He aha kāu e ʻike ai e pili ana i ka pena kala o ka ʻili

Anter

• He aha nā ʻano o ka cyanosis?
• He aha nā kumu maʻamau o ka cyanosis?
• Āhea ʻoe e ʻimi ai i ka lāʻau?
• Pehea e ʻike ʻia ai nā kumu o ka cyanosis?
• Pehea e mālama ʻia ai nā kumu o ka cyanosis?
• Pehea e hiki ai iā ʻoe ke pale aku i ka cyanosis?

He aha ka cyanosis?

Hiki i nā ʻano he nui ke lilo i ka ʻili polū i kou ʻili. ʻO kahi laʻana, hiki i nā ʻūpā a me nā veins varicose ke hōʻike i polū i ke kala. ʻO ka maikaʻi ʻole o ka holo ʻana a i ʻole lawa ʻole nā ​​pae oxygen i loko o kou kahawai koko hiki ke hoʻolilo i kou ʻili i bluish. ʻIke ʻia kēia discoloration ʻili me cyanosis.

Hiki i ka cyanosis ke hoʻololi i kāu:

• manamana, manamana wāwae, a me nā kui
• earlobes
• nā membrane mucous
• lehelehe
• ʻili

ʻOi aku ka maʻamau o kēia waihoʻoluʻu bluish i nā keiki hānau hou ke aʻo ʻia ko lākou ʻili e hoʻoponopono i ke kaiapuni. ʻOi aku ka ʻike ʻia ma ka ʻili kala. Hiki paha i ka Cyanosis ke ʻōlelo he hewa kekahi me nā wahi o ke kino, e like me ka:

• māmā
• Puʻuwai
• ʻōnaehana puni

ʻO ka pinepine, ʻo ka cyanosis kahi hōʻailona o kahi ʻano olakino koʻikoʻi. E heluhelu e aʻo e pili ana i nā ʻano cyanosis, he aha ke kumu o kēia ʻano, a ke ʻike ʻoe i ke kauka.

He aha nā ʻano o ka cyanosis?

ʻEhā ʻano o cyanosis:

• Peryanal cyanosis: ʻAʻole lawa kāu oxygen i kou mau lālā a i ʻole ke kahe o ke koko ma muli o ke kahe haʻahaʻa a ʻeha paha.
• Central cyanosis: Aia kahi haʻahaʻa o ka oxygen holoʻokoʻa i loaʻa i ke kino, pinepine ma muli o nā protein koko ʻokoʻa a i ʻole kahi kūlana oxygen haʻahaʻa.
• Pākuʻi cyanosis: Hoʻohui ʻia kahi hui o ke ākea a me ke kikowaena cyanosis i ka manawa like.
• Acrocyanosis: Hana kēia i kou mau lima a me kou mau wāwae ke anuanu ʻoe, a pono e hoʻonā ma hope o kou hoʻomehana ʻana i hope.

He aha nā kumu maʻamau o ka cyanosis?

Hana ʻia ka cyanosis ke liʻiliʻi loa ka oxygen i loko o ke koko. ʻO ke koko momona o ka oxygen he ʻulaʻula hohonu a kumu i ke kala maʻamau o kou ʻili. ʻO bluer ke koko ma lalo o ka oxygen a kumu ʻia i kou ʻili e nānā i ka poni bluish.

Hiki ke hoʻomohala koke ʻo Cyanosis ma muli o kahi pilikia olakino koʻikoʻi a i ʻole kumu kūwaho. ʻO nā kumu hoʻoweliweli i ke ola o ka cyanosis:

• paupauaho
• keakea o ke ala ea
• nā pilikia me ka hoʻonui ʻana o ka hāhā a i ʻole nā ​​ʻeha o ka paia o ka umauma
• nā mea pono ʻole o ka puʻuwai (ʻoiai i ka wā o ka hānau ʻana) i kumu e hōʻalo i ke koko a ʻaʻole hōʻiliʻili i ka oxygen
• puʻuwai puʻuwai a i ʻole hake puʻuwai
• pulmonary hypertension, a i ʻole ke koko kiʻekiʻe ma nā akemāmā
• pulmonary embolism, a i ʻole ke kōkō ʻana o ke koko i nā akemāmā
• pīhoihoi
• ʻo ka methemoglobinemia, ka mea i hana pinepine ʻia e nā lāʻau a i ʻole nā ​​lāʻau make i kahi e lilo ai nā protein koko i mea maʻamau a ʻaʻole hiki ke hāpai i ka oxygen

Hiki i ka cyanosis ke hopena o ke kūlana olakino e hoʻomāhuahua ai, a i ʻole e hoʻomohala mālie ma muli o kahi maʻi olakino a lōʻihi paha. ʻO nā maʻi olakino he nui e pili ana i ka puʻuwai, nā mumū, ke koko a me ke kahe e hoʻokumu pū i ka cyanosis. Pākuʻi ʻia kēia mau mea:

