Kiyasta lokacin karantawa: 6 minti daya
Table of Contents
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Menene Saturation Oxygen (SpO₂)?
Oxygen jikewa (SpO₂)shine ma'auni na yadda cikakken haemoglobin a cikin jini yake tare da iskar oxygen. Wannan tantance tasirin iskar oxygen a cikin jiki wani muhimmin siga ne da ake amfani dashi. Yawanci kusan 100% Oxygen saturation yawanci ana sa ran zama bugun jini oximetry (pulse oximetry) ana auna ta amfani da .
Manufar Ma'aunin Cikewar Oxygen
Manufar ita ce a tantance ko jiki yana samun isashshen iskar oxygen da yadda ake amfani da shi yadda ya kamata. Wannan yana da mahimmanci musamman a cikin yanayi masu zuwa:
• Gano hypoxia (ƙananan oxygen) da wuri
• Yi la'akari da wajibcin maganin oxygen
• Kula da jikewar iskar oxygen mai haƙuri a lokacin maganin sa barci da tiyata
• Kula da marasa lafiya da cututtukan zuciya, huhu da cututtukan numfashi
Dabi'un Maganar Cikewar Oxygen
1. kare:
• Rage Na Al'ada: 98% - 100%
• Matsayin da ake buƙata na Farkon OxygenKasa da 94%
2. cat:
• Rage Na Al'ada: 98% - 100%
• Matsayin da ake buƙata na Farkon OxygenKasa da 94%
• A cikin kare na al'ada ko cat Oxygen jikewa yawanci Kusan 100% ya kamata.
• Idan isasshen iskar oxygen Idan ya fadi kasa da 94%, Wannan, yana nuna rashin iskar oxygen (hypoxia) kuma larurar iskar oxygen ta zo a gaba.
• Ƙimar da ke ƙasa da 90% ana ɗaukar su masu mahimmanci. kuma yana buƙatar shiga cikin gaggawa.
Menene Pulse Oximetry?
Pulse oximetryna'urar da ba ta da ƙarfi kuma ana auna ta ta amfani da binciken da ke manne da nama (yawanci harshe, kunne, yatsa ko lebe). Oxygen jikewa (SpO₂) da bugun jini matakan.
Ka'idar aiki na Pulse Oximeter
1. Infrared da jan haske taguwar ruwa aika.
2. Haemoglobin yana ɗaukar wannan haske daban-daban dangane da ko ya cika da iskar oxygen ko a'a.
3. Bambanci tsakanin oxyhemoglobin (haemoglobin da ke ɗauke da oxygen) da deoxyhemoglobin (haemoglobin da baya ɗaukar oxygen) na'urar ta gano.
4. Wannan bambancin jini Oxygen jikewa (SpO₂) nuna.
Inda za a saka Oximeter Pulse?
• harshe: An fi so a ko'ina musamman a cikin dabbobin da ke karkashin maganin sa barci.
• Lebe: Yana da wuri mai sauƙi ga ƙananan dabbobi.
• Kunne: Kunnen yana ba da ma'auni masu dogara saboda yana da tsarin tsarin jijiyoyin jini.
• sarari tsakanin yatsunsu: Musamman a cikin ƙananan dabbobi, yana iya makale a cikin sarari tsakanin yatsun gaba da na baya.
Abubuwan Da Suka Shafi Ciwon Oxygen
Lokacin auna iskar oxygen (SpO₂), wasu abubuwan ciki da na waje na iya hana na'urar samar da ingantaccen sakamako. Sanin waɗannan abubuwan yana da mahimmanci don hana ma'auni mara kyau. Anan ga abubuwan da ke shafar jikewar iskar oxygen:
1. Kayan Aikin Motsi
Girgizawa, murzawar tsoka, ko motsin jiki a cikin dabba na iya tsoma baki tare da aikin da ya dace na pulse oximeter. Wannan motsi yana da wuya ga firikwensin ya gano siginar jijiyoyin jini, wanda zai iya haifar da rashin karantawa. Wannan ya zama ruwan dare musamman a cikin dabbobi masu zumudi ko natsuwa.
2. Hasken yanayi
Maɓuɓɓugan haske masu ƙarfi a cikin muhalli, musamman haske mai kyalli ko hasken rana kai tsayezai iya tsoma baki tare da siginar firikwensin bugun jini oximeter. Wannan yana tsoma baki tare da raƙuman hasken da ke isa na'urar, yana sa na'urar ta ba da ma'aunin ma'aunin iskar oxygen mara kyau.
3. Hypotension (ƙananan hawan jini)
Hypotension yana nufin rage hawan jini. Lokacin da hawan jini ya ragu, jini yana raguwa a cikin ƙananan jini a cikin jiki (misali, kunne, harshe, da tsakanin yatsunsu). Saboda pulse oximeter yana auna jini ta waɗannan ƙananan tasoshin, ba zai iya samun isasshiyar sigina ba, yana haifar da kuskure ko kuskure.
4. Vasoconstriction (Narrowing na Blood Vessels)
Vasoconstriction na iya faruwa saboda yanayin sanyi, damuwa, ko maganin sa barci. Wannan yana rage kwararar jini zuwa fata da sassan jiki (harshe, kunne, da tsakanin yatsu). Saboda pulse oximeter yana auna kwararar jini na jijiya, wannan raguwar kwararar na iya haifar da siginar da ba daidai ba, kuma ma'aunin yana iya zama mara kyau.
