Magazi anu amanyamula oksijeni m'thupi lanu lonse, ndipo amachititsa kuti mpweya wabwino ukhale wokongola kwambiri. Ngati mulibe mpweya wabwino m'magazi anu, vutoli limadziwika kuti hypoxemia.
Mankhwala a hypoxemia amaoneka ngati osowa kwambiri kwa anthu omwe ali ndi matenda opatsirana odwala matenda opatsirana ( COPD ). Zingathenso chifukwa cha matenda ena, monga khansara yamapapo, chibayo, mphumu, ndi bronchitis.
Mpweya wamagazi umayesedwa mu millimeters ya mercury (mm Hg), ndipo mlingo wokwanira wa okisijeni m'mitsempha yanu ndi pafupifupi 75 mpaka 100 mm Hg. Anthu omwe ali ndi COPD ali ndi magawo ochepa. Ngati muli ndi zotsika kwambiri, mungafunike mpweya wothandizira. Komabe, kupereka oxygen wochuluka kungakhale koopsa, komanso, kotero dokotala wanu adzafunika kugwira ntchito ndi inu kuti mupeze ndalama zoyenera.
Ndizotheka kugwiritsa ntchito mapulaneti oximetry kuti muyese mlingo wanu wa mpweya wa oxygen kunyumba. Lankhulani ndi dokotala wanu za zomwe mukuyenera kuyembekezera kuchokera kumalo osokoneza bongo komanso nthawi yopeza chithandizo chamankhwala powerenga zochepa.
Zizindikiro
Zizindikiro za hypoxemia zimaphatikizapo chisokonezo, kupuma pang'ono ndi kuwonjezeka kwa kuthamanga kwanu kwa magazi ndi kuthamanga kwa mtima wanu pamene thupi lanu likuyesera kulipira mpweya wotsika m'magazi anu. Anthu omwe ali ndi COPD omwe amavutika ndi matenda a hypocemia akakhala pafupipafupi amakhala ovuta kuika maganizo kapena kukumbukira zinthu, ndipo mavutowa amakula kwambiri ngati hypoxemia yawo ikufalikira.
Mu hypoxemia yoopsa, mukhoza kuyamba kutaya thukuta kapena kuthamanga, khungu lanu lingatenthe ndi kuzizira, ndipo mukhoza kuyamba kutembenuzira buluu. Chizindikiro chotsirizachi, chotchedwa cyanosis, chimasonyeza kuti palibe magazi okwanira okosijeni omwe amafikira maselo anu. Zizindikiro izi zimasonyeza vuto ladzidzidzi, ndipo muyenera kufufuza thandizo mwamsanga.
Nthawi zambiri hypoxemia imabweretsa hypoxia , zomwe zikutanthauza kuti mulibe oxygen yokwanira yopita kumatenda anu. Ndipotu, anthu ambiri amasokoneza mawu akuti "hypoxemia" ndi "hypoxia," koma awiriwo si ofanana - hypoxemia amatanthauza mpweya wotsika m'magazi anu, pamene hypoxia imatanthawuza mpweya wochepa m'matumbo anu.
N'zotheka kukhala ndi hypoxemia popanda hypoxia ngati thupi lanu likulipira mpweya wanu wotsika kwambiri mwa kuwonjezera kuchuluka kwa mpweya umene ukufika pamatenda anu (mwachitsanzo, mutapangitsa mtima wanu kugunda mofulumira kuti mutenge magazi okwera ndi oxygen mwamsanga). N'zotheka kukhala ndi hypoxia popanda hypoxemia, ngati kwenikweni kutulutsa mpweya ku maselo anu sikugwira ntchito bwino, kapena ngati maselo anu sangathe kugwiritsa ntchito oksijeni bwino.
Zimene Mungachite Ngati Mukumukhulupirira Hypoxemia
Hyxxemia yoopsa ndi yachipatala. Ngati muli ndi zizindikiro za hypoxemia yoopsa, makamaka ngati muli ndi COPD kapena matenda ena omwe amakuchititsani kuti mukhale ndi hypoxemia, funsani chithandizo mwamsanga.
Ngati kuyezetsa kwanu kukusonyeza kuti muli ndi hypoxemia, dokotala wanu angakulimbikitseni kuti mupitirize kupuma mpweya wambiri . Komabe, mpweya wochulukitsa suwathandiza aliyense, kotero inu muyenera kukambirana za ubwino ndi chisokonezo ndi dokotala wanu.
Anthu ena omwe ali ndi COPD amavutika ndi hypocemia usiku. Izi zimachitika chifukwa kupuma kumasintha pamene mukugona kumene kuchepetsa kuchuluka kwa mpweya kumafika magazi. Kwa anthu omwe alibe COPD, kupuma uku kusintha sikukhala ndi zotsatira, koma kwa anthu omwe ali ndi COPD, amatha kuyambitsa hypocemia. Odwala a COPD omwe ali ndi vuto la hypoxemia yochepa masana akhoza kukhala ovuta kwambiri kwa hypocemia usiku. Lankhulani ndi dokotala wanu ngati muli ndi zizindikiro usiku.
Zotsatira:
Kent BD et al. Hypoxemia kwa odwala omwe ali ndi COPD: chifukwa, zotsatira, ndi matenda. Magazini Yachilendo Yopanda Kulepheretsa Matenda Opatsirana. 2011; 6: 199-208.
Stoller JK et al. Matenda Oopsa Ambiri Opatsirana. Kampani ya Cleveland Clinic yopitiliza maphunziro a zamankhwala. October 2012.