Oyagala okumanya omukka gwa oxygen mu musaayi gwo? Ka twogere ku nsonga eno mu ngeri ennyangu!

Leero tugenda kwogera ku kintu ekikulu ennyo eri emibiri gyaffe. Ogwo gwe muwendo gwa oxygen mu musaayi gwaffe. Oboolyawo owulidde abasawo nga boogera ku nsonga eno, oba bakunyiga akatono mu ngalo ne bakebera. Kale, kino kye ki? Lwaki kikulu nnyo? Ka tulabe.

Omukka gwa oxygen mu musaayi gwe guliwa?

Mu ngeri ennyangu, oxygen level mu musaayi , oba oxygen saturation mu musaayi, gwe muwendo gwa oxygen mu musaayi gwo.

Ffenna tukimanyi nti omukka gwa oxygen yeetaagibwa nnyo mu bulamu. Emibiri gyaffe gyetaaga omukka gwa oxygen ogugere okusobola okukola obulungi. Bwe tussa (kwe kugamba, okussa), omukka gwa oxygen oguyingira mu nnyindo oba mu kamwa kaffe guyita mu mawuggwe gaffe ne gwongerwa mu musaayi gwaffe. Okuva awo, okisigyeni ono atambula n’omusaayi okutuuka mu butoffaali mu mubiri gwonna. Lowooza ku butoffaali obutonotono mu mubiri gwaffe bwetaaga omukka gwa oxygen okusobola okukola amaanyi. Amaanyi gano ge tukozesa mu buli kimu okuva ku kugaaya emmere okutuuka ku kulowooza okutuuka ku kutambula.

Obutoffaali bwe bumala okukozesa omukka gwa oxygen, bufulumya kaboni dayokisayidi . Nate omusaayi gwaffe gusitula kaboni dayokisayidi ono ne gumutwala mu mawuggwe. Olwo, bwe tufulumya omukka (okufulumya omukka), gufuluma.

Emibiri gyaffe gitereeza omukka gwa oxygen mu musaayi gwaffe mu ngeri ey’enjawulo ennyo. Kubanga, omukka gwa oxygen omutono mu musaayi, oguyitibwa hypoxemia , guyinza okuvaako endwadde ez’amaanyi ennyo. Era kiyinza okwonoona ebitundu ebikulu ng’obwongo bwaffe n’omutima gwaffe. Omukka gwa oxygen omutono mu musaayi kiyinza okutegeeza nti amawuggwe go oba enkola y’okutambula kw’omusaayi tekola bulungi.

Opima otya omutindo gwa oxygen guno?

Waliwo engeri bbiri enkulu ez’okupima omuwendo gwa oxygen. Ekimu kwe kukwata omusaayi. Ekirala kwe kukozesa ekyuma ekitono ekiyitibwa pulse oximeter . Kyokka, okukebera omusaayi kuyinza okuwa amawulire mangi nnyo okusinga oximeter.

Okukebera omusaayi

Abasawo basobola okupima omukka gwa oxygen mu musaayi gwo ng’ekimu ku bitundu by’okukebera okunene. Kino kiyitibwa okukebera omukka gw'omusaayi mu misuwa , oba okukebera ABG . Kino kipima omuwendo gwa oxygen ne carbon dioxide mu musaayi gwo. Era ekebera bbalansi ya asidi ne base oba pH , mu musaayi gwo. Asidi omungi n’omutono mu musaayi gwo biba bibi eri obulamu bwo.

Okupima obuzito bw’omukka (Pulse Oximetry).

Ekipima pulse oximeter kisobola okupima omukka gwa oxygen gwe guli mu musaayi gwo. Ebiseera ebisinga kiba kitundu kitono ky’okwata ku ngalo oba ku kigere. Okusoma ku oximeter kulaga ebitundu ki ku buli kikumi eby’omusaayi gwo ebijjudde oxygen. Kino kiyitibwa omutindo gwo ogwa SpO2.Era eraga omutima gwo okukuba. Eno ngeri ya mangu, etali ya kuyingirira kukebera oba omukka gwa oxygen mu musaayi gw’omuntu mutono.

