Thisen oxygen level hniam (Hypoxemia) chungchanga hriat tur awmte!

A chang chuan thawk hah i nei em, i rilru a na a, a nih loh leh hla vak lo i kal hnuah pawh i lu a hah em? A nih loh leh lu na i nei fo em? Hei hi a chhan pakhat chu i thisena oxygen level tlahniam vang a ni thei. Damdawi lam hawi chuan hei hi hypoxemia kan ti a ni. Hei hi natna khirh tak a nih theih avangin a hnuai lam chu awlsam tak leh chiang takin han sawi ila.

Okay, he Hypoxemia hi eng nge ni?

A awlsam zawngin Hypoxemia hi i thisenah oxygen a awm zat pangngai aia tlem a ni. Kan taksa chhunga cell leh organ tin te hnathawh that nan oxygen hi a pawimawh hle a, car tlan nan gasoline a mamawh ang bawkin.

Hetiang hian han ngaihtuah teh. Kan thawk chhuah hian boruaka oxygen awm chu kan lung chhungah a lut a. Lung chhungah hian boruak bawm te tak te, alveoli an tih network a awm a. Heng air sacs te hi thisen kalna kawng (capillaries) te tak te in a hual vel a ni. Kan thawh hian lung chhunga oxygen lut chu heng boruak bawm hmang hian thisen kalna kawngah a lut a. Chumi hnuah thisen chuan he oxygen hi a la a, taksa pum puia tissue-ah a sem darh ta a ni.

Hypoxemia hi hetiang thila thil dik lo a awm chuan a lo awm thin. Oxygen i thawk tling thei lo emaw , i thaw chhuah oxygen chu i thisenah a lut tha thei lo emaw . Hei vang hian lung natna leh thinlung natna nei te chu he natna hi an vei theihna a sang zawk a ni.

Hypoxemia leh Hypoxia hi thil hrang hrang pahnih a ni em?

Ni e, mi tam takin hêng thumal pahnih hi tibuai mah se, a danglamna tlem a awm. Chu chu hriat a pawimawh.

• Hypoxemia hi thisen a oxygen level tlahniam a ni .
• Hypoxia chu taksa tissue-a oxygen a thlen tlem vang a ni .

Thisen hi ‘delivery truck’ oxygen phur ang maiin han ngaihtuah teh. Tissue te hi oxygen nghaktu ‘customer’ an ni. Hypoxemia chu truck-a bungrua (oxygen) a tlem chuan a ni. Chuvangin Hypoxia chu customer-in bungrua a dawn loh chuan a ni. Vawi tam tak chu thisena oxygen a tlem chuan (Hypoxemia) tissue te pawhin oxygen an tlachham (Hypoxia). Mahse chutiang chu a thleng ngai lo.

Hetiang natna lan chhuah dan hi engte nge ni?

Hypoxemia natna lan chhuah dan hi a nasat dan leh a chhan a zirin a danglam thei. A lan chhuah dan tlangpui thenkhat chu a hnuaia table-ah hian tarlan a ni.

Engvangin nge hetiang hi a lo awm? Hypoxemia awm chhante chu engte nge ni?

Hei hi chhan tam tak a awm thei. A chhan ber chu thawk dan emaw thisen kal dan emaw tichhe thei damdawi lam dinhmun (underlying medical condition) a ni. Entirnan, hmun sang tak, tlangram hmuna i kal chuan, boruakah oxygen tlakchham vangin hun eng emaw chen chu hetiang dinhmun hi a lo awm thei a ni.

A hnuaia tarlan te hi hypoxemia thlen thei damdawi lam harsatna lian ber ber thenkhat an ni.

• Asthma natna a ni
• Pneumonia natna (Pneumonia) a ni
• COPD (Chronic Obstructive Pulmonary Disease) tih a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• Congestive Heart Failure a awm thin
• Pulmonary Embolism natna a awm
• Pulmonary Edema a awm thin
• Mut theih lohna (sleep apnea) a ni
• Thisen tlakchhamna (Anaemia).
• Heart Defects pianpui atanga lo chhuak
• COVID-19 ang chi thawkna lama natna khirh tak tak

Oxygen tlakchhamna thlentu mechanism lian 5

Damdawi lam atanga thlir chuan thisenah oxygen tlakchhamna thlentu mechanism lian 5 a awm a. Hengte hi a buaithlak deuh a, mahse a awlsam zawngin i dah ang u.

1. 1. A rilru a hah lutuk chuan a rilru a buai em em a.Ventilation-Perfusion (V/Q) Mismatch: Lung hi bus stand angin ngaihtuah rawh. Air (oxygen) hi passenger te an ni. Thisen hi bus a ni. A chang chuan stand-ah hian passenger an khat a, mahse bus a awm lo (thisen kal hniam). A nih loh leh bus tam tak awm mahse passenger an awm lo (low ventilation). He boruak luang leh thisen kal dan inmil lohna hi V/Q inmil lohna an ti a.

