I thisen oxygen level a dik em? ABG (Arterial Blood Gas) test chungchang hi a awlsam zawngin i zir dawn teh ang!

Oxygen hi kan taksa tan a pawimawh zia kan hre vek. Thâwk ṭhat leh thisenah oxygen awm zat dik tak neih hi hrisel taka kan awm theih nân a pawimawh hle. Chuvangin, a châng chuan doctor-te chuan i thisenah oxygen leh carbon dioxide engzat nge awm tih chiang taka an hriat a ngai ṭhin. Chutah chuan he test ABG (Arterial Blood Gas) an tih hi an ti ta a ni.

He ABG (Arterial Blood Gas) test hi eng nge ni?

A awlsam zawngin sawi ila, ABG (Arterial Blood Gas) test hi i thisenah oxygen leh carbon dioxide awm zat tehna atan i thisen kalna atanga thisen sample lak chhuah hmanga tehna a ni. Ngaihtuah teh, kan taksaah hian thisen kalna kawng chi hnih a awm a, pakhat chu thisen kalna kawng (arteriries) a ni a, pakhat chu thisen kalna kawng (veins) a ni. Arteries te hian thinlung atanga thisen thianghlim, oxygen tamna chu taksa peng dang thlengin a phur a. Chuvangin, he ABG test atan hian chu arteries atang chuan thisen sample lak a ni.

He test hian oxygen leh carbon dioxide chauh a teh lo va, i thisen acid-base balance , a nih loh leh pH pawh a teh bawk. Kan taksa hian a tlangpuiin kan thisena oxygen leh carbon dioxide level hi a tidanglam hle a ni. Kan thisena oxygen level a tlahniam (damdawi lam chuan `hypoxemia` kan tih) chuan harsatna lian tak a thlen thei a ni . A bik takin i thluak leh thinlung a tichhe thei a ni.

ABG test hian doctor-te chu i thawkna system , circulatory system , leh metabolic process (i ei tur chu chakna-a i chantir dan) nena inzawm natnate hriatthiamna a pe a ni. Hei hi emergency dinhmunah chuan a pawimawh hle .

Test dang "blood gas analysis" tih a awm bawk. He test-ah hian taksa khawi hmunah pawh (artery, vein, capillary) atanga thisen sample lak theih a ni. Mahse, ABG test-ah chuan thisen chu artery atanga lak chhuah a ngai a ni .

He ABG test hian hming dang engemaw zat a nei a:

• Thisen gas test a ni
• Arterial thisen gas awmte
• ABG chuan a ti a
• Thisen gas thlirletna

ABG test hian eng nge a teh tak tak?

ABG test hian a tlangpuiin:

• Oxygen content (O2CT) : Hei hian i thisena oxygen awm zat a teh a ni.
• Hemoglobin : Hemoglobin hi kan thisen sen (red blood cells)-a awm protein a ni a, taksa pum puiah oxygen a keng tel a ni. Hei hian hemoglobin awm zat a teh a ni.
• Oxygen saturation (O2Sat) : Hei hian i thisena hemoglobin-in oxygen a phurh zat a teh a ni.
• Partial pressure of oxygen (PaO2) : Hei hian i thisena oxygen a inthiar chhuah zat a teh a ni. I lung atanga i thisenah oxygen a lut tha em em tih a tilang a ni.
• Partial pressure of carbon dioxide (PaCO2): Hei hian i thisena carbon dioxide awm zat leh i taksa atanga carbon dioxide a chhuah that dan a teh a ni.
• pH (`pH`) : Hei hian i thisena acid leh base inthlauhna a teh a ni. A tlangpuiin thisen pH hi 7.35 leh 7.45 inkar a ni tur a ni. Chu aia hniam chu acidic lutuk anga ngaih a ni a, chu aia sang chu basic lutuk emaw alkaline emaw anga ngaih a ni bawk .
• Bicarbonate (`Bicarbonate - HCO3`) : Hei hi pH leh PaCO2 hmanga chhut a ni. Carbon dioxide atanga base compound lo awm zat a tichiang a ni.

Engtikah nge ABG test hi tih thin?

Doctor-te chuan hetiang ang case-ah hian ABG test an order tlangpui:

• Emergency medicine : Hei hian natna emaw, chetsualna emaw, damdawi lam pan vat ngai te a kawk a ni.
• Anesthesiology : Operation hma, operation neih lai leh operation hnua damlo enkawlna chungchanga damdawi lam field.
• Pulmonology : I thawkna kawng nena inzawm natna hrang hrang buaipuitu field.

