Hypoxia vs. hypoxemia: Enzanisa zvikonzero, zviratidzo, kurapwa & nezvimwe
Dzidzo yehutanoHypoxia vs. hypoxemia inokonzera | Kuwanda | Zviratidzo | Kuongorora | Kurapa | Njodzi zvinhu | Kudzivirira | Nguva yekuona chiremba | MIBVUNZO | Zvishandiso
Ropa inzira yemuviri yekufambisa-inoshanda, uye inobata muzvinhu zviviri zvekutanga: zvinovaka muviri uye oxygen. Mitezo nemhasuru zvinoda zvese kuti zvishande, saka kushomeka kwechero zvinovaka muviri kana okisijeni kunogona kukonzera nyaya dzehutano. Hypoxia uye hypoxemia zvese zvine chekuita nemazinga emuviri eoksijeni. Nekuti vane zviperengo zvakafanana, aya mamiriro maviri anowanzo nyonganiswa. Kunyange ivo vachigona kuitika-ivo, ivo vakasiyana zvakasiyana.
Muchidimbu, hypoxemia inoreva yakaderera okisijeni irimo muropa, nepo hypoxia inoreva yakaderera oxygen kuisirwa mumuviri munyama. Muzviitiko zvakawanda, hypoxemia inonongedzera ku hypoxia sezvo yakadzika oxygen kukosheswa muropa kazhinji zvinokanganisa kuendesa kweoksijeni kumatishu. Vanogona zvakare kuve nezviratidzo zvakafanana, zvichiita kuti izvo zviviri zvitonyanya kunetsa kunzwisisa. Ndipo panotungamira gwara iri. Iko kutarisa kwakadzama kwehypoxia vs. hypoxemia, zvese kubva pazvikonzero kusvika pakurapa, kusiyanisa pakati pavo.
Zvinokonzera
Hypoxia
Chero mamiriro kana chiitiko chinoderedza kudya kweoksijeni kunogona kudzikisa huwandu hweoksijeni mumatumbu emuviri. Zvinokonzera hypoxia zvinosanganisira:
- Asthma kurwisa uye mapapu zvirwere. Aya mamiriro anowanzo kukonzera hypoxia sezvo ivo vachiganhurira zvakananga kuwanisa oxygen.
- Isingashande oxygen yekufambisa. Zvirwere zvemwoyo zvinokanganisa kuburitswa kwemoyo zvinogona kudzivisa kuyerera kweropa uye kupererwa neropa (zvinokonzerwa nemazinga akaderera emasero matsvuku eropa) anogona kudzikisa huwandu hweoksijeni inogona kununurwa neropa.
- Coronavirus ( COVID-19 ) . Munguva pfupi yapfuura, iyo koronavirus yenoverengeka yakabuda sechimwe chikonzero chakajairika.
- Yakadzika okisijeni yevasungwa mumhepo yakapoterera. Kukwidza kwakakwirira kunogona kunge kuri chikonzero chehypoxia, kunyanya kune vanhu vane njodzi dzakagara dziripo.
- Carbon monoxide kana cyanide. Kushatiswa nekabhoni monoxide kana cyanide munharaunda yemunhu kunogona kukonzera kamwe kamwe hypoxia isina hypoxemia.
Hypoxemia
Pane zvishanu zvikuru zvinokonzera hypoxemia : kukwana kweropa kuyerera kana okisijeni kumapapu (kufefetedza-perfusion mismatch), ropa rinopinda kuruboshwe kwemoyo pasina oxygenated kutanga (kurudyi-kuruboshwe kuruboshwe), kutadza kufamba kweo oxygen kubva mumapapu kupinda muropa (kupararira kuora mwoyo), kudzika kwakadzika uye kusingabatsiri (hypoventilation), uye yakaderera zvakatipoteredza oxygen. Izvo zvinhu zvinokonzeresa zvinogona kukonzera hypoxemia zvakada kufanana neizvo zvinokonzeresa hypoxia. Neichi chikonzero, izvo zvinokonzera hypoxemia uye hypoxia zvinogona kuwanda. Chaizvoizvo, chero chinhu chinodzora kugona kutora oxygen kana oxygenate ropa chingave chikonzero. Zvimwe zvikonzero zvehypoxemia zvinosanganisira:
- Asthma inorwisa
- Zvirwere zvemapapu
- Zvirwere zvemwoyo
- Anemia
- Kukwirira kwakakwirira
- Kushungurudzika kwemapapu
- Munguva pfupi yapfuura, COVID-19 yanga ichikonzera chiitiko chinonzi nyarara hypoxemia kana kufara hypoxia, umo murwere anoratidza zvishoma kusvika pasina zviratidzo asi achine yakaderera ropa okisijeni mazinga.
