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Hnub Kev Tsim: 25 Lub Plaub Hlis Ntuj 2021
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Zoo Siab

Cyanosis yog dab tsi?

Ntau yam xwm txheej yuav ua rau koj cov tawv nqaij muaj qhov ntxig tsw zas. Piv txwv, bruises thiab varicose leeg tuaj yeem tshwm xiav hauv cov xim. Kev ncig ua haujlwm tsis zoo lossis ua tsis txaus cov pa oxygen hauv koj cov ntshav khiav tuaj yeem ua rau koj cov tawv nqaij tig ua xiav. Qhov tso tawm ntawm daim tawv nqaij no tseem tseem hu ua cyanosis.

Cyanosis tuaj yeem cuam tshuam koj:

  • ntiv tes, ntiv taw, thiab ntsia hlau
  • laib
  • mob ua xas
  • di ncauj
  • tawv nqaij

Cov xim xiav no yog tshwm sim ntau dua rau cov me nyuam tshiab thaum lawv cov tawv nqaij kawm kom hloov mus rau thaj chaw. Nws tseem ua rau pom ntau dua ntawm cov tawv nqaij dawb. Cyanosis tuaj yeem hais qhia tias muaj qhov tsis ncaj ncees rau ntawm thaj chaw ntawm lub cev, xws li:

  • ntsws
  • plawv
  • circulatory system

Feem ntau, cyanosis yog tus tsos mob ntawm tus mob hnyav. Nyeem rau kom paub txog hom mob cyanosis, dab tsi ua rau tus mob no, thiab thaum twg koj yuav tsum ntsib tus kws kho mob.

Hom cyanosis zoo li cas?

Muaj plaub hom cyanosis:


  • Peripheral cyanosis: Koj lub nqaj yuav tsis tau txais oxygen los yog ntshav txaus vim muaj ntshav khiav tsawg lossis raug mob.
  • Tus Qauv Rau Nruab Nrab cyanosis: Muaj cov pa oxygen tsis txaus rau lub cev, feem ntau vim tias cov ntshav protein tsis txaus lossis lub xeev cov pa oxygen tsawg.
  • Tsoos cyanosis: Kev sib txuas ntawm qhov nruab nrab thiab qhov nruab nrab cyanosis tshwm sim tib lub sijhawm.
  • Acrocyanosis: Qhov no tshwm sim puag ncig koj ob txhais tes thiab taw thaum koj txias, thiab yuav tsum daws tom qab koj sov sov.

Cov teeb meem cyanosis muaj tshwm sim li cas?

Cyanosis tshwm sim thaum muaj oxygen ntau nyob hauv cov ntshav. Oxygen-nplua nuj ntshav ntshav liab sib sib zog nqus thiab ua rau koj cov tawv nqaij ib txwm tawv nqaij. Cov ntshav oxygen-bluer thiab ua rau koj cov tawv nqaij saib xiav.

Cyanosis tuaj yeem loj hlob sai vim yog ib qho teeb meem kev noj qab haus huv lossis ib qho txiaj ntsig sab nraud. Lub neej mob cyanosis ua rau neeg tuag taus xws li:

  • ua tsis taus pa
  • tav kev cov hlab cua
  • teeb meem nrog lub ntsws nthuav dav lossis hauv siab raug mob phab ntsa
  • lub siab tsis zoo (nyob rau lub sijhawm yug) uas ua rau ntshav hla lub ntsws thiab tsis txhob sau oxygen
  • lub plawv nres lossis lub plawv tsis ua haujlwm
  • pulmonary hypertension, lossis ntshav siab hauv cov ntsws
  • pulmonary embolism, lossis ntshav txhaws hauv lub ntsws
  • poob siab
  • methemoglobinemia, feem ntau tshwm sim los ntawm tshuaj los yog co toxins uas cov protein ntshav ua tsis taus thiab tsis tuaj yeem nqa oxygen

Cyanosis tuaj yeem tshwm sim los ntawm kev noj qab haus huv kev noj qab haus huv, lossis nthuav dav zuj zus vim muaj tus kab mob ntev los yog mob mus ntev. Ntau yam kev noj qab haus huv uas cuam tshuam nrog lub plawv, lub ntsws, ntshav lossis ncig yuav tseem ua rau mob cyanosis. Cov no suav nrog:


  • kab mob ua pa nyuaj, xws li hawb pob lossis mob COPD
  • maj mam kis hauv koj txoj hlab pa, xws li mob ntsws
  • ntshav ntau dhau los, lossis cov ntshav liab tsawg ntawm cov ntshav
  • kev siv tshuaj ntau dhau ntawm qee yam tshuaj
  • raug rau qee yam kuab lom, xws li cyanide
  • Raynaud's syndrome, mob uas tuaj yeem txwv ntshav txaus rau koj cov ntiv tes lossis ntiv taw
  • hypothermia, los sis kev kis tau tus mob khaub thuas huab cua ua rau koj lub cev kub

Feem ntau cov ua rau cyanosis yog mob hnyav thiab cov tsos mob ntawm koj lub cev tsis tau oxygen txaus. Ntev mus, tus mob no yuav dhau mus ua neeg muaj sia. Nws tuaj yeem ua rau ua pa tsis ua haujlwm, lub plawv tsis ua haujlwm, thiab tseem tuag taus, yog tias tsis kho.

