Lɛ wi lan bɔt haypoxemia - we di ɔksijɛn de dɔŋ na di blɔd!

Sɔntɛnde yu kin fil lɛk se yu nɔ de blo fayn? Ɔ lɛk se yu chɛst tayt smɔl? Wan rizin fɔ dis kin bi we di ɔksijɛn we de na yu blɔd go dɔŋ. Dis na wetin wi kin kɔl hypoxemia pan mɛrɛsin. Pan ɔl we dis kin bi siriɔs sik, yu kin ebul fɔ kɔntrol am fayn if yu ɔndastand am fayn ɛn du di tin dɛn we yu nid. So, lɛ wi tɔk bɔt dis smɔl mɔ tide, nɔto so?

Wetin na Hypoxemia?

Fɔ tɔk am simpul wan, haypoxemia na we wi blɔd nɔ gɛt bɛtɛ ɔksijɛn pas aw i fɔ gɛt. Tink bɔt am dis we: wi bɔdi tan lɛk motoka. Jɔs lɛk aw motoka nid petrol fɔ mek i ebul fɔ rɔn, ɔl di ɔgan ɛn sɛl dɛn na wi bɔdi nid ɔksijɛn fɔ mek i wok fayn.

Dis ɔksijɛn kin go insay wi blɔd tru di lɔng dɛn we wi de blo. We wi de blo, di ɔksijɛn we de na di ays kin go insay wi lɔng. Insay di lɔng dɛn, dɛn gɛt smɔl smɔl ɛya sak dɛn, lɛk smɔl smɔl greps dɛn we de na vayn. Wi kin kɔl dɛn tin ya `(Alveoli)` . arawnd dεn `(Alveoli)` dεm de spre plεnti fayn fayn bכdi chεnal dεm `(Capillaries) . we wi de brith, di כksijεn we de insay di briz we de kam insay de abzכp insay dεn `(Alveoli)` dεm tru dεn fayn fayn bכdi chεnal dεm. Dɔn dis ɔksijɛn de travul wit di blɔd ɔlsay na di bɔdi ɛn rich na wi tisu dɛn.

So, if prɔblɛm de sɔmsay na dis prɔses, dat na if ɔksijɛn nɔ de na di briz we wi de tek, ɔ if di lɔng dɛn nɔ ebul fɔ tek ɔksijɛn insay di blɔd fayn fayn wan, dat min se di ɔksijɛn lɛvɛl na di blɔd de go dɔŋ, we min se haypoxemia de apin.

Hypoxemia kin gɛt difrɛn difrɛn tin dɛn, i kin dipen pan aw i siriɔs ɛn aw i fɔ tek . Sɔmtɛm e kin mek yu gɛt smɔl smɔl sayn dɛm lɛk ed pen ɛn shɔt briz. Bɔt if i siriɔs, i kin ambɔg di wok we di at ɛn bren de du, mek wan sik we dɛn kɔl ``Hypoxia``, usay di bɔdi in ɔgan ɛn tisu dɛn nɔ gɛt ɔksijɛn, ɛn i kin ivin mek pɔsin day.

we dis kin apin insay sכt tεm, wi kin kכl am "acute respiratory failure," εn we na prכblεm we de kכntinyu fכ mכnt כ ​​ia, wi kin kכl am "chronic respiratory failure."

Wetin na di difrɛns bitwin Hypoxemia ɛn Hypoxia?

Yu go dɔn yɛri di wɔd dɛn we dɛn kɔl hypoxemia ɛn hypoxia. Pan ɔl we dɛn de sawnd di sem, smɔl difrɛns de.

• Hypoxemia na we di ɔksijɛn we de na di blɔd de go dɔŋ.
• Hypoxia na we di ɔksijɛn we de rich na wi bɔdi in tisu dɛn we de go dɔŋ.

Bɔku tɛm, na wan sik we dɛn kɔl haypoksimia kin kam wit haypoksia. dis min se we di bכdi gεt כksijεn lεvεl lכw, di tisu dεm dεn tu gεt lכw כksijεn lεvεl. Bɔt nɔto so i kin bi ɔltɛm. Sɔntɛnde, di tisu dɛn kin gɛt smɔl ɔksijɛn pan ɔl we di blɔd gɛt nɔmal ɔksijɛn, ɔ di tisu dɛn kin gɛt smɔl ɔksijɛn pan ɔl we di blɔd gɛt smɔl ɔksijɛn. I kɔmplikt smɔl, bɔt di men tin na dat dɛn ɔl tu gɛt fɔ du wit di lɔw ɔksijɛn lɛvɛl.

