Oxygen ya Nocturn Gwiritsirani Ntchito Sungathe Kuthetsa Kuwonongeka Kotsitsa, Kugona
Nthawi zina amagwiritsidwa ntchito pofuna kuthana ndi vuto la kugona , makamaka ngati akuyamba kudwala matendawa. Komabe, m'makonzedwe ena, ntchito ya mpweya ingawononge kwambiri kuposa zabwino. Kodi okosijeni yokhayo ingagwiritsidwe ntchito pochiza matenda obongoletsa tulo? Kodi vuto la pulmonary lingafunikire ntchito yanji? Phunzirani za momwe mpweya umapangidwira mu matenda ogona tulo komanso ngati mukufunikira kuti muzitha kukupatsani matenda kapena ngati njira zina monga chithandizo chokhazikika cha mpweya wabwino (CPAP) chingagwire ntchito bwino.
Kugwiritsira Ntchito Oxyjeni M'kugona Kwambiri
Akatswiri ogona nthawi zambiri amakumana ndi odwala amene amapemphedwa kuti agone ndi kugona kuti apite. Madokotala otchula, chifukwa chofuna kuteteza odwala awo, akhoza kupereka mpweya wothandizira kuti ugwiritsidwe ntchito usiku wonse pamene akudikirira kutumiza ndi kuyesa. Izi zimaperekedwa kudzera m'matumba apulasitiki omwe amatchedwa mchere wamphongo , nthawi zambiri pamlingo wa lita imodzi pamphindi. Kodi mankhwalawa ndi othandiza kapena othandiza?
Chiphunzitsochi chikuwoneka cholondola: Mpweya wa okosijeni umataya usiku (ie, hypoxemia ) chifukwa cha kupuma mobwerezabwereza kupuma kutchedwa apnea, kotero tidzakupatsani mpweya wothandizira kuti tibwezeretsenso zinthu. Kawirikawiri ma test oximetry amayesedwa ndi mpweya umene umapangidwira ndi mpweya womwe umayikidwa pambali. Ngati mpweya wa okosijeni uli pansi pa 88 peresenti kwa mphindi zoposa 5 usiku, munthu yemwe wakhudzidwayo akuti ali ndi chithokomiro cha usiku.
Mayesowa angapangitse munthu kuti agwiritse ntchito mpweya, koma kodi ndi zothandiza?
Mwamwayi, ngakhale kuti nambala ya oksijeni imatha kuimika, kusintha kwina komwe kumayambitsidwa ndi apnea (monga carbon dioxide kusunga ndi kuwuka kumene kumabweretsa kugona tulo) sikutheka. Nthawi zambiri kugona kwa mpweya kumakhala chifukwa cha kugwa kwa ziphuphu zakumtunda .
Ngati khosi liri pang'onopang'ono kapena kutsekedwa kwathunthu, ziribe kanthu kuti oxygen imaperekedwa kuchuluka bwanji pamphuno yamphongo, mpweya uwu sungathe kufika pamapapu. Mwamwayi, mpweya sungathe kufika kumene ukufunikira kupita, ndipo sizingathandize. Palinso zinthu zina zomwe mankhwalawa amalephereka, ndipo angakhale ovulaza.
Chifukwa Chimene Oxygen Sichigwira Ntchito
Kugwiritsira ntchito oxygen yowonjezera kwa anthu ogona tulo tomwe timagona tulo komanso momwe thupi limapuma. Mlingo woyenerera wa oksijeni udzasintha ndithu. Komabe, zotsatira pa ndondomeko ya apnea-hypopnea (AHI) ndi kutalika kwa zochitika za apneic sizingatheke. Kugonana kwam'mawa kwambiri , kusadandaula kwakukulu m'thupi la kugona, sikusintha. Izi zimachitika chifukwa cha kupitiriza kugawidwa kwa kugona komwe sikulepheretsedwa ndi ntchito ya mpweya. Kugwiritsira ntchito mpweya kungapereke chinyengo chachinyengo pamene chikhalidwe ndi zizindikiro zake zimakhalabe zosayenera.
Komanso, mpweya wa carbon dioxide usiku ndi usana ukhoza kuwonjezeka pamene mpweya umagwiritsidwa ntchito usiku wonse. Oxygen ntchito yokha siimapangitsa kuti mpweya wa carbon dioxide wambiri ukhoza kuwonjezeka pogona, ndipo izi zingakhale zoopsa.
Kuopsa kwa Oxygen Kugwiritsidwa Ntchito ndi Kugona kwa Apnea ndi COPD
Pali nthawi pamene kugwiritsa ntchito mpweya kuti agwiritse ntchito matenda obisala m'thupi kungakhale koopsa.
Matenda osokoneza bongo (COPD) , monga emphysema , amapezeka okha, mpweya wawonetsedwa kuti ndi wopindulitsa. Komabe, zikachitika ndi matenda obongoletsa ogona, chithunzi chosiyana chimayamba.
M'njira yotchedwa "syndrome", kugwiritsa ntchito mpweya wokhala ndi usiku popanda chitetezo cha kutsekeka kwa ndege kungapangitse kupuma kwakukulu usiku wonse. Izi zingayambitse madandaulo monga kumutu kwa mutu kapena chisokonezo. Choncho, nkofunika kuti kupuma kwa mpweya wabwino (CPAP) kapena bilevel mankhwala athe kugwiritsidwa ntchito pofuna kuthana ndi vutoli, ndi mpweya wochulukirapo umalowetsedwera m'thupi momwe mukufunira kupindulitsa.
Choncho, ndikofunika kuti anthu omwe ali ndi COPD ayambe kugona tulo ngati akukayikira za kugona kwa apnea zomwe zimapereka madandaulo awo. Ndipo, mwachiwonekere, mpweya wokha si mankhwala oyenera kwa anthu amene akuganiza kuti ali ndi matenda obisala.
Thandizo la okosijeni likhoza kuwonjezeredwa ku CPAP kapena bilevel therapy ngati mpweya wa okosijeni umakhalabe wotsika patsiku, ngakhale kuti mankhwalawa amakhala oyenera. Izi zikusonyeza kuti mapapu sangathe kutulutsa mokwanira oksijeni wokwanira, ngakhale pamene misewu yapamwamba imakhala yotseguka.
Ngati mumakhudzidwa ndi kupuma kwanu pa nthawi ya tulo, kambiranani ndi katswiri wodziwa kugona ndi ogwira ntchito ndipo mupeze chithandizo chimene mukuchifuna.
Zotsatira:
Golide, A et al . "Zotsatira za ulamuliro wochuluka wa okosijeni wam'mawa pa kugona kwa kugona." Am Rev Respir Dis 1986; 134: 925.
Masa, JF et al . "Kupanda mpweya wotsimikizirika wosagonjetsa komanso osati mpweya wabwino kungalepheretse kupweteka kwa odwala omwe ali ndi matenda a mitsempha." Chifuwa cha 1997; 112: 207.