ʻO nā kinoea Arterial: he aha ia, he aha ia a me nā loina kūmole

Anter

• Pehea e pau ai ka hōʻike
• No ke aha ia
• Nā manaʻo kūmole
• Pehea e maopopo ai i ka hopena hōʻike
• He aha ka ʻokoʻa o nā kinoea arterial a me nā koko koko

ʻO ka loiloi kinoea koko Arterial kahi hōʻike maʻamau o ke koko i hana ʻia ma luna o ka poʻe i ʻae ʻia i ka Unit Intensive Care Unit, kahi e manaʻo ai e hōʻoia i ke kūkaʻi ʻia ʻana o nā ʻōnaehana kinoea, a no laila, e nānā ai i ka pono o ka oxygen.

Hoʻohui ʻia, he hōʻike ia e hiki ke noi ʻia i ka wā o ka haukapila e kōkua ai i ke kuhi ʻana o ka hanu ʻana, ka hakuʻala a i ʻole nā ​​maʻi ʻino, a ʻoiai e hōʻoia ana inā maikaʻi ka lāʻau a, no laila, hiki ke hoʻohana ʻia ma ke ʻano he pae hoʻohālikelike i hiki hoʻohuli i ka hoʻokuʻu ʻana mai ka mea maʻi.

Pehea e pau ai ka hōʻike

Hana ʻia ke kākāʻī kino Arterial e ka hōʻiliʻili ʻana i kahi hāpana koko mai ke aʻa o ka lima a me ka wāwae. He ʻeha loa kēia ʻano ʻohiʻohi, no ka mea he hōʻiliʻili invasive ʻoi aku ia. Lawe ʻia ke koko i hōʻiliʻili ʻia i ke keʻena hoʻokolohua no nā hoʻokolohua biochemical e nānā i ka pH o ke koko, ka paʻa ʻana o ka bicarbonate a me ke kaomi ʻāpana o CO2.

ʻAʻole pono e hana ʻia nā kinoea Arterial i ka maʻi o ke ākea ākea, no ka mea aia paha nā pilikia i ke kiʻi ʻana i ke koko, nā pilikia o ke kāpili ʻana a i ʻole inā e hoʻohana ana ke kanaka i nā anticoagulants. I kēlā mau hihia, kauoha paha ke kauka i nā hoʻokolohua ʻē aʻe e ʻike i nā maʻi e hoʻololi ai i ka hanu.

No ke aha ia

Nonoi ʻia nā kauka koko arterial e ke kauka e:

• E nānā i ka hana māmā, keu hoʻi i ka hānō a i ʻole nā ​​bronchitis hōʻeha a me nā hihia o ka hanu ʻole - E ʻike he aha nā ʻōuli a pehea e mālama ʻia ai ka hanu hanu ʻole;
• Kōkua loiloi i ka pH a me ka waikawa o ke koko, he mea pono e kōkua i ke kuhi o ka hōʻino a me ka cystic fibrosis, no ka laʻana;
• Loiloi i ka ka hana ʻana i ka metabolism, ka mea nui i ka hoʻomaopopo ʻana i nā maʻi puʻuwai, hahau (hahau) a i ʻole ʻano diabetes II, no ka laʻana;
• Ke hana nei i nā māmā ma hope o ke kaʻina hana a transplantation paha. 

Hoʻohui ʻia, noi ʻia hoʻi ke kākāʻī kinoea i ke kumu o ka lāʻau. ʻAʻole maʻamau ka hana o kēia hoʻokolohua, ʻaʻole hana ʻia i nā keʻena lapaʻau a i ʻole nā ​​kūkā kamaʻilio maʻamau, noi wale ʻia e ke kauka i nā hihia ʻoi loa.

Nā manaʻo kūmole

ʻO nā waiwai maʻamau o ke kālailaha kinoea koko arterial:

• pH: 7.35 - 7.45
• Bicarbonate: 22 - 26 mEq / L
• PCO2(kaomi puʻe o ke kalapona kalapona): 35 - 45 mmHg

Ke hōʻike nei ka hoʻokolohua kinoea koko arterial pehea e holo nei ka lung, ʻo ia hoʻi, inā e lawe ʻia nā hoʻololi kinoea i ke ala pololei, no laila e hōʻike ana i ka mokuʻāina o ke kanaka, a he acidosis paha ia a i ʻole alkalosis metabolic. Hoʻomaopopo i ke ʻano o ka metabolic a me ka acidosis respiratory, metabolic alkalosis a me nā alkalosis respiratory.

Pehea e maopopo ai i ka hopena hōʻike

Hōʻike ka papa aʻe i kekahi mau laʻana o ka waiwai o ke kinoea koko i hoʻololi ʻia.

ʻAʻole lawa kēia hōʻike e hoʻopau ai i ke kuhi, hōʻike wale ia i nā maʻi hanu, nā aʻa a me nā metabolic, a me nā hoʻokolohua kōkua ʻē aʻe, e like me X-ray, CT scans, nā hoʻāʻo koko ʻē aʻe a me nā hoʻokolohua mimi, noi pinepine ʻia e ke kauka no laila hiki ke pani ʻia ka hōʻailona a hiki ke hoʻomaka ʻia ka lapaʻau e like me ke kumu o ka loli o ke kālailai ʻia ʻana o ke koko.

He aha ka ʻokoʻa o nā kinoea arterial a me nā koko koko

Hoʻoholo nā kinoea koko Arterial i nā waiwai kikoʻī o ka nui o ka oxygen a inā ke holo pono nei nā puʻupaʻa a me nā akemāmā, kahi e kōkua ai i ke kuhi ʻana o nā ake, nā maʻi puʻupaʻa a me nā maʻi.

ʻO ke kālailai kinoea Venous, ma ka ʻaoʻao ʻē aʻe, hana ʻia ma ke ʻano he koho ʻelua ke hiki ʻole ke ʻohi ʻana i ke aʻa, me ka hōʻiliʻili ʻia ʻana i ka aa, a ʻo kāna pahuhopu nui e kōkua i ke kuhi ʻana i nā maʻi ākea ākea a i ʻole ke kō ʻana o ke koko. nā pilikia.