He aha ka hypoxia, he aha ke kumu a me ka lāʻau

Anter

• Nā hōʻailona nui
• He aha ke kumu o ka hypoxia
• He aha nā ʻano
• Pehea e hana ai i ka lāʻau
• Hiki ke hopena
• Kaʻokoʻa o hypoxia a me hypoxemia

ʻO Hypoxia kahi hanana i hiki ke lawa ka nui o ka oxygen i lawe ʻia i nā kiko o ke kino, e hana ana i nā ʻōuli e like me ka ʻeha poʻo, ka hiamoe, ka hou anuanu, nā manamana lima a me ka waha a maʻule hoʻi. Hiki ke hoʻololi i kēia loli ma muli o ka maʻi puʻuwai, e like me ka infarction myocardial koʻikoʻi, nā maʻi pūpū, e like me ka hānō a me ka edema māmā māmā, akā hiki ke ala aʻe ma muli o ka anemia a me ke kiʻekiʻe kiʻekiʻe.

Pili ka mālama ʻana i ka hypoxia i ke kumu, ka paʻakikī a me ke kūlana olakino o ke kanaka, akā naʻe, i ka hapanui o nā hihia, pili ia i ka lawelawe ʻana o ka oxygen ma o nā masks a i ʻole e ka intotration orotracheal. Hiki i kēia kūlana ke kumu i ka sequelae i loko o ke kino, no laila ke ʻike ʻia nā ʻōuli, pono ʻia e kāhea koke i ka ambulance SAMU ma 192.

Nā hōʻailona nui

Kūleʻa nā ʻōuli o ka hypoxia mai kekahi kanaka a i kekahi, no ka mea pili ia i ka nui o ka nele o ka oxygenation i nā kiko o ke kino, akā hiki iā lākou ke:

• ʻEha poʻo poʻo;
• Somnolence;
• Hoʻonui i ka helu o ka puʻuwai;
• ʻO ka hou anu;
• Ka pōkole o ka hanu;
• Puʻupuʻu;
• Huikau noʻonoʻo;
• Pāleʻele;
• Purplish manamana a me ka waha, i kapa ʻia cyanosis;

Kū aʻe ʻo Cyanosis no ka mea ʻo nā kīʻaha koko ma nā kihi o ke kino e kuhi nei e hoʻouna i ke koko a ʻoi aku ka oxygen i nā kino nui o ke kino a ma muli o ia mea, kū ka piʻi o ke kaomi koko. E aʻo hou aʻe e pili ana i ka cyanosis a pehea e hoʻokaʻawale ʻia ai.

Eia nō naʻe, i ka ulu ʻana o ka hypoxia, ke emi nei ke kaomi o ke koko a nalowale paha ka noʻonoʻo o ke kanaka, no laila ke kū mai nā ʻōuli mua, pono e kāhea koke i ka mea lawe lāʻau ʻo SAMU ma 192, no ka mālama ʻia ʻana o ka lāʻau lapaʻau kūpilikiʻi.

He aha ke kumu o ka hypoxia

Hana ʻia ka hypoxia ke lawa ʻole ka nui o ka oxygen i loko o nā aʻa a hiki i kēia ke kumu ʻia e nā kumu he nui, e like me ka hanu ʻole o ka hanu, ka hānō, ka pulmonary emphysema, edema baga māmā a me ka pulumonia, no ka mea e hoʻopilikia ʻia ke komo ʻana o ka oxygen i loko o nā akemāmā. . ʻO kekahi mau hoʻololi neurological i hoʻokumu ʻia e ke poʻo trauma ke kumu o hypoxia, no ka mea he mea ia e hoʻohuli ai i ka hanu ʻana.

ʻO Hemoglobin, i loko o ke koko, ke kuleana no ka lawe ʻana i ka oxygen i nā kino o ke kino a haʻahaʻa i ka poʻe i loaʻa ka anemia, i hiki ke kumu i ka hypoxia i nā aʻa o ke kino, ʻoiai inā mālama ʻia ka hanu. ʻO kekahi kumu o ka hypoxia e ʻona ʻia e nā huahana e like me ka cyanide, carbon dioxide a me nā lāʻau psychoactive.

Eia kekahi, ʻo kekahi mau maʻi puʻuwai, e like me ka infarction myocardial koʻikoʻi, hōʻino i ke kahe o ke koko ma ka pale ʻana i ka lawe ʻia ʻana o ka oxygen i nā aʻa o ke kino. Ma nā wahi kiʻekiʻe a hohonu paha, haʻahaʻa loa ka nui o ka oxygen, no laila inā aia kekahi kanaka i kēia mau wahi, ʻeha pū paha ia i ka hypoxia.