Thaum twg koj yuav tsum nrhiav kev kho mob?

Hu rau koj tus kws kho mob yog tias koj txhim kho qhov ntsej muag tawv nqaij rau koj cov tawv nqaij, daim di ncauj, cov ntiv tes, lossis rau tes uas tuaj yeem piav tsis tau los ntawm kev ua kom doog thiab tsis ploj mus.

Nrhiav kev kho mob kub ceev yog tias koj mob cyanosis nrog rau ib qho ntawm cov tsos mob hauv qab no:


  • ua pa nyuaj
  • txog siav
  • pa ceev heev
  • mob hauv siab
  • hnoos tau hnoos qeev tsaus
  • ua npaws
  • tsis meej pem

Yuav kuaj li cas thiaj paub hais tias yog tus mob cyanosis?

Koj tus kws kho mob tuaj yeem kuaj mob cyanosis tsuas yog saib ntawm koj cov tawv nqaij. Txhawm rau soj ntsuam qhov ua rau mob cyanosis, koj tus kws kho mob yuav kuaj ib ce tag nrho. Lawv yuav nug koj txog koj li keeb kwm kho mob thiab thaum twg koj cov tsos mob tshwm sim.

Lawv kuj tuaj yeem xaj ib lossis ntau qhov kev xeem, xws li:

  • ua tiav cov ntshav suav (CBC)
  • mem tes oximetry ntsuas los ntsuas cov pa oxygen hauv koj cov ntshav
  • electrocardiogram (ECG) ntsuas qhov ntsuas hluav taws xob hauv koj lub plawv
  • echocardiogram lossis ultrasound ntawm lub plawv
  • Xoo hluav taws xob los sis CT scan ntawm koj lub hauv siab

Hauv kev kuaj ntshav, tsis tshua muaj ntau ntau yam hemoglobin tuaj yeem ua rau mob cyanosis. Central cyanosis tshwm sim thaum koj hemoglobin suav txog qis dua 5 grams hauv ib deciliter. Hemoglobin ib txwm rau ib tus neeg laus yog nruab nrab ntawm 12 txog 17 g / dL.

Yuav kho cov mob cyanosis li cas?

Cov kev npaj khomob uas koj tus kws khomob hais qhia yuav yog nyob ntawm qhov pib ua rau koj tus mob cyanosis.

Piv txwv li, koj tus kws kho mob tuaj yeem sau tshuaj ntxiv rau kev kho mob oxygen yog tias koj muaj mob uas cuam tshuam koj txoj hlab pa lossis ua pa. Hauv txoj kev kho no, koj yuav tau txais oxygen los ntawm daim npog ntsej muag lossis lub raj tso rau hauv koj lub qhov ntswg.

Rau cov xwm txheej uas cuam tshuam rau koj lub plawv lossis cov hlab ntsha, koj tus kws kho mob tuaj yeem sau tshuaj noj, phais mob, lossis lwm yam kev kho mob.

Yog tias koj raug pov thawj los ntawm Raynaud's syndrome, koj tus kws kho mob yuav qhia koj hnav khaub ncaws kom sov thiab txwv koj lub sijhawm kom txias.

Koj tuaj yeem tiv thaiv cyanosis li cas?

Qee qhov ua rau cyanosis nyuaj rau kev tiv thaiv. Tab sis koj tuaj yeem ua cov kauj ruam los txo koj txoj kev pheej hmoo ntawm kev tsim mob cyanosis thiab qee yam mob uas ua rau nws.

Cov theem no muaj xws li:

  • Tiv thaiv koj lub plawv, cov hlab ntsha, thiab cov pa ua pa tsis txhob haus luam yeeb thiab nqus cov pa luam yeeb thiab tawm dag zog tsis tu ncua.
  • Teem sijhawm mus kuaj mob nrog koj tus kws kho mob txhawm rau saib xyuas koj kev noj qab haus huv, thiab qhia rau lawv paub yog tias koj pom muaj pauv dab tsi hauv koj lub cev.
  • Ua raws li koj tus kws kho mob tau pom zoo txog kev npaj kho mob rau qee yam mob uas koj muaj, xws li mob ntshav qab zib, mob plawv, Reynaud's syndrome, mob hawb pob, lossis mob COPD.
  • Hnav khaubncaws sab nraud povtseg ntau dua thiab hnav khaub ncaws sov thaum caij ntuj no.
  • Mus txhaj tshuaj tiv thaiv kab mob ua pa thiab mob hnyav.

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