Abasawo mu malwaliro batera okukozesa ebyuma bino ebipima pulse oximeters. Osobola n’okugula ekyuma ekipima pulse oximeter okukozesa awaka. Bino osobola okubigula mu maduuka g’eddagala, mu maduuka agamu oba ku mikutu gya yintaneeti.

Lwaki nneetaaga okukebera omukka gwa oxygen?

Omusawo ayinza okwagala okukebera omukka gwa oxygen singa oba olina embeera ey’amangu era ey’amaanyi. Okugeza nga:

• Bw’oba ​​okaluubirirwa okussa (ne omwana eyaakazaalibwa asobola okukaluubirirwa okussa singa okukebera kuno kukolebwa).
• Bw’oba ​​waakafuna obuvune ku mutwe oba mu bulago obukosezza okussa kwo.
• Bwoba olina obulwadde bwa coronavirus ``(COVID-19)``.
• Bwoba olina ekifuba .
• Bwoba olina obutwa bwa kaboni monokisayidi .
• Bwoba ofunye obuvune olw'okussa omukka (`Smoke inhalation injury`).
• Bw’oba ​​olina okuziyira okutambula obutasalako ne/oba okusiiyibwa.
• Bw’oba ​​obadde omira eddagala erisukkiridde.

Ate era bw’oba ​​olina emu ku mbeera z’amawuggwe zino wammanga, omusawo ayinza okukebera omukka gwa oxygen okulaba oba obujjanjabi bwo bukola bulungi:

• Obulwadde bwa asima
• COPD `(Obulwadde bw'amawuggwe obutawona)`
• Obulwadde bwa Cystic Fibrosis
• Obulwadde bw'omutima

Bw’oba ​​ofuna obujjanjabi bwa oxygen mu ddwaaliro, abasawo bajja kulondoola buli kiseera omukka gwa oxygen gwo okukakasa nti ofuna oxygen omutuufu.

Waliwo ebintu bye tusobola okukola awaka okwongera ku mukka gwa oxygen?

Waliwo engeri eziwerako ez’okwongera ku bungi bwa oxygen mu musaayi mu butonde. Kikebere:

• Okussa empewo ennungi: Okuggulawo amadirisa oba okugenda ebweru okutambula kyongera ku mukka gwa oxygen oguyingira mu mubiri gwo. Kino nakyo kyongera omukka gwa oxygen mu musaayi gwo.
• Okulekera awo okunywa sigala: Mu wiiki bbiri oba ssatu ng’ovudde ku kunywa sigala, entambula y’omusaayi yo ejja kulongooka nnyo. Mu mwezi gumu oba mwenda, okussa kwo okutono kujja kukendeera. Ebintu bino byombi biyamba omubiri gwo okufuna omukka gwa oxygen omungi.
• Weegezeemu dduyiro w’okussa: Ebintu ebyangu ng’okussa n’emimwa egy’okusiba n’okussa mu lubuto mu buziba bisobola okuyamba okuggulawo emikutu gy’empewo n’okwongera ku bungi bwa oxygen mu musaayi gwo.

Osobola okukebera omukka gwa oxygen awaka ng’okozesa ekipima pulse oximeter n’olaba oba enkola zino ez’obutonde zongera ku oxygen.

Kyokka kino kikuume mu birowoozo. Bw’oba ​​olina embeera y’obujjanjabi naddala ey’amaanyi ng’ekifuba oba obutwa bwa kaboni monokisayidi, eddagala lino ery’obutonde lyokka liyinza obutasobola kuzza mukka gwa oxygen ku mutindo ogumatiza.

Bw’oba ​​olaba obubonero bw’obulwadde bwa hypoxemia , nga buno buba nti omukka gwa oxygen omutono mu musaayi, genda mu ddwaaliro erikuli okumpi amangu ddala nga bwe kisoboka.

Ani akebera omutindo gwa oxygen level zino? Kikola kitya?

Omusawo w’okussa atera okukwata omusaayi okukebera omukka gwa oxygen okukeberebwa ABG. Kino kiggyibwa mu musuwa oguli mu mukono gwo. Olwo sampuli eno ekeberebwa omusawo akola ku by’okussa oba okusindikibwa mu laabu amangu ddala. Eyo, bannassaayansi mu laboratory y’ebyobujjanjabi bagigezesa.

