Impembelelo yoMlomo we-Nose Breathing kwi-Oxygen Levels
Ngaba ukuphefumula komlomo kuthintela amazinga akho oksijini xa unesifo se-oxygen esongezelelweyo? Ukuba kunjalo, yintoni oyifunayo ukuba uyazi kwaye unokwenza ntoni ngawo?
Isiseko soPhando lwe-Oxygen
I-oksijeni yokongeza i-oksijithi ngokuqhelekileyo ibelwe abantu abanokuxinzelelwa koxinzelelo lwe-oksijeni (PaO2) ngokulinganiswa ngamagesi egazi (ABGs) angaphantsi okanye alingana no-55 mg Hg kunye nenqanaba lokugcwalisa i-oksijeni yepesenti ezingama-88 okanye ngaphantsi ngelixa livukile (okanye ihla kule nqanaba ngexesha lokulala okungenani imizuzu emihlanu).
Abantu abaninzi bafumana i-oksijini ekhayeni ngefowuni yokuhambisa i-oksijeni eyaziwa njenge- canal . Le bhondi eplastiki, iplastiki inamaphini amancinci amabini kwiphelo elinye eliphumla emakhaleni. I-cannula yamanzi ingakwazi ukuhambisa i-oksijini ngokukhawuleza kumntu omnye ukuya kweetitha ezintandathu ngomzuzu (i-LPM), kwiimilinganiselo ezivela kuma-24 ukuya kuma-40 ekhulwini, kuxhomekeke kwiingaphi i-LPM ezihanjiswayo. Xa kuthelekiswa, igumbi lomoya liqukethe malunga neepesenti ezingama-21 ze-oxygen, ngokungekho ngokwaneleyo kubantu abanesifo somphunga.
Ngaba Iintlobo Zeengcongolo Zomlomo Zifumana Iinjongo Ezifanayo Ze-Oxygen Eyongeziweyo?
Zininzi iinzuzo zonyango lwe-oksijeni elide , elikhulu kunalo, ukuba, xa lisetyenziswe ubuncinane iiyure ezingama-15 ngosuku, landisa ukwanda. Kodwa, ngaba abantu basebenzisa i-oksijini baze baphefumle emilonyeni yabo bakwazi ukufumana inzuzo epheleleyo yonyango lwe-oksijeni? Okanye, umlomo ukuphefumla kubangele amaqondo aphantsi oksijini kwigazi, iiseli kunye nezicubu?
Uphando olubandakanya esi sihloko luphikisana njengoko luboniswa ngemizekelo elandelayo:
- Kwisifundo esibandakanya izifundo ezingama-323 zokuphefumla umlomo, abaphandi bavakalisa ukufumana ukuphefumula komlomo kwi-oxyde saturation. Ngenjongo yesifundo, umlomo wokuphefumula wahlolwa ngokuhlolwa kwempilo kunye nemibuzo ezaliswe zizifundo okanye amaqabane abo. Ukufakelwa kwe-oksijeni kwalinganiswa nokupasa kwe-oksi . Iziphumo zesifundo zafumanisa ukuba ama-34,6 ekhulwini abantu babenamazinga afanayo okwe-oxygen (95% okanye ngaphezulu), iipesenti ezingama-22.6 zinezinga le-oksijeni yokuzalisa i-oxygen lama-95 ekhulwini kwaye iipesenti ezingama- 42,8 zithathwa njenge- hypoxis , 95 ekhulwini. Abaphengululi baphetha ukuba, nangona ukuphefumla umlomo akusoloko kubangela u-hypoxia, kunokukunceda.
- Olunye uphando olubandakanya izifundo ezili-10 ezinempilo zifanisa iifom zegesi ezifunyenweyo zombini ezivulekileyo nezivaliweyo zomlomo eziphuma kwi-canal ephumayo kwi-nasopharynx. Uphononongo luphelile ukuba akukona nje ukuba i-fraction ye-oxygen ephefumlelweyo (FIO2) ikhuphuka ngokwanda kwezinga le-oksijeni, kodwa xa kuthelekiswa nomlomo ovalwe umlomo, i-open-mouth breathers yabona i-FIO2 enkulu kakhulu. Nangona kunjalo, kwingxelo yokuphikisana nokuqinisekiswa kwesi sifundo esichazwe ngasentla, uDkt. Thomas Poulton, uMhlali oyiNtloko we-Bowman Grey School of Medicine i-Anesthesia, uchaza ukuba iisampuli zegesi ezithathwe kule ndawo azikwazi ukuba zichanekile kuba ziqukethe oksijini kuphela i-gas egxininisiweyo-kungekhona igesi exutywe nekamelo lomoya. Isampuli zeGesi ezithathwe kwi- trachea , eqhubekayo phantsi komqala, ziza kunika ingqiqo echanekileyo yegesi.
I-ADO eninzi Ngomlomo Ukuphuza: Yintoni Ongayenza Ngayo?
Isisombululo somlomo sokuphefumla sixhomekeke kwizinto ezibangelwayo. Xa sele ufumene ngokuchanekileyo, unokujongana neendlela zokonyango ezingabandakanya oku kulandelayo:
- Cima iindinyana zakho zomzimba - Abanye abantu abanakho ukhetho ngaphandle kokuphefumula emilonyeni yabo ngenxa yokuba amavesi abo omzimba avaliwe. Impumlo epholileyo ingabangelwa ukugula , ukugula, ukugula okanye ukuguquka kwemozulu. Ama- antihistamine angaphezulu kwe-counter ayafumaneka ukuze agcine iimpawu zokungabikho komzimba kwaye avule amacandelwana angasese. I-Saline nasal spray yindlela engokwemvelo ukuya kumachiza kwaye inceda ukugcoba iindinyana zangasese, ngokukhawuleza ukukhulula ukudibanisa. Ukuba ama-antihistamines angaphezulu kwe-counter kunye / okanye i-saline nasal sprays ayikusebenzeli, khuluma nomboneleli wakho wezempilo malunga nokusebenzisa i-prescription nasal spray njengeFlonase .
