Wakamboona ganda revamwe vanhu, miromo, kana nzara zvichichinja kuita bhuruu here? Kana kuti pamwe newe wakamboonawo. Izvi ndizvo zvinonzi cyanosis mukurapa. Chii chinonzi cyanosis chaizvo? Sei izvi zvichiitika? Ngatitaurei nezvazvo zvakadzama nhasi, sekutaura neshamwari.
Chii chinonzi cyanosis? Zvichitaurwa zviri nyore...
Zvichitaurwa zviri nyore, cyanosis inoitika kana ganda rako, miromo, kana nzara dzako dzichiita sebhuruu kana ropa rako riine okisijeni shoma . Kana uine ruvara rwakasviba, ruvara urwu rwebhuruu runogona kuonekwa zvakanyanya mumiromo yako, mazino, nzara, uye zvakakomberedza maziso ako. Izwi rekuti 'cyanosis' rinobva pashoko rekuti 'cyan'. Cyan iruvara rwebhuruu-girini.
Funga nezvazvo nenzira iyi. Kazhinji, masero edu matsvuku eropa anotakura okisijeni kunhengo dzese dzemuviri wedu, kunhengo dzese dzemuviri. Kana masero matsvuku aya akazara okisijeni, anotsvuka zvakajeka . Secherry yakaibva zvakanaka. Saka, kana ropa iri rine okisijeni richifamba mumuviri wedu wese, ganda redu rinova neruvara rwepingi kana rutsvuku rwakareruka. Ndizvo zvinoita chitarisiko chine hutano.
Zvisinei, kana nechikonzero chakati ropa rikasawana okisijeni yakakwana , ndiko kuti, kana mwero weokisijeni wakaderera, ropa dzvuku iroro rinova rakasviba zvishoma, seruvara rwebhuruu . Saka, kana ropa iri rakasviba risina okisijeni yakawanda richitenderera mumuviri, ganda, miromo, nenzara zvinoita sebhuruu. Kuziva kuti ruvara urwu rwebhuruu rwunowanikwa kupi mumuviri kunogona kutibatsira kuziva chiri kukonzera izvi.
Zvinorevei kuti cyanosis? Zvakakomba here?
Cyanosis chiratidzo chekuti nhengo dzako, tsandanyama, nedzimwe nyama hadzisi kuwana okisijeni yakakwana kuti dzishande zvakanaka . Zvakafanana nemuti unooma usina mvura. Miviri yedu haigone kurarama isina okisijeni zvakare.
Kune zvirwere zvakasiyana-siyana nezvikonzero zvinogona kukonzera chirwere ichi che cyanosis. Dzimwe nguva, ganda rebhuruu nemiromo yebhuruu zvinogona kuva zvinhu zvakajairika, zvisina njodzi. Semuenzaniso, zvinogona kuitika kana uchitonhora zvakanyanya. Zvisinei, kune zvimwe zvirwere zvinogona kunge zvakakomba zvekuti zvinoda kurapwa nekukurumidza . Saka, kana ukaona chiratidzo che cyanosis, hazvina kunaka kuzvitora sezvisina basa.
Zvikonzero zve cyanosis zvinogona kunyanya kukonzerwa nemapapu edu, mwoyo, kana tsinga dzepakati (ndiko kuti, uropi nemusana).
Ndeapi marudzi e cyanosis?
Kune mhando nhatu huru dze cyanosis. Ngatitarisei kuti ndedzipi:
1. Kusviba kwebhuruu kwakatenderedza muromo chete - Circumoral Cyanosis
Apa ndipo apo miromo yako chete kana kuti yakakomberedza muromo wako inoshanduka kuita bhuruu.Izvi dzimwe nguva zvinonzi perioral cyanosis.
Fungidzira mwana mucheche, kana akanzwa dzihwa, miromo yake inogona kuita bhuruu. Izvi zvakajairika kuvana vachangoberekwa , saka hazvisi zvekunetseka nazvo. Unoziva here? Patinosangana nedzihwa, tsinga diki dzeropa dziri mumiviri yedu, dzatinoti tsinga dzeropa, dzinoita zvidimbu zvishoma. Ipapo kuyerera kweropa kunoderera zvishoma, uye nokudaro oxygen inoderera. Ndosaka miromo ichiita bhuruu.
