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Wadatacce

Binciken gas na jini shine gwajin jini wanda aka saba yi wa mutanen da aka shigar da su zuwa Careungiyar Kulawa Mai ensivearfi, wanda ke nufin tabbatar da cewa musayar gas ɗin na faruwa daidai kuma, don haka, don tantance buƙatar ƙarin oxygen.

Bugu da ƙari, jarrabawa ce da za a iya buƙata yayin asibiti don taimakawa cikin ganewar asali na numfashi, koda ko cututtuka masu tsanani, ƙari ga tabbatar ko maganin yana da tasiri kuma, don haka, ana iya amfani da shi azaman ɗayan ƙa'idodin da za a iya rinjayar fitarwa daga mai haƙuri.

Yadda ake yin jarabawa

Ana yin nazarin iskar gas na jijiyoyin jini ta hanyar tara samfurin jini daga jijiyoyin hannu ko kafa. Wannan nau'in tarin yana da zafi ƙwarai, saboda yana da tarin haɗari. Ana ɗaukar jinin da aka tattara zuwa dakin gwaje-gwaje don gwaje-gwajen biochemical don bincika jinin pH, haɓakar bicarbonate da matsin lamba na CO2.


Bai kamata a yi iskar gas ta jijiyoyin jini ba idan akwai cututtukan jijiya na gefe, saboda za a iya samun matsala wajen zub da jini, matsalolin daskarewa ko kuma idan mutum na amfani da maganin hana yaduwar jini. A irin wannan yanayi, likita na iya yin odar wasu gwaje-gwaje don gano cututtukan da ke haifar da canjin numfashi.

Menene don

Likita yana buƙatar gas ɗin jini don:

  • Duba aikin huhu, musamman a hare-haren asma ko na mashako kuma idan an sami gazawar numfashi - Gano menene alamun cutar da yadda ake kula da matsalar numfashi;
  • Taimako kimanta pH da acidity na jini, wanda ke da amfani don taimakawa ganewar asali na gazawar koda da kuma cystic fibrosis, misali;
  • Kimantawa da aiki metabolism, wanda yake da mahimmanci wajen gano cututtukan zuciya, bugun jini (bugun jini) ko kuma ciwon sukari na II, misali;
  • Yin aiki da huhu bayan aikin tiyata ko dasawa. 

Bugu da ƙari, ana buƙatar nazarin gas na jini idan akwai yawan ƙwayoyi. Yin wannan gwajin ba gama gari ba ne, ba a yin sa a asibitoci ko kuma yin shawarwari na yau da kullun, ana neman likita ne kawai a cikin mawuyacin yanayi.


Abubuwan bincike

Valuesa'idodin al'ada na nazarin iskar gas ɗin jini sune:

  • PH: 7.35 - 7.45
  • Bicarbonate: 22 - 26 mEq / L.
  • PCO2(matsin lamba na carbon dioxide): 35 - 45 mmHg

Gwajin iskar gas na jini yana nuna yadda huhu ke aiki, ma'ana, idan ana aiwatar da musayar iskar gas ta hanyar da ta dace, don haka yana nuna halin da mutum yake ciki, wanda zai iya zama acidosis ko numfashi ko kuma alkalosis na rayuwa. Fahimci abin da ke faruwa na rayuwa da na iska mai guba, alkalosis na rayuwa da alkalosis na numfashi ke nufi.

Yadda za a fahimci sakamakon jarrabawa

Tebur mai zuwa yana nuna wasu misalan canjin dabi'un iskar gas na jini:

pHGiyar BicarbonatePCO2jiharSanadin da ke faruwa
Kasa da 7.35.Asa.AsaCutar AcidRashin koda, gigice, ciwon sukari ketoacidosis
Mafi girma fiye da 7.45BabbanBabbanAlkalosis na rayuwaCiwon amai, hypokalemia
Kasa da 7.35BabbanBabbanAcid na numfashiCututtukan huhu, irin su ciwon huhu, COPD
Mafi girma fiye da 7.45.Asa.AsaAlkalosis na numfashiHyperventilation, zafi, damuwa

Wannan gwajin bai isa ya rufe ganewar cutar ba, kawai yana nuni ne ga matsalar numfashi, na koda ko na rayuwa, da sauran gwaje-gwajen da suka dace, kamar su X-rays, CT scans, sauran gwaje-gwajen jini da gwajin fitsari, galibi likita ne ke buƙata don za a iya gano ganewar asali kuma za a iya fara maganin gwargwadon musababbin binciken iskar gas.


Menene bambanci a cikin iskar gas da jijiyoyin jini

Gas na jijiyoyin jini yana ƙayyade ainihin ƙimar yawan iskar oxygen da kuma koda da ƙodoji da huhu suna aiki daidai, wanda ke taimakawa wajen gano huhu, cututtukan koda da cututtuka.

Binciken gas na jini, a gefe guda, ana yin shi azaman zaɓi na biyu lokacin da tattarawa a cikin jijiyar ba zai yiwu ba, tare da yin tarin a jijiya, kuma babban burinta shine a taimaka a gano cututtukan jijiyoyin jiki ko kuma daskarewar jini matsaloli.

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