- Yenza uqeshano kunye nodokotela wakho wamazinyo - Amazinyo ngamanye amaxesha anolwazi ngaphezu koogqirha xa kuziwa ekuqondeni umlomo ukuphefumla. Ukuba ugqirha wakho wamazinyo unquma ukuba ubuso obuqhelekileyo okanye amazinyo buyimpande yomlomo wakho ukuphefumula, unokukufakela kwisixhobo esisebenzayo ukunceda ukulungisa ingxaki.
- Tshintshela kumaski obuso obulula - Isisombululo esilula kumlomo ukuphefumula, ukuba ngaba kufanelekile, ukutshintshela kumaski obuso obuso. Ngokuqhelekileyo, oku akunakwenzeka kakhulu kubantu abaninzi kwaye kufuneka kuqala ukuvunyelwa ngumniki-nkonzo wakho wokunakekelwa kwe-oxygen. Enye indlela kukuqwalasela ukusebenzisa i-canal yomnxeba emini kwaye uguqule kumaski obuso obuso ngobusuku, ngoko ubuncinane uya kufumana inzuzo epheleleyo yonyango lwe-oksijini ngexesha lokulala kwakho. Xoxa nomboneleli wakho wezempilo ukuze uthole ulwazi olungakumbi malunga neendlela ezingasetyenziswayo kwi-canal.
- Utyando olusesikweni - Ukuba iimbali zakho zamanzi zivaliwe ngenxa ye- septum ekhethiweyo , ukuthetha neNtlebe, i-Nose, ne-Throat (ENT) kwiNgcali malunga nokuhlinzwa okunokukunceda ukulungisa ingxaki kwaye kukuvumela ukuba uphefumule ngakumbi. Khumbula, abantu abaneCOPD kufuneka baqaphele ngokugqithiseleyo xa behlinzwa, ngenxa yeengxaki ezinokuthi zenzeke emva kwe- anesthesia.
- I-Transtracheal yokwelapha oksijini - I- Transtracheal ye-oksijeni yonyango (i-TTOT) yindlela yokulawula i-oxygen eyongezelelweyo ngqo kwi-trachea (i-windpipe). Njengenye indlela eya kwi-canal, ihambisa iithari ezintandathu ze-oksijini nganye ngomzuzu encinci, ityhubhu yeplastiki ebizwa ngokuthi i-catheter. I-TTOT igcinwa ngokubanzi kubantu abanamaqondo aphantsi e-oksijini engaphenduli kakuhle kwiindlela zendalo zokuhambisa i-oksijini.
Ukubaluleka kwe-Oxymetry ye-Pulse kwii-Oxygen ezongezelelweyo
Ukuba uphefumula ngomlomo wakho okanye ngeempumlo, umboniso we-pulmeter oximetry kufuneka ube nayo nabani na ofumana unyango lwe-oxygen ekhaya. Iimpawu zee-oximeter zibona ukutshintsha okukhawulezayo kumanqanaba okwenziwa kwe-oksijini ekunikezela ngesilumkiso sokuba uphantsi kwe-oxygen. Thelekisa amaxabiso kwi-pulse ye-oximetry i-monitor and never to be in dark about your levels of saturation levels.
Ngaphantsi kweMlomo oPhephayo kunye neTyrogen
Kukho iingxaki malunga nokuphefumla komlomo kunye neyonyango yokuphefumula oksijeni njengoko kuchaziwe ngasentla, kodwa ingongoma ebalulekileyo kukuba uthatha ixesha lokuphanda kwesi sihloko kwaye ubuze imibuzo ebalulekileyo-imibuzo eninzi abantu abanesifo somphunga abayifuni.
Sifunda ukuba enye yezona zinto zibaluleke kakhulu kumgangatho wobomi kunye nokuphila, kungekhona nje kuphela ngesifo seemiphunga kodwa kunye neemeko zempilo, kuba ngummeli wakho kwimpilo yakho. Sifikelele kwinqanaba apho kungekho dokotela omnye ongakwazi ukuhlala ehambelanayo nayo yonke uphando olutsha kunye nokufunyaniswa, kwintsimi ethile njengepulmonology. Ngelo xesha, kukho abantu abambalwa abakhuthazwayo ukufumana iimpendulo kule mibuzo kunabo bahlangabezana nezifo ezenza imibuzo.
Thatha ixesha lokubuza ugqirha wakho umbuzo owufunayo impendulo apha. Kukho iindidi zeendlela ezahlukeneyo ezingazange zishicilelwe kodwa ziye zaxhaswa ngabo bajongene nale nkxalabo yonke imihla. Musa ukunyanzelisa ochwepheshe bokuphefumula kunye nabagqirha osebenza nabo. Laba bantu basebenzisana ne-nitty-gritty ye-oksijini eyongeziweyo kubantu abayifunayo kunye ne-plethora yemibuzo ephakamileyo.
> Imithombo:
> Pisani, L., Fasano, L., Corcione, N. et al. Utshintsho kwiMicrosoft Mechanics kunye nefuthe kwi-Pattern Pattern Breathing ye-High Flow Flow ye-Oxygen kwi-Stable Hypercapnic COPD. Thorax . 2017. 72 (4): 373-375.
> Yamamoto, N., Miyashita, T., Takaki, S., noT. Goto. Iimpembelelo zePhethati yokuHulela kwi-Oxygen Delivery nge-Canal okanye kwi-Cannula ye-Pharyngeal. Ukunyamekela . 2015. 60 (12): 1804-9.