5. Tsangwamar Lantarki daga Kayan aikin tiyata
Ana amfani dashi lokacin tiyata electrocautery Kayan aikin tiyata na lantarki kamar waɗanda ke fitar da igiyoyin lantarki na iya tsoma baki tare da siginar bugun jini oximeter. Wannan na iya hana oximeter gano ingantattun bayanai kuma Canje-canje a cikin ƙimar SpO₂ me zai iya zama.
6. Guba Carbon Monoxide (Ƙara Carboxyhemoglobin)
Carbon monoxide (CO) guba, jini yana haɓaka matakan carboxyhemoglobin (COHb).. Oximeters suna gano carboxyhemoglobin kamar oxyhemoglobin (O₂Hb). Saboda haka, oxygen jikewa a cikin dabba tare da carbon monoxide guba ana iya nunawa ba daidai ba kamar 100%Wannan babbar matsala ce wajen gano gubar carbon monoxide.
7. Ƙara Methemoglobin (Methemoglobinemia)
Methemoglobin (MetHb) wani nau'i ne na haemoglobin mara kyau wanda ba zai iya ɗaukar oxygen ba. Koyaya, oximeter na bugun jini na iya gano methemoglobin azaman oxyhemoglobin. Wannan yana faruwa a gaban duka hypoxia (rashin iskar oxygen) da methemoglobinemia. Yin lissafin ƙimar SpO₂ daidai A sakamakon haka, ma'aunin jikewar iskar oxygen na iya zama kuskure. Yana iya zama barga a kusa da 85-88%.
8. Fata ko Harshe Pigmentation
A cikin dabbobi masu duhun fata (misali, a cikin karnuka masu baƙar fata) da harsuna masu launin duhu (misali, a cikin karnukan Chow Chow), raƙuman hasken da pulse oximeter ke aikawa suna shaƙuwa ta hanyar pigment. Wannan yana rage ƙarfin siginar da oximeter ya gano, yana haifar da ma'auni mara kyau. A cikin dabbobi masu duhu. Ana iya auna SpO₂ azaman ƙaramar ƙarya.
Wadannan abubuwan zasu iya shafar amincin bugun jini oximetry kuma sune mahimman sigogi don yin la'akari don guje wa kuskuren ganewa. Dole ne a sarrafa waɗannan abubuwan yayin aunawa.
Canje-canje a Cikewar Oxygen da Ma'anarsu
1. Hypoxemia (Law Oxygen Saturation)
• Idan SpO₂ ya faɗi ƙasa da 94%, dabba hypoxemia ana tunanin yana raye.
• Idan SpO₂ ya faɗi ƙasa da 90%, wannan hali m hypoxemia Ana la'akari.
• Sanadin:
• Hypoventilation: Ragewar numfashi (misali, lokacin maganin sa barci).
• Cututtukan huhu: ciwon huhu, edema na huhu, zubar da ciki.
• Cututtukan zuciya: Rashin ciwon zuciya, hawan jini na huhu.
• anemia: Rage yawan haemoglobin a cikin jini yana rage karfin ɗaukar iskar oxygen.
• Matsayi mai tsayi: Samun iskar oxygen daga huhu yana raguwa saboda ƙarancin yanayin yanayi.
2. Hyperoxia (High Oxygen Saturation)
• Idan SpO₂ shine 100% ko kusa da 100% gabaɗaya ana ɗaukar al'ada.
• Duk da haka, wuce haddi oxygen far (hyperoxia), musamman a cikin dabbobin da aka haifa zai iya zama mai guba. Saboda haka, a cikin maganin oxygen Manufar ita ce ta kasance a cikin kewayon 95% - 98%..
Clinical Amfani da Oxygen Saturation
1. Kulawa a lokacin maganin sa barciA yayin ayyukan tiyata, ana ci gaba da lura da numfashin dabbar, jikewar iskar oxygen da bugun zuciya.
2. Gudanar da hypoxemiaAna fara maganin oxygen lokacin da SpO₂ ya faɗi ƙasa da 94%.
3. Kula da cututtukan zuciyaAna kula da saturation na iskar oxygen a cikin cututtuka kamar gazawar zuciya, ciwon huhu ko bugun huhu.
4. Amsar gaggawa: A cikin yanayin gaggawa kamar rauni, girgiza, guba An gano hypoxemia kuma an ba da tallafin oxygen.
• Oxygen jikewa (SpO₂)wani muhimmin siga ne wanda ke nuna yadda yadda jiki ke amfani da iskar oxygen yadda ya kamata.
• Ma'auni na yau da kullun a cikin karnuka da kuliyoyi sune 98% - 100%'Dakata. Oxygen far a ƙimar ƙasa da 94% Bukatar.
• Pulse oximetry (pulse oximeter) Na'ura ce mai sauƙi don amfani, mara amfani.
• Oxygen saturation, hypoxemia ve hyperoxia Ƙayyadaddun yanayin su shine ma'auni mai mahimmanci a cikin kulawa a lokacin maganin sa barci da kuma bibiyar cututtuka.
Don ingantaccen ƙima, dole ne a sanya na'urar daidai, dole ne dabba ta kasance cikin nutsuwa, kuma dole ne a kiyaye shi daga tsangwama na muhalli (haske, motsi, ƙarar lantarki).
Wasu Labarun Kuna iya Sha'awarsu
"Ilimi tsari ne ilimi. Hikima tsari ne na rayuwa."
Immanuel Kant
