Dyspnea Expiratory: Ubangela. Inspiratory futhi dyspnea expiratory

Ukuphelelwa ngumoya uhlamvu expiratory kwenzeka uma bronchospasm. Lokhu kwazicasula patency ka yomoya encane. Bronchioles constrict, okuyinto aqoqana imfihlo, futhi lwamafinyila ulwelwesi ichichima.

izinhlobo odyshek

Ukuphelelwa ngumoya , odokotela bavame ngokuthi dyspnea. Kuyinto ukuphazamiseka umsebenzi zokuphefumula, okuyinto eyenzeka ngo-eziningi izifo. Dyspnea kungaba inspiratory. It libhekene umoya basebenzile. Dyspnea zenzeka amaKristu anjalo anomusa can nge ukuhluleka kwenhliziyo noma ngesikhathi lesion elingenhla ipheshana zokuphefumula. Kungase kubonakale ngenxa spasm ka ukuminyana bronchial uketshezi sokugembula, isimila, ukugxisha le edema umgudu mucosal.

Umoya okhishwa ngamakhala Slow, lapho kungenziwa wezwa ikhwela kancane, kuwuphawu lokuthi ekuqaleni dyspnea expiratory. Kwenzeka lapho ivuvukele mucosal ukuminyana kuleli bronchioles noma uketshezi livela izithiyo ona permeability of bronchi encane.

Futhi, kukhona kufushane okuxubile umoya. Kuyinto ejwayelekile ukwehluleka oyingozi zokuphefumula.

Kumele baqonde ukuthi dyspnea - inspiratory futhi expiratory - kubangelwa izizathu ezahlukene. Ngakho-ke, ezahlukene futhi Tindlelanchubo yokwelapha lezi zimo.

Izimbangela iphika expiratory

Abantu abaphethwe isifuba somoya noma njalo ukucinana kwemigudu yokuphefumula obstructive, ukuthi yini izimpawu ezihambisana nalezi zifo. Omunye izici eziyinhloko Akukhona ukubukeka dyspnea. It libhekene okhishwa ngamakhala okuqhubekayo, okuyinto kuhambisana amakhwela. I thorax cishe azisetshenziswa ukuphefumula. Uhlala isici isikhundla ugqozi.

kufushane Aspiratory umoya nobuntu izifo ezifana:

- somoya;

- bronchiolitis noma ukucinana kwemigudu yokuphefumula obstructive;

- efizema wamaphaphu okungamahlalakhona, libhekene ukulahlekelwa izicubu kuyaqina;

- izimila ze- bronchi;

- COPD;

- cystic kwamaphaphu.

Iphinde kungenzeka uma hit in the umgudu we nomzimba angaphandle. Kodwa dyspnea inspiratory kwenzeka uma isithiyo ku kuqhoqhoqho kanye umphimbo. Kodwa nge ukuvala bronchi ezinkulu kanye kuqhoqhoqho nzima njengoba umoya, bese exhale.

izimpawu isici

Uma ukwephula ka wamaphaphu umsebenzi kungenzeka dyspnea expiratory. Uma lokhu sekwenziwe donsa kahle bese exhale nzima. Ukukhulula umoya ovela emaphashini, isiguli uphoqelekile ukuba wenze umzamo. imisipha Breathing ziqala ukusebenza izikhandle kakhudlwana ekufuneni.

Abaningi bakhononda ubuhlungu endaweni esifubeni. Kungase futhi ukuthuthukisa cyanosis sezindebe, isikhumba batshengise okhanyayo. Abantu ne lolu hlobo dyspnea sivame ukuba ukujuluka ngokweqile. Lapho okubi kakhulu kwesikhumba isimo angakuthola ompunga umthunzi, ubuthakathaka kwandisa kakhulu.

Naphezu kweqiniso lokuthi dyspnea expiratory umoya nzima, isiguli ungaqala kokuziklinya. Kodwa dyspnea kungenzeka engavezwanga ngamazwi. Amandla zokubonisa dyspnea kuzoncika izizathu ngalo ubonakele, esigabeni kwezifo, khona isikhwehlela.

