Tekanyo ea mali ea oksijene ea mali

Litaba

• Teko ea boemo ba oksijene ea mali ke eng?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka tlhahlobo ea boemo ba oksijene ea mali?
• Ho etsahalang nakong ea tlhahlobo ea boemo ba oksijene ea mali?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Na ho na le eng kapa eng eo ke hlokang ho e tseba ka liteko tsa boemo ba oksijene ea mali?
• Litšupiso

Teko ea boemo ba oksijene ea mali ke eng?

Teko ea boemo ba oksijene ea mali, e tsejoang hape e le tlhahlobo ea khase ea mali, e metha boholo ba oksijene le carbon dioxide maling. Ha o hema, matšoafo a hau a kenella (a hula moea) oksijene ebe o tsoa (exhale) carbon dioxide. Haeba ho na le ho se leka-lekane maemong a oksijene le carbon dioxide maling a hao, ho ka bolela hore matšoafo a hao ha a sebetse hantle.

Teko ea boemo ba oksijene ea mali e hlahloba litekanyo tsa liasiti le metheo, e tsejoang e le pH balance, maling. Asiti e ngata haholo kapa e nyane haholo maling e ka bolela hore ho na le bothata matšoafong kapa liphio tsa hau.

Mabitso a mang: tlhahlobo ea khase ea mali, likhase tse mali tse ngata, ABG, tlhahlobo ea khase ea mali, tlhahlobo ea phepelo ea oksijene

E sebelisetsoa eng?

Teko ea boemo ba oksijene ea mali e sebelisetsoa ho hlahloba hore na matšoafo a hao a sebetsa hantle hakae le ho metha tekanyo ea acid-maling maling a hao. Teko hangata e kenyelletsa litekanyo tse latelang:

• Likahare tsa oksijene (O2CT). Sena se lekanya boholo ba oksijene maling.
• Ho tlatsoa ha oksijene (O2Sat). Sena se lekanya boholo ba hemoglobin maling a hao. Hemoglobin ke protheine e liseleng tsa hao tse khubelu tsa mali tse tsamaisang oksijene matšoafong a hao ho ea 'meleng oohle.
• Khatello e fokolang ea oksijene (PaO2). Sena se lekanya khatello ea oksijene e qhibilihisitsoeng maling. E thusa ho bonts'a hore na oksijene e tsamaea hantle hakae matšoafong a hao ho ea maling a hao.
• Khatello e fokolang ea carbon dioxide (PaCO2). Sena se lekanya boholo ba carbon dioxide maling.
• PH. Sena se lekanya tekanyo ea li-acid le metheo ea mali.

Hobaneng ha ke hloka tlhahlobo ea boemo ba oksijene ea mali?

Ho na le mabaka a mangata a hore tlhahlobo ena e laeloe. U kanna ua hloka tlhahlobo ea mali ea oksijene ea mali haeba u:

• Ho ba le bothata ba ho hema
• E-ba le linako tse ngata tsa ho nyekeloa ke pelo le / kapa ho hlatsa
• Ba phekoloa bakeng sa lefu la matšoafo, joalo ka asthma, boloetse bo sa foleng ba pulmonary pulmonary (COPD), kapa cystic fibrosis. Teko e ka thusa ho bona hore na kalafo ea sebetsa.
• Haufinyane o lemetse hlooho kapa molala oa hau, o ka amang phefumoloho ea hau
• O ne a ena le overdose ea lithethefatsi
• Ba ntse ba fumana kalafo ea oksijene ha ba le sepetlele. Teko e ka thusa ho netefatsa hore o fumana oksijene e lekaneng.
• E-ba le chefo ea carbon monoxide
• E-ba le kotsi ea ho tsuba ha u tsuba

Lesea le sa tsoa tsoaloa le lona le ka hloka tlhahlobo ena haeba le na le bothata ba ho hema.

Ho etsahalang nakong ea tlhahlobo ea boemo ba oksijene ea mali?

Liteko tse ngata tsa mali li nka sampole methapong. Bakeng sa tlhahlobo ena, mofani oa tlhokomelo ea bophelo o tla nka sampole ea mali ho tsoa mothapong. Ke hobane mali a tsoang mothapong o na le litekanyo tse phahameng tsa oksijene ho feta mali a tsoang mothapong. Mohlala hangata o nkuoa mothapong o kahare ho letsoho. Sena se bitsoa methapo ea radial. Ka linako tse ling sampole e nkuoa mothapong oa setsoe kapa boteng. Haeba lesea le sa tsoa tsoaloa le ntse le hlahlojoa, sampole e ka nkuoa serethe sa ngoana kapa mokokotlong.

Nakong ea ts'ebetso, mofani oa hau o tla kenya nale e nang le sering mothapong. U ka utloa bohloko bo boholo ha nale e kena mothapong. Ho fumana sampole ea mali ho tsoa mothapong hangata ho bohloko ho feta ho fumana mali mothapong, mofuta o tloaelehileng oa ts'ebetso ea tlhahlobo ea mali.

Hang ha seringe e tlatsitsoe ka mali, mofani oa hau o tla beha bandage holim'a sebaka sa marang-rang. Kamora ts'ebetso, uena kapa mofani oa litšebeletso o tla hloka ho kenya khatello e tiileng sebakeng seo metsotso e 5-10, kapa le ho feta haeba o noa moriana o fokotsang mali.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Haeba sampole ea hau ea mali e nkuoe letsohong la hao, mofani oa hao oa tlhokomelo ea bophelo a ka etsa tlhahlobo ea potoloho e bitsoang tlhahlobo ea Allen pele a nka sampole. Tekong ea Allen, mofani oa hau o tla sebelisa khatello ea methapo ka letsohong la hao metsotsoana e mengata.

