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Hipoxia
Menu
* Hipoxia
* Hipoxia cerebral
* Hipoxia neonatal
* Hipoxemia
* Anoxia
* Hipoxia
* Hipoxia cerebral
* Hipoxia neonatal
* Hipoxemia
* Anoxia
HIPOXIA – TIPOS, SÍNTOMAS, CAUSAS Y TRATAMIENTOS. La hipoxia es una afección en la que el oxígeno insuficiente hace que las CÉLULAS Y LOS TEJIDOS QUE COMPONEN EL CUERPO NO ALCANCEN SUFICIENTE OXÍGENO. Esto puede suceder aunque su flujo sanguíneo sea normal. Puede llevar a muchas complicaciones graves, algunas veces potencialmente mortales. Si usted sabe qué buscar, puede controlar la afección antes de que lleve a complicaciones peligrosas. No confundir con hipoxemia , que se produce cuando hay UN NIVEL DE OXÍGENO POR DEBAJO DE LO NORMAL EN LA SANGRE. Los tejidos de los pulmones extraen oxígeno del aire inhalado y lo transmiten a la sangre, que contiene hemoglobina, una proteína que aglutina oxígeno. Es necesario que el oxígeno se combine con la hemoglobina para poder viajar a través de la sangre a diferentestejidos.
La hipoxia se manifiesta como los niveles no óptimos de oxígeno a nivel del tejido. El proceso de generación de energía en las células se inhibe debido a la disminución de la disponibilidad de oxígeno. Causa estrés celular y una amplia variedad decomplicaciones.
La enfermedad pulmonar obstructiva crónica (EPOC) causa dificultad para respirar. La EPOC es un grupo de afecciones pulmonares que incluye bronquitis crónica, enfisema y otras. El flujo de aire restringido caracteriza todas estas condiciones. La incapacidad para OBTENER SUFICIENTE OXÍGENO EN LOS PULMONES aumenta el riesgo de desarrollar hipoxia. ÍNDICE DEL ARTÍCULO * 1 ¿Cuáles son los tipos de hipoxia? * 1.1 Hipoxia tisular * 2 ¿Cuáles son las Causas de la Hipoxia? * 2.1 Causas de la hipoxia hipóxica * 2.2 Causas de la hipoxia anémica * 2.3 Causas de hipoxia estancada * 2.4 Causas de la hipoxia histotóxica * 3 ¿Cuáles son los síntomas y signos de la hipoxia? * 4 ¿Cuáles son las complicaciones de la hipoxia? * 5 ¿Cómo se diagnostica la hipoxia? * 6 ¿Cómo se trata la hipoxia? * 7 ¿Cómo prevenir la hipoxia? CUÁLES SON LOS TIPOS DE HIPOXIA? Dependiendo del mecanismo de ocurrencia, la hipoxia es predominantemente de cuatro tipos. * Hipoxia cerebral – Se presenta cuando EL CEREBRO NO RECIBE SUFICIENTE OXÍGENO * HIPOXIA HIPÓXICA O HIPOXIA GENERALIZADA – Se presenta principalmente debido a la disminución de la presión del oxígeno en los vasos sanguíneos, que transportan la sangre oxigenada. El defecto generalmente se encuentra a nivel de los pulmones. * HIPOXIA ANÉMICA – En este tipo de hipoxia, los pulmones están funcionando bien, pero la capacidad de transporte de oxígeno de la sangre se reduce debido a una menor hemoglobina en el cuerpo como en el caso de la anemia. Baja capacidad de transporte de oxígeno de los resultados sanguíneos en la hipoxia anémica * HIPOXIA ESTANCADA – Ocurre debido a la reducción del flujo sanguíneo a los tejidos, lo que implica que a pesar de la presión parcial normal de oxígeno y hemoglobina, no se está suministrando suficiente cantidad de oxígeno a los tejidos. También se le llamaHIPOXIA ISQUÉMICA.
