Umthelela we-Mouth vs Nose Breathing on Levels Oxygen
Ingabe ukuphefumula komlomo kuthinta amazinga akho e-oksijeni uma uphazamisa ukwelashwa kwe-oxygen? Uma kunjalo, yini okudingeka ukwazi futhi yini ongayenza ngakho?
Izisisekelo zokwelapha ezenziwe nge-Oxygen
Ukwelapha okwenziwe nge-oksijeni ngokuvamile kubhekelwe kubantu abacindezelwa yi-oksijeni (PaO2) engaphansi kwesilinganiso esingaphansi noma elingana no-55 mg Hg kanye nezinga eligciniwe lokugcwalisa i-oxygen ngamaphesenti angu-88 noma ngaphansi ngenkathi bevukile (noma lokho wehlela kuleveli ngesikhathi sokulala okungenani imizuzu emihlanu).
Abantu abaningi bathola i-oxygen yangaphakathi ekhaya ngedivayisi yokuhambisa i-oxygen eyaziwa ngokuthi i- cannula yangasese . Le tube elincane, epulasitiki enezinhlobo ezimbili ezincane eziphezu komunye umkhawulo ophumula emakhaleni. I-cannula yamasalini ingahambisa kahle umoya we-oksijini kumuntu ngamunye kuya kwamalitha ayisithupha ngomzuzu (i-LPM), ekugxilweni okuphakathi kwamaphesenti angama-24 kuya kwangu-40, kuye ngokuthi zingaki eziningi ze-LPM ezihanjiswayo. Uma kuqhathaniswa, umoya wendiza uqukethe amaphesenti angaba ngu-21 oksijeni, ngokuvamile okwanele kubantu abanesifo samaphaphu.
Ingabe Amathanga Emlomo Ayathola Izinzuzo Ezifanayo Zokwakheka Kwama-oksijini?
Kunezinzuzo eziningi zokwelashwa kwe-oksijeni yesikhathi eside , okuyinto enkulu kunazo zonke ukuthi, uma isetshenziswe okungenani amahora angu-15 ngosuku, yandisa ukusinda. Kodwa, ingabe abantu abasebenzisa i-oksijini futhi baphefumule emilonyeni yabo bakwazi ukuthola inzuzo egcwele yokwelashwa kwe-oksijeni? Noma, ingabe ukuphefumula komlomo kuholela emazingeni aphansi oksijeni egazini, emangqamuzaneni nasezindukwini?
Ucwaningo oluhilela lesi sihloko luphikisana nalokhu okuboniswa yizibonelo ezilandelayo:
- Esicwaningweni esithinta izihloko ezingu-323 eziphefumulela ngomlomo, abacwaningi bahlela ukuthola ukuthi umphumela wokuphefumula komlomo uphethiloli. Ngenhloso yocwaningo, umlomo ukuphefumula kwahlolwa ngokuhlolwa ngokomzimba kanye nemibuzo egcwele izihloko noma abalingani babo. Ukusutha kwe-oksijeni kwakulinganiswa nge- pulse oximetry . Imiphumela yocwaningo yathola ukuthi amaphesenti angu-34,6 abantu ayenamazinga ajwayelekile okwethula oksijini (amaphesenti angama-95 noma ngaphezulu), amaphesenti angu-22.6 anesilinganiso se-oxygen saturation sama-95% namaphesenti angu-42.8 abhekwa njenge- hypoxic , enezinga le-oxygen saturation ngaphansi kwesilinganiso sokufunda Amaphesenti angu-95. Abacwaningi baphetha ngokuthi, ngenkathi ukuphefumula komlomo kungabangeli ngaso sonke isikhathi u-hypoxia, kungenza kube khona.
