Ukusebenzisa i-Oximeter Yokumisa Ukuqapha i-COPD
Uma une-chronic obstructive pulmonary disease (COPD) futhi usebenzisa i-oxygen eyengeziwe, i-pulse oximetry yindlela yokukala i-oxygen okufanele ukwazi ngayo. Lapha sixoxisana ngezinzuzo kanye nezinselelo zokuxoshwa kwe-pulse, nendlela yokusebenzisa kahle i-oximeter ye-pulse ekhaya.
Ukuqonda i-Pulse Oximetry
I-oximetry ye- pulse iyindlela engavumelekile yokulinganisa i- oksijeni saturation noma iphesenti ye-hemoglobin egcwala umoya-mpilo egazini legazi.
Idivayisi ifaka umunwe wakho noma uzwane ukuze kulinganise ukugcwalisa oksijini lakho. Lokhu kungaba yithuluzi eliwusizo ekuphathweni kwe- COPD , ikakhulukazi uma usebenzisa i-oxygen eyengeziwe.
Amazinga ajwayelekile e-oxyde saturation aphakathi kwamaphesenti angu-95 namaphesenti angu-100 kodwa ngokuvamile agijima aphansi uma une-COPD noma ezinye izifo ezingapheli zamaphaphu. I-oximetry ye-pulse ayifanele ithathe indawo, kodwa kunalokho iyayiqinisa, ukusebenzisa i- spirometry ekuxilongweni nasekulawuleni izifo ezingapheli zokuphefumula ezifana ne-COPD.
Ukukhetha i-Oximeter ye-Pulse
Idivayisi esetshenziselwa i-pulse oximetry ibizwa ngokuthi i-pulse oximeter. Kuze kube manje, kunamanani amaningi okugada okwenziwe ngomunwe okwenziwe ngomunwe ongayisebenzisa ekuthuthukisweni kwekhaya lakho. Amaningi avunyelwe njengamadivayisi wezokwelapha yi-Food and Drug Administration (FDA). I-compact futhi isebenziseka kalula, i-oximeter ye-pulsal ekhaya iyindlela engabizi kakhulu uma ufuna ukuthola isibambo esingcono esimweni sakho se-oxygenation ngenkathi usebenzisa ukwelashwa kwe-oxygen ekhaya.
Kufanele kuqashelwe, Nokho, ukuthi ama-pulse oximeters, kungakhathaliseki ukuthi enze kahle kangakanani, awaphelele. Njenganoma iyiphi idivayisi yezokwelapha, akuzona zonke izikhathi ezinembile ngaphansi kwezimo ezithile. Ngaphambi kokuthenga eyodwa, hlola ezinye zezinzuzo nezinyathelo ezihlobene nokusebenzisa i-home pulse oximetry bese unquma wena uma i-oximeter yekhaya ikulungile kuwe.
Izinzuzo ze-Oxetry ye-Pulse
Ama-oximeter ase-pulse asetshenziselwa kakhulu ezibhedlela, emitholampilo, emahhovisi odokotela nasemakhaya. Ngokuvamile ziyiqiniso futhi zinikeza ukufundwa kwendawo amazinga e-oxygen saturation. Lokhu kungaba yithuluzi elibalulekile, ikakhulukazi ezimweni eziphuthumayo. Ucwaningo oluthile lwamagciwane e-COPD olusebenzisa ama-pulse oximeters lubonise ukuthi amadivayisi ayephumelela kakhulu ekubikezelweni ukuthi izimpawu ze-COPD zivele zibi nakakhulu, ezaziwa ngokuthi ukukhushulwa.
Ezinye izinzuzo ze-pulse oximeter, uma zisetshenziswe kahle, zifaka:
- Kulula ukuyisebenzisa futhi engabizi
- Kubalulekile ukuqapha izifo ezihlukahlukene ezingapheli, kuhlanganise ne-COPD, i- asthma , nezinye izimo zempilo ezingapheli
- Okungahambi kahle, okungenabuhlungu, futhi okulula
- Kungasetshenziswa ngokuqhubekayo, okuzuzisa uma ubhala ebusuku, ngesikhathi sokulala
- Ivumela ukusetshenziswa okunembile kwe-oxygen
- Inikeza wena noma umnakekeli wakho, ngesixwayiso sokuqala se- hypoxemia ezayo noma ekhona (i-oxygen ephansi yegazi)
- Inikeza imikhuba ye-oxygen saturation ngesikhathi sokuzivocavoca okuvumela ukuthi, ngaphansi kweseluleko sikadokotela wakho, usebenzise kalula i-oxygen ukuze uhlangabezane nezidingo zakho ngabanye
Ukudonswa kwe-Oxetry ye-Pulse Oximetry
Njenganoma iyiphi idivayisi yezokwelapha, ama-pulse oximeter anezinsizakalo zabo. Iziguli ziyaxwayiswa ukusebenzisa umqondo ovamile uma usebenzisa i-pulse oximeter ekhaya futhi ungathembeli kuphela ekufundeni okwenziwe nge-oxygen saturation njengendlela yokukhomba ukuthi kukhona okungalungile ngokwemithi.
