Igazi lakho lithwala i-oxygen kulo lonke umzimba wakho, kwaye lilawula umlinganiselo we-oksijini ngokuchanekileyo ngokuchanekileyo. Xa ungenawo oksijini okwaneleyo egazini lakho, loo meko iyaziwa njenge-hypoxemia.
I-Hypoxemia ibonakala ingaqhelekanga kubantu abane-epidemic epstruction obstructive pulmonary disease ( COPD ). Kwakhona kunokubangelwa kwezinye iimeko zemiphunga, njengomdlavuza wamaphaphu, umbhobho we-pneumonia, i-asthma, kunye ne-bronchitis.
Inqanaba legazi le-oksijeni lilinganiselwa kuma-millimeters of mercury (mm Hg), kunye neqondo eliqhelekileyo le-oksijeni kwimibhobho yakho i malunga ne-75 ukuya kwi-100 mm Hg. Abantu abaneCOPD banamazinga aphantsi. Ukuba unomgangatho ophantsi kakhulu, unokufuna i-oxygen eyongezelelweyo. Nangona kunjalo, ukubonelela i-oksijini eninzi kunokuba yingozi, kwakhona, ngoko ugqirha uya kufuna ukuba asebenze nawe ukufumana ibhalansi echanekileyo.
Kwakhona kunokwenzeka ukusebenzisa i- pulse oximetry ukulinganisa izinga lakho le-oksijeni yegazi ekhaya. Thetha nogqirha wakho malunga nokokufundwa okumele ulindele ukusukela kwi-pulse oximetry kwaye xa ufuna uncedo lwezokwelapha ngokufunda okuphantsi.
Iimpawu
Iimpawu ze-hypoxemia ziquka ukudideka, ukuphefumula okufutshane kunye nokunyuka kwimixinzelelo yegazi kunye nentliziyo yakho njengoko umzimba wakho uzama ukuhlawulela i-oxygen ephantsi kwigazi lakho. Abantu abaneCOPD abanesifo se-hypoxemia xa bephumlile banakho ukufumana ingxaki ekugxileni okanye ukukhumbula izinto, kwaye ezo ngxaki ziyanda ngakumbi njengoko i-hypoxemia yabo ibuhlungu.
Kwi-hypoxemia enamandla, unokuqala ukuthukuma okanye u-wheeze, isikhumba sakho singabanda kwaye senze i-clammy, kwaye unokuqala ukujika. Uphawu olugqibela, olubizwa ngokuba yi-cyanosis, lubonisa ukuba akukho igazi elaneleyo ne-oxygen eya kwiiseli zakho. Ezi zimpawu zibonisa imeko engxamisekileyo, kwaye kufuneka ufune uncedo ngokukhawuleza.
I-hypoxemia ivame ukukhokelela kwi-hypoxia , oko kuthetha ukuba awunalo oksijini okwaneleyo ukufikelela kwizicubu zakho. Enyanisweni, abantu abaninzi badibanisa igama elithi "i-hypoxemia" ngegama elithi "hypoxia," kodwa ezo zombini azifani - i-hypoxemia ibhekisela kwi-oksijini ephantsi egazini lakho, ngelixa i-hypoxia ibhekisela kwi-oxygen ephantsi kwiishukela zakho.
Kunokwenzeka ukuba ube ne-hypoxemia ngaphandle kwe-hypoxia ukuba umzimba wakho uhlawule amanqanaba akho aphantsi e-oksijeni ngokunyusa umthamo we-oksijini ekufikeleleke kumathisini akho (umzekelo, ngokwenza intliziyo yakho ibetha ngokukhawuleza ukuhambisa igazi eliphethe igazi-moya ngokukhawuleza). Kungenzeka nokuba ne-hypoxia ngaphandle kwe-hypoxemia, ukuba ukuthunyelwa kwe-oksijini yangempela kwiiseli zakho akusebenzi kakuhle, okanye ukuba iiseli zakho azikwazi ukusebenzisa i-oksijini ngokufanelekileyo.
Yintoni oyenzayo Ukuba Uxela i-Hypoxemia
I-hypoxemia eninzi yingozi yonyango. Ukuba unempawu ze-hypoxemia ezinzulu, ngakumbi ukuba unayo i-COPD okanye esinye isifo esikubeka phambili kwi-hypoxemia, khangela uncedo lwengxamiseko ngokukhawuleza.
Ukuba uvavanyo lwakho lwezonyango lubonisa ukuba une-hypoxemia engapheliyo, ugqirha wakho unokuncoma ukuba uhambe nge- oksijeni eyongezelelweyo . Nangona kunjalo, i-oksijini eyongezelelweyo ayincede wonke umntu, ngoko kuya kufuneka uxoxe ngeengxaki kunye noqhapho kunye nogqirha wakho.
Abanye abantu abaneCOPD bafumana i-hypoxemia ebusuku. Oku kwenzeka ngenxa yokuguqula ukuphefumula ngexesha lokulala elinciphisa inani le-oksijini elifikelela kwigazi lakho. Kubantu abangenawo i-COPD, ukuguquka kokuphefumula akunawo umphumo, kodwa kubantu abano-COPD, bangabangela i-hypoxemia. Izigulane zeCOPD ezineengxaki ezincinci ze-hypoxemia emini zingase zithande ngakumbi kwi-hypocemia ebusuku. Thetha ugqirha ukuba unobungozi ebusuku.
Imithombo:
Kent BD et al. I-Hypoxemia kwizigulane ezineCOPD: imbangela, iziphumo, kunye nokuqhubeka kwezifo. I-International Journal ye-Pulmonary Disease. 2011; 6: 199-208.
Umqashi JK et al. Izifo eziPhephayo eziPhezulu. Isiko leKliniki yaseCleveland yokuqhubeka nokuFundiswa kwezeMpilo. Oktobha 2012.