"Mu buvuzi bukomeye, hypoxemia icecekesha ikomeza kuba nk'indwara itamenyekana kandi ifite ingaruka zikomeye. Irangwa no guterwa na ogisijeni idafite dyspnea (bita 'hypoxia icecekeye'), iyi myiyerekano ya paradoxique ni ikimenyetso gikomeye cyo kunanirwa kw'ubuhumekero. Imiterere y'ibihaha Ikinyamakuru cyitwa New England Journal of Medicine giherutse kwerekana iyi 'paradox y'ivuriro' - aho imbaraga z’ubuhumekero zihisha kubura ogisijeni ikabije, bisaba ko hongera kubaho ivuriro no gukurikirana ivugurura rya protocole. ”
Hypoxemia ni iki?
"Hypoxemia, isobanurwa nk'ibura ry’indwara ya ogisijeni yuzuye mu maraso ya arterial (PaO2 <80 mmHg ku nyanja y’inyanja ku bantu bakuru), ituruka iyo umuvuduko w'igice ugabanutse munsi y’imipaka yagenwe (AARC Clinical Practice Guideline 2021).
- Ventilation / Perfusion idahuye: Abarwayi b'umusonga ukabije bafite alveolar yinjira mububasha bwo gukwirakwiza
- Uburyo bwa Cardiogenic: Ibumoso / iburyo bwumutima byumutima byerekana umuvuduko ukabije wimpyiko (PCWP> 18 mmHg)
- Ubwumvikane buke bwa Neuromuscular: Abana babana bafite imitsi ya intercostal idatera imbere hamwe nabakuze bafite imikorere mibi ya diaphragmatic
- Kumenyekanisha karande: Abakoresha itabi bagaragaza imiterere yibihaha (emphysema, icyiciro cya COPD-Zahabu ≥2)
- Imbarutso ya Iatrogène: Abarwayi nyuma yo kubagwa bahura na opioide iterwa no guhumeka neza (RR <12 / min) na atelectasis
Ikigaragara ni uko 38% by’abarwayi babaga thoracic barwara hypoxemia mu masaha 24h nyuma yo kwaguka (ASA Closed Claims Data 2022), bishimangira ko hakenewe igenzura rihoraho ry’imisemburo muri aba baturage. ”
Ni izihe ngaruka za hypoxemia?
Nk’uko imibare y’amavuriro ibigaragaza, impfu z’abarwayi bafite hypoxemia ikabije zishobora kugera kuri 27%, kandi mu bihe bikomeye, umubare w’abapfa ushobora no kurenga 50%. Niba gutabara ku gihe bidakozwe mugihe cyambere cyindwara, hashobora kubaho ingaruka zikomeye.
- Ingaruka ku bwonko: Iyo urugero rwa ogisijeni mu maraso rugabanutse (hypoxemia), ubwonko bubura ogisijeni. Ibi birashobora gutera ibimenyetso byihuse nko kurwara umutwe udahoraho, kuzunguruka gitunguranye, no kwibuka. Iyo itavuwe neza, inzara ndende ya ogisijeni irashobora kwangiza ingirangingo z'ubwonko, bikaba byaviramo ubwonko buterwa no gutembera kw'amaraso (infarction cerebral) cyangwa imiyoboro y'amaraso yamenetse (hemorhage cerebral). Kumenya hakiri kare ibyo bimenyetso byo kuburira ni ngombwa kugirango wirinde kwangirika kw'imitsi.
- Ingaruka ku mutima: Iyo umutima utabonye ogisijene ihagije, biragoye kuvoma neza. Iyi mitekerereze irashobora gukurura ibimenyetso byo kuburira nkumutima wihuta cyangwa udasanzwe wumutima, gukomera mugituza (angina), numunaniro udasanzwe. Igihe kirenze, kubura ogisijeni itavuwe birashobora kugabanya imitsi yumutima, bikaba byaviramo ibibazo byangiza ubuzima nko kunanirwa k'umutima, aho umutima udashobora guhuza ibyo umubiri ukeneye.