* HIPOXIA HISTOTÓXICA – Este tipo de hipoxia se manifiesta debido a la capacidad disminuida de los tejidos para utilizar el oxígeno porque han sido envenenados. Debe tenerse en cuenta que esto no está a la par con la definición estándar de hipoxia, que define claramente la hipoxia como la condición de un suministro inadecuado de oxígeno a nivel tisular. Por lo tanto, en sentido estricto, no es una hipoxia verdadera y sólo se manifiesta en casos de intoxicación.* Hipoxia neonatal
– es una
deficiencia de oxígeno en los tejidos de los recién nacidos.HIPOXIA TISULAR
Cuando la hipoxia AFECTA A UN ÓRGANO ESPECÍFICO O ÁREA DEL CUERPO se le conoce como Hipoxia tisular. CUÁLES SON LAS CAUSAS DE LA HIPOXIA? Las diversas causas de la hipoxia, pertenecientes al tipo específico,son las siguientes:
CAUSAS DE LA HIPOXIA HIPÓXICA * Baja presión de oxígeno en el aire que respiramos a mayor altitud. Es muy común en montañeros y se conoce como mal de altura. Respirar en un espacio cerrado también induce la hipoxia en losmineros.
* Respirar una mezcla de gases artificiales con baja presión parcial de oxígeno también induce a la hipoxia hipóxica como en el caso de los submarinistas de aguas profundas o submarinistas. * Parálisis de los músculos respiratorios como en la poliomielitis, enfermedades de las neuronas motoras. * Daño a los centros respiratorios del cerebro debido a tumores cerebrales o al consumo de drogas tóxicas como cocaína y heroína. * Las enfermedades respiratorias o pulmonares como asma, enfisema, bronquitis crónica y bronquiectasia causan una obstrucción en el paso respiratorio y conducen a una presión parcial baja de oxígeno en los vasos sanguíneos, lo que eventualmente causa hipoxia. * Edema pulmonar y fibrosis pulmonar CAUSAS DE LA HIPOXIA ANÉMICA * Pérdida excesiva de sangre interna en forma de hemorragia decualquier órgano
* Pérdida excesiva de sangre externa en accidentes, procedimientos quirúrgicos o parto de niños * Anemia de todo tipo * Intoxicación por monóxido de carbono CAUSAS DE HIPOXIA ESTANCADA * Insuficiencia cardíaca congestiva: la sangre bombeada por corazón por minuto se reduce, lo que a su vez lleva a una disminución del flujo sanguíneo a los tejidos y por lo tanto causa hipoxia estancada. * Defectos cardíacos congénitos en niños tales como comunicación interventricular, comunicación interauricular, tetralogía de Fallot. * La hipoxia estancada localizada es causada por el estancamiento de la irrigación sanguínea en cualquier área del cuerpo, como en el caso de la enfermedad de Raynaud o la enfermedad de Buerger, donde se restringe la irrigación sanguínea a las extremidades. CAUSAS DE LA HIPOXIA HISTOTÓXICA * Intoxicación por cianuro * Intoxicación por sulfuro * Esta afección también se agrava por el uso de alcohol, fumar tabaco y el uso excesivo de narcóticos. CUÁLES SON LOS SÍNTOMAS Y SIGNOS DE LA HIPOXIA? Los síntomas y signos de la hipoxia dependen de la gravedad de la afección, el ritmo al cual la afección está progresando y de la capacidad del cuerpo para compensar el déficit de oxígeno. Los síntomas y signos comunes son:HIPOXIA CRÓNICA:
* Cianosis: Es la decoloración azulada de la piel y las membranas mucosas. Se ve en las uñas, los lóbulos de las orejas y la lengua. * Taquicardia: Es el aumento en la frecuencia cardíaca y ocurre debido al mecanismo compensatorio iniciado por el corazón para bombear más sangre a los tejidos hambrientos de oxígeno. * Taquipnea: Un aumento en la frecuencia respiratoria por minuto se conoce como taquipnea. * Dificultad respiratoria o disnea: Se presenta después del esfuerzo físico y el ejercicio. En casos severos, la dificultad para respirar puede ocurrir incluso en reposo, lo cual requiere una consulta de emergencia con un médico. * Fatiga o cansancio * Palpitaciones y desarrollo de un ritmo cardíaco anormal en casosgraves
