Kūpono Kēia Koʻopa Koʻo Kūpoko?

Anter

• Pehea e ana ʻia ai kāu pae oxygen oxygen
• Ke kinoea koko arterial
• Pulse oximeter
• Kahi e hā hina ai kou pae oxygen
• He aha ka hana inā haʻahaʻa loa kāu pae oxygen
• Pehea e hoʻoponopono ai i kou pae oxygen oxygen
• He aha ka mea e haʻahaʻa ai nā pae o ke koko
• Ke laina lalo

Ke hōʻike nei kāu pae oxygen oxygen

ʻO ke kiʻekiʻe o ka oxygen o kou koko ke ana o ka nui o ka oxygen e hāpai ana i nā hunaola ʻulaʻula. Hoʻoponopono pili kou kino i kou pae oxygen oxygen. Mālama i ke kaulike pololei o ka oxygen-saturated koko mea nui i kou olakino.

ʻAʻole pono ka hapa nui o nā keiki a me nā mākua i ka nānā ʻana i ko lākou pae oxygen. ʻO ka ʻoiaʻiʻo, ʻaʻole nā ​​kauka he nui e nānā iā ia ke ʻole ʻoe e hōʻike i nā hōʻailona o kahi pilikia, e like me ka pōkole o ka hanu a me ka ʻeha o ka umauma.

Eia nō naʻe, pono ka poʻe me nā kūlana olakino mau e nānā i kā lākou pae oxygen oxygen. Hoʻopili kēia i ka hānō, nā maʻi puʻuwai, a me nā maʻi pulmonary obstructive mau (COPD).

I kēia mau hihia, hiki i ke kiaʻi ʻana i kāu pae o ke koko ke kōkua i ka hoʻoholo inā e hana ana nā ʻano lapaʻau, a i ʻole inā e hoʻoponopono ʻia.

E hoʻomau i ka heluhelu ʻana e aʻo ai i kahi o ka pae o ke koko e pono ai, he aha nā hōʻailona āu e ʻike ai inā haʻalele kāu pae, a he aha ka mea e hiki mai ana.

Pehea e ana ʻia ai kāu pae oxygen oxygen

Hiki ke ana ʻia i ka pae o kou oxygen koko me nā hoʻokolohua ʻelua:

Ke kinoea koko arterial

ʻO ka hoʻāʻo ʻana o ke kōkō koko arterial (ABG) kahi hōʻike koko. Ana ia i ka pae o ka oxygen o kou koko.Hiki iā ia ke huki i ke kiʻekiʻe o nā kinoea ʻē aʻe i kou koko, a me ka pH (pae acid / base). Kūpono loa kahi ABG, akā hoʻouka.

No ka loaʻa ʻana o kahi ana o ABG, e huki ke kauka i ke koko mai kahi aʻa ma mua o kahi aa. ʻAʻole like me nā uaua, loaʻa ka lāʻau i kahi lāʻau i hiki ke ʻike ʻia. Eia kekahi, oxygenated ke koko i huki ʻia mai nā aʻa. ʻAʻole ke koko i kou mau uaua.

Hoʻohana ʻia ke aʻa o kou lima no ka mea maʻalahi ke hoʻohālikelike ʻia i nā poʻe ʻē aʻe i kou kino.

ʻO ka pulima kahi wahi maʻalahi, e huki ana i kahi koko ma laila ʻoi aku ka ʻoluʻolu ke hoʻohālikelike ʻia i kahi aa koko ma kou kuʻe lima. ʻOi aku ka hohonu o nā aʻa ma mua o nā veins, e hoʻohui nei i ka discomfort.

Pulse oximeter

ʻO ka pulse oximeter (pulse ox) kahi mea noninvasive e kuhi i ka nui o ka oxygen i kou koko. Hana ʻia ia ma ka hoʻouna ʻana i ke kukui infrared i capillaries i kou manamana lima, manamana wāwae a i ʻole earlobe. A laila ana ke ana i ka nui o nā malamalama i ʻike ʻia mai nā kinoea.