Kunyangwe vana vakuru, semuenzaniso, pavanotamba panze pazuva rinotonhora zvikuru, kana kuti pavanenge vachitonhora mangwanani-ngwanani munzvimbo yakaita seNuwara Eliya, miromo yavo inogona kuita bhuruu. Izvi zvinowanzopera mushure mechinguva muviri paunodziya.
2. Ruvara rwebhuruu rwemakumbo - Peripheral Cyanosis
Murudzi urwu , maoko, zvigunwe, zvigunwe, uye/kana zvigunwe chete ndizvo zvinoshanduka kuita bhuruu. Wakambopinda munzvimbo inotonhora zvikuru usina kupfeka masokisi kana masokisi here? Maoko netsoka dzako zvinogona kuchinja kuita bhuruu wonzwa kusanzwa zvakanaka. Izvi zvakafanana.
Izvi hazviwanzoisa upenyu panjodzi . Zvisinei, zvakakosha kuziva chiri kukonzera izvi, sezvo dzimwe nguva chikonzero chaicho chingada kurapwa nekukasika. Zvikasadaro, zvinogona kukonzera kukuvara zvachose.
3. Kushanduka kuita bhuruu muviri wese - Central Cyanosis
Ichi chirwere chinogona kunge chakakomba zvishoma kupfuura mamwe marudzi maviri . Mu central cyanosis, pamusoro pemakumbo, dzimwe nhengo dzemuviri dzinoitawo bhuruu . Semuenzaniso, nzvimbo dzakadai sechipfuva, matama, rurimi, matadza, nemiromo.
Izvi zvinowanzokonzerwa nezvirwere zvakakomba zvemwoyo, mapapu, kana ropa . Saka, kana uine zviratidzo izvi, zvakakosha zvikuru kutsvaga rubatsiro rwechiremba nekukasika .
Ndezvipi zviratidzo zve cyanosis?
Chiratidzo chikuru ganda rine ruvara rwebhuruu . Ruvara urwu rwebhuruu runogonawo kuonekwa mumiromo, rurimi, mazino, nzeve, uye nzara.
Kana uine ganda rakasviba, cyanosis inogona kuoneka segrey kana chena. Inonyanya kuonekwa pamiromo, rurimi, mazino, nzara, uye pedyo nemaziso.
Nekuti cyanosis inowanzova chiratidzo cheimwe chirwere chiripo, unogona zvakare kusangana nezvimwe zviratidzo zvichienderana nechikonzero chacho. Zvimwe zvacho zvinosanganisira:
- Tembiricha yemuviri yakaderera (Hypothermia)
- Kunzwa kusanzwa kana kunzwa kukwenya mumaoko nemakumbo
- Kukosora
- Kufema ( ruzha rwunobva muchipfuva kana uchifema)
- Kuoma kufema
- Dzungu
- Kunzwa kuneta zvakanyanya (Kuneta)
- Kushaya simba
Cyanosis inotaridzika sei?
Zvichienderana nerudzi rwe cyanosis yaunayo, ganda rako, miromo, rurimi, mazino, maziso, kana nzara zvinogona kuoneka zvakasiyana-siyana zvebhuruu kana pepuru . Sezvambotaurwa, kana uine ganda dema, rinogona kuoneka rakachenuruka kana kuti grey .
Ndezvipi zvikonzero zve cyanosis?
Chikonzero chikuru che cyanosis ikusakwana kweokisijeni muropa rako . Izvi zvinogona kukonzerwa nezvinhu zviviri: kungava kuti ropa rako harina okisijeni yakakwana, kana kuti tsinga dzeropa rako dzinobatwa nechando chakanyanya.
Funga nezvazvo, nhengo dzedu nenhengo dzemuviri zvinodziirwa nekutenderera kweropa mumiviri yedu. Zvisinei, kana nzvimbo yacho ichitonhora zvikuru, kuitira kuti tembiricha yemuviri wedu irambe iri padanho rakajairika, tsinga dzeropa dziri mumaoko edu, tsoka, nenzeve dzedu dzinoita zvidimbu. Izvi zvinoderedza kuyerera kweropa, izvo zvinogona kukonzera ruvara rwebhuruu.