He aha nā ʻano

Pili nā ʻano hypoxia i ke kumu o ka nele o ka oxygen i loko o ke kino, a hiki ke:

• ʻO hypoxia hanu: nā hualoaʻa mai ka emi ʻana o ka lako o ka oxygen i nā akemāmā, i kumu ʻia e ka loaʻa ʻole a i ʻole ka hōʻemi ʻana o ka hanu, ma muli paha o kekahi maʻi a i ʻole ma muli o ke ālai ʻana o ke ala ea.
• Anemia hypoxia: hiki i ka wā e haʻahaʻa loa ana ka nui o ka hemoglobin i ke koko, e alakaʻi ana i kahi hōʻemi o ka oxygen e lawe ʻia i ke kahe o ke koko;
• Hypoxia kelepona: kū aʻe ia i nā hanana i kahi e lilo ai ke koko i kumu e hoʻololi pono ʻole ai ka ʻaukā i loko o ka akemā, e like me ka maikaʻi ʻole o ka naʻau
• Hypoxia o nā mea kikoʻī: hana ia i ka wā i ālai ʻia ai ke aʻa o kekahi o nā meaola, ke pale nei i ka hele ʻana o ke koko a me ka hōʻemi ʻana i ka nui o ka oxygen ma ia wahi, ma ke ʻano he hopena o ka atherosclerosis, no ka laʻana.

Aia kekahi ʻano hypoxia e pili ana i nā malformations puʻuwai congenital, e like me ka tetralogy o Fallot, kahi e hiki ʻole ai i nā aʻa hemahema ke hāpai i ka oxygen i nā mea nui i loko o ke kino, e like me ka lolo. E ʻike hou aʻe pehea e mālama ai i ka lāʻau lapaʻau no ka tetralogy o Fallot.

Pehea e hana ai i ka lāʻau

Hoʻokumu nui ʻia ka lāʻau no hypoxia ma ka lawelawe ʻana o ka oxygen ma o nā masks, catalers nasal a i ʻole nā ​​halelewa oxygen, nā ʻano o ka ea hoʻokomo ʻole. Eia nō naʻe, i nā hihia ʻoi loa, koi ʻia e hoʻokomo i kahi puʻupuʻu ma o ka waha e hāʻawi pololei i ka oxygen i nā akemāmā, i ʻike ʻia ma ke ʻano he intubation orotracheal.

Inā kumu ʻia ka hypoxia e ka anemia, ʻaʻole e loaʻa nā hopena maikaʻi o ka hoʻokele o ka oxygen, no ka mea inā ʻoi aku ka nui o ka oxygen i loko o ke kino, lawa ʻole ka hemoglobins, ʻaʻole hiki ke oxygenate i nā aʻa āpau, no laila pono ia hana i ke koko e hāʻawi i nā hemoglobin hou i ke kahe o ke koko. E aʻo hou aʻe e pili ana i ka hana ʻana o kahi kōpili.

Pēlā nō hoʻi, ke hōʻeha ka maʻi maʻi puʻuwai i hypoxia, holo ʻole ke kahe o ke koko a hōʻoia wale nō ʻaʻole lawa ka hanu, pono e hoʻoponopono i nā pilikia ma mua, e like me ke kahakaha, no ka laʻana.

Hiki ke hopena

Hiki i ka hypoxia ke hana i ka squelae i ke kino a pili i ka manawa o ke kanaka me ka ʻole o ka hanu a me ka manawa i ka ʻole o ke kino i ka nui o ka oxygen e pono ai e mālama i kāna hana nui. Hōʻike nā loli i ka ʻōnaehana waena i nā hopena nui o ka hypoxia, e alakaʻi ana i ka neʻe o ke kino a me nā hana hoʻopōʻino e like me ka hele wāwae, ke kamaʻilio ʻana, ka ʻai ʻana a me ka ʻike ʻana.

I kekahi mau hihia, ke koʻikoʻi loa ka hypoxia a ʻaʻole hiki i ke kanaka ke hanu hoʻokahi, pono e hana i ka intubation, ʻo ia hoʻi, pono e hoʻokomo i nā hāmeʻa e kōkua i ke kaʻina hanu, a pinepine, hōʻike ke kauka i ka coma i hoʻokomo ʻia. E nānā i nā mea i hoʻokomo ʻia i ka koma a me nā hōʻailona ʻē aʻe.

Kaʻokoʻa o hypoxia a me hypoxemia

I kekahi manawa huikau ka hypoxia me ka huaʻōlelo hypoxemia, eia nō naʻe, pili lākou i nā kūlana like ʻole. Hoʻomaopopo ʻia ka hypoxemia e like me ka hoʻohaʻahaʻa haʻahaʻa o ka oxygen i loko o ke koko, ʻo ia hoʻi, ke loaʻa ka oxygen saturation, i ana ʻia e ka pulse oximetry, ma kahi haʻahaʻa o 90%, hypoxia kahi ʻano like me ka hoʻoliʻiliʻi o ka oxygenation i nā aʻa o ke kino. . ʻO ka maʻamau, ʻano like nā ʻōuli, ʻoiai hiki i ka hypoxia ke hana ma ke ʻano he hopena o hypoxemia.