Kuki ibyuma bihumeka hamwe na ogisijeni ikenera guhuza ibipimo bya ogisijeni mu maraso?
Umuyaga ni igikoresho gishobora gusimbuza cyangwa kunoza guhumeka kwabantu, kongera umwuka uhumeka, kunoza imikorere yubuhumekero, no kugabanya imirimo yubuhumekero.Ubusanzwe ikoreshwa kubarwayi bafite ikibazo cyo kunanirwa kw'ibihaha cyangwa inzitizi zo mu kirere badashobora guhumeka bisanzwe.Imikorere yo guhumeka no guhumeka yumubiri wumuntu ifasha umurwayi kurangiza inzira yo guhumeka yo guhumeka no guhumeka.
Imashini itanga umwuka wa ogisijeni ni imashini yizewe kandi yoroshye yo gukuramo ogisijeni yuzuye cyane.Nibintu bitanga ingufu za ogisijeni yumubiri, ikanda kandi ikanonosora umwuka kugirango itange umwuka wa ogisijeni, hanyuma ukeze kandi uyiha umurwayi.Irakwiriye indwara zubuhumekero, indwara zumutima nubwonko.Ku barwayi bafite indwara zifata imitsi hamwe na hypoxia yo mu butumburuke, cyane cyane kugirango bakemure ibimenyetso bya hypoxia.
Birazwi neza ko benshi mu barwayi bapfuye barwaye umusonga wa Covid-19 bafite ikibazo cyo kunanirwa kw'ingingo nyinshi zatewe na sepsis, kandi kwigaragaza kw'ingingo nyinshi zananiranye mu bihaha ni syndrome de syndrome de ARDS, indwara zandurira hafi 100%. .Kubwibyo, kuvura ARDS birashobora kuvugwa ko aribyo byibandwaho kuvura abarwayi barwaye umusonga Covid-19.Niba ARDS idakozwe neza, umurwayi ashobora gupfa vuba.Mugihe cyo kuvura ARDS, niba umwuka wa ogisijeni wumurwayi ukiri muke hamwe na kanseri yizuru, umuganga azakoresha umuyaga ufasha umurwayi guhumeka, aribyo bita guhumeka.Guhumeka kwa mashini byongeye kugabanywa no guhumeka bifashwa no guhumeka bidafashwa.Itandukaniro hagati yibi ni intubation.
Mubyukuri, mbere yuko umusonga wa Covid-19 utangira, "ubuvuzi bwa ogisijeni" bwari bumaze kuvurwa ku barwayi bafite indwara z'ubuhumekero n'umutima.Ubuvuzi bwa Oxygene bivuga kuvura umwuka wa ogisijeni kugira ngo umwuka wa ogisijeni wiyongere kandi ubereye abarwayi bose ba hypoxic.Muri byo, indwara zo mu myanya y'ubuhumekero na sisitemu y'umutima n'imitsi ni indwara nyamukuru, cyane cyane mu kuvura indwara zidakira zifata ibihaha (COPD), kuvura ogisijeni byakoreshejwe nk'ubuvuzi bukomeye mu miryango ndetse n'ahandi.
Haba kuvura ARDS cyangwa kuvura COPD, byombi birahumeka hamwe na ogisijeni yibanze.Kugirango umenye niba ari ngombwa gukoresha umuyaga uva hanze kugira ngo ufashe guhumeka k'umurwayi, birakenewe ko hakurikiranwa ubwinshi bw'amaraso ya ogisijeni mu maraso mu gihe cyose cyo kuvura kugira ngo hamenyekane ingaruka za “ogisijeni ivura”.
Nubwo guhumeka umwuka wa ogisijeni bigirira akamaro umubiri, ingaruka z’ubumara bwa ogisijeni ntishobora kwirengagizwa.Ubumara bwa Oxygene bivuga indwara igaragazwa n’imihindagurikire y’indwara mu mikorere n’imiterere ya sisitemu cyangwa ingingo zimwe na zimwe umubiri umaze guhumeka ogisijeni hejuru y’umuvuduko runaka mu gihe runaka.Kubwibyo, igihe cyo guhumeka umwuka wa ogisijeni hamwe nubunini bwa ogisijeni yumurwayi birashobora kugengwa no gukurikirana ubwinshi bwamaraso ya ogisijeni mugihe gikwiye.
Igihe cyo kohereza: Gashyantare-10-2023