With ukuthuthukiswa lolu hlobo dyspnea kungene umoya emaphashini, kodwa ngenxa ukuvuvukala futhi spasm izindonga imithambo emaphashini, akayi ngokuphelele. Lesi simo ngokuvamile nzima ekuqongeleleni isikhwehlela viscous.

izimpawu zokwelapha

Akukhona njalo kungenzeka ukuba baqonde lokho ogulayo waqala ukuba ukuphefumula kanzima. Ngokuhamba kwesikhathi sinake futhi phawula ekuqaleni kuhlasela kuze yezinkinga, kubalulekile ukwazi izimpawu dyspnea expiratory.

Omunye amaphuzu ayinhloko ngalo kufanele sinake ubude okukhiphayo. It Ngokuphawulekayo kwandisa. Kwezinye izimo kungase idlule isikhathi obuphelele inspiratory izikhathi 2. Umoya kuhambisana abalulekile imisipha ukungezwani. izinguquko intrathoracic izimpawu ingcindezi zivele. Lokhu kufakazelwa bulging nokubuna intercostal izikhala. Kanyekanye okhishwa ngamakhala entanyeni emithanjeni kuzobonakala.

dyspnea Expiratory kuyisici sobuntu somoya. Nge isikhathi eside lesi sifo kungabonwa Boxed isici umsindo okuyinto eyenzeka ngenxa ekuqongeleleni emoyeni ngokweqile. Phela, nalokhu kukhulekela elilinganiselwe diaphragm. Uzophawula ukuthi lapho prostukivanii ezindaweni ezithile esifubeni umngcele wamaphaphu ivinjelwe.

Kodwa kunezinye izimpawu dyspnea expiratory, okuyinto kungabonwa nabantu abangaqeqeshiwe wezokwelapha. Uma exhale, ungezwa impempe Ekukhanyeni noma ehlukile umsindo omnandi (crepitus). Kwezinye izimo kungase ngisho lizwakale ibanga.

ngezimpawu zesifo

Sikhishwe iqiniso lokuthi dyspnea expiratory kuwuphawu ezinye uhlobo nezifo zokuphefumula, kubalulekile ukuba baqonde indlela lesi sifo kufanele azimisele.

Ngokwesibonelo, uma isiguli ukucinana kwemigudu yokuphefumula obstructive, isici sobuntu akusiyo kuphela ekuthuthukiseni nokuvaleka kwemigudu yokuphefumula, kodwa ukwenyuka kwezinga lokushisa. Ngaphezu kwalokho, iziguli buthakathaka kakhudlwana, ukuphaphatheka isikhumba, akrozianoz. Bluish ibala ivela ezindaweni ezikude zomzimba kusukela inhliziyo; iminwe yakhe nezinzwani zakhe, izindlebe, izindebe, ichopho ekhaleni.

Kodwa ngokuvamile uphawu kuwuphawu lokuthi somoya kwase kuqalile. Ukuphelelwa ngumoya kwenzeka ngesikhathi exacerbation expiratory lesi sifo. Ezimweni eziningi, iqala phezu contact nge allergen. Lesi sifo kwesizini. Kodwa Ukuwohloka kungenzeka ngokusebenzisa ephefumula kagwayi noma enye into nge iphunga okunoshukela. Ngezinye izikhathi exacerbation yesifuba somoya ephathelene nomsebenzi ngokomzimba anda. Ngokuvamile lokhu kuquleka uqale ekuseni noma kusihlwa amahora.

Ukuxazulula

Kwezinye izimo kubalulekile ukuqhuba ucwaningo ekhethekile ukuqonda ubunjalo dyspnoea. Ikakhulukazi iyingozi kuyinto ivela khona ezinganeni. Izingane ngokuvamile dyspnea expiratory ebonwe ukucinana kwemigudu yokuphefumula obstructive. Kulokhu, kudingeka ufune usizo esibhedlela. Esikhathini isikhungo sokwelapha abakwazi kuphela ukusazi ngokunembile isifo esikuphethe, kodwa futhi ukunikeza ezidingekayo uchwepheshe usizo.

