Njalo ukuphefumula engajulile. ukuphefumula engajulile wengane

Ngalokwenetisako omdala Izinga lokuphefumula, kuncike ukuzimisela yayo lapho esephumule, ivela umoya ngeminithi 8 kuya ku-16. Ukuze umntwana ngokuvamile ukuthwala 44 nomoya ngomzuzu.

izizathu

Njalo ukuphefumula engajulile kwenzeka ngenxa yezizathu ezilandelayo:

• inyumoniya noma ezinye ukulimala wamaphaphu samafayela;
• somoya;
• bronchiolitis;
• hypoxia;
• ukuhluleka kwenhliziyo;
• tachypnea lezivakashi ngayo lapho usana;
• uthuthumele;
• ushevu imvelo ahlukahlukene;
• ngifundise ngesifo sikashukela;
• ubuchopho zokugula (primary: CCT, thromboembolism, vasospasm cerebral; yesibili: ukuphazamiseka kwegazi, tuberculous meningitis).

Izimpawu kuphazamiseka zokuphefumula

• zokuphefumula izinga ushintsho noma ukusheshisa ngokweqile ukunyakaza zokuphefumula (kuleli cala, kukhona iphika lapho umoya futhi esifushane kakhulu) noma ngokweqile okwehlisa yakhe (ukunyakaza zokuphefumula ijulile kakhulu).
• Ishintsha isigqi zokuphefumula: ngezikhawu phakathi inhalations futhi zibangelwa zingahluka kwezinye izimo ukumisa ukuphefumula ukunyakaza imizuzwana noma imizuzu, bese Wemvelo.
• Ukungabi ukwazi. Lokhu uphawu is hhayi ngqo exhumene ne izinkinga zokuphefumula, kodwa esimweni esibucayi kakhulu iziyaluyalu lesiguli zokuphefumula zenzeka ayequlekile.

Amafomu kuphazamiseka zokuphefumula evelayo ukuphefumula engajulile

• Cheyne-Stokes ukuphefumula.
• hyperventilation Neurogenic.
• Tachypnea.
• Biota umoya.

Central hyperventilation

Kuyinto umoya kakhulu (ngaphandle) kanye njalo (BH ifinyelela 25-60 ukunyakaza ngomzuzu). Ngokuvamile ephelezelwa ukulimala ubuchopho obuphakathi (etholakala phakathi ama- zobuchopho futhi ekugcineni kwesiqu sawo).

Cheyne-Stokes kwezimila

ifomu sokugembula ukuphefumula, ikhefu libhekene futhi Ukushaya ukunyakaza zokuphefumula, bese inguqulelo zabo zibe ukubukeka olukha phezulu kakhulu futhi kwaphela futhi ekupheleni ikhefu, ngemva kwalokho umjikelezo iyaphindwa futhi.

Izinguquko ezinjalo, ngakho ku umoya uvuke ngokweqile carbon dioxide egazini, ngenxa okuyinto kwaphazamisa isikhungo zokuphefumula. Ezinganeni like ukuphefumula ushintsho siyenzeka kaningi, futhi ngeminyaka maqembu.

In iziguli omdala, ukuphefumula engajulile Cheyne-Stokes eba ngenxa:

• isimo asthmaticus;
• iziyaluyalu kwegazi ebuchosheni (ukopha, zibe semithambo, unhlangothi);
• iphimbo (iphimbo);
• intoxications genesis ehlukahlukene (izidakamizwa ukweqisa izidakamizwa, izidakamizwa ukudakwa, utshwala, i-nicotine, ikhemikhali);
• ikhanda ukuhlukumezeka;
• ikhoma sikashukela;
• isifo sokuqina kwemithambo yegazi imithambo cerebral;
• ukuhluleka kwenhliziyo;
• ikhoma uraemic (e esingamahlalakhona kwezinso).

tachypnea

Libhekisela eyodwa uhlobo dyspnea. Breathing kuleli cala ebusweni, kodwa nesigqi somqondo aliguquki. Ngenxa shallowness ukunyakaza zokuphefumula eba ukupholisa okunganele, izikhathi ukubambezeleka izinsuku ezimbalwa. Ngokuvamile lokhu ukuphefumula engajulile kwenzeka iziguli enempilo nokucindezeleka ngokomzimba ezinzima noma ukucindezeleka kwemizwa. Iphele nge ukuqedwa zici ezingenhla futhi iguqulwe ibe isigqi evamile. Akuvamile eba khona pathologies ezithile.

biota umoya

Emagama lafanako: umoya atactic. Lokhu ukuhlukumeza libhekene disordered ukuphefumula ukunyakaza. Kulesi Donsa seningene ukuphefumula engajulile, ngakanye sokungabi nhlobo ukunyakaza zokuphefumula. ukuphefumula Atactic ephelezelwa ukulimala ngemuva stem ingqondo.

ukuhlola

Uma isiguli unazo imvamisa ushintsho / ka ukuphefumula ukujula Kuyaphuthuma ukubona udokotela, ikakhulukazi uma ushintsho olunjalo ehlangana:

• Komzimba (ukushisa);
• edonsa noma ezinye ubuhlungu besifuba lapho ukuhogela / exhaling;
• nobunzima ukuphefumula;
• kuqala kwaphakama tachypnea;
• isikhumba lemicu empunga elinamathela othini noma bluish, izindebe, izinzipho, endaweni periorbital, izinsini.

