Ingabe isikhumba sakho siphenduka sibe luhlaza okwesibhakabhaka? Ake sixoxe nge-cyanosis!

Wake wabona isikhumba sabantu, izindebe, noma izinzipho ziphenduka zibe luhlaza okwesibhakabhaka? Noma mhlawumbe nawe uke wabona. Lokhu yilokho okubizwa ngokuthi i-cyanosis kwezokwelapha. Kuyini ngempela i-cyanosis? Kungani lokhu kwenzeka? Ake sixoxe ngakho ngokuningiliziwe namuhla, njengokukhuluma nomngane.

Kuyini i-cyanosis? Kalula nje...

Kalula nje, i-cyanosis yilapho isikhumba sakho, izindebe, noma izinzipho zakho zibukeka ziluhlaza okwesibhakabhaka uma kunomoya-mpilo omncane egazini lakho. Uma unesikhumba esimnyama, lokhu kuluhlaza okwesibhakabhaka kungase kubonakale kakhulu ezindebeni zakho, ezinsinini, ezinzipho, nasemaceleni kwamehlo akho. Igama elithi 'cyanosis' livela egameni elithi 'cyan'. I-Cyan iwumbala oluhlaza okwesibhakabhaka.

Cabanga ngale ndlela. Ngokuvamile, amangqamuzana ethu abomvu egazi athwala umoya-mpilo kuwo wonke amalungu omzimba wethu, kuwo wonke amathishu. Uma lawa maseli abomvu efakwe umoya-mpilo kahle, aba bomvu okhanyayo . Njengetsheri elivuthiwe kahle. Ngakho-ke, lapho leli gazi elinomoya-mpilo lihamba emzimbeni wethu wonke, isikhumba sethu siba nombala opinki noma obomvu okhanyayo. Yileyo ndlela ukubukeka okunempilo okubukeka ngayo.

Kodwa-ke, uma ngesizathu esithile igazi lingatholi umoya-mpilo owanele , okungukuthi, uma izinga lomoya-mpilo liphansi, lelo gazi elibomvu elikhanyayo liba mnyama kancane, njengombala onsomi oluhlaza okwesibhakabhaka . Ngakho-ke, lapho leli gazi elimnyama eline-oxygen encane lijikeleza emzimbeni, isikhumba, izindebe, nezinzipho kubonakala kuluhlaza okwesibhakabhaka. Ukwazi ukuthi lo mbala oluhlaza okwesibhakabhaka utholakala kuphi kakhulu emzimbeni kungasisiza sithole ukuthi yini ebangela lokhu.

Kusho ukuthini i-cyanosis? Ingabe iyingozi?

I-Cyanosis iyisibonakaliso sokuthi izitho zakho, imisipha, kanye nezinye izicubu azitholi umoya-mpilo owanele ukuze zisebenze kahle . Kufana nomuthi obunayo ngaphandle kwamanzi. Imizimba yethu nayo ayikwazi ukuphila ngaphandle komoya-mpilo.

Kunezimo eziningi ezahlukene kanye nezimbangela ezingabangela lesi simo se-cyanosis. Ngezinye izikhathi, isikhumba esiluhlaza okwesibhakabhaka kanye nezindebe eziluhlaza okwesibhakabhaka kungaba yinto evamile, engenangozi. Isibonelo, kungenzeka uma ubhekene nomkhuhlane omkhulu. Kodwa-ke, kunezimo ezithile ezingaba zimbi ngokwanele ukuthi zidinge ukwelashwa okuphuthumayo . Ngakho-ke, uma ubona uphawu lwe-cyanosis, akukuhle ukukuthatha kalula.

Izimbangela ze-cyanosis zingahlotshaniswa kakhulu namaphaphu ethu, inhliziyo, noma uhlelo lwezinzwa oluphakathi (okungukuthi, ubuchopho kanye nomgogodla).

Yiziphi izinhlobo ze-cyanosis?

Kunezinhlobo ezintathu eziyinhloko ze-cyanosis. Ake sibheke ukuthi ziyini:

1. Ubuluhlaza okwesibhakabhaka kuphela emlonyeni - I-Cyrumoral Cyanosis

Lokhu kwenzeka lapho izindebe zakho noma umlomo wakho kuphela ziphenduka zibe luhlaza okwesibhakabhaka.Lokhu ngezinye izikhathi kubizwa ngokuthi i-perioral cyanosis.

