Hypoxemia yog qis qis oxygen hauv koj cov ntshav. Nws ua rau cov tsos mob xws li mob taub hau, ua pa nyuaj, lub plawv dhia ceev thiab cov tawv nqaij liab. Ntau lub plawv thiab lub ntsws ua rau koj muaj kev pheej hmoo rau hypoxemia. Nws kuj tuaj yeem tshwm sim ntawm qhov siab siab. Hypoxemia tuaj yeem ua rau tuag taus. Yog tias koj tab tom muaj cov tsos mob ntawm hypoxemia, hu rau 911 lossis mus rau ER.
Hypoxemia yog dab tsi?
Hypoxemia yog thaum cov pa oxygen hauv cov ntshav qis dua li qub. Yog tias cov ntshav oxygen qis dhau lawm, koj lub cev yuav ua haujlwm tsis zoo. Ib tug neeg uas muaj cov ntshav oxygen tsawg yog suav tias yog hypoxemic.
Cov pa oxygen nkag mus rau koj cov ntshav los ntawm koj lub ntsws. Thaum koj ua pa, oxygen los ntawm huab cua mus los ntawm koj lub ntsws mus rau hauv cov hnab cua me me (alveoli). Cov hlab ntsha (capillaries) mus ze rau alveoli thiab khaws cov pa. Thaum kawg, oxygen taug kev los ntawm koj cov ntshav mus rau koj cov ntaub so ntswg.
Hypoxemia tuaj yeem tshwm sim yog tias koj ua tau't ua pa oxygen txaus lossis yog tias cov pa oxygen uas koj nqus tau't tau rau koj cov ntshav. Cua thiab ntshav ntws yog ob qho tib si tseem ceeb kom muaj oxygen txaus hauv koj cov ntshav. Qhov no yog vim li cas kab mob ntsws thiab kab mob plawv ob leeg ua rau koj txoj kev pheej hmoo ntawm hypoxemia.
Nyob ntawm qhov hnyav thiab ntev, hypoxemia tuaj yeem ua rau mob me me lossis ua rau tuag taus. Cov tsos mob me muaj xws li mob taub hau thiab ua tsis taus pa. Hauv cov xwm txheej hnyav, hypoxemia tuaj yeem cuam tshuam rau lub plawv thiab lub hlwb ua haujlwm. Nws tuaj yeem ua rau tsis muaj oxygen hauv koj lub cev'lub cev thiab cov ntaub so ntswg (hypoxia).
Hypoxemia tuaj yeem tshwm sim rau lub sijhawm luv luv ua rau"mob hnyav" ua pa tsis ua haujlwm. Hauv cov xwm txheej uas nws muaj teeb meem mus sij hawm ntev dhau lub hlis thiab xyoo, koj tuaj yeem hnov nws hu ua"mob ua pa tsis ua haujlwm".
Hypoxemia vs. hypoxia: Dab tsi's qhov txawv?
Koj tuaj yeem hnov cov lus hypoxemia thiab hypoxia siv sib hloov, tab sis lawv tsis yog't tib. Cov npe suab zoo sib xws vim tias lawv ob leeg koom nrog qis qis, tab sis nyob rau ntau qhov chaw ntawm koj lub cev.
Hypoxemia yog cov pa oxygen tsawg hauv koj cov ntshav thiab hypoxia yog cov pa oxygen tsawg hauv koj cov _ _cov ntaub so ntswg. Hypoxemia tuaj yeem ua rau hypoxia thiab lawv feem ntau tshwm sim ua ke, tab sis tsis tas li. Koj tuaj yeem ua hypoxemic tab sis tsis yog hypoxic thiab vice-versa.
Leej twg ua rau hypoxemia cuam tshuam?
Txhua yam mob uas txo cov pa oxygen hauv koj cov ntshav lossis txwv cov ntshav ntws tuaj yeem ua rau hypoxemia. Cov neeg nyob nrog cov kab mob plawv lossis mob ntsws xws li mob plawv tsis ua haujlwm, COPD lossis mob hawb pob, muaj kev pheej hmoo siab rau hypoxemia. Qee yam kab mob sib kis, xws li mob npaws, mob ntsws thiab COVID-19, kuj tuaj yeem ua rau koj qhov kev pheej hmoo ntawm hypoxemia.
Cov tsos mob ntawm hypoxemia yog dab tsi?
Cov tsos mob ntawm hypoxemia txawv nyob ntawm qhov mob hnyav thiab qhov tshwm sim. Qee cov tsos mob hypoxemia muaj xws li:
· Mob taub hau.
· Ua pa nyuaj lossis ua tsis taus pa (dyspnea).
· Lub plawv dhia ceev (tachycardia).
· hnoos.
· hawb pob.
· Tsis meej pem.
· Bluish xim ntawm daim tawv nqaij, ntiv tes thiab daim di ncauj (cyanosis).
Yuav kho hypoxemia li cas?