- Olunye ucwaningo olubandakanya izifundo ezingu-10 ezinempilo luqhathanisa amasampula agesi aphefumulelwe kokubili ama-breathers avulekile futhi avaliwe emlonyeni we-canal we-canal ukuphumula ku-nasopharynx. Ucwaningo luphetha ngokuthi akukona nje ukuthi ingxenye ye-oksijeni ephefumulelwe (FIO2) yanda ngezinga elinyukayo le-oxygen, kodwa uma liqhathaniswa nemifino yokuvala imilomo, izimboni ezivulekile ziqaphela i-FIO2 enkulu kakhulu. Kodwa-ke, esihlokweni sokuphikisana nokuqiniswa kocwaningo olubalulwe ngenhla, uDkt. Thomas Poulton, uMhlali oMkhulu we-Bowman Gray School of Medicine eMnyangweni we-Anesthesia, uchaza ukuthi amasampula kagesi athathwe kule ndawo awakwazi ukuthi alungile ngoba aqukethe oksijini kuphela i-gas eyakhiwe-hhayi igesi ehlanganiswe nekamelo lomoya. Amasampula eGesi athathwa emthonjeni, oqhubekayo phansi emqaleni, angabangela ukuhlushwa kwegesi olunembile.
I-ADO eningi Ngomlomo Wokuphuza: Yini Ongayenza Ngayo?
Isixazululo sokuphefumulela ngomlomo ngokuvamile sixhomeke ekubambeni okubangela. Uma utholakale ngokunembile, ungakwazi ukubhekana nezinketho zokwelapha ezingase zihlanganise okulandelayo:
- Sula amavesi akho angasese - Abanye abantu abanakho ukukhetha kepha ukuphefumula emilonyeni yabo ngoba amavesi abo amancane avinjelwe. Iphunga eliphambili lingabangelwa ukugula, ukugula, ukulimala kwangaphambili noma izinguquko zesimo sezulu. Ama- antihistamine angaphezu kwamakhompiyutha ayatholakala ukuze agcine izimpawu zokungaboni ngaso sonke isikhathi futhi avule ama-nasal amacici. I-saline nasal spray yindlela engokwemvelo eya emithini yemithi futhi isiza ukugcoba amavesi omzimba, ngokuvamile ukukhulula ukuxubana. Uma ama-antihistamine angaphezu kwe-anti-anti-and-or saline nasal spray awasebenzi kuwe, khuluma nomhlinzeki wakho wezempilo mayelana nokusebenzisa i-prescription nasal spray efana ne- Flonase .
- Yenza i-aphoyintimenti nodokotela wamazinyo wakho - Odokotela bamazinyo ngezinye izikhathi banolwazi oluningi kunodokotela uma kuziwa ekuqondeni umlomo ukuphefumula. Uma udokotela wamazinyo enquma ukuthi ukungajwayelekile komzimba noma amazinyo kungumsuka womlomo wakho ukuphefumula, angakuvumelanisa ngedivaysi esebenzayo ukusiza ukulungisa inkinga.
- Shintshela kumaski omzimba olula - Isixazululo esilula kakhulu sokuphefumula ngomlomo, uma kufanelekile emzimbeni, ukushintshela kumaski omzimba olula. Ngokuvamile, lokhu akusizi kakhulu kubantu abaningi futhi kufanele kuqala kuvunywe ngumhlinzeki wezempilo ohlinzeka nge-oxygen. Enye indlela ukucabangela ukusebenzisa i-canal ye-nasal emini bese uguqulela kumaski obuso obuso ebusuku, ngakho-ke uzothola inzuzo egcwele yokwelapha oksijeni phakathi namahora olele kuwo. Khuluma nomhlinzeki wakho wezokunakekela impilo ukuze uthole ulwazi oluthe xaxa mayelana nokunye okunye okungaholela emgodini wegazi.
- Ukuhlinzeka nge-Nasal - Uma izingxenye zakho zomzimba zivinjiwe ngenxa ye- septum ephukile , ukhuluma neNgcono, i-Nose, ne-Throat (ENT) Isazi mayelana nokuhlinzeka okungasiza ukulungisa inkinga bese kukuvumela ukuba uphefumule kangcono. Khumbula, abantu abane-COPD kufanele baqaphe ngokukhethekile lapho behlinzwa, ngenxa yezinkinga ezingase zibe khona ngemuva kokusebenza ngokuhambisana ne-anesthesia.
