Ngaba ufuna ukwazi inqanaba le-oksijini egazini lakho? Masithethe ngale nto ngokulula!

Namhlanje siza kuthetha ngento ebaluleke kakhulu emizimbeni yethu. Elo linqanaba leoksijini egazini lethu. Mhlawumbi ukhe weva oogqirha bethetha ngale nto, okanye bafaka umatshini omncinci emnweni wakho baze bajonge. Ngoko ke, yintoni le? Kutheni ibaluleke kangaka? Makhe sijonge.

Ithini inqanaba le-oxygen egazini?

Ngamafutshane, inqanaba leoksijini egazini , okanye ukugcwala kweoksijini egazini, bubungakanani beoksijini egazini lakho.

Sonke siyazi ukuba ioksijini ibalulekile ebomini. Imizimba yethu idinga umlinganiselo othile weoksijini ukuze isebenze kakuhle. Xa siphefumla (oko kukuthi, siphefumla), ioksijini engena ngeempumlo okanye ngomlomo idlula emiphungeni yethu ize yongezwe egazini lethu. Ukusuka apho, le oksijini ihamba negazi iye kwiiseli emzimbeni wonke. Khawucinge nje, yonke iseli encinci emzimbeni wethu ifuna ioksijini ukuze ivelise amandla. La mandla yinto esiyisebenzisela yonke into ukusuka ekugayeni ukutya ukuya ekucingeni ukuya ekuhambeni.

Emva kokuba iiseli zisebenzise ioksijini, zikhupha i-carbon dioxide . Kwakhona, igazi lethu lithatha le carbon dioxide lize liyithwale liye emiphungeni. Emva koko, xa sikhupha umoya (sikhupha umoya), iyakhutshwa.

Imizimba yethu ilawula amanqanaba eoksijini egazini lethu ngendlela eyahlukileyo. Kuba, amanqanaba aphantsi eoksijini egazini, abizwa ngokuba yi -hypoxemia , anokubangela izifo ezinzulu kakhulu. Ingonakalisa nezitho ezibalulekileyo ezifana nengqondo nentliziyo yethu. Amanqanaba aphantsi eoksijini egazini anokuthetha ukuba imiphunga yakho okanye inkqubo yokujikeleza kwegazi ayisebenzi kakuhle.

Ulinganisa njani eli nqanaba leoksijini?

Kukho iindlela ezimbini eziphambili zokulinganisa amanqanaba eoksijini. Enye kukuthatha isampuli yegazi. Enye kukusebenzisa isixhobo esincinci esibizwa ngokuba yi-pulse oximeter . Nangona kunjalo, uvavanyo lwegazi lunokubonelela ngolwazi olungaphezulu kune-oximeter.

Uvavanyo lwegazi

Oogqirha banokulinganisa inqanaba leoksijini egazini lakho njengenxalenye yovavanyo olukhulu. Oku kubizwa ngokuba luvavanyo lwegesi yegazi emithanjeni , okanye uvavanyo lwe-ABG . Oku kulinganisa amanqanaba eoksijini kunye nekhabhoni diokside egazini lakho. Kukwajonga ibhalansi ye-asidi-base, okanye i-pH , yegazi lakho. Amanqanaba aphezulu naphantsi e-asidi egazini lakho ayingozi kwimpilo yakho.

I-Pulse Oximetry

I-pulse oximeter inokulinganisa ukuba ingakanani ioksijini egazini lakho. Idla ngokuba yi-clip encinci oyiqhoboshela emnweni okanye ezinzwaneni zakho. Ukufundwa kwi-oximeter kubonisa ukuba yipesenti engakanani yegazi lakho egcwele ioksijini. Oku kubizwa ngokuba linqanaba lakho leSpO2.Ikwabonisa izinga lokubetha kwentliziyo yakho. Le yindlela ekhawulezayo nengenabungozi yokujonga ukuba amanqanaba e-oksijini egazini lomntu aphantsi na.

Oogqirha kwizibhedlele badla ngokusebenzisa ezi pulse oximeters. Ungathenga ne pulse oximeter ukuze uyisebenzise ekhaya. Ungazithenga ezi kwiikhemesti, kwezinye iivenkile, okanye kwiwebhusayithi.

Kutheni kufuneka ndijonge amanqanaba e-oxygen yam?

