Ukuphefumula kwe-Cheyne-Stokes: izimbangela, i-pathogenesis, ukwelashwa

Ukuphefumla kwe-Cheyne-Stokes wathola igama elinjalo ngokuhlonipha odokotela ababili. Kuyini ukufaneleka kwabo? Baqale batshela umhlaba ngalolu hlobo lokuphefumula okungavamile, okubizwa nangokuthi i-Cheyne-Stokes syndrome. Ngaphambilini, akukho okungaziwa ngaye.

Kwenzeka kanjani le syndrome?

Ukuphuza kubonakala nge-periodicity of breaths, phakathi kwezinto ezikhona. Esigabeni sokuqala kukhona ikhefu elifushane, bese kuqala isigaba se-dyspnoea. Ihlala eminithini eminithi ukuya eminithini, futhi okokuqala kukhona ukuphefumula okungenalutho okuthule kakhulu, okusheshayo kuba okujulile futhi okungafani futhi kufinyelele iphuzu elibucayi emphefumulweni wesihlanu nesikhombisa. Khona-ke cishe cishe kunciphisa. Kuphela ngesinye isikhashana esifushane ekuphefumuleni. Futhi njalo kumbuthano. Ukuphefumula kwe-Cheyne-Stokes kuyingozi kakhulu.

Ukuphefumula ngezikhathi ezilwaneni

Lesi sifo senzeke kokubili kubantu nasezilwaneni, kanye nalokhu okuvame kakhulu. Ngakho-ke, kubalulekile ukubanika ukunakekelwa okufanele. Ezilwaneni ezigulayo, ukwanda kancane kwe-amplitude of inhalation (kuze kube yi-hyperpnoea ephawulekayo) kwenzeka ngokunciphisa okunye kubo ukuyeka isikhashana (i-apnea). Bese uqala ukwakha ukunyakaza kokuphefumula. Futhi ziphela futhi nge-apnea, isikhathi esiphakathi kwamasekhondi angu-30 kuya kwangu-45. Ngemva kwalokho, konke kuphinda kubuyele.

Izimbangela ze-syndrome, ukushintsha ukuphefumula

Lolu hlobo lokuphefumula ngezikhathi ezithile luvame ukubhekwa ezilwaneni ezinezifo ezinjengalezi, njengoba ukuphuma kwegazi ku- medulla oblongata, i- petechial fever, zonke izinhlobo ze-poisoning, uremia. Lezi zifo ezibangelwa ukwelashwa nazo ziyabangela. Ukuphefumula kwe-Cheyne-Stokes, izimbangela omazi manje, kuyiphutha elikhulu elidinga ukwelashwa. Ngesikhathi sokuma, iziguli ezinenkinga yokuhamba ngesikhala noma ukulahlekelwa ngokuphelele. Nokho, ngokuqala ukuphefumula, kuba ngcono kubo. Kukhona nolwazi oluthile oluthile lokuphefumula ngokwemvelo. Ibhekene kuphela ngokuphefumula okujulile, okubizwa ngokuthi iziqongo. I-Cheyne-Stokes Syndrome, lapho ukuphefumula okuphazamiseka kuphazamiseka phakathi kwezingxenye ezijwayelekile ze-dyspnea, kubizwa ngokuthi i-alternating respiration. Akuvamile. Ukuphefumula okuvamile kwe-Cheyne-Stokes kubonakala kaningi. Futhi lokhu kuyiqiniso elingenakuphikwa. Ngezinye izikhathi kukhona ukuphefumula okungavamile kokuphefumula, lapho wonke amagagasi wesibili ehamba ngokungafani. Lokhu kufana nesinye isifo, okungukuthi, ushintsho oluthile kulo msebenzi wenhliziyo. Kunolwazi mayelana nokuguqulwa kokubili kwe-dyspnoea, okuyisimo se-paroxysmal, kanye ne-Cheyne-Stokes syndrome. Kodwa-ke, ngokusobala, lokhu kuyi-rarity.

I-Pathogenesis

Kukholelwa ukuthi ukuphefumula kwe-Cheyne-Stokes kubonisa njalo ukuthi i- hypoxia yobuchopho kanye nezinye izifo ze-grey, kanye nama-shells ayo. Ngaphezu kwalokho, kungabonakala ngehluleka kwenhliziyo kanye ne-uremia. Indlela yokuqala kwe-Cheyne-Stokes syndrome ayifunde ngokwanele. Abanye ososayensi bayichaza kanje. Njengoba i-hypoxia, amafomu angaphansi kwamakhansela namaseli we-cortex ye-cerebral aphethwe, ngakho-ke, ikhefu livela ekuphefumuleni, ukulahleka kokuqwashisa kwenzeka, nokusebenza kwesikhungo se-vasomotor kuphazamiseka. Kodwa ama-chemoreceptors ngisho nakulesi simo angasabela ekushintsheni okuqhubekayo ekugxilweni kwegesi egazini. Ukuphefumula kwe-Cheyne-Stokes kubangela izifo eziningana emzimbeni wesiguli. Futhi kuyesabeka kakhulu. Kungani isikhungo sokuphefumula sisebenza kabusha? Lokhu kuqhutshelwa ukwanda okweqile ekuthumeni kwezimvo ezivela kumakhemikhali, ukuchayeka ngokuqondile ezindaweni ezibaluleke kakhulu kokuqukethwe kwe-carbon dioxide, kanye ne-stimuli evela kumabharoreceptors. Konke lokhu kungenxa yokuncipha kwengcindezi. Ngakho, ukuphefumula kubuyiselwe. Ukuvuselelwa kwalo kuhlanganisa ukuphefumula kwegazi, okunciphisa i-hypoxia yobuchopho, futhi kuthuthukise umsebenzi we-neurons wesiteshi se- vasomotor.

Kulesi sigaba, umuntu angabona ukuphefumula okujulile, ukucaca kokuqonda, ukucindezela okuvamile, ukugcwaliswa okuhle kwenhliziyo. Ukwanda kwe-ventilation, okwenza ukwanda kwe-oksijeni ukungezwani kwegazi. Kwenzekani nge carbon dioxide? Amandla ayo, ngokuphambene nalokho, ancipha. Lezi zinqubo zibandakanya ukwehla kwamakhemikhali, kanye nokugqugquzela ngokufudumala isikhungo sokuphefumula, ukusebenza okuqala ukwehlisa, - i-apnea ivela.

Ukuphefumula kwe-Cheyne-Stokes: ukwelashwa

Uma lesi sifo sitholakala, kuyadingeka ukungena ku-"Aminophylline". Uma kwenzeka ukuthi imithi enkulu yale mithi ayinalo ekwandiseni imikhumbi ye-cerebral kanye nokujwayelekile komuthi wesiguli, kuyadingeka ukuthi ujobe umuthi "Metrazol", ozophazamisa isikhungo sokuphefumula. Ungasiza ngempela. Ngesikhathi isiguli sigula, kufanele nakanjani ube naye. Futhi kufanele kukhunjulwe ukuthi udokotela kuphela ongathola lesi sizwe esibuhlungu. Lokhu akunjalo uma ungakwazi ukubhekana nalesi sifo uqobo.