Qhov sib txawv tseem ceeb ntawm peripheral thiab central cyanosis yog tias nyob rau hauv peripheral cyanosis, lub bluish discoloration nyob rau hauv lub zos, thiab cheeb tsam cuam tshuam yog txias, thaum nyob rau hauv central cyanosis, lub bluish discoloration yog generalized, thiab cheeb tsam cuam tshuam yog sov.
Cyanosis yog hais txog xim xiav-ntsuab liab uas tshwm sim ntawm daim tawv nqaij. Nws feem ntau cuam tshuam rau thaj chaw uas daim tawv nqaij nyias, xws li daim di ncauj, qhov ncauj, pob ntseg, thiab cov rau tes. Cyanosis yog vim qhov txo qis oxygen txuas rau cov qe ntshav liab hauv cov hlab ntsha. Peripheral thiab central cyanosis yog ob hom cyanosis. Peripheral cyanosis feem ntau tshwm sim vim txo qis peripheral ntshav txaus, thaum lub hauv paus cyanosis feem ntau tshwm sim vim qhov txo qis ntawm cov hlab ntsha oxygen saturation.
Peripheral Cyanosis yog dab tsi?
Peripheral cyanosis yog ib yam mob uas ua rau muaj xim daj, tshwj xeeb tshaj yog pom nyob ib ncig ntawm cov mucous ntawm cov ntiv tes, ntiv taw, thiab daim tawv nqaij ncig ntawm daim di ncauj. Peripheral cyanosis tshwm sim thaum txhais tes, ntiv tes, lossis ko taw tig xiav vim tsis tau txais cov ntshav oxygen txaus. Cov xwm txheej no cuam tshuam rau qhov kawg ntawm lub cev. Cov tsos mob ntawm tus mob no tej zaum yuav muaj xws li daim tawv nqaij ntawm lub ntsis ntiv tes, ntiv taw, xib teg, los yog ko taw tshwm xiav thiab ntsuab thiab txias nyob rau hauv cov cheeb tsam cuam tshuam. Txawm li cas los xij, cov xim rov zoo li qub tom qab thaj chaw sov. Feem ntau ua rau cyanosis peripheral tuaj yeem suav nrog Raynaud's kab mob, ntshav siab, hypothermia, teeb meem nrog cov hlab ntsha, plawv tsis ua hauj lwm, cov hlab ntsha sib sib zog nqus thrombosis, thiab hypovolemic shock.
Daim duab 01: Peripheral Cyanosis
Peripheral cyanosis tuaj yeem kuaj tau los ntawm kev kuaj lub cev, ua haujlwm ntshav, thiab kuaj cov duab xws li X-rays. Tsis tas li ntawd, cov kev kho mob rau peripheral cyanosis feem ntau suav nrog kev kho tus mob hauv qab ntawm qhov teeb meem. Cov kws kho mob kuj tuaj yeem sau tshuaj los kho lub plawv thiab lub ntsws. Qee tus neeg yuav xav tau kev kho cov pa oxygen los kho cov pa oxygen zoo hauv lub cev. Tsis tas li ntawd, cov kws kho mob yuav pom zoo kom txwv tsis pub cov kev kho mob uas txwv cov ntshav ntws, xws li beta-blockers, tshuaj tiv thaiv kev yug menyuam, thiab qee yam tshuaj tiv thaiv kab mob. Kev hloov hauv kev ua neej xws li txiav luam yeeb thiab txiav caffeine kuj tseem yuav pab tau kom tshem tawm cov kab mob peripheral cyanosis.
Cyanosis yog dab tsi?
Central cyanosis cuam tshuam rau lub cev hauv nruab nrog cev. Nws ua rau xiav rau ntsuab tint ntawm daim di ncauj, tus nplaig, los yog ob qho tib si. Hauv hom cyanosis no, cov tsos mob tsis zoo dua thaum lub cev ua kom sov. Qhov no yog hom cyanosis ib txwm pom nyob rau hauv cov neeg uas muaj kab mob plawv lossis mob ntsws thiab qee yam mob txawv txav xws li methemoglobinemia thiab sulfhemoglobinemia. Lwm yam ua rau muaj xws li kev raug mob thaum yug los lossis asphyxia, ntuav tachypnoea, pneumothorax, ntsws edema, ntsws thromboembolism, mob ntsws obstructive, thiab lwm yam.
Cov tsos mob ntawm lub hauv paus cyanosis muaj xws li xim daj ntawm tus nplaig thiab daim di ncauj, mob hauv siab, ua pa nrawm, ua pa nyuaj, squatting, kub taub hau, chim siab, fussiness, noj tsis zoo, pw tsaug zog rau cov me nyuam mos thiab me nyuam yaus, lethargy, thiab mob taub hau tsis tu ncua. Central cyanosis tuaj yeem kuaj tau los ntawm kev kuaj lub cev thiab kev kuaj xyuas zoo li X-ray thiab ECG. Tsis tas li ntawd, kev kho mob rau tus mob no yuav suav nrog kev phais, kev siv oxygen, tshuaj xws li diuretics thiab tshuaj tua kab mob, kev txhaj tshuaj tiv thaiv kab mob, thiab txhaj tshuaj tsim nyog rau cov menyuam yug tshiab (kev txhaj tshuaj prostaglandins).
Dab tsi zoo sib xws ntawm Peripheral thiab Central Cyanosis?
- Peripheral thiab central cyanosis yog ob hom cyanosis.
- Ob qho xwm txheej yog vim qhov txo qis ntawm oxygen.
- Nyob rau hauv ob qho xwm txheej, kev hloov xim daj tshwm sim ntawm daim tawv nqaij.
- Ob qho xwm txheej tuaj yeem kuaj tau los ntawm kev kuaj lub cev.
- Lawv tuaj yeem kho tau los ntawm oxygenation.
Qhov txawv ntawm Peripheral thiab Central Cyanosis yog dab tsi?
Nyob rau hauv peripheral cyanosis, bluish discoloration nyob rau hauv lub zos, thiab cheeb tsam cuam tshuam yog txias, thaum nyob rau hauv nruab nrab cyanosis, lub bluish discoloration yog generalized, thiab cov cheeb tsam cuam tshuam yog sov. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm peripheral thiab central cyanosis. Tsis tas li ntawd, peripheral cyanosis feem ntau tshwm sim nyob rau hauv qhov kawg ntawm lub cev, thaum lub hauv paus cyanosis tshwm sim nyob rau hauv lub hauv paus ntsiab lus ntawm lub cev.
Cov hauv qab no qhia txog qhov sib txawv ntawm qhov nruab nrab thiab nruab nrab cyanosis hauv daim ntawv teev npe rau kev sib piv ntawm ib sab.
Summary – Peripheral vs Central Cyanosis
Cyanosis yog hais txog xim xiav-ntsuab liab tshwm sim hauv daim tawv nqaij vim txo qis cov pa oxygen hauv cov ntshav. Peripheral thiab central cyanosis yog ob hom cyanosis. Nyob rau hauv peripheral cyanosis, lub bluish discoloration yog nyob rau hauv lub zos, thiab cheeb tsam cuam tshuam yog txias, thaum nyob rau hauv central cyanosis, lub bluish discoloration yog generalized, thiab cheeb tsam cuam tshuam yog sov. Thaum siv qhov sov sov, cov xim daj daj ploj mus rau hauv peripheral cyanosis, thaum nws tsis ploj hauv nruab nrab cyanosis. Yog li, qhov no qhia txog qhov sib txawv ntawm peripheral thiab central cyanosis.