Ugqirha wakho usenokufuna ukujonga amanqanaba akho eoksijini ukuba unemeko engxamisekileyo neyingozi ngequbuliso. Umzekelo:

• Ukuba unengxaki yokuphefumla (kwanosana olusandul’ ukuzalwa luyavavanywa ukuba lunengxaki yokuphefumla).
• Ukuba usandul’ ukwenzakala entloko okanye entanyeni yakho, oko kuye kwachaphazela ukuphefumla kwakho.
• Ukuba unesifo se-coronavirus ``(COVID-19)``.
• Ukuba une -pneumonia .
• Ukuba unetyhefu ye-carbon monoxide .
• Ukuba wonzakele kukuphefumla umsi (`Ukulimala kokuphefumla umsi`).
• Ukuba unesicaphucaphu esingapheliyo kunye/okanye ukuhlanza.
• Ukuba ukhe wasebenzisa iziyobisi ngokugqithisileyo.

Kwakhona, ukuba unenye yezi meko zilandelayo zemiphunga, ugqirha wakho unokujonga amanqanaba akho eoksijini ukuze abone ukuba unyango lwakho lusebenza kakuhle na:

• Isifuba
• I-COPD `(Isifo Esingapheliyo Sokuthintelwa Kwemiphunga)`
• Icystic fibrosis
• Isifo sentliziyo

Ukuba ufumana unyango lwe-oksijini esibhedlele, abasebenzi bezonyango baya kujonga rhoqo amanqanaba akho e-oksijini ukuqinisekisa ukuba ufumana umlinganiselo ofanelekileyo we-oksijini.

Ngaba zikhona izinto esinokuzenza ekhaya ukuze sonyuse amanqanaba eoksijini?

Kukho iindlela ezahlukeneyo zokunyusa ubungakanani beoksijini egazini ngokwendalo. Yijonge:

• Ukuphefumla umoya omtsha: Ukuvula iifestile okanye ukuhambahamba phandle kwandisa ubungakanani beoksijini engena emzimbeni wakho. Oku kwandisa nenqanaba leoksijini egazini lakho.
• Ukuyeka ukutshaya: Kwiiveki ezimbini ukuya kwezintathu emva kokuyeka, ukujikeleza kwegazi lakho kuya kuphucuka kakhulu. Kwiinyanga enye ukuya kwezisithoba, ukuphefumla kwakho kuya kuncipha. Zombini ezi zinto zinceda umzimba wakho ufumane ioksijini engaphezulu.
• Ziqhelise ukuphefumla: Izinto ezilula ezifana nokuphefumla ngomlomo otyumkileyo kunye nokuphefumla esiswini esinzulu zinokukunceda ukuvula iindlela zakho zomoya kwaye zonyuse ubungakanani beoksijini egazini lakho.

Ungajonga amanqanaba akho eoksijini ekhaya usebenzisa i-pulse oximeter uze ubone ukuba ezi ndlela zendalo ziyawandisa na amanqanaba akho eoksijini.

Nangona kunjalo, khumbula oku. Ukuba unesifo esingabonakaliyo, ingakumbi esibi njenge-pneumonia okanye i-carbon monoxide poisoning, la mayeza endalo ewodwa asenokungakwazi ukunyusa amanqanaba akho eoksijini abe kwinqanaba elaneleyo.

Ukuba ufumana iimpawu ze- hypoxemia , oku kuthetha ukuba amanqanaba e-oxygen aphantsi egazini, yiya esibhedlele esikufutshane ngokukhawuleza.

Ngubani owenza ezi vavanyo zenqanaba leoksijini? Isebenza njani?

Ingcali yokuphefumla idla ngokuthatha isampuli yegazi ukujonga amanqanaba akho eoksijini ukuze ihlolwe uvavanyo lwe-ABG. Le sampuli ithathwa kumthambo osesihlahleni sakho. Emva koko isampuli iyavavanywa yingcali yokuphefumla okanye ithunyelwe kwilebhu ngoko nangoko. Apho, izazinzulu zelebhu yezonyango ziyayivavanya.

Nawuphi na umniki-nkonzo yezempilo angasebenzisa i-pulse oximeter ukujonga amanqanaba akho eoksijini. Ungayisebenzisa ne-pulse oximeter ekhaya, nokuba yeyakho okanye yomnye umntu.

