Ufuna ukwazi izinga le-oxygen egazini lakho? Ake sixoxe ngalokhu kalula!

Namuhla sizokhuluma ngento ebaluleke kakhulu emizimbeni yethu. Lelo izinga lomoya-mpilo egazini lethu. Cishe uke wezwa odokotela bekhuluma ngalokhu, noma bafaka umshini omncane emunweni wakho bese behlola. Ngakho-ke, kuyini lokhu? Kungani kubaluleke kangaka? Ake sibheke.

Liyini izinga lomoya-mpilo egazini?

Kalula nje, izinga lomoya-mpilo egazini , noma ukugcwala komoya-mpilo egazini, inani lomoya-mpilo egazini lakho.

Sonke siyazi ukuthi umoya-mpilo ubalulekile empilweni. Imizimba yethu idinga inani elithile lomoya-mpilo ukuze isebenze kahle. Uma siphefumula (okungukuthi, siphefumula), umoya-mpilo ongena ngamakhala noma ngomlomo wethu udlula emaphashini ethu bese wengezwa egazini lethu. Ukusuka lapho, lo moya-mpilo uhamba negazi uye emangqamuzaneni emzimbeni wonke. Cabanga nje, wonke amaseli amancane emzimbeni wethu adinga umoya-mpilo ukuze akhiqize amandla. Lawa mandla yilokho esikusebenzisa kukho konke kusukela ekugayeni ukudla kuya ekucabangeni kuya ekuhambeni.

Ngemva kokuba amangqamuzana esebenzise umoya-mpilo, akhipha i-carbon dioxide . Futhi, igazi lethu lithatha le carbon dioxide bese liyiyisa emaphashini. Bese kuthi lapho sikhipha umoya-mpilo (exhale), ikhishwe.

Imizimba yethu ilawula amazinga omoya-mpilo egazini lethu ngendlela eyingqayizivele kakhulu. Ngoba, amazinga omoya-mpilo aphansi egazini, okubizwa ngokuthi i-hypoxemia , angaholela ezifweni ezingathi sína kakhulu. Kungalimaza nezitho ezibalulekile njengobuchopho bethu nenhliziyo. Amazinga omoya-mpilo aphansi egazini angasho ukuthi amaphaphu akho noma uhlelo lokujikeleza kwegazi alusebenzi kahle.

Ulinganisa kanjani leli zinga le-oxygen?

Kunezindlela ezimbili eziyinhloko zokulinganisa amazinga omoya-mpilo. Enye iwukuthatha isampula yegazi. Enye iwukusebenzisa idivayisi encane ebizwa ngokuthi i-pulse oximeter . Kodwa-ke, ukuhlolwa kwegazi kunganikeza ulwazi oluningi kakhulu kune-oximeter.

Ukuhlolwa kwegazi

Odokotela bangalinganisa izinga lomoya-mpilo egazini lakho njengengxenye yokuhlolwa okukhulu. Lokhu kubizwa ngokuthi ukuhlolwa kwegesi yegazi emithanjeni , noma ukuhlolwa kwe-ABG . Lokhu kulinganisa amazinga omoya-mpilo kanye ne-carbon dioxide egazini lakho. Kuphinde kuhlole ibhalansi ye-acid-base, noma i-pH , yegazi lakho. Amazinga aphezulu naphansi e-acidity egazini lakho ayingozi empilweni yakho.

I-Pulse Oximetry

I-pulse oximeter ingalinganisa ukuthi ingakanani i-oxygen egazini lakho. Ngokuvamile kuba yi-clip encane oyinamathisela emunweni noma ozwaneni lwakho. Ukufundwa kwe-oximeter kukhombisa ukuthi yiliphi iphesenti legazi lakho eligcwele i-oxygen. Lokhu kubizwa ngokuthi izinga lakho le-SpO2.Kubonisa nokushaya kwenhliziyo yakho. Lena indlela esheshayo nengangenisi gazi yokuhlola ukuthi amazinga omoya-mpilo egazini lomuntu aphansi yini.

Odokotela ezibhedlela bavame ukusebenzisa lawa ma-pulse oximeter. Ungathenga futhi i-pulse oximeter yokusetshenziswa ekhaya. Ungathenga lawa emakhemisi, kwezinye izitolo, noma kumawebhusayithi.

