Kia ako tātou mō te hypoxemia - he hekenga o te hāora i roto i te toto!

Kei te ahua pōturi koe i ētahi wā? Kei te ahua pēhia rānei tō uma? Ko tētahi take pea ko te hekenga o te taumata hāora i roto i tō toto. Koinei te mea e kiia nei e tātou i roto i te rongoā ko te hypoxemia. Ahakoa he mate kino tēnei, ka taea te whakahaere pai mēnā ka mārama koe ki tēnei, ā, ka mahi i ngā mea e tika ana. Nō reira, me kōrero taipitopito tātou mō tēnei i tēnei rā, e tika ana?

He aha te Hypoxemia?

Ki te whakarapopoto, ko te hypoxemia te wā e iti iho ai te hāora o roto i te toto i te mea e tika ana. Whakaarohia pēnei: ​​he rite ō tātou tinana ki te motuka. Pērā i te motuka e hiahia ana ki te penehīni hei whakahaere, me hiahia hoki ngā okana me ngā pūtau katoa o te tinana ki te hāora hei mahi tika.

Ka uru mai tēnei hāora ki roto i ō tātou toto mā roto i ngā pūkahukahu ina manawa tātou. Ina manawa tātou, ka uru te hāora o te hau ki roto i ō tātou pūkahukahu. Kei roto i ngā pūkahukahu he pēke hau ririki, he rite ki ngā karepe ririki i runga i te waina. Ka karangatia ēnei e tātou ko ngā '(Alveoli)' . Kei te taha o ēnei '(Alveoli)' he maha ngā awa toto pai '(Capillaries') . Ina manawa tātou, ka mimitihia te hāora o te hau e tomo mai ana ki roto i ēnei '(Alveoli)' mā roto i aua awa toto pai. Kātahi ka haere tahi tēnei hāora me te toto puta noa i te tinana, ka tae atu ki ō tātou kiko.

Nō reira, ki te mea he raruraru kei roto i tēnei tukanga, arā, ki te kore e nui te hāora i roto i te manawa e manawahia ana e tātou, ki te kore rānei e taea e ngā pukahukahu te mimiti tika i te hāora ki roto i te toto, ka heke te taumata hāora i roto i te toto, arā, ka puta te hypoxia.

He maha ngā pānga o te hypoxemia, i runga i tōna kaha me tōna roa . I ētahi wā ka puta he tohu ngawari pēnei i te ānini me te poto o te manawa. Engari i ngā wā tino kino, ka taea e ia te whakararuraru i te mahi a te ngākau me te roro, ka puta he āhuatanga e kiia nei ko te "Hypoxia", ka kore e whiwhi hāora ngā whekau me ngā kiko o te tinana, ā, ka mate pea.

Ina puta tēnei i roto i te wā poto, ka kiia e mātou ko te "ngoikoretanga manawa ohorere," ā, ina he raruraru e mau tonu ana mō ngā marama, mō ngā tau rānei, ka kiia e mātou ko te "ngoikoretanga manawa mau tonu."

He aha te rerekētanga i waenga i te Hypoxemia me te Hypoxia?

Kua rongo pea koe i ngā kupu hypoxemia me te hypoxia. Ahakoa he rite te tangi, he iti noa te rerekētanga.

• Ko te hypoxemia he whakahekenga o te hāora i roto i te toto.
• Ko te hypoxia he whakahekenga o te nui o te hāora e tae atu ana ki ngā kiko o tō tātou tinana.

He maha ngā wā ka puta te korenga o te hāora i te tinana nā te mate e kiia nei ko te korenga o te hāora. Ko te tikanga, ina iti te hāora o te toto, ka iti anō hoki te hāora o ngā kiko. Engari ehara i te mea koinei tonu te āhua. I ētahi wā, ka iti te hāora o ngā kiko ahakoa he noa te hāora o te toto, ka iti rānei te hāora o ngā kiko ahakoa he iti te hāora o te toto. He uaua te mahi, engari ko te mea nui, e pā ana ēnei ki te iti o te hāora.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e te hypoxemia?

Ahakoa ka taea e te tangata katoa te pāngia e tēnei āhuatanga e kiia nei ko te hypoxemia, he nui ake te mōrearea o ētahi tāngata ki te pāngia e tēnei āhuatanga.

