksijɛn) de na di stand, ɛn di bɔs (blɔd) de muf. Bɔt sɔntin de we de ambɔg di pasenja dɛn fɔ go insay di bɔs. Dis na di tin we de ambɔg di ɔksijɛn frɔm di lɔng dɛn to di blɔd . dis kin apin bikoz fכ tin dεm lεk we di wכl dεm na di lכng dεm de tik.
3. Hypoventilation: Fɔ tɔk am simpul wan , yu de blo sloslo ɔ yu nɔ de blo dip , we kin mek di ɔksijɛn nɔ rich na di lɔng dɛn.
4. Low Environmental Oxygen: Dis wan de klia. If di say we wi de, nɔ gɛt bɔku ɔksijɛn , fɔ ɛgzampul, we wi go ɔp mawnten, wi nɔ go ebul fɔ tek bɔku ɔksijɛn.
5. Rayt-to-Left Shunting: Wi at gɛt blɔd we nɔ gɛt bɔku ɔksijɛn (blu blɔd) na di rayt say ɛn blɔd we gɛt bɔku ɔksijɛn (rɛd blɔd) na di lɛft say. Dɛn tu ya nɔ de miks. Bɔt pan sɔm at sik dɛn, instead fɔ go na di lɔng fɔ gɛt ɔksijɛn, sɔm pan di blɔd we nɔ gɛt bɔku ɔksijɛn kin jomp dairekt na di lɛft say ɛn go na di bɔdi . Dis na tin bak we kin mek pɔsin gɛt Hypoxemia.
Aw dɔktɔ kin fɛn dis?
Afta yu dɔn lisin to yu sayn dɛm, di dɔktɔ go chɛk yu. Dis kin min fɔ lisin to yu at ɛn yu lɔng, fɔ chɛk yu skin kɔlɔ, ɛn fɔ du bɔku tɛst dɛn fɔ no di ɔksijɛn we yu gɛt.
- Pulse Oximetry: Yu go dɔn si dis. Na divays we de klip pan yu finga ɛn mɛzhɔ yu ɔksijɛn lɛvɛl. I nɔ de mek pɔsin fil pen ɛn i rili izi. Pɔsin we gɛt wɛlbɔdi in puls fɔ bi 95% ɔ pas dat.
- Arterial Blood Gas (ABG) Test: Dis na di tɛst we kɔrɛkt pas ɔl. Dɛn kin tek smɔl blɔd frɔm wan at we de na di an, di kruk na di ɛlbo, ɔ di groin, ɛn dɛn kin mɛzhɔ di lɛvɛl dɛn we ɔksijɛn, kabon dayɔgzayd, ɛn di asid (pH) we de na di blɔd.
- Siks-Minit Wok Tεst (6MWT): Na tεst we de mכsu aw fa yu kin waka pan lεvεl grכn insay 6 minit, εn aw yu כksijεn lεvεl de chenj wit εksεsayz.
Aw dɛn kin trit am?
Di men tin we yu de trit di haypoxemia na fɔ trit di ɔndalayn kɔz . Apat frɔm dat, dɛn kin yuz tritmɛnt bak fɔ mek di ɔksijɛn we de na di blɔd kam bak kwik kwik wan.
Di tin we impɔtant pas ɔl na fɔ mek di ɔksijɛn we de na di blɔd go ɔp. Fɔ dis, dɛn kin gi sɔpɔtmɛnt ɔksijɛn.
Bɔku we dɛn fɔ trit am:
- Ɔksijɛn: Dɛn kin gi ɔksijɛn tru wan kanula we de na di nos ɔ wan mask. Dɛn kin gi sɔm pipul dɛn ɔksijɛn kɔnsɛntret we dɛn kin yuz na os.
- Inhala: Dɛn kin gi pipul dɛn we gɛt kɔndishɔn lɛk asma ɔ COPD inhala we de mek di say dɛn we dɛn de blo big (bronchodilators) ɔ ridyus di swɛlin (steroids).
- CPAP mashin dɛm: Dɛn kin gi dis mashin to pipul dɛm wae gɛt slip apnea fɔ yuz na nɛt.
- Ventilator: If di sikman in kɔndishɔn rili bad, we min se i nɔ izi fɔ blo fɔ dɛnsɛf, dɛn kin kɔnɛkt am to atifishal respiration mashin (ventilator) na di ɔspitul in intensiv kia yunit.
- Ɔda mɛrɛsin dɛn: If di lɔng dɛn ful-ɔp wit wata, dɛn kin gi mɛrɛsin (diuretics) fɔ pul di ɛkstra wata.
Wetin wi fɔ du fɔ mek di ɔksijɛn kɔntinyu fɔ gɛt gud ɔksijɛn?
If yu gɛt at sik ɔr lɔng sik, dɛn tin ya impɔtant fɔ ridyus di risk fɔ gɛt hypoxemia.
- Manej yu sik fayn fayn wan: Yuz di mɛrɛsin ɛn inhala we yu dɔktɔ tɛl yu fɔ du di rayt tɛm. Mek shɔ se yu go na di klinik dɛn.
- Nɔ smok kpatakpata: Smok kin rili ambɔg di lɔng dɛn. If yu lɛf fɔ smok, dat go ɛp fɔ mek yu gɛt mɔ ɔksijɛn.
- Du ɛksɛsayz fɔ blo: Aks yu dɔktɔ bɔt tin dɛn lɛk fɔ blo dip ɛn fɔ yuz tin dɛn lɛk Incentive Spirometer.
- Yu fɔ no bɔt nyu sayn dɛm: If yu gɛt nyu shɔt briz ɔr yu chɛst de pen, nɔr ignore am.
- Tek tɛm we yu de travul go na ay ay ples: If yu gɛt at ɔ lɔng sik, tɔk to yu dɔktɔ ɛn gɛt di advays we yu nid bifo yu travul go na say we gɛt mawnten dɛn.
Ustɛm wi fɔ go to dɔktɔ kwik kwik wan? (Wetin fɔ go na di ETU)
Hypoxemia na wan sik we kin mek pɔsin in layf de pan denja. If yu gɛt ɛni wan pan dɛn sayn ya, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Wantɛm we yu nɔ de blo bad bad wan.
- Blu di kɔlɔ we de chenj na di lip, di finga nel, ɔ di skin (Cyanosis).
- Bɔrku pen na yu chɛst.
- Kɔnfyushɔn, agyumɛnt, ɔ lɔs kɔnshɛns.
- If yu dɔn gɛt wan sik, di kɔmɔn sayn dɛn we i kin gɛt kin wɔs wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Hypoxemia na di ɔksijɛn we nɔ de na di blɔd we nɔ de bɔku. Dis kin pwɛl di ɔgan dɛn na wi bɔdi.
- Di men sayn dɛm na wae yu nɔr kin ebul fɔ blo fayn, yu ed kin at, yu at kin rit pasmak, ɛn yu skin kin blu.
- Lɔng sik (asma, COPD) ɛn at sik na di men tin we kin mek i sik.
- Wan puls ɔksimita we dɛn put na di finga kin gi wan rɔf aydia bɔt di ɔksijɛn lɛvɛl, bɔt dɛn nid fɔ du mɛdikal tɛst fɔ mek dɛn no di sik kɔrɛkt wan.
- Di men we fɔ trit am na fɔ trit di sik we de ɔnda am ɛn fɔ gi ɔksijɛn we de na do if nid de.
- If yu gɛt siriɔs prɔblɛm fɔ blo ɔ yu skin blu, na imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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