- I-Transtracheal oksijithali yokwelashwa - I- Transtracheal oxygen therapy (i-TTOT) yindlela yokulawula oksijini ehambisanayo ngqo ne-trachea (i-windpipe). Ngokunye okungafani ne-cannula yamanzi, ihambisa amalitha ayisithupha e-oxygen ngomzuzu nge-tube encane, epulasitiki ebizwa ngokuthi i-catheter. I-TTOT ivame ukugcinwa kubantu abanamazinga aphansi e-oksijeni engaphenduli kahle ezindleleni zendabuko zokuthunyelwa kwe-oxygen.
Ukubaluleka Kwe-Oxetry Yokuxilonga Kwalabo Abasebenzisa I-Oxygen Yokwengeza
Kungakhathaliseki ukuthi uphefumulela emlonyeni wakho noma ekhaleni, umqaphi we-pulmatic oximetry kufanele ube nayo kunoma ubani othola ukwelashwa kwe-oxygen ekhaya. Amaphesenti ama-pulse angathola izinguquko eziphuthumayo emazingeni e-oksijeni e-saturation ekunikeza isixwayiso sokuthi uhlelekile emoyeni. Qhathanisa amanani kumalindela we-pulp oxymetry futhi ungalokothi ube mnyama mayelana namazinga akho okwakhiwa kwe-oxygen.
Ngezansi Emthonjeni Wokuphefumula Nokwelashwa Kwama-oksijeni
Kukhona okunye okukhathazayo mayelana nokuphefumula komlomo nokuphefumula okwenziwe nge-oksijeni njengoba kuchaziwe ngenhla, kodwa iphuzu elibalulekile ukuthi uthatha isikhathi sokucwaninga lesi sihloko bese ubuza imibuzo ebalulekile-imibuzo abantu abaningi abanesifo samaphaphu ababuzayo.
Sifunda ukuthi esinye sezici ezibaluleke kakhulu emkhakheni wokuphila nokuphila, hhayi kuphela ngesifo samaphaphu kodwa ngobuningi bezimpilo zezempilo, kuba ngummeli wakho siqu ekunakekelweni kwezempilo. Sifinyelele iphuzu emithi lapho kungekho dokotela ongenaye ongakwazi ukuhlala engalingani nayo yonke ucwaningo olusha kanye nokuthola, ngisho nasensimini ethile efana ne-pulmonology. Ngesikhathi esifanayo, kunabantu abambalwa abakhuthazwa ukuthola izimpendulo zale mibuzo kunabo ababhekana nezifo ezenza imibuzo.
Thatha isikhathi sokubuza udokotela wakho umbuzo oyifunayo lapha. Kungenzeka ukuthi kunezinhlobo eziningi zezindlela ezingafani okwamanje ezingashicilelwa kodwa zithintwa yibo abhekene nalezi zinto ezikhathazayo nsuku zonke. Ungakhathaleli ochwepheshe bokuphefumula nabahlengikazi osebenza nabo noma. Laba bantu abasebenza ne-nitty-gritty yokuthi i-oksijeni eyengeziwe isithola kanjani kubantu abayidinga kanye nemibandela eminingi ephakama.
> Imithombo:
> Pisani, L., Fasano, L., Corcione, N. et al. Shintsha emiphakathini yezinto ezihamba phambili kanye nomthelela ekuphefumuleni okuphefumulayo we-High Flow Flow Oxygen Therapy ku-Stable Hypercapnic COPD. I-Thorax . 2017. 72 (4): 373-375.
> Yamamoto, N., Miyashita, T., Takaki, S., noT. Goto. Imiphumela ye-Breathing Pattern nge-Oxygen Delivery nge-Nasal noma i-Pharyngeal Cannula. Ukunakekelwa kokuphefumula . 2015. 60 (12): 1804-9.