Kodi khungu lanu likusintha kukhala labuluu? Tiyeni tikambirane za cyanosis!

Kodi munayamba mwawonapo khungu la anthu ena, milomo, kapena misomali yawo ikusanduka yabuluu? Kapena mwina inunso mwawonapo. Ichi ndi chomwe chimatchedwa cyanosis mu mankhwala. Kodi cyanosis kwenikweni ndi chiyani? Chifukwa chiyani izi zimachitika? Tiyeni tikambirane mwatsatanetsatane lero, monga momwe timalankhulira ndi mnzanu.

Kodi cyanosis ndi chiyani? Mwachidule...

Mwachidule, cyanosis ndi pamene khungu lanu, milomo, kapena misomali yanu imawoneka ngati yabuluu pamene muli mpweya wochepa m'magazi mwanu. Ngati muli ndi khungu lakuda, mtundu uwu wa buluu ungawonekere kwambiri m'milomo yanu, m'kamwa, m'misomali, komanso m'maso mwanu. Mawu oti 'cyanosis' amachokera ku mawu oti 'cyan'. Cyan ndi mtundu wabuluu-wobiriwira.

Taganizirani izi motere. Kawirikawiri, maselo ofiira athu amanyamula mpweya kupita ku ziwalo zonse za thupi lathu, kupita ku minofu iliyonse. Maselo ofiira awa akalandira mpweya wabwino, amakhala ofiira owala . Monga chitumbuwa chokhwima bwino. Chifukwa chake, magazi opangidwa ndi mpweya akamayenda m'thupi lathu lonse, khungu lathu limakhala lofiirira kapena lofiira pang'ono. Umu ndi momwe mawonekedwe abwino amaonekera.

Komabe, ngati pazifukwa zina magazi salandira mpweya wokwanira , kutanthauza kuti ngati mpweya uli wochepa, magazi ofiira owalawo amakhala akuda pang'ono, ngati mtundu wa buluu wofiirira . Chifukwa chake, magazi akuda awa okhala ndi mpweya wochepa akamazungulira m'thupi, khungu, milomo, ndi misomali zimaoneka zabuluu. Kudziwa komwe mtundu wa buluu uwu uli wambiri m'thupi kungatithandize kudziwa chomwe chikuyambitsa izi.

Kodi cyanosis imatanthauza chiyani? Kodi ndi nkhani yaikulu?

Cyanosis ndi chizindikiro chakuti ziwalo zanu, minofu, ndi minofu ina sizikupeza mpweya wokwanira kuti zigwire ntchito bwino . Zili ngati mtengo wouma wopanda madzi. Matupi athu sangakhale opanda mpweya.

Pali matenda osiyanasiyana ndi zifukwa zomwe zingayambitse vuto la cyanosis. Nthawi zina, khungu labuluu ndi milomo yabuluu zimatha kukhala zachilendo komanso zopanda vuto. Mwachitsanzo, zimatha kuchitika mukakhala pachimfine chachikulu. Komabe, pali matenda ena omwe angakhale aakulu mokwanira kuti angafunike chithandizo chadzidzidzi . Chifukwa chake, ngati muwona chizindikiro cha cyanosis, si bwino kuchitenga mopepuka.

Zomwe zimayambitsa cyanosis makamaka zimagwirizana ndi mapapu athu, mtima, kapena dongosolo la mitsempha (ndiko kuti, ubongo ndi msana).

Kodi mitundu ya cyanosis ndi iti?

Pali mitundu itatu ikuluikulu ya cyanosis. Tiyeni tiwone zomwe zili:

1. Kufiira pakamwa kokha - Circumoral Cyanosis

Apa ndi pamene milomo yanu yokha kapena yozungulira pakamwa panu imasanduka buluu.Izi nthawi zina zimatchedwa perioral cyanosis.

