Kumbotadza Kufema Munhu Akarara - chii? Pakumbotadza kufema chirwere

Kupatsanura guru hope zvirwere unosanganisira anonzi hope kufema syndrome. Chii Chokwadi kwete zvose. Paakazviratidza ari munhu akarara ikoko yakareba kumira kufema. Fani iyi rakanyatsojeka ngozi, nokuti dzimwe nguva kunogona kuurayisa.

Nemamwe mashoko, kufema iri kumisa wakakwana hwakanyorwa nasal uye aibuda kufema nemumuromo, iyo runosvika vanenge gumi masekonzi uye akaita kudzikira nzira iri pharynx. Panguva iyoyo sezvo kufema kuedza angaponeswa, kana ndisipo.

The Mhando chikuru kufema

To musi, Kune mhando huru matatu pfungwa iyi. Ichi nechepakati, obstructive uye zvakasiyana.

Central kufema kunotsanangurwa so kukundikana mhepo runoyerera nokuti chokuti kupomba haasi kuwanika nokuti nechepakati tsinga iyo zvaanopa simba ari kufema nesimba. Kazhinji, izvi mhando rinowanikwa mune vanhu vane havachanyatsogoni zvigadziriswe mu murau kufema, uye chokuita dzakadzama anatomical kukuvara conductive makwara of CNS.

Obstructive hope kufema kwakakomba, kazhinji chirwere. Zvinonzi Kazhinji dzinoratidzwa chokuti kuva kufema kusungwa panguva mumasekonzi anopfuura gumi pa zvikamu gumi namashanu nguva paawa. Obstructive kana peripheral kufema kunoratidzwa pindana iri wokufema iri repamusoro yemweya. Nokuda kwaizvozvi, zvose patinofemera kunze mhepo irege kusvika mumapapu, uye saka pane mhepo chokubuda kukundikana.

Mixed mhando kufema

Mixed kufema ine zviri zvose mhando inokurukurwa pamusoro. Rakajairika, sezvinoratidzwa nemashoko ari ruzhinji mumarabhoritari kuti kuongorora kurara - iri Pakumbotadza kufema, asi zvikuru kakawanda kuchengetwa yakavhenganiswa.
Vazhinji nyaya Pakumbotadza kufema kunokonzerwa Kufambisa emunhu musimboti tsinga kana toreva pulses ari kufema netsandanyama. Muzviitiko zvakadaro pane tsandanyama dystonia chakagadzirwa huro.

In hope kufema varume (ndiko kuti, rave richirondedzerwa apa) anenge makumi maviri nguva yakawanda kazhinji kunobva mana kwemakore matanhatu. Vazhinji vanhu ava vari kutambura kufutisa.

Clinical siyana hope kufema

Maererano kupatsanura kurara kufema, kuwedzera kune pamusoro mhando weboka kuti inoshandawo kune pathogenesis pamusoro chirwere ichi, panewo zvekuchipatara mhando, wakaumbwa zvinotevera siyana:

• nehope kufema gwiridza zvinhu;
• Pickwick urwere;
• unopinza kufema muvana (kufirwa chirwere) ;
• nechepakati hypoventilation;
• Ondine chituko.

Night snores akaratidza mapenyu kunoitika munguva inhalation mhepo ndima aienda mumuromo uye nasal pharyngeal nharaunda.

Vanonzi Pickwickian urwere hwake pamberi kufutisa, usiku ngonono, polycythemia, uye hyperemia.

Kufema mu Vacheche

Sudden kufema mune vana kunokosha mutambi ari nhamba yevanofa pasi gore rimwe. Izvi zvinoitika nokuda kunyatsoti vakakwana murau kufema. Kazhinji, zvinoitika kakawanda rokusamhanyira vacheche. Uye chakawedzerwa kana paine catarrhal kuzvimba uye kupwanywa kufema turakiti.

Mhaka Wagdi vacheche pamwe underdeveloped nechepakati tsinga uye anogona kushumira sokupisa, nokuda iyo hwakavhiringidzwa zvakajairika chafariz nzira. Panguva iyoyo vari achangoberekwa hwapedyo yakavhenganiswa hope kufema, asi chimiro chake kubatanidzwawo nechepakati uye obstructive mashandiro.

Ondine chituko ariwo mhando zvokurwara akadai hope kufema. Chii - Hazvizivikanwi vakawanda. Fani iyi ndiyo zvisinganyanyi kuitika. In chimiro ichi akarasika kudzora otomatiki kudzora kufefetedza, saka mweya zvinogona kudzorwa pamadiro, kuti hazvibviri pakurara. Kana munhu akarara, murau hauna kuitwa, uye pane kufema. Izvi kazhinji pamberi namamota, kuzvimba kana chinopedza uropi sezvo musana kukuvara, mukuwedzera, anotenderera pakuvhiya.

