ICyanosis

Okuqukethwe okuqinisekisiwe

I-Cyanosis ingumphumela wokungatholakali kwe-oxygen eyanele ku-hemoglobin emaphashini. Isici esivame kakhulu nesiyisici se-cyanosis ukuguquguquka okuluhlaza kwesikhumba, izinzipho noma ulwelwesi lwamafinyila. I-Cyanosis yenzeka lapho inani le-hemoglobin enoxidized licishe libe ngu-5%. kube ngaphezulu.

Incazelo ye-SINICA

I-Cyanosis yisimo esenzeka lapho sibhekene nokugcwala komoyampilo okuphansi egazini. Igazi ngokwemvelo libomvu ngombala, kodwa lapho ligcwele umoya-mpilo, likhanya nakakhulu. Kodwa-ke, esimweni se-hypoxia, kuba mnyama (ngezinye izikhathi ngisho nokuluhlaza okwesibhakabhaka). Ingqamuzana elilodwa le- hemoglobin linganamathisela ama- molecule omoya-mpilo asuka ku-1 kuye kwamane. Ngenxa yalokho, ingaba khona kufomu le-deoxygenated (deoxyHb) noma ngamadigri ahlukahlukene e-oxidation (oxyHb). Ngakho, i-hemoglobin ihilelekile ekwakhekeni kwe-cyanosis, umsebenzi wayo oyinhloko uwukuthwala umoya-mpilo nokuwukhulula ezicutshini zomzimba.

I-Cyanosis (i-hypoxia egazini) ibangela izimpawu ezinjengokushintsha umbala kwezinzipho, isikhumba nolwelwesi lwamafinyila, okuphenduka umbala oluhlaza okwesibhakabhaka. Lesi sifo singase sibe phakathi nendawo noma i-peripheral.

I-SINICA - izinhlobo nezimbangela

Isizathu esivame kakhulu se-cyanosis ukuboshelwa okwanele komoya-mpilo ku-hemoglobin emaphashini kanye nezinhlobo ezahlukene zobuthi bamakhemikhali, okunciphisa amathuba okuzihlanganisa. Isimo esiphelele sokudalulwa kwayo, nokho, okuqukethwe okuphelele kwe-hemoglobin egazini, okweqile okukhuthaza ukukhula kwe-cyanosis, kanye nokuntuleka (isb ku-anemia) ukukhishwa kwayo.

Singakwazi ukuhlukanisa izinhlobo ezimbili ze-cyanobacteria:

1. i-central cyanosis (evame ukubonakala ezindebeni nasemzimbeni); ngokuvamile kubangelwa izifo zokuphefumula;
2. i-peripheral cyanosis (ethinta izitho noma izindlebe zendlebe, ngesikhathi sokuhluleka kwe-circulatory noma ukuncipha ngokweqile kwemithambo yegazi); izimbangela zingase zibe izifo zenhliziyo nezinhlobo ezihlukahlukene zokukhubazeka kwenhliziyo.

CENTRAL SINICA - izimbangela

I-Tit Central - ngokuvamile kuhlotshaniswa nezifo zesimiso sokuphefumula. Abantu abanenkinga nalokhu okuthiwa apneabasengozini yokugula. Ukuthambekela kokuthuthukisa lolu hlobo lwesifo kungase kube ukuzalwa. Izimbangela ezivame kakhulu i-central cyanosis kungenzeka:

1. isifuba somoya,
2. yokumelwa yinhliziyo
3. ukuntuleka kwe-oxygen ebuchosheni,
4. izifo zamaphaphu,
5. izinkinga zenhliziyo,
6. ukweqisa izidakamizwa ezidakamizweni, isb. i-heroin,
7. i-bronchiolitis.

I-peripheral cyanosis - izimbangela

I-peripheral cyanosis - ngokuvamile kuvame ukuhlotshaniswa nokuhluleka kokujikeleza kwegazi. Izimbangela zokwakheka kwayo zingacishe zifane ne-central cyanosis, umehluko wokuthi izici ze-peripheral cyanosis azisebenzi ezifweni zenhliziyo namaphaphu. Phakathi kwezimbangela ezivame kakhulu i-peripheral cyanosis kuyagqama:

1. izifo ze-vasospasm,
2. ukuvinjelwa kwe-venous noma i-arterial,
3. ama-vascular spasms
4. iqhwa.