Hypoxia vs. hypoxemia inokonzera | |
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| Hypoxia | Hypoxemia |
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Kuwanda
Iko kune mashoma zvidzidzo pamusoro pekupararira kwehypoxia kana hypoxemia mune mamwe mamiriro, asi hapana pane yakajairwa chiyero chezviitiko muUS chero nguva yakapihwa.
Zviratidzo
Hypoxia
Zviratidzo zvehypoxia zvinogona kusiyana zvichienderana nechikonzero chechikonzero uye kuomarara. Kazhinji, zvinosanganisira kukosora, kufema, kuwedzera kurova kwemoyo, kutemwa nemusoro, uye bhuruu ganda paganda, miromo, kana nzara (inonzi cyanosis). Mhosva dzakakomba dzinogona kutokonzeresa kana kufenda. Panyaya yecerebral hypoxia (yakaderera oxygen muuropi), munhu anogona kusangana nekuvhiringidzika, kunetseka kutaura, kurasika kwenguva ndangariro, kunetseka kufamba, kana coma.
Zvirwere zvisingaperi kana zvishoma zvakanyanya zvehypoxia zvinogona kukonzeresa kuneta uye kufema kwekufema, kunyanya mushure mekuita kwemuviri.
Hypoxemia
Sezvo mamiriro ese ari maviri achibata nekushayikwa kwe oxygen, vane zviratidzo zvakafanana futi. Vanhu vane hypoxemia vanogona kuona kupfupika kwekufema, kukosora, kufema, kutemwa nemusoro, kukurumidza kurova kwemoyo, kuvhiringidzika, uye cyanosis. Mhosva dzakakomba dzinogona zvakare kukonzera hypoxemic kufema kutadza, kunozivikanwa neakaderera ropa okisijeni mazinga asi akajairwa carbon dioxide mazinga.
Hypoxia vs. hypoxemia zviratidzo | |
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| Hypoxia | Hypoxemia |
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Hypoxia kuongororwa
Chero bedzi murwere asiri mukutambudzika, chiremba anowanzo tanga nekuongorora kwepanyama kuti aongorore mwoyo nemapapu. Kana ivo vakaona zviratidzo zvehypoxia, vangangoenda kune kumwe kuyedza. Pulse oximetry bvunzo isiri-inokuvadza apo chiremba anoshandisa sensor yechigunwe kuyera mwero weropa reokisijeni. Yearterial yeropa gasi bvunzo inoshandisa muyero weropa kuyera kumanikidza kumanikidza kweoxygen (PaO2), oxygen saturation, iyo yakasarudzika kumanikidza kweacarbon dioxide, uye ropa pH mazinga.
Kana chiremba achifungidzira cerebral hypoxia, vanogona zvakare kuraira MRI, CT scan, echocardiogram, kana electroencephalogram (EEG).
Hypoxemia
Miedzo yehypoxemia yakanyanya kufanana. Zvinowanzo sanganisira bvunzo dzepanyama, dzinoteverwa neopse oximetry kana arterial ropa gasi bvunzo. Lung basa bvunzo, iro rinoyera huwandu hwemhepo inhaled uye mweya, pamwe neoksijeni kuendesa kugona, inogona zvakare kubatsira kusimbisa kuongororwa.
Hypoxia vs. hypoxemia kuongororwa | |
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| Hypoxia | Hypoxemia |
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Hypoxia kurapwa
Iyo inowanzozivikanwa kurapwa kwehoxia kurapwa kweoksijeni, iyo inopa yekuwedzera okisijeni kuburikidza nechiso kumeso kana machubhu akaiswa mumhino kana trachea. Muzviitiko zvakakomba, mechanical ventilation inogona zvakare kudikanwa. Kutsigira moyo kushanda, chiremba anogona zvakare kupa murwere wavo intravenous fluid kana mishonga yekusimudza BP kana kudzikamisa pfari (kunyanya mune zviitiko zvecerebral hypoxia).
Hypoxemia
Saizvozvowo, oksijeni kurapwa uye mechina kufefetedza ndiwo akajairika kurapwa kwehypoxemia. Vanachiremba vanogona zvakare kunyorera mishonga vachishandisa inhaler kubatsira nekufema.
Zvichienderana nechakakonzera, zvinogona zvakare kuve zvakakosha kuti usvike pamudzi wehypoxemia nekurapa mamiriro ari pasi, senge pneumonia kana emphysema. Vanachiremba vanogona kupa mishonga inorwisa mabhakitiriya kana steroids kuti varape aya mamiriro ezvinhu.
Hypoxia vs. hypoxemia mishonga | |
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| Hypoxia | Hypoxemia |
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Njodzi zvinhu
Chero ipi pre-iripo mamiriro ayo anoderedza okisijeni kutora kana kudzivirira oxygen kutakura inogona kuwedzera njodzi yehypoxia. Saka, vanhu vane asthma, COPD, emphysema, bronchitis, kana zvimwe zvirwere zvemapapu vari panjodzi huru. Kusangana neshanduko dzekukwirira kazhinji, sezvinoita vatyairi vendege nevashandi, zvinogona zvakare kukonzera mukana wepamusoro we hypoxia. Tichifunga nezvezvinokanganisa mapapu, kuputa fodya zvakare kune njodzi huru.
