Hypoxia vs.hypoxemia: Thelekisa oonobangela, iimpawu, unyango kunye nokunye
Imfundo yezeMpiloHypoxia vs.hypoxemia kubangela | Ubuninzi | Iimpawu | Uxilongo | Unyango | Imiba yomngcipheko | Uthintelo | Nini ukubona ugqirha | Ii-FAQ | Izixhobo
Igazi yinkqubo yothutho esebenzayo yomzimba, kwaye ijongana nezinto ezimbini eziphambili: izondlo kunye neoksijini. Amalungu kunye nezihlunu kufuneka zisebenze zombini, ke ukusilela kwezakha mzimba okanye ioksijini kunokubangela imiba yezempilo. I-Hypoxia kunye ne-hypoxemia bobabini bachaphazela amanqanaba eoksijini omzimba. Kuba banezipelingi ezifanayo, ezi meko zimbini zihlala zididekile. Ngelixa zinokubakho ngokudibeneyo, zahlukile ngokufanelekileyo.
Ngamafutshane, i-hypoxemia ibhekisa kumxholo weoksijini esegazini, ngelixa i-hypoxia ithetha ukunikezelwa kweoksijini ephantsi kwizicubu zomzimba. Kwiimeko ezininzi, i-hypoxemia ikhomba kwi-hypoxia kuba uxinzelelo lweoksijini esezantsi egazini kuhlala kuchaphazela ukuhanjiswa kweoksijini kwizicwili. Banokuba neempawu ezifanayo, ezenza kube nzima ngakumbi ukuzibona. Kulapho esi sikhokelo singena khona ngokufanelekileyo. Kukujonga okunzulu kwihypoxia vs.hypoxemia, yonke into esuka koonobangela kunyango, ukwahlula phakathi kwabo.
Oonobangela
Hypoxia
Nawuphi na umba okanye isiganeko esinciphisa ukungeniswa kweoksijini sinokunciphisa inani leoksijini kwizicubu zomzimba. Izizathu zehypoxia zibandakanya:
- Ukuhlaselwa sisifo sombefu kunye nezifo zemiphunga. Ezi meko zihlala zibangela i-hypoxia kuba zithintela ngokuthe ngqo ukubonelelwa kweoksijini.
- Uthutho lweoksijini olungasebenziyo. Izifo zentliziyo ezichaphazela ukuphuma kwentliziyo zinokuthintela ukuhamba kwegazi kunye ne-anemia (ebangelwa ngamanqanaba asezantsi eeseli ezibomvu ezisempilweni) inokunciphisa inani leoksijini enokuhanjiswa ligazi.
- Intsholongwane ye-Corona ( I-COVID-19 ) . Kutshanje, i-coronavirus yenoveli ivele njengenye yezizathu eziqhelekileyo.
- Uxinzelelo lweoksijini oluphantsi kwimo engqongileyo. Ukuphakama okuphezulu kunokuba sisizathu sehypoxia, ngakumbi kubantu abanezinto ezinobungozi obusele zikhona.
- Ikharbon monoksayidi okanye icyananide. Ityhefu yicarbon monoxide okanye i-cyanide kwindawo yomntu inokubangela i-hypoxia ngequbuliso ngaphandle kwe-hypoxemia.