Ngaphambi kokuthenga i-pulstic home oximeter, kufanele uqonde lokhu okulandelayo:
- Bangase banikeze ukufunda okungamanga. Isibonelo, ungakwazi ukuphefumula kakhulu, kepha ukufunda kwakho okwenziwe nge- oksijini kungase kube okuvamile .
- Kungenzeka ukuthi akusizi kahle lapho kunezimo ezithile, kubandakanya ukuboshwa komzimba noma ukuphefumula , ukukhubazeka kwe-cardiac , ukushaqeka , uketshezi lwe-carbon monoxide , izimo ezibangelwa ukusabalalisa okuncane noma ukuphefumula okungalungile kuma-tissue, i- fistula e-arteriovenous , izingqamuzana ezibandayo, i-edema, ukuzamazama komhlaba, ukuthuthumela, ukukhwabanisa, noma ukuxhaphazwa kwemisipha. Ngisho nokugqoka i-polisi emnyama, eluhlaza, noma eluhlaza okwesibhakabhaka kungathinta ukufundwa.
- Bangase bahle ngemuva kwesimo sakho. Isibonelo, izinga le-oksijeni yegazi (PaO2) lingase linciphise ezingeni elibucayi ngaphambi kokuncipha kwe-SpO2 (ukufundwa kwe-oxyde saturation) kuboniswa kumqapha.
Nakuba kuvunyelwe kabanzi emasethini nasemakhaya, i-pulse oximetry akumele ithathe indawo yokuhlaziywa kwegesi yegazi kanye / noma iseluleko sezokwelashwa ezivela kudokotela wakho. Kufanele isetshenziswe kuphela njengethuluzi lokuhlola uma amazinga aphansi e-oksijeni ehlushwa.
Amathiphu Ukusetshenziswa Kwekhaya
Khumbula izingcebiso ezilandelayo ngaphambi kokuba uqale ukusebenzisa i-oximeter ye-pulse ekhaya:
- Hlola futhi ugcine igogi lamazinga akho okufaka umoya we-oksijeni ngezikhathi ezihlukahlukene phakathi nosuku naphakathi nemisebenzi ethile. Yabelana nabo nodokotela wakho ukuze akwazi ukuqonda kangcono ukuthi ukuphumula kanye nomsebenzi kuthinta kanjani amazinga akho okufaka umoya we-oxygen.
- Sebenza ngokucophelela nodokotela wakho ukuze uthuthukise izinga lokuphefumula kwe-oxygen. Ngaphansi kokufundiswa kukadokotela wakho, lungisa izinga lakho lokugeleza oksijini ukuze ugcine izinga lakho lokuphefumula kwe-oxygen.
- Ungalokothi uthinte oksijini ngaphandle kwemfundo ethile evela kumhlinzeki wakho wezempilo.
- Ungalokothi uthembele ku-oximeter ye-pulse ukucacisa ukuthi kufanele uzizwe kanjani. Uma izinga lakho lokugcwala kwe-oksijeni livamile kepha awukwazi ukuphefumula futhi / noma uhlangabezana nezinye izimpawu ezikhathazayo, funa ukunakekelwa kwezokwelapha eziphuthumayo futhi wazise umhlinzeki wakho wezempilo ngokushesha ngangokunokwenzeka.
- Ukuwa kwe-oksijeni okungazelelwe kungabonakalisa inkathazo. Shayela udokotela wakho ngokushesha ngangokunokwenzeka uma izinga lakho elijwayelekile lokugeleza kwe-oksijini lihluleka ukulondoloza izinga lakho lokubhebhetheka kwe-oxygen.
Uma usuthenga i-oximeter ye-pulsal ekhaya, thatha nawe ehhovisi likadokotela wakho ukuze uthole imiyalelo eqhubekayo yokusebenzisa. Ngokugunyazwa nodokotela wakho, ungasebenza ndawonye ukuze ufunde indlela yokulungisa ukuphuma kwe-oxygen ngokususelwa emazingeni akho eguquguqukayo e-oxygen.
> Imithombo:
> Fahy B, uLareau S, iSockrider M. Pulse Oximetry . I-American Journal of Respiratory and Critical Care Medicine . I-American Thoracic Society. 2011; 184: 1.
> Shah SA, Velardo C, Farmer A, Tarassenko L. Ukuzikhandla Kwezifo Eziphuthumayo Zokuvimbela Izifo: Ukukhomba Nokubikezela Ukusebenzisa I-Digital Health System. I-Eysenbach G, ed. I-Journal ye-Medical Internet Research . 2017; 19 (3): e69. i-doi: 10.2196 / i-jmir.7207.