ʻO Oximetry: he aha ia a me nā waiwai saturation maʻamau

Anter

• 1. Pulse oximetry (non-invasive)
• 2. ʻO nā kinoea oximetry / arterial koko (hoʻouka kaua)
• Nā waiwai saturation maʻamau
• Mālama i kahi hopena ʻoi aku ka pololei

ʻO ka oximetry kahi hoʻokolohua e ʻae iā ʻoe e ana i ka māʻona oxygen o ke koko, ʻo ia ka pākēneka o ka oxygen e lawe ʻia nei i ke kahe o ke koko. ʻO kēia hōʻike, hiki ke hana ʻia ma ka haukapila a i ʻole ma ka home me ka oximeter lāʻau, he mea nui ke manaʻo ʻia nā maʻi e hōʻino a hoʻopilikia paha i ka hana o nā mumū, nā maʻi puʻuwai a i ʻole nā ​​maʻi neurological.

ʻO ka maʻamau, ʻo ka oximetry ma luna o 90% hōʻike i ka oxygenation maikaʻi o ke koko, akā naʻe, pono ia no ke kauka e loiloi i kēlā me kēia hihia. Hiki i kahi haʻahaʻa oxygenation koko haʻahaʻa ke hōʻike i ka pono no ka mālama ʻana ma ka haukapila me ka oxygen, a hōʻike paha i kahi ʻano hoʻoweliweli ke ola inā ʻaʻole i hoʻoponopono pololei ʻia. Hoʻomaopopo i nā hopena o ka nele o ka oxygen i loko o ke koko.

ʻElua ala e ana i ka māʻona oxygen:

1. Pulse oximetry (non-invasive)

ʻO kēia ke ala i hoʻohana nui ʻia e ana i ka māʻona oxygen, no ka mea, he hana non-invasive e ana i ka nui o ka oxygen ma o kahi mea liʻiliʻi, i kapa ʻia he pulse oximeter, i hoʻokau ʻia me ka ʻili, ma ka wēlau o ka manamana lima.

ʻO ka maikaʻi nui o kēia ana ʻaʻole pono ia e hōʻiliʻili i ke koko, e hōʻalo ana i nā nahu. Ma waho aʻe o ka oximetry, hiki i kēia hāmeʻa ke hiki ke ana i nā ʻikepili waiwai ʻē aʻe, e like me ka nui o ka puʻuwai a me ka helu hanu, no ka laʻana.

• Pehea e hana ai: he mīkini uila ka pulse oximeter e hopu i ka nui o ka oxygen e hele i loko o ke koko ma lalo o kahi e hana ʻia ai ka hoʻāʻo a, i kekona kekona, e hōʻike i ka waiwai. Lawe koke kēia mau mea ʻike, i nā ana maʻamau a hoʻolālā ʻia e hoʻohana ʻia ma nā manamana lima, nā manamana wāwae a me nā pepeiao.

Hoʻohana ākea ʻia ka pulse oximetry e nā kauka a me nā ʻoihana olakino ʻē aʻe i ka loiloi olakino, keu hoʻi i nā hihia o nā maʻi e hoʻopilikia ai i ka hanu ʻana, e like me ka lung, puʻuwai a me nā maʻi neurological, a i ʻole i ka wā anesthesia, akā hiki ke hoʻohana ʻia e nānā i ke kūlana olakino inā kū o ka maʻi coronavirus. Hiki ke kūʻai ʻia aku ka oximeter ma nā hale kūʻai lako lapaʻau a i ʻole nā ​​haukapila.

2. ʻO nā kinoea oximetry / arterial koko (hoʻouka kaua)

ʻAʻole like ia me ka oximetry pulse, he ala invasive ke ana ʻana o ka oxygen i loko o ke koko, e like me ka hana ʻia ʻana i ke koko i kahi syringe, a no kēia kumu no ka nila. No kēia kumu, ʻoi aku ka pinepine o kēia ʻano o ka hoʻokolokolo ma mua o ka oximetry pulse.

