Ọbara Oxygen Ọbara

Ndinaya

• Kedu ihe nyocha ọbara oxygen?
• Kedu ihe eji ya?
• Kedu ihe kpatara m ji chọọ nyocha ọkwa ikuku oxygen?
• Kedu ihe na - eme n’oge nyocha ọkwa ikuku oxygen?
• Ọ dị m mkpa ime ihe ọ bụla iji kwadebe maka ule ahụ?
• Onwere ihe egwu di n’ule a?
• Kedu ihe nsonaazụ ahụ pụtara?
• Onwere ihe ozo ichoro ima banyere nyocha nke ogo oxygen?
• Ntughari

Kedu ihe nyocha ọbara oxygen?

Nnwale ule ikuku oxygen, nke a makwaara dị ka nyocha gas, na-atụle oke oxygen na carbon dioxide n'ime ọbara. Mgbe ị na-eku ume, ngụgụ gị na-ekuru (ikuba ikuku oxygen) ma na-eku ume (kupụta) ikuku carbon dioxide. Ọ bụrụ na enweghi nguzosi ike na ikuku oxygen na carbon dioxide n’ọbara gị, ọ nwere ike ịpụta na akpa ume gị anaghị arụ ọrụ nke ọma.

Nnwale ule oxygen n'ọbara na-enyochakwa nghazi nke acid na ntọala, nke a maara dị ka pH balance, n'ime ọbara. Oke ma ọ bụ obere acid n’ime ọbara nwere ike ịpụta na nsogbu dị n’akpa ume gị ma ọ bụ akụrụ.

Aha ndị ọzọ: ule gas, ọbara gas, ABG, nyocha gas, nyocha ikuku oxygen

Kedu ihe eji ya?

A na-eji nyocha ọkwa ikuku oxygen iji chọpụta etu akpa ume gị si arụ ọrụ ma tụọ oke acid-base n'ọbara gị. Nwale a na-agụnyekarị usoro ndị a:

• Oxygen ọdịnaya (O2CT). Nke a na-atụle oke oxygen n'ọbara.
• Oxygen saturation (O2Sat). Nke a tụrụ ọ̀tụ̀tụ̀ hemoglobin dị n’ọbara gị. Hemoglobin bụ protein dị n’ọbara gị ọbara uhie nke na-eburu oxygen site n’akpa ume gị ruo n’akụkụ ahụ gị ndị ọzọ.
• Nrụgide nke ikuku oxygen (PaO2). Nke a na-atụ nrụgide nke oxygen agbaze n'ime ọbara. Ọ na - enyere aka igosi etu ikuku oxygen si esi n’akpa ume gị banye n’ọbara gị.
• Akụkụ ikuku nke carbon dioxide (PaCO2). Nke a na-atụle ole carbon dioxide dị n’ọbara.
• pH. Nke a tụrụ itule nke asịd na bases ke iyịp.

Kedu ihe kpatara m ji chọọ nyocha ọkwa ikuku oxygen?

Enwere ọtụtụ ihe kpatara ule a. Nwere ike ịchọ nyocha ọkwa ikuku oxygen ma ọ bụrụ na:

• Nwee nsogbu iku ume
• Na-atụkarị ọgbụgbọ na / ma ọ bụ na-agbọ agbọ
• A na-agwọ gị maka ọrịa ngụgụ, dị ka ụkwara ume ọkụ, ọrịa na-egbochi afọ akpa ume (COPD), ma ọ bụ cystic fibrosis. Nnwale ahụ nwere ike inyere aka ịhụ ma ọgwụgwọ ọ na-arụ ọrụ.
• Na-adịbeghị anya merụrụ gị isi ma ọ bụ olu, nke nwere ike imetụta iku ume gị
• Ọ bụrụ na ị aụ ọgwụ ọjọọ
• Na-anara ọgwụgwọ oxygen mgbe ị nọ n'ụlọ ọgwụ. Nnwale ahụ nwere ike inyere aka ijide n'aka na ị na-enweta ezigbo oxygen.
• Nwee nsị carbon monoxide
• Nwee anwụrụ ọkụ anwụrụ ọkụ

Nwa amụrụ ọhụrụ nwekwara ike ịnwale ule a ma ọ bụrụ na ọ na-enwe nsogbu iku ume.

Kedu ihe na - eme n’oge nyocha ọkwa ikuku oxygen?

Imirikiti nyocha ọbara na-ewere ihe nlele site na akwara. Maka ule a, onye na-ahụ maka ahụike ga-ewepụta ọbara site na akwara. Nke ahụ bụ n'ihi na ọbara sitere na akwara nwere nnukwu ikuku oxygen karịa ọbara sitere na akwara. A na-ewepụ ihe nlele ahụ site na akwara n'ime nkwojiaka. A na-akpọ nke a radial artery. Mgbe ụfọdụ, a na-ewepụta ihe nlele ahụ site na akwara aka na ikpere ma ọ bụ ukwu. Ọ bụrụ na a na-anwale nwa amụrụ ọhụrụ, enwere ike iwere ihe nlele ahụ n'ikiri ụkwụ ma ọ bụ eriri nwa.