Kune zvimwe zvirwere zvakawanda nezvikonzero zvinogona kukonzera kushaikwa kweokisijeni muropa:
Matambudziko enzira dzemhepo
- Kudzipwa . Semuenzaniso, kudzipwa nechikafu.
- Kuzvimba kwakatenderedza tambo dzenzwi (semuenzaniso, croup)
- Kutapukirwa uye kuzvimba kwe epiglottis, chikamu chehuro chakaita sechinovhara chinofukidza paipi yemhepo.
Matambudziko emapapu
- Kuenda kunzvimbo dzakakwirira (kure pamusoro pegungwa) uko kune oxygen shoma mumhepo.
- Chirwere cheasthma .
- Zvirwere zvekufema.
- Kugwamba kweropa mutsinga yeropa mumapapu (pulmonary embolism).
- Chirwere Chisingaperi Chekuvharira Mapupa (COPD) (chirwere chemapapu chenguva refu).
- Kukwira kweropa mumapapu (BP yakakwira mumapapu).
- Manyoka `(Manyoka)` .
Matambudziko emwoyo
- Zvirwere zvemwoyo zvekuzvarwa nazvo , zvakaita se double outlet right ventricle uye tetralogy of Fallot.
- Matambudziko emwoyo (kusashanda zvakanaka kwemoyo).
- Kumira kushanda kwemoyo kamwe kamwe (cardiac arrest ).
Zvimwe zvinokonzera cyanosis
- Kusafamba kweropa zvakanaka nekuda kwekupfeka mbatya dzakabatirira .
- Kusangana nechando chakanyanya .
- Chiitiko chaRaynaud , apo mitsipa yeropa inongoerekana yatetepa.
- Mimwe mishonga inoshandiswa kurapa BP.
- Kubatwa nepfungwa dzakaipa .
- Kunwa zvinodhaka zvakanyanya.
- Kusangana nezvinhu zvine chepfu .
Nzira yekuziva cyanosis?
Nekuti cyanosis chiratidzo, chiremba wako achada kuziva kuti chii chinokonzera .
Kutanga, chiremba achakuongororwa muviri . Zvadaro vachakubvunza nezvezviratidzo zvako. Vanogona kubvunza mibvunzo yakaita seiyi:
- Wakatanga rini kuona ruvara urwu rwebhuruu?
- Izvi zvakangoerekana zvaitika here, kana kuti zvakawedzera zvishoma nezvishoma?
- Ndepapi pamuviri wako pane bhuruu?
- Wakambofamba chero kupi nguva pfupi yadarika here? (kunyanya kunzvimbo dzakakwirira)
- Uri kunetseka kufema here?
- Maoko ako kana tsoka dzako dzakazvimba here?
- Ndezvipi zvimwe zviratidzo zvaunazvo?
Ndezvipi zvidzidzo zvinoshandiswa kuongorora cyanosis?
Chiremba anogona kuraira bvunzo dzakasiyana-siyana kuti aone chinokonzera cyanosis. Izvi zvinogona kusanganisira bvunzo dzeropa, mapapu, uye dzemwoyo:
- Kuyera pulse oximetry: Izvi zvinosanganisira kubatanidza mudziyo mudiki (sechipikiri) pamunwe wako uye kuyera huwandu hweokisijeni muropa rako. Hazvikuvadzi.
- Kuongororwa kwegasi reropa mutsinga (ABG): Izvi zvinosanganisira kutora sampuli diki yeropa kubva mutsinga dzako (ropa rine okisijeni yakawanda) uye kuyera huwandu hweokisijeni nezvimwe zvinhu zviri mairi.
- X-ray yechipfuva .
- Kuongororwa kwechipfuva nekombiyuta inonzi CT scan .
- Kuongororwa kweropa rakazara (CBC) .
- Electrocardiogram (EKG/ECG): Iyi inoyera mashandiro emagetsi emwoyo.
- Echocardiogram: Iyi iongororo yemoyo yeultrasound. Inogona kutarisa chimiro uye mashandiro emoyo.
- Kuongororwa kwebasa remapapu (PFTs): Izvi zvinobatsira kuongorora zvirwere zvemapapu.