Hypoxemia
Zintlanu izinto eziphambili Unobangela wehypoxemia : akonelanga ukuhamba kwegazi okanye ioksijini emiphungeni (ukungangeni kakuhle kwempepho yokungenisa umoya), igazi elingena kwicala lasekhohlo lentliziyo ngaphandle kokufakwa ioksijini kuqala (ekunene ukuya ekhohlo ukushukuma), ukungahambi kakuhle kokuhamba kweoksijini emiphungeni kungene kwigazi (ukusasazeka ukonakala), ukuphefumla nzulu kwaye kungasebenzi (hypoventilation), kunye neoksijini ephantsi yendalo. Izinto ezingunobangela wehypoxemia ziyafana nezo zibangela i-hypoxia. Ngesi sizathu, oonobangela behypoxemia kunye nehypoxia banokudibana. Ngokusisiseko, nantoni na enciphisa amandla okufumana ioksijini okanye ioksijini yegazi inokuba ngunobangela. Ezinye izizathu zehypoxemia zibandakanya:
- Ukuhlaselwa sisifo sombefu
- Izifo zemiphunga
- Izifo zentliziyo
- Ukunqongophala kwegazi
- Ukuphakama okuphezulu
- Umothuko wemiphunga
- Kutshanje, i-COVID-19 ibangele into ebizwa ngokuba cwaka hypoxemia okanye u-hypoxia owonwabileyo, apho isigulana sibonisa ukungabinazimpawu kodwa sineqondo eliphantsi leoksijini yegazi.
Hypoxia vs.hypoxemia kubangela | |
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| Hypoxia | Hypoxemia |
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Ubuninzi
Kukho izifundo ezimbalwa malunga nokuxhaphaka kwe-hypoxia okanye i-hypoxemia kwiimeko ezithile, kodwa akukho nanye kwizinga eliqhelekileyo lokuvela e-US ngalo naliphi na ixesha.
Iimpawu
Hypoxia
Iimpawu zehypoxia zinokwahluka ngokusekwe kwimeko kunye nobukrakra. Ngokubanzi, kubandakanya ukukhwehlela, ukuvutha, ukonyuka kwentliziyo, intloko, kunye nombala oluhlaza okwesikhumba, imilebe, okanye iinzipho (ezibizwa ngokuba yicyanosis). Iimeko ezinzima zinokubangela ukuba ufe isiqaqa okanye uxhuzule. Kwimeko ye-hypoxia yobuchopho (ioksijini esezantsi kwingqondo), umntu unokufumana ukudideka, ukuthetha nzima, ukulahleka kwememori okwethutyana, ubunzima bokuhamba, okanye ikhoma.
Iziganeko ezingapheliyo okanye ezingaphantsi kakhulu ze-hypoxia zingabangela ukukhathala ngokubanzi kunye nokuphefumula okufutshane, ngakumbi emva kokusebenza komzimba.
Hypoxemia
Kuba zombini ezi meko zijongana nokuswela ioksijini, zineempawu ezifanayo nazo. Abantu abane-hypoxemia banokufumana ukuphefumla okufutshane, ukukhwehlela, ukuvutha, intloko ebuhlungu, ukubetha kwentliziyo okukhawulezayo, ukudideka kunye necyanosis. Iimeko ezinzima zinokubangela ukusilela kokuphefumla ngokuphefumla, okubonakaliswa ngamanqanaba eoksijini egazi asezantsi kodwa amanqanaba esiqhelo e-carbon dioxide.
IHypoxia vs.Iimpawu zehypoxemia | |
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| Hypoxia | Hypoxemia |
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Ukuxilongwa kwehypoxia
Logama isigulana singekho kuxinzelelo, ugqirha uya kuqala ngokwenza uvavanyo lomzimba ukuvavanya intliziyo kunye nemiphunga. Ukuba bayazibona iimpawu zehypoxia, baya kudlulela kolunye uvavanyo. I-oximetry yentliziyo luvavanyo olungelulo olokuhlasela apho ugqirha esebenzisa isivamvo somnwe wokulinganisa amanqanaba eoksijini yegazi. Uvavanyo lwegesi yegazi olusebenzisa isampuli yegazi ukulinganisa uxinzelelo lweoksijini (PaO2), ukugcwala kweoksijini, uxinzelelo olulinganiselweyo lwekharbon diokside, kunye namanqanaba e-pH yegazi.
Ukuba ugqirha ukrokrela i-hypoxia ye-cerebral, banokuyalela i-MRI, i-CT scan, i-echocardiogram, okanye i-electroencephalogram (i-EEG).
