Blue discoloration o ka ʻili

ʻO ka waihoʻoluʻu bluish i ka ʻili a i ʻole ka membrane mucous ma muli o ka nele o ka oxygen i loko o ke koko. ʻO ka lāʻau lapaʻau ʻo cyanosis.

Hāʻawi nā hunaola ʻulaʻula i ka oxygen i nā aʻa o ke kino. ʻO ka hapanui o ka manawa, kokoke i nā hunaola ʻulaʻula āpau i nā aʻa e hāpai i kahi lako o ka oxygen. ʻUlaʻula ʻulaʻula ke keʻena o kēia a ʻulaʻula a ʻulaʻula ka ʻili.

ʻO ke koko i lilo kona oxygen he ʻeleʻele bluish-ʻulaʻula. ʻO ka poʻe i haʻahaʻa ko lākou koko i ka oxygen e loaʻa i kahi kala bluish i ko lākou ʻili. Kapa ʻia kēia ʻano cyanosis.

Ke kaukaʻi ʻia nei ke kumu, ulu koke paha ka cyanosis, me ka hanu a me nā ʻōuli ʻē aʻe.

ʻO Cyanosis ka mea i hoʻokumu ʻia e nā pilikia lōʻihi o ka puʻuwai a i ʻole nā ​​māmā e ulu mālie. Aia paha nā ʻōuli, akā ʻaʻole pinepine ka paʻakikī.

Ke hāʻule wale ka pae o ka oxygen i kahi nui wale, paʻakikī paha e ʻike ka cyanosis.

I ka poʻe ʻili ʻeleʻele, maʻalahi paha ka ʻike ʻana o ka cyanosis i nā membrane mucous (lehelehe, mauʻā, a puni nā maka) a me nā kui.

ʻO ka poʻe me ka cyanosis ʻaʻohe o lākou anemia (helu koko haʻahaʻa). ʻO ke Anemia kahi ʻano i lawa ʻole ke kino i nā hunaola ʻulaʻula olakino.

ʻO Cyanosis ka mea i ʻike ʻia i hoʻokahi ʻāpana o ke kino ma muli o:

• Kahi koko e ālai i ka lako o ke koko i ka wāwae, ka wāwae, ka lima a i ʻole ka lima
• ʻO Raynaud hanana (ke ʻano o ke anuanu a i ʻole nā ​​naʻau ikaika e hoʻonāukiuki ai ke kīʻaha koko, kahi e ālai ai i ke kahe o ke koko i nā manamana lima, nā manamana wāwae, nā pepeiao, a me ka ihu)

NUI KA OXYGEN I KE KOKO

Loaʻa ka hapa nui o ka cyanosis ma muli o ka nele o ka oxygen i loko o ke koko. Hiki i kēia ke kumu mai nā pilikia aʻe.

Nā pilikia me nā māmā:

• Koko koko i nā aʻa o nā akemāmā (pulmonary embolism)
• Malemo a kokoke kokoke paha e poholo
• Kiʻekiʻena kiʻekiʻe
• ʻO ka maʻi i nā ala ea liʻiliʻi loa i nā māmā o nā keiki, i kapa ʻia ʻo bronchiolitis
• ʻO nā pilikia o ka maʻi lōʻihi lōʻihi e lilo i ʻoi aku ka koʻikoʻi, e like me COPD, hānō, a me nā maʻi pūpū waena
• Ponia (koʻikoʻi)

Nā pilikia me nā alaloa e alakaʻi i nā māmā:

• Hanu-paʻa (ʻoiai paʻakikī loa kēia e hana)
• ʻO ke kuke ʻana i kekahi mea paʻa i ke kahawai
• ʻO ka pehu ʻana a puni nā kaula leo (croup)
• ʻO ka hoʻowahāwahā o nā meaola (epiglottis) e uhi ana i ka windpipe (epiglottitis)

Nā pilikia me ka puʻuwai:

• Nā kīnā o ka naʻau i loaʻa i ka wā hānau (congenital)
• Hewa puʻuwai
• Kū ka naʻau i ka hana (hopu ka naʻau)

Nā pilikia ʻē aʻe:

• Laau overdose (narcotics, benzodiazepines, sedatives)
• Hōʻike i ke ea anuanu a i ʻole ka wai
• ʻO ka hopu ʻana he lōʻihi loa
• Nā Toxins e like me ka cyanide

No ka cyanosis i hoʻokumu ʻia i ke anuanu a i ʻole Raynaud hanana, ʻaʻahu pumehana ke hele i waho a noho paha i kahi lumi wela.