ʻO ke keu pono o nā kinoea arterial ke ana pololei o nā pae saturation oxygen i loko o ke koko, me ka hoʻohui i ka hiki ke hāʻawi i nā ana nui ʻē aʻe, e like me ka nui o ke kalapona kalapona, pH a i ʻole ka nui o nā waikawa a me ka bicarbonate i loko o ke koko, no ka mea laʻana.

• Pehea e hana ai: pono e hana i kahi hōʻiliʻili koko arterial a laila lawe ʻia kēia hāpana e ana ʻia i kahi kikoʻī kikoʻī i ka hale hana. ʻO nā kīʻaha koko e hoʻohana nui ʻia no kēia ʻano ana ke ana radial, ma ka pulima, a i ʻole femoral, i ke aʻa, akā hiki ke hoʻohana ʻia kekahi mau mea ʻē aʻe.

Hoʻohana pinepine ʻia kēia ʻano ana i nā hihia kahi e pono ai ke kiaʻi mau ʻia a ʻoi aku ka pololei o ka mea hoʻomanawanui, ʻoi aku ka maʻamau o nā hanana e like me ke kīkino nui, nā maʻi puʻuwai nui, nā arrhythmia, nā maʻi āpau, nā loli koke o ke kaomi koko a i ʻole nā hihia o ka hanu maikaʻi ʻole, no ka laʻana. E aʻo he aha ka hanu ʻole a pehea e hiki ai ke hōʻemi i ka oxygenation o ke koko.

Nā waiwai saturation maʻamau

ʻO ke kanaka olakino, me ka oxygenation kūpono o ke kino, loaʻa ka oxygen ma luna o 95%, akā naʻe, he mea maʻamau ia no nā ʻano akahai, e like me ke anuanu a me ka maʻi flu, aia ka saturation ma waena o 90 a 95%, me ke kumu hopohopo ʻole.

Ke piʻi ka saturation i nā waiwai ma lalo o 90%, hōʻike paha ia i ka hōʻemi ʻana o ka lako oxygen i loko o ke kino ma muli o ke kū ʻana o kekahi maʻi ʻoi loa i hiki ke hoʻoliʻiliʻi i ka maikaʻi o nā kūkae kinoea ma waena o ka māmā a me ke koko, e like me e like me ka hānō, pulumonia, emphysema, puʻuwai puʻuwai a i ʻole nā ​​maʻi neurological a me kahi komplication o Covid-19, no ka laʻana.

I nā kinoea arterial koko, i ka hoʻohui i ke ana o ka saturation oxygen, e loiloi ʻia hoʻi ka pihi oxygen (Po2), a aia ma waena o 80 a me 100 mmHg.

Mālama i kahi hopena ʻoi aku ka pololei

He mea nui loa nā mīkini e ana i ka oxygen saturation e calibrated mau, e hōʻalo i nā hopena i hoʻololi ʻia. Hoʻohui ʻia, ke hoʻohana ʻana i ka oximeter pulse, kekahi o nā akahele e hōʻalo ai i ka hoʻololi ʻana i ka hōʻike me:

• Hōʻalo i ka hoʻohana ʻana i nā enamel a i ʻole nā ​​kui kuʻihewa, no ka mea hoʻololi lākou i ka hele o ke kukui uila;
• E hoʻomaha i ka lima a ma lalo o ka pae o ka puʻuwai;
• Palekana i ka hāmeʻa i kahi ʻōlinolino a lilelile loa;
• E hōʻoia i ka hoʻonohonoho pono ʻana o ka hāmeʻa.

Ma mua o ka hoʻokolokolo ʻana, pono nō hoʻi i ke kauka e nānā i nā maʻi ʻē aʻe e like me ka anemia a me ke kahe o ke kahe o ke koko, i hiki ke hoʻopilikia i ke ana ʻana o ka oxygenation o ke koko.