Dzimwe nguva unonzwa kushaya mweya, chipfuva chako chinonzwa chakamanikana, kana kuti unonzwa dzungu kunyangwe mushure mekufamba chinhambwe chipfupi here? Kana kuti unowanzo rwara nemusoro here? Chimwe chikonzero cheizvi chingave kudzikira kwehuwandu hweokisijeni muropa rako. Mukurapa, tinodana izvi kuti hypoxemia . Sezvo ichi chingave chirwere chakakomba, ngatitaurei zviri nyore uye zvakajeka.
Zvakanaka, chii chinonzi Hypoxemia iyi?
Zvichitaurwa zviri nyore, Hypoxemia chirwere apo ropa rako rine oxygen shoma pane yakajairika. Okisijeni inokosha kuti sero rega rega nenhengo dzemuviri wedu zvishande zvakanaka, sezvinoita mota inoda peturu kuti ifambe.
Funga nezvazvo nenzira iyi. Patinofema, okisijeni iri mumhepo inopinda mumapapu edu. Mukati memapapu mune network yemasaki madiki emhepo anonzi alveoli. Aya masaki emhepo akakomberedzwa netsinga dzeropa dzakapfava kwazvo (capillaries). Patinofema, okisijeni inopinda mumapapu inotorwa kuburikidza nemasaki aya emhepo ichipinda mutsinga dzeropa. Ropa rinozotora okisijeni iyi roiparadzira kumatishu mumuviri wese.
Hypoxemia inoitika kana chimwe chinhu chikakanganisika nemaitiro aya. Pamwe haugone kufema mweya wakakwana , kana kuti mweya waunofema haugone kupinda muropa rako nemazvo . Ndosaka vanhu vane chirwere chemapapu nechirwere chemwoyo vari panjodzi huru yechirwere ichi.
Ko Hypoxemia neHypoxia zvinhu zvakasiyana here?
Ehe, kunyangwe vanhu vazhinji vachivhiringidza mazwi maviri aya, pane musiyano mudiki. Zvakakosha kuziva izvozvo.
- Hypoxemia kudzikira kwehuwandu hweokisijeni muropa .
- Hypoxia idambudziko rinokonzerwa nekudzikira kwehuwandu hweokisijeni hunosvika munhengo dzemuviri .
Funga nezveropa se'rori rinotakura okisijeni'. Matishu 'vatengi' vanomirira okisijeni. Hypoxemia inguva apo mutoro werori (oxygen) wakaderera. Saka, Hypoxia inguva apo mutengi asingagamuchire mutoro. Kazhinji, kana okisijeni muropa iri shoma (Hypoxemia), matishu anoshayawo okisijeni (Hypoxia). Asi izvozvo hazviwanzoitika.
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo zvekushaya okisijeni mumuviri zvinogona kusiyana zvichienderana nekuoma kwayo uye chikonzero chayo. Zvimwe zviratidzo zvakajairika zvakanyorwa mutafura iri pazasi.
| Chiratidzo | Tsananguro |
|---|---|
| Kuoma kufema | Kunzwa kudzipwa, kuoma kufema (dyspnea). |
| Musoro | Musoro, kunyanya mangwanani. |
| Kurova kwemoyo | Kuwedzera kwekurova kwemoyo (tachycardia). |
| Ruzha rwekukosora neruzha rwechipfuva | Kukosora nekufemera mweya nguva nenguva. |
| Kuvhiringidzika | Kuvhiringidzika uye kuvhiringidzika kunoitika kana uropi husina okisijeni. |
| Kusviba kwebhuruu (Cyanosis) | Izvi zvinonetsa! Kuchinja ruvara rweganda, miromo, nenzara. |
Sei izvi zvichiitika? Ndezvipi zvinokonzera kushaya oksijeni mumuviri?
Panogona kuva nezvikonzero zvakawanda zveizvi. Chikonzero chikuru chirwere chiripo chinokanganisa kufema kana kutenderera kweropa. Semuenzaniso, kana ukaenda kunzvimbo yakakwirira, senge nzvimbo ine makomo, chirwere ichi chinogona kuitika kwenguva pfupi nekuda kwekushaikwa kweokisijeni munharaunda.
Heano mamwe ematambudziko makuru ehutano anogona kukonzera kushaya oksijeni mumuviri.