N'oge usoro ahụ, onye na-eweta gị ga-etinye ntụtụ na sirinji n'ime akwara. Nwere ike ịnwe oke ihe mgbu ka agịga ahụ na-abanye n'ime akwara. Inweta ọbara n'ime akwara na-abụkarị ihe na-egbu mgbu karịa ịnweta ọbara site na akwara, ụdị usoro nyocha ọbara kachasị dịkwuo.

Ozugbo sirinji ahụ jupụtara n'ọbara, onye na-eweta gị ga-etinye bandeeji n'elu saịtị mgbapu ahụ. Mgbe usoro ahụ gasịrị, gị ma ọ bụ onye na-eweta ọrụ ga-etinye nrụgide siri ike na saịtị ahụ maka minit 5-10, ma ọ bụ karịa karịa ma ọ bụrụ na ị na-ewere ọgwụ na-eme ka ọbara ghara ịdị.

Ọ dị m mkpa ime ihe ọ bụla iji kwadebe maka ule ahụ?

Ọ bụrụ na ewepụtara ọbara gị site na nkwojiaka gị, onye na-ahụ maka ahụike gị nwere ike ịme nyocha mgbasa ozi a na-akpọ nyocha Allen tupu iwere ihe nlele ahụ. N'ime ule Allen, onye na-eweta gị ga-etinye nrụgide na akwara akwara aka gị ruo ọtụtụ sekọnd.

Ọ bụrụ na ị nọ na ọgwụgwọ oxygen, ikuku oxygen gị nwere ike ịgbanyụ maka ihe dị ka nkeji 20 tupu ule ahụ. A na-akpọ nke a ụlọ ule ikuku. A gaghị eme nke a ma ọ bụrụ na ịnweghị ike iku ume na-enweghị oxygen.

Onwere ihe egwu di n’ule a?

O nweghi ezigbo ihe egwu n’inwe nnwale ikuku oxygen. May nwere ike ịnwe ọbara ọgbụgba, ọnya, ma ọ bụ ọnya na mberede ebe a na-etinye agịga ahụ. Agbanyeghị na nsogbu dị ụkọ, ị kwesịrị izere ibuli ihe dị arọ maka elekere 24 mgbe ule ahụ gachara.

Kedu ihe nsonaazụ ahụ pụtara?

Ọ bụrụ na nsonaazụ ikuku oxygen gị adịghị nkịtị, ọ nwere ike ịpụta gị:

• Anaghị anabata ezigbo oxygen
• Na-anaghị ekpochapụ carbon dioxide zuru ezu
• Enweghi nha anya na ogo gi

Ọnọdụ ndị a nwere ike ịbụ ihe ịrịba ama nke ọrịa ngụ ma ọ bụ ọrịa akụrụ. Nnwale ahụ enweghị ike ịchọpụta ọrịa ụfọdụ akọwapụtara, mana ọ bụrụ na nsonaazụ gị abụghị nke nkịtị, onye nlekọta ahụike gị ga-enye iwu nyocha ọzọ iji kwado ma ọ bụ wepu nchoputa. Ọ bụrụ na ị nwere ajụjụ gbasara nsonaazụ gị, gwa ndị ọrụ ahụike gị okwu.

Mụtakwuo maka ule nyocha ụlọ, akara ngosi, na nghọta nsonaazụ.

Onwere ihe ozo ichoro ima banyere nyocha nke ogo oxygen?

Ofdị ule ọzọ, nke ana-akpọ pulse oximetry, na-enyochakwa ogo ikuku oxygen. Ule a anaghị eji agịga ma ọ bụ chọọ nyocha ọbara. Na mkpịsị ụkwụ pulse, obere ihe yiri ihe mkpado nwere ihe mmetụta pụrụ iche ka agbakwunye na mkpịsị aka gị, mkpịsị ụkwụ gị, ma ọ bụ ntị gị. Ebe ọ bụ na ngwaọrụ ahụ na-atụle oxygen "n'akụkụ" (na mpaghara dị n'èzí), a na-enye nsonaazụ ya dị ka ikuku oxygen, nke a makwaara dị ka SpO2.

Ntughari

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Ejila ozi dị na saịtị a dị ka onye dochie anya nlekọta ahụike ọkachamara ma ọ bụ ndụmọdụ. Kpọtụrụ onye na-ahụ maka ahụike ma ọ bụrụ na ị nwere ajụjụ gbasara ahụike gị.