Hypoxemia
Yini le
I-hypoxia iwukwehluleka komoya okwanele egazini. Iqala emathafeni egazi okuthiwa yi-arteries. I-hypoxemia ayisiyona isifo noma isimo. Luphawu lwenkinga ehlobene nokuphefumula noma ukugeleza kwegazi. Ingadala izimpawu ezinjengalezi: Ukuphefumula okunzima. Ukuphefumula okusheshayo. Ukushona kwenhliziyo okusheshayo noma okunamandla. Ukuphazamiseka. Izinga elihle loketshezi lomoya e-arteries lingama-75 kuya ku-100 millimeters mercury (mm Hg). I-hypoxemia yinoma iyiphi inani elingaphansi kuka-60 mm Hg. Amazinga oketshezi lomoya kanye negesi yokuchitha i-carbon dioxide alinganiswa ngesampula legazi elithathiwe e-artery. Lokhu kubizwa ngokuthi ukuhlolwa kwegazi le-artery. Ngokuvamile, inani loketshezi lomoya eliphathwa yiiseli ezipula ebomvu, okuthiwa ukugcwala komoya, lilinganiswa kuqala. Linganiswa nge-divayisi yezokwelapha eboshelwe emunweni, okuthiwa yi-pulse oximeter. Amanani e-pulse oximeter aphilile ngokuvamile avela ku-95% kuya ku-100%. Amanani angaphansi kuka-90% abhekwa njengaphansi. Ngokuvamile, ukwelashwa kwe-hypoxemia kuhilela ukwamukela umoya owengeziwe. Lokhu kwelashwa kubizwa ngokuthi umoya ongeziwe noma ukwelashwa komoya. Ezinye izindlela zokwelapha zigxila esizathwini se-hypoxemia.
Izimbangela
Ungase ufunde ukuthi unayo i-hypoxemia uma ubona udokotela ngenxa yokuphefumula okunzima noma enye inkinga ehlobene nokuphefumula. Noma ungase wabelane ngemiphumela yokuhlola i-pulse oximetry ekhaya nodokotela wakho. Uma usebenzisa i-pulse oximeter ekhaya, qaphela izinto ezingenza imiphumela ingabi nembala: Ukungasebenzi kahle kwegazi. Umbala omnyama noma oluhlaza. Ubukhulu noma ukushisa kwesikhumba. Ukusebenzisa utshaba. I-fingernail polish. Uma une-hypoxemia, isinyathelo esilandelayo ukubona ukuthi yini ebangelayo. I-Hypoxemia ingaba uphawu lwezinkinga ezinjengalezi: Ukuncane komoya emoyeni ophefumula, njengasezindaweni eziphakeme. Ukuphefumula okunele noma okungajulile ukuhlangabezana nesidingo lokuthola umoya emaphaphwini. Kungabi khona ukugcwala kwegazi emaphaphwini noma kungabi khona umoya emaphaphwini. Inkinga yokuthola umoya egazini kanye negesi yokukhipha i-carbon dioxide. Inkinga nendlela igazi eligeleza ngayo enhliziyweni. Ukushintsha okungavamile ekuphawuleni okuthiwa yi-hemoglobin, ethwala umoya e-red blood cells. Izimbangela ze-hypoxemia ezihlobene nezinkinga zegazi noma ukugcwala kwegazi zihlanganisa: I-anemia I-congenital heart defects ezinganeni - izimo zenhliziyo ezazalwa nazo izingane. I-Congenital heart disease kubantu abadala - izinkinga zenhliziyo abantu abadala ababezalwa nazo. Izimo zokuphefumula ezingabangela i-hypoxemia zihlanganisa: I-ARDS (acute respiratory distress syndrome) - ukungabi khona komoya ngenxa yokwakheka kwezinto ezinzima emaphaphwini. I-Asthma I-COPD I-Interstitial lung disease - igama elihlanganisa iqembu elikhulu lezimo ezibangela amabala emaphaphwini. I-Pneumonia I-Pneumothorax - iphaphu eliwa. I-Pulmonary edema - ukugcwala okukhulu kwezinto ezinzima emaphaphwini. I-Pulmonary embolism I-Pulmonary fibrosis - isifo esenzeka lapho ilung tissue lilimazeke futhi libe namabala. I-Sleep apnea - isimo lapho ukuphefumula kuye kuphazamiseke futhi kuqale izikhathi eziningi ngesikhathi sokulala. Eminye imithi engabangela ukuphefumula okuhamba kancane, okujulile ingabangela i-hypoxemia. Lokhu kuhlanganisa abanye abaphelisi bobuhlungu be-opioid kanye nemithi evikela ubuhlungu ngesikhathi sokuhlinzwa nezinye izinqubo, okuthiwa yi-anesthetics. Incazelo Nini ukubona udokotela
Nini kufanele ubone udokotela
Funani usizo oluphuthumayo uma une- shortness of breath e: Iza ngokushesha, ithonye ikhono lakho lokusebenza noma kwenzeke ngezimpawu ezinjengokucindezeleka kwesifuba. Kwenzeka ngaphezu kwamamitha angu-2,400 futhi kwenzeka ngokukhokha, ukushaya kwenhliziyo okusheshayo noma ubuthakathaka. Lezi yizimpawu zokopha kwamanzi evela ezinsizeni zegazi kumaphaphu, okuthiwa yi-high-altitude pulmonary edema. Lokhu kungabulala. Bheka udokotela wakho ngokushesha uma: Uba ne-shortness of breath ngemva kokuzikhandla okuncane noma uma ukhona. Une-shortness of breath ongayilindelekile emsebenzini othile kanye nokuqina kwakho kwamanje nokuphila kwakho. Vuka ebusuku ngokukhahlela noma ngomuzwa wokuba uvalelwe. Lezi zingaba yizimpawu ze-sleep apnea. Ukukhathalela kwakho Ukuqeqeshwa lokhu kungakusiza ukuba ubhekane ne-shortness of breath eqhubekayo: Uma ukhubaza, yeka. Lena enye yezinto ezibaluleke kakhulu ongayenza uma unezimo zezempilo ezibangela i-hypoxemia. Ukubhema kwenza izinkinga zezokwelapha zibe zimbi futhi kube nzima ukuziphatha. Uma udinga usizo lokuyeka, khuluma nomhlinzeki wakho wezempilo. Gwema ukubhema okusecondhand. Kungabangela umonakalo omningi wamaphunga. Thola umsebenzi oqondile. Buza umhlinzeki wakho ukuthi imisebenzi yini ephephile kuwe. Ukuzivocavoca njalo kungakhuthaza amandla akho nokuqina kwakho. Izimbangela