CHENIC-Stokes: zvinokonzera, pathogenesis, kurapwa

CHENIC-Stokes kufema anowana zita raro rukudzo pavadzidzisi maviri. Chii yavo chikwereti? Ivo vokutanga akaudza nyika famba zvemamiriro kufema mhando ichi, aizivikanwawo CHENIC-Stokes syndrome. Pamberi, zvakanga zvisiri kuziva chinhu.

Sezvo chirwere ichi chinoitika?

Mweya kundosvikira zvikamu zvakasiyana pakati izvo shutdown. In wokutanga Danho pane pfupi yokumbozorora, ipapo panozouya chehupenyu dyspnea. Rinotora kubva vaviri mumasekonzi kuti maminitsi, uye pakutanga pane zii kudzika kufema, iro riri kukurumidza kuita zvakadzama uye ruzha, uye anosvika inokosha pa weshanu inhalation wechinomwe. Zvino ndiwo pamusoro chete kunodzikira. Kamwe payo rinopedzisa pfupi vanorega kufema. Saka denderedzwa. CHENIC-Stokes afemeruke - kune ngozi chaizvo.

Periodic kufema mhuka

chirwere ichi rinowanikwa zvose muvanhu uye mhuka, uye zviri ekupedzisira zvishoma kakawanda. Naizvozvo zvakakodzera kubhadhara ruremekedzo kwavari. mhuka ine unovapo anononoka kundosvikira kuwedzera amplitude (kusvika chinokosha hyperpnoea) ane mberi rutapudzo yavo kumbomira (kufema). Next, tanga kukura zvakare kufema kufamba. Ivo zvakare vapedza kufema, nguva iyo anoda kubva 30 kusvika 45 seconds. Pashure paizvozvo, zvinhu zvose inodzokororwa.

Zvinokonzera kuti urwere, rakatumbuka kufema

Izvi rworudzi nguva nenguva kufema inowanzopiwa kuchengetwa nemhuka zvirwere zvakadai anobuda ropa iri medulla oblongata, petechial fivha, mhando dzose nomuchetura, uremia. Izvi zvokurwara uye chikonzero chacho. CHENIC-Stokes afemeruke, zvikonzero izvo yauri ikozvino kuzivikanwa, kutyorwa kwakakomba kuti kunoda kurapwa. Munguva chemabhazi, varwere zvakaoma dzokumabvazuva pachavo vari muchadenga kana zvakakwana atadze kuziva. Zvisinei, izvozvo paanodzikama pamwe resumption kuti mweya. Panewo uchapupu rumwe rudzi mwero kufema. It kunoratidzwa zvikuru intercalary befu, inonzi twi. CHENIC-Stokes urwere, umo pakati peya hwokufananidzira maitikiro ose dyspnea kwakacherechedzwa intercalary kundosvikira, ndiro zita rakatumbuka kufema. Ndakaona zviri kashoma. Average CHENIC-Stokes afemeruke kunoitika kakawanda. Uye chinhu chisingarambiki chokwadi. Dzimwe nguva pane rakatumbuka mweya kanganisika apo mumwe chinozunguzirwa yechipiri zvikuru asingafungi. Izvi zvakafanana zvikuru mumwe chirwere, kureva rakatumbuka kuchinja mwoyo basa. Pane ruzivo pamusoro yakawiriranwa kuchinja nekorasi breathlessness zvinobereka paroxysmal zvakasikwa, uye CHENIC-Stokes syndrome. Asi zviri pachena, kuti haiwaniki nyore.

pathogenesis

Zvinofungidzirwa kuti CHENIC-Stokes dzinenge nguva dzose kunoratidza uropi hypoxia nezvimwe zvirwere zviri pfumbu nyaya, uye ayo membranes. Uyezve, anogona kuitika mumwoyo kukundikana uye uremia. The mashandiro kuti panowanikwa CHENIC-Stokes chirwere yave akadzidza zvishoma. Mamwe masayendisiti tsanangura nayo sezvinotevera. Kana hypoxia kunoitika chinovhiringidza pakati subcortical hurongwa uye mumasero cerebral cortex, saka pane kumbomira kufema, pane kurasikirwa pfungwa akashatirwa kushanda vasomotor centre. Chemoreceptors asi kunyange mumamiriro ezvinhu akadaro vanogona kupindura kuitika kuchinja wevasungwa pamusoro magasi muropa. CHENIC-Stokes kufema kunokonzera kunyongana kuzhinji kuri muviri murwere. Uye kuzotyisa. Sei kufema muzinda vanoshingaira zvakare? Just zvinoita kuti unopinza kuwedzera kupomba Mabhokisi pamwe chemoreceptors, zvakananga kukanganisa chinokosha carbon dioxide inobvisa zviri nzvimbo, uyewo incentives kubva baroreceptors. Zvose izvi imhaka kufurirwa rutapudzo. Saka, kufema anomutswa. mutsidziro Its dzinosanganisira oxygenation ropa, achidzikisa cerebral hypoxia, uyewo kuvandudza nebasa Tutsinga tunofambisa mashoko utwu vari pakati vasomotor centre.

Panguva iyi, mumwe anogona kuchengeta befu, ari Kujeka pfungwa, zvakajairika kumanikidzwa, zvekupfakira kwomwoyo. Kufefetedza kunowedzera, zvichikonzera yakawedzera okisijeni makakatanwa arterial ropa. Chii chinoitika kabhoni yakasviba? simba rayo, nekusiyana, kunoderedza. azvaiitwa kunotoreva kuti rutapudzo kwemakemikari uye dzepanguva kweiyi kufema centre, nokushanda iyo inotanga kunetesa, - kufema kunoitika.

CHENIC-Stokes kurapwa

unofanira kupinda "Theophylline" rive tsinga iri huye urwere ichi. Pakadaro, kana guru chipimo chemushonga zvinodhaka haana kubatsira pakuwedzera uropi ropa midziyo uye normalize murwere ezvinhu utano, unofanira kuwana bara "Metrazol" mushonga kuti kuchabatsira nezvainoita kufema centre. Rinogona kubatsira chaizvo. Nepo murwere zvakaipa, zvinokosha kuva naye. Uye zvinofanira kuyeukwa kuti chete chiremba anogona kuona kubva ichi yezvinongoerekana ezvinhu. Izvi handizvo kana zvichibvira kutsungirira chirwere pachavo.