Ntau tus neeg tau ntsib dua li qhov mob xws li cyanosis. Dab tsi yog nws, etiology ntawm tus kab mob yog dab tsi, nws cov tsos mob thiab kev kho mob zoo? Cyanosis yog ib hom kab mob uas cov mucous thiab daim tawv nqaij ua bluish. Cyanosis ntawm daim tawv nqaij tshwm sim los ntawm kev nce hauv cov concentration ntawm pathological hemoglobin hauv cov ntshav (ntawm tus nqi txog li 30 g / l, ntau dua 50 g / l raug kuaj pom)
Cas of central cyanosis
Yog vim li cas rau qhov pom ntawm lub hauv paus cyanosis yog qhov me me ntawm cov pa nkag mus rau hauv cov ntshav. Yog tias lub plawv ua haujlwm raug, nws tso cov ntshav mus rau hauv lub ntsws, uas muaj cov xim liab nplua nuj thiab muaj cov pa oxygen. Nyob rau hauv cov ntaub ntawv ntawm malfunction nyob rau hauv kev ua hauj lwm ntawm lub plawv system, cov ntshav, tsis tau txais qhov tsim nyog cov pa oxygen, tsis muaj peev xwm xa nws nyob rau hauv txaus ntim rau lub hlwb ntawm tag nrho cov kab mob. Raws li qhov tshwm sim ntawm qhov no, hypoxia tsim, lossis, hauv lwm lo lus, tsis muaj oxygen, ib qho ntawm cov tsos mob tseem ceeb uas yog cyanosis ntawm daim tawv nqaij. Qhov tshwm sim ntawm central cyanosis yuav cuam tshuam nrog kab mob plawv, kab mob ua pa, intoxication, vim yog qhov tsim ntawm methemoglobin tshwm sim.
Yog vim li casperipheral cyanosis
Peripheral cyanosis, uas yog ib qho xim daj ntawm lub ntsej muag lossis daim tawv nqaij ntawm lub ntsej muag, tsim los ntawm kev ua haujlwm tsis zoo. Hauv cov hlab ntsha, cov ntshav ntws qeeb zuj zus, vim tias cov ntaub so ntswg tau txais oxygen ntau dua li qhov lawv xav tau, thiab cov ntshav tau saturated nrog carbon dioxide.
Ntau tus kab mob no tshwm sim vim thrombophlebitis ntawm cov extremities, tsawg zaus vim hypothermia. Cov kab mob ntawm lub ntsws kuj tuaj yeem ua rau muaj kab mob. Yog li, cyanosis raug kuaj pom tias tsis zoo pauv roj, nrog rau cov neeg mob uas mob bronchiolitis thiab mob hawb pob bronchial, ua rau muaj kev cuam tshuam bronchial patency. Raws li kev cuam tshuam ntawm tag nrho cov kev mob tshwm sim, thrombosis tshwm sim nyob rau hauv cov hlab ntsha pulmonary, uas ua rau circulatory ntshawv siab.
Ua rau cyanosis hauv menyuam yaus
- Central cyanosis nyob rau hauv cov me nyuam, tshwm sim sai tom qab yug me nyuam, feem ntau yog txuam nrog congenital heart defects.
- Ua pa hauv nruab nrab cyanosis tshwm sim nrog stenosing croup, aspiration asphyxia, kab mob hyaline membrane, mob ntsws, atelectasis ntawm lub ntsws thiab lwm yam kab mob bronchopulmonary.
- Cyanosis pom nyob rau hauv cov menyuam mos uas muaj intracranial hemorrhages thiab cerebral edema yog hu ua cerebral.
- Qhov tshwm sim ntawm metabolic cyanosis yog txuam nrog methemoglobinemia thiab kuaj pom tias muaj menyuam yaus tetany (calcium ntsiab lus hauv cov ntshav ntshav tsawg dua 2 mmol / l) thiab hyperphosphatemia.