Kungani ngidinga ukuhlola amazinga ami e-oxygen?

Udokotela wakho angase afune ukuhlola amazinga akho omoya-mpilo uma unesifo esibi kakhulu esingazelelwe. Isibonelo:

• Uma unenkinga yokuphefumula (ngisho nosana olusanda kuzalwa lungaba nobunzima bokuphefumula uma lokhu kuhlolwa kwenziwe).
• Uma usanda kuba nokulimala ekhanda noma entanyeni yakho okuthinte ukuphefumula kwakho.
• Uma unesifo se-coronavirus ``(COVID-19)``.
• Uma une -pneumonia .
• Uma unobuthi be-carbon monoxide .
• Uma ulimele ngokuhogela intuthu (`ukulimala kokuhogela intuthu`).
• Uma unesicanucanu esiqhubekayo kanye/noma ukuhlanza.
• Uma uke waphuza izidakamizwa ngokweqile.

Futhi, uma unezinye zezimo zamaphaphu ezilandelayo, udokotela wakho angahlola amazinga akho e-oxygen ukuze abone ukuthi ukwelashwa kwakho kusebenza kahle yini:

• Isifuba somoya
• I-COPD `(Isifo Esingapheli Sokuvimbela Amaphaphu)`
• I-Cystic Fibrosis
• Isifo senhliziyo

Uma uthola ukwelashwa nge-oxygen esibhedlela, abasebenzi bezokwelapha bazoqapha njalo amazinga akho e-oxygen ukuqinisekisa ukuthi uthola inani elifanele le-oxygen.

Zikhona yini izinto esingazenza ekhaya ukuze sandise amazinga omoya-mpilo?

Kunezindlela eziningana zokwandisa inani lomoya-mpilo egazini ngokwemvelo. Hlola:

• Ukuphefumula umoya omusha: Ukuvula amafasitela noma ukuphuma uyohambahamba kwandisa inani lomoya-mpilo ongena emzimbeni wakho. Lokhu kwandisa nezinga lomoya-mpilo egazini lakho.
• Ukuyeka ukubhema: Phakathi kwamasonto amabili kuya kwamathathu ukuyeka ukubhema, ukujikeleza kwegazi lakho kuzothuthuka kakhulu. Phakathi nenyanga eyodwa kuya kweziyisishiyagalolunye, ukuphelelwa umoya kwakho kuzoncipha. Zombili lezi zinto zisiza umzimba wakho ukuthola umoya-mpilo owengeziwe.
• Zijwayeze ukuvivinya umzimba ngokuphefumula: Izinto ezilula njengokuphefumula ngomlomo kanye nokuphefumula esiswini esijulile kungasiza ukuvula izindlela zakho zokuphefumula futhi kwandise inani lomoya-mpilo egazini lakho.

Ungahlola amazinga akho e-oxygen ekhaya usebenzisa i-pulse oximeter bese ubona ukuthi lezi zindlela zemvelo ziyawandisa yini amazinga akho e-oxygen.

Kodwa-ke, khumbula lokhu. Uma unesifo esingaqondakali, ikakhulukazi esibi njenge-pneumonia noma ubuthi be-carbon monoxide, lezi zindlela zokwelapha zemvelo zodwa zingase zingakwazi ukuletha amazinga akho e-oxygen ezingeni elanele.

Uma ubhekene nezimpawu ze- hypoxemia , okuyizinga eliphansi lomoya-mpilo egazini, hamba esibhedlela esiseduze ngokushesha okukhulu.

Ubani owenza lezi zivivinyo zezinga lomoya-mpilo? Kusebenza kanjani?

Udokotela wezifo zokuphefumula uvame ukuthatha isampula yegazi ukuze ahlole amazinga akho e-oxygen ukuze kuhlolwe i-ABG. Lokhu kuthathwa emthanjeni osesihlakaleni sakho. Isampula bese ihlolwa udokotela wezifo zokuphefumula noma ithunyelwe elabhorethri ngokushesha. Lapho, ososayensi bezokwelapha bayayihlola.

Noma yimuphi umhlinzeki wezempilo angasebenzisa i-pulse oximeter ukuhlola amazinga akho e-oxygen. Ungasebenzisa futhi i-pulse oximeter ekhaya, kungaba ngokwakho noma komunye umuntu.

Imininingwane yokuhlolwa kwegazi

Ngaphambi kokuba umelaphi wokuphefumula athathe igazi emthanjeni osesihlakaleni sakho, angenza okuthile okubizwa ngokuthi ukuhlolwa kwe-Allen . Lokhu kuhilela ukuphakamisa ingalo yakho nokugcina isihlakala sakho sigobile. Umelaphi ube esefaka ingcindezi emthanjeni osesihlakaleni sakho imizuzwana embalwa. Lokhu kuhlola okulula kuhlola ukuthi imithambo yomibili esihlakaleni sakho ivulekile futhi isebenza kahle yini.

Uma uthola ukwelashwa komoya-mpilo okwengeziwe, umoya-mpilo wakho ungase ucinywe cishe imizuzu engama-20 ngaphambi kokukhipha igazi. Lokhu kubizwa ngokuthi ukuhlolwa komoya wegumbi . Kodwa-ke, uma ungakwazi ukuphefumula ngaphandle komoya-mpilo owengeziwe, udokotela wakho ngeke akwenze lokhu kuhlolwa.

Ngeshwa, ukudonsa igazi emthanjeni ngokuvamile kungaba buhlungu kakhulu kunokudonsa igazi emthanjeni. Lokhu kungenxa yokuthi imithambo ijule kakhulu kunemithambo futhi izungezwe yizinzwa. Ungase uzizwe unesiyezi, unesizungu, noma unesicanucanu ngenkathi ukhipha igazi.

Izinyathelo zokuhlolwa kwegazi ukuhlola amazinga omoya-mpilo yilezi ezilandelayo:

• Uzohlala esihlalweni noma ulele embhedeni. Udokotela wezifo zokuphefumula uzothola umthambo - ngokuvamile ngaphakathi kwesandla sakho. I-ultrasound ingasetshenziswa futhi ukuthola umthambo.
• Uma umthambo usutholakele, indawo iyahlanzwa futhi ihlanzwe ngamagciwane.
• Bese kufakwa inalithi encane emthanjeni bese kuthathwa isampula yegazi. Ungase uzwe ubuhlungu obukhulu lapho kufakwa inalithi.
• Ngemva kokufaka inaliti, inani elincane legazi liqoqwa lifakwe kwisirinji.
• Uma isampula yegazi isiqoqiwe, inaliti iyasuswa bese kufakwa ucezu lwekotini noma i-gauze endaweni ukuze kumiswe ukopha. Uma uthatha imithi yokunciphisa igazi, kungadingeka ukuthi ufake ingcindezi imizuzu emi-5-10 noma ngaphezulu.
• Bese kufakwa iplasta kuleyo ndawo. Bese umsebenzi usuqediwe.

Imininingwane ye-pulse oximeter

Uma uhlola amazinga akho e-oxygen nge-pulse oximeter, nazi izinto ezenzekayo:

• Udokotela wakho unamathisela idivayisi encane yepulasitiki ebizwa ngokuthi i-pulse oximeter engxenyeni yomzimba wakho - ngokuvamile ingxenye yomunwe wakho.
• I-oximeter ikhipha uhlobo olukhethekile lokukhanya olubizwa ngokuthi ukukhanya kwe-infrared . Ludlula esikhumbeni sakho lungene egazini emithanjeni yakho yegazi (ama-capillaries). Alubuhlungu, futhi ngeke uzwe lutho.
• I-oximeter ibe isilinganisa ukuthi kungakanani ukukhanya okuboniswa yizinhlayiya ze -hemoglobin egazini lakho. Lokhu kusetshenziselwa ukuthola izinga lomoya-mpilo egazini lakho.
• Ngemizuzwana embalwa, i-oximeter izokunikeza inombolo ekhombisa izinga lokushaya kwenhliziyo yakho kanye nezinga lomoya-mpilo.

Ungasebenzisa futhi i-pulse oximeter ekhaya. Kodwa-ke, khumbula ukuthi ukunemba kokufundwa kwe-pulse oximeter kungancishiswa ngenxa yezici ezilandelayo:

• Umunwe owuhlolayo une -nail polish kuwo.
• Kunokukhanya okuningi kakhulu ekamelweni lapho usebenzisa khona i-oximeter.
• Ukuthuthumela ngokweqile uma usebenzisa i-oximeter.