Ngokuya ngezimo nesikhathi sokuvela kwe-cyanosis, singahlukanisa izinhlobo ezimbili:

1. i-cyanosis engapheli - kulolu hlobo lwe-cyanosis, usizo lwezokwelapha luyadingeka, kodwa hhayi oluphuthumayo njengasesimweni se-cyanosis enzima. Umuntu ogulayo uvame ukwazi izizathu zokuvela kwayo,
2. i-cyanosis eyingozi - idinga ukubonisana ngokushesha nodokotela.

Izimpawu ze-SINICA

Ngesikhathi se-cyanosis, ngenxa yokugcwala komoyampilo ophansi egazini, isikhumba, ulwelwesi lwamafinyila nezinzipho zesiguli ziqala ukuguqula umbala oluhlaza okwesibhakabhaka. I-tinge eluhlaza okwesibhakabhaka ingase ivele, ikakhulukazi ezigulini ezinamazinga aphezulu e-hemoglobin. Kubalulekile ukuthi udokotela wakho angenele phakathi kwemizuzu engu-3-5 yokubonakala kokulimala. I-Cyanosis ezigulini ezine-patent ductus arteriosus ibonakala ngokulimaza komzimba ongezansi nekhanda (izimpawu azifaki iminwe). I-patent ductus arteriosus enkulu idala ukugula kwemithambo yamaphaphu, futhi ingcindezi ku-ventricle engakwesokudla iphezulu kakhulu. Lesi simo siholela ekuwohlokeni kwe-circulatory.

Khumbula! Izimpawu ze-cyanosis kubantu abanesikhumba esimnyama azibonakali kakhulu.

Ukuxilongwa nokwelashwa kwe-SINICA

Ukuhlolwa kwegazi kuyadingeka ekuxilongweni kwe-cyanosis. Uma i-hemoglobin ye-deoxygenated ifinyelela ku-5 g nge-100 ml (noma ngaphezulu) - sikhuluma nge-cyanosis. Enqubweni ye-pre-medical, kufanele:

1. nciphisa ukuvivinya umzimba,
2. phuma uye emoyeni omusha futhi uthole umoya-mpilo,
3. yeka ukubhema (uzogwema i-bronchitis engapheli evimbela ukungena komoya wamaphaphu); gwema ukuhlala emagumbini anentuthu,
4. sebenzisa ama-expectorants uma kwenzeka i-bronchitis,
5. ukuthatha ama-bronchodilators,
6. thatha njalo imithi ethuthukisa ukusebenza kwesimiso sokujikeleza kwegazi (uma kwenzeka ukwehluleka okungapheli kokujikeleza kwegazi),
7. thola ukuxilongwa njalo ukuze ushintshe ukwelashwa komtholampilo wakho uma unezifo ezingelapheki noma uqaphela ukuthi impilo yakho iyona ewohlokayo.

Kungakhathaliseki ukuthi hlobo luni lwe-cyanosis, isiguli ngasinye kufanele sibe ngaphansi kokunakekelwa kwezokwelapha. Endabeni ye-cyanosis engapheli, izimbangela zazo eziye zatholakala, iziguli ziyazi ukuthi zenze kanjani ukuze zinciphise izimpawu zesifo. Isimo sihlukile uma kuba nokuhlasela okukhulu kwe-cyanosis, isb.

Iziguli ezine-central cyanosis ziyinkomba yokuphathwa komoya-mpilo. Asikho isidingo sokuhlala esibhedlela isikhathi sokwelashwa, njengoba ukwelashwa komoyampilo kungase kwenzeke nasekhaya (ama-concentrators oksijini asekhaya). Kodwa-ke, esimweni se-peripheral cyanosis, imbangela evame kakhulu yi-atherosclerosis, kuyadingeka ukwelapha isifo esiyisisekelo. Ngale njongo, isiguli situswa ukuthatha amalungiselelo anciphisa i-cholesterol ne-lipids (ama-statins). Kwesinye isikhathi kuba khona izinkomba zokuhlinzwa.

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