Chirwere chemwoyo chinogona kudzivisa kuendesa oxygen (uye zvinopesana) , iyo inogona kuwedzera njodzi ye hypoxia. Zvimwe zvinhu zvinosanganisirwa nechirwere chemwoyo senge kufutisa, cholesterol yakakwira, uye nhoroondo yemhuri yechirwere chemoyo inogona zvakare kukonzera njodzi yehypoxia.
Hypoxemia
Hypoxemia ine yakawanda yakafanana mungozi zvinhu. Chero mamiriro anotadzisa muviri kuwana yakakwana oxygen inogona kuitisa. Mamiriro ezvinhu anosanganisira pre-huripo mapapu zvirwere senge asthma, COPD, emphysema, uye bronchitis, pamwe neshanduko yezvakatipoteredza senge kukwirira uye kabhoni monoxide inhalation. Hupenyu hwemaitiro hunogona kukonzeresa mapapu uye nemoyo nyaya - sekusvuta, kudya zvisina hutano, uye kusaita basa - zvinogona zvakare kuisa mumwe munhu panjodzi huru yekubatwa ne hypoxemia.
Hypoxia vs. hypoxemia njodzi njodzi | |
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| Hypoxia | Hypoxemia |
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RELATED: Kufutisa uye kufuta manhamba
Kudzivirira
Hypoxia
Kudzivirira hypoxia kunoda kugadzirisa mamiriro ehutano husingaperi, kudzivirira mararamiro ehupenyu, uye kuziva nharaunda. Mumwe munhu ane asthma yakaoma kana COPD anoda kutora mishonga yakatemwa nguva dzose uye kuronga kushanya kwachiremba nguva dzose. Mumwe munhu anosvuta uye / kana akasimba kugara achada kurega kusvuta uye kuwedzera kwavo kuita kwemuviri.
Hypoxemia
Zvekare, kudzivirira kunosanganisira kuwana kurapwa kwemamiriro ezvinhu uye kuita sarudzo dzakanaka dzehupenyu.
Nzira yekudzivirira hypoxia uye hypoxemia | |
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| Hypoxia | Hypoxemia |
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RELATED: Wana makuponi ekuputa zvinodhaka
Nguva yekuona chiremba nezve hypoxia kana hypoxemia
Mamiriro ezvinhu ese ari maviri akakomba. Kurambidza tishu oxygenation, kunyanya munhengo uye nehuropi, kunogona kuve nemhedzisiro. Chero ani zvake anowana kamwe kamwe uye / kana kukurumidza kufema kwekufema, kunyanya kana kuchitadzisa kugona kwavo kuita zvakajairika, anofanirwa kutsvaga rubatsiro kubva kune wezvehutano. Kufema kwekufema kunoitika panguva yekuzorora kana kusaita (kana pakati pehusiku) kunonyanya nezve. Munhu ane pre-riripo mapapu mamiriro kana zvimwe zvinenjodzi anofanira kushanyira chiremba nekukasira kana vakaona zviratidzo zvakanyorwa pamusoro.
Inowanzo bvunzwa mibvunzo nezve hypoxia uye hypoxemia
Inotora oximetry chiyero hypoxia kana hypoxemia?
Pulse oximetry bvunzo isinga tsvete inoyera kuyerera kweropa. Inogona kuona zvakananga hypoxemia. Ropa reokisijeni mazinga anogona kunge ari chiratidzo chakanangana chetishu oxygenation, saka kupomba oximetry inogona kuongorora hypoxia futi.
Ko hypoxia uye hypoxemia zvakafanana here?
Kwete, asi zvakabatana. Hypoxemia inoratidzirwa neakaderera okisijeni iri muropa, nepo hypoxia inoreva yakaderera oxygen yezvinhu mumuviri munyama. Nekuti kuyerera kweropa kunounza okisijeni kumatukisi, hypoxemia inogona kuratidza kana kukonzera hypoxia, uye iwo maviri anowanzoitika pamwechete.
Ndeapi maclinic zviratidzo eiyo hypoxia vs. hypoxemia?
Zviratidzo zvekiriniki zvehypoxia uye hypoxemia zvakafanana. Mamiriro ezvinhu ese ari maviri anogona kukonzera kupfupika kwemweya wekufema, kukosora, kufema, kutemwa nemusoro, kuvhiringidzika, uye kupunduka kweganda. Cerebral hypoxia (yakadzika oxygen muuropi) inogona zvakare kukonzera kunetseka kutaura, kurasikirwa kwenguva ndangariro, kuderedzwa kufamba, uye coma.