Udat dɛn kin gɛt di sik we dɛn kɔl hypoxemia?

Pan ɔl we ɛnibɔdi kin gɛt dis sik we dɛn kɔl haypoxemia, sɔm pipul dɛn kin gɛt dis sik.

• Dis risk kin pasmak fɔ pipul dɛm wae gɛt lɔng sik, fɔ ɛgzampul, asma, COPD (Chronic Obstructive Pulmonary Disease), ɛn nyumonia.
• Dis kin afɛkt pipul dɛn bak we gɛt at sik . Bikɔs di at na di wan we de pɔmp blɔd we gɛt ɔksijɛn ɔlsay na di bɔdi. So if ɛni prɔblɛm de wit aw di at de wok, i go afɛkt di ɔksijɛn lɛvɛl bak na di blɔd.
• Apat frɔm dat, sɔm sik dɛn we pɔsin kin gɛt lɛk influenza, nyumonia, ɛn COVID-19 kin mek bak di risk fɔ gɛt haypoksimia.

Wetin na di sayn dɛm fɔ dis?

Okay, naw lɛ wi si wetin na di sayn dɛm wae wi de si pan dis kɔndishɔn wae gɛt haypoxemia. Dɛn sayn ya kin difrɛn difrɛn wan bay aw di sik tranga, dat na aw di ɔksijɛn nɔ bɔku, ɛn wetin de mek i sik.

• Ɛd we de at: Ed kin at ɔltɛm.
• Dispnea: Na filin fɔ mek yu nɔ ebul fɔ blo fayn, yu chɛst tayt, ɛn yu nɔ de blo fayn.
• Tachycardia: Na di rit we di at de bit de go ɔp.
• Kɔf: Na kɔf we de kɔntinyu fɔ kɔf.
• Wiz: Na sawnd we de kɔmɔt na di chɛst we yu de blo.
• Kɔnfyushɔn: Fɔ fil se yu gɛt diziz ɛn nɔ no wetin fɔ du.
• Blu skin, nel, ɛn lip (Cyanosis): Dis na sayn we rili siriɔs. We di bɔdi nɔ gɛt bɛtɛ ɔksijɛn, sɔntɛnde di skin, di nel, ɛn di lip kin tɔn blu.

Wetin na di men tin dɛm wae kin mek pɔrsin gɛt hypoxemia?

Hypoxemia kin gɛt bɔku tin dɛn we kin mek i apin. Bɔt bɔku tɛm, di men tin we kin mek pɔsin gɛt dis sik na wan sik we de mek i sik. Dis min se bɔku tɛm na at ɔ lɔng sik we kin afɛkt di we aw pɔsin de blo ɔ di we aw di blɔd de go ɔlsay. Sɔm mɛrɛsin kin mek bak yu gɛt haypoksimia bay we yu de slo fɔ blo.

Yu kin dɔn yɛri bɔt wan sik we dɛn kɔl `(Sleep Apnea)`. Na wan sik wae de kam wae yu de blo kin stɔp wan wan tɛm wae yu de slip. Insay dɛn kayn tin ya, ɔ pan pipul dɛn we gɛt smɔl smɔl sik dɛn na dɛn lɔng, di ɔksijɛn we de na di blɔd kin go dɔŋ na nɛt. Dɛn kɔl dis `(Nocturnal Hypoxemia)`.

Wan ɔda tin na dat, haypoxemia kin apin bak we yu de travul go na ay ay ples . Imajin se we yu go na ay ay mawnten eria lɛk Nuwara Eliya, na dat mek sɔm pipul dɛn kin fil lɛk se i nɔ kin izi fɔ dɛn fɔ blo. Dis na bikɔs di ɔksijɛn we de na di ays de go dɔŋ as di ayt de go ɔp.

Sɔm ɔda rizin dɛn...

Sɔm ɔda tin dɛm wae kin mek pɔrsin gɛt haypoxemia na:

• Akyu Respiratɔri Distres Sindrɔm (ARDS) .
• Anemia - dat min se blɔd nɔ de
• Asma we gɛt asma
• Bronkitis we dɛn kɔl Bronchitis
• Kronik Obstrɔktiv Pulmonari Diziz (COPD) .
• di at dεm we dεn bכn wit - at sik dεm we de de we dεn bכn am
• Kɔnjɛstiv at we nɔ de wok fayn
• εmfisema - di damej pan di ay sak dεm na di lכng dεm
• Nyumonia
• di briz we de rawnd di lכng כ di lכng kכlaps (Pneumothorax) .
• Ɛdima we de na di pulmonari
• Pɔlmonari ɛmbolizm
• Ska we de na di lɔng dɛn (Pulmonary fibrosis) .
• Pulmonari haypatɛyshɔn

5 men kategori dεm fכ fכs tin dεm we de kכntribyut to haypoxemia

naw lε wi luk di 5 men mεkanism dεm we de kכntribyut fכ mek di haypoxemia kכmכt. Dis na smɔl mɛrɛsin, bɔt lɛ wi tray fɔ ɔndastand dɛn simpul wan.

