Kuyeza magazi kwa gasi, omwe amadziwika kuti ABG, kumachitika pa magazi omwe amachokera ku mitsempha . Amagwiritsidwa ntchito poona momwe mapapu akugwiritsira ntchito komanso kudziwa momwe mankhwala opuma amathandizira, monga kugwiritsa ntchito mpweya wabwino , CPAP, BiPAP kapena oxygen. Magazi a magazi angasonyeze kuti pali mavuto a impso, koma samachitidwa kuti apeze matenda a impso.
The ABG ndi imodzi mwa mayesero omwe amachitidwa opaleshoni, makamaka odwala amene akuganiza kuti ali ndi matenda kapena mapapo. A ABG ayenera kuyembekezera ngati opaleshoniyo ndi yaitali, kapena ngati wodwalayo adzakhala pa mpweya wabwino kwa nthawi yaitali. Izi zimathandiza antchito kudziŵa ngati zochitika za mpweya zimayenera woyenera.
Kujambula ABG
Pali njira ziwiri zojambula ABG: mzere wothandizira (mtundu wapadera wa IV womwe umayikidwa mu mitsempha yomwe imalola kuti magazi ozunguza atengeke popanda singano) kapena syringe kuti akoke mwazi m'thupi.
Magazi amagazi ndi opweteka kwambiri kusiyana ndi momwe magazi amagawira amagazi, ndipo nthawi zambiri amawagwiritsira ntchito pamanja kapena kubuula. Pambuyo pa kukhetsa magazi, kupanikizika kungakhale pamtengowu kwa mphindi zisanu kapena kupitilira kuti magazi asatuluke mu mitsempha. Ngati wodwala akuyembekezeredwa kukhala pa mpweya kwa nthawi yaitali, mzere wotsatiridwa umayikidwa kuti asatenge timitengo taubweya mobwerezabwereza.
Mzere wotsatizana umalola kuti magazi achoke mu mitsempha popanda kumamatira wodwala ndi singano nthawi iliyonse. Kuonjezerapo, mzere wotsatizana umapereka njira yoyenera yowunika magazi yomwe ikupitirira.
Mayeso
A ABG amayang'ana zigawo zisanu zosiyana za magazi opatsirana:
- pH : PH ya magazi oyenera ayenera kukhala pakati pa 7.35 ndi 7.45. Kusintha kwakukulu pa pH kungasonyeze mavuto omwe angayambitse matenda omwe ayenera kuchitidwa mofulumira. PH ya 6.9 ndiyomwe imawonedwa kuti mapeto a pH angasinthe.
- Carbon Dioxide (PCO2) : Amazindikira ngati thupi lanu limatha kuchotsa carbon dioxide molondola kapena ngati mpweya woipa umasungidwa ndi thupi.
- Oxygen (PO2) : Amazindikira ngati mapapu anu atha kuyendetsa mpweya m'magazi anu moyenera.
- Bicarbonate (HCO3) : Madzi ochepa a bicarbonate m'magazi angasonyeze mavuto ndi ntchito ya impso.
- Kutsekemera kwa okosijeni (O2) : Kuyesedwa pa mlingo wa 0-100 izi zikusonyeza momwe mpweya umapangidwira ku matupi a thupi. Mazana zana ali angwiro, ndipo 97% kapena wamkulu akuyembekezera munthu wathanzi. Oxygen supplementation angafunikike pazomwe zimakhala zochepa.
Kutanthauzira ABG
Kutanthauzira zotsatira za ABG ndizovuta komanso zimafuna luso lachipatala kuti athe kulingalira za chikhalidwe cha munthu aliyense. Chinthu chophweka ngati kusanza chingasinthe zotsatira, monga momwe matenda ammapangidwe aakulu kapena oopsa angapangire kusintha kwa mayeso a ABG.
Mu malo a chipatala, zotsatirazi zimagwiritsidwa ntchito kusintha kusintha kwa mpweya kapena kudziwa ngati wodwala akusowa chithandizo chopuma ndi mpweya kapena mpweya. Zotsatira zingakhalepo:
Mavitamini Acidosis : Odziwika ndi otsika pH, ma basiconbonate ndi low carbon dioxide, matendawa angayambitse matenda a impso, kupuma mofulumira kapena kupuma kwambiri.
Mitsempha Yamadzimadzi : Yowonjezera pH, bicarbonate ndi carbon dioxide imasonyeza kuti kusanza kwakukulu kwasintha mankhwala a magazi.
Acidosis : Kutsika kwa pH, mkulu wa bicarbonate ndi mkulu wa carbon dioxide nthawi zambiri kumasonyeza matenda, monga chibayo, kapena matenda monga COPD. Onetsetsani kuti pakufunika kusintha kwa mpweya ngati wodwalayo ali pa mpweya wabwino.
Mankhwala odziteteza ku mpweya : Kutsika kwa pH, kuchepa kwa bicarbonate ndi low carbon dioxide kumasonyeza kuti kupuma kumakhala kofulumira kapena kozama kwambiri, monga kupweteka kapena nthawi ya hyperventilation. Onetsetsani kuti pakufunika kusintha kwa mpweya ngati wodwalayo ali pa mpweya wabwino.
Mawu ochokera
Magazi amagazi amatha kukhala mayeso othandiza kwambiri, koma kutanthauzira kwazomwezi zimaperekedwa kwa akatswiri. Zotsatira zomwe zingakhale zoopsa kwa wodwala mmodzi zikhoza kukhala zachilendo kwa wina, ndipo zotsatira za mayeso zimasiyana mosiyana kuchokera pa ora ndi ora pogwiritsa ntchito kupuma komwe kumaphatikizapo kupereka mpweya wabwino kapena mpweya wabwino.
Wothandizira zaumoyo wanu ayenera kukudziwitsani ngati zotsatirazo zinali monga momwe zikuyembekezeredwa ndipo ngati zotsatira zikuwonetsa wodwala akukula kapena akusowa mpweya wambiri kapena ngakhale chithandizo cha mpweya.
Zotsatira:
Magazi a Magazi. Mayesero a Lab