The nechepakati chimiro Pakumbotadza kufema

Izvi musiyano mukuru supine dzevanhu nzvimbo kazhinji inoitika muvanhu vane nounyoro zvinoratidza chirwere. It dzinoratidzwa obstructive kufema
zvichemo tinyanye ngonono uye nehope masikati Zvisinei, kana paine polysomnography, hapana kufema nesimba chirwere thoracal yokururamisa, inova chakanangana nechepakati-siyana chirwere. Kurapa kwaiita hope kufema zviri nyore kushandisa, sezvo yakafanana fomu zvinokwanisika kudzidza kunyora akarara pavhidhiyo, t. E. On yakananga ruzha apo yemweya yokutanga neimwe kufema chiitiko.

Dzinokosha zvigadziriswe Fani iyi inogona chokuita yokuti pane kudzvinyirira pakati kufema nesimba kubudikidza kudzikira zviri pharynx iri supine chinzvimbo. Zvisinei, yokutindivadza emo kwakatungamirira zvatinosiita kuratidzwa hope kufema.

Laryngeal chimiro hope kufema

Ipfungwa Iri vashoma zvikuru pane Pakumbotadza kufema. Zvikurukuru, chimiro ichi chinoitika apo yokumusoro yemweya mhingaidzo pakurara kuva pashure kuvhiringidzika innervation pamusoro dokeriro, izvo zvinozoita kuti chokwadi chokuti overlaps. Vaaishanda varwere ava, vanhu vanowanzofunga kutaura vane chero kujairika ngonono, uyewo zvimwe zviratidzo, zvakadai hope, kutemwa nomusoro mangwanani uye bvungapfunga kuti pfungwa. Zvikonzero inogona nechepakati uye peripheral zvirwere.

Night laryngeal kurwadza kwacho sezvine kazhinji nokuda matambudziko pamusoro pahuro zvinokonzera hydrochloric acid. Munhu haagoni kufema zvakanaka uye kufema panguva imwecheteyo inova inoratidza, uye ipapo anopepuka nehasha. Zviratidzo izvi kazhinji kwemaminitsi maviri kana matatu.

Pfungwa hypopnea

Fani yakadaro chiitiko kufema, iyo inozivikanwa nokuva haasaruri kuderera nasal uye kunanzvana wokufema, uyewo kuchiderera amplitude kuti kanenge kaviri iri kunzwisisa pamwe vasanyanye ropa okisijeni saturation matatu muzana, sezvamakaropafadzwa nguva haisi mumasekonzi asingasviki gumi. hypopnea chirwere ave zvose obstructive uye nechepakati mhando.

Dzidziso yakadaro pamwe kunzi nevakawanda kufema zvirwere. Mananara aya ndiho hwaro vamwe zvokurwara pamusoro chirwere ostruktivnogo hypopnea.

To musi, hapana tsanangudzo hope kufema chirwere yakajeka. Pakutanga, dudziro ake kwaibva chete nhamba kufema zviitiko paawa yokurara. Saka ngonono rimwe inokosha uye chinonyanya mamirire zviratidzo Pakumbotadza kufema, uyewo rakakura ngozi. Zvisinei, havasi vanhu vose vane ngonono Pakumbotadza kufema chirwere uye mukana parinowanika vane substantially dzakakwirira kupfuura vaya vasina gwiridza.

Kwokuomerwa hope kufema

Uyezve, nhasi pane imwe kupatsanura kurara kufema, iyo inobva zvakaoma. chokuratidza Its ndiye nhamba uye paanowedzera Zvikamu paawa kurara usiku.

Kazhinji, rinoratidza mwero mikuru mitatu hope kufema nekuomarara:

- munyoro chimiro (kubvira mashanu maviri Zvikamu muzana usiku);

- avhareji kwokuomerwa (kubvira maviri kusvika makumi mana kurwisa);

- zvakakomba (vanopfuura makumi mana Zvikamu).

Zvichienderana kwemarudzi vaishandisa zvakasiyana yokurara kufema. Uyezve, pane zvikuru kukuvadza uye ya nedanho ropa saturation pamwe okisijeni uye kurwiswa pachavo. Padanho kwokuomerwa hope kufema chirwere dzaongororwa indices kuti kufema zvirwere izvo dzaona maererano nzira yemaitiro.

Mamwe Terms kuongorora kwokuomerwa hope kufema kunogona kuva ropa okisijeni kurwiswa saturation parameters yakavakirwa, ukuru kuzvirotera hope, uye zvakawanda - zvemwoyo zvinetso, pamwe abnormalities kufema.