1. Ventilation-Perfusion (V/Q) mismatch: Tink bɔt am, fɔ mek di blɔd gɛt ɔksijɛn, di lɔng dɛn nid fɔ gɛt inof briz (dɛn kɔl dis ventilation), ɛn fɔ kɛr da ɔksijɛn de go, di lɔng dɛn nid fɔ gɛt inof blɔd (dɛn kɔl dis perfusion). If prɔblɛm de wit ɛni wan pan dɛn tu ya, fɔ ɛgzampul, if di lɔng dɛn gɛt inof briz bɔt nɔ gɛt bɛtɛ blɔd, ɔ if di blɔd gɛt inof briz bɔt nɔ gɛt bɛtɛ briz, dat min se ɔksijɛn nɔ de go insay di blɔd fayn fayn wan. Dɛn kɔl dis `(V/Q) mismatch`. Bɔrku tɛm dis kin bi bikɔs ɔf at sik ɔr lɔng sik.

. Jɔs lɛk we di pores dɛn na filta kin klos, wata nɔ kin ebul fɔ pas. dis kin apin bikoz fכ kכndishכn lεk εmfysema כ skata na di lכng dεm.

3. Hypoventilation: Dis na we wi de blo tu dip ɔ tu sloslo. Dis min se nɔto inɔf ɔksijɛn de rich na di lɔng dɛn. Dis kin kam wit bɔrku lכng sik dεm εn sɔm bren sik dεm.

4. 4. .Ɔksijɛn we de na di envayrɔmɛnt we nɔ bɔku: If di briz we de na wi envayrɔmɛnt nɔ gɛt bɔku ɔksijɛn, ilɛksɛf wi de blo bɔku, wi bɔdi nɔ go gɛt di ɔksijɛn we i nid. As a bin dɔn tɔk, di briz we de na say dɛn we ay ay mawnten dɛn, nɔ gɛt bɔku ɔksijɛn.

. Bɔt pan sɔm pipul dɛn, dis blɔd we nɔ gɛt ɔksijɛn kin kɔmɔt na di rayt say na di at to di lɛft say na di bɔdi instead fɔ go na di lɔng dɛn. Dɔn, di blɔd we nɔ gɛt ɔksijɛn kin go ɔlsay na di bɔdi. Dɛn kɔl dis rayt-to-lɛft shunting. Bɔrku tɛm, dis kin apun bikɔs ɔf sɔm abnɔmal tin dɛm na di at.

Aw yu kin no bɔt dis?

Okay, naw lɛ wi si aw dɔktɔ de no dis sik we de mek pɔsin gɛt haypoxemia. We yu go to dɔktɔ, i go lisin fɔs to yu at ɛn yu lɔng. Bikɔs ɛnitin we nɔ fayn na dɛn ɔgan dɛn ya kin bi sayn fɔ se ɔksijɛn nɔ de na di blɔd. I go chɛk bak if yu skin, yu lip, ɛn yu finga nel dɛn blu.

Apat frɔm dat, yu kin du dɛn tɛst ya fɔ chɛk yu ɔksijɛn lɛvɛl:

• Pulse oximetry: Yu go mɔs dɔn si dis. Na smɔl tin we de klip pan yu finga ɛn mɛzhɔ di ɔksijɛn lɛvɛl na yu blɔd. I nɔ de mek pɔsin fil pen ɛn i nɔ nid blɔd. Bɔku dɔktɔ dɛn kin yuz am we dɛn de chɛk dɛn ɔltɛm.
• di atεrial bכdi gas tεst: Dis na tεst we de mכsu di כksijεn lεvεl na di bכdi kכrekt wan bay we dεn tek sכm sכm blכd sεmpl frכm ples lεk di an, di krok na di an, כ di groin.
• Siks minit wok tɛst (6MWT): Dis kin min fɔ waka na flat ples fɔ siks minit, fɔ mɛzhɔ aw yu ɔksijɛn lɛvɛl de chenj ɛn aw fa yu kin waka. Dis kin mek yu no aw yu lɔng ɛn yu at de wok fayn fayn wan.

Wetin na di tritmɛnt dɛn?

