Ntshav Cov Qib Theem

Zoo Siab

• Kev kuaj ntshav qib pa ntshav yog dab tsi?
• Nws siv rau dab tsi?
• Vim li cas kuv thiaj li xav tau tso ntshav ntshav mus kuaj qib?
• Yuav muaj dab tsi tshwm sim thaum kuaj ntshav qib pa oxygen?
• Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
• Puas muaj kev pheej hmoo rau kev kuaj?
• Cov txiaj ntsig li cas?
• Puas muaj lwm yam ntxiv uas kuv xav paub txog kev kuaj ntshav qib pa oxygen?
• Ua tim khawv

Kev kuaj ntshav qib pa ntshav yog dab tsi?

Kev kuaj ntshav qib pa oxygen, tseem paub tias kev txheeb xyuas roj ntshav, ntsuas cov pa oxygen thiab carbon dioxide hauv cov ntshav. Thaum koj ua pa, koj lub ntsws tawm rau hauv (nqus tau) oxygen thiab nqus tawm (ua pa tawm) carbon dioxide. Yog tias muaj ib qho tsis txaus hauv cov pa oxygen thiab carbon dioxide nyob hauv koj cov ntshav, nws txhais tau tias koj lub ntsws tsis ua haujlwm zoo.

Kev kuaj ntshav qib pa oxygen kuj txheeb xyuas qhov sib npaug ntawm cov kua qaub thiab cov hauv paus, paub tias pH tshuav nyiaj li cas, hauv cov ntshav. Ntau dhau lossis dhau heev cov kua qaub hauv cov ntshav tuaj yeem txhais tau tias muaj teeb meem nrog koj lub ntsws lossis lub raum.

Lwm lub npe: kuaj ntshav roj, ntsuas ntshav ntawm txoj hlab ntshav, ABG, tshuaj xyuas roj ntshav, kuaj cov pa oxygen

Nws siv rau dab tsi?

Kev kuaj ntshav qib pa yog siv los xyuas seb koj lub ntsws ua haujlwm npaum li cas thiab ntsuas ntsuas cov kua qaub-acid nyob rau hauv koj cov ntshav. Qhov ntsuas feem ntau suav nrog cov kev ntsuas hauv qab no:

• Cov pa oxygen cov ntsiab lus (O2CT). Qhov no ntsuas tus nqi ntawm cov pa oxygen hauv cov ntshav.
• Oxygen saturation (O2Sat). Qhov no ntsuas tus nqi ntawm hemoglobin hauv koj cov ntshav. Hemoglobin yog protein nyob hauv koj cov ntshav liab uas nqa oxygen los ntawm koj lub ntsws mus rau lwm qhov ntawm koj lub cev.
• Ib feem ntawm cov pa tawm (PaO2). Qhov no ntsuas lub siab ntawm oxygen oxygen nyob rau hauv cov ntshav. Nws pab qhia rau kom cov pa oxygen txav ntawm koj lub ntsws mus rau koj cov hlab ntshav.
• Ib feem ntawm cov pa roj carbon dioxide (PaCO2). Qhov no ntsuas tus nqi ntawm cov pa roj carbon dioxide nyob rau hauv cov ntshav.
• pH. Qhov no ntsuas qhov sib npaug ntawm cov kua qaub thiab cov hauv paus nyob hauv cov ntshav.

Vim li cas kuv thiaj li xav tau tso ntshav ntshav mus kuaj qib?

Muaj ntau ntau yam ua rau kev xeem no raug txiav txim. Tej zaum koj yuav xav tau tso ntshav theem ntshav yog tias koj:

• Muaj teeb meem ua pa
• Nquag muaj kev nquag tshwm sim ntawm xeev siab thiab / ntuav
• Tau txais kev kho rau tus kab mob ntsws, xws li hawb pob, mob ntsws tag sij hawm (COPD), lossis cystic fibrosis. Qhov sim siab tuaj yeem pab ntsuas seb puas ua haujlwm.
• Tsis ntev los no ua rau koj lub taub hau lossis caj dab, uas tuaj yeem cuam tshuam koj txoj pa
• Muaj yeeb tshuaj noj ntau dhau
• Tau txais kev pabcuam kho oxygen thaum nyob hauv tsev khomob. Qhov ntsuas tuaj yeem pab xyuas kom koj tau txais cov pa oxygen kom txaus.
• Muaj carbon monoxide lom
• Muaj pa luam yeeb raug mob

Tus menyuam mos liab tseem yuav xav kuaj qhov no yog nws ua tsis taus pa.

Yuav muaj dab tsi tshwm sim thaum kuaj ntshav qib pa oxygen?

