Hanyar Ƙananan vs Hanyar Zuciya a kan Matsayin Oxygen
Shin numfashi na bakin ciki zai shafi matakan oxygen idan kun kasance akan farfadowa na oxygen? Idan haka ne, me kake buƙatar sanin kuma menene zaka iya yi game da shi?
Ƙarin Oxygen Far Basics
An ba da izini ga wa] anda ke da nauyin oxygen (PaO2) kamar yadda aka auna ta da jini na jini (ABGs) wanda ya rage ko kuma daidai da 55 Mg Hg kuma an tabbatar da yanayin saturation na oxygen na kashi 88 ko žasa yayin da yake farke (ko kuma saukad da zuwa wannan matakin lokacin barcin akalla minti biyar).
Mutane da yawa suna karɓar iskar gas a cikin gida ta hanyar amfani da iskar oxygen da aka sani da canal na hanci . Wannan motsi na filastik yana da ƙananan ƙananan ƙananan ƙaura a ƙarshen ɗaya wanda ya huta a cikin hanyoyi. Canal na hanci zai iya ba da iskar oxygen ga mutum a daya zuwa shida na lita a minti daya (LPM), a cikin ƙananan jeri daga 24 zuwa 40 bisa dari, dangane da adadin LPM ana kawowa. Idan aka kwatanta, iska mai dadi yana dauke da kashi 21 cikin dari na oxygen, wanda bai isa ga mutane masu cutar huhu ba.
Shin Masu Rashin Ƙarƙashin Ƙarfi Suna Samun Amfanin Amfanin Ƙari na Ƙari?
Akwai wadata da dama na farfadowa na oxygen , wanda mafi girma shine, idan aka yi amfani da akalla 15 hours a rana, yana kara yawan rayuwa. Amma, mutane ne da suke yin amfani da iskar oxygen kuma suna numfashi ta bakin bakinsu suna iya samun cikakken amfani da maganin oxygen? Ko kuwa, numfashin bakin ciki yana haifar da rashin ƙarfi na oxygen a cikin jini, kwayoyin halitta, da kyallen takalma?
Binciken da ya shafi wannan batu ya sabawa kamar yadda aka nuna ta cikin misalai masu zuwa:
- A cikin binciken da ke dauke da mutane 323, masu binciken sun fara gano yadda tasirin yake numfashi a kan oxygen saturation. Don dalilan binciken, an gwada numfashin bakin ciki ta nazarin jiki da kuma tambayoyin da wasu batutuwa suka haɗu. Oxygen saturation aka auna ta bugun jini oximetry . Sakamakon binciken ya gano cewa kashi 34.6 cikin dari na mutanen da ke da nauyin yanayi na asalin oxygen (kashi 95 ko fiye), kashi 22.6 cikin dari yana da kashi 90 cikin 100 na yanayin oxygen kuma kashi 42.8 cikin 100 an dauke su hypoxic , tare da yanayin saturation na oxygen a ƙasa da ƙimar nazarin da aka tsara 95 bisa dari. Masu bincike sun tabbatar da cewa, yayin da numfashi na bakin ciki ba yakan haifar da hypoxia ba, zai iya taimakawa gare shi.
- Wani binciken da ke dauke da mutum 10 masu lafiya idan aka kwatanta da samfurori na gas da aka bude da kuma rufe-bakin daga numfashin canal na hanci a cikin nasopharynx. Binciken ya kammala cewa ba kawai yawancin iskar oxygen (FIO2) ya karu ba tare da kara yawan iskar oxygen, amma, idan aka kwatanta da ruhu-rufaccen numfashi, masu numfasa bakin ciki sun fahimci mafi girma FIO2. Duk da haka, a cikin edita a cikin edita game da ingancin binciken da aka ambata, Dokta Thomas Poulton, Babban Jami'in Ma'aikatar Ma'aikatar Medicine na Bowman Gray na Anesthesia, ya bayyana cewa samfurori da aka samo daga wannan yanki bazai kasance daidai ba saboda sun ƙunshi oxygen kawai -anin gas-ba gas wanda aka hade da iska mai ɗorewa. Samfurori na Gas da aka ƙwace daga trachea , wanda ke ƙarar bakin makogwaro, zai samar da gas mai zurfi.
Muhimmancin ADO Game da Ƙarƙashin Ƙarfafawa: Menene Za Ka Yi Game da Shi?
Maganar maganin bakin ciki sau da yawa yana dogara akan ainihin dalilin. Da zarar an bincikar da shi, za ka iya magance hanyoyin kulawa wanda zai iya haɗawa da haka:
- Bayyana hanyoyi na nassi - Wasu mutane basu da zabi sai dai numfashi ta bakin bakinsu saboda an katange nasun nasansu. Hakan zai iya haifar da hanci mai laushi ta hanyar ciwon daji , rashin lafiya, ci gaba da rauni ko ma canjin yanayi. Ana iya samun maganin rigakafi a kan magungunan rigakafi a bayyane kuma suna buɗewa sun karkashe sassa na hanci. Saline nasus mai yaduwa shine wata hanya ta halitta don maganin magani kuma yana taimakawa wajen yada hanyoyi na nassi, sau da yawa yana sauya ambaliya. Idan magungunan antihistamines da / ko salina ba su yi aiki a gare ku ba, kuyi magana da ma'aikacin lafiyarku game da yin amfani da takardun magani na fanning irin su Flonase .