Cabanga ngengane, uma ithola umkhuhlane omncane, izindebe zayo zingase zibe luhlaza okwesibhakabhaka. Lokhu kuvamile ezinganeni ezisanda kuzalwa , ngakho akuyona into okufanele ikhathazeke ngayo. Uyazi ukuthini? Uma sibhekene nomkhuhlane, imithambo yegazi emincane emizimbeni yethu, esiyibiza ngokuthi imithambo yegazi, iyancipha kancane. Bese ukugeleza kwegazi kwehla kancane, ngakho-ke ukunikezwa komoya-mpilo kwehla. Yingakho izindebe ziphenduka zibe luhlaza okwesibhakabhaka.

Ngisho nezingane ezindala, isibonelo, lapho zidlala ngaphandle ngosuku olubandayo kakhulu, noma lapho zibanda ekuseni kakhulu endaweni efana neNuwara Eliya, izindebe zazo zingaba luhlaza okwesibhakabhaka. Lokhu kuvame ukuphela ngemva kwesikhashana lapho umzimba ufudumala.

2. Umbala oluhlaza okwesibhakabhaka wemilenze - I-Peripheral Cyanosis

Kulolu hlobo , izandla, iminwe, izinzwane, kanye/noma izinzwane kuphela eziphenduka zibe luhlaza okwesibhakabhaka. Wake waba sendaweni ebanda kakhulu futhi ungagqokile amasokisi noma amasokisi? Izandla nezinyawo zakho zingaphenduka zibe luhlaza okwesibhakabhaka futhi uzizwe ungakhululekile. Lokhu kuyinto efanayo.

Lokhu ngokuvamile akusongeli impilo . Kodwa-ke, kubalulekile ukuthola ukuthi yini ebangela lokhu, njengoba ngezinye izikhathi imbangela eyisisekelo ingadinga ukwelashwa okusheshayo. Ngaphandle kwalokho, kungase kube nomonakalo ohlala njalo.

3. Ukuphenduka kube luhlaza okwesibhakabhaka umzimba wonke - I-Central Cyanosis

Lesi yisimo esingaba sibi kakhulu kunezinye izinhlobo ezimbili . Ku-central cyanosis, ngaphezu kwezitho zomzimba, ezinye izingxenye zomzimba nazo ziba luhlaza okwesibhakabhaka . Isibonelo, izindawo ezifana nesifuba, izihlathi, ulimi, izinsini kanye nezindebe.

Lokhu kuvame ukubangelwa yizimo ezimbi zenhliziyo, amaphaphu, noma igazi . Ngakho-ke, uma unalezi zimpawu, kubaluleke kakhulu ukufuna usizo lwezokwelapha ngokushesha .

Ziyini izimpawu ze-cyanosis?

Uphawu oluyinhloko umbala oluhlaza okwesibhakabhaka esikhumbeni . Lombala oluhlaza okwesibhakabhaka ungabonakala nasezindebeni zakho, olimini, ezinsinini, ezindlebeni nasezinzipho.

Uma unesikhumba esimnyama, i-cyanosis ingase ibonakale ingwevu noma iphaphathekile. Ibonakala kakhulu ezindebeni, olimini, ezinsinini, ezinzipho, nasemaceleni kwamehlo.

Ngenxa yokuthi i-cyanosis ivame ukuba uphawu lwesinye isimo sezokwelapha esiyisisekelo, ungase ubhekane nezinye izimpawu kuye ngokuthi imbangela eyisisekelo ikuphi. Ezinye zazo zifaka:

• Ukushisa komzimba okuphansi (i-Hypothermia)
• Ukungazweli noma ukuzwa ukudabuka ezandleni nasezinyaweni
• Ukukhwehlela
• Ukuphefumula ( umsindo ovela esifubeni lapho uphefumula)
• Ubunzima bokuphefumula
• Isiyezi
• Ukuzizwa ukhathele kakhulu (Ukukhathala)
• Ubuthakathaka

I-cyanosis ibukeka kanjani?