Iinkcukacha zovavanyo lokutsalwa kwegazi

Ngaphambi kokuba ingcali yokuphefumla ithathe igazi kumthambo osesihlahleni sakho, inokwenza into ebizwa ngokuba luvavanyo lwe-Allen . Oku kuquka ukuphakamisa ingalo yakho nokugcina isihlahleni sakho sigobile. Emva koko ingcali yokuphefumla ifaka uxinzelelo kumthambo osesihlahleni sakho imizuzwana embalwa. Olu vavanyo lulula lujonga ukuba zombini imithambo esesihlahleni sakho ivulekile kwaye isebenza kakuhle na.

Ukuba ufumana unyango lwe-oksijini eyongezelelweyo, i-oksijini yakho isenokucinywa malunga nemizuzu engama-20 ngaphambi kokuba kutsalwe igazi. Oku kubizwa ngokuba luvavanyo lomoya wegumbi . Nangona kunjalo, ukuba awukwazi ukuphefumla ngaphandle kwe-oksijini eyongezelelweyo, ugqirha wakho akayi kulwenza olu vavanyo.

Ngelishwa, ukutsala igazi kumthambo womthambo kudla ngokuba buhlungu ngakumbi kunokutsala igazi kumthambo womthambo. Oku kungenxa yokuba imithambo yomthambo inzulu kunemithambo yomthambo kwaye ijikelezwe yimithambo yomthambo. Usenokuziva unesiyezi, unesicaphucaphu, okanye unesicaphucaphu ngelixa igazi litsalwa.

Amanyathelo ekufuneka alandelwe xa uthatha igazi kwaye ujonga amanqanaba eoksijini ngala alandelayo:

• Uza kuhlaliswa esitulweni okanye ulele ebhedini. Ingcali yokuphefumla iza kufumana umthambo- ngesiqhelo ngaphakathi esihlahleni sakho. I-ultrasound ingasetyenziselwa ukufumana umthambo.
• Nje ukuba ifunyenwe imithambo yegazi, loo ndawo iyacocwa ize ibulawe iintsholongwane.
• Emva koko kufakwa inaliti encinci kumthambo wegazi kwaye kuthathwa isampuli yegazi. Ungaziva intlungu ebukhali xa kufakwa inaliti.
• Emva kokufaka inaliti, igazi elincinci liqokelelwa kwisirinji.
• Nje ukuba isampuli yegazi iqokelelwe, inaliti iyasuswa kwaye kufakwe iqhekeza lekotoni okanye i-gauze kwindawo leyo ukuze kumiswe ukopha. Ukuba uthatha amayeza okunciphisa igazi, kunokufuneka ufake uxinzelelo imizuzu emi-5 ukuya kweli-10 okanye ngaphezulu.
• Emva koko kufakwa iplasta kuloo ndawo. Emva koko umsebenzi ugqityiwe.

Iinkcukacha ze-pulse oximeter

Xa ujonga amanqanaba akho eoksijini nge-pulse oximeter, nazi izinto ezenzekayo:

• Ugqirha wakho ucofa isixhobo esincinci seplastiki esibizwa ngokuba yi-pulse oximeter kwinxalenye yomzimba wakho - ngokuqhelekileyo incam yomnwe wakho.
• I-oximeter ikhupha uhlobo oluthile lokukhanya olubizwa ngokuba yi -infrared light . Ludlula eluswini lwakho luze lungene egazini elikwimithambo yegazi yakho (ii-capillaries). Alubuhlungu, kwaye awuyi kuva nto.
• I-oximeter ilinganisa ukuba ukukhanya kubonakaliswa kangakanani ziinxalenye ze-hemoglobin egazini lakho. Oku kusetyenziswa ukumisela inqanaba le-oksijini egazini lakho.
• Kwimizuzwana embalwa, i-oximeter iya kukunika inombolo ebonisa izinga lokubetha kwentliziyo yakho kunye nenqanaba leoksijini.

Ungasebenzisa ne-pulse oximeter ekhaya. Nangona kunjalo, khumbula ukuba ukuchaneka kokufundwa kwe-pulse oximeter kunokuncipha ngenxa yezi zinto zilandelayo:

• Umnwe owuhlolayo une- nail polish kuwo.
• Kukho ukukhanya okuninzi kakhulu kwigumbi osebenzisa kulo i-oximeter.
• Ukungcangcazela kakhulu xa usebenzisa i-oximeter.