We dɛn de trit haypoxemia, di tritmɛnt de dipen pan di tin we mek dɛn gɛt am. Yu dɔktɔ kin gi yu ɔda ɔksijɛn fɔ mek di ɔksijɛn we de na yu blɔd go ɔp. dis kin bi tru כksijεn tank כ mashin dεm we dεn kכl כksijεn kכnsantreta. Sɔm pipul dɛn kin nid am ɔltɛm, ɛn ɔda wan dɛn kin jɔs nid am we dɛn taya. I dipen pan aw di sik kin tranga.

If yu gɛt siriɔs haypoxemia, lɛk acute respiratory distress syndrome (ARDS), dɛn kin yuz wan mashin we dɛn kɔl ventilator fɔ ɛp yu fɔ blo.

Di men tin na fɔ trit di rizin we mek i gɛt dis sik. Fɔ ɛgzampul:

• Inhala fɔ pipul dɛn we gɛt lɔng sik lɛk COPD, dat na, dεn kin gi inhala dεm we gεt `(Bronchodilators)` (bronchodilators) כ `(Steroids)`.
• Dɛn kin gi diuretik fɔ pul di wata we pasmak na di lɔng dɛn.
• Dɛn kin aks yu fɔ yuz CPAP (Continuous Positive Airways Pressure) mask fɔ trit slip apnɛa.
• If risk de fɔ kɔntinyu fɔ gɛt haypoxemia, dɛn kin gi am sɔpɔt ɔksijɛn. Difrɛn kayn tin dɛn de we dɛn kin yuz fɔ gi ɔksijɛn. Dɛn kin gi ɔksijɛn tru wan mask fɔ blo, we na smɔl tiub we dɛn kin put na di nos (kanula). Dɛn kin gi dis na os, na smɔl mashin we yu kin kɛr go wit yu we yu de travul, ɔ na ɔspitul.

Aw fɔ kɔntrol di sayn dɛm?

If yu fil kɔnfyus wantɛm wantɛm, i nɔ izi fɔ yu fɔ blo, yu at de bit kwik kwik wan, ɔ yu notis se yu nel, lip, ɔ yu skin de tɔn blu, yu fɔ go to dɔktɔ wantɛm wantɛm. If yu gɛt puls ɔksimita na os, yu kin yuz am bak fɔ chɛk yu ɔksijɛn lɛvɛl. Dɛn fɔ trit di haypoxemia kwik kwik wan fɔ mek di ɔgan dɛn nɔ pwɛl we i siriɔs.

Pipul wae gɛt sɔm kayn sik, lɛk COPD ɛn Slip Apnea, kin gɛt haypoxemia ɔltɛm ɔr kin gɛt sɔm kayn sik, bɔt dɛn nɔr kin gɛt ɛni big big sayn. So, tɔk to yu dɔktɔ bɔt aw fɔ kɔntrol yu sik, ridyus di sayn dɛm, ɛn ridyus di risk fɔ mek yu gɛt smɔl ɔksijɛn.

Us prɔblɛm dɛn dis kin mek?

We di ɔksijɛn we de na di blɔd go dɔŋ, wi ɔgan ɛn tisu dɛn nɔ kin gɛt di ɔksijɛn we dɛn nid fɔ wok. as wi bin dכn tכk, dεn kכl dis `(Hypoxia).` If dis kכndyushכn kכntinyu, fכ egzampl, `(Sleep Apnea)` we de mek di כksijεn dכn dכn na nɛt (`Nocturnal hypoxemia`), wi at εn bren kin pwεl. Wantɛm wantɛm, siriɔs haypoksimia kin ivin mek pɔsin in layf de pan denja.

Aw fɔ ridyus di prɔblɛm?

Di bɛst we fɔ ridyus yu risk fɔ gɛt haypoxemia na fɔ manej yu ɔndalayn mɛdikal kɔndishɔn dɛn fayn fayn wan. If yu gɛt lɔng ɔ at sik, tɔk to yu dɔktɔ bɔt sɔm patikyula we dɛn fɔ ridyus di prɔblɛm we yu gɛt.

Ivin fɔ pipul dɛm wae nɔr gɛt at ɔr lɔng sik, di risk fɔ gɛt hypoxemia kin go ɔp bikɔs ɔf sɔm mɛrɛsin dɛm ɔr we dɛn de travul go na ay ay ples. So, aks yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek ɛn ɛni spɛshal tin we yu fɔ tek we yu de travul. We yu de travul go na ay ay ples, gi yu bɔdi inof tɛm fɔ mek i ebul fɔ ajɔst.

Wetin yu kin du fɔ mek yu gɛt mɔ ɔksijɛn?