Haeba u le kalafong ea oksijene, oksijene ea hau e ka tima hoo e ka bang metsotso e 20 pele ho tlhahlobo. Sena se bitsoa teko ea moea ka phapusing. Sena se ke ke sa etsoa haeba o sa khone ho hema ntle le oksijene.

Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea boemo ba oksijene ea mali. U kanna oa ba le ho tsoa mali, ho khoba kapa ho opeloa sebakeng seo nale e kentsoeng ho sona. Le ha mathata a le teng ka seoelo, o lokela ho qoba ho phahamisa lintho tse boima lihora tse 24 kamora 'tlhahlobo.

Liphetho li bolelang?

Haeba liphetho tsa boemo ba hau ba oksijene ea mali li sa tloaeleha, li kanna tsa bolela uena:

• Ha ba nke oksijene e lekaneng
• Ha ba felise carbon dioxide e lekaneng
• E-na le ho se leka-lekane maemong a hau a acid-base

Maemo ana e ka ba matšoao a lefu la matšoafo kapa la liphio. Teko e ke ke ea fumana mafu a itseng, empa haeba liphetho tsa hau li sa tloaeleha, mofani oa tlhokomelo ea bophelo ba hau o tla odara liteko tse ling ho netefatsa kapa ho thibela tlhahlobo. Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka liteko tsa boemo ba oksijene ea mali?

Mofuta o mong oa tlhahlobo, o bitsoang pulse oximetry, le ona o lekola maemo a oksijene ea mali. Teko ena ha e sebelise nale kapa ho hloka sampole ea mali. Ha oximetry ea pulse, sesebelisoa se senyenyane se kang sekontiri se nang le sensor e khethehileng se khomaretsoe monoaneng oa hau, monoaneng kapa tsebe. Kaha sesebelisoa se metha oksijene "peripherally" (sebakeng se kantle), liphetho li fanoa e le pheliso ea oksijene ea pherifera, e tsejoang hape e le SpO2.

Litšupiso

1. Allina Health [Inthanete]. Minneapolis: Bophelo bo Botle ba Allina; c2018. Likhase tsa Mali; [e qotsitsoeng ka 2018 la 10 Mmesa]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://wellness.allinahealth.org/library/content/1/3855
2. Mokhatlo oa Amerika oa Lung [Inthanete]. Chicago: Mokhatlo oa Lung oa Amerika; c2018. Lungs e Sebetsa Joang; [e qotsitsoeng ka 2018 la 10 Mmesa]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: http://www.lung.org/lung-health-and-diseases/how-lungs-work
3. Hinkle J, Cheever K. Brunner & Suddarth's Handbook ea Liteko tsa Laboraro le Tlhatlhobo. 2nd Ed, mosa. Philadelphia: Wolters Kluwer Bophelo, Lippincott Williams & Wilkins; c2014. Tlhahlobo ea Arterial Blood Gas Analysis (ABG); leq. 59.
4. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2018. Likhase tsa Mali; [e ntlafalitsoeng 2018 Apr 9; e qotsitsoeng 2018 Apr 10]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/blood-gases
5. Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co Inc .; c2018. Tlhahlobo ea Arterial Blood Gas (ABG); [e qotsitsoeng ka 2018 la 10 Mmesa]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.merckmanuals.com/home/lung-and-airway-disorders/diagnosis-of-lung-disorders/arterial-blood-gas-abg-analysis
6. National Heart, Lung, le Setsi sa Mali [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Kamoo matšoafo a sebetsang kateng; [e qotsitsoeng ka 2018 la 10 Mmesa]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health-topics/how-lungs-work
7. Nurse.org [Inthanete]. Bellevue (WA): Mooki.org; Tseba li-ABGs-Arterial Blood Gases tsa hau tse hlalositsoeng; 2017 Mphalane 26 [e qotsitsoeng ka 2018 Mphalane 10]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://nurse.org/articles/arterial-blood-gas-test
8. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2018. Health Encyclopedia: Khase ea Mali ea Arterial (ABG); [e qotsitsoeng ka 2018 la 10 Mmesa]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID;=arterial_blood_gas
9. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Gase ea Mali ea Arterial: Kamoo e Ikutloang Kateng; [e ntlafalitsoeng 2017 Mar 25; e qotsitsoeng 2018 Apr 10]; [li-skrini tse ka bang 6]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/arterial-blood-gases/hw2343.html#hw2395
10. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Gase ea Mali ea Arterial: Kamoo E Etsoang Kateng; [e ntlafalitsoeng 2017 Mar 25; e qotsitsoeng 2018 Apr 10]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/arterial-blood-gases/hw2343.html#hw2384
11. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Gase ea Mali ea Likotsi: Likotsi; [e ntlafalitsoeng 2017 Mar 25; e qotsitsoeng 2018 Apr 10]; [tse ka bang li-skrini tse 7]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/arterial-blood-gases/hw2343.html#hw2397
12. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Gase ea Mali ea Arterial: Tlhatlhobo ea Teko; [e ntlafalitsoeng 2017 Mar 25; e qotsitsoeng 2018 Apr 10]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/arterial-blood-gases/hw2343.html#hw2346
13. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Gase ea Mali ea Arterial: Hobaneng e Etsoa; [e ntlafalitsoeng 2017 Mar 25; e qotsitsoeng 2018 Apr 10]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/arterial-blood-gases/hw2343.html#hw2374
14. Mokhatlo oa Lefatše oa Bophelo [Internet]. Geneva: Mokhatlo oa Lefatše oa Bophelo; c2018. Buka ea koetliso ea Pulse Oximetry; [e qotsitsoeng ka 2018 la 10 Mmesa]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: http://www.who.int/patientsafety/safesurgery/pulse_oximetry/who_ps_pulse_oxymetry_training_manual_en.pdf

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.