- Asima
- Chirwere chemabayo
- COPD (Chirwere Chisingaperi Chekudzivirira Mapupa)
- Kukundikana kweMwoyo Wakavharika
- Kubviswa kweMapupa
- Kuzvimba Kwemapapu
- Kumborara usina kufema
- Kushaya ropa
- Zvirwere zvemwoyo zvekuzvarwa nazvo
- Zvirwere zvakanyanya zvekufema zvakaita seCOVID-19
Nzira huru shanu dzinobatsira mukuderedza okisijeni
Kubva pamaonero ekurapa, kune nzira huru shanu dzinobatsira mukushaikwa kweokisijeni muropa. Izvi zvakaoma zvishoma, asi ngatizvichengete zviri nyore.
1.Kusawirirana kweKufefetera-Kuyerera kweropa (V/Q): Funga nezvemapapu senzvimbo yekutakura mabhazi. Mhepo (okisijeni) ndiyo inotakura vanhu. Ropa ndiro bhazi. Dzimwe nguva nzvimbo yacho inenge yakazara nevanhu, asi hapana mabhazi (kuyerera kweropa kwakaderera). Kana kuti kune mabhazi akawanda, asi hapana vanhu (kufefetera kwakaderera). Kusawirirana uku pakati pekuyerera kwemhepo nekuyerera kweropa kunonzi V/Q kusawirirana.
2. Kukanganisika Kwemhepo: Fungidzira kuti vafambi (oxygen) vari panzvimbo yekumira, uye bhazi (ropa) riri kufamba. Asi pane chipingamupinyi kune vafambi kuti vakwire bhazi. Ichi ndicho chipingamupinyi cheoxygen kubva kumapapu kuenda kuropa . Izvi zvinogona kuitika nekuda kwezvinhu zvakaita sekukora kwemadziro emapapu.
3. Kufema zvishoma nezvishoma: Zvichitaurwa zviri nyore , kufema zvishoma nezvishoma kana kusafema zvakadzama , izvo zvinoita kuti mweya wekufema usakwane kusvika kumapapu.
4. Okisijeni Isina Kukwana: Uyu uri pachena. Kana nharaunda yatiri mairi isina okisijeni yakakwana , semuenzaniso, patinoenda pamusoro pegomo, hatizokwanisi kutora okisijeni yakakwana.
5. Kufamba uchienda kurudyi uchienda kuruboshwe: Mwoyo yedu ine ropa rine oxygen shoma (ropa rebhuruu) kurudyi uye ropa rine oxygen yakawanda (ropa dzvuku) kuruboshwe. Izvi zviviri hazvisangani. Asi mune zvimwe zvirwere zvemwoyo, pachinzvimbo chekuenda kumapapu kunotora oxygen, rimwe ropa rine oxygen shoma rinosvetukira kuruboshwe roenda kumuviri . Izvi zvinokonzerawo Hypoxemia.
Chiremba anowana sei izvi?
Mushure mekuteerera zviratidzo zvako, chiremba achakuongorora. Izvi zvinosanganisira kuteerera mwoyo wako nemapapu, kutarisa ruvara rweganda rako, uye kuita bvunzo dzinoverengeka kuti uone huwandu hweokisijeni mumuviri wako.
- Pulse Oximetry: Ungave wakamboona izvi. Ichi chishandiso chinobata pamunwe wako uye chinoyera huwandu hweokisijeni mumuviri wako. Hazvirwadzi uye zviri nyore. Kurova kwemwoyo kwemunhu ane hutano kunofanirwa kunge kuri 95% kana kupfuura.
- Kuongororwa kweArterial Blood Gas (ABG): Uku ndiko kuongorora kwakanyatsojeka. Ropa diki rinotorwa kubva mutsinga iri muruoko, pakona pegokora, kana pahudyu, uye huwandu hweokisijeni, kabhoni dhayokisaidhi, uye acidity (pH) yeropa zvinoyerwa.
- Bvunzo rekufamba netsoka remaminitsi matanhatu (6MWT): Bvunzo rinoyera kuti unogona kufamba kusvika papi panzvimbo yakati sandara mumaminitsi matanhatu, uye kuti oxygen yako inochinja sei nekurovedza muviri.
Inorapwa sei?
Chinhu chikuru pakurapa hypoxemia kurapa chikonzero chacho . Pamusoro pezvo, kurapwa kunoshandiswawo kukurumidza kudzorera huwandu hweokisijeni muropa kuti huve hwakajairika.