Kuye ngohlobo lwe-cyanosis onayo, isikhumba sakho, izindebe, ulimi, izinsini, amehlo, noma izinzipho zingase zibonakale zinemibala ehlukahlukene eluhlaza okwesibhakabhaka noma onsomi . Njengoba kushiwo ngaphambili, uma unesikhumba esimnyama, lokhu kungabonakala kuphaphathekile noma kumpunga .

Ziyini izimbangela ze-cyanosis?

Imbangela eyinhloko ye-cyanosis ukungoneli komoya-mpilo egazini lakho . Lokhu kungabangelwa izinto ezimbili: kungaba ukuthi igazi lakho empeleni linomoya-mpilo ophansi, noma imithambo yegazi yakho ivezwa emakhazeni amakhulu.

Cabanga ngakho, izitho zethu zomzimba zigcinwa zifudumele ukujikeleza kwegazi emizimbeni yethu. Kodwa-ke, uma indawo ibanda kakhulu, ukuze kugcinwe izinga lokushisa lomzimba wethu lisezingeni elijwayelekile, imithambo yegazi ezandleni zethu, ezinyaweni nasezindlebeni iyancipha. Lokhu kunciphisa ukugeleza kwegazi, okungaholela kumbala oluhlaza okwesibhakabhaka.

Kunezinye izimo eziningi nezimbangela ezingabangela amazinga aphansi oksijini egazini:

Izinkinga zomoya

• Ukuminyana . Isibonelo, ukuminyana ukudla.
• Ukuvuvukala okuzungeze izintambo zezwi (isb., i-croup)
• Ukutheleleka nokuvuvukala kwe-epiglottis, ingxenye yomphimbo efana ne-flap emboza umphimbo womoya.

Izinkinga zamaphaphu

• Ukuya ezindaweni eziphakeme (ngaphezulu kakhulu kolwandle) lapho kunomoya-mpilo omncane emoyeni.
• Isifo se -asthma .
• Ukutheleleka kwemigudu yokuphefumula.
• Ukuqhekeka kwegazi emthanjeni emaphashini (pulmonary embolism).
• Isifo Sokuvinjelwa Kwamaphaphu Esingamahlalakhona (i-COPD) (isifo samaphaphu sesikhathi eside).
• Umfutho wegazi ophezulu emaphashini (umfutho wegazi ophezulu emaphashini).
• I-pneumonia `(I-pneumonia)` .

Izinkinga zenhliziyo

• Ukukhubazeka kwenhliziyo okubangelwa ukuzalwa , njenge-ventricle yangakwesokudla ephuma kabili kanye ne-tetralogy ye-Fallot.
• Izimo zenhliziyo (ukwehluleka kwenhliziyo okubangelwa ukuminyana).
• Ukuyeka ukusebenza kwenhliziyo ngokuzumayo ( ukuma kwenhliziyo).

Ezinye izimbangela ze-cyanosis

• Ukuvinjelwa kokujikeleza kwegazi ngenxa yokugqoka izingubo eziqinile .
• Ukuchayeka emakhazeni amakhulu .
• Isenzakalo sikaRaynaud , lapho imithambo yegazi incipha khona ngokuzumayo.
• Eminye imithi esetshenziswa ukwelapha umfutho wegazi ophakeme.
• Ukuquleka .
• Ukweqisa izidakamizwa.
• Ukuchayeka ezintweni ezinobuthi .

Ungayibona kanjani i-cyanosis?

Ngenxa yokuthi i-cyanosis iyimpawu, udokotela wakho uzofuna ukuthola ukuthi iyini imbangela eyinhloko .

Okokuqala, udokotela uzokwenza ukuhlolwa ngokomzimba . Bese bezokubuza ngezimpawu zakho. Bangase bakubuze imibuzo efana nale:

• Uqale nini ukuqaphela lo mbala oluhlaza okwesibhakabhaka?
• Ingabe lokhu kwenzeke ngokuzumayo, noma kwanda kancane kancane?
• Kukuphi emzimbeni wakho okuluhlaza okwesibhakabhaka?
• Uke wahamba noma kuphi muva nje? (ikakhulukazi ezindaweni eziphakeme)
• Ingabe unenkinga yokuphefumula?
• Ingabe izandla noma izinyawo zakho zivuvukele?
• Yiziphi ezinye izimpawu onazo?

