Lithathelwe Hypoxic njengendlela ukuze ulondoloze impilo.

lithathelwe Hypoxic njengoba indlela ukuzinza okwandisa
umzimba kwezempilo ezihlongozwayo ekhulwini leminyaka elidlule kuze cishe
kokubili eRussia nase-Ukraine. ERussia, ekuqaleni sewenziwe ekhuluma
Medical Izinkinga eziphilayo, imibuzo
lithathelwe ukucindezeleka futhi yangaphandle izici
imvelo, futhi ku Ukraine-ikakhulukazi emkhakheni zomzimba
umzimba ngokulandela kwezemidlalo kanye
lapho ephakama eziphakeme.

Kuye kwatholakala ukuthi naphezu kufushane
ukuchayeka kuqhathaniswa izimo hypobaric normobaric
hypoxia hypoxic ikhuthaza ukusebenza kwawo izinqubo oluhambelana
wonke amazinga umzimba.

Ngokuvamile nomqondo hypoxia
njengoba ejwayelekile inqubo sokugembula e
Odokotela namanesi musa abangele injabulo, futhi
Ngakolunye elihlobene ne nesidingo sokwakha emisha ezingasho
ejenti kwemithi yakhelwe iwukudambisa imiphumela yayo. Ngeshwa, akuyona kuphela imbangela "ukuzabalaza"
It ibhekene ukuqaliswa lithathelwe hypoxic zokwelapha
izimo, ukuvuselelwa kanye nokuvinjelwa.

lokho
izici ezinhle esinazo emqondweni, fully aware of pathophysiology
welithi "hypoxia" futhi nokho ukunikela
ukuqeqeshwa normobaric hypoxic ukuthuthukisa nokusimama
izici somzimba zangaphakathi nezangaphandle?

1. Gipoksiya- isici jikelele umzimba. lokhu
ukubaluleka kuchazwe oxygen umzimba njengenhlangano oxidant, iqhaza layo ku
ATP zamagama, khona bokuphila ukulawula imodi maqembu (pO2) olungenayo
ku umzimba.

Yilesi isisekelo ukusetshenziswa njengendlela pO2
ukuqeqeshwa isici izinhlelo ukuqinisekisa imodi engcono wesabelo yayo
umzimba.

Yini eyenza sicabange ngendlela sokuvivinya umzimba
umoya-mpilo nohlelo lwezokuthutha jikelele, futhi, ngale ndlela, ikakhulukazi abashadile?

Indlela Yokuphila zanamuhla indoda: hypokinesia nokucindezeleka,
It kuholela overvoltage, bese ukukhathala obusebenzayo abahlanganyeli
umoya-mpilo nekambiso yeenthuthi khulula kuwo wonke amazinga. Kusobala ukuthi "ukuthotshiswa"
beka bona kancane kancane kanye neminye imigwamanda kanye uhlelo evamile
ukusebenza okuyinto kunqunywa izinga amandla kuzo, kuyilapho abanye
paribus encike ngqo kwi umoya-mpilo umbuso nezicubu.

2. Yini
izindlela silondoloze isimo elilungile umoya-mpilo nekambiso yeenthuthi
khona? Iyini inzuzo phezu kwezinye isici hypoxic
kusho ukuchayeka uhlelo umoya-mpilo yezokuthutha?

Ukuvivinya umzimba ngendlela ephawulekayo kwandisa inhliziyo futhi
ukuphefumula, umoya-mpilo ukusetshenziswa. Sebenza ikhaliphe inhliziyo ukuba yokucindezela inflowing
futhi igazi eligeleza ngokusuka enhliziyweni (ngaphambi futhi afterload), myocardium ithola
substrate ngokwanele krovi- nomoya-mpilo. Umzuzu igazi ivolumu nokushaya komoya
ukwandisa kakhulu. Ngakho, kukhona isimo - kunalokho
Zokwelapha kuka izitimela. I kwaphumela acidosis lactic nezimbangela
Akukona ukudlala indima eqakathekileko.

Ngaphezu kwalokho, umsebenzi can alulona olwawo wonke umuntu. futhi,
uma hhayi zonke kungenzeka ukucindezeleka ezishisayo: sauna, okugeza isiRashiya,
gipertemicheskie okugeza cryosauna ...

Inqubo normobaric ukuqeqeshwa hypoxic hypoxic njengendlela yokuthola lithathelwe akudingi
kusukela obonisa tesifundvo akukho mzamo. Reception ingcindezi esinqunyiwe
oksijini oxygen ezokuthutha uhlelo -povsemestnaya futhi lokuhweba. Nokho,
isimo kubalulekile ukuze nokwanela
ezingeni lamanje hypoxia hypoxic - ukuzwela kohlelo
umoya-mpilo ezokuthutha.

Ukuze uqonde nokuzwela hypoxia kufanele kucatshangelwe kunoma yiluphi uhlobo, kumele wacabanga
zomzimba izenzakalo ohlelweni-mpilo ezokuthutha ezenzeka ngesikhathi ukuphefumula
igesi ingxube hypoxic.

Into yokuqala thina
Sifakaza: ukuthuthukiswa hypoxemia oyingozi. Dynamics yale nqubo kunjalo isilinganiso
It sifana esibukweni isithombe ijika S emise
-hemoglobin oxygenation kusukela pO2 kuma. I ijika deoxygenation ka-hemoglobin - izingxenye ezimbili: okokuqala,
lapho ukugcwaliswa ukunciphisa lingachazwa nangobuhlobo yomugqa, futhi
Ingxenye yesibili - "ithafa". Uma siqhubeka ukuphefumula ngemva lafinyelela "ithafa"
kukhona ekushintshashintsheni-mpilo saturation is kancane up and down kancane.