• He tino teitei tēnei mōrearea mō te hunga whai mate pūkahukahu, hei tauira, te mate huango, te COPD (Mate Pūkahu Ārai Mau), me te niumōnia.
• Ka pāngia hoki te hunga whai mate manawa . Nā te mea ko te manawa te mea e pupuhi ana i te toto whai hāora puta noa i te tinana. Nō reira, ki te mea he raruraru kei te mahi a te manawa, ka pāngia hoki ngā taumata hāora i roto i te toto.
• Hei tāpiri, ko ētahi mate pipiri pērā i te rewharewha, te niumōnia, me te COVID-19 ka piki ake te mōrearea o te hypoxia.

He aha ngā tohu o tēnei?

Āe, kia tirohia tātou he aha ngā tohu e kitea ana i roto i tēnei āhua o te hypoxemia. Ka rerekē pea ēnei tohu i runga i te kaha o te mate, arā, te iti o te hāora, me te take.

• Ānini upoko: Ngā ānini upoko maha.
• Te Matepukupuku: He ahua uaua ki te manawa, he kikī te uma, me te poto o te manawa.
• Tachycardia: He pikinga ake o te tere o te pao o te ngakau.
• Maremare: He maremare pumau.
• Te wheehe: He tangi whiowhio e puta mai ana i te uma i te wā e manawa ana.
• Pōhēhē: Te pōuriuri, te kore e mōhio me aha.
• Kiri kikorangi, whao, me ngā ngutu (Cyanosis): He tohu kino ake tēnei. Ina kore e nui te hāora e whiwhi ana te tinana, i ētahi wā ka kikorangi te kiri, ngā whao, me ngā ngutu.

He aha ngā tino take o te hypoxia?

He maha ngā take o te koretake o te manawa. Engari i te nuinga o te wā, ko te tino take he mate hauora kei raro. Ko te tikanga he mate manawa, he mate pūkahukahu rānei e pā ana ki te manawa, ki te rere toto rānei te take. Ka taea hoki e ētahi rongoā te whakararu i te koretake o te manawa mā te whakaroa i te manawa.

Kua rongo pea koe i tētahi āhuatanga e kiia nei ko te `(Sleep Apnea)`. He āhuatanga tēnei e mutu ai te manawa i te wā e moe ana. I roto i ēnei āhuatanga, i roto rānei i te hunga he mate pūkahukahu ngawari, ka heke te taumata hāora i roto i te toto i te pō. Ka kiia tēnei ko te `(Nocturnal Hypoxemia)`.

Ko tētahi atu mea, ka pā mai te koretake o te hāora i te wā e haere ana ki ngā wāhi teitei . Whakaarohia mēnā ka haere koe ki tētahi wāhi maunga teitei pērā i a Nuwara Eliya, koia te take e uaua ai te manawa o ētahi tāngata. Nā te mea ka heke te nui o te hāora i te hau i te pikinga ake o te teitei.

He torutoru atu ngā take...

Ko ētahi atu āhuatanga ka taea te whakaputa i te hypoxemia ko:

• Te Mate Pōuri Manawa Whakapeka (ARDS)
• Te kore toto - te tikanga he kore toto
• Mate huango
• Bronchitis
• Mate Pūkahukahu Ārai Mau tonu (COPD)
• Ngā mate ngākau whānau - ngā mate ngākau e kitea ana i te whānautanga
• Te ngoikore o te ngākau
• Emphysema - te pakaru o ngā pēke hau i roto i ngā pukahukahu
• Pūkahukahu
• Te hau e karapoti ana i ngā pukahukahu, te hinganga rānei o ngā pukahukahu (Pneumothorax)
• Te pupuhi o te pūkahukahu
• Te embolism pūkahukahu
• Te whara o ngā pukahukahu (Pulmonary fibrosis)
• Te toto toto tiketike o te pūkahukahu

5 ngā momo matua o ngā āhuatanga e whai wāhi ana ki te hypoxia

Nā, me titiro tātou ki ngā tikanga matua e rima e whai wāhi ana ki te putanga mai o te hypoxemia. He āhua hauora ēnei, engari me ngana tātou ki te mārama ngāwari ki a rātou.