Omusawo yenna asobola okukozesa ekipima omukka gwa pulse oximeter okukebera omukka gwa oxygen gwo. Osobola n’okukozesa ekipima pulse oximeter awaka, oba ku ggwe kennyini oba ku muntu omulala.

Ebikwata ku kukebera omusaayi

Omusawo w’okussa nga tannaggya musaayi mu musuwa oguli mu mukono gwo, bayinza okukola ekintu ekiyitibwa Allen test . Kino kizingiramu okusitula omukono gwo n’okukuuma engalo yo ng’efukamidde. Olwo omusawo akusiiga puleesa ku musuwa oguli mu ngalo okumala sekondi ntono. Okukebera kuno okwangu kukebera okulaba oba emisuwa gyombi mu mukono gwo giggule era nga gikola bulungi.

Bw’oba ​​ofuna obujjanjabi obw’okugatta omukka gwa oxygen, oxygen wo ayinza okuggyibwako ng’ebula eddakiika nga 20 okuggyibwako omusaayi. Kino kiyitibwa okugezesa empewo mu kisenge . Wabula bw’oba ​​tosobola kussa nga tolina mukka gwa oxygen ogw’okugatta, omusawo wo tajja kukola kukebera kuno.

Ebyembi, okuggya omusaayi mu musuwa ebiseera ebisinga kiyinza okuluma katono okusinga okuggya omusaayi mu musuwa. Kino kiri bwe kityo kubanga emisuwa giba miwanvu okusinga emisuwa era nga gyetooloddwa obusimu. Oyinza okuwulira ng’oziyira katono, ng’omutwe guziyira oba ng’oziyira ng’omusaayi guggyibwamu.

Emitendera gy’olina okugoberera ng’omira omusaayi n’okukebera omukka gwa oxygen bye bino wammanga:

• Ojja kutuula mu ntebe oba ng’ogalamidde ku kitanda. Omusawo w’okussa olwo ajja kusanga omusuwa - ebiseera ebisinga munda mu ngalo yo. Ultrasound era eyinza okukozesebwa okuzuula omusuwa.
• Omusuwa bwe guzuulibwa, ekitundu ekyo kiyonjebwa ne kitta obuwuka.
• Oluvannyuma bateekebwamu empiso entono mu musuwa ne bagiggyamu omusaayi. Oyinza okuwulira obulumi obw’amaanyi ng’empiso eyingiziddwa.
• Oluvannyuma lw’okuyingiza empiso, omusaayi omutono gukuŋŋaanyizibwa mu mpiso.
• Oluvannyuma lw’okukung’aanya omusaayi, empiso eggyibwamu ne basiigako akatundu ka ppamba oba gaasi mu kifo kino okukomya omusaayi. Bw’oba ​​omira eddagala erikendeeza omusaayi, oyinza okwetaaga okussaako puleesa okumala eddakiika 5-10 oba okusingawo.
• Oluvannyuma pulasita bagisiiga mu kifo ekyo. Olwo omulimu ne guggwa.

Ebikwata ku pulse oximeter

Bw’okebera omukka gwa oxygen gwo n’ekipima pulse oximeter, bino bye bintu ebibaawo:

• Omusawo wo asala ekyuma ekitono eky’obuveera ekiyitibwa pulse oximeter ku kitundu ky’omubiri gwo - ebiseera ebisinga ensonga y’olugalo lwo.
• Oximeter efulumya ekika ky'ekitangaala eky'enjawulo ekiyitibwa infrared light . Kiyita mu lususu lwo ne kiyingira mu musaayi mu misuwa gyo (capillaries). Tekiruma, era tojja kuwulira kintu kyonna.
• Olwo ekipima oximeter kipima ekitangaala ekidda emabega obutundutundu bwa hemoglobin mu musaayi gwo. Kino kikozesebwa okuzuula omuwendo gwa oxygen mu musaayi gwo.
• Mu sikonda ntono, oximeter ejja kukuwa ennamba eraga omutima gwo n’omutindo gwa oxygen.