Okwesibili. Kwenhliziyo Dynamics kuyinto okuphambene esibukweni desaturation
uhlamvu, okubonisa:

kwencika komugqa izinga inhliziyo ukukhula ngeminithi lokuqala;

-stabilizatsiyu noma "ithafa" emazingeni zamanje;

-posleduyuschuyu ukuthambekela kwenhliziyo nokukhawulela kuze starting
ezingeni.

Isithombe ngenhla limelela ushintsho enhliziyweni nasesimweni sakhe
Isimiso semithambo yegazi ngokumelene okwenza we hypoxemia ithuthuka ngokushesha.

Kanjani sichaza
imbangela "ithafa" the Dynamics desaturation?

1. 
   Uma kungenjalo ngokuba izindlela oluhambelana kwenhliziyo,
   Ezincane nezinkulu kwegazi, hhayi impendulo fan, Dynamics okuyinto efana Dynamics
   Kwenhliziyo-ke, ukukhuluma kwakuthiwa, asikwazanga ukubona amazinga aphansi i-oksijini ukugcwaliswa ku
   isizinda ekuthuthukiseni hypoxemia.
2. 
   It kungenziwa bazitshela ukuthi isikhathi nesenzakalo
   "Plateau" - ngesikhathi kusungulwa kwekwetfulwa "ezahlukene" ngaphandle yokuqala,
   isimo ohlelweni, ukuhlinzeka impendulo compensatory emazingeni ehlukene.
   Kunobufakazi bokuthi, pO2 umoya okwamanje
   It is esondela pO2 wegazi emithambo yegazi. Ushintsho wenhliziyo mibandela imibukiso
   ukubonakaliswa ukuntuleka sokusebenza. ukuntuleka Functional inhliziyo isinyathelo -Okokuqala yokuhluleka kwegazi.
3. 
   Mhlawumbe, ngalesi sikhathi-ke kungena khona
   isici is kancane kancane hypocapnia ezinomthelela ziyezwana
   elithwala umoya-mpilo ne-oksijini.
4. 
   Lonke ukupholisa eziyinkimbinkimbi nezimpendulo
   umsebenzi zenhliziyo ngalesi Imiphumela iphuzu e ushintsho
   ukupholisa-perfusion isilinganiso.

Lokho esikushoyo kunganika wukuthi zonke? Futhi ngaphandle. Kepha
namanje phakathi abacwaningi akukho ukucaciseleka yokugcina ekuqondeni daba: ngenqubo ukuqeqeshwa, sincoma ukuthi hypoxia njengesizathu esinomthelela okuzivumelanisa noma isimo hypoxic? Kugcine - akuyona
okungcono in a izizathu owaziwa.

Ingabe sinelungelo ukusho ukuthi ukusetshenziswa
hypoxia njengesici esibangela i-ibandulo labaSebenzi uhlelo umoya-mpilo yezokuthutha? Sine.

Kumelwe sikugcizelele ukuthi ukusetshenziswa akuyona isingeniso isimo hypoxic, futhi
okungasivimba baxabane compensatory ohlelweni kwezokuthutha
oksijini, kuphazamisa ukukhula kwawo. Asigcini nje hhayi ukuphishekela ngenhloso yokudala
isimo hypoxic, kodwa sisebenzisa kuphela umthamo encishisiwe
umoya-mpilo ingcindezi isikhashana esinqunyiwe igesi alveolar imbangela eziyinkimbinkimbi
izinqubo esisheshayo ohlelweni-mpilo ezokuthutha umzimba, nokukhawulela ke
ukuchayeka isikhathi.

Phakathi hypoxia,
ngokusobala kufanele athobele ubude acute lithathelwe isici
hypoxemia.

Kuphela ngaphansi kwalezi zimo kungagwenywa elimazayo
imiphumela. Ngalendlela uqeqesho Kwenziwa futhi isistimu othomathikhi
Control - "ukuqina hypoxic", okusho ivumela kakhulu aphakeme
ezinye izindlela okuzivumelanisa.

Kufanele ukuthi ayinalo uhlobo omunye lithathelwe akuyona
It has namuhla njengomuntu ophelele. uhlelo lokulawula.

uhlelo ashukumisayo okuzenzakalelayo
ukulawula ukusebenza kanye nokuphathwa "ukuqina hypoxic" ikuvumela ukuthi ubukele
umphumela lithathelwe eziphuthumayo
e eyodwa yesimiso ukuqeqeshwa eside - Phakathi uhlelo lwayo lokusebenza.

Ngakho, i-samuntu esisebenzayo
nomqondo imithi oluhambelana, okuyinto lithathelwe hypoxic, kuyisiphetho esibonisa ukuhluzeka ngesimo izinhlelo
ukuzilawula ngokuzenzekelayo hypoxia. Lokhu kuvumela
kakhulu ukwandisa kwenkululeko
ukuqeqeshwa hypoxic, deducing kusukela kwencika yayo phezu khona
izisebenzi ezikhethekile kanye inkositini uhlelo lokulawula kudinga kuphela yasendlini ezibonakalayo amakhono
okuphathelene nomngcele Ikhompyutha.

Umthombo hypoxic igesi naphakathi can
kube yimiphi gipoksikatorov ekhona.

Uhlelo "hypoxic ukuqina" ekuthuthukiseni inqubo ukuqeqeshwa normobaric hypoxic kwenza hypoxic adaptatsiyu- izindlela engcono kakhulu ekulondolozeni impilo.