Yiziphi izivivinyo ezisetshenziswa ukuxilonga i-cyanosis?

Udokotela angase acele ukuhlolwa okuhlukahlukene ukuthola imbangela ye-cyanosis. Lokhu kungafaka ukuhlolwa kwegazi, kwamaphaphu kanye nenhliziyo:

• I-pulse oximetry: Lokhu kuhilela ukunamathisela idivayisi encane (njenge-clip) emunweni wakho nokukala inani lomoya-mpilo egazini lakho. Akubuhlungu.
• Ukuhlaziywa kwegesi yegazi lemithambo yegazi (ABG): Lokhu kuhilela ukuthatha isampula encane yegazi emithanjeni yakho yegazi (igazi eliqukethe umoya-mpilo omningi) bese ulinganisa inani lomoya-mpilo nezinye izinto ezikuyo.
• I-X-ray yesifuba .
• I-chest computed tomography (CT) scan .
• Ukuhlolwa kwegazi okuphelele (i-CBC) .
• I-Electrocardiogram (EKG/ECG): Lokhu kulinganisa umsebenzi kagesi wenhliziyo.
• I-Echocardiogram: Lokhu ukuhlolwa kwenhliziyo nge-ultrasound. Kungabheka isakhiwo kanye nomsebenzi wenhliziyo.
• Ukuhlolwa kokusebenza kwamaphaphu (ama-PFT): Lokhu kusiza ekuxilongeni izifo zamaphaphu.
• Ukufakwa kwe-catheter kwenhliziyo: Lokhu kuhlolwa kusiza ekuxilongeni isifo senhliziyo ngokujulile.

Iphathwa kanjani i-cyanosis?

Ngenxa yokuthi i-cyanosis iyimpawu ebangelwa yizimo ezahlukene zezokwelapha, ukwelashwa okutholayo kuzoncika embangela ye-cyanosis yakho .

Enye yezindlela zokuqala zokwelapha udokotela wakho angakunika zona ukwelashwa nge-oxygen . Lokhu kwenziwa ngokukunika i-oxygen eyengeziwe, okwandisa ngokushesha izinga le-oxygen egazini lakho. Kuye ngobukhulu besimo sakho, ungadinga umshini wokuphefumula (i-ventilator).Kungase kudingeke nokho.

Ezinye izindlela zokwelapha yilezi:

• Ukushisa nokuhlikihla: I-Cyanosis ebangelwa ukuchayeka emakhazeni noma ezimweni ezifana ne-Raynaud's phenomenon ingadambisa ngokufudumala izindawo ezithintekile bese uzihlikihla ngobumnene.
• Ama-antibiotic: Ama-antibiotic angase anikezwe izifo ezifana ne-pneumonia.
• Eminye imithi: Udokotela wakho angase akunike eminye imithi yokwelapha izifo zenhliziyo namaphaphu.
• Ukuyeka imithi: Ngezinye izikhathi, uma lesi simo sibangelwa imithi ethile oyithathayo njengamanje, udokotela wakho angase akucebise ukuthi uyeke ukuthatha leyo mithi.
• Ama-inhalers: Uma i-cyanosis ibangelwa yisifo samaphaphu njenge-asthma noma i-COPD, ama-inhalers anganikezwa ukuze kusizwe amaphaphu asebenze kangcono.
• Ukuhlinzwa: Izimo zenhliziyo ezizalwa nazo, njenge-Tetralogy of Fallot, zingadinga ukuhlinzwa ngemuva nje kokuzalwa.

Ngizinakekela kanjani?

Uma une-cyanosis ngenxa yomkhuhlane noma isimo esifana nesifo sikaRaynaud, kungadingeka wenze izinguquko ezithile endleleni yakho yokuphila .

Uma uphuma, ikakhulukazi ngezinsuku ezibandayo, kufanele ugqoke ngokufudumele . Ngisho noma usekhaya, gcina igumbi lifudumele. Into ebaluleke kakhulu ukugcina umzimba wakho ufudumele .