- Kuisa catheter mumoyo: Kuongororwa uku kunobatsira kuona chirwere chemwoyo zvakadzama.
Cyanosis inorapwa sei?
Nekuti cyanosis chiratidzo chinokonzerwa nezvirwere zvakasiyana-siyana, kurapwa kwaunowana kunoenderana nechikonzero che cyanosis yako .
Imwe yenzira dzekutanga dzaungapihwa nachiremba wako ndeye oxygen therapy . Izvi zvinoitwa nekukupa oxygen yakawedzerwa, zvichiita kuti huwandu hweoxygen muropa rako huwedzere nekukurumidza. Zvichienderana nekuoma kwechirwere chako, ungangoda muchina wekufema (ventilator).Zvingave zvichidikanwa zvakadaro.
Dzimwe nzira dzekurapa ndedzi:
- Kupisa uye kukwiza: Cyanosis inokonzerwa nekutonhora kana mamiriro ezvinhu akadai seRaynaud's phenomenon inogona kuderedzwa nekudziya nzvimbo dzakabatwa nechirwere uye kudzikwiza zvinyoro nyoro.
- Mishonga inorwisa mabhakitiriya: Mishonga inorwisa mabhakitiriya inogona kupihwa kune hutachiona hwakadai sepneumonia.
- Mimwe mishonga: Chiremba wako anogona kukupa mimwe mishonga yekurapa zvirwere zvemwoyo nemapapu.
- Kurega kushandisa mishonga: Dzimwe nguva, kana chirwere ichi chichikonzerwa nemimwe mishonga yauri kutora parizvino, chiremba wako anogona kukukurudzira kuti urege kushandisa mishonga iyoyo.
- Zvinofema: Kana cyanosis ichikonzerwa nechirwere chemapapu chakadai seasthma kana COPD, zvinofema zvinogona kunyorerwa kubatsira mapapu kushanda zviri nani.
- Kuvhiyiwa: Matambudziko emwoyo anokonzerwa nekuberekwa, akadai seTetralogy of Fallot, anogona kuda kuvhiyiwa nguva pfupi mushure mekuzvarwa.
Ndinozvitarisira sei?
Kana uine cyanosis nekuda kwechikosoro kana chirwere chakafanana nechaRaynaud, ungangoda kuchinja mararamiro ako .
Paunobuda, kunyanya panguva yechando, unofanira kupfeka zvinodziya . Kunyangwe uri kumba, chengeta imba ichidziya. Chinhu chinonyanya kukosha ndechekuchengetedza muviri wako uchidziya .
Uyewo, kana uri munhu anoputa fodya, unofanira kurega zvachose . Deredza kudya kwako zvinwiwa zvine caffeine (senge tii nekofi) . Nekuti caffeine nenicotine zvinoita kuti tsinga dzeropa dzitete. Izvi zvinowedzera njodzi yekuva necyanosis.
Cyanosis inogona kudzivirirwa here?
Nekuti kune zvikonzero zvakawanda zvinokonzera cyanosis, hazvigoneke kudzivirira zvese. Zvisinei, pane zvimwe zvaunogona kuita kuderedza njodzi yako yekuva nechirwere ichi:
- Kana uri kutora mishonga inoderedza kufamba kweropa rako, taura nachiremba wako nezvazvo uye tsvaga mazano ekuirega kana zvichidikanwa.
- Dzivisa kusvuta.
- Deredza kudya kwako caffeine.
- Kana uchienda kunzvimbo inotonhora, pfeka zvinodziya , kunyanya kufukidza zvikamu zvakaita senzeve, minwe, nemhino.
Chii chinoitika kana ndiine cyanosis?
Mhedzisiro ye cyanosis yako inoenderana nechikonzero uye kuti unokurumidza sei kutsvaga kurapwa .
Izvi hazviwanzo kuva nengozi kuhupenyu, asi kana uine zvimwe zviratidzo pamwe chete neruvara urwu rwebhuruu, kana kuti ukava ne cyanosis kunyangwe uchidziya uye wakazorora,Ehe ona chiremba .
Ndinofanira kutsvaga rubatsiro rwechiremba riini? Idambudziko rekukurumidza here?