• maʻi hanu maʻi mau, e like me ka hānō a i ʻole COPD
• maʻi hikiwawe i kāu mau alaloa, e like me ka niumonia
• anemia koʻikoʻi, a i ʻole helu helu ʻulaʻula koko haʻahaʻa
• overdoses o kekahi mau lāʻau
• ka hōʻike ʻana i kekahi mau mea ʻawahia, e like me ka cyanide
• ʻO Raynaud's Syndrome, kahi kūlana i hiki ke kaohi i ke kahe o ke koko i kou mau manamana lima a i ʻole nā ​​manamana wāwae
• hypothermia, a i ʻole ke hōʻike ʻana i ke anuanu nui loa e hāʻule ana ka mahana o kou kino

ʻO ka hapa nui o nā kumu o ka cyanosis koʻikoʻi a me kahi ʻōuli o kou kino i ka loaʻa ʻole o ka oxygen. Ma hope o ka manawa, e lilo kēia ʻano i mea hoʻoweliweli i ke ola. Hiki iā ia ke alakaʻi i ka hanu ʻole, ʻole ʻole ka puʻuwai, a hiki i ka make, inā haʻalele ʻole ʻia.

Āhea ʻoe e ʻimi ai i ka lāʻau?

Kāhea aku i kāu kauka inā hoʻomohala ʻoe i kahi aniani bluish i kou ʻili, lehelehe, manamana lima, a i ʻole nā ​​manamana lima ʻaʻole hiki ke wehewehe ʻia e ka palapu a hele ʻole.

E ʻimi i ka lāʻau olakino pōpilikia inā hoʻomohala ʻoe i ka cyanosis me kekahi o kēia mau ʻōuli.

• paʻakikī i ka hanu ʻana
• pokole o ka hanu
• hanu wikiwiki
• ʻeha ka umauma
• e ʻū ana i ka huehue pouli
• fiva
• huikau

Pehea e ʻike ʻia ai nā kumu o ka cyanosis?

Hiki i kāu kauka ke hōʻoia i ka cyanosis ma ka nānā ʻana i kou ʻili. No ke kuhikuhi ʻana i ke kumu o ka cyanosis, e hana ana kāu kauka i kahi hoʻokolohua kino holoʻokoʻa. E nīnau lākou iā ʻoe e pili ana i kāu mōʻaukala olakino a i ka wā e ulu ai kāu mau ʻōuli.

E kauoha paha lākou i hoʻokahi a ʻoi paha mau hoʻokolohua, e like me:

• helu piha koko (CBC)
• pulse oximetry e ana i ka pae o ka oxygen i loko o kou koko
• electrocardiogram (ECG) e ana i ka hana uila o kou puʻuwai
• echocardiogram a i ʻole ultrasound o ka puʻuwai
• X-ray a i ʻole CT scan o kou umauma

I nā hoʻokolohua koko, hiki i nā concentrations haʻahaʻa haʻahaʻa o hemoglobin ke kumu o ka cyanosis. Kū ke kikowaena cyanosis ke piʻi ka helu o kāu hemoglobin ma lalo o 5 mau gram i kēlā me kēia deciliter. ʻO ka hemoglobin maʻamau no ka makua ma waena o 12 a 17 g / dL.

Pehea e mālama ʻia ai nā kumu o ka cyanosis?

ʻO ka papa hana lapaʻau a kou kauka i koi ai e hilinaʻi ia i ke kumu o kāu cyanosis.

ʻO kahi laʻana, hiki i kāu kauka ke kuhikuhi i ka lāʻau oxygen kaomi inā loaʻa iā ʻoe kahi ʻano e hoʻopili ai i kāu mau ea a me ka hanu ʻana. I kēia hoʻomaʻamaʻa, e loaʻa iā ʻoe ka oxygen ma o ka pale a i ʻole ka paipu i kau ʻia i kou ihu.

No nā kūlana e hoʻopili i kou puʻuwai a i ʻole nā ​​kīʻaha koko, hiki i kāu kauka ke kuhikuhi i nā lāʻau, ke ʻoki, a i ʻole nā ​​ʻano lāʻau ʻē aʻe.

Inā ua loiloi ʻia ʻoe me ka maʻi maʻi o Raynaud, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e ʻaʻahu mehana a e kaupalena i kou manawa i nā wahi anuanu.

Pehea e hiki ai iā ʻoe ke pale aku i ka cyanosis?

He paʻakikī kekahi kumu o ka cyanosis e pale aku. Akā hiki iā ʻoe ke hana i nā ʻanuʻu e hoʻohaʻahaʻa i kou makaʻu o ka hoʻomohala ʻana i ka cyanosis a me kekahi mau ʻano kumu e kumu ai.

Aia kēia mau ʻanuʻu i:

• Palekana i kou puʻuwai, nā kīʻaha koko, a me nā ʻōnaehana hanu e ka hōʻalo ʻana i ka puhipaka a me ka uahi lua a me ka hoʻoikaika mau.
• E hoʻolālā i nā loiloi maʻamau me kāu kauka e nānā i kou olakino, a e ʻike iā lākou inā ʻike ʻoe i nā loli i kou olakino.
• E hāhai i kāu papa kauka lapaʻau i koi ʻia no nā kūlana olakino āu e loaʻa ai, e like me ka maʻi diabetes, maʻi puʻuwai, Reynaud's Syndrome, hānō, a i ʻole COPD.
• E ʻaʻahu i nā papa hou a me nā lole mehana i ka wā hoʻoilo.
• Loaʻa i nā lāʻau āpau e pale aku ai i nā maʻi hanu a me nā maʻi koʻikoʻi.