Ngaba wakha wacinga ngokubaluleka kokuphefumla kwethu? Le nkqubo siyenzayo ngaphandle kokuma umzuzwana ibaluleke kakhulu ebomini bethu. Ingakumbi ngenxa yobhubhane weCorona, abantu abaninzi baqale ukuthetha "ngenqanaba leoksijini", umatshini ofana nekliphu encinci oyifaka emnweni wakho. Ngoko ke, yintoni kanye kanye le nqanaba leoksijini egazini? Liyichaphazela njani impilo yethu? Namhlanje siza kuthetha ngayo yonke into ngendlela elula, ngendlela onokuyiqonda.
Ithini inqanaba le-oxygen egazini?
Ngamafutshane, ubungakanani beoksijini egazini lakho yiloo nto siyibiza ngokuba linqanaba leoksijini egazini lakho.
Ukucacisa oku kancinci, cinga ngemizimba yethu njengesithuthi. Isithuthi sifuna ipetroli ukuze sisebenze. Ngokufanayo, yonke iseli emzimbeni wethu, nokuba yinxalenye encinci yayo, ifuna amandla ukuze isebenze. "Ipetroli" efunekayo kwiiseli ukuvelisa la mandla yioksijini .
Xa siphefumla ngeempumlo okanye ngomlomo, le oksijini iya emiphungeni yethu. Ukusuka apho, ifunxwa egazini. Emva koko igazi lisasaza le oksijini kuzo zonke iiseli emzimbeni wonke. Emva kokuba iiseli zisebenzise le oksijini ukwenza amandla, zikhupha i-carbon dioxide njengenkunkuma. Le khabhoni dioxide iphinda ithwalwe iye emiphungeni ligazi. Xa sikhupha umoya, le khabhoni dioxide iyaphuma emzimbeni.
Imizimba yethu ikwazi kakuhle ukulawula ubungakanani beoksijini egazini lethu. Amanqanaba aphantsi eoksijini egazini, imeko ebizwa ngokuba yi -hypoxemia , inokuba yingozi kakhulu emizimbeni yethu. Oku kunokuba yingozi ngakumbi engqondweni nasentliziyweni yethu. Amanqanaba aphantsi eoksijini egazini angaba luphawu lokuba imiphunga yethu okanye inkqubo yokujikeleza kwegazi ayisebenzi kakuhle.
Ulinganisa njani amanqanaba eoksijini?
Kukho iindlela ezimbini eziphambili zokulinganisa amanqanaba eoksijini egazini. Enye kukuthatha isampuli yegazi kwaye enye kukusebenzisa umatshini omncinci oqhelene nabantu abaninzi kwaye unamathele emnweni.
1. Uvavanyo lweArterial Blood Gas (ABG)
Le yeyona ndlela ichanekileyo neneenkcukacha . Ngokwesiqhelo, xa sinikela ngegazi, sithatha igazi emthanjeni. Kodwa kolu vavanyo, igazi lithathwa kumthambo. Kuba igazi elikwimithambo yegazi lineoksijini eninzi.
Olu vavanyo lwe-ABG alunakulinganisa kuphela inqanaba le-oksijini, kodwa lukwalinganisa nolunye ulwazi oluninzi olubalulekileyo olufana nobungakanani bekhabhoni dayokhsayidi egazini kunye nebhalansi ye-asidi-base (ibhalansi ye-pH) yegazi.
2. I-Pulse Oximeter
Esi sisixhobo esincinci esifana nekliphu esisaziyo sonke ukuba usinamathisela emnweni wakho, endlebeni, okanye ezinzwaneni. Sikuvumela ukuba ufumane umbono okhawulezileyo nongenabuhlungu wokuba ingakanani ioksijini egazini lakho.
Inqanaba elilinganiswe yile nto silibiza ngokuba linqanaba leSpO2.Oku kubonisa ukuba ingakanani ioksijini egazini lakho egcwaliswe yioksijini. Kukwabonisa nokubetha kwentliziyo yakho. Ngaphandle kokusetyenziswa ezibhedlele, abantu abaninzi ngoku basebenzisa esi sixhobo emakhaya.
Kutheni ugqirha enokukujonga amanqanaba akho eoksijini?