Futhi, uma ubhema, kufanele uyeke ngokuphelele . Nciphisa ukudla kwakho iziphuzo ezine-caffeine (njengetiye nekhofi) . Ngoba kokubili i-caffeine ne-nicotine kubangela ukuthi imithambo yegazi yakho inciphe. Lokhu kwandisa ingozi ye-cyanosis.

Ingabe i-Cyanosis ingavinjelwa?

Ngenxa yokuthi kunezimbangela eziningi ze-cyanosis, akunakwenzeka ukuzivimbela zonke. Kodwa-ke, kunezinto ezithile ongazenza ukuze unciphise ingozi yakho yokuthola lesi simo:

• Uma uphuza noma yimiphi imithi evimbela ukugeleza kwegazi lakho, khuluma nodokotela wakho ngakho bese uthola iseluleko sokuyiyeka uma kudingeka.
• Gwema ukubhema.
• Nciphisa ukudla kwakho i-caffeine.
• Uma uya endaweni ebandayo, gqoka ngokufudumele , ikakhulukazi uvale izingxenye ezifana nezindlebe zakho, iminwe kanye nekhala.

Kwenzekani uma ngine-cyanosis?

Umphumela we-cyanosis yakho uncike embangela nokuthi ufuna ukwelashwa ngokushesha kangakanani .

Lokhu ngokuvamile akusongeli impilo, kodwa uma unezinye izimpawu kanye nalombala oluhlaza okwesibhakabhaka, noma uma uba ne-cyanosis ngisho noma ufudumele futhi uphumule,Ngokuqinisekile bonana nodokotela .

Kufanele ngifune nini iseluleko sezokwelapha? Ingabe kuyisimo esiphuthumayo?

I-Cyanosis ingabangelwa yizimo nezinkinga ezahlukahlukene. Ezinye zimbi kakhulu kunezinye. Uma unezinye zezimpawu ezilandelayo kanye nesikhumba sakho esiphenduka sibe luhlaza okwesibhakabhaka, iya emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze nawe ngokushesha, noma ushayele u-1990 :

• Ubunzima bokuphefumula
• Ubuhlungu besifuba
• Ubuhlungu bekhanda obuvamile
• Ukukhathala
• Ukudideka (ukushintshashintsha kwemizwelo)
• Imfiva
• Ukujuluka ngokweqile (hyperhidrosis)
• Ukukhwehlela igazi noma i-mucus emnyama
• Ubuhlungu noma ukungazweli ezandleni, eminweni, noma ezingalweni.

Ingabe ingane yakho noma ingane encane inalezi zimpawu nge-cyanosis?

Uma ingane yakho noma ingane encane ine-cyanosis kanye nanoma yiziphi izimpawu ezilandelayo, yiyise esibhedlela esiseduze ngokushesha, noma ushayele u-1990 :

• Ubunzima bokuphefumula
• Ubunzima bokuphuza noma ukudla ubisi
• Ukuqhuma kwekhala lapho uphefumula
• Ukudonsa isifuba (ukuvuvukala) lapho uphefumula
• Ukuphefumula okusheshayo
• Umsindo wokuphefumula lapho uphefumula
• Ukukhathala
• Ubunzima bokulala noma ukuvuka njalo
• Umzimba obuthakathaka
• Ukungahlaliseki okukhulu, ukucasuka (Ukucasuka)

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

I-Cyanosis yisimo lapho isikhumba sakho, izinzipho, noma izindebe zakho ziphenduka zibe luhlaza okwesibhakabhaka uma kungekho oxygen eyanele egazini lakho. Lokhu kungaba nezimbangela eziningi. Nakuba kungekubi ngaso sonke isikhathi, i-cyanosis ngezinye izikhathi ingaba uphawu lwesimo esibucayi esingaphansi .

Ngakho-ke, uma wena noma ingane yakho nine-cyanosis kanye nezinye izimpawu ezifana nobunzima bokuphefumula, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha . Kulapho kuphela lapho ningathola khona imiphumela emihle kakhulu. Ungesabi, kodwa qaphela.

I- Cyanosis, isikhumba esiluhlaza okwesibhakabhaka, ukuntuleka komoya-mpilo, ubunzima bokuphefumula, isifo senhliziyo, isifo samaphaphu, izimpawu