Migumisiro yeMuromo Nemisodzi Inoputika paOxygen Levels
Ko kufema mumuromo kunobatsira oksijeni yako mazinga kana iwe uri kuwedzeresa oxygen therapy here? Kana zvakadaro, chii chaunoda kuziva uye chii chaunogona kuita nezvazvo?
Supplemental Oxygen Therapy Basics
Supplemental oxygen therapy inowanzotaurwa kune vanhu vane kukanganiswa kwomweya weAxy (PaO2) inokonzerwa nearterial blood gases (ABGs) isingapfuuri kana kuti yakaenzana ne 55 mg Hg uye nehuwandu hwekusimudzira oksijeni ye 88 muzana kana zvishoma pavanomuka (kana kuti inodonha kusvika kune iri muzinga panguva yokurara kwemaminitsi mashanu).
Vanhu vazhinji vanogamuchira mukati-musha oxygen kuburikidza nemutambo wekutakura oksijeni unozivikanwa seanal cannula . Iyi yakaonda, plastiki tube ine mapaundi maviri maduku kune imwe mugumo inosara mumhino. Iyo nasal cannula inogona kunyatsotora okisijeni kune munhu pane imwe kusvika pamatanhatu matanhatu paminiti (LPM), muzvikamu zvinotangira 24 kusvika ku40 muzana, zvichienderana nehuwandu hweMPM dziri kuendeswa. Mukuenzanisira, mhepo yepamukati inenge inenge 21 muzana yeakisijeni, iyo isingakwaniki kune vanhu vane chirwere chemapapu.
Ko Muromo Mhangura Inowanikwa Izvo Zvakanakira Kuwedzera Oxygen?
Kune zvakawanda zvinobatsira zvekugara kwenguva refu yeropajeni therapy , iyo huru pane iyo ndeyokuti, kana yakashandiswa kwemaawa gumi nemasikati pazuva, inowedzera kupona. Asi, vanhu vanoshandisa oksijeni uye vanofema mumiromo yavo vanogona kuwana ruzairo rwakakwana rwerojeni therapy here? Kana kuti, kufema mumuromo kunokonzera maitiro mashoma e oksijeni muropa, masero, uye matukisi here?
Kutsvakurudza kunobatanidza nyaya ino kunopesana sezvakaratidzwa nemuenzaniso unotevera:
- Mune chidzidzo chinosanganisira 323 nyaya-kufema, vatsvakurudzi vakagadzirisa kuti vaone kuti zvinobudirira sei mumuromo kufema kuputika kweokisijeni. Nechinangwa chekudzidza, muromo wokufema wakaongororwa nekuongorora kwemuviri uye mibvunzo yakagadzirirwa nedzimwe nyaya kana vashandi vavo. Oxygen saturation yakayerwa nehutachiona oximetry . Zvibereko zvekudzidza zvakawana kuti 34,6 kubva muzana yevanhu vaive nemazinga ekutengesa okisijeni (95 muzana kana kupfuura), 22,6 muzana aiva nehutomu hwekutengesa okisijeni ye 95 muzana uye 42,8 kubva muzana yaifungidzirwa hypo hypo , uye nemazinga ekusimudza oksijeni pasi pegadziriro yekudzidza yega 95 muzana. Vatsvakurudzi vakapedzisa kuti, nepo apo kufema kwemhepo hakuiti nguva dzose hunoita kuti hypoxia, inogona kuibatsira.
- Chimwe chidzidzo chinosanganisira gumi nenyaya dzehutano zvichifananidza nekutsvaga gasizi sampuli yemashure maviri akazaruka uye akavhara anovhara kubva kumucheto wekunaya cannula kurugare mu nasopharynx. Chidzidzo chacho chakagumisa kuti kwete chete chikamu chinoponeswa che oxygi yakafuridzirwa (FIO2) inowedzera nekuwedzera kweioksijeni inoyerera mutengo asi, kana ichienzaniswa neminzwiro akavhara-miromo, kushambadzira-miromo yakazaruka kwakaona FIO2 yakawanda zvikuru. Zvisinei, mune imwe nyanzvi yekukakavadzana kubvumirana kwenyaya yakataurwa pamusoro apa, Dr. Thomas Poulton, Chief Resident we Bowman Grey School of Medicine Dhipatimendi reAnesthesia, anotsanangura kuti gesi samples yakatorwa kubva munzvimbo ino haigoni kuva yakarurama nokuti ine oxygen chete -kugadziriswa gesi-kwete gasisi yakasanganiswa nekamuri yemhepo. Gasi Sampuli dzakatorwa kubva mutirachea , iyo inowedzera pasi nehuro, inogona kupa yakajeka gesi yakawanda.
Zvakawanda ADO Nezvemuromo Muchifuridziro: Chii Chaungaita Nezvo?
Mhinduro yekufema mumuromo inowanzotarisana nechikonzero chinokonzera. Kana imwe nguva yakanyatsoongororwa, unogona kutarisa nzira dzekurapa dzinogona kusanganisira zvinotevera:
- Bvisa zvinyorwa zvako - Vamwe vanhu havana chavangasarudza kunze kwekufema mumiromo yavo nokuti ndima dzavo dzomukati dzakadzivirirwa. Mhedziso inoputika inogona kukonzerwa nehutachiona, chirwere, dambudziko rinotangira kana kunyange mamiriro okunze kuchinja. Pasi-the-counter antihistamines inowanika kuchengetedza zviratidzo zvese zvemawere uye kuzarura mapepa akavhara. Saline nasal spray ndiyo imwe nzira yemasikirwo yemishonga uye inobatsira kunyora ndima dzomumatare, kazhinji kubvisa kukanganiswa. Kana pane-the-counter antihistamines uye / kana saline nasal sprays isingashandi kwauri, taura nemupi wako wehutano wehutano pamusoro pekushandisa mushonga wezvokurapa nasal saFlonase .
