Zvinokonzera uye Kurapwa kweKeyne-Stokes Respirations
Overview
Cheyne-stokes respirations ndiyo nzira yekufema iyo isina kunyanya kushamisa, uye hazvishamisi, dzimwe nguva inonzi "agonal breathing." Kupisa kunogona kunge kwakadzika uye kwakakurumidza (hyperpnea), inoteverwa nenguva dzekufema kunonoka, kana kukanganiswa nezvikamu zvepnea, umo munhu anorega kufema zvachose kwechinguva.
Kunyange zvazvo Cheyne Stokes kufema kunogona kuoneka kusina kujeka, inowanzoitika mumagetsi anogara pakati pemaminitsi makumi matatu nemaminitsi maviri.
Izvi zvisiri izvo, kazhinji kusagadzikana-ku-kutarisa kufema kunowanzoonekwa mumazuva ekupedzisira nemaawa ehupenyu, asi zvinogona kuonekwa mune vamwe vanhu vane congestive moyo kusakona.
Zvinokonzera
Cheyne-Stokes kufema kunowanzoonekwa apo vanhu vari mukufa kunobva kune chirwere chero chipi zvacho kusanganisira chirwere. Izvi zvichakurukurwa kutanga, asi ramba uchifunga kuti kune zvimwe zvikonzero zvinokurukurwa zvakare pasi apa, uye kufema uku kunogona kuitika kune vanhu vasiri kufa.
Cheyne-Stokes Breathing Sechikamu Chekuuraya
Kufema kunogona kuitika pamagumo ehupenyu uye kunogona kukanganisa zvikuru nhengo dzemhuri dziripo. Zvakakosha kucherechedza kuti kufema uku hakusi kunetseka kune munhu anofa, uye hazvidi kutarisirwa nekuda kwekunyaradza. Kutaura zvazviri, zvichida inzira iyo muviri inopedzisa neimwe nzira kuti zvimwe zvimwe zvinhu zvive kuitika pakuguma kwehupenyu.
Iwe unogona kunge uchishamisika kuti chii chimwe chaunotarisira mumatanho ekupedzisira ekufa . Munguva ino hazvisi zvisizvo kuti vanhu vataure pamusoro pekuda vadiwa avo vakafa kare, kunyange vachiita sevanonetseka sezvavanoedza kurondedzera zvinhu zvavasingaoneki kuwana mazwi. Mudiwa wako angaita kuti iwe uzive kuti ari kufa mune imwe " yekutaura kwekufa " umo iye angakuudza kuti achakusiya iwe uye anoti ari kuenda.
Zvinogona kunzwisa tsitsi kune avo vari kufa kuti zvinyorwa zvavo zvibviswe semafungiro kana kuti kururamiswa. Edza kuteerera apo nguva yako mudiwa wako amuka, uye umutsidze kuti unomutenda uye kumuda.
Zvimwe Zvinokonzera Cheyne- Stokes Breathing
Mukuwedzera pakuva kuguma-kwe-hupenyu huitiko, Cheyne-Stoke kufema kunogona kuonekwa ne:
- Kukanganisa mwoyo kukanganisa - Mwoyo kukanganisa kunoitika apo mwoyo (semusana) unowedzera kuoma uye unonetsa kukura ropa. Kufanana nedzimwe mishonga, kufambira mberi kunowedzera kunogona kutungamirira kukundikana kwepfungwa kunoshanda mumasaisai eropa kupa oxygen nemiriri kumasero emuviri.
- Carbon monoxide chepfu
- Hyponatremia (yakadzika yezinga sodium muropa)
- Kurara kumusoro
- Stroke
- Kukuvara kwepfungwa kunetseka
- Mimwe mishonga inodhakwa zvakadai se morphine
Physiology uye Chinangwa
Hazvizivikanwi kuti sei ichi chikonzero chekurara kwepnea (kufema kunoongