Wake wacabanga ukuthi kubaluleke kangakanani kithi ukuphefumula? Le nqubo esiyenzayo ngaphandle kokuma ngisho nomzuzwana ibalulekile empilweni yethu. Ikakhulukazi ngobhubhane lweCorona, abantu abaningi sebeqalile ukukhuluma "ngezinga lomoya-mpilo", umshini ofana nesiqeshana esincane osifaka emunweni wakho. Ngakho-ke, liyini ngempela leli zinga lomoya-mpilo egazini? Lithinta kanjani impilo yethu? Namuhla sizokhuluma ngakho konke ngendlela elula, ngendlela ongayiqonda.
Liyini izinga lomoya-mpilo egazini?
Kalula nje, inani lomoya-mpilo egazini lakho yilokho esikubiza ngokuthi izinga lomoya-mpilo egazini lakho.
Ukuze sikuchaze kancane lokhu, cabanga ngomzimba wethu njengemoto. Imoto idinga uphethiloli ukuze isebenze. Ngokufanayo, wonke amaseli emzimbeni wethu, ngisho nengxenye encane kakhulu yawo, adinga amandla ukuze asebenze. "Uphethiloli" odingwa amaseli ukuze akhiqize la mandla yi -oxygen .
Uma siphefumula ngamakhala noma ngomlomo, lo moya uya emaphashini ethu. Ukusuka lapho, umuncwa egazini. Igazi bese lisabalalisa lo moya kuwo wonke amangqamuzana emzimbeni wonke. Ngemva kokuba amangqamuzana esebenzise lo moya ukuze enze amandla, akhipha i-carbon dioxide njengomkhiqizo ongcolile. Lo moya uphinda uthwalwe uye emaphashini yigazi. Uma sikhipha umoya, lo moya uphuma emzimbeni.
Imizimba yethu iyakwazi ukulawula inani lomoya-mpilo egazini lethu. Amazinga aphansi omoya-mpilo egazini, isimo esibizwa ngokuthi i-hypoxemia , angaba yingozi kakhulu emizimbeni yethu. Lokhu kungaba yingozi kakhulu ebuchosheni nasenhliziyweni yethu. Amazinga aphansi omoya-mpilo egazini angaba uphawu lokuthi amaphaphu ethu noma uhlelo lokujikeleza kwegazi alusebenzi kahle.
Ulinganisa kanjani amazinga omoya-mpilo?
Kunezindlela ezimbili eziyinhloko zokulinganisa amazinga e-oxygen egazini. Enye iwukuthatha isampula yegazi kanti enye iwukusebenzisa umshini omncane ojwayelene nabantu abaningi futhi oxhunywe emunweni.
1. Ukuhlolwa kwe-Arterial Blood Gas (ABG)
Lena yindlela enembile nenemininingwane eminingi . Ngokuvamile, uma sinikela ngegazi, sithatha igazi emthanjeni. Kodwa kulokhu kuhlolwa, igazi lithathwa emthanjeni. Ngoba igazi elisemithanjeni linomoya-mpilo omningi kakhulu.
Lokhu kuhlolwa kwe-ABG akukwazi ukukala izinga lomoya-mpilo kuphela, kodwa futhi nolunye ulwazi oluningi olubalulekile njengenani le-carbon dioxide egazini kanye nebhalansi ye-acid-base (ibhalansi ye-pH) yegazi.
2. I-Pulse Oximeter
Lena idivayisi encane efana ne-clip sonke esiyaziyo ukuthi uyinamathisela emunweni wakho, endlebeni, noma ozwaneni. Ikuvumela ukuthi uthole umbono osheshayo futhi ongenabuhlungu wokuthi ingakanani i-oxygen egazini lakho.
Izinga elilinganiswa yilokhu silibiza ngokuthi izinga le-SpO2.Lokhu kukhombisa ukuthi lingakanani igazi lakho eligcwele umoya-mpilo. Kubonisa nokushaya kwenhliziyo yakho. Ngaphezu kokusetshenziswa ezibhedlela, abantu abaningi manje basebenzisa le divayisi ekhaya.
Kungani udokotela angahlola amazinga akho omoya-mpilo?
Udokotela wakho angase anqume ukuhlola amazinga akho omoya-mpilo uma unezimpawu ezithile.
| Izimo eziholela ekuhlolweni | Izibonelo |
|---|---|
| Ezimweni eziphuthumayo nezibucayi |
|
| Ukuqapha izimo ezingamahlalakhona |
|
| Ukulinganisa impumelelo yokwelashwa | Uma uthola ukwelashwa nge-oxygen esibhedlela, odokotela bazohlola njalo amazinga akho e-oxygen ukuqinisekisa ukuthi uthola inani elifanele le-oxygen. |
Iyini izinga elijwayelekile le-oxygen?
Into ebaluleke kakhulu ukukhuluma nodokotela wakho ukuze uthole ukuthi izinga lakho elijwayelekile lingakanani.
Kumuntu ophile kahle, uma ukugcwala komoya-mpilo kuphakathi kuka-95% no-100% njengoba kulinganiswa yi -pulse oximeter, lelo izinga elihle kakhulu.
Kodwa-ke, uma unesifo samaphaphu esingamahlalakhona njenge-COPD, amazinga akho ajwayelekile omoya-mpilo angase abe ngaphansi kancane kunalokhu. Udokotela wakho uzochaza ukuthi yiliphi izinga elikufanele ngaleso sikhathi. Futhi, umuntu ohlala endaweni ephakeme angase abe nezinga lomoya-mpilo eliphansi kancane ngokwemvelo.
Enye into okufanele uyikhumbule ukuthi ama-oximeter e-pulse yasekhaya awahlali enemba ngokuphelele ngo-100%. Ngezinye izikhathi izinga lakho langempela le-oxygen lingase libe phezulu ngo-2% - 4% noma ngaphansi kunalokho elikubonisayo. Ngakho-ke uma unemibuzo, kungcono ukuhlolwa udokotela.
Iyini amazinga aphansi omoya-mpilo (i-Hypoxemia)? Ziyini izimbangela zayo?
I-Hypoxemia yisimo sezokwelapha lapho izinga lomoya-mpilo egazini lehla ngaphansi kwamazinga ajwayelekile. Lesi yisimo esidinga ukunakwa ngoba uma izinga lomoya-mpilo liphansi, amathuba okulimala kwezitho zomzimba aba maningi.
Izizathu eziyinhloko zokuthi kungani amazinga omoya-mpilo engase ehle
- Isifo senhliziyo: Uma ukusebenza kwenhliziyo kuncipha, igazi alikwazi ukupompa kahle kuwo wonke umzimba, okungaphazamisa ukulethwa komoya-mpilo.
- Izifo zamaphaphu: Izifo ezifana ne-asthma, i-emphysema, kanye ne-bronchitis zinciphisa ikhono lamaphaphu lokumunca umoya-mpilo.
- Ukuphefumula Okungapheli: Ukuyeka ukuphefumula njalo ngesikhathi sokulala kungabangela amazinga omoya-mpilo ehle ebusuku.
- Ezinye izidakamizwa zokubulala izinhlungu: Izidakamizwa zokubulala izinhlungu ezinamandla kanye neminye imithi inganciphisa ukuphefumula futhi yehlise amazinga omoya-mpilo.
- Ukulimala kwezicubu zamaphaphu: Ukuvuvukala noma izibazi emaphashini kungaphazamisa ukushintshana komoya-mpilo.
- Izindawo ezinezindawo eziphakeme kakhulu: Njengoba ukuphakama kukhuphuka, inani lomoya-mpilo elitholwa ngumzimba liyancipha ngoba ukugcwala komoya-mpilo emoyeni kuyancipha.
Izimpawu zamazinga aphansi omoya-mpilo
Uma igazi lakho liba nomoya-mpilo ophansi, ungase ube nezimpawu ezilandelayo. Lezi zingahluka kuye ngomuntu nomuntu futhi kuye ngokuthi isimo sibucayi kangakanani.
| Isibonakaliso | Incazelo |
|---|---|
| Ubunzima bokuphefumula | Ubunzima bokuphefumula, umuzwa wokuminyana. |
| Ukushaya kwenhliziyo | Inhliziyo iqala ukusebenza ngokushesha ukuze inikeze umzimba umoya-mpilo owudingayo. |
| Ikhanda elibuhlungu | Kungabangelwa ukungatholi umoya-mpilo owanele ebuchosheni. |
| Ukukhwehlela nokukhathala | Ukukhwehlela njalo kanye nomuzwa wokuqina kwesifuba. |
| Ukudideka | Ukuncipha kwenkumbulo ngenxa yemiphumela ekusebenzeni kobuchopho. |
| Isikhumba esiluhlaza okwesibhakabhaka, izindebe, nezinzipho | Lokhu kuyisibonakaliso esibi kakhulu. Kwenzeka uma kunokwehla okukhulu komoya-mpilo egazini. |
Ungawandisa kanjani amazinga e-oxygen ngokwemvelo?
Uma amazinga akho omoya-mpilo ephansi kancane, noma uma uzama nje ukuhlala uphilile, lezi zinto zingakusiza.
- Phefumula umoya omusha: Gcina amafasitela evulekile ekhaya. Phuma ngaphandle uhambe kancane emini. Lokhu kuzokwandisa inani lomoya-mpilo umzimba wakho owutholayo.
- Gwema ukubhema: Uma ubhema, yeka namuhla. Phakathi namasonto amabili kuya kwamathathu emva kokuyeka, ukujikeleza kwegazi lakho kuzothuthuka kakhulu. Phakathi nezinyanga ezimbalwa, ukuphelelwa umoya kwakho kuzoncipha kakhulu. Zombili lezi zinto zandisa ikhono lomzimba lokuthola umoya-mpilo.
- Yenza izivivinyo zokuphefumula:Ukuzivocavoca okulula kokuphefumula kungavula indlela yakho yokuphefumula futhi kwandise inani lomoya-mpilo ongena egazini lakho.
Kodwa khumbula lokhu! Uma unesifo esibucayi njenge-pneumonia, noma uma unezimpawu ezibucayi njengobunzima bokuphefumula noma izindebe eziluhlaza okwesibhakabhaka, lezi zindlela zokwelapha zemvelo zodwa ngeke zanele. Esimweni esinjalo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
Kufanele ubonane nini nodokotela?
Uma usebenzisa i-Pulse Oximeter ekhaya, khumbula lezi zinto ezilandelayo:
- Uma izinga lakho lomoya-mpilo lingama- 92% noma ngaphansi , shayela udokotela wakho .
- Uma izinga lomoya-mpilo lingama -88% noma ngaphansi , hamba ngokushesha uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze .
Uma unesifo esingamahlalakhona njenge-COPD noma i-asthma, kubalulekile ukulandela iseluleko sikadokotela wakho njengoba kuqondiswe. Uma uba nezimpawu ezintsha noma uma izimpawu zakho ziba zimbi kakhulu, bona udokotela ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Izinga lomoya-mpilo egazini liyisibonakaliso esibalulekile sempilo yemizimba yethu.
- Ukugcwala kwe-oxygen evamile (i-SpO2) yomuntu ophilile kuphakathi kuka-95% - 100%.
- I-pulse oximeter iyithuluzi eliwusizo lokuthola umbono oqondile wamazinga akho e-oxygen ekhaya, kodwa ukunemba kwayo kungathinteka yizinto ezifana ne-nail polish, ukukhanya okukhanyayo, kanye nokunyakaza.
- Amazinga aphansi omoya-mpilo egazini (i-Hypoxemia) ayisimo esibucayi. Ubunzima bokuphefumula, ukudideka, kanye nesikhumba/izindebe eziluhlaza okwesibhakabhaka ngezinye zezimpawu zaso ezibucayi.
- Uma izinga lakho lomoya-mpilo lingaphansi kuka-92%, shayela udokotela. Uma lingaphansi kuka-88%, hamba uye ku-ETU ngokushesha.
- Uma unenkinga ngempilo yakho, hlala ucela iseluleko kuchwepheshe wezokwelapha ofanelekayo ngaphandle kokuqagela.
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