Definition of Pakumbotadza kufema

Nhasi zvinobvira govera kupfuura kwakakwana tsanangudzo Pakumbotadza kufema syndrome. Ichi chimiro umo munhu ane zvakawanda kumbomira kuramba achidzokorora kufema nokuda zvakazara kana kukwana kufema. Izvi zvingava nokuti kumira pulmonary kufefetedza, uye pasinei nokuti kuchine kufema nokuedza, izvo nokuvapo ngonono inozivikanwa, uye zvakawanda - kuderera ropa okisijeni uye kusabatana hope.

Pane chinogona kuitwa kakawanda awakenings uye kunyanya masikati nehope. Kuti tizive chokumbotadza kufema munhu akarara, umo kufema zviri rakasiyana kuipa mamiriro, zvinokosha kuziva kana chaizvo Zvikamu kwakatora masekonzi vanenge gumi uye paiva gumi nemashanu nguva paawa.

Kunyanya Pakumbotadza kufema

Muzviitiko zvakaipisisa, inogona kuchengetwa usiku mazana mashanu kwamira kufema, kuva Kureba maawa matatu kana mana. Pane kunokosha nokurapa kufema. Kuvapo chirwere yakadaro kunogona kutungamirira chakasimba uye chisingaperi hypoxemia, izvo yekudyidzana inowedzera zvingakanganisa yokuva neBP uye kuupenyu cardiac arrhythmias, kuti myocardial infarction, kuti shamhu uye kunyange kamwe rufu pakurara.

Nezuva nguva nguva vanhu vanotambura nezvirwere ichi, pane yakawedzera Kurara kurwiswa, wakawedzera kushatirwa, ungaderedza ngwariro, Kuipa potency uye mazhinji nomusoro. Kunze Kurara kurwiswa chaizvo ngozi iri kufambisa nguva, sezvo pane mukana yetsaona.

History of kufema

Kekutanga kuratidza hope kufema chirwere kwave zvakajeka muna 1919. In muenzaniso takaendeswa Vechiduku vari vakafuta uye dzinoshuma kuvapo dzemasikati nehope. Nechekare muna 1956, zvakanga akatsanangura mamiriro wokuva zvakadaro kucherechedzwa zviratidzo zvakadai kufutisa, ngonono usiku, BP.

Kutuka Ondine chirwere haiwanzowaniki chimiro nechepakati hope kufema. Chii, havazivi zvakawanda. Ichi chirwere kazhinji achiperekedzwa chinokosha hypoxia uye kuchinja pfungwa basa, zvoita kuti panzvimbo kakawanda awakenings usiku. Uyezve, pane zviitiko apo kuvapo kufema mune vanhu vane Zvakanyanya Kunaka Panguva Yepamuviri muviri uremu uye kusarovedza masikati nehope.

Zvakaipira hope kufema

Kushaya hope uye siyana hope zvinetso, izvo zvinokonzerwa Pakumbotadza kufema chirwere, muvanhu zvakasimba hwezuva nezuva hwavo. Pakarepo akaderedza negoho, vakawedzera mari dzekurapwa, kuwedzera nguva anosiya airwara uye zvichingodaro.

Uyezve, kufema (ndiko rakanga raratidza pamberi) zvinotungamirira vasanyanye kugadzirwa okisijeni pavanoparidza achideredza yokuzvininipisa kurara, zvichiguma kukonzera kusunungurwa mahormone anokonzera kutenderera musoro, izvo zvinogona kuwedzera kumanikidzwa, kuwedzera kwemwoyo uye kungaita kuti kurega kunotanga mwoyo. Uyewo kufema zvinoisa nokuvhiringidzirwa simba pane imhaka njodzi kufutisa uye chirwere cheshuga.

Kazhinji, rakapinza kuderera padanho okisijeni mumuviri zvinogona kukonzera nemusoro mangwanani, ndokuramba kugona kuisa pfungwa, kufunga zvine musoro, kudzidza uye kuyeuka chero. Uyezve, kushaya hope kunotungamirira Zvinyamusi uye maitiro murwere, uyewo mwoyo ezvinhu. Naizvozvo, havarari kuwedzera mukana tsaona kubasa uye mumugwagwa.

Tichibatwa hope kufema (chii uye kuti kurwa sei navo, zvatakurukura kwataita) akatsanangura zvakanaka pakurapa kwemazuva ano. Nhasi, vari kumbonyanya nyore kurapa, mitemo iyo kuvimba mubatanidzwa dzakasiyana zvikonzero, uye padanho kwokuomerwa chirwere. Kana paine nyore ngonono uye vanyoro nzira hope kufema, zviri inoshanda chaizvo chinokosha Laser uye redhiyo kakawanda nzira pakurapa nyoro mukanwa uye uvula. Uyewo zvikuru pfungwa inokosha iri kurapwa kwacho anonzi kuvhiyiwa kana kufema kwakaoma.