Ithini imiphumela yokuhlolwa?

Imibiko yokuhlolwa kwegazi, okuhlanganisa nemibiko yokuhlolwa kwezinga lomoya-mpilo, ivame ukuqukatha ulwazi olulandelayo:

• Igama lokuhlolwa kwegazi yilokho okulinganiswa egazini lakho.
• Ingabe inombolo kanye nesilinganiso esikumphumela wokuhlolwa kwegazi lakho kulungile?
• Lelo ibanga lokulinganisa elijwayelekile lokuhlolwa.
• Ulwazi olukhombisa ukuthi umphumela wakho ujwayelekile, awujwayelekile, uphansi, noma uphezulu.

Uma amazinga akho e-oxygen egazini engavamile, kungasho okulandelayo:

• Awutholi umoya-mpilo owanele .
• Awukhiphi umoya owanele nge-carbon dioxide .
• Igazi lakho linokungalingani kwe-pH (kungaba yi-acid kakhulu noma i-alkaline kakhulu).

Ukuhlolwa okulinganisa amazinga omoya-mpilo kuphela akukwazi ukuhlonza isifo esithile. Uma imiphumela yakho ingajwayelekile, udokotela wakho uzoyala ukuhlolwa okwengeziwe ukuqinisekisa noma ukuqeda ukuxilongwa.

Iyini izinga elijwayelekile le-oxygen?

Amalabhorethri ahlukene angaba nezigaba ezijwayelekile ezahlukene ngalokho akufunayo lapho elinganisa amazinga e-oxygen egazini. Uma uthola umbiko wakho wokuhlolwa kwegazi, uzosho ukuthi yizigaba ezijwayelekile ezingakanani zokulinganisa ngakunye okuvela kulelo labhorethri. Uma unemibuzo mayelana nemiphumela yakho, qiniseka ukuthi ubuza udokotela wakho.

Kubantu abaningi, amazinga ajwayelekile e-oxygen, njengoba elinganiswa yi-pulse oximeter, aphakathi kuka-95% no-100%.Yebo. Uma unesifo samaphaphu njenge-COPD noma i-pneumonia, amazinga akho ajwayelekile e-oxygen angase abe ngaphansi kwalokhu. Udokotela wakho uzokutshela ukuthi yimaphi amazinga amukelekayo. Uma uhlala ezindaweni eziphakeme, amazinga akho e-oxygen nawo angase abe phansi kancane.

Into ebalulekile okufanele uyikhumbule ukuthi ama-pulse oximeter awahlali enemba ngokuphelele ngo-100%. Izinga lakho langempela le-oxygen egazini lingaba ngaphezulu ngo-2% kuya ku-4% noma ngaphansi kunalokho okuboniswa yi-oximeter. Ukuze uthole umphumela onembile kakhudlwana, udokotela wakho angase afune ukuhlola izinga lakho le-oxygen ngokuhlolwa kwegazi.

Kuyini amazinga aphansi omoya-mpilo? Ziyini izimbangela?

I-Hypoxemia yisimo lapho izinga lomoya-mpilo egazini liphansi kunejwayelekile. (NgesiSinhala, umoya-mpilo ophansi egazini). Njengoba umoya-mpilo ubalulekile kuzo zonke izinqubo emzimbeni wethu, i-hypoxemia ivame ukuba yisimo esidinga ukuthathwa ngokungathi sína. Uma izinga lomoya-mpilo liphansi, kulapho ingozi yokulimala kwezicubu nezitho zomzimba iba nkulu khona.

