Cheyne-Stokes: oonobangela, Pathogenesis, unyango

Cheyne-Stokes ukuphefumla ifumana igama layo imbeko koogqirha ezimbini. Yintoni credit wabo? Baya kuqala waxelela ihlabathi ngale hlobo ukuphefumla ezingaqhelekanga, okwabizwa ngokuba Cheyne-Stokes syndrome. Ngaphambili, ukuba wayengazi nto.

Njengokuba kwenzeka sifo?

Breath Ukuphefumla kumathuba ezahlukeneyo phakathi apho ngokucima. Inxaxheba kwinqanaba lokuqala kukho ikhefu elifutshane, ngoko kuza isigaba dyspnea. Uthatha isibini lemizuzwana imizuzu, kwaye ekuqaleni kukho ukuphefumla cwaka kakhulu nzulu, nekungoku ingxamele ngokukhawuleza nzulu nomsindo ngakumbi, yaye ifikelela ingongoma yayisinda kakhulu kwindawo yesihlanu ukuya inhalation wesixhenxe. Ngoko ke malunga nokuncipha efanayo. Xa ugcwalisa yokumisa elifutshane ukuphefumla. Kwaye ngoko ke isangqa. Cheyne-Stokes nokuphefumla - oko kuyingozi kakhulu.

izilwanyana yokuphefumla Periodic

Esi sifo kwenzeka kokubini ebantwini kunye nezilwanyana, yaye le yokugqibela kancinane ngakumbi rhoqo. Kuyimfuneko ke ngoko ukuba anikele ingqalelo ngenxa kubo. izilwanyana ezichaphazelekayo kuvela Ukuphefumla ezicothayo ukwanda awo (ukuya kutsho hyperpnoea elibalulekileyo) kunye nokwehlisa yabo ukumisa (umoya). Okulandelayo, uqale ukukhula kwakhona ukuphefumla iintshukumo. Kwaye kwakhona zigqityiwe umoya, ixesha apho isusela kwisekhondi-30 ukuya kwezingama-45. Emva koko, yonke into ngokuphindaphindiweyo.

Ezibangela ukuba syndrome, ukutshintsha ukuphefumla

Olu hlobo ukuphefumla ngamaxesha ngokuqhelekileyo waphawula izilwanyana kunye izifo ezifana ukukhutshwa igazi eli Oblongata Medulla, ifiva petechial, zonke iintlobo yityhefu, uremia. Ezi pathology kunye unobangela kuyo. Cheyne-Stokes yokuphefumla, izizathu ezo eyaziwa ngoku wena, lunyhasho kakhulu ukuba ufuna unyango. Ngexesha stop, ngenkankulu izigulane hlengisa ngokwabo emajukujukwini okanye ngokupheleleyo ukuphelelwa ekufeni. Noko ke, kuya kuba ngcono kunye kut- Ukuphefumla. Kukho kwakhona ubungqina olunye uhlobo nokuphefumla engaqhelekanga. Lubonakala yi umoya eyodwa kakhulu, ebizwa iincopho. Cheyne-Stokes syndrome, apho phakathi iperi izigaba ngumntu dyspnea waphawula Ukuphefumla eyodwa, into ke igama alternating uphefumlayo. Leyo ndawo khona. Umyinge Cheyne-Stokes nokuphefumla kwenzeka rhoqo. Kwaye sisiganeko ayinakuphikiswa. Maxa wambi kukho ifildi umoya esingaqhelekanga xa igagasi ngalinye yesibini kukha ngakumbi. Oku kuyafana kakhulu kwenye isifo, oko kukuthi, ukutshintsha nokuxuba umsebenzi intliziyo. Kukho ulwazi malunga zinakho efanayo ephindaphindekayo Ukuphelelwa obuvelisa paroxysmal kwindalo, yaye Cheyne-Stokes syndrome. Kodwa ke, kuyabonakala ukuba, oko kwakufana.

Pathogenesis

Kukholelwa ukuba Cheyne-Stokes phantse lonke kukhomba hypoxia ingqondo kunye nezinye izifo mba zingwevu, kunye imifinya yayo. Ukongezelela, oko kuthi ukusilela intliziyo uremia. Indlela ingenzeka of Cheyne-Stokes syndrome sele kancinane efunda. Ezinye izazinzulu ukukuchazela ngolu hlobo. Xa hypoxia kwenzeka inhibition kwezakhiwo subcortical kunye kwiiseli ze neuron, kungoko kukho unqumamo e ukuphefumla, kukho ilahleko osezingqondweni aphazanyiswa ukusebenza iziko vasomotor. Chemoreceptors kodwa kwimeko enjalo uyakwazi ukusabela utshintsho ibakho uyondelelwano lwee- greenhouse egazini. Cheyne-Stokes ukuphefumla kubangela ukuphazamiseka amaninzi emzimbeni umguli. Kwaye kuyoyikisa kakhulu. Kutheni nokuphefumla iziko esebenzayo kwakhona? Nje oku kwenza ukuba ukunyuka okukhulu iiphakheji ukubetha kunye chemoreceptors, ifuthe ngqo kwi enesiqulatho carbon dioxide ebonakalayo lamaziko, kwakunye inkuthazo evela baroreceptors. Konke oku kungenxa ekunciphiseni ingcinezelo. Ngenxa yoko, ukuphefumla luyagcinwa kwakhona. sokuvuselela yayo ibandakanya oxygenation wegazi, ukunciphisa hypoxia yobuchopho, ngokunjalo nokuphucula umsebenzi iineuron kwiziko vasomotor.

Kweli nqanaba, umntu uyakwazi ukubona uphefumle, ukucaca osezingqondweni, uxinzelelo eqhelekileyo, ukugcwaliswa elungileyo yentliziyo. ukunyuka umoya, okubangela ukuba ukwanda oksijini ukugogeka egazini yodidi oluphezulu. Kwenzeka ntoni ukuba icarbon dioxide? amandla ayo, phezu koko, kunciphisa. Ezi nkqubo kubandakanya ukuncitshiswa uvuselelo iikhemikhali kunye reflex iziko ukuphefumla, ukusebenza oqala ukuba isantya, - umoya kwenzeka.

unyango Cheyne-Stokes

Kufuneka ufake i "Theophylline" emthanjeni xa kuthe kwakho kwesi sifo. Xa kunjalo, ukuba idosi enkulu ichiza akazange isandla ukwandiswa imithambo yegazi ingqondo ukubuyisela imeko yomguli ayijonga ngayo impilo, kufuneka ufumane shot "Metrazol" iziyobisi eya kuba nefuthe kwiziko sokuphefumla. Oko ngokwenene ukunceda. Nangona isigulana embi, kuyimfuneko ukuba abe naye. Kwaye kufuneka kukhunjulwe ukuba kuphela ugqirha ngokuthini kule meko lishwa. Oku akunjalo xa kunokwenzeka ukumelana nesi sifo ngokwabo.