Ntchito Yagazi Imafotokozedwa
Ngati mukuchitidwa opaleshoni - ngakhale ndondomeko yaing'onoting'ono - dokotala akhoza kulamula kuyesa magazi. Ngakhale kutanthauzira kuyesa magazi kumaperekedwa kwa dokotala, zingakhale zothandiza kumvetsa zomwe mayesero akufuna, ndi zomwe zimaonedwa kuti ndi "zachibadwa" zotsatira.
Pali mazana ambiri oyezetsa magazi omwe angakhoze kuchitidwa mu labu, koma omwe amapezeka kawirikawiri amayamba nthawi ndi nthawi opaleshoni; mayeserowa ndi ofanana kwambiri ndipo sayenera kukhala chifukwa cha alamu.
Woperekayo akufuna kuonetsetsa kuti wodwalayo ali ndi thanzi labwino kwambiri pazomwe amachitiramo komanso kuti azindikire zifukwa zilizonse zomwe zingayambitse mavuto omwe angapewe.
Kuyezetsa magazi kumachitika kawirikawiri pambuyo pa njira yowonetsera magazi, ndi kuonetsetsa kuti ziwalo zikugwira ntchito bwino pambuyo pa opaleshoni.
Nthawi zambiri mayeserowa amachitika nthawi zonse, nthawi zambiri usiku utatha opaleshoni. Izi sizikutanthauza kuti pali kuyembekezera kuti chinachake chalakwika, kawirikawiri mayeserowa amatsimikizira kuti zonse zikuyenda bwino pakutha opaleshoni. Odwala ku ICU angathe kuyembekezera kuti aziyesedwa kawirikawiri. Ngati wodwalayo ali pa mpweya wabwino mukhoza kuyembekezera kuti magazi amagazi amawoneka tsiku lililonse kapena nthawi zambiri.
Mayeso Omwe Amagazi:
Chem 7: Yomwe imadziwikanso kuti magazi, kapangidwe kake, kapangidwe kake kamene kakuyang'ana maulendo ofunika kwambiri m'magazi komanso amayang'ana ntchito ya impso. Kuwonjezera apo, mlingo wa shuga mu magazi umapezeka kudzera mu mayesowa ndipo ukhoza kusonyeza ngati munthu akusowa kupimidwa kwa shuga.
Mayesero asanu ndi awiri omwe amapezeka mu Chem 7 ndi awa:
- Magazi a Urea (BUN)
- Mpweya wa Seramu
- Creatinine
- Carbon Dioxide (CO2)
- Seramu Chloride
- Seramu Sodium
- Seramu ya Potassium
Kutanthauzira Chem 7 Zotsatira
CBC:
Kuwerengera kwathunthu kwa magazi, kapena CBC, kumawoneka maselo osiyanasiyana omwe amapanga magazi athunthu. CBC ikhoza kumudziwitsa dokotala ngati thupi likupanga nambala yoyenera ya mtundu uliwonse wa selo, ndipo ikhozanso kusonyeza zizindikiro za matenda omwe akuchitika kapena omwe akuchitika posachedwapa, kutuluka m'magazi, kapena nkhani zotsekemera.
Pambuyo pa opaleshoni, dokotala akhoza kulamula mayesowa kuti aone ngati kuikidwa magazi n'kofunikira, kapena ngati wodwalayo ataya madzi ndipo amafuna madzi ena.
CBC ikuphatikizapo:
- White Blood Count (WBC)
- Red Blood Count (RBC)
- Platelet Count (Plt)
- Hemoglobin
- Hematocrit
"H & H" ikufanana ndi CBC koma imangoyang'ana ma hemoglobin ndi hematocrit levels.
Mwazi Wonse Uwerengere Mwatsatanetsatane
PT, PTT & INR
Mayesero awa, omwe amadziwika pamodzi ngati gulu logwedeza, yang'anani momwe mwamsanga magazi amatha. Nthawi zowonjezera zowonjezera zingayambitse mavuto opaleshoni, pomwe magazi amawoneka nthawi zambiri. Ngati zotsatirazi zikuwonetsa nthawi yochuluka kwambiri kusiyana ndi zomwe zikuchitika, zingakhale zofunikira kuchepetsa opaleshoni kuti zisawononge magazi ambiri panthawiyi.
Mavitamini a chiwindi
Chiwopsezo cha chiwindi, chomwe chimadziwika kuti LFTs, chachitidwa kuti chiwone ngati chiwindi chikugwira ntchito moyenera. Chifukwa chiwindi chimathandiza pakuchotsa anesthesia kumagazi ndi momwe magazi amatha kukhalira, ndizofunika kudziwa ngati zikugwira ntchito nthawi zonse musanayambe ndondomekoyi. Nambala zapamwamba zingasonyeze kuti chiwindi chimachita ntchito kapena kuwonongeka kwa chiwindi.
