ʻO ka cyanosis kahi waihoʻoluʻu polū o ka ʻili a me nā membrane mucous. Hiki iā ia ke hoʻopilikia i kahi wahi kūloko (e like me nā manamana lima a i ʻole ka maka) a i ʻole ka hopena i ke kino holoʻokoʻa. He ʻokoʻa nā kumu a loaʻa pū kekahi i ka hōʻino ʻana i ka naʻau, ka maʻi hanu a i ʻole ka ʻike ʻana i ke anu.

ʻO ka cyanosis ka waihoʻoluʻu ʻulaʻula o ka ʻili a me ka mucous membrane ke loaʻa i ke koko ka liʻiliʻi o ka hemoglobin i hoʻopaʻa ʻia i ka oxygen. I nā huaʻōlelo ʻē aʻe, ke kamaʻilio nei mākou no ka cyanosis inā loaʻa i ke koko capillary ka liʻiliʻi o 5g o ka hemoglobin i hoʻemi ʻia (ʻo ia hoʻi ʻaʻole paʻa i ka oxygen) no 100ml.

E hoʻomanaʻo, ʻo ka hemoglobin ka ʻāpana o nā keʻena koko ʻulaʻula (i kapa ʻia hoʻi nā ʻāpana koko ʻulaʻula) nāna e lawe i ka oxygen. ʻOkoʻa kona helu i nā kāne, nā wahine a me nā keiki.

Ke liʻiliʻi ka oxygen i loko o ke koko, loaʻa ka ʻulaʻula ʻeleʻele. A i ka lawe ʻana o nā kīʻaha a pau (o ke kino holoʻokoʻa a i ʻole kekahi ʻāpana o ke kino) i ke koko i hoʻoheheʻe ʻia, a laila hāʻawi ia i ka ʻili i ke ʻano o ka cyanosis.

Hiki ke pili i nā hōʻailona me ka cyanosis, ma muli o ke kumu o ia. No ka laʻana, pilikia ka hanu, ʻeha o ka umauma, ke kuni, ka pau ʻole o ka naʻau a i ʻole ka luhi maʻamau.

Hiki ke kaupalena ʻia ka cyanosis i hoʻokahi ʻāpana o ke kino, e like me nā lehelehe, ka maka, nā ʻāpana (nā manamana lima a me nā manamana wāwae), nā wāwae, nā lima… Hoʻokaʻawale mākou i ka ʻoiaʻiʻo:

• cyanosis waena (a i ʻole cyanosis generalized), e kuhikuhi ana i ka emi ʻana o ka oxygenation o ke koko arterial;
• a me ka cyanosis peripheral ma muli o ke kahe o ke koko. Hoʻopilikia pinepine ia i nā manamana lima a me nā manamana wāwae.

I nā hihia a pau, pono e makaʻala ka cyanosis a pono e nīnau i ke kauka hiki ke hana i kahi hōʻailona a hāʻawi i ka lāʻau lapaʻau.

Nui nā kumu e kumu ai ka cyanosis. Aia kēia mau mea:

• ku i ke anu;
• ʻO ka maʻi o Raynaud, ʻo ia hoʻi, he maʻi kaʻapuni. Huli keʻokeʻo a maʻalili ka wahi i hoʻopilikia ʻia o ke kino, i kekahi manawa ma mua o ka lilo ʻana i polū;
• ka hoʻopau ʻana o ke kaʻa kaʻa, e like me ka thrombosis (ʻo ia hoʻi ka loaʻa ʻana o kahi clot - a i ʻole thrombus - i hana ʻia i loko o kahi kīʻaha koko a keakea ʻia ia);
• nā maʻi ʻāʻī, e like me ka hāʻule ʻana o ka hanu, pulmonary embolism, edema i loko o ke akemāmā, maʻi hematosis (e pili ana i ka hoʻololi kinoea i hana ʻia i loko o ka māmā a hiki ke hoʻololi ʻia ke koko i loaʻa i ka carbon dioxide i ke koko waiwai nui o ka oxygen);
• kahi infarction myocardial;
• hopu puuwai ;
• ʻo ka puʻuwai hānau a i ʻole ka vascular malformation, kapa ʻia kēia maʻi koko uliuli;
• ke koko nui;
• koko maikaʻi ʻole;
• anemia;
• ʻona (eg cyanide);
• a i ʻole kekahi mau maʻi hematological.

ʻO ka cyanosis kahi hōʻailona e pono ai ke kūkākūkā olakino. Inā ʻaʻole mālama ʻia ka hōʻailona, ​​hiki i nā pilikia he nui (e pili ana i ke kumu o ka cyanosis a me kona wahi). E haʻi kākou no ka laʻana:

• polycythemia, ʻo ia hoʻi he mea ʻino i ka hana ʻana o nā ʻulaʻula koko. I kēia hihia, he kiʻekiʻe ka pākēneka o nā ʻulaʻula ʻulaʻula e pili ana i ka nui o ke koko;
• ʻo ka hippocratism kikohoʻe, ʻo ia hoʻi ka hoʻololi ʻana o nā kui a lilo i poʻo (e hoʻomaopopo ʻo Hippocrates ka mea i wehewehe no ka manawa mua);
• a i ʻole ka hōʻoluʻolu a i ʻole syncope.

ʻO ka mālama ʻana no ka cyanosis e pili ana i ke kumu. E haʻi kākou no ka laʻana:

• ʻokiʻoki (ka maʻi naʻau congenital);
• oxygenation (pilikia hanu);
• ka lawe ʻana i nā lāʻau lapaʻau, e like me ka diuretics (ka hopu puʻuwai);
• a i ʻole ka ʻoiaʻiʻo maʻalahi o ka ʻaʻahu ʻana i ka mahana (inā loaʻa i ke anuanu a i ʻole ka maʻi o Raynaud).