Hiki i ka ʻili polū ke hōʻailona o nā pilikia olakino koʻikoʻi. Kāhea a kipa paha i kāu kahu mālama ola.

No nā mākua, e kāhea i kāu kauka a i ʻole 911 inā he ʻulaʻula kou a me kekahi o kēia mau mea:

• ʻAʻole hiki iā ʻoe ke loaʻa ka hanu hohonu a i ʻole e paʻakikī ana ka hanu ʻana o ʻoe, a wikiwiki paha
• Pono e hilinaʻi i mua ke noho e hanu
• Ke hoʻohana nei i nā mākala a puni nā iwi ʻaoʻao i mea e lawa ai ka ea
• E ʻeha ka umauma
• Loaʻa pinepine i nā poʻo o ke poʻo ma mua o ka maʻamau
• Hiamoe a huikau paha
• Loaʻa ke kuni
• Ke ʻū nei i ka huhū pouli

No nā keiki, e kāhea i ke kauka a i ʻole 911 inā he ʻulaʻula uliuli kāu keiki a me kekahi o kēia mau mea:

• Hanu manawa paʻakikī
• Ke neʻe nei nā mākala umauma me kēlā me kēia hanu
• ʻO ka hanu wikiwiki ʻana ma mua o 50 a 60 mau hanu i kēlā me kēia minuke (ke uē ʻole)
• Ke walaʻau ʻana
• Noho ka poʻohiwi
• Luhi loa
• ʻAʻole neʻe nui
• He kino palupalu a palupalu paha kona
• Ke lele nei nā ihu ke hanu
• ʻAʻole makemake e ʻai
• Huhū
• He pilikia i ka hiamoe

E hana ana kāu mea hāʻawi i kahi hoʻokolokolo kino. E hoʻopili kēia i ka hoʻolohe ʻana i kou hanu ʻana a me nā kani o kou puʻuwai. I nā hanana pilikia (e like me ka haʻalulu), e hoʻokūpaʻa mua ʻia ʻoe.

E nīnau ka mea hāʻawi e pili ana i kāu mau hōʻailona. Hiki i nā nīnau ke komo pū me:

• I ka manawa hea i ulu ai ka ʻili bluish? Ua hele mālie a i ʻole hikiwawe paha?
• Ua uliuli kou kino āpau? Pehea kou mau lehelehe a i ʻole nā ​​nailbeds?
• Ua ʻike ʻia ʻoe i ke anu a i ʻole hele i kahi kiʻekiʻe?
• He pilikia paha kāu e hanu ana? Loaʻa paha ʻoe i ka ʻeha a ʻeha paha o ka umauma?
• Loaʻa kou kuʻekuʻe wāwae, ka wāwae, a i ʻole ka wāwae wāwae?

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• ʻImi kinoea Arterial
• ʻO ke kūpikipiki oxygen oxygen e ka pulse oximetry
• Pākuʻi x-ray
• Scanner CT pahu
• Helu piha koko (CBC)
• ECG
• Echocardiogram (ultrasound o ka puʻuwai)

ʻO ka lāʻau i loaʻa iā ʻoe e kaukaʻi i ke kumu o ka cyanosis. ʻO kahi laʻana, loaʻa paha iā ʻoe ka oxygen no ka hanu liʻiliʻi.

Nā lehelehe - bluish; Nā manamana lima - bluish; Cyanosis; Nā lehelehe Bluish a me nā manamana lima; ʻIli polū

• Cyanosis o ka moe kui

ʻO Fernandez-Frackelton M. Cyanosis. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 11.

ʻO McGee S. Cyanosis. I: McGee S, hoʻoponopono. ʻImi ʻImi Kino. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 9.