Yuav luag txhua qhov kev kuaj ntshav coj tus qauv ntawm cov leeg ntshav. Rau txoj kev ntsuas no, tus kws saib xyuas kev noj qab haus huv yuav muab cov ntshav ntawm lub cev ntshav coj mus kuaj. Ntawd yog vim cov ntshav los ntawm cov leeg ntshav muaj cov pa oxygen siab ntau dua cov ntshav tawm ntawm cov leeg ntshav. Qhov hnoos qeev no feem ntau yog coj los ntawm txoj hlab ntshav hauv ntawm dab teg. Qhov no yog hu ua radial leeg. Qee lub sij hawm cov qauv yog muab los ntawm txoj hlab ntsha hauv lub luj tshib lossis puab tais. Yog hais tias kuaj tau tus menyuam mos, tuaj yeem coj ntawm tus menyuam pob taws los yog txoj hlab ntaws.

Thaum lub sij hawm tus txheej txheem, koj tus kws kho mob yuav ntxiv rab koob nrog ib koob txhaj tshuaj rau hauv cov leeg. Koj tuaj yeem hnov ​​cov kev mob siab ib yam li rab koob nkag mus rau hauv cov leeg. Tau txais cov ntshav ntawm txoj hlab ntshav liab feem ntau yog qhov mob ntau dua li tau txais ntshav tawm ntawm cov leeg ntshav, qhov kev sim ntshav ntau dua.

Thaum cov tshuaj txhaj puv nrog ntshav, koj tus kws kho mob yuav muab ib daim ntaub qhwv tso rau ntawm qhov chaw txhaws. Tom qab cov txheej txheem, koj lossis tus kws kho mob yuav tsum siv lub siab ceev rau lub vev xaib li 5-10 feeb, lossis ntev dua yog tias koj noj tshuaj ntshav-ua kom ntshav qab.

Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?

Yog tias koj cov ntshav ntsuas los ntawm koj lub dab teg, koj tus kws kho mob yuav kuaj ntshav ncig hu ua Allen test ua ntej noj cov hnoos qeev. Hauv kev ntsuas Allen, koj tus kws kho mob yuav siv lub siab rau cov hlab ntsha hauv koj lub dab teg rau ob peb feeb.

Yog tias koj tau kho kho oxygen, yuav tso koj cov pa oxygen mus li 20 feeb ua ntej ntsuas. Qhov no hu ua chav kuaj cua. Yuav ua tsis tau yog tias koj ua tsis taus pa tsis muaj oxygen.

Puas muaj kev pheej hmoo rau kev kuaj?

Txoj kev kuaj ntshav muaj feem tsawg yuav muaj feem tsawg. Tej zaum koj yuav muaj qee qhov los ntshav, doog ntshav, lossis mob rau ntawm qhov chaw tso rab koob. Txawm tias muaj teeb meem tsawg, koj yuav tsum zam qhov nqa khoom hnyav rau 24 teev tom qab ntsuas.

Cov txiaj ntsig li cas?

Yog tias koj cov ntshav saib tsis tau ntshav cov ntshav yuav tsis zoo, nws yuav txhais tau tias koj:

• Tsis noj pa oxygen txaus
• Tsis tau txais cov pa roj carbon dioxide kom txaus
• Muaj qhov tsis txaus rau hauv koj cov qib acid-puag

Cov mob no tuaj yeem yog cov tsos mob ntsws lossis raum. Qhov kev kuaj mob no tsis tuaj yeem kuaj pom qee yam kabmob, tabsis yog tias koj qhov txiaj ntsig tsis zoo, koj tus kws khomob yuav xaj kuaj ntxiv rau kev lees paub lossis txiav txim tawm ntawm kev kuaj mob. Yog koj muaj lus nug txog koj cov txiaj ntsig, nrog koj tus kws kho mob tham.

Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.

Puas muaj lwm yam ntxiv uas kuv xav paub txog kev kuaj ntshav qib pa oxygen?

Lwm hom kev ntsuas, hu ua pulse oximetry, tseem kuaj cov pa ntshav cov ntshav tawm. Qhov kev kuaj no tsis tas yuav siv rab koob lossis yuav tsum tau tso ntshav kuaj ntshav. Hauv cov mem tes oximetry, ib qho yeeb yaj kiab me me zoo li lub ntsuas nrog tshwj xeeb txuas nrog koj cov ntiv tes, ntiv taw, lossis taub. Txij li cov cuab yeej ntsuas pa "peripherally" (hauv thaj chaw sab nraud), cov txiaj ntsig tau muab rau ua peripheral oxygen saturation, tseem hu ua SpO2.

Ua tim khawv

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Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.