Izimo zezokwelapha ezahlukahlukene nezimo zingavimbela umzimba wakho ekuletheni amazinga ajwayelekile omoya-mpilo egazini lakho. Nazi ezinye zezimbangela ezivamile zamazinga aphansi omoya-mpilo egazini (i-hypoxemia):

• Isifo senhliziyo
• Izifo zamaphaphu (isb. i-asthma, i-emphysema, i-bronchitis)
• Ezinye izinkinga eziqeda ubuhlungu ezinamandla noma ezinye izinkinga eziphefumula kancane
• Ukuphefumula kanzima ngesikhathi ulele (i-Sleep Apnea )
• Ukuvuvukala noma izibazi zezicubu zamaphaphu akho
• Ukuhlala ezindaweni eziphakeme (lapho kunomoya-mpilo omncane emoyeni)

Uma izinga lomoya-mpilo egazini lakho liphansi, udokotela wakho uzoyala ukuhlolwa okwengeziwe ukuthola ukuthi yini ebangela lokhu. Ukuhlolwa okulinganisa izinga lomoya-mpilo wakho kuphela akukwazi ukuthola imbangela.

Kufanele ngimbone nini udokotela?

Uma usebenzisa i-pulse oximeter ekhaya, shayela udokotela wakho uma izinga lakho lomoya-mpilo lingama-92% noma ngaphansi. Uma lingama-88% noma ngaphansi, iya ekamelweni lezimo eziphuthumayo eliseduze ngokushesha okukhulu.

Uma unesifo samaphaphu sesikhathi eside njenge-COPD noma i-asthma, kuzodingeka ubone udokotela njalo ukuqinisekisa ukuthi ukwelashwa kwakho kusebenza kahle. Uma uthola noma yiziphi izimpawu ezikhathazayo ezihlobene nesifo samaphaphu akho, khuluma nodokotela wakho ngokushesha okukhulu.

Ingabe amazinga aphansi omoya-mpilo ayisibonakaliso se-COVID-19?

I-COVID-19I-COVID-19 ayithinti wonke umuntu ngendlela efanayo. Abantu abathelelekile banezimpawu ezihlukene - abanye banezimpawu ezincane kakhulu, abanye banezifo ezimbi kakhulu. Abanye abantu abathola i-COVID-19 - kodwa hhayi bonke - banamazinga aphansi omoya-mpilo egazini. Ukuthi nje unezinye izimpawu futhi amazinga akho omoya-mpilo ajwayelekile akusho ukuthi awunayo i-COVID-19. Futhi, usengaba ne-COVID-19 noma amazinga akho omoya-mpilo ephansi.

Ukuphela kwendlela yokwazi ngokuqinisekile ukuthi une-COVID-19 ukuhlolwa. Nakuba i-home pulse oximeter ingaba usizo ngezinye izikhathi, inemikhawulo futhi ibonisa ingxenye encane kuphela yempilo yakho. Ungathembeli ku-oximeter yodwa ukuze uxilonge i-COVID-19.

Uma unezimpawu ze-COVID-19, bona udokotela wakho ngokushesha okukhulu.

Yiziphi izimpawu zokuntuleka komoya-mpilo egazini?

Izimpawu zamazinga aphansi omoya-mpilo egazini (i-Hypoxemia) ziyahlukahluka kumuntu nomuntu, kuye ngokuthi isimo sibucayi kangakanani. Zingafaka:

• Ikhanda elibuhlungu
• Ukuphelelwa umoya
• Ukushaya kwenhliziyo okusheshayo
• Ukukhwehlela
• Ukuphefumula
• Ukudideka
• Umbala oluhlaza okwesibhakabhaka esikhumbeni sakho, ezinzipho, kanye/noma ezindebeni .
• Umbala obomvu we-cherry esikhumbeni sakho, ezinzipho, kanye/noma ezindebeni (lokhu kuyisibonakaliso sobuthi be-carbon monoxide).

Okokugcina, izinto okufanele uzikhumbule

Ngaphandle kokuthi unesifo esiyimfihlo esithinta ikhono lakho lokumunca umoya-mpilo, awudingi ukuqapha njalo amazinga akho omoya-mpilo egazini. Nakuba i-home pulse oximeter ingasiza ngezinye izikhathi, ayinembile njengokuhlolwa kwegazi. Uma unezimpawu zamazinga aphansi omoya-mpilo egazini, njengobunzima bokuphefumula, qiniseka ukuthi ubona udokotela wakho ngokushesha okukhulu.

Izinga le - oxygen egazini, i-oxygen, i-hypoxemia, i-pulse oximeter, ukuhlolwa kwe-ABG, ukuphelelwa umoya, isifo samaphaphu