Cov neeg mob uas muaj tus kab mob tshiab coronary Pneumonia Yuav Ua Kev Zoo Siab Rau Hypoxia

Cov neeg mob uas muaj kab mob ntsws tshiab yuav tawm mus rau "zoo siab hypoxia"

Cov kws tshawb fawb tau tshawb pom tus mob tshiab uas qee tus neeg mob COVID-19 muaj cov pa oxygen tsawg heev, txawm tias muaj kev phom sij rau lub neej, tab sis tsis muaj cov tsos mob ua pa nyuaj, thiab hu rau tus mob no "zoo siab hypoxia".

Kev nkag siab tshiab ntawm tus mob no, asymptomatic hypoxemia, tuaj yeem tiv thaiv cov neeg mob los ntawm kev tsis tsim nyog intubations thiab qhov cua.

Intubation yog txheej txheem ntawm kev ntxig ib lub raj, lub raj endotracheal (ET), los ntawm lub qhov ncauj mus rau hauv txoj hlab pa. Ua li no, tus neeg mob tuaj yeem hnav daim npog qhov ncauj los pab ua pa ntawm lub tshuab ua pa.

"Zoo siab hypoxia" ua rau cov kws kho mob tsis meej pem vim tias nws tawm tsam cov kab mob biology, hais tias Martin Tobin, tus xibfwb ntawm Loyola University Chicago's Stritch School of Medicine. "

"Qee zaum, tus neeg mob zoo siab thaum tus kws kho mob ntxig lub cannula thiab txuas lub cannula rau lub tshuab ua pa," Tobin tau hais. "Thaum qhov no muaj peev xwm cawm tus neeg mob txoj sia, muaj qee yam txaus ntshai. ."

Txoj kev tshawb no suav nrog 16 COVID-19 cov neeg mob uas tsis ua pa luv lossis ua tsis taus pa uas muaj cov pa oxygen tsawg heev -- tsawg li 50 feem pua, qis dua cov ntshav oxygen saturation (95 feem pua ​​​​rau 100 feem pua).

Cov kws tshawb fawb pom tau tias "ntau ntau lub tswv yim pathophysiological tuaj yeem suav rau feem ntau ntawm cov neeg mob asymptomatic hypoxemia," uas suav nrog kev ntsuas thawj zaug ntawm tus neeg mob cov pa oxygen siv lub pulse oximeter. Pulse oximeters ua haujlwm los ntawm kev tso ob hom teeb liab ntawm koj tus ntiv tes, uas yog khaws los ntawm cov ntshav oxygen sensor nyob rau sab nraud ntawm lub cuab yeej thiab kuaj pom cov xim ntawm koj cov ntshav.

"Thaum lub pulse oximeter yog qhov tseeb heev thaum nyeem cov pa oxygen siab, thaum nyeem cov pa oxygen tsawg, nws tuaj yeem ua rau cov pa oxygen ntau ntxiv," Tobin hais.

Lwm qhov tseem ceeb, nws tau sau tseg, yog li cas lub hlwb teb rau cov pa oxygen tsawg. "Raws li cov pa oxygen poob rau hauv COVID-19 cov neeg mob, lub hlwb tsuas yog teb thaum cov pa oxygen qis heev -- thiab qhov ntawd yog thaum cov neeg mob feem ntau ntsib cov tsos mob ntawm kev ua pa luv."

Tsis tas li ntawd, ntau tshaj li ib nrab ntawm cov neeg mob muaj cov pa roj carbon dioxide tsawg, uas tuaj yeem txo qhov cuam tshuam ntawm cov pa oxygen tsawg, cov kws tshawb fawb tau hais.

"Tus mob Coronaviruses tseem tuaj yeem muaj kev cuam tshuam tshwj xeeb rau hypoxia hauv tib neeg," Tobin tau hais tias, qhov tshwm sim tshwm sim hauv ob feem peb ntawm COVID-19 cov neeg mob, uas tej zaum yuav muaj qee yam ua rau tsis hnov ​​tsw.

Ntxiv nrog rau kev tshawb fawb ntxiv, txoj kev tshawb nrhiav pom tias "cov yam ntxwv ntawm COVID-19 uas cov kws kho mob pom tias muaj kev ntxhov siab tsis tshua muaj qhov txawv txav thaum pom nyob rau hauv lub teeb pom kev ntev ntev ntawm kev ua pa physiology.

Tobin tau hais tias: "Qhov kev tshawb pom tshiab no tuaj yeem zam qhov tsis tsim nyog intubation thiab ua pa, thiab rau COVID-19 cov neeg mob, nws tuaj yeem txo qhov kev pheej hmoo ntawm nthwv dej thib ob ntawm kev sib kis."