Raws li qhov tshwm sim ntawm hypoxemia, cov tshuaj lossis lwm yam kev kho mob tuaj yeem pab txhawb koj cov ntshav oxygen. Txhawm rau txhim kho cov pa oxygen, koj tus kws kho mob yuav siv tau"oxygen ntxiv" los ntawm oxygen tanks lossis oxygen concentrators. Cov no tej zaum yuav xav tau tsis tu ncua lossis tsuas yog nrog kev tawm dag zog nyob ntawm qhov mob hnyav.
Nyob rau hauv cov ntaub ntawv ntawm hypoxemia hnyav, tshwj xeeb tshaj yog nrog mob ua pa nyuaj siab, cov kws kho mob yuav siv lub tshuab ua pa rau koj (lub tshuab ua pa). Yog tias hypoxemia tshwm sim't daws, ib yam mob hu ua refractory hypoxemia, siv tshuaj ntxiv lossis kev kho mob.
Cov kev kho mob, uas tsom mus rau lub hauv paus, tej zaum yuav muaj xws li:
· Cov tshuaj nqus tau cov tshuaj bronchodilators lossis steroids los pab cov neeg mob ntsws xws li COPD.
· Cov tshuaj uas pab tshem tawm cov kua dej ntau dhau hauv koj lub ntsws (tshuaj diuretics).
· Nruam zoo airways siab daim npog qhov ncauj (CPAP) kho pw tsaug zog apnea.
· Cov pa oxygen ntxiv tuaj yeem siv los kho qhov pheej hmoo pheej hmoo ntawm hypoxemia. Cov pa oxygen sib txawv, tab sis koj tuaj yeem cia siab tias yuav tau txais lub tshuab uas xa cov pa oxygen ntxiv los ntawm lub ntsej muag ua pa lossis lub raj me me (cannula). Koj tuaj yeem tau txais cov pa oxygen hauv tsev, nrog lub tshuab nqa tau thaum koj mus ncig, lossis hauv tsev kho mob.
Kuv tuaj yeem txo kuv txoj kev pheej hmoo ntawm hypoxemia li cas?
Txoj hauv kev zoo tshaj plaws los txo koj txoj kev pheej hmoo ntawm hypoxemia yog tswj txhua yam hauv qab uas tuaj yeem txo koj cov ntshav oxygen. Yog tias koj nyob nrog mob ntsws lossis mob plawv, nrog koj tus kws kho mob tham txog koj cov kev txhawj xeeb thiab cov kev tshwj xeeb los txo koj txoj kev pheej hmoo.
Txawm hais tias rau cov uas tsis muaj lub plawv lossis lub ntsws, qee yam tshuaj thiab cov xwm txheej— zoo li taug kev mus rau qhov siab dua— tuaj yeem ua rau koj qhov kev pheej hmoo ntawm hypoxemia. Nug koj tus kws kho mob txog kev ceev faj tshwj xeeb uas koj yuav tsum tau ua thaum mus ncig lossis noj tshuaj. Cia lub sijhawm kom nyab xeeb hloov mus rau qhov siab siab dua thaum koj mus ncig.
Kuv tuaj yeem nce kuv qib oxygen li cas?
Tswj txhua yam hauv qab no yog txoj hauv kev zoo tshaj plaws los ua kom koj cov ntshav oxygen nyob rau theem kev nyab xeeb thiab txo koj txoj kev pheej hmoo ntawm hypoxemia.
· Don't tsis quav ntsej cov tsos mob tshiab. Cia siab rau koj tus kheej yog tias koj xav tias ib yam dab tsi tawm. Hu rau koj tus kws kho mob lossis mus rau ER.
· Yog tias koj tus kws kho mob tau sau cov pa oxygen, siv nws raws li qhia.
· Xyaum pulmonary tu cev. Yog tias koj muaj COPD lossis mob hawb pob, paub koj cov tsos mob thiab xyuas kom koj ib txwm muaj lub tshuab nqus pa nrog koj yog tias tau sau tseg. cog lus rau kev siv lub zog spirometer, ua pa ua pa thiab ua raws li lwm cov lus pom zoo rau kev mob ntsws los ntawm koj tus kws kho mob.
· Txhob haus luam yeeb. Yog tias koj haus luam yeeb, txiav luam yeeb tuaj yeem pab ua kom lub ntsws ua haujlwm kom nqa oxygen ntau rau hauv koj lub ntsws. Kev txiav tawm kuj tseem pab tiv thaiv kev puas tsuaj ntxiv rau koj lub ntsws.
· Noj ib yam tshuaj raws li koj tus kws kho mob sau tseg.
· Ua ib txoj kev npaj rau kev mus ncig siab. Txawm tias cov neeg uas tsis muaj lub plawv lossis lub ntsws tuaj yeem muaj teeb meem ua pa ntawm qhov siab. Nkag siab tias nws yuav cuam tshuam li cas rau koj thiab npaj ib txoj kev kho kom haum rau qhov kev hloov pauv. Paub tias koj yuav ua dab tsi ua ntej yog tias koj yuav tsum tau mus kho mob. Muab sijhawm rau koj tus kheej kom txaus los kho yog tias tsim nyog thiab nco ntsoov nqa cov khoom siv ntxiv lossis tshuaj uas koj xav tau.