He aha te Hypoxemia? Ngā tohumate, ngā take, me te rongoā i te kāinga

Ko te Hypoxemia te tikanga he iti iho i te tikanga te nui o te hāora i roto i tō toto. Ka pā tēnei ina kore e taea e ō pūkahukahu te tiki hāora nui ki roto i tō rerenga toto, i te kore rānei e taea e tō toto te kawe hāora pai ki ō okana me ō kiko.

Whakaarohia te hāora hei wahie mō ngā pūtau o tō tinana. Ina heke iho ngā taumata hāora toto i raro i te tikanga, ka kaha ake tō tinana ki te tiki i te hāora e hiahiatia ana. Ahakoa he mea whakamataku tēnei, he maha ngā take o te hypoxemia ka taea te rongoā pai ina kitea te take i raro.

He aha te Hypoxemia?

He āhua hauora te hypoxemia e iti ana te hāora o tō toto i te mea e tika ana. Ko ngā taumata hāora toto noa e pā ana ki te 95% ki te 100% ina inea ki te pulse oximeter.

Ina heke iho te kukū hāora toto i raro i te 90%, ka whakaaro ngā tākuta he hypoxemia tēnei. E hiahiatia ana e tō tinana te hāora kia pai te mahi, nō reira ina heke ngā taumata, ka tīmata pea koe ki te rongo i ngā tohumate pēnei i te poto o te manawa, i te ngenge rānei.

He rerekē tēnei āhua i te hypoxia, e pā ana ki ngā taumata hāora iti i ngā kiko o tō tinana. Ko te Hypoxemia e arotahi ana ki te ihirangi hāora i roto i tō toto i mua i te tae ki ō okana.

He pēhea te rongo o te Hypoxemia?

Ko ngā tohu wawe o te hypoxemia he rite tonu ki te kore e nui te hau e whiwhi ana koe. Ka kite pea koe i a koe e manawa ana i te tere ake, e rongo ana rānei i te hau i ngā mahi e kore nei e ngenge i a koe.

He maha ngā tāngata e whakaahua ana i te rongo e kore e taea e rātou te hopu i tō rātou manawa, ahakoa e noho tonu ana. Ka tere ake pea tō ngākau i te mea e ngana ana ki te pōmpu i te toto whai hāora nui puta noa i tō tinana.

I te wa e haere ana te hypoxemia, ka rongo pea koe i ētahi tohumate kitea e tohu ana e hiahiatia ana e tō tinana te hāora nui ake:

• Te poto o te manawa, te uaua rānei ki te manawa
• Te tere, te ngau rānei o te ngākau
• Te mamae, te pōka rānei o te uma
• Te whanoke, te māmā rānei o te mahunga
• Te rangirua, te uaua rānei ki te arotahi
• Te tae kikorangi o ngā ngutu, ngā maikuku, te kiri rānei (e kīia ana ko te cyanosis)
• Te tino ngenge, te ngoikore rānei
• Te mamae mahunga

Ka rere kē ēnei tohumate mai i te māmā ki te kaha, i runga i te iti o te taumata hāora e heke ana. He mea nui te tae kikorangi hei mātakitaki, nā te mea he maha ngā wā e tohu ana i te hypoxemia kaha ake, e hiahia ana kia āwhina tonu te rongoā.

He aha ngā take o te Hypoxemia?

Ka puta te Hypoxemia i te wā e raru ana tō tinana ki te tango hāora mai i ō pūkahukahu ki ō toto. Ka pēnei pea mō ngā take rerekē, mai i ngā āhuatanga rangitahi ki ngā raruraru hauora mau tonu.

Ko ngā take tino nui e pā ana ki ngā pūkahukahu, te ngākau, te hau rānei e hāngai ana koe. Me titiro tātou ki ngā momo rerekē ka puta te hypoxemia:

Ko ngā take e pā ana ki ngā pūkahukahu te tino take o te hypoxemia:

• Pneumonia, ētahi atu mate rānei o te pūkahukahu
• Ngā whakaeke āwhea e whāiti ana i ō ara rererangi
• Te mate pūkahukahu aukati mau tonu (COPD)
• Te pulmonary embolism (te toto toto i roto i ngā pūkahukahu)
• Te wai i roto i ngā pūkahukahu (pulmonary edema)
• Te pūkahukahu kua hinga (pneumothorax)
• Ngā tauhohenga mate pāwera kaha e pā ana ki te manawa

Ko ngā take e pā ana ki te ngākau ka ārai i te toto whai hāora kia huri tika:

• Ngā hē o te ngākau i te whānautanga
• Te ngoikore o te ngākau
• Te anemia kaha (te iti o te pūtau toto whero)

Ka taea hoki e ngā āhuatanga taiao te whai wāhi ki te hypoxemia:

• Te teitei, kei reira te iti o te taumata hāora
• Te paitini waro monoxide
• Te hā i te auahi, ētahi atu hau kino rānei

I ētahi wā, ka taea hoki e ngā āhuatanga onge pēnei i te moe moe, ētahi rongoā rānei te arahi ki te hypoxemia. Mā te māramatanga ki te take ka āwhina ngā tākuta ki te whiriwhiri i te huarahi maimoatanga whai hua.