- Yi alƙawari tare da likitan likitanka - Dentists wasu lokuta sun fi ilimi fiye da likitoci idan sunzo fahimtar bakin ciki. Idan dikitanka ya ƙayyade cewa rashin lafiyar fuskar mutum ko hakori shine tushen bakinka na bakin ciki, zai iya dace maka da na'urar aiki don taimakawa wajen warware matsalar.
- Canja zuwa mashin fuskar fuska mai sauƙi - Mafi sauki bayani zuwa bakin yana numfashi, idan ya dace da lafiya, shine canzawa zuwa mashin fuskar fuska. Kullum, wannan ba shi da amfani sosai ga mutane da yawa kuma dole ne ya kamata a yarda da shi ta hanyar mai ba da izini na kiwon lafiya. Wata madaidaici shine yin la'akari da amfani da mayal na hanci a lokacin rana kuma sauyawa zuwa maskurin fuskar fuska da dare, saboda haka a kalla za ku sami cikakken amfani da farfadowa na oxygen a cikin lokutan da kuke barci. Yi magana da ma'aikacin lafiyarka don ƙarin bayani game da hanyoyin da za a canza zuwa canal na hanci.
- Yin aikin tiyata - Idan an katange nasunku na hanzari saboda bakwai da aka karkata , kuna magana da wani Masanin Ƙararren kunne, Han, da Al'arshi (ENT) game da tiyata wanda zai taimaka wajen magance matsalar kuma ya ba ka damar numfashi mafi kyau. Ka tuna, mutanen da ke tare da COPD ya kamata su yi hankali sosai yayin da suke yin aikin tiyata, saboda yiwuwar matsalolin da suka shafi aiki tare da maganin rigakafi.
- Transtracheal oxygen far - Transtracheal oxygen far (TTOT) wata hanya ce ta ba da ƙarin iskar oxygen kai tsaye a cikin trachea (windpipe). A matsayin madadin canal na hanci, zai ba har zuwa lita shida na oxygen a minti daya ta hanyar karami, ƙaramin filastik da ake kira catheter. TTOT an adana kullum ga mutanen da ke da matakan oxygen wadanda ba su da amsa sosai ga hanyoyin gargajiya na bayarwa na oxygen.
Muhimmancin Rashin Gano Hanyoyin Sanya na Wadanda ke Kan Hanyoyin Cizon Ƙari
Ko kuna numfashi ta bakin bakinku ko hanci, kallon mai kula da tsinkayyar bugun jini shine dole ne ga duk wanda ya karbi magani a cikin gida. Masu tsinkayar motsa jiki suna gano canje-canje a canjin yanayin oxygen da ke ba ku da gargadi cewa kuna da ƙasa akan oxygen. Yi la'akari da farashin farashin mai kwakwalwa na kwayar cuta kuma kada ka kasance a cikin duhu game da batun saturation na oxygen.
Ƙashin Ruwa a kan Ƙara Breathing da Oxygen Far
Akwai wasu damuwa game da numfashi na numfashi da kuma karin maganin oxygen kamar yadda aka tsara a sama, amma mahimmin mahimmanci shi ne cewa kana karbar lokaci don bincika wannan batu kuma ka tambayi tambayoyi masu muhimmanci - tambayoyin da yawancin mutanen da ke fama da cutar huhu ba su nema ba.
Muna koyo cewa daya daga cikin muhimman abubuwan da ke cikin rayuwar rayuwa da rayuwa, ba kawai tare da cutar kututture ba, amma tare da yanayin kiwon lafiyar, yana kasancewa mai kula da lafiyar ku. Mun kai ga magungunan maganin da babu likita wanda zai iya kasancewa gaba ɗaya daga dukkan sababbin bincike da binciken, har ma a cikin wani nau'i na musamman kamar su ka'ida. Bugu da} ari, akwai mutane da yawa da suke da} o} ari don neman amsoshin tambayoyin, fiye da wa] anda ke fama da cututtuka da ke kawo hanzarin tambayoyin.
Yi amfani da lokaci don tambayi likitanka tambayar da kake neman amsawa a nan. Wataƙila akwai wasu hanyoyi daban-daban waɗanda ba a taɓa bugawa ba tukuna amma waɗanda suka fuskanci waɗannan damuwa a kowace rana sun haɗa su. Kada ka rage la'akari da masu kwakwalwa da masu kwantar da hankula ka aiki tare ko dai. Wadannan mutane ne da ke aiki tare da haɗin gwargwadon yadda yawancin oxygen ke samo wa mutanen da suke buƙatar shi tare da labarun tambayoyin da suka tashi.
> Sources:
> Pisani, L., Fasano, L., Corcione, N. et al. Canja a Ma'aikata na Pulmonary da Ƙa'idar a kan Bugawa Tsarin Hanyoyin Maganin Harkokin Magungunan Oxygen a Stable Hypercapnic COPD. Thorax . 2017. 72 (4): 373-375.
> Yamamoto, N., Miyashita, T., Takaki, S., da kuma T. Goto. Hanyoyin Breathing on Oxygen Delivery Via a Nasal ko Pharyngeal Cannula. Magani na numfashi . 2015. 60 (12): 1804-9.