Mayeso ena, otchedwa GGT, akhoza kuwonjezeredwa ku gulu la chiwindi. Mayesowa angasonyeze kuti chiwindi chimayambitsa chiwindi kapena mazira oyandikana koma sichidziwitse mtundu wa kuwonongeka komwe kulipo.
Chizolowezi chogwira ntchito ya chiwindi chimaphatikizapo:
- Aspartate Phosphatase (AST), wotchedwanso SGOT
- Alanine Aminotransferase (ALT), yemwenso amadziwika kuti SGPT
- Alkaline Phosphatase (ALP)
- Chiwerengero cha Bilirubin
- Bilirubin Direct
- Bilirubin yosadziwika
- Albumin
Gesi Yamagazi Ogwiritsidwa Ntchito
Magazi amagazi , omwe amatchedwa ABG, amawonekeratu mmene njira yopuma ikugwiritsira ntchito komanso kuti mpweya uli bwanji m'magazi. Chiyesochi chimafuna kuti magazi asapangidwe ndi mitsempha, yomwe imapangidwanso ndi mapapo ndipo nthawi zambiri imachokera ku mitsempha yamtundu womwe uli mu dzanja. Zotsatira zosawonongeka zikhoza kusonyeza kuti magazi ndi otsika kwambiri, kuti wodwalayo akupuma kwambiri kapena kuti sung'ono (pa mpweya panthawi ya opaleshoni), kapena kuti amafunika mpweya wambiri.
The ABG imachitika kamodzi pa tsiku pamene wodwalayo ali pa mpweya wabwino kwa nthawi yaitali. Zotsatirazo zimagwiritsidwa ntchito kuti mudziwe ngati kusintha kulikonse pa zozizira mpweya n'kofunikira. Ngati wodwalayo ali mu ICU, mwapadera wa IV wotchedwa "line" angapangidwe kuti ayambe kukopa magazi mosavuta, makamaka pamene akuchitidwa kawirikawiri.
Zomwe Zimaphatikizapo Zophatikizapo ndi:
- pH: Kusakaniza magazi / magazi
- PC02: Mpweya wa carbon dioxide uli m'magazi angati
- PO2: Kodi mpweya wochuluka umakhala wotani m'magazi?
- HCO3: Mazinga a Bicarbonate angasonyeze mavuto a ntchito ya impso
- O2: Kodi mpweya wochuluka ungapezeke bwanji kuti tizirombo ta thupi tigwiritse ntchito
Kutanthauzira ABG ndizovuta kwambiri ndipo kawirikawiri kumachitidwa ndi madokotala kapena othandizira.
Kujambula kwa ABO: Kulemba kwa ABO ndi njira yachipatala yotsimikizira mtundu wa magazi. Izi zimachitika musanayambe opaleshoni, choncho magazi angaperekedwe m'chipinda chogwiritsira ntchito ngati kuli kofunikira. Ma opaleshoni ambiri samafuna kuika magazi, koma njira zina, monga mtima wampopopu wopitirira opaleshoni, nthawi zonse zimafuna kuyendetsa magazi. Mukhoza kupemphedwa kuti mulembe fomu yovomerezeka kuti muwonetsetse magazi patsogolo pa opaleshoni yanu, ngakhale ngati kuikidwa magazi si gawo lachizoloŵezi, ngati pakufunika kutero.
Chikhalidwe cha Magazi ndi Chisomo
Mchitidwe wamagazi ndi njira yomwe mchere waung'ono umatengedwa ndikuwutengera ku labu komwe umayikidwa pa sing'anga yosakera "imene imadyetsa" mabakiteriya. Chitsanzocho chimakhala chofunda ndipo patatha masiku angapo, amafufuzidwa kuti awone ngati mabakiteriya akukula.
Ngati mabakiteriya akukula, zikutheka kuti mabakiteriya omwewo akukula m'magazi anu. Ngati mabakiteriya akukula, ndiye kuti amawoneka ndi ma antibayotiki osiyanasiyana, kuti awone ma antibayotiki omwe ndi othandiza kwambiri pochiza matenda anu. Iyi ndi njira yamasayansi yosankhira mankhwala abwino kwambiri pa matenda anu popanda kukupatsani mankhwala ambirimbiri ochizira ndipo ndikuyembekeza kuti ntchito imayenda bwino.
Mawu Ochokera
Ngakhale kuti n'kopindulitsa kuti mumvetsetse bwino zotsatira zabubu ndi zomwe akutanthauza, wothandizira zaumoyo ndi amene amatanthawuzira kumasulira zotsatira ndikupeza momwe angayankhire. Kutanthauzira zotsatira za labu ndi luso lomwe lalemekezedwa kwa zaka zambiri, kotero musamve kufunika kozindikira kumvetsetsa kulikonse kwa zotsatira zabu lab yanu. Ndikofunika kwambiri kuti mumvetsere mwatcheru pamene wothandizira akufotokozera ndondomeko yawo komanso momwe angakonde kupitiliza ndi chisamaliro chanu.
> Chitsime:
> Kuchepetsa Kufufuza. Medline Plus.