1. Te kore ōrite o te hau me te rere o te toto (V/Q): Whakaarohia, kia whiwhi ai te toto i te hāora, me whiwhi ngā pūkahukahu i te nui o te hau (e kiia ana tēnei ko te whakapūkahukahu), ā, hei kawe i taua hāora, me whiwhi ngā pūkahukahu i te nui o te toto (e kiia ana tēnei ko te rere o te toto). Mena he raruraru kei tētahi o ēnei e rua, hei tauira, mena ka whiwhi ngā pūkahukahu i te nui o te hau engari kāore i te nui te toto, mena rānei ka whiwhi te toto i te nui o te hau engari kāore i te nui te hau, kāore te hāora e uru tika ki roto i te toto. Ka kiia tēnei ko te `(V/Q) mismatch`. He maha ngā wā ka puta mai tēnei i te mate manawa, i te mate pūkahukahu rānei.

2. Te ngoikore o te horapa: I ētahi wā ka nui te hau me te toto e whiwhi ai ngā pūkahukahu, engari ka uaua te mimiti (te horapa) o te hāora i roto i ngā pūkahukahu ki roto i ngā oko toto. Pērā i te wā e purua ai ngā pūwero o te tātari, kāore e taea e te wai te haere. Ka pā tēnei ki ngā āhuatanga pēnei i te emphysema, te whara rānei o ngā pūkahukahu.

3. Te ngoikore o te manawa: Koinei te wā e tino hohonu rawa ai, e puhoi rawa ai rānei te manawa. Ko te tikanga kāore e ranea te hāora e tae atu ana ki ngā pukahukahu. Ka puta pea tēnei i ngā mate pukahukahu maha me ētahi mate roro.

4.He iti te hāora o te taiao: Ki te iti te hāora o te hau i roto i tō tātou taiao, ahakoa te nui o tā tātou manawa, e kore e whiwhi te tinana i te hāora e hiahiatia ana. E ai ki taku kōrero i mua, he iti te hāora o te hau i ngā wāhi maunga teitei.

5. Te whakawhiti toto mai i te matau ki te maui: I te nuinga o te wā, ka haere te toto kore-hāora (kore-hāora) i roto i tō tātou tinana ki te taha matau o te ngākau, mai i reira ka haere ki ngā pukahukahu ki te tiki hāora (whakama), kātahi ka hoki ki te taha maui o te ngākau ka pupuhihia puta noa i te tinana. Heoi, i roto i ētahi tāngata, ka taea e tēnei toto kore-hāora te haere tika mai i te taha matau o te ngākau ki te taha maui o te tinana, kaua ki te haere ki ngā pukahukahu. Kātahi ka haere te toto kore-hāora puta noa i te tinana. Ka kiia tēnei ko te whakawhiti toto mai i te matau ki te maui. I te nuinga o te wā, ka puta tēnei nā te mea he rerekē te ngākau.

Me pēhea te tautuhi i tēnei?

Āe, me titiro tātou me pēhea te tātaritanga a te tākuta i tēnei mate o te hypoxemia. Ina haere koe ki te tākuta, ka whakarongo tuatahi ia ki tō ngākau me ō pukahukahu. Nā te mea ko ngā hapa o ēnei whekau he tohu pea nō te iti o te hāora i roto i te toto. Ka tirohia hoki e ia mēnā he kikorangi tō kiri, ngutu, me ō maikuku.

Hei tāpiri, ka taea e koe te mahi i ngā whakamātautau e whai ake nei hei tirotiro i ō taumata hāora:

• Pūnaha ine manawa: Kua kite pea koe i tēnei. He taputapu iti tēnei e piri ana ki tō maihao, e ine ana i te taumata hāora i roto i tō toto. Kāore he mamae, ā, kāore e hiahiatia he toto. He maha ngā tākuta e whakamahi ana i tēnei i ngā wā tirotiro noa.
• Whakamātautau hau toto uaua: He whakamātautau tēnei e ine tika ana i te taumata hāora i roto i te toto mā te tango i tētahi tauira toto iti mai i tētahi wāhi pēnei i te ringaringa, te piko o te ringa, te hope rānei.
• Whakamātautau hikoi ono meneti (6MWT): Kei roto i tēnei ko te hikoi i runga i te mata papatahi mō ngā meneti e ono, me te ine i te rerekētanga o ō taumata hāora me te tawhiti e taea e koe te hikoi. Mā tēnei ka taea e koe te whakaaro ki te pai o te mahi a ō pukahukahu me tō ngākau.

He aha ngā maimoatanga?