Tangoganizirani mwana, ngati akumva kuzizira pang'ono, milomo yake ikhoza kukhala yabuluu. Izi ndi zachilendo kwa makanda obadwa kumene , kotero si chinthu chodetsa nkhawa nacho. Kodi mukudziwa chiyani? Tikakumana ndi kuzizira, mitsempha yaing'ono yamagazi m'thupi lathu, yomwe timaitcha mitsempha yamagazi, imachepa pang'ono. Kenako magazi amachepa pang'ono, motero mpweya umachepa. Ndicho chifukwa chake milomo imasanduka yabuluu.

Ngakhale ana akuluakulu, mwachitsanzo, akamasewera panja tsiku lozizira kwambiri, kapena akakhala m'mawa kwambiri kudera ngati Nuwara Eliya, milomo yawo imatha kusandulika buluu. Izi nthawi zambiri zimatha pakapita nthawi thupi likatentha.

2. Mtundu wabuluu wa miyendo - Peripheral Cyanosis

Mu mtundu uwu , manja, zala, zala, ndi/kapena zala zokha ndi zomwe zimasanduka buluu. Kodi mudayamba mwakhalapo pamalo ozizira kwambiri osavala masokosi kapena masokisi? Manja ndi mapazi anu amatha kusanduka buluu ndikumva dzanzi. Ichi ndi chinthu chomwecho.

Izi nthawi zambiri sizimaika moyo pachiswe . Komabe, ndikofunikira kudziwa chomwe chikuyambitsa vutoli, chifukwa nthawi zina chifukwa chenicheni chingafunike chithandizo chadzidzidzi. Kupanda kutero, kuwonongeka kosatha kungachitike.

3. Kusanduka buluu thupi lonse - Central Cyanosis

Uwu ndi matenda omwe angakhale oopsa pang'ono kuposa mitundu ina iwiri . Mu central cyanosis, kuwonjezera pa miyendo, ziwalo zina za thupi zimakhalanso zabuluu . Mwachitsanzo, madera monga chifuwa, masaya, lilime, mkamwa, ndi milomo.

Izi nthawi zambiri zimachitika chifukwa cha matenda aakulu a mtima, mapapo, kapena magazi . Chifukwa chake, ngati muli ndi zizindikiro izi, ndikofunikira kwambiri kupita kuchipatala nthawi yomweyo .

Kodi zizindikiro za cyanosis ndi ziti?

Chizindikiro chachikulu ndi mtundu wa buluu pakhungu . Mtundu uwu wa buluu umawonekeranso m'milomo, lilime, m'kamwa, m'makutu, ndi m'misomali.

Ngati muli ndi khungu lakuda, cyanosis ikhoza kuoneka imvi kapena yotumbululuka. Imawonekera kwambiri pamilomo, lilime, mkamwa, m'misomali, komanso mozungulira maso.

Popeza cyanosis nthawi zambiri ndi chizindikiro cha matenda ena omwe amabwera chifukwa cha matendawa, mutha kukumana ndi zizindikiro zina kutengera chomwe chimayambitsa. Zina mwa izi ndi izi:

• Kutentha kochepa kwa thupi (Hypothermia)
• Kumva dzanzi kapena kumva kuwawa m'manja ndi m'mapazi
• Chifuwa
• Kupuma movutikira ( phokoso lochokera m'chifuwa pamene mukupuma)
• Kuvuta kupuma
• Chizungulire
• Kumva kutopa kwambiri (Kutopa)
• Kufooka

Kodi cyanosis imawoneka bwanji?

Kutengera mtundu wa cyanosis womwe muli nawo, khungu lanu, milomo, lilime, nkhama, maso, kapena misomali yanu imatha kuwoneka ngati yabuluu kapena yofiirira . Monga tanenera kale, ngati muli ndi khungu lakuda, limatha kuwoneka lotumbululuka kapena lotuwa .

Kodi ndi zifukwa ziti zomwe zimayambitsa cyanosis?

