Ukuphelelwa ngumoya: izimbangela nezinhlobo

dyhanie- Ukuphelelwa ngumoya kungukuphula imvamisa kwesokudla futhi isigqi ephefumula kanye isivuno, okuyinto kuhambisana umuzwa yokuntula emoyeni. Dyspnea - ifomu kwezimila efanayo, ebonakala shrill umsindo (umsindo amakhwela) ngesikhathi ugqozi. Kungenzeka ngenxa okuphula umsebenzi walabo amayunithi, okuyizinto lababukene nekwetfulwa yale nqubo: cortex cerebral, imisipha esifubeni, esimiso senhliziyo nemithambo yegazi, diaphragm namaphakathi zokuphefumula. In the engekho yokuphazamiseka we sezinzwa dyspnea ukulawulwa kwezimila sidalwe compensatory, ngawo kwenza i yokushodelwa umoya, kanye Imiphumela lemali ngokweqile carbon dioxide.

Ukuphelelwa ngumoya unezizathu eziningana eziyinhloko:

1. Ukukhiya ku umgudu acinene, noma ngalo ingaphakathi ngomlomo nomphimbo.
2. Uma ebucayini inhliziyo umsebenzi, futhi ayikwazi akhishwa igazi ngokwanele. Ngenxa yalokho, ubuchopho, izitho nemisipha ngeke uthole i-oksijini ukuze ngokugcwele, ngoba kungase kube umuzwa ngenxa yokungawutholi umoya.
3. isifo samaphaphu kubangele ukuphefumula esindayo futhi iphika.
4. Isikhathi esining impela ukucindezeleka ngokomzwelo kuholela esimweni esinjalo.

Ukuphelelwa ngumoya kuyinto ngezinhlobo eziningi, Ukwahlukaniswa okuyinto okuhlobene izimbangela kuwukubonakaliswa amafomu:

1. uhlobo Central. Dyspnea (ukuphefumula basebenzile) kuphakama lolu hlobo kusuka ukushayisana ukulawulwa cortical umsebenzi zokuphefumula noma izilonda eyinhloko isikhungo zokuphefumula. Lapho kukhona nezifo zengqondo, leli fomu libhekene njalo ukuphefumula engajulile. Kulesi simo, umsebenzi ambulense - yamqinisa lo nesineke, ukuzama ukufundisa umoya okwesikhashana, bese zisiza vulela uphefumule kancane futhi ngokulinganayo, ukushintshela ukunakwa yomuntu ukuze enye into.
2. Dyspnea at torakodiafragmalnyh iziyaluyalu - kuyinto iphika, okuyinto kubangelwa motility kahle diaphragm noma thorax kanye accumulations enkulu oketshezini pleura. Ngakho kakhulu ukunciphisa ukuphefumula ukujula, kodwa ukwandisa imvamisa yayo. Ukwelashwa kuhilela ukususwa imbangela isimo esifanayo: a wokubhoboza kwezimiso hydrothorax pleural nokokufaka igesi esidayisa tube (ukubuyisa uma ethuthukisa).
3. dyspnea yamaphaphu kuvame ukuhlotshaniswa ukwehla ebusweni noma encane extensibility wamaphaphu izicubu, isimiso bronchial noma ukwehluleka ukungakhuli igesi okusheshayo.

Isikhathi esining impela lolu hlobo dyspnea elihlobene ne permeability kahle eyenga spasm bronchial, edema noma ukuvaleka yabo (ngenxa ingress isikhwehlela). Izici eziyinhloko isimo esinjalo ukunwebeka ephefumula jugular umthambo nalo (ngoba ingcindezi ku thoracic ingaphakathi inyuka), kanye nezimpawu ka-emphysema. Njengoba reception ukwelashwa babelwe bronchodilator izidakamizwa. Uma kukhona ingathiyeki phlegm ukuhamba, sincoma ukuthatha expectorants.

1. dyspnea senhliziyo - iphika, okuyinto eba ngenxa ukwehluleka ohlangothini lwesobunxele inhliziyo, okuholela ukwehla okukhipha inhliziyo, ukuqinisekisa ukuthi igazi emaphashini uqala stagnate noma ebangela okuthile, nezinye izifo. Isikhathi esining impela, lolu hlobo iphika liyalingana futhi edema, emikhawulweni abandayo. Kungenzeka ngesikhathi sokulala ebusuku, kodwa ngokuvamile lokhu kwenzeka ngemva ukuzivocavoca. Ukwelashwa kulokhu wanikeza eziyinkimbinkimbi okuhlanganisa isisu, izidakamizwa esekelwe digitalis.
2. kufushane Hematogenous umoya ngokuvamile kwenzeka in iziguli ukwehluleka kwezinso noma hepatic nge lactic.
3. Ngo uhlobo okuxubile ukwelashwa kufanele sinikezwe kuphela emva ukuxilongwa okujuli- izimbangela kulesi simo.