I te rongoā i te hypoxemia, ka whakawhirinaki te maimoatanga ki te pūtake. Ka hoatu pea e tō tākuta he hāora tāpiri hei whakanui ake i ngā taumata hāora i roto i ō toto. Ka taea tēnei te hoatu mā roto i ngā tāke hāora, i ngā mīhini rānei e kiia nei ko ngā kaiwhakakotahi hāora. Tērā pea ka hiahiatia tonutia e ētahi tāngata, ko ētahi ia ka hiahiatia noa i te wā e ngenge ana rātou. Kei te kaha o te mate te whakawhirinaki ki te kaha o te mate.

I ngā āhuatanga tino kino o te kore toto e taea te hau, pērā i te acute respiratory distress syndrome (ARDS), ka taea te whakamahi i tētahi mīhini e kīia nei ko te ventilator hei āwhina i a koe ki te manawa.

Ko te mea nui ko te rongoā i te tino take. Hei tauira:

• Ngā mea whakangā mō te hunga whai mate pūkahukahu pēnei i te COPDarā, ka taea te hoatu i ngā rongoā manawa kei roto ngā `(Ngā rongoā manawa-pūngoi)` (ngā rongoā manawa-pūngoi) me ngā `(Ngā steroids)` rānei.
• Ka taea te hoatu i ngā diuretics hei tango i te wai nui mai i ngā pukahukahu.
• Tērā pea ka tonoa koe kia whakamahi i te kopare CPAP (Continuous Positive Airways Pressure) hei rongoā mō te apnea moe.
• Mena kei te tūpono tonu te koretake o te hāora, ka taea te hoatu hāora tāpiri. He maha ngā momo taputapu tuku hāora. Ka taea te hoatu hāora mā te kopare manawa, he ngongo iti e whakanohoia ana ki te ihu (cannula). Ka taea tēnei te hoatu ki te kāinga, i roto i te mīhini iti ka taea e koe te kawe i a koe e haere ana, i te hōhipera rānei.

Me pēhea te whakahaere i ngā tohu?

Ki te pōhēhē koe, ki te uaua ki te manawa, ki te tere o te ngakau, ki te kite rānei koe kei te kikorangi ō whao, ngutu, kiri rānei, me rapu tonu koe i te awhina hauora. Mena kei a koe he pulse oximeter i te kāinga, ka taea hoki e koe te whakamahi hei tirotiro i ō taumata hāora. Me tere te rongoā i te hypoxemia hei ārai i te kino o ngā okana i ngā wā kino.

Ko te hunga whai mate pēnei i te COPD me te Sleep Apnea, ka pāngia pea e te hypoxemia i ngā wā katoa, i ngā wā poto rānei, engari kāore pea rātou e pāngia e ngā tohu nui. Nō reira, kōrero ki tō tākuta mō te whakahaere i tō mate, te whakaiti i ngā tohu, me te whakaiti i te mōrearea o te iti o te hāora.

He aha ngā raruraru ka pā mai i tēnei?

Ina heke te taumata hāora i roto i te toto, kāore ō tātou whekau me ō tātou kiko e whiwhi i te nui o te hāora e hiahiatia ana hei mahi. E ai ki tā tātou i kōrero ai, ko te ingoa o tēnei he `(Hypoxia).` Mena ka haere tonu tēnei āhuatanga, hei tauira, `(Sleep Apnea)` ka heke te hāora i te pō (`Nocturnal hypoxemia`), ka pakaru pea tō tātou ngākau me tō tātou roro. Ka taea e te hypoxemia ohorere, kino te whakararu i te ora.

Me pēhea te whakaiti i te mōrearea?

Ko te huarahi pai ki te whakaiti i te mōrearea o te hypoxemia ko te whakahaere tika i ō mate hauora. Mena he mate pūkahukahu, he mate ngākau rānei tōu, kōrero ki tō tākuta mō ngā huarahi motuhake hei whakaiti i tō mōrearea.

Ahakoa mō te hunga kāore he mate ngākau, he mate pūkahukahu rānei, ka piki ake te mōrearea o te hypoxemia nā ētahi rongoā, nā te haere rānei ki ngā teitei. Nō reira, pātai atu ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe me ngā mahi whakatūpato motuhake me mahi e koe i a koe e haere ana. Ina haere koe ki ngā teitei, hoatu he wā ki tō tinana kia taunga.

He aha ngā mea ka taea e koe te mahi hei whakanui ake i ngā taumata hāora?

Ko te huarahi pai ki te pupuri i te haumaru o ngā taumata hāora o roto i tō toto, me te whakaiti i te mōrearea o te hypoxia ko te whakahaere tika i ō āhuatanga hauora.