Chifukwa chachikulu cha cyanosis ndi kusowa kwa mpweya wokwanira m'magazi mwanu . Izi zitha kuchitika chifukwa cha zinthu ziwiri: kaya magazi anu ali ndi mpweya wochepa, kapena mitsempha yamagazi yanu imakhudzidwa ndi kuzizira kwambiri.

Taganizirani izi, ziwalo zathu ndi ziwalo zathu zimatenthedwa ndi kuyenda kwa magazi m'matupi athu. Komabe, ngati malo ozizira kwambiri, kuti kutentha kwa thupi lathu kukhale koyenera, mitsempha yamagazi m'manja, m'mapazi, ndi m'makutu athu imachepa. Izi zimachepetsa kuyenda kwa magazi, zomwe zingayambitse mtundu wabuluu.

Pali zinthu zina zambiri zomwe zimayambitsa mpweya wochepa m'magazi:

Mavuto a mayendedwe a ndege

• Kusagona mokwanira . Mwachitsanzo, kusagona mokwanira ndi chakudya.
• Kutupa mozungulira zingwe za mawu (monga croup)
• Matenda ndi kutupa kwa epiglottis, gawo longa la pakhosi lomwe limaphimba mphuno.

Mavuto a m'mapapo

• Kupita ku malo okwera kwambiri (kutali kwambiri ndi nyanja) komwe mpweya uli wochepa mumlengalenga.
• Matenda a mphumu .
• Matenda opatsirana m'mapapo.
• Kuundana kwa magazi m'mitsempha yamagazi m'mapapo (pulmonary embolism).
• Matenda Osatha a M'mapapo Oletsa Kutsekeka (COPD) (matenda a m'mapapo a nthawi yayitali).
• Kuthamanga kwa magazi m'mapapo (kuthamanga kwa magazi m'mapapo).
• Chibayo `(Chibayo)` .

Mavuto a mtima

• Matenda a mtima obadwa nawo , monga kutuluka kwa ventricle yakumanja kawiri ndi tetralogy ya Fallot.
• Matenda a mtima (kulephera kwa mtima).
• Kusiya kugwira ntchito kwa mtima mwadzidzidzi ( kulephera kugwira ntchito kwa mtima).

Zina zomwe zimayambitsa cyanosis

• Kulephera kuyenda bwino kwa magazi chifukwa chovala zovala zolimba .
• Kukumana ndi kuzizira kwambiri .
• Chochitika cha Raynaud , momwe mitsempha yamagazi imachepa mwadzidzidzi.
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi.
• Kugwidwa ndi khunyu .
• Kugwiritsa ntchito mankhwala mopitirira muyeso.
• Kukhudzidwa ndi zinthu zapoizoni .

Kodi mungazindikire bwanji cyanosis?

Popeza cyanosis ndi chizindikiro, dokotala wanu adzafuna kudziwa chomwe chimayambitsa vutoli .

Choyamba, dokotala adzakuyezani thupi . Kenako adzakufunsani za zizindikiro zanu. Angafunse mafunso monga:

• Kodi munayamba liti kuzindikira mtundu wabuluu uwu?
• Kodi izi zinachitika mwadzidzidzi, kapena zinawonjezeka pang'onopang'ono?
• Kodi thupi lanu lili ndi buluu pati?
• Kodi mwapita kulikonse posachedwapa? (makamaka kumapiri okwera)
• Kodi mukuvutika kupuma?
• Kodi manja kapena mapazi anu atupa?
• Ndi zizindikiro zina ziti zomwe muli nazo?

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira cyanosis?