Chinhu chinonyanya kukosha ndechekuwedzera mwero weokisijeni muropa. Kuti izvi zviitike, panopiwa okisijeni yekuwedzera .
Nzira dzakasiyana-siyana dzekurapa:
- Okisijeni: Okisijeni inopihwa kuburikidza ne cannula yemhino kana mask. Vamwe vanhu vanonyorerwa mishonga inosimbisa okisijeni inogona kushandiswa kumba.
- Zvinofema: Vanhu vane zvirwere zvakaita seasthma kana COPD vanopiwa mishonga inofema inoita kuti nzira dzekufema dziwedzere (bronchodilators) kana kuderedza kuzvimba (steroids).
- Michina yeCPAP: Muchina uyu unopihwa vanhu vane chirwere chekufema panguva yekurara kuti ushandise husiku.
- Muchina wekufema: Kana mamiriro emurwere akanyanya kuipa, zvichireva kuti anonetseka kufema ega, anobatanidzwa nemuchina wekufema wekugadzira (muchina wekufema) uri muchikamu chevarwere vanorwara zvakanyanya muchipatara.
- Mimwe mishonga: Kana mapapu azere nemvura, mishonga (diuretics) inopiwa kubvisa mvura yakawandisa.
Chii chatinofanira kuita kuti tirambe tiine oxygen yakakwana?
Kana uine chirwere chemwoyo kana mapapu, zvinhu izvi zvakakosha kuderedza njodzi yekushaya oksijeni mumuviri.
- Gadzirisa chirwere chako nemazvo: Shandisa mushonga neinhaler yawakanyorerwa nachiremba wako nenguva. Iva nechokwadi chekuenda kukiriniki.
- Dzivisa kusvuta zvachose: Kusvuta kunokuvadza mapapu zvikuru. Kurega kusvuta kunobatsira kuwedzera oxygen mumuviri.
- Ita maekisesaizi ekufema: Bvunza chiremba wako nezvezvinhu zvakaita sekufema zvakadzama uye kushandisa zvishandiso zvakaita seIncentive Spirometer.
- Ziva zviratidzo zvitsva: Kana uine kushaya mweya mutsva kana kurwadziwa muchipfuva, usazviregeredza.
- Chenjerera paunenge uchienda kunzvimbo dzakakwirira: Kana uine chirwere chemwoyo kana mapapu, taura nachiremba wako uye uwane mazano anodiwa usati waenda kunzvimbo ine makomo.
Tinofanira kuona chiremba riini nekukurumidza sezvinobvira? (Nguva yekuenda kuETU)
Hypoxemia chirwere chinoisa upenyu panjodzi. Kana uine chimwe chezviratidzo zvinotevera, enda kuchipatara cheEmergency Department (ETU) nekukasika.
- Kufema kufema kwakanyanya kamwe kamwe.
- Kuchinja ruvara rwebhuruu rwemiromo, nzara, kana ganda (Cyanosis).
- Kurwadziwa kwakanyanya pachipfuva.
- Kuvhiringidzika, kusagadzikana, kana kurasikirwa nepfungwa.
- Kana uine chirwere, zviratidzo zvacho zvinogona kuwedzera nekukurumidza.
Mharidzo Yekuenda Nayo Kumba
- Kushaya okisijeni mumuviri (hypoxemia) idambudziko rekuti ropa harina okisijeni yakawanda zvakanyanya. Izvi zvinogona kukanganisa nhengo dzemuviri wedu.
- Zviratidzo zvikuru kufema zvakaoma, musoro unotemwa nemusoro, kurova kwemoyo kwakanyanya, uye ganda rebhuruu.
- Zvirwere zvemapapu (asthma, COPD) uye chirwere chemwoyo ndizvo zvinonyanya kukonzera chirwere ichi.
- Chiyereso che pulse oximeter chinoiswa pamunwe chinogona kupa pfungwa isina kujeka yehuwandu hweokisijeni, asi bvunzo dzechiremba dzinodiwa kuti chirwere chiongororwe nemazvo.
- Nzira huru dzekurapa kurapa chirwere chiripo uye kupa okisijeni yekunze kana zvichidikanwa.
- Kana uchinzwa dambudziko guru rekufema kana ganda rebhuruu, idambudziko. Enda kuchipatara kuEmergency Department (ETU) nekukasika.
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