Cheyne-Stokes: zimayambitsa, pathogenesis, chithandizo

Cheyne-Stokes kupuma afika dzina lake polemekeza madokotala awiri. ngongole chawo n'chiyani? Iwo alonga kuna dziko za mtundu uwu kupuma nthenda, amatchedwanso matenda Cheyne-Stokes. Patsogolo, iwo sanali kudziwa chilichonse.

Matenda izi zimachitika?

Mpweya mpweya intervals osiyana pakati zomwe shutdown a. Mu gawo loyamba pali kupuma pang'ono, ndiye pakubwera gawo la dyspnea. Chimakhala cha angapo masekondi kwa mphindi, ndi poyamba pali chete kwambiri osaya kupuma, amene mofulumira kukhala mozama ndipo phokoso, ndipo amafika poti yovuta pa wachisanu ndi chiwiri inhalation. Ndiye za amachepetsa chomwecho. Pamene anamaliza kuletsa mwachidule kupuma. Ndipo kotero bwalo. Cheyne-Stokes kupuma - ndi oopsa kwambiri.

nyama nthawi kupuma

syndrome Izi zimachitika onse anthu ndi nyama, ndi yamasika pang'ono zambiri. Choncho m'pofunika kulabadira chifukwa iwo. nyama akhudzidwa ukapezeka pang'onopang'ono mpweya kuwonjezeka matalikidwe (ku hyperpnoea kwambiri) ndi kuchepetsa zina wawo kaye (apnea). Kenako, anayamba kukula pontho kupuma kayendedwe. Ndipo iwo kachiwiri anamaliza apnea, nthawi imene ranges ku masekondi 30 45. Pambuyo pake, chirichonse akubwerezedwa.

Zimayambitsa matendawa, alternating kupuma

Mtundu wa kupuma nthawi ndi zambiri zimachitika nyama ndi matenda monga umuna wa magazi a medulla oblongata, malungo petechial, mitundu yonse ya poizoni, uremia. Izi kudwala ndipo chifukwa cha izo. Cheyne-Stokes kupuma, zifukwa umene tsopano amadziwika limaphwanya kwambiri kuti amafuna chithandizo. Pa siteji, odwala nkomwe oyendetsa okha danga kapena kwathunthu kutaya kutsitsimuka. Komabe, afika bwino ndi resumption la mpweya. Palinso umboni wa mtundu wina kupuma nthenda. Iwo amakhala ndi intercalary kwambiri mpweya kwambiri, wotchedwa nsonga. Cheyne-Stokes syndrome, imene pakati awiri magawo ankaikira dyspnea anati mpweya intercalary, ndi dzina la alternating kupuma. Sangafanane amapezeka. Avereji Cheyne-Stokes kupuma kumachitika kawirikawiri. Ndipo ndi mfundo wosatsutsika. Nthawi zina pali nthenda alternating mpweya aliyense yoweyula chachiwiri ndi zambiri zachiphamaso. Izi ndi zofanana kwambiri ndi matenda ena, ndiwo kusintha alternating wa ntchito mtima. Pali mfundo za kusintha kwa mwagwirizana kumatchula breathlessness zimakhudza paroxysmal mu chilengedwe, ndipo syndrome Cheyne-Stokes. Koma, zikuoneka, ndi m'chipani.

pathogenesis

Akukhulupirira kuti Cheyne-Stokes nthawi chidzasonyeza ubongo hypoxia ndi matenda ena a nkhani imvi, ndi zikopa zake. Komanso, angayambe kulephera mtima ndi uremia. Limagwirira wa zosayembekezereka ya syndrome Cheyne-Stokes wakhala pang'ono kuphunzira. Asayansi ena kufotokoza izo motere. Pamene hypoxia amapezeka chopinga wa nyumba subcortical ndi maselo a kotekisi oziziritsa, choncho pali chete kupuma, pali imfa ya chikumbumtima anawawidwa ukugwirira ntchito pakati vasomotor. Chemoreceptors koma ngakhale mu mkhalidwe umenewu ukhoza kuyankha kusintha zikuchitika mu ndende mpweya m'magazi. Cheyne-Stokes kupuma chimachititsa matenda ambiri mu thupi la wodwalayo. Ndipo ndi woopsa kwambiri. Chifukwa kupuma pakati kulalikira mwakhama? Monga zimenezi kumathandiza kuwonjezeka lakuthwa mu phukusi zimachitika ndi chemoreceptors, wokondwa mwachindunji chidwi mpweya woipa zili malo a, komanso zolimbikitsa kwa baroreceptors lapansi. Zonsezi chifukwa kuchepetsa kuthamanga. Choncho, kupuma wabwezeretsedwa. kukonzedwanso ake chimangokhala pa oxygenation magazi, kuchepetsa hypoxia oziziritsa, komanso patsogolo ntchito za manyuroni ku likulu vasomotor.

Pa nthawi imeneyi, munthu angaone mpweya kwambiri, zikumveka chikugwirabe, kuthamanga bwinobwino, wabwino kudzazidwa mtima. Mpweya wochuluka kuchititsa kuchuluka mavuto mpweya magazi wolumikizira. Kodi n'chiyani chikuchitikira mpweya woipa? mphamvu yake, m'malo mwake, amachepetsa. njira izi zikuphatikizapo kuchepetsa mankhwala ndi reflex kukondoweza malo kupuma, ntchito yomwe wayamba m'mbuyo, - apnea amapezeka.

Cheyne-Stokes chithandizo

inu alowe "theophylline" mu mtsempha mu mwambo matenda izi. Zikatero, ngati mlingo waukulu wa mankhwala sanali zimathandiza kupititsa patsogolo pa Mitsempha ubongo ndi matenda ukupeza wodwalayo, muyenera kupeza kuwombera "Metrazol" mankhwala UDZAKHALA NDI CILIMBIKITSO pa malo kupuma. Iwo akhoza kwenikweni. Pamene wodwala zoipa, m'pofunika kukhala naye. Ndipo tiyenera kukumbukira kuti yekha dokotala tikuona kuchokera chikhalidwe ichi Kalanga. Izi si choncho pamene n'zotheka kulimbana ndi matenda paokha.