He tohu, he tohumate rānei te Hypoxemia?

He maha ngā wā ka tohu te hypoxemia i tētahi āhuatanga hauora kei raro e hiahia ana ki te aro. Kāore i te mea he mate tonu, he tikanga tēnei o tō tinana e kī ana kei te pā tētahi mea ki tō kaha ki te whiwhi hāora.

Ko te nuinga, ka tohu te hypoxemia i tētahi raruraru ki tō pūnaha manawa. Ko ngā āhuatanga pēnei i te pūkahukahu, te huango, te COPD rānei ka taea katoa te heke iho o ō taumata hāora i raro i ngā awhe noa.

Koinei ngā āhuatanga matua e tohu ana te hypoxemia:

Ko ngā āhuatanga manawa te take noa i raro:

• Te mate uaua manawa (ARDS)
• Bronchitis, bronchiolitis rānei
• Te mate pūkahukahu i waenga i ngā pūkahukahu
• Te mate pukupuku pūkahukahu
• Te pūkahukahu nui
• Pulmonary fibrosis

Ka taea hoki e ngā āhuatanga ngākau me ngā toto te arahi ki te hypoxemia:

• Te ngoikore o te ngākau
• Te pēhanga toto pūkahukahu
• Te mate ngākau whānau
• Te pulmonary embolism nui

Ko ngā āhuatanga onge pea ka pā ki te hypoxemia ko:

• Kyphoscoliosis nui (te piko o te tūāwhiwhi e pā ana ki te manawa)
• Ngā mate neuromuscular e pā ana ki ngā uaua manawa
• Te nui rawa o te rongoā e pā ana ki te pūnaha manawa
• Ngā hē nui o te pakitara o te pouaka

Ka mahi tō tākuta ki te tautuhi i te āhuatanga motuhake e pā ana ki tō hypoxemia. Mā tēnei ka āwhina rātou ki te hanga i tētahi mahere maimoatanga e aro ana ki ō taumata hāora me te raruraru kei raro.

Ka taea e te Hypoxemia te ngaro noa?

Ka pai ake pea te hypoxemia ngawari mai i ngā āhuatanga rangitahi i te wā e ora ana tō tinana. Hei tauira, ki te whai koe i tētahi mate manawa, ka hoki pea ō taumata hāora ki te noa i te wā e mārama ana te mate.

Heoi anō, ko te nuinga o te wā me tū te rongoā mō te hypoxemia hei whakatika i te take i raro. He mōrearea te tatari kia ngaro noa te hypoxemia nui, nā te mea e hiahia ana ō pūngao ki te hāora kia pai ai te mahi.

Ko ētahi wā ka pai ake te hypoxemia i te taiao, pērā i te mate i te teitei māmā ka hoki koe ki ngā wāhi iti ake, i ngā mate manawa iti rānei i roto i ngā tāngata hauora. Ahakoa tērā, he mea nui te aroturuki i ō tohumate me ngā taumata hāora.

Mēnā kei te pā ō tohumate pērā i te pōkae nui, te mamae o te uma, te kiri kikorangi rānei, kaua e tatari kia pai ake anō. E tohu ana ēnei tohu e hiahia ana tō tinana ki te āwhina tonu kia nui ake te hāora.

Me pēhea te rongoā i te Hypoxemia i te Kāinga?

Ahakoa e hiahia ana te hypoxemia nui ki te rongoā hauora, he ētahi mahi tautoko ka taea e koe i te kāinga mō ngā take māmā, i raro tonu i te tohutohu a te tākuta.

Ko te mea nui ko te whai i ngā tohutohu a tō tākuta me te aroturuki i ō tohumate. Me whakakī te rongoā i te kāinga, kaua e whakakapi, i te manaaki hauora ngaio.