Doctor-te chuan ABG test hmangin natna engemaw zat an hmuchhuak a, chung zingah chuan:

• Acute respiratory distress syndrome (ARDS) : Hei hi lung natna, nunna atana hlauhawm tak a ni a, thisenah oxygen a tlahniam hlauhawm hle. Sepsis leh COVID-19 ang chi natna avanga lo awm thei a ni.
• Sepsis na tak : Sepsis hi nunna atana hlauhawm medical emergency a ni a, natna hrik i taksain a chhanlet dan avanga lo awm a ni.
• Septic shock : Hei hi nunna atana hlauhawm tak a ni bawk a, natna kai hnuah i thisen sang chu hlauhawm takin a tlahniam a ni.
• Hypovolemic shock : Thisen tam lutuk emaw, tui dang hloh emaw avanga thinlungin taksaah thisen a pump tam theih lohna emergency condition a ni.
• Diabetes-related ketoacidosis (DKA) : Hei hi natna khirh tak, nunna atana hlauhawm tak a ni a, zunthlum (a bik takin type 1 diabetes) leh type 1 diabetes hmuhchhuah lohte a nghawng a ni. Thisen chu acidic a nih tir thin.
• Renal tubular acidosis (RTA) : Hetiang dinhmunah hian i kal (kidney) hian i thisen atanga acid awmte chu i zun chhungah a paih chhuak tha lo a, chu chuan i thisen chu acidic a tizual a ni.
• Acute respiratory failure : Hetiang dinhmunah hian i lung chhunga air sacs-ah tui a lo awm khawm a, chu chuan lungin thisenah oxygen a chhuah tir a harsa hle.
• Acute heart failure a awm thin: Hei hi thinlung a chak lo thut a, a hnathawh a tikhawtlai thin.
• Cardiac arrest : Hei hi i thinlung a na nghal vat a ni.
• Asthma attack : Thlawhna kawng vel a ruh (muscles) a tihkhauh avanga Asthma symptoms a pun thut.
• Inborn errors of metabolism : Hengte hi thil awm lo, genetic (inherited) conditions a ni a, i taksain ei tur chu chaknaah a chantir tha thei lo.

Heng lung natna te hi i neih chuan i doctor chuan i enkawlna a tha em tih enfiah turin ABG test pawh a ti thei bawk ang:

• Asthma natna a ni
• Chronic obstructive pulmonary disease (COPD) natna hrik pai thei lo (COPD) .
• Cystic fibrosis natna (cystic fibrosis) a awm thin
• Lung natna

ABG test hi tuin nge ti thin?

Respiratory therapist hian ABG test atan thisen a la tlangpui. I kutphah, i kutphah emaw, i kawrfual emawa thisen kalna atanga thisen an la thin. Chumi hnuah thisen sample chu anmahniin an test a, a nih loh leh rang takin laboratory-ah an thawn a, chutah chuan medical laboratory scientist-te chuan sample chu an test a ni.

ABG test hmain eng nge thleng thin?

Respiratory therapist chuan i kutphah atanga thisen a lak hmain thisen kal dan test an ti thei a, chu chu Allen test tih a ni. Hei hian i kut chu i kut chu kutphah hmanga chawi sang a huam a ni. Therapist chuan i kutphah chhunga artery chu second engemaw zat a press ang. He test awlsam tak hian i kutphah chhunga artery pahnih hi a thawk tha em tih leh a inhawng em tih a enfiah thin.

Supplemental oxygen therapy i ei chuan i therapist chuan thisen lak hma minute 20 vel khan i oxygen chu a off thei a ni. Hei hi room air test an ti a . Mahse, supplemental oxygen tel lova i thawk thei lo a nih chuan he test hi an ti lovang.

ABG test i tih hian eng ang experience nge i neih?

Thisen test tam zawkah chuan i vein atanga thisen lak a ni. Mahse ABG test atan chuan thawkna lam enkawltu chuan i thisen kalna kawng atanga thisen sample a la thin . Hei hi a chhan chu arterial blood hian venous blood aiin oxygen a pai tam zawk vang a ni.

Respiratory therapist hian i kutphah chhunga radial artery atang hian thisen a la tlangpui thin. A châng chuan i kut (brachial artery) emaw, i groin (femoral artery) emawa thisen kalna aṭanga thisen an la thei bawk.

Nausen piang tharin ABG test a mamawh chuan doctor chuan naute kekawr emaw, umbilical cord emaw atangin thisen a la thei a ni.

Pawimawh: Artery atanga thisen lak hi a tlangpuiin vein atanga thisen lak aiin a na deuh thei . Hei hi a chhan chu thisen kalna kawng ( arteries) te hi vein aiin taksa chhungah an thuk zawk a, an chhehvelah hian nerve an nei bawk. I thisen lak hian i lu a hah deuh thei a, i lu a hah deuh thei a, i rilru a na deuh thei bawk.

ABG test atana thisen lak dawna tih turte chu hengte hi a ni:

1. Chair-ah emaw khumah i mu ang. Respiratory therapist chuan artery a hmu ang a, a tlangpuiin i kutphah chhungah a hmu ang. Tin, ultrasound scan (`ultrasound imaging`) hmangin thisen kalna kawng chu an zawng thei bawk.

2. Artery an hmuh veleh a hmun chu tihfai leh disinfected a ni.

3. Tichuan i artery-ah needle te tak te an thun ang a, thisen sample an la ang. Needle chu artery chhunga a luh rualin natna nasa tak i nei thei.