Dokotala angalamule mayeso osiyanasiyana kuti apeze chomwe chimayambitsa cyanosis. Izi zingaphatikizepo mayeso a magazi, mapapo, ndi mtima:

• Kuyeza kuchuluka kwa mpweya m'magazi: Izi zimaphatikizapo kulumikiza chipangizo chaching'ono (monga chogwirira) pa chala chanu ndikuyesa kuchuluka kwa mpweya m'magazi anu. Sizimapweteka.
• Kusanthula mpweya wa m'magazi a mitsempha (ABG): Izi zimaphatikizapo kutenga chitsanzo chaching'ono cha magazi kuchokera m'mitsempha yanu (magazi omwe ali ndi mpweya wambiri) ndikuyesa kuchuluka kwa mpweya ndi zinthu zina zomwe zili mmenemo.
• X-ray ya pachifuwa .
• Kujambula pachifuwa pogwiritsa ntchito kompyuta (CT) scan .
• Kuyezetsa magazi kwathunthu (CBC) .
• Electrocardiogram (EKG/ECG): Iyi imayesa ntchito yamagetsi ya mtima.
• Echocardiogram: Iyi ndi njira yoyesera mtima pogwiritsa ntchito ultrasound. Imatha kuwona kapangidwe ndi ntchito ya mtima.
• Mayeso a ntchito ya m'mapapo (PFTs): Izi zimathandiza kuzindikira matenda a m'mapapo.
• Kutsegula m'mimba mwa mtima: Kuyezetsa kumeneku kumathandiza kuzindikira matenda a mtima mozama.

Kodi cyanosis imachiritsidwa bwanji?

Popeza cyanosis ndi chizindikiro chomwe chimayamba chifukwa cha matenda osiyanasiyana, chithandizo chomwe mungalandire chidzadalira chomwe chimayambitsa cyanosis yanu .

Chimodzi mwa mankhwala oyamba omwe dokotala wanu angakupatseni ndi chithandizo cha okosijeni . Izi zimachitika pokupatsani okosijeni wowonjezera, zomwe zimawonjezera mwachangu kuchuluka kwa okosijeni m'magazi anu. Kutengera ndi kuopsa kwa vuto lanu, mungafunike makina opumira (ventilator).Komabe zingakhale zofunikira.

Njira zina zochiritsira ndi izi:

• Kutentha ndi kutikita minofu: Cyanosis yomwe imayamba chifukwa cha kuzizira kapena matenda monga Raynaud's phenomenon imatha kuchepetsedwa potenthetsa madera omwe akhudzidwa ndikusisita pang'onopang'ono.
• Mankhwala Opha Utoto: Mankhwala opha utoto angaperekedwe pa matenda monga chibayo.
• Mankhwala ena: Dokotala wanu angakupatseni mankhwala ena ochizira matenda a mtima ndi mapapo.
• Kusiya kumwa mankhwala: Nthawi zina, ngati vutoli layamba chifukwa cha mankhwala ena omwe mukumwa panopa, dokotala wanu angakulangizeni kuti musiye kumwa mankhwalawo.
• Ma Inhalers: Ngati cyanosis imayamba chifukwa cha matenda a m'mapapo monga mphumu kapena COPD, ma inhalers angapatsidwe kuti athandize mapapu kugwira ntchito bwino.
• Opaleshoni: Matenda a mtima obadwa nawo, monga Tetralogy of Fallot, angafunike opaleshoni nthawi yochepa atangobadwa.

Kodi ndimadzisamalira bwanji?

Ngati muli ndi cyanosis chifukwa cha chimfine kapena vuto lofanana ndi la Raynaud, mungafunike kusintha zina ndi zina pa moyo wanu .

Mukatuluka, makamaka masiku ozizira, muyenera kuvala zovala zofunda . Ngakhale mutakhala kunyumba, sungani chipinda chofunda. Chofunika kwambiri ndikukhala ndi thupi lofunda .

Komanso, ngati ndinu wosuta fodya, muyenera kusiya kwathunthu . Chepetsani kumwa zakumwa zokhala ndi caffeine (monga tiyi ndi khofi) . Chifukwa caffeine ndi nikotini zimapangitsa kuti mitsempha yamagazi yanu ichepetse. Izi zimawonjezera chiopsezo cha cyanosis.