Cacisa uhlobo iphika, ungasebenzisa-X-ray, ECG, echocardiogram. Futhi esilapha siqhuba isifundo sokuqanjwa igesi yegazi. I degree of isimiso bronchial bungabonakala uma ukukala wamaphaphu ivolumu noma isiqongo ukugeleza imitha ukwenza.

ukunakekelwa predoctor

Uma wena noma umuntu endaweni yakho uhlushwa ukuhlaselwa kwakhe isifuba somoya, kubalulekile ukwazi ukuthi kungenziwa ngaphambi kokufika odokotela. Okokuqala iziguli ezinjalo kudingeka ahlale phansi zizama ukuthulisa kuye phansi. Ukucindezeleka umfutho kuholela kwenhliziyo ukwanda-mpilo ukusetshenziswa futhi eziningi izakhi. Ngenxa yalokhu, iphika expiratory usungaqala ukuthuthukisa namandla.

Ikamelo lapho nesineke ngokuhlasela dyspnea, kufanele kahle umoya. Ngaphezu kwalokho, ukunakekelwa okufanele ikhokhwe umswakama. Uma sesomile futhi, kungcono ukubeka phezu komlilo ngebhodwe noma ngeketela ngamanzi bese uvula isivalo. Futhi, ungakwazi hang amathawula ezimanzi noma amashidi.

ukwelashwa okufanele

Uma imbangela iphika waqala spasm, kungakusiza bronchodilators. Abantu abaphethwe isifuba somoya, njalo ngakwesokunene kufanele kube isifutho. Iziguli ezinjalo phakathi nokuhlasela kufanele asebenzise leykotirenovyh yokwamukela abantu abamelene nani, amasosha omzimba monoclonal, cromones. Uma isiguli akusho uqoke yokwelapha kufaneleka kangakanani-ke ngokuhamba kwesikhathi kungase wehlise luvelo dilators bronchial (izinto uphumule imisipha bushelelezi futhi usize ukwandisa Isikhala sayo esingaphakathi kwabo). Ngenxa yalokhu, isiguli kungase kubonakale izikhathi ongalawuleki ka Ukuphelelwa.

Ngalezi zindlela ingasetshenziswa spasmolysis njengoba 'Salbutamol', 'Berotek "" Ventolin "," Metaprel "," Fenoterol "," Berodual "" Terbutaline ". Kodwa ngamunye lezi imithi inemiphumela ethile engemihle kanye contraindications. Ngakho-ke, ukukhethwa izidakamizwa kwesokudla lufanele lwenteke kulamazinga lalandzelako kanye nodokotela.

Lapho ukucinana kwemigudu yokuphefumula obstructive futhi ephefumula enqunyiwe, ngoba isifo libhekene yokuthi kukhona dyspnea expiratory. ukungenelela Uhlelo ubuhlengikazi kulokhu ukuqinisekisa ukuthi isiguli embhedeni ukuphumula, ukulawula umzimba nokuhlinzeka inqubo yokwelashwa. Umhlengikazi kufanele iqaphe ukwenziwa imiyalelo kadokotela.

izinyathelo

Kwezinye izimo, izifo zemigudu yokuphefumula nesifo ingavinjelwa ukuthuthukiswa kokuquleka. Ukuze wenze lokhu, kufanele isethwe izincomo wezokwelapha. Bona ubilise phansi okudingayo:

- stop ukubhema kanye nezinye imikhuba emibi, sokugwema ukuvakashela izindawo lapho kungase kube intuthu;

- ukunciphisa contact nge nomzimba ezingaba, kuhlanganise amakhemikhali yasendlini;

- ukuqhuba ukuqina, Vitamin ukwelashwa;

- ubukeza indlela yokuphila, ukuze isikhathi esanele sokuphumula futhi ukudla okunomsoco;

- ukuthuthukiswa Ukucinana kwemigudu yomoya emaphashini ukusetshenziswa expectorants;

- lapho obenesifo kuyinto yokusebenzisa ama-antibiotic.

Ukuhlonipha Kunconywa izinyathelo zokuvimbela nokwelapha isandulela ngokushesha uma kwenzeka kuba khona okuhlaselayo nomthelela yokuthi isiguli uyakwazi ukulawula dyspnea. Kubalulekile futhi ukukhumbula ukuthi dyspnea expiratory okwenzeka ngenxa yezifo yaleli pheshana zokuphefumula ngenxa ukuvaleka yomoya encane. ukwelashwa okunezimpawu kufanele okuhloswe ngazo, ukukhulula imisipha abushelelezi.