Hypoxemia
Uvavanyo lwehypoxemia ubukhulu becala ziyafana. Zihlala zibandakanya uvavanyo lomzimba, zilandelwa kukubetha kweoyetetry okanye uvavanyo lwegesi yegazi. Uvavanyo lomsebenzi wemiphunga, olinganisa isixa somoya ophefumlelweyo kunye nokuphefumla, kunye nokusebenza ngokuhanjiswa kweoksijini, kunokunceda ekuqinisekiseni isifo.
Hypoxia vs.ukuchongwa kwehypoxemia | |
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| Hypoxia | Hypoxemia |
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Unyango lwehypoxia
Unyango oluqhelekileyo lwehypoxia lonyango lweoksijini, olubonelela ngeoksijini eyongezelelweyo ngokusebenzisa imaski yobuso okanye iityhubhu ezibekwe empumlweni okanye kwitrachea. Kwiimeko ezinzima, ukungenisa umoya ngomatshini kunokuba yimfuneko. Ukuxhasa ukusebenza kwentliziyo, ugqirha unokunika isigulana isigulana samanzi okanye amayeza ukunyusa uxinzelelo lwegazi okanye ukuthintela ukubanjwa (ngakumbi kwimeko ye-hypoxia yecerebral).
Hypoxemia
Kwangokunjalo, unyango lweoksijini kunye nokungenisa umoya ngoomatshini zezona zixhaphake isifo sehypoxemia. Oogqirha banokuyalela amayeza besebenzisa inhaler ukunceda ngokuphefumla.
Kuxhomekeka kwisizathu, kunokuba yimfuneko ukufikelela kwingcambu yehypoxemia ngokunyanga imeko engaphantsi, enjenge-pneumonia okanye i-emphysema. Oogqirha banokumisela amayeza okubulala iintsholongwane okanye ii-steroids ukunyanga le meko iphantsi.
Hypoxia vs unyango lwehypoxemia | |
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| Hypoxia | Hypoxemia |
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Imiba yomngcipheko
Nawuphi na umbandela okhoyo okwehlisayo okwehlisa i-oksijini okanye okhusela ukuhanjiswa kweoksijini unokunyusa umngcipheko wehypoxia. Ke, abantu abane-asthma, i-COPD, i-emphysema, i-bronchitis, okanye ezinye izifo zemiphunga basemngciphekweni omkhulu. Ukufumana utshintsho oluphezulu rhoqo, njengabaqhubi beenqwelomoya kunye nabasebenzi, kunokubangela nethuba eliphezulu le-hypoxia. Ngenxa yeziphumo zayo eziyingozi kwimiphunga, ukutshaya kukwayinto ebalulekileyo yomngcipheko.
Isifo sentliziyo sinokuthintela ukuhanjiswa kweoksijini (kwaye ngokuchaseneyo) , ezinokuthi zonyuse umngcipheko wehypoxia. Ezinye izinto ezinxulunyaniswa nesifo sentliziyo njengokutyeba kakhulu, i-cholesterol ephezulu, kunye nembali yosapho yesifo sentliziyo inokuba negalelo kumngcipheko wehypoxia.
Hypoxemia
Ihypoxemia inezinto ezininzi ezinobungozi. Nawuphi na umqathango othintela umzimba ekufumaneni ioksijini eyaneleyo unokubangela oko. Imiqathango ibandakanya izifo zemiphunga esele zikho njenge-asthma, i-COPD, i-emphysema, kunye ne-bronchitis, kunye notshintsho lwendalo njengobude kunye ne-carbon monoxide inhalation. Indlela yokuphila enokubangela imiba yemiphunga kunye nentliziyo-njengokutshaya, ukutya okungenampilo, kunye nokungasebenzi-kunokubeka umntu emngciphekweni omkhulu wokufumana i-hypoxemia.