Ugqirha wakho unokugqiba ekubeni ajonge amanqanaba e-oxygen yakho ukuba uneempawu ezithile.
| Iimeko ezikhokelela kuvavanyo | Imizekelo |
|---|---|
| Kwiimeko ezingxamisekileyo nezinzima |
|
| Ukubeka esweni izifo ezingapheliyo |
|
| Ukulinganisa impumelelo yonyango | Ukuba ufumana unyango lwe-oksijini esibhedlele, oogqirha baya kujonga rhoqo amanqanaba akho e-oksijini ukuqinisekisa ukuba ufumana umlinganiselo ofanelekileyo we-oksijini. |
Ithini inqanaba le-oxygen eliqhelekileyo?
Eyona nto ibalulekileyo kukuthetha nogqirha wakho ukuze ufumane ukuba inqanaba lakho eliqhelekileyo lingakanani na.
Kumntu osempilweni ngokubanzi, ukuba i-oxygen saturation iphakathi kwe-95% ne-100% njengoko ilinganiswa yi -pulse oximeter, elo linqanaba elihle kakhulu.
Nangona kunjalo, ukuba unesifo semiphunga esingapheliyo njenge-COPD, amanqanaba akho e-oksijini aqhelekileyo anokuba phantsi kancinci kunala. Ugqirha wakho uza kukuchazela ukuba loluphi udidi olufanelekileyo kuwe ngelo xesha. Kwakhona, umntu ohlala kwindawo ephakamileyo unokuba nenqanaba le-oksijini eliphantsi kancinci ngokwendalo.
Enye into ekufuneka uyikhumbule kukuba ii-home pulse oximeters azisoloko zichanekile ngokupheleleyo. Ngamanye amaxesha inqanaba lakho le-oxygen linokuba phezulu okanye liphantsi nge-2% ukuya kwi-4% kunelo libonisayo. Ngoko ke ukuba unamathandabuzo, kungcono uhlolwe ngugqirha.
Yintoni amanqanaba aphantsi eoksijini (iHypoxemia)? Zithini izizathu zayo?
I-Hypoxemia yimeko yezonyango apho inqanaba le-oksijini egazini lehla ngaphantsi kwamanqanaba aqhelekileyo. Le yimeko efuna ingqalelo kuba xa inqanaba le-oksijini liphantsi, kokukhona amathuba okonakala kwamalungu omzimba esanda.
Izizathu eziphambili zokuba amanqanaba eoksijini anokwehla
- Isifo sentliziyo: Xa ukusebenza kwentliziyo kubuthathaka, igazi alikwazi ukupompa kakuhle emzimbeni wonke, nto leyo enokuphazamisa ukuhanjiswa kweoksijini.
- Izifo zemiphunga: Izifo ezifana ne-asthma, i-emphysema, kunye ne-bronchitis zinciphisa amandla emiphunga okufunxa ioksijini.
- I-Sleep Apnea: Ukuma kancinci xa uphefumla ngexesha lokulala kunokubangela ukuba amanqanaba eoksijini ehle ebusuku.
- Ezinye iintlungu: Iintlungu ezinamandla kunye namayeza athile anokunciphisa ukuphefumla kwaye anciphise amanqanaba eoksijini.
- Ukonakala kwezicubu zemiphunga: Ukudumba okanye amanxeba emiphungeni kunokuphazamisana nokutshintshiselana kweoksijini.
- Iindawo ezineendawo eziphakamileyo: Njengoko ukuphakama kusanda, ubungakanani beoksijini efunyanwa ngumzimba buyancipha kuba uxinzelelo lweoksijini emoyeni luyancipha.