Zithini iziphumo zovavanyo?

Iingxelo zovavanyo lwegazi, kuquka neengxelo zovavanyo lwenqanaba le-oksijini, zihlala ziqulathe olu lwazi lulandelayo:

• Igama lovavanyo lwegazi yiloo nto ilinganiswa egazini lakho.
• Ingaba inani kunye nomlinganiselo kwiziphumo zovavanyo lwakho lwegazi zichanekile?
• Lelo linqanaba eliqhelekileyo lokulinganisa uvavanyo.
• Ulwazi olubonisa ukuba iziphumo zakho ziqhelekile, aziqhelekanga, ziphantsi, okanye ziphezulu.

Ukuba amanqanaba e-oksijini egazini lakho akaqhelekanga, oko kunokuthetha oku kulandelayo:

• Awufumani ioksijini eyaneleyo .
• Awukhuphi umoya ngokwaneleyo kwi-carbon dioxide .
• Igazi lakho linokungalingani kwe-pH (nokuba yi-acid eninzi okanye i-alkaline eninzi).

Uvavanyo olulinganisa amanqanaba eoksijini lodwa alunakukwazi ukufumanisa isifo esithile. Ukuba iziphumo zakho aziqhelekanga, ugqirha wakho uya kuyalela ezinye iimvavanyo ukuqinisekisa okanye ukuthintela ukuxilongwa.

Ithini inqanaba le-oxygen eliqhelekileyo?

Iilabhoratri ezahlukeneyo zinokuba neendidi ezahlukeneyo eziqhelekileyo ngoko zikufunayo xa zilinganisa amanqanaba eoksijini egazini. Xa ufumana ingxelo yovavanyo lwakho lwegazi, iya kuchaza ukuba zeziphi iindidi eziqhelekileyo zomlinganiselo ngamnye kuloo labhoratri. Ukuba unemibuzo malunga neziphumo zakho, qiniseka ukuba ubuza ugqirha wakho.

Kwabaninzi abantu, amanqanaba aqhelekileyo eoksijini, njengoko elinganiswa yi-pulse oximeter, aphakathi kwama-95% kunye nama-100%.Ewe. Ukuba unesifo semiphunga esifana ne-COPD okanye i-pneumonia, amanqanaba akho e-oksijini aqhelekileyo anokuba phantsi kunala. Ugqirha wakho uya kukuxelela ukuba ngawaphi amanqanaba amkelekileyo. Ukuba uhlala kwindawo ephakamileyo, amanqanaba akho e-oksijini nawo anokuba phantsi kancinci.

Into ebalulekileyo ekufuneka uyikhumbule kukuba ii-pulse oximeters azisoloko zichanekile ngokupheleleyo. Inqanaba le-oxygen yakho yegazi linokuba phezulu okanye liphantsi nge-2% ukuya kwi-4% kunelo liboniswa yi-oximeter. Ukuze ufumane iziphumo ezichanekileyo, ugqirha wakho unokufuna ukujonga inqanaba le-oxygen yakho ngovavanyo lwegazi.

Yintoni amanqanaba aphantsi eoksijini? Zithini izizathu?

I-Hypoxemia yimeko apho inqanaba le-oksijini egazini liphantsi kunesiqhelo. (NgesiSinhala, i-oksijini ephantsi egazini). Ekubeni i-oksijini ibalulekile kuzo zonke iinkqubo emzimbeni wethu, i-hypoxemia idla ngokuba yimeko ekufuneka ithathwe nzulu. Okukhona inqanaba le-oksijini liphantsi, kokukhona umngcipheko wokonakala kwezicubu kunye namalungu omzimba uba mkhulu.