- Ingaruka ku bihaha: Urwego rwa ogisijeni nkeya ihatira ibihaha gukora cyane kugirango bikomeze. Igihe kirenze, iyi mvururu irashobora kwangiza imyuka ihumeka hamwe nuduce twibihaha, bikongera ibyago byo kurwara indwara zihumeka nka COPD (indwara idakira idakira). Mu bihe bikomeye, kubura ogisijeni igihe kirekire birashobora no kunaniza uruhande rwiburyo rwumutima mugihe rugoye kuvoma amaraso mu bihaha bikomereye, indwara izwi nka cor pulmonale.
- Ingaruka z'umubiri wose: Ibura rya ogisijeni idakira itera buri rugingo nk'imodoka ikora kuri lisansi nkeya. Impyiko n'umwijima bigenda bikora neza mugushungura uburozi, mugihe sisitemu yumubiri igabanuka, bigatuma indwara zisanzwe zigoye kurwana. Igihe kirenze, uyu mwenda wa ogisijeni ucecetse wongera ibyago byo kwangirika kwingingo kandi bigatuma umubiri wibasirwa nibibazo byubuzima - kuva kurwara kenshi kugeza inkovu zirambye. Ibi bituma urwego rwa ogisijeni hakiri kare rukurikirana mugukumira ingorane nyinshi.
Nigute ushobora kumenya niba ufite hypoxemia？
Urwego rwa ogisijeni mu maraso ni igipimo cyingenzi cyo kumenya ibura rya ogisijeni. Ku bantu bafite ubuzima bwiza, gusoma bisanzwe biri hagati ya 95% na 100%. Urwego ruri hagati ya 90-94% rwerekana ikibazo cya ogisijeni yoroheje, idashobora kwerekana ibimenyetso bigaragara. Kugabanuka kugera kuri 80-89% byerekana kubura ogisijeni mu rugero, akenshi bitera guhumeka cyane cyangwa urujijo. Gusoma munsi ya 80% byerekana ibyihutirwa bikomeye, aho ingingo zingenzi zishobora kwangirika kubera inzara ya ogisijeni ikabije kandi bisaba ubuvuzi bwihuse.
Nigute ushobora kugumana amaraso ya ogisijeni isanzwe？
- Fungura Windows kugirango uhumeke
Ongera umwuka wawe wo murugo ukingura Windows buri munsi kugirango uzenguruke ogisijeni nshya. Kugira ngo ubone ibisubizo byiza, sura buri gihe parike cyangwa ahantu hakungahaye ku bidukikije hanze y’imijyi kugira ngo uhumeke neza, usukuye bifasha kongera urugero rwa ogisijeni mu mubiri wawe.
- Indege
Ibikorwa bisanzwe byindege nko kugenda byihuse, koga, cyangwa gusiganwa ku magare birashobora kongera umuvuduko wamaraso no gutembera kwa ogisijeni. Hitamo uburyo buke bwimbaraga nka aerobics yamazi cyangwa kwiruka gahoro niba uri shyashya gukora imyitozo - iyi myitozo yoroheje iteza imbere itangwa rya ogisijeni mugihe wubaka imbaraga mugihe runaka.
- Inzu yo kuvura ogisijeni
Kubantu bafite ikibazo cyubuhumekero budakira bahanganye na ogisijeni nkeya, gukoresha ibikoresho bya ogisijeni yo murugo birashobora gufasha gukomeza okisijeni ikwiye. Abaganga bakunze gusaba ko batangirana na ogisijeni ikurura mugihe cyo gusinzira cyangwa ibikorwa bya buri munsi - iyo ikoreshejwe nkuko byateganijwe, ubu buryo bwo kuvura bushobora kuzamura ingufu, kugabanya guhumeka, no gushyigikira ibitotsi byiza.
Igihe cyo kohereza: Apr-25-2025