Kuhi kahi heluhelu i ka pākēneka o kou koko e māʻona, i ʻike ʻia ma ka pae SpO2. He 2 pakeneka hemahema puka aniani o kēia hōʻike. ʻO ka manaʻo ia ma mua o ka 2 pākēneka ke kiʻekiʻe o ka heluhelu ʻana a i ʻole ka haʻahaʻa ma mua o kāu pae oxygen maoli.

Maliʻa iki paha ka pololei o kēia hōʻike, akā maʻalahi ka hana a nā kauka. No laila hilinaʻi nā kauka iā ia no nā heluhelu wikiwiki.

Hiki i nā mea e like me ka polish kui polū a i ʻole nā ​​ʻaoʻao anu ke kumu i ka heluhelu ʻana o ka bipi lāʻau pulse ma lalo o ka maʻamau. Hiki i kāu kauka ke wehe i kahi polish mai kou mau kui ma mua o ka hoʻohana ʻana i ka mīkini a i ʻole inā haʻahaʻa haʻahaʻa kāu heluhelu.

Ma muli o ka noninvasive o kahi pipi pana, hiki iā ʻoe ke hana i kēia hoʻāʻo iho. Hiki iā ʻoe ke kūʻai i nā mea hana lāʻau ikiʻai i ka nui o nā hale kūʻai e hāpai i nā huahana pili i ke olakino a i ʻole ma ka pūnaewele. E kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana i kahi pono home e maopopo ai iā ʻoe pehea e wehewehe ai i nā hopena.

Kahi e hā hina ai kou pae oxygen

Kāhea ʻia kahi ana o kāu oxygen oxygen i kāu pae oxygen momona. I ka wā pōkole lapaʻau, lohe paha ʻoe ua kapa ʻia ʻo PaO₂ ke hoʻohana nei i kahi kinoea koko a me kahi ʻO₂ noho (SpO2) ke hoʻohana ʻana i kahi pipi lāʻau E kōkua kēia mau alakaʻi iā ʻoe e hoʻomaopopo i ke ʻano o kāu hopena:

Maʻamau: Hāʻule kahi pae oxygen oxygen ABG maʻamau no nā akemāi olakino ma waena o 80 a me 100 millimeter o ka mercury (mm Hg). Inā ana kahi bipi lāʻau pulse i kāu pae oxygen oxygen (SpO2), aia ka heluhelu maʻamau ma waena o 95 a me 100 pākēneka.

Eia nō naʻe, i ka COPD a i ʻole nā ​​maʻi lolo, ʻaʻole pili paha kēia mau pae. E hōʻike kāu kauka iā ʻoe i ka mea maʻamau no kāu kūlana kikoʻī. ʻO kahi laʻana, ʻaʻole ia he mea maʻamau no ka poʻe me ka COPD koʻikoʻi e mālama i kā lākou mau pae lāʻau ikiʻai (SpO2) ma waena.

Ma lalo o ka maʻamau: Kapa ʻia kahi pae oxygen ma lalo-maʻamau o ka hypoxemia. ʻO ka hypoxemia pinepine ke kumu o ka hopohopo. ʻO ka haʻahaʻa o ka pae o ka oxygen, ʻoi aku ka nui o ka hypoxemia. Hiki i kēia ke alakaʻi i nā pilikia i ke kino a me nā meaola.

ʻO ka maʻamau, he PaO₂ ke heluhelu nei ma lalo o 80 mm Hg a i ʻole he pulse (SpO2) ma lalo o 95 pākēneka e manaʻo ʻia he haʻahaʻa. He mea nui ia e ʻike i nā mea maʻamau nāu, keu hoʻi inā he maʻi maʻi mau kou.

Hiki i kāu kauka ke hāʻawi i nā ʻōlelo aʻoaʻo no ke ʻano o nā pae o ka oxygen e ʻae ʻia nāu.

Ma luna o maʻamau: Inā kōkua ʻole ʻia kou hanu, he paʻakikī ia no ka kiʻekiʻe loa o kāu oxygen. I ka hapanui o nā hihia, kū nā pae o ke oxygen kiʻekiʻe i ka poʻe e hoʻohana ana i ka oxygen hoʻonui. Hiki ke ʻike ʻia kēia ma kahi ABG.

He aha ka hana inā haʻahaʻa loa kāu pae oxygen

Ke hele aku kou pae oxygen ma waho o ka pae maʻamau, hoʻomaka paha ʻoe e ʻike i nā ʻōuli.