Kodi Cyanosis ingapewedwe?

Popeza pali zifukwa zambiri zomwe zimayambitsa cyanosis, sizingatheke kuzipewa zonse. Komabe, pali zinthu zina zomwe mungachite kuti muchepetse chiopsezo chanu chokhala ndi vutoli:

• Ngati mukumwa mankhwala aliwonse omwe amaletsa kuyenda kwa magazi, lankhulani ndi dokotala wanu za izi ndipo funsani upangiri woti musiye ngati pakufunika kutero.
• Pewani kusuta fodya.
• Chepetsani kumwa caffeine.
• Mukapita kumalo ozizira, valani zovala zofunda , makamaka zophimba ziwalo monga makutu, zala, ndi mphuno.

Kodi chimachitika ndi chiyani ngati ndili ndi cyanosis?

Zotsatira za cyanosis yanu zimadalira chomwe chimayambitsa komanso momwe mumafunira chithandizo mwachangu .

Izi nthawi zambiri sizimaika moyo pachiswe, koma ngati muli ndi zizindikiro zina pamodzi ndi mtundu wabuluu uwu, kapena ngati mumakhala ndi cyanosis ngakhale mutakhala ofunda komanso mukupuma,Kambiranani ndi dokotala .

Kodi ndiyenera kupeza upangiri wa dokotala liti? Kodi ndi nthawi yadzidzidzi?

Cyanosis imatha kuchitika chifukwa cha matenda osiyanasiyana. Ena ndi oopsa kwambiri kuposa ena. Ngati muli ndi zizindikiro zotsatirazi komanso khungu lanu likusintha kukhala labuluu, pitani ku dipatimenti yothandiza anthu odwala mwadzidzidzi kuchipatala chapafupi nthawi yomweyo, kapena imbani 1990 :

• Kuvuta kupuma
• Kupweteka pachifuwa
• Mutu wopweteka pafupipafupi
• Kutopa
• Kusokonezeka maganizo (kusintha kwa maganizo)
• Malungo
• Kutuluka thukuta kwambiri (hyperhidrosis)
• Kutsokomola magazi kapena ntchofu yakuda
• Kupweteka kapena dzanzi m'manja, zala, kapena m'manja.

Kodi mwana wanu kapena mwana wanu wamng'ono ali ndi zizindikiro izi ndi cyanosis?

Ngati mwana wanu kapena mwana wanu ali ndi cyanosis ndi zizindikiro zotsatirazi, pitani naye kuchipatala chapafupi nthawi yomweyo, kapena imbani 1990 :

• Kuvuta kupuma
• Kuvuta kumwa kapena kudya mkaka
• Kutuluka kwa mphuno mukamapuma
• Kutupa pachifuwa popuma
• Kupuma mwachangu
• Phokoso la kupuma pamene mukupuma
• Kutopa
• Kuvuta kugona kapena kudzuka pafupipafupi
• Thupi lofooka
• Kusakhazikika kwambiri, kukwiya (kukwiya)

Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Cyanosis ndi vuto lomwe khungu lanu, misomali, kapena milomo yanu imasanduka buluu pamene mulibe mpweya wokwanira m'magazi mwanu. Izi zitha kukhala ndi zifukwa zambiri. Ngakhale kuti nthawi zina sizikhala zoopsa, cyanosis nthawi zina ingakhale chizindikiro cha vuto lalikulu lomwe limayambitsa vutoli .

Choncho, ngati inu kapena mwana wanu muli ndi cyanosis pamodzi ndi zizindikiro zina monga kupuma movutikira, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo . Pokhapokha mutapeza zotsatira zabwino kwambiri. Musachite mantha, koma samalani.

* Cyanosis, khungu labuluu, kusowa kwa mpweya, kupuma movutikira, matenda a mtima, matenda a m'mapapo, zizindikiro