Hypoxia vs.hypoxemia umngcipheko | |
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| Hypoxia | Hypoxemia |
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Ezinxulumene: Ukutyeba kakhulu kunye neenkcukacha zokutyeba kakhulu
Uthintelo
Hypoxia
Ukuthintela i-hypoxia kufuna ukulawula iimeko zempilo ezingapheliyo, ukuthintela imeko yomngcipheko wokuphila, kunye nokwazi imeko-bume. Umntu one-asthma enzima okanye i-COPD uya kufuna ukuthatha amayeza amiselweyo ngokungaguqukiyo kwaye acwangcise ukutyelelwa rhoqo ngugqirha. Umntu otshayayo kunye / okanye ohleliyo ngokwasemzimbeni uya kufuna ukuyeka ukutshaya kunye nokwandisa umsebenzi wabo.
Hypoxemia
Kwakhona, ukuthintela ikakhulu kubandakanya ukufumana unyango lweemeko ezisisiseko kunye nokwenza izigqibo malunga nendlela yokuphila esempilweni.
Ungayikhusela njani i-hypoxia kunye ne-hypoxemia | |
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| Hypoxia | Hypoxemia |
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Ezinxulumene: Fumana amakhuphoni okuyeka ukutshaya iziyobisi
Uza kubona nini ugqirha malunga ne-hypoxia okanye i-hypoxemia
Zombini iimeko zinobuzaza. Ukuthintela ioksijini yeethishu, ngakumbi kumalungu nakwingqondo, kunokuba neziphumo ezibi. Nabani na ohlangabezana nokuphefumla ngesiquphe kunye / okanye kakhulu, ngakumbi xa kuthintela amandla abo okusebenza ngesiqhelo, kufuneka afune uncedo kwingcali yezempilo. Ukuphefumla okufutshane okwenzeka ngexesha lokuphumla okanye ukungasebenzi (okanye ezinzulwini zobusuku) kubaluleke kakhulu. Umntu oneemeko zemiphunga esele zikho okanye ezinye izinto ezinobungozi kufuneka atyelele ugqirha kwangoko xa eneempawu ezidweliswe apha ngasentla.
Imibuzo ebuzwa rhoqo malunga ne-hypoxia kunye ne-hypoxemia
Ngaba i-pulse oximetry measure hypoxia okanye i-hypoxemia?
I-oximetry ye-pulse luvavanyo olungafunekiyo olulinganisa ukwanda kweoksijini yegazi. Iyakwazi ukubona ngokuthe ngqo i-hypoxemia. Amanqanaba eoksijini egazi anokuba sisalathiso ngqo seoksijini yethishu, ngenxa yoko ukubetha kwe-oximetry kunokuchonga i-hypoxia ngokunjalo.
Ngaba i-hypoxia kunye ne-hypoxemia efanayo?
Hayi, kodwa zihlobene kakhulu. I-Hypoxemia ibonakaliswa ngumxholo weoksijini osegazini, ngelixa i-hypoxia ithetha umxholo weoksijini omncinci kwizicubu zomzimba. Ngenxa yokuba ukuhamba kwegazi kuhambisa ioksijini kwizicubu, i-hypoxemia inokucebisa okanye ibangele i-hypoxia, kwaye ezi zimbini zihlala zenzeka kunye.
Zithini iimpawu zeklinikhi zehypoxia vs.
Iimpawu zeklinikhi zehypoxia kunye nehypoxemia ziyafana. Zombini ezi meko zinokubangela ukuphefumla okufutshane, ukukhohlela, ukuvutha kwentloko, intloko ebuhlungu, ukudideka, kunye nolusu olukhanyayo. I-Cerebral hypoxia (ioksijini esezantsi kwingqondo) nayo inokubangela ingxaki ekuthetheni, ukulahleka kwenkumbulo okwexeshana, ukunciphisa ukuhamba, kunye nesiqa.