Anei ētahi mahi tautoko ka āwhina i te hypoxemia māmā:

• Okioki i tētahi tūnga pai, tū tika hoki hei āwhina i tō manawa
• Whakamahia ngā mahi manawa puhoi, hōhonu mēnā i tohutohutia e tō tākuta
• Kia nui te wai
• Whakamahia he whakamātao kia mākū te hau mēnā he pōkae manawa tō
• Kaua e paowa, ngā matū kaha, ētahi atu mea rānei e riri ana i te hau
• Tangohia ngā rongoā i tohutohutia kia rite tonu ki te tohutohu

Mēnā kua tohutohutia e tō tākuta he pulse oximeter, whakamahia hei aroturuki i ō taumata hāora i ngā wā katoa. Puritia he rēhita o ō pānui hei tiri ki tō kaiwhakarato hauora.

Kia mahara ko te rongoā i te kāinga he tika anake mō ngā take māmā i raro i te tirotiro hauora. Kaua rawa e ngana ki te rongoā i te hypoxemia nui i te kāinga, nā te mea ka mōrearea te ora.

He aha te rongoā hauora mō te Hypoxemia?

Ko te rongoā mō te hypoxemia e arotahi ana ki te whakanui i ō taumata hāora toto i te wā e whakatika ana i te take i raro. Ka whiriwhiria e tō tākuta ngā rongoā i runga i te kaha o tō hypoxemia me te aha e pā ana ki a ia.

Ko te whāinga tonu ko te whakahoki i ō taumata hāora ki ngā awhe noa. Ko te tikanga, ka uru mai te whakarato hāora tāpiri i te wā e rongoā ana i te āhua e pā ana ki te raruraru.

Te rongoā hāora te rongoā tuatahi mō te hypoxemia:

• Nasal cannula mō ngā take ngawari
• Māhunga hāora mō te hypoxemia āhua
• Ngā pūnaha hāora rere nui mō ngā take kaha
• Te hau mīhini mō te hypoxemia e mōrearea ana ki te ora

Ngā rongoā e arotahi ana ki te take i raro:

• Bronchodilators hei whakatuwhera i ngā ara rererangi i te mate huangō, COPD rānei
• Antibiotics mō ngā mate huakita
• Corticosteroids hei whakaiti i te mumura
• Diuretics hei tango i te wai nui mai i ngā pūkahukahu
• Ngā whakaheke toto mō te pulmonary embolism

Ngā rongoā matatau mō ngā take kaha ka uru pea:

• Te pēhanga rererangi pai tonu (CPAP)
• Extracorporeal membrane oxygenation (ECMO) mō ngā take tino nui
• Te pokanga hei whakatika i ngā raruraru hanganga

Ka aroturukihia e tō rōpū hauora tō ahunga whakamua, ka whakatika i te rongoā i te mea e tika ana. Ko te whāinga ko te whakahoki i ngā taumata hāora noa i te wā e whakaora ana i te āhua i raro.

Āhea au e kite ai i te tākuta mō te Hypoxemia?

Me rapu tonu koe i te āwhina hauora mēnā ka pā ki a koe ngā uaua manawa nui, ngā tohu rānei o ngā taumata hāora iti. Ko ētahi tohu e hiahia ana ki te tiaki ohorere, i te wā e tika ana ētahi atu ki te haere tere ki te tākuta.

Waea atu ki te 911, haere rānei ki te ruma ohorere tonu mēnā ka kite koe i ēnei tohu whakatūpato:

• He uaua nui ki te manawa, ki te whakangā rānei
• He tae kikorangi kei te taha o ō ngutu, ō whao, ō mata rānei
• He mamae, he pēhanga rānei kei te uma
• He tere te pōkeke o te ngākau me te whanoke
• He rangirua, he uaua rānei ki te noho mataara
• E kore e taea te kōrero i ngā rerenga kōrero katoa nā te pōkae

Whakaritea he tūnga ki te tākuta ināianei mēnā ka pā mai ētahi tohumate ngawari ake e pā ana ki a koe:

• Te pōkae tonu i ngā mahi o ia rā
• Te mare tonu me ngā uaua ki te manawa
• Te ngenge, te ngoikore rānei e kore e rite
• Te ōhākī pinepine me ngā raruraru manawa
• Te pōkae haere o ngā tohumate o ngā mate pūkahukahu e noho ana

Kaua e whakaroa ki te rapu i te manaakitanga hauora mēnā kāore koe i te mōhio ki ō tohumate. He pai ake tonu te whai tākuta hei arotake i ō āwangawanga manawa i te tatari, i te whanake rānei i ngā raruraru.

He aha ngā āhuatanga mōrearea mō te whanake i te Hypoxemia?

He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te whanake i te hypoxemia. Ko ētahi āhuatanga mōrearea ka taea e koe te whakahaere, i te mea e pā ana ētahi atu ki tō hītori hauora, ki ō ira rānei.