HIPOXIA FULMINANTE:
Es una hipoxia severa, que se desarrolla rápidamente en segundos. Podría ocurrir en los casos de pérdida accidental de presión de cabina en una aeronave de más de 20.000 pies sin oxígeno suplementario. Conduce a la inconsciencia en 15 a 20 segundos y la muerte cerebral puede suceder en 4 a 5 minutos.HIPOXIA AGUDA:
Los síntomas de la hipoxia aguda incluyen: * Falta de coordinación * Lentitud de los reflejos * Desvanecimiento del habla* Inconsciencia
* El coma y la muerte podrían ocurrir en minutos u horas si los mecanismos compensatorios del cuerpo son insuficientes. Es una afección crónica, por lo que puedes experimentar cualquiera de estos síntomas DE MANERA CONTINUA O INTERMITENTE. Si experimentas cualquiera de estos síntomas, se considera una emergencia médica. Debes llamar al 911 o acudir a la sala de emergencias si experimentas un cambio o si estos síntomas empeoran, especialmente si ESTÁN ASOCIADOS CON DOLOR TORÁCICO, FIEBRE, FATIGA O CONFUSIÓN. CUÁLES SON LAS COMPLICACIONES DE LA HIPOXIA? La hipoxia es una condición seria y debe ser tomada en consideración. Los casos ignorados de hipoxia pueden llevar a efectos adversos graves y permanentes sobre la salud o incluso causar la muerte. Las diversas complicaciones abarcan. * Daño cerebral y parálisis * Muerte de tejidos corporales que llevan a la gangrena y* Paro cardíaco
* Anoxia
CÓMO SE DIAGNOSTICA LA HIPOXIA? La hipoxia generalmente se diagnostica mediante la EVALUACIÓN DE LOS SÍNTOMAS Y LA HISTORIA CLÍNICA DEL PACIENTE para identificar la causa. La presencia y grado de hipoxia se determina por ANÁLISIS DE GASES EN SANGRE arterial: da una breve estimación de la presión parcial de oxígeno en los vasos sanguíneos que transportan sangre oxigenada y la cantidad de hemoglobina que ha sido saturada con oxígeno. La hipoxia también se puede estimar MEDIANTE UN OXÍMETRO DE PULSO, que se coloca en la punta del dedo y se conecta al monitor. El porcentaje de saturación de oxígeno se controla continuamente enla pantalla.
Se pueden realizar otros exámenes de diagnóstico de sangre e imagenología para determinar la causa de la hipoxia e instituir el tratamiento apropiado. CÓMO SE TRATA LA HIPOXIA? El objetivo principal del tratamiento es restablecer la presión parcial de oxígeno en la sangre a la normalidad y mantener al paciente cómodo. La causa de la hipoxia debe ser identificada ytratada.
* El tratamiento de la hipoxia es la ADMINISTRACIÓN DE OXÍGENO.El oxígeno suplementario se administra a una presión atmosférica de 760 mmHg mediante una cánula nasal o una simple mascarilla de oxígeno conectada a un depósito de oxígeno. La administración suplementaria de oxígeno ayuda a tratar la hipoxia. * LA OXIGENOTERAPIA HIPERBÁRICA (inhalación de oxígeno 100% puro a alta presión barométrica) se administra en aquellos casos de hipoxia en los que no se dispone de hemoglobina normal para transportar el oxígeno a los tejidos. Las indicaciones incluyen:* Hipoxia anémica
* Heridas con poca irrigación sanguínea * Intoxicación por monóxido de carbono * Enfermedad por descompresión y embolia del aire en submarinistas yescaladores.