Osobola n’okukozesa ekipima pulse oximeter awaka. Naye kimanye nti obutuufu bw’okusoma kwa pulse oximeter buyinza okukendeera olw’ensonga zino wammanga:

• Engalo gy’okebera erina ‘nail polish’ ku yo.
• Mu kisenge mw’okozesa ekipima oximeter mulimu ekitangaala kisusse .
• Okukankana ekisusse ng’okozesa oximeter.

Ebyava mu kukeberebwa bigamba ki?

Lipoota z’okukebera omusaayi, nga mw’otwalidde n’ezo ezikebera omukka gwa oxygen, zitera okubaamu bino wammanga:

• Erinnya ly’okukebera omusaayi lye lipimibwa mu musaayi gwo.
• Ennamba n’ebipimo ebiri ku bivudde mu kukebera omusaayi gwo bituufu?
• Ekyo kye kipiimo ekya bulijjo eky’okugezesebwa.
• Amawulire agalaga oba ebyavaamu byo bya bulijjo, si bya bulijjo, bya wansi oba bya waggulu.

Singa omukka gwa oxygen mu musaayi gwo si gwa bulijjo, kiyinza okutegeeza bino wammanga:

• Tofuna oxygen emala .
• Tofulumya mukka gwa kaboni dayokisayidi ogumala .
• Omusaayi gwo gulina pH obutakwatagana (oba asidi nnyo oba alkaline ennyo).

Okukebera okupima omukka gwa oxygen gwokka tekusobola kuzuula bulwadde bwa njawulo. Singa ebyavaamu biba si bya bulijjo, omusawo ajja kulagira okwongera okukeberebwa okukakasa oba okugaana nti omuntu alina obulwadde buno.

Omutindo gwa oxygen ogwa bulijjo gwe guliwa?

Laabu ez’enjawulo ziyinza okuba n’obuwanvu obw’enjawulo obwa bulijjo ku bye banoonya nga bapima emiwendo gya oxygen mu musaayi. Bw’ofuna lipoota yo ey’okukebera omusaayi, ejja kulaga ebipimo ebya bulijjo bye biri ku buli kipimo okuva mu laabu eyo. Bw’oba ​​olina ekibuuzo kyonna ku bivudde mu kunoonyereza kwo, kakasa nti obuuza omusawo wo.

Ku bantu abasinga obungi, emiwendo gya oxygen egya bulijjo, nga bwe gipimibwa n’ekipima omukka gwa pulse, giri wakati wa 95% ne 100%.Yee. Bw’oba ​​olina obulwadde bw’amawuggwe nga COPD oba pneumonia, oxygen level yo eyabulijjo eyinza okuba wansi okusinga eno. Omusawo ajja kukubuulira emitendera egikkirizibwa. Bw’oba ​​obeera ku buwanvu, omukka gwa oxygen gwo nagwo guyinza okuba wansi katono.

Ekikulu okujjukira nti pulse oximeters si bulijjo 100% entuufu. Omukka gwa oxygen mu musaayi gwo gwennyini guyinza okuba waggulu oba wansi ebitundu 2% ku 4% okusinga oximeter ky’eraga. Okusobola okufuna ebyavaamu ebituufu, omusawo ayinza okwagala okukebera omukka gwa oxygen ng’akeberebwa mu musaayi.

Omukka gwa oxygen omutono kye ki? Biki ebivaako?

Hypoxemia mbeera nga omukka gwa oxygen mu musaayi guli wansi okusinga ogwa bulijjo. (Mu lulimi Olusinhala, omukka gwa oxygen omutono mu musaayi). Okuva bwe kiri nti oxygen yeetaagibwa nnyo mu nkola zonna mu mubiri gwaffe, hypoxemia etera okuba embeera gye tulina okweraliikirira. Oxygen gy’akoma okubeera wansi, n’obulabe bw’okwonooneka kw’ebitundu by’omubiri n’ebitundu by’omubiri gye bikoma okubeera ebinene.