2. Diffusion Impairment: Tunah chuan passenger (oxygen) te chu stand-ah an awm a, bus (thisen) chu a che ang tih han ngaihtuah teh. Mahse bus-a chuangte tan chuan daltu a awm. Hei hi lung atanga thisen a oxygen lo lut tur daltu a ni . Hei hi lung bang thicking ang chi thil vang a ni thei.

3. Hypoventilation: A awlsam zawngin , thawk zawi zawi emaw thawk thuk lo emaw , chu chuan oxygen tling lo chu lungah a thlen thin.

4. Environmental Oxygen hniam: Hemi hi a chiang hle. Kan awmna boruak hi oxygen a tlem a nih chuan , entirnan, tlang chhip kan kal hian oxygen kan la lut thei dawn lo.

5. Right-to-Left Shunting: Kan thinlungah hian dinglamah oxygen tlakchhamna thisen (blue blood) a awm a, veilam lamah oxygen tamna thisen (red blood) a awm bawk. Heng pahnih hi an inhmeh lo. Mahse, thinlung natna ṭhenkhatah chuan oxygen la tûra lungah kal ai chuan, oxygen hniam thisen ṭhenkhat chu veilam lamah a zuang thla nghal a, taksaah a kal ta a ni . Hei hi Hypoxemia thlentu a ni bawk.

Engtin nge doctor hian hei hi a hmuh theih?

I natna lan chhuah dan a ngaihthlak hnuah doctor chuan a enfiah ang che. Hei hian i thinlung leh lung ngaihthlak te, i vun rawng enfiah te, leh i oxygen level hriat nan test eng emaw zat tih te a huam a ni.

• Pulse Oximetry: Hei hi i hmu tawh mai thei. I kut zungtang chungah clip-in i oxygen level a teh thei device a ni. A hrehawm lo va, a awlsam hle bawk. Mi hrisel chuan pulse 95% aia sang a ni tur a ni.
• Arterial Blood Gas (ABG) Test: Hei hi test dik ber a ni. Thisen sample tlemte chu kutphah chhunga artery, elbow crook, emaw groin atanga lak a ni a, thisen oxygen, carbon dioxide leh acidity (pH) level te an teh thin.
• Six-Minute Walk Test (6MWT): Level ground-a minute 6 chhunga i kal theih dan tehna test a ni a, exercise nena i oxygen level a inthlak dan tehna a ni.

Engtin nge enkawl a nih?

Hypoxemia enkawlna atana thil pawimawh ber chu a chhan bulpui enkawl hi a ni . Hei bakah hian thisen oxygen level chu rang taka a pangngaia a awm leh theih nan enkawlna hman a ni bawk.

Enkawl dan hrang hrang:

• Oxygen: Oxygen hi hnar cannula emaw mask hmanga pek a ni. Mi thenkhat chu in lama hman theih tur oxygen concentrator an pe thin.
• Inhalers: Asthma emaw COPD ang chi natna nei te chu thawkna kawng tizau thei (bronchodilators) emaw, hliam tihziaawm thei tur inhalers (steroids) pek an ni.
• CPAP machines: He machine hi sleep apnea vei te tan zan lama hman tur pek a ni.
• Ventilator: Damlo dinhmun a nasat em em a, chu chu mahni chauha thawk harsa tihna a nih chuan damdawi in intensive care unit-a artificial respiration machine (ventilator) nen an thlunzawm thin.
• Damdawi dang: Chuap chu tuiin a khat a nih chuan a tui tam zawk paih chhuah nan damdawi (diuretics) pek thin a ni.

Oxygen level tha tak vawng reng turin eng nge kan tih ang?

Lung natna emaw, lung natna emaw i neih chuan heng thilte hi hypoxemia hlauhawmna tihziaawm nan a pawimawh hle.

• I dinhmun hi uluk takin enkawl rawh: I doctor-in a pek damdawi leh inhaler chu a hun takah hmang rawh. Clinic-ah pawh kal ngei ngei tur a ni.
• Meizial zu hi pumpelh vek rawh: Meizial hi lung tan a pawi hle. Meizial zuk bânsan hian oxygen level a tisang thei dawn a ni.
• Thâwk lak exercise ti rawh: I doctor hnenah thawk thûk tak leh Incentive Spirometer ang chi hmanrua hman ang chi thilte zawt rawh.
• Symptom thar fimkhur rawh: Thâwk harsa thar emaw, rilru na emaw i neih chuan ngaihthah suh.
• Hmun sang lam pan hunah fimkhur rawh: Lung lam emaw, lung lam natna emaw i neih chuan tlangram hmuna i kal hmain doctor nen inbia la, a tul anga thurawn la hmasa phawt ang che.

Engtikah nge doctor kan hmuh vat ang? (ETU-ah engtikah nge kal tur)

Hypoxemia hi nunna atana hlauhawm tak a ni. A hnuaia symptoms te hi i neih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh.

• Thâwk hahna nasa tak.
• Ka hmui, kut zungtang emaw vun emaw a rawng blue a inthlak (Cyanosis).
• A rilru a na hle.
• Buaina, buaina emaw, hriatna hloh emaw.
• Natna i neih tawh chuan a lan chhuah dan tlangpui chu a zual nghal mai thei.