Symptomatics
Qhov hnyav ntawm qhov nruab nrab cyanosis tuaj yeemtxawv. Tus kab mob tuaj yeem pom nws tus kheej los ntawm ib qho me ntsis cyanotic ntxoov ntawm tus nplaig thiab daim di ncauj nrog cov tshauv-grey ntxoov ntawm daim tawv nqaij mus rau xiav-violet, xiav-liab lossis xiav-dub xim ntawm daim tawv nqaij ntawm tag nrho lub cev. Feem ntau kom meej meej, lub hauv paus cyanosis yog pom nyob rau hauv cov cheeb tsam ntawm lub cev nrog nyias daim tawv nqaij (di ncauj, lub ntsej muag, tus nplaig), nrog rau cov mucous daim nyias nyias. Thawj cov cim qhia ntawm central cyanosis yog periorbital cyanosis thiab cyanosis ntawm nasolabial daim duab peb sab.
Peripheral cyanosis yog tshwm sim los ntawm cov xim xiav rau cov cheeb tsam ntawm lub cev, feem ntau nyob deb ntawm lub plawv. Tus kab mob no qhia tau zoo ntawm tes, taw, pob ntseg, taub ntswg thiab daim di ncauj.
Zoo ntawm tus kab mob hauv qab no, cyanosis tuaj yeem nrog ntau yam tsos mob: hnoos hnyav, ua tsis taus pa, mem tes ceev thiab lub plawv dhia, tsis muaj zog, kub taub hau, rau tes xiav.
Diagnosis
Cyanosis - yam mob nws yog dab tsi thiab nws tshwm sim li cas, peb pom. Txawm li cas los xij, nws yuav tsum txiav txim siab qhov muaj tus kab mob tsuas yog tom qab tus neeg mob muaj peev xwm ua tiav qhov kev ntsuam xyuas tag nrho.
Thaum kuaj mob cyanosis, nrhiav:
- noj tshuaj uas ua rau tsim cov kab mob hemoglobin derivatives;
- sijhawm tshwm sim tshwm sim;
- cim ntawm peripheral thiab central thiab cyanosis.
Txhawm rau txiav txim siab qhov concentration ntawm oxygen hauv cov ntshav, kev tshuaj xyuas ntawm cov roj ntsha hauv cov hlab ntsha hu ua. Kev tshawb fawb ntawm cov ntshav khiav, lub plawv thiab lub ntsws ua haujlwm,Raws li kev kuaj X-ray yuav txiav txim seb qhov ua rau txo qis cov pa oxygen hauv cov ntshav thiab ua rau cyanosis.
Yog tias koj xav tias cyanosis ntawm daim di ncauj uas tau tshwm sim hauv tus menyuam yug tshiab, txhawm rau kuaj tus kabmob, koj yuav tsum mus ntsib kws kho mob hlwb, kws kho mob plawv, thiab ua ultrasound ntawm thymus thiab lub plawv.
Txoj kev kho mob
Thaum kuaj tau tus kab mob cyanosis, tias tus kab mob no xav tau kev kho mob, tsis muaj kev ntseeg siab rau cov neeg mob. Kev kho mob yuav tsum tau ua raws li kev kho mob ntawm tus kab mob hauv qab. Yog li, qhov hnyav ntawm cov xim xiav ntawm daim tawv nqaij yuav txo qis nrog kev ua tau zoo ntawm kev ntsuas.
Ncaj nraim, cyanosis yog kho nrog lub npog ntsej muag oxygen lossis lub tsev pheeb suab, uas pab oxygenate ntshav. Txoj kev no ua tau zoo dua, qhov nrawm dua ntawm daim tawv nqaij yuav txo qis. Tus kws kho mob uas tuaj koom yuav sau cov tshuaj uas nws qhov kev ua yog txhawm rau txo qhov ua rau cyanosis thiab tshem tawm tus kab mob.
Cyanosis - Cov tawv nqaij zoo li cas yog qhov no thiab nws tuaj yeem qhia tau dab tsi, txhua tus yuav tsum paub. Ua tib zoo saib xyuas qhov hnyav ntawm qhov ua rau ua rau cov tawv nqaij mob hauv cov lus nug, nws yog qhov zoo dua tsis txhob yig tiv tauj tus kws kho mob tshwj xeeb.