Cyanosis inogona kukonzerwa nemamiriro akasiyana-siyana ezvirwere. Zvimwe zvakakomba kupfuura zvimwe. Kana uine chimwe chezviratidzo zvinotevera pamwe neganda rako richishanduka kuita bhuruu, enda kuchipatara chiri pedyo newe nekukurumidza, kana kufonera 1990 :
- Kuoma kufema
- Kurwadziwa kwechipfuva
- Musoro unowanzo rwadza
- Kuneta
- Kuvhiringidzika (kuchinja-chinja kwemanzwiro)
- Kupindwa nechando
- Kudikitira zvakanyanya (hyperhidrosis)
- Kukosora ropa kana madzihwa ane ruvara rwakasviba
- Kurwadziwa kana kusanzwa simba mumaoko, muminwe, kana mumaoko.
Mwana wako kana mwana mudiki ane zviratidzo izvi here kana aine cyanosis?
Kana mwana wako kana mwana mudiki aine cyanosis uye chimwe chezviratidzo zvinotevera, muendese kuchipatara chiri pedyo nekukasika, kana kufonera 1990 :
- Kuoma kufema
- Kuomerwa nekunwa kana kudya mukaka
- Kuputika kwemhino kana uchifema
- Kuzvimba kwechipfuva kana uchifema
- Kufema nekukurumidza
- Kurira kwemhepo kana uchifema
- Kuneta
- Kuoma kurara kana kumuka nguva nenguva
- Muviri wakaremara
- Kusagadzikana kwakanyanya, kushatirwa (Kutsamwa)
Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)
Cyanosis chirwere apo ganda rako, nzara, kana miromo zvinoshanduka kuita bhuruu kana pasina oxygen yakakwana muropa rako. Izvi zvinogona kunge zvichikonzera zvakawanda. Kunyangwe zvisiri nguva dzose zvakakomba, cyanosis dzimwe nguva inogona kuva chiratidzo chechirwere chakakomba chiripo .
Saka, kana iwe kana mwana wako muine cyanosis pamwe nezvimwe zviratidzo zvakaita sekuoma kufema, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika . Ndipo chete paunogona kuwana mhedzisiro yakanaka. Usavhunduke, asi chenjera.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Cyanosis chirwere chinoita kuti muviri ushanduke kuita bhuruu here?
Kwete! 'Cyanosis' hachisi chirwere, chiratidzo chakakomba (chiratidzo) chechimwe chirwere chakakomba mumuviri. Izvi zvinodaro nekuti kana huwandu hweokisijeni muropa huchienda kunhengo dzinokosha dzemuviri wedu (ganda, miromo, nezvimwewo) huchidzikira zvakanyanya nekuda kwezvimwe zvirwere, ropa dzvuku rinoshanduka kuita dema/bhuruu, zvichiita kuti ganda riite sebhuruu kubva kunze.
💬 Ndedzipi nzvimbo dzeganda apo chirwere ichi chinonyanya kuitika?
Kune mhando mbiri huru dze cyanosis. Kana paine kushomeka kwemoyo kana mapapu (semuenzaniso asthma, pneumonia, COVID), muviri wese, kunyanya miromo, rurimi, nechiso, zvinoshanduka kuita bhuruu (central cyanosis). Zvisinei, kana tsinga yeropa yakavharwa kana kuvharika nekuda kwechando, minwe, maoko, netsoka chete zvinoshanduka kuita bhuruu (peripheral cyanosis).
💬 Unoita sei kana miromo yemumwe munhu ikashanduka kuita bhuruu?
Central cyanosis, iyo inonzi apo miromo kana rurimi zvinoshanduka kuita bhuruu, zvinoreva kuti hapana oxygen yakakwana inosvika kuuropi nemoyo. Kana ikasamiswa mukati memaminitsi mashoma, murwere anogona kufa (sekumira kwemwoyo kamwe kamwe). Saka, pasina kuita chero chinhu kumba, unofanira kumuendesa kuchipatara nekukasika womupa oxygen yekugadzira.
Cyanosis , ganda rebhuruu, kushaikwa kweokisijeni, kunetseka kufema, chirwere chemwoyo, chirwere chemapapu, zviratidzo











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