Ko te māramatanga ki ēnei āhuatanga mōrearea ka āwhina i a koe me tō tākuta ki te mahi i ngā mahi hei ārai i te hypoxemia, hei hopu rānei i te wā tuatahi ka whanake.

Ngā āhuatanga hauora e whakanui ana i tō mōrearea ko:

• Ngā mate pūkahukahu tawhito pēnei i te COPD, i te huangō rānei
• Ngā āhuatanga o te ngākau e pā ana ki te tohanga toto
• Te moe apnea, ētahi atu raruraru moe rānei
• Te anemia, ngā mate toto rānei
• Ngā hē o te pakitara uma
• Ngā mate neuromuscular e pā ana ki te manawa

Ngā āhuatanga o te noho ka whai wāhi ki te mōrearea hypoxemia:

• Te pōkae, te pānga rānei ki te auahi tuarua
• Te mahi me ngā mea riri pūkahukahu, ngā matū rānei
• Te noho i ngā wāhi teitei
• Te noho noho noa e arahi ana ki te hauora ngākau me te pūkahukahu kino

Te pakeke me ētahi atu āhuatanga ka whai wāhi anō:

• Neke atu i te 65 tau te pakeke
• He pūnaha ārai mate kua ngoikore
• He pokanga tata nei, ina koa ngā mahi i te uma, i te puku rānei
• He hītori o te whānau mō te mate pūkahukahu, te mate ngākau rānei

Mēnā he maha ngā āhuatanga tūpono kei a koe, mahi tahi me tō tākuta ki te aroturuki i tō hauora pūkahukahu me te whakahaere i ngā āhuatanga e huna ana i te pai.

He aha ngā raruraru ka puta mai i te Hypoxemia?

Ka taea e te hypoxemia kāore i rongoatia te arahi ki ngā raruraru nui nā te mea e hiahia ana ō rātou okana ki te hāora tika kia pai ai te mahi. Ko te kaha o ngā raruraru e whakawhirinaki ana ki te nui o te heke o ō taumata hāora me te roa o te noho i te iti.

He tino tairongo tō roro me tō ngākau ki ngā taumata hāora iti. Ahakoa ngā wā poto o te hypoxemia kaha ka taea te whara tonu ki ēnei okana nui.

Ngā raruraru tonu mai i te hypoxemia kaha ko:

• Te huri o te āhua hinengaro, te rangirua rānei
• Ngā manawataki ngākau kōaro (arrhythmias)
• Te pēhanga toto iti rawa
• Te ngaro o te māramatanga
• Te rahunga manawa e hiahia ana ki te hauora miihini

Ngā raruraru wā-roa mai i te hypoxemia mau tonu ka puta i te wā:

• Te pēhanga toto pūkahukahu (te pēhanga toto tiketike i roto i ngā uaua pūkahukahu)
• Te rahunga ngākau matau mai i te tōpana ki te ngākau
• Te ngoikoretanga o te hinengaro, ngā raruraru mahara rānei
• Te piki o te tūponotanga o ngā mate
• Te whakaora i te patunga e kore e pai

Ngā raruraru onge engari nui ka puta me te hypoxemia kaha, roa:

• Te rahunga okana e pā ana ki ngā whatukuhu, te ate, te roro rānei
• Te whiu mai i te hāora kāore i te rawaka ki te kiko roro
• Te hopu ngākau i ngā wā tino nui
• Te whara neurological tūturu

Ko te rongo pai ko te rongoā tere o te hypoxemia ka taea te ārai i te nuinga o ngā raruraru. Ka āwhina te wawaotanga wawe ki te tiaki i ō okana me te whakapai ake i tō matapae whānui.

He aha te mea ka taea te pōhēhē i te Hypoxemia?

Ka taea e ngā tohumate o te hypoxemia te tūpono ki ētahi atu āhuatanga, ā, i ētahi wā ka roa te tātaritanga. Ko te poto o te manawa me te ngenge e pā ana ki ngā taumata hāora iti ka taea te rite ki ētahi raruraru hauora noa.

Koinei te take e whakamahi ana ngā tākuta i te pulse oximetry me ngā whakamātautau toto hei ine tika i ngā taumata hāora, kaua ki te whakawhirinaki anake ki ngā tohumate mō te tātaritanga.