Di bɛst we fɔ kip yu blɔd ɔksijɛn lɛvɛl sef ɛn ridyus di risk fɔ gɛt haypoksimia na fɔ manej yu mɛrɛsin fayn fayn wan.

• Nɔ fɔgɛt bɔt nyu sayn dɛm.If yu fil ɛnitin we strenj, pe atɛnshɔn to am. Si dɔktɔ ɔ go na di imejensi rum.
• If yu dɔktɔ dɔn tɛl yu ɔksijɛn, yuz am fayn fayn wan.
• Tek kia ɔf yu lɔng wɛlbɔdi (`Pulmonary hygiene`). If yu gɛt ``COPD`` ɔr asma, no wetin de trig yu gɛt. Ɔltɛm kip yu ``rescue inhaler`` wit yu. Yuz ``incentive spirometer``, du eksasaiz fɔ brith, ɛn fala ɔda lɔŋ wɛlbɔdi advays dɛm we yu dɔktɔ gi yu.
• If yu de smok, stɔp. If yu lɛf fɔ smok, dat kin mek yu lɔng dɛn wok fayn, ɛn dis kin mek yu lɔng dɛn tek mɔ ɔksijɛn. I de mek bak yu lɔng dɛn nɔ pwɛl mɔ.
• Tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu fɔ tek am.
• Mek plan we yu de travul go na ay ay ples. Ivin fɔ pipul dɛm wae nɔr gɛt at ɔr lɔng, e kin tranga fɔ blo na ay ay ples. Tink bifo tɛm bɔt aw i go afɛkt yu ɛn aw yu go ajɔst to di chenj. Plan bak bifo tɛm bɔt wetin fɔ du if yu nid ɛp fɔ mɛn yu kwik kwik wan. Tek inof tɛm fɔ ajɔst if nid de, ɛn kam wit ɛni ɛkstra ikwipmɛnt ɔ mɛrɛsin we yu go nid.

Ustɛm yu nid fɔ go na ɔspitul kwik kwik wan?

Hypoxemia na wan sik we kin mek pɔsin in layf de pan denja. If dɛn kayn tin ya apin , yu fɔ go na di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm :

• If yu gɛt sayn dɛm fɔ hypoxemia, ɔr if ɔda pipul dɛn notis wan chenj na yu bihayvya ɔr kɔnshɛns (nɔr de rɛst, kɔnfyushɔn, chenj na yu kɔnshɛns).
• If yu gɛt wan sik we de kɔntinyu, ɛn di sayn dɛm we yu kin gɛt kin wɔs wantɛm wantɛm, ɔ if yu gɛt nyu sik dɛm wae yu tink se kin bi bikɔs ɔf haypoxemia.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

If yu dɔktɔ tɛl yu ɔ pɔsin we yu lɛk se yu gɛt haypoksimia, yu kin aks dɛn kwɛstyɔn dɛn lɛk dɛn wan ya:

• Dis hypoxemia na ɔda ɔndalayn mɛdikal kɔndishɔn kin kam wit am?
• Aw a fɔ manej mi kɔndishɔn fɔ ridyus di risk fɔ gɛt hypoxemia?
• Dis dɔn mek ɛni ɔgan damej ɔ ɔda prɔblɛm dɛn?
• Us chenj na yu layf kin ridyus di risk fɔ gɛt hypoxemia?
• If a chenj di plan fɔ travul ɔ chenj di mɛrɛsin dɛn we a de tek, dat go mek a gɛt mɔ sik we dɛn kɔl hypoxemia?

Fɔ sɔmtin (Tek-Home Message) .

So, fɔ sɔmtin, haypoxemia na wan kɔndishɔn usay di lɛvɛl fɔ ɔksijɛn na di blɔd nɔ bɔku. Sɔntɛnde, dis kin mek pɔsin in layf de pan denja. Bɔt dɛn kin trit am fayn if yu go to dɔktɔ kwik kwik wan.Sɔmtɛm, fɔ ɛgzampul, if yu gɛt ``Slip Apnea'', yu ɔksijɛn lɛvɛl kin drɔp na nɛt ivin if yu nɔ gɛt ɛni big simptom. If dis kɔntinyu, i kin pwɛl yu at.

So, e fayn fɔ no bɔt yu risk ɛn wetin yu kin du fɔ mek yu nɔ gɛt am. If yu gɛt ɛni dawt, nɔ fred fɔ tɔk to dɔktɔ. Stay wit wɛlbɔdi!

` Hypoxemia, ɔksijɛn nɔ de, i nɔ kin izi fɔ blo, i kin gɛt lɔng sik, at sik, ɔksijɛn lɛvɛl, saynosis