Pākuʻi ʻia kēia:

• pokole o ka hanu
• ʻeha ka umauma
• huikau
• ʻeha poʻo
• puʻuwai wikiwiki

Inā hoʻomau ʻoe i ka loaʻa o nā pae oxygen haʻahaʻa, hōʻike paha ʻoe i nā ʻōuli o ka cyanosis. ʻO ka hōʻailona hōʻailona o kēia ʻano he discoloration uliuli o kou mau moena kui, ʻili, a me nā membrane mucus.

Manaʻo ʻia ʻo Cyanosis he pilikia. Inā loaʻa iā ʻoe nā hōʻailona, ​​pono ʻoe e ʻimi koke i ka lāʻau. Hiki i ka cyanosis ke alakaʻi i ka ʻole hanu, hiki ke hoʻoweliweli i ke ola.

Pehea e hoʻoponopono ai i kou pae oxygen oxygen

Inā haʻahaʻa loa kāu pae oxygen oxygen, pono ʻoe e hoʻonui i kāu oxygen oxygen. Hana pinepine ʻia kēia me ka oxygen hoʻonui.

ʻO ka oxygen mea hoʻonui home ka mea i manaʻo ʻia he lāʻau lapaʻau, a pono i kau kauka e kuhikuhi. He mea nui e hāhai i nā ʻōlelo aʻoaʻo a kāu kauka e pili ana i ka pono e hoʻohana ai ka oxygen home e pale ai i nā pilikia. Hiki i kāu ʻinikua olakino ke uhi i ka uku.

He aha ka mea e haʻahaʻa ai nā pae o ke koko

ʻO nā kūlana i hiki ke hoʻohuli maikaʻi ʻole i kou pae o ka oxygen koko:

• ʻO COPD, e like me ka bronchitis mau loa a me ka emphysema
• maʻi hanu koʻikoʻi respiratory respiratory syndrome
• hānō
• hāneʻe hāneʻe
• anemia
• kīnā kīnā ʻole
• maʻi maʻi puʻuwai
• embolism pulmonary

Hiki i kēia mau kūlana ke pale aku i kou mau mumū mai ka hanu kūpono ʻana i ka ea i loko o ka oxygen a me ka hāpai ʻana i ke kalapona kalapona. Pēlā nō, hiki i nā maʻi o ke koko a me nā pilikia me kāu ʻōnaehana holo ke pale i kou koko mai ka ʻohi ʻana i ka oxygen a lawe i loko o kou kino.

Hiki i kekahi o kēia mau pilikia a i ʻole nā ​​maʻi ke alakaʻi i ka hōʻemi ʻana i nā pae o ka oxygen. Ke hāʻule nei kāu mau oxygen, hoʻomaka paha ʻoe e ʻike i nā ʻōuli o hypoxemia.

Loaʻa paha i ka poʻe puhipaka i kahi heluhelu bipi wahine kiʻekiʻe kiʻekiʻe pololei ʻole. ʻO ke puhi ʻana ke kumu o carbon monoxide e kūkulu i loko o kou koko. ʻAʻole hiki i kahi bipi lāʻau pulse ke haʻi i ka ʻokoʻa ma waena o kēia ʻano ʻea kinoea a me oxygen.

Inā puhi ʻoe a pono e ʻike i kāu pae oxygen oxygen, ʻo ABG wale nō ke ala e loaʻa ai kahi heluhelu pololei.

Ke laina lalo

ʻAʻole pono ka hapa nui o ka poʻe i ka nānā mau ʻana i kā lākou pae o ka oxygen. ʻO nā kānaka wale nō me nā pilikia olakino e kumu i nā mokuʻāina oxygen haʻahaʻa e noi pinepine ʻia e nānā i kā lākou pae. ʻOiai ʻo ia, ʻo ke ʻano o ka pulse oximetry i hana pinepine ʻole ʻia e like me ka ABG invasive.

ʻOiai he ʻaoʻao hemahema kāna, ʻo ka heluhelu ʻana i ka bipi wahine pulse e pololei pololei ia. Inā makemake kāu kauka i kahi ana kūpono aʻe, hiki iā lākou ke ukali me kahi hōʻike ABG.