Ngā raruraru āwangawanga me te mataku he maha ngā wā ka puta ngā tohumate manawa rite:

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• Te poto o te manawa, te āhua rānei kare e taea te manawa
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• Te tere o te ngākau me te pōkae o te uma
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• Te whanoke, te māmā rānei o te mahunga
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• Te āhua o te aitua e tata ana
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Ngā āhuatanga o te ngākau ka taea hoki te whakaatu i ngā tohumate e tūpono ana:

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• Te ngoikore o te ngākau e pā ana ki te poto o te manawa
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• Ngā tohumate o te whakaeke ngākau tae atu ki te mamae o te uma me te poto o te manawa
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• Ngā arrhythmias e pā ana ki te ngākau kōaro me te ngenge
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Ētahi atu āhuatanga ka taea te rangirua ki te hypoxemia ko:

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• Te maroke e pā ana ki te whanoke me te ngoikore
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• Te anemia e pā ana ki te ngenge me te kiri pāwera
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• Ngā raruraru thyroid e pā ana ki ngā taumata pūngao
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• Te mate ngenge roa
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• Te pōuri e pā ana ki te ngenge tonu
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Ko te rerekētanga nui ko te hypoxemia ka whakaatu i ngā taumata hāora iti i runga i te pulse oximetry, i ngā whakamātautau hau toto rānei. Ka taea e tō tākuta te whakamahi i ēnei ine whāinga hei wehe i te hypoxemia mai i ētahi atu āhuatanga me ngā tohumate rite.

Ngā Pātai Auau mō te Hypoxemia

P: Ka taea e koe te hypoxemia me te kore e mōhio?

Āe, ka taea e te hypoxemia ngawari te whakawhanake haere i ētahi wā me te kore he tohumate mārama, ina koa ki ngā tāngata e pā ana ki ngā āhuatanga pūkahukahu roa. Koinei te mea e kiia ana ko te

Ka taea e tō tinana te urutau ki te heke haere o ngā taumata hāora, e huna ana i ngā tohumate kia kaha ake rawa te hypoxemia. He mea noa tēnei i roto i ngā āhuatanga pēnei i te COPD, i te pulmonary fibrosis rānei.

Pātai: Kia pēhea te tere o te whanake o te hypoxemia?

Ka taea e te hypoxemia te whanake tere i roto i ngā meneti i ngā wā ohorere pēnei i ngā whakaekenga huango, i te pulmonary embolism rānei. Ka taea hoki te whanake haere i roto i ngā rā, i ngā wiki rānei me ngā āhuatanga pēnei i te pneumonia, i te ngoikore o te ngākau rānei.

Ko te tere o te whanake te nuinga e whakatau ana i te kaha o ō tohumate. Ko te hypoxemia e whanake ana i te tere te nuinga ka nui ake ngā tohumate ka kitea atu i te whanake haere.

Pātai: He tūpono nui tonu te hypoxemia?

Kāore i te whakatuma i te ora tonu te hypoxemia katoa, engari me arotake tonu e te tākuta. Ko te hypoxemia ngawari mai i ngā āhuatanga rangitahi pēnei i ngā mate manawa iti ka pai ake me te rongoā tika.

Heoi anō, ko te hypoxemia kaha, ko te hypoxemia rānei e mau tonu ana, he tūpono, ā, me āta tirotiro e te tākuta. Ko te mea nui ko te tautuhi i te take i raro iho, me te rongoā tika.

Pātai: Ka taea e te whakakori tinana te āwhina i te hypoxemia?

Ka āwhina pea te whakakori tinana ngawari ki te whakapai ake i te tohanga me te mahi o te pūkahukahu i ētahi tāngata e pā ana ki ngā āhuatanga mau tonu, engari me mahi tēnei i raro i te tirotiro a te tākuta. He tūpono te whakakori tinana i te wā o te hypoxemia ohorere, ā, ka kino ake tō āhuatanga.

Ka taea e tō tākuta te tūtohu i ngā taumata mahi tika i runga i tō āhuatanga motuhake me ngā taumata hāora o nāianei. Ka whai hua pea ētahi tāngata mai i ngā hōtaka whakahou i te pūkahukahu e uru ana ki te whakakori tinana i raro i te tirotiro.

Pātai: He aha te rerekētanga i waenga i te hypoxemia me te hypoxia?

E pā ana te hypoxemia ki ngā taumata hāora iti i roto i ō toto, i te wā e pā ana te hypoxia ki ngā taumata hāora iti i roto i ngā kiko o tō tinana. He maha ngā wā ka arahi te hypoxemia ki te hypoxia, engari ka taea e koe te whai hypoxia kiko me te kore hypoxemia toto i ētahi āhuatanga.

Me whai āwhina hauora ngā āhuatanga e rua nei, engari he rerekē te ine me te rongoā. Mā tō tākuta e whakatau te momo o te āhua hāora iti kei a koe i runga i ngā whakamātautau me ngā tohumate.