Iimeko ezahlukeneyo zempilo kunye neemeko zinokuthintela umzimba wakho ekuhambiseni amanqanaba aqhelekileyo eoksijini egazini lakho. Nazi ezinye zezizathu eziqhelekileyo zokuba amanqanaba aphantsi eoksijini egazini (hypoxemia):

• Isifo sentliziyo
• Izifo zemiphunga (umz. i-asthma, i-emphysema, i-bronchitis)
• Ezinye iintlungu ezibuhlungu ezinamandla okanye ezinye iingxaki ezibangela ukuphefumla kancinci
• I-Sleep Apnea (ubunzima bokuphefumla ngelixa ulele)
• Ukudumba okanye amanxeba kwizicubu zakho zemiphunga
• Ukuhlala kwiindawo eziphakamileyo (apho kukho ioksijini encinci emoyeni)

Ukuba inqanaba le-oksijini egazini lakho liphantsi, ugqirha wakho uya kuyalela iimvavanyo ezongezelelweyo ukuze kufunyaniswe ukuba yintoni ebangela oko. Uvavanyo olulinganisa inqanaba le-oksijini yakho lodwa alunakukwazi ukufumanisa unobangela.

Ndifanele ndimbone nini ugqirha?

Ukuba usebenzisa i-pulse oximeter ekhaya, fowunela ugqirha wakho ukuba inqanaba le-oxygen yakho liyi-92% okanye liphantsi. Ukuba liyi-88% okanye liphantsi, yiya kwigumbi likaxakeka elikufutshane ngokukhawuleza.

Ukuba unesifo semiphunga esihlala ixesha elide njenge-COPD okanye i-asthma, kuya kufuneka ubone ugqirha rhoqo ukuqinisekisa ukuba unyango lwakho lusebenza kakuhle. Ukuba ufumana naziphi na iimpawu ezixhalabisayo ezinxulumene nesifo sakho semiphunga, thetha nogqirha wakho ngokukhawuleza.

Ngaba amanqanaba aphantsi eoksijini luphawu lwe-COVID-19?

I-covid 19I-COVID-19 ayichaphazeli wonke umntu ngokufanayo. Abantu abosulelekileyo baneempawu ezahlukeneyo - abanye baneempawu ezincinci kakhulu, abanye banezifo ezinzima. Abanye abantu abafumana i-COVID-19 - kodwa hayi bonke - banezinga eliphantsi leoksijini egazini. Ukuba nje unezinye iimpawu kwaye amanqanaba akho eoksijini aqhelekile akuthethi ukuba awunayo i-COVID-19. Kwakhona, usenokuba ne-COVID-19 nokuba amanqanaba akho eoksijini aphantsi.

Eyona ndlela yokwazi ngokuqinisekileyo ukuba unayo i-COVID-19 kukuvavanya. Nangona i-home pulse oximeter inokuba luncedo ngamanye amaxesha, inemida kwaye ibonisa inxalenye encinci yempilo yakho. Musa ukuthembela kwi-oximeter yodwa ukuze ufumanise i-COVID-19.

Ukuba uneempawu ze-COVID-19, bona ugqirha wakho ngokukhawuleza.

Zithini iimpawu zokungabikho komoya-mpilo egazini?

Iimpawu zamanqanaba aphantsi eoksijini egazini (iHypoxemia) ziyahluka ukusuka kumntu ukuya komnye, kuxhomekeke kubukhali bemeko. Zingabandakanya:

• Intloko ebuhlungu
• Ukuqhawukelwa ngumphefumlo
• Ukubetha kwentliziyo ngokukhawuleza
• Ukukhwehlela
• Ukuphefumla
• Ukudideka
• Umbala oluhlaza okwesibhakabhaka kulusu lwakho, iinzipho, kunye/okanye imilebe .
• Umbala obomvu wecherry kulusu lwakho, iinzipho, kunye/okanye imilebe (olu luphawu lwetyhefu ye-carbon monoxide).

Okokugqibela, izinto ekufuneka uzikhumbule

Ngaphandle kokuba unemeko yempilo engaphantsi echaphazela amandla akho okufunxa ioksijini, akufuneki uhlale ujonga amanqanaba eoksijini egazini lakho. Nangona i-home pulse oximeter inokuba luncedo ngamanye amaxesha, ayichanekanga njengovavanyo lwegazi. Ukuba uneempawu zezinga eliphantsi leoksijini egazini, njengobunzima bokuphefumla, qiniseka ukuba ubona ugqirha wakho ngokukhawuleza.

Inqanaba le-oksijini egazini, i-oksijini, i-hypoxemia, i-pulse oximeter, uvavanyo lwe-ABG, ukuphefumla okufutshane, isifo semiphunga