- Ita musangano wako nevarume vemazino - Vanachiremba vemazino dzimwe nguva vane ruzivo kupfuura vanachiremba kana zvasvika pakunzwisisa muromo wokufema. Kana nyanzvi yako yamazino ichinyatsoona kuti chimiro chemaziso kana mazino ndiwo mudzi wemuromo wako kufema, anogona kukufananidza nemichina yekushanda kuti ubatsire kugadzirisa dambudziko racho.
- Shandura kumeso mashoma mashekisi - Chigadziriswa chinogadzirisa kumhepo kufema, kana zvichienderana nemishonga, ndiko kutendeukira kumeso masikati mashekisi. Kazhinji, izvi hazvibatsiri kuvanhu vazhinji uye zvinofanira kutanga zvigamuchirwa nemugove wako wekuchengetedza utano. Imwe nzira inofanirwa ndeyekufunga kushandisa sarin cannula masikati uye kuchinja kumeso mashomanana masikati usiku, saka iwe unenge uchive uchiwana zvakakwana ruzivo rwemhepo mukati meawa mauri kurara. Taura nemupi wako wehutano hwehutano kuti uwane mamwe mashoko pamusoro pezvimwe zvinoshandiswa kunaya cannula.
- Kuvhiya kweNasal - Kana zvikamu zvako zvisingabvumirwi nekuvharwa nekuda kwechipamende chinoparadzaniswa , kutaura neNzeve, Nzeve, uye Nyangwe (ENT) Nyanzvi pamusoro pekuvhiyiwa kunogona kubatsira kugadzirisa dambudziko uye kukubvumira kufema zvakanaka. Yeuka, vanhu vane COPD vanofanira kunyatsongwarira pavanenge vachivhiyiwa, nekuda kwezvinetso zvemashure-operative zvinosanganiswa ne anesthesia.
- Transtracheal oksijeni therapy - Transtracheal oksijeni therapy (TTOT) inzira yekugadzirisa oksijeni yakawedzerwa zvakananga mu trachea (windpipe). Sezvimwe zvinopfurikidza neanal cannula, inopa kusvika maita matanhatu e okisijeni paminiti kuburikidza neduku, plastiki tube inonzi catheter. TTOT inowanzochengeterwa vanhu vane uwandu hwehutomu hwemhepo yakasingadi kupindura zvakanaka nenzira dzetsika dzekutengesa okisijeni.
Kukosha kwePulse Oximetry kune avo vari kuwedzera Supplemental Oxygen
Pasinei nokuti unofema nemuromo wako kana mumhino dzako, chirwere chemaximum oximetry inofanirwa kuve-kune ani naani anogamuchira mu-home oxygen therapy. Pulse oximeter inoona kuchinja nokukurumidza mumazinga ekusimudza okisijeni kukupa kunyeverwa kuti uri pasi pe okisijeni. Enzanisa nhamba pamusana wekutsvaira oximetry vatariri uye usambove uri murima pamusoro pemakero ako ekusimudza oksijeni zvakare.
Pasi Payo Pamuromo Mutsva Breathing uye Oxygen Therapy
Kune zvimwe zvinetso mumuromo kufema uye kuwedzera kuwedzera oxygen therapy sezvataurwa pamusoro apa, asi pfungwa inokosha ndeyokuti iwe uri kutora nguva yekutsvakurudza nyaya ino uye kubvunza mibvunzo inokosha-mibvunzo iyo vazhinji vevanhu vane chirwere chemapapu havasi kubvunza.
Tirikudzidza kuti chimwe chezvinhu zvinokosha zvikuru muhupenyu hwehupenyu nekupona, kwete chete nemapapu zvirwere asi nehuwandu hwehutano hwemamiriro ezvinhu, uri iwe mutungamiri wako muhutano hwako. Takasvika pane imwe nzira yemishonga umo pasina chiremba mumwe chete anokwanisa kuramba achienzanisa zvose zvitsvakurudzo zvitsvakurudzo uye zvitsva, kunyange mune imwe nzvimbo yakadai sa pulmonology. Panguva imwecheteyo, kune vanhu vashomanana vanofadzwa kuti vawane mhinduro dzemibvunzo iyi kupfuura avo vari kurwisana nezvirwere zvinokurudzira mibvunzo.
Tora nguva yekubvunza chiremba wako mubvunzo uri kutsvaga mhinduro kune pano. Iko kune dzimwe nzira dzakasiyana dzakasiyana dzisina kunyanya kubudiswa asi dzakabatwa neavo vanotarisana nezvinhu izvi zuva rimwe nerimwe. Usazvidza kufumadza kwevadzidzisi uye vanachiremba wamunoshanda pamwe chete. Ava ndivo vanhu vanoshanda ne nitty-gritty yekuti kuwedzera kwomweyaji kunowanikwa sei kune avo vanouda pamwe chete nemibvunzo yakawanda inomuka.
> Sources:
> Pisani, L., Fasano, L., Corcione, N. et al. Shanduko muMitambo yePulmonary uye Migumisiro yeBreaten Pattern yeKupfuura Kwakaipisisa Oxygen Therapy muStable Hypercapnic COPD. Thorax . 2017. 72 (4): 373-375.
> Yamamoto, N., Miyashita, T., Takaki, S., naT. Goto. Migumisiro Yokuputika Mufaro paOxygen Delivery ViaA Nasal kana Pharyngeal Cannula. Kuporesa Kuchengetedza . 2015. 60 (12): 1804-9.