4. Neidu an thun hnuah thisen tlem te te chu syringe-ah an la khawm thin.

5. Test nana thisen tling an lak hnuah chuan needle chu an la chhuak ang a, cotton emaw gauze emaw hmangin pressure an pe ang a, thisen chhuah tur chu a titawp ang. Thisen tihthianghlimna damdawi i ei a nih chuan minute nga atanga minute sawm emaw a aia rei emaw pressure i vawn a ngai mai thei.

6. A hmunah hian bandage an vuah a. Tichuan hna chu a thawk zo ta a ni.

ABG test hnuah eng nge i beisei theih ang?

Needle dahna hmunah hian hliam leh/ emaw, natna engemaw zat i nei thei. I doctor chuan thisen lak hnu darkar 24 chhung chu thil rit tak tak chawi lo turin a hrilh thei che a ni.

ABG test hian risk a nei em?

Respiratory therapist hian he test hi a tih dik chuan ABG test hi risk a hniam hle . Mi tin thisen kalna kawngte hi a lian leh te a inang lo va, taksa sir lehlamah a inang lo. Chuvangin mi thenkhat atanga thisen lak hi midang aiin a harsa deuh thei.

ABG test atana thisen lak chhuah a nih chuan a hlauhawmna a tlem hle a, mahse hetiang thil hi a thleng thei a ni:

• Luak chhuak emaw, lu hah emaw tih hriat.
• Artery zawng turin needle vawi tam tak poke a ngai.
• Thisen zam (hematoma - vun hnuaia thisen awmkhawm).
• Thisen chhuah tam lutuk.
• Infection (vun a chhe apiangin a hlauhawmna tlem a awm).

ABG test result hi eng chen nge a ngaih?

ABG test hian result a pe rang hle tlangpui . Respiratory therapist leh laboratory scientist te hian automated blood gas analyzer an hmang tlangpui a, minute 10-15 chhungin result a pe thei a ni.

ABG test result hian eng nge a sawi?

Thisen test report, ABG test report te pawh hian a tlangpuiin a hnuaia thute hi a keng tel thin:

• Thisen test hming emaw, i thisena tehna emaw.
• I thisen test result number emaw a tehna emaw.
• Chu chu test atana tehna range pangngai a ni.
• I result chu a pangngai emaw, a pangngai lo emaw, a sang emaw a hniam emaw tih hriattirna information.

I ABG test result a dik lo a nih chuan hetiang hi a kawk thei a ni:

• Oxygen i hmu tlem hle.
• Carbon dioxide i thawk chhuak tlem hle.
• I thisen hian pH imbalance (acid lutuk emaw alkaline lutuk emaw) a nei a.

ABG test hian natna thenkhat a hriat theih nan a pui thei a ni. I result a dik lo a nih chuan i doctor chuan test dang (thisen test dang leh/ emaw scan ang chi) a ti thei a, chu chuan natna hmuhchhuah a nih thu a nemnghet thei a, a dik lo thei bawk.

ABG test atana normal value te chu engte nge ni?

Normal range hi lab hrang hrangah a inang lo deuh thei. I thisen test result i hmuh hunah chuan chu lab atanga tehna tin atana normal range engzat nge awm tih hriattirna information an dah tel ang. I result chungchanga zawhna i neih chuan i doctor zawt ngei ang che .

A tlangpuiin tuipui level-a average value chu hetiang hi a ni:

• pH : 7.35-7.45 a ni
• Oxygen pressure thenkhat (`PaO2`) : Mercury millimeter 75 atanga 100 (mmHg) a ni.
• Carbon dioxide (`PaCO2`) pressure thenkhat : 35 atanga 45 mmHg
• Bicarbonate (`HCO3`) : Liter khatah miliequivalent 22 atanga 26 (mEq/L) a ni.
• Oxygen Saturation (`O2Sat` emaw `SaO2` emaw) : 95% atanga 100% thleng a ni.

Feet 3,000 (meter 900) leh a aia sangah chuan oxygen level average chu a hniam zawk hle.

Engtikah nge ka doctor ka hmuh ang?

COPD emaw asthma ang chi lung natna khirh tak i neih chuan i doctor pan fo a ngai mai thei a, i enkawlna a tha em tih enfiah nan ABG test i neih a ngai bawk ang. I lung natna nena inzawm thil lungchhiatthlak tak tak i neih chuan a rang thei ang bera doctor nen inbia ang che.

A tawp berah chuan thil hriat reng tur

ABG test hi diagnostic tool tangkai tak a ni , a bik takin emergency thil thenkhatah chuan. Doctor-te pawhin he test hi hriselna dinhmun thenkhat enfiah nan an hmang bawk. ABG test i neih chuan thisen test pangngai aiin a danglam deuh hlek tih hre reng la, a na deuh thei bawk. Procedure chungchangah emaw, eng nge i beisei ang tih emaw zawhna i neih chuan i doctor zawt hreh suh . I tanpui turin an lo kal a ni.

` Thisen gas test, arterial blood gas, oxygen, carbon dioxide, pH value, thawkna system, medical test te