Embeera n’embeera ez’enjawulo ez’obujjanjabi zisobola okulemesa omubiri gwo okutuusa omukka gwa oxygen ogwa bulijjo mu musaayi gwo. Bino bye bimu ku bitera okuvaako omukka gwa oxygen omutono mu musaayi (hypoxemia):

• Obulwadde bw’omutima
• Endwadde z’amawuggwe (e.g. asima, emphysema, bronchitis) .
• Eddagala erimu ery’amaanyi eriweweeza ku bulumi oba ebizibu ebirala ebikendeeza ku kussa
• Sleep Apnea (okukaluubirirwa okussa nga weebase) .
• Okuzimba oba enkovu ku bitundu by’amawuggwe go
• Okubeera ku buwanvu (awali omukka omutono mu mpewo) .

Singa omukka gwa oxygen mu musaayi gwo guba mutono, omusawo ajja kulagira okwongera okukeberebwa okuzuula ekiguleeta. Okukebera okupima omukka gwa oxygen gwokka tekusobola kuzuula kivaako.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​okozesa ekipima pulse oximeter awaka, kuba essimu y’omusawo singa oxygen level yo eba 92% oba wansi. Bwe kiba 88% oba wansi, genda mu kisenge ky’abalwadde ab’amangu ekikuli okumpi amangu ddala nga bwe kisoboka.

Bw’oba ​​olina obulwadde bw’amawuggwe obuwangaala nga COPD oba asima, ojja kwetaaga okulaba omusawo buli kiseera okukakasa nti obujjanjabi bwo bukola bulungi. Bw’ofuna obubonero bwonna obweraliikiriza obukwata ku bulwadde bw’amawuggwe, yogerako n’omusawo wo amangu ddala nga bwe kisoboka.

Omukka gwa oxygen omutono kabonero ka COVID-19?

Covid-19COVID-19 takosa buli muntu kyekimu. Abantu abakwatibwa obulwadde buno balina obubonero obw'enjawulo - abamu balina obubonero obutono ennyo, abalala balina obulwadde obw'amaanyi. Abantu abamu abafuna COVID-19 - naye si bonna - balina omukka gwa oxygen omutono mu musaayi. Olw’okuba olina obubonero obulala ate nga n’omukka gwa oxygen gwa bulijjo tekitegeeza nti tolina COVID-19. Ekirala, okyayinza okuba ne COVID-19 ne bwe kiba nti oxygen mutono.

Engeri yokka gy’oyinza okumanyamu obukakafu oba olina COVID-19 kwe kwekebeza. Wadde ng’ekipima omukka gw’omukka ogw’awaka oluusi kiyinza okuyamba, kirina obuzibu era kiraga ekitundu kitono ku bulamu bwo. Tosigama ku kipima oximeter yokka okuzuula ekirwadde kya COVID-19.

Bw’oba ​​olina obubonero bwa COVID-19, laba omusawo mu bwangu.

Bubonero ki obulaga nti omukka gwa oxygen omutono mu musaayi?

Obubonero bw’omukka gwa oxygen omutono mu musaayi (Hypoxemia) bwawukana okusinziira ku muntu okusinziira ku buzibu bw’embeera eno. Ziyinza okuli:

• Okulumizibwa omutwe
• Okussa obubi
• Omutima okukuba amangu
• Okukolola
• Okuwunya
• Okusoberwa
• Bbululu ku lususu lwo, emisumaali, ne/oba emimwa gyo .
• Langi emmyufu eya cherry ku lususu lwo, emisumaali, ne/oba emimwa (kano kabonero akalaga obutwa bwa kaboni).

N’ekisembayo, ebintu by’olina okujjukira

Okuggyako ng’olina embeera y’obulamu ekwata ku busobozi bwo obw’okunyiga omukka gwa oxygen, teweetaaga kulondoola buli kiseera omukka gwa oxygen mu musaayi gwo. Wadde ng’ekipima omukka gw’omusaayi mu maka oluusi kiyinza okuyamba, si kituufu ng’okukebera omusaayi. Bw’oba ​​olina obubonero obulaga nti omukka gwa oxygen omutono mu musaayi, gamba ng’okukaluubirirwa okussa, kakasa nti ogenda okulaba omusawo mu bwangu.

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