Ukuze sitholakele pathologies ezibangela ukuphefumula engajulile, udokotela lucwaningo inani lezifundo:

1. Umlando Medical izikhalazo:

• kadokotela futhi izici uphawu (isib ababuthakathaka ukuphefumula engajulile);
• kwandulelwe ukubukeka ukwephula noma yimuphi umcimbi obalulekile: ubuthi, ukuhlukumezeka;
• ngesivinini ukubonisa disordered ukuphefumula uma kwenzeka nokulahlekelwa ukwazi.

2. Hlola:

• ukuzimisela ukujula, kanye nobuningi ezivezwa ukunyakaza zokuphefumula;
• ukuzimisela ezingeni ukwazi;
• ukuzimisela khona / ukungabikho izimpawu yokulimala kobuchopho (imisipha flaccid, strabismus, ukubukeka ikhaliphe sokugembula, isimo abafundi abasabela ngayo ukukhanya: iphuzu (ewumngcingo) abafundi ukuthi basabela kahle ukuze ukukhanya - uphawu kokunqotshwa stem ubuchopho, abafundi eziningi ukuthi musa basabela ukukhanya - inkomba yesibili ukulimala kobuchopho;
• Ukuhlola besisu ndawo, intamo, ikhanda, inhliziyo namaphaphu.

3. Uhlaziyo igazi (inani biochemistry), ikakhulukazi ukuzimisela creatinine kanye urea, kanye nomoya-mpilo saturation.

4. acid-base Ukwakheka wegazi (khona / ukungabikho igazi acidification).

5. Toxicology: khona / ukungabikho ezinobuthi (imithi, izidakamizwa, izinsimbi ezisindayo).

6. MRI, CT.

7. Ukubonisana of the ohlinza izinzwa.

8. Chest ndawo.

9. Pulse oximetry.

10. ECG.

11. Scan emaphashini izinguquko ukupholisa perfusion i sitho.

ukwelashwa

Umsebenzi oyinhloko engajulile yokwelapha ukuphefumula kuqedwe imbangela impande oholele ukubukeka isimo inikezwe:

• Nokwehlisa (sinqobe ukumnika), amavithamini C, B, hemodialysis e uremia (esingamahlalakhona kwezinso), futhi uma meningitis - imithi elwa namagciwane / ejenti elwa namagciwane.
• Ukususwa kwezimiso edema cerebral (isisu, corticosteroids).
• Okukushoyo ekuthuthukiseni amandla ubuchopho (Metaboliki, neyrotrofiki).
• Ukuhumusha ngomshini womoya-mpilo (uma kunesidingo).

yezinkinga

ukuphefumula engajulile ngokwako akusona abangele nanoma yiziphi izinkinga sina, kodwa kungaholela hypoxia (hypoxia) ngenxa yezinguquko isigqi zokuphefumula. Okungukuthi, ebusweni ongatheli ezinyakazayo zokuphefumula, ngoba ayinikeli ukugeleza kahle oxygen umzimba.

ukuphefumula engajulile wengane

I evamile Izinga lokuphefumula ihlukile izingane bobudala obungefani. Ngokwesibonelo, izinsana bakha ukuba nomoya 50 ngomzuzu, izingane ezingaphansi konyaka - 25-40, kuze kube iminyaka engu-3 - 25 (30), eminyakeni 4-6 - kuze kufinyelele 25 nomoya ezimweni ezivamile.

Uma ingane iminyaka 1-3 ithwala engaphezu kuka-35 ukunyakaza zokuphefumula, kodwa eminyakeni 4-6 - ezingaphezu kuka-30 ngomzuzu, umoya onjalo kungabhekwa njengokuvikela olukha phezulu futhi njalo. Ekukhanyeni lingena lemali obanele of emoyeni, futhi mass zako ezisemqoka agcinwe kule bronchi kanye kuqhoqhoqho kungukuthi iqhaza e negesi lokushintshisana. Ukuze ukupholisa efanele ukunyakaza zokuphefumula akwanele.

Ngenxa yalokhu isimo, izingane ngokuvamile uhlushwa SARS no-Ari. Ngaphezu kwalokho, ebusweni ingxenye umoya kuholela ukuthuthukiswa somoya bronchial noma ukucinana kwemigudu yokuphefumula somoya. Ngenxa yokuthi abazali kufanele njalo kudokotela ukuze kutholakale imbangela yokushona ushintsho imvamisa / emishinini yokuphefumula umntwana ukujula.

izifo Eminye ushintsho olunjalo zokuphefumula kungenzeka kubangelwa ukungawuvivinyi umzimba, ukukhuluphala, imikhuba owayesekhokhoba, igesi anda, ukuphazamiseka kokuma, ukungabi ukuhamba, lukhuni kanye nemidlalo.

Ngaphezu kwalokho, ingxenye kobuso umoya izingane zingase ukuthuthukisa ngenxa prematurity (surfactant yokuntuleka) komzimba (ukushisa) noma ukucindezeleka.

Palpitations iphika avame eba izingane pathologies ezilandelayo:

• isifuba somoya bronchial;
• i-pneumonia,
• komzimba;
• pleurisy;
• rhinitis;
• laryngitis;
• sofuba;
• ukucinana kwemithambo yomoya emaphashini;
• isifo senhliziyo.

Ukwelashwa ukuphefumula engajulile, kanye nabantu abadala, kuhloswe ngaso izimbangela oholele kulo. Kunoma yikuphi, kubalulekile ukubonisa udokotela ingane, yokuqondisa uphethwe yini futhi zibeka ukwelashwa okufanele.

Ungase udinge uthintane ochwepheshe ezilandelayo:

• wezingane;
• Pulmonologist;
• Udokotela wezifo zengqondo;
• Udokotela awe-aleji;
• wenhliziyo ezingane.