Iimpawu zamanqanaba aphantsi eoksijini
Xa igazi lakho liba buthathaka kwioksijini, unokufumana ezi mpawu zilandelayo. Ezi zinokwahluka kumntu nomntu kwaye kuxhomekeke kubukhali bemeko.
| Uphawu | Inkcazo |
|---|---|
| Ubunzima bokuphefumla | Ubunzima bokuphefumla, ukuziva ufuthanisekile. |
| Ukubetha kwentliziyo | Intliziyo iqala ukusebenza ngokukhawuleza ukuze inike umzimba ioksijini eyidingayo. |
| Intloko ebuhlungu | Ingabangelwa kukuba ingqondo ayifumani ioksijini eyaneleyo. |
| Ukukhwehlela nokudinwa | Ukukhohlela rhoqo kunye nokuziva uxinene esifubeni. |
| Ukudideka | Ukuncipha kwenkumbulo ngenxa yeziphumo ekusebenzeni kwengqondo. |
| Ulusu oluluhlaza okwesibhakabhaka, imilebe, kunye neenzipho | Olu luphawu olunzima. Luvela xa kukho ukwehla okukhulu kweoksijini egazini. |
Indlela yokunyusa amanqanaba eoksijini ngokwendalo?
Ukuba amanqanaba akho eoksijini aphantsi kancinci, okanye ukuba uzama nje ukuhlala usempilweni, ezi zinto zinokukunceda.
- Phefumla umoya omtsha: Gcina iifestile zivuliwe ekhaya. Phuma ngaphandle uhambe kancinci emini. Oku kuya kunyusa ubungakanani beoksijini efunyanwa ngumzimba wakho.
- Kuphephe ukutshaya: Ukuba utshaya, yeka namhlanje. Kwiiveki ezimbini ukuya kwezintathu emva kokuyeka, ukujikeleza kwegazi lakho kuya kuphucuka kakhulu. Kwiinyanga ezimbalwa, ukuphefumla kwakho kuya kuncipha kakhulu. Zombini ezi zinto zandisa amandla omzimba okufumana ioksijini.
- Yenza umthambo wokuphefumla:Ukuzilolonga okulula kokuphefumla kunokuvula indlela yakho yomoya kwaye kwandise ubungakanani beoksijini engena egazini lakho.
Kodwa khumbula oku! Ukuba unesifo esinzima njenge-pneumonia, okanye ukuba uneempawu ezinzulu ezifana nobunzima bokuphefumla okanye imilebe eluhlaza okwesibhakabhaka, la mayeza endalo odwa awayi kwanela. Kwimeko enjalo, yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngoko nangoko.
Ufanele uye nini kugqirha?
Ukuba usebenzisa i-Pulse Oximeter ekhaya, khumbula ezi zinto zilandelayo:
- Ukuba inqanaba leoksijini yakho liyi -92% okanye liphantsi , fowunela ugqirha wakho .
- Ukuba inqanaba le-oksijini liyi -88% okanye liphantsi , yiya kwiSebe leNgxamiseko (i-ETU) yesibhedlele esikufutshane ngoko nangoko .
Ukuba unesifo esinganyangekiyo esifana ne-COPD okanye i-asthma, kubalulekile ukulandela icebiso likagqirha wakho njengoko kuyalelwe. Ukuba ubonakalisa iimpawu ezintsha okanye ukuba iimpawu zakho ziya zisiba mandundu, bona ugqirha ngoko nangoko.
Umyalezo Wokuya Ekhaya
- Inqanaba leoksijini egazini luphawu olubalulekileyo lwempilo yemizimba yethu.
- Ubungakanani be-oxygen saturation eqhelekileyo (i-SpO2) yomntu ophilileyo buphakathi kwe-95% - 100%.
- I-pulse oximeter sisixhobo esiluncedo sokufumana umbono ocacileyo wamanqanaba e-oksijini yakho ekhaya, kodwa ukuchaneka kwayo kunokuchaphazeleka zizinto ezifana ne-nail polish, ukukhanya okukhanyayo, kunye nokuhamba.
- Amanqanaba aphantsi eoksijini egazini (iHypoxemia) yimeko enzima. Iimpawu ziquka ubunzima bokuphefumla, ukudideka, kunye nolusu/imilebe eluhlaza okwesibhakabhaka.
- Ukuba inqanaba lakho leoksijini lingaphantsi kwama-92%, fowunela ugqirha. Ukuba lingaphantsi kwama-88%, yiya kwi-ETU ngoko nangoko.
- Ukuba unenkxalabo malunga nempilo yakho, soloko ucela ingcebiso kwingcali yezonyango efanelekileyo ngaphandle kokuqikelela.
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