* Ventilación mecánica: Es una forma de soporte vital en pacientes que están muy enfermos y no pueden respirar por sí solos. El dispositivo utilizado se denomina ventilador, respirador o respirador. Hace el trabajo de la respiración forzando una corriente constante de aire en los conductos nasales. * Se utiliza un ventilador como medida temporal mientras el paciente está en otros tratamientos para mejorar la condición primaria. La mayoría de los pacientes salen del ventilador en unas pocas horas o días, pero algunos permanecen enfermos y continúan teniendo soportevital.
* TRATAR LA CAUSA: La causa subyacente de la hipoxia debe tratarse al mismo tiempo. Esto puede ser broncodilatadores para tratar el asma, fármacos como los esteroides para reducir la inflamación pulmonar o la transfusión de células empacadas en un paciente anémico. CÓMO PREVENIR LA HIPOXIA? LA HIPOXIA SE PUEDE PREVENIR TOMANDO LAS PRECAUCIONES APROPIADAS. * Las escaladas de montaña deben tener un entrenamiento adecuado. Es muy importante para los montañeros escalar una distancia específica y luego acampar durante 2-3 días para aclimatarse a la altitud creciente y sus cambios en el cuerpo. * Los alpinistas siempre deben llevar cilindros de oxígeno ymáscaras faciales.
* Los buzos deben llevar siempre cilindros de oxígeno y máscaras faciales para prevenir la hipoxia * Es crucial reconocer los síntomas de los pacientes hospitalizados con hipoxia inminente y administrar la oxigenoterapia a través de una cánula nasal y mascarillas faciales. * Los pacientes que sufren de asma deben ser regulares con susmedicamentos.
SABÍAS QUE?
Una inflamación o infección que puede afectar uno o más pequeñas cavidades que rodean las raíces del cabello, se le denomina foliculitis, y puede aparecer en cualquier parte del cuerpo donde crezca el pelo. Hay dos tipos de faringitis. La faringitis aguda , que corresponde a una angina y es de origen infecciosa. Y la faringitis crónica, que tiene
múltiples causas posibles: el consumo del alcohol, de tabaco, una exposición repetida a agentes contaminantes, una carencia de hierro o esfuerzos demasiado importantes en la faringe, como por ejemplo, el canto o un largo discurso. La bronquitis se describe como, una afección en la que el revestimiento de los tubos bronquiales se inflama. La conjuntivitis es muy común, pero, usualmente no es grave y desaparece en 7 a 10 días sin tratamientomédico.
REFERENCIAS
* Hypoxia: Its Causes and Symptoms – NCBI – NIH * Hypoxia 101 | Mississippi River/Gulf of Mexico Hypoxia Task Force…
* Documented Hypoxia and Associated Risk Factors in Estuaries … –EPA
Hipoxia – Tipos, síntomas, causas y tratamientos.4.4 (88.75%) 16votes
DEJA UN COMENTARIO CANCELAR RESPUESTA ÍNDICE DEL ARTÍCULO * 1 ¿Cuáles son los tipos de hipoxia? * 1.1 Hipoxia tisular * 2 ¿Cuáles son las Causas de la Hipoxia? * 2.1 Causas de la hipoxia hipóxica * 2.2 Causas de la hipoxia anémica * 2.3 Causas de hipoxia estancada * 2.4 Causas de la hipoxia histotóxica * 3 ¿Cuáles son los síntomas y signos de la hipoxia? * 4 ¿Cuáles son las complicaciones de la hipoxia? * 5 ¿Cómo se diagnostica la hipoxia? * 6 ¿Cómo se trata la hipoxia? * 7 ¿Cómo prevenir la hipoxia?MENU
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* Dificultad para respirar * Hipoxia – Tipos, síntomas, causas y tratamientos.* Hipoxia cerebral
* Hipoxia neonatal o perinatal* La hipoxemia
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