• Kaua e wareware ki ngā tohu hou.Ki te rongo koe i tētahi mea rerekē, kia aro atu. Tirohia he tākuta, haere rānei ki te rūma whawhati tata.
• Mena kua tohua e tō tākuta he hāora māu, whakamahia kia tika.
• Kia tiakina te hauora o ō pūkahukahu ('Te akuaku o ō pūkahukahu'). Mena he "COPD" tōu, he mate huango rānei, kia mōhio koe ki ngā mea e whakaoho ana i a koe. Kia mau tonu tō "whakaora manawa" ki a koe. Whakamahia he "inemita whakahihiri", mahihia ngā mahi manawa, me te whai i ētahi atu tohutohu hauora pūkahukahu a tō tākuta.
• Ki te kaipaipa koe, kati. Mā te whakamutu i te kaipaipa ka pai ake te mahi a ōu pūkahukahu, ka taea ai e ōu pūkahukahu te mimiti i te hāora. Ka ārai hoki i te kino atu ki ōu pūkahukahu.
• Tangohia te rongoā kia rite ki te mea i tohua e te tākuta.
• Whakaritea he mahere ina haere koe ki ngā teitei. Ahakoa mō te hunga kāore he mate ngākau, he mate pūkahukahu rānei, ka uaua pea te manawa i ngā teitei. Whakaarohia i mua me pēhea te pānga ki a koe me pēhea koe e urutau ai ki te huringa. Whakamaheretia hoki i mua mō ngā mea hei mahi mēnā e hiahia ana koe ki te āwhina hauora ohorere. Whakapaua he wā hei taunga ki te taiao mēnā e tika ana, me te mau mai i ētahi atu taputapu, rongoā rānei e hiahiatia ana e koe.

Āhea koe me haere wawe ki te hōhipera?

He mate morearea te kore toto e hiahiatia ana. Mēnā koinei ngā āhuatanga , me haere tonu koe ki te Tari Whawhati Tata (ETU) :

• Mena kei a koe ngā tohu o te hypoxemia, ki te kite rānei ētahi atu i tētahi panoni ohorere o tō whanonga, o tō hinengaro rānei (te kore oho, te pōhēhē, te whakarerekētanga o te hinengaro).
• Mena kei a koe tētahi mate hauora tonu, ā, ka kino haere ō tohumate o ia rā, ka puta rānei he tohumate hou e whakaaro ana koe nā te ngoikore o te toto i roto i te tinana.

He aha ngā pātai me pātai atu koe ki te tākuta?

Ki te kī atu tō tākuta ki a koe, ki tētahi rānei o tō whanaunga kei te pāngia koe e te hypoxemia, ka taea e koe te pātai atu ki a rātou i ēnei pātai:

• Nā tētahi atu mate hauora anō tēnei mate koretake o te tinana?
• Me pēhea taku whakahaere i tōku āhua hei whakaiti i te mōrearea o te hypoxia?
• Kua pā mai he kino ki ngā okana, he raruraru rānei i ētahi atu āhuatanga?
• He aha ngā huringa āhua noho ka taea te whakaiti i te mōrearea o te hypoxia?
• Ka piki ake pea te mōrearea o te hypoxia mā te whakarerekē i aku mahere haere, mā te whakarerekē rānei i aku rongoā?

Hei whakarāpopototanga (Karere hei tango ki te kāinga)

Nō reira, hei whakarāpopototanga, ko te hypoxemia he āhuatanga e heke ai te taumata o te hāora i roto i te toto. I ētahi wā ka mate pea tēnei. Heoi, ka taea te rongoā whai hua mēnā ka rapu wawe koe i te awhina hauora.Hei tauira, i ētahi wā, ki te pāngia koe e te "Sleep Apnea", ka heke pea ō taumata hāora i te pō ahakoa kāore he tohu nui. Ki te haere tonu tēnei, ka kino pea tō ngākau.

Nō reira, he mea tino nui kia mōhio koe ki tō mōrearea me ngā mea ka taea e koe te mahi hei ārai i tēnā. Mena he ruarua āu, kaua e wehi ki te kōrero ki te tākuta. Kia ora tonu!

Te korenga o te hāora, te korenga o te hāora, te uaua ki te manawa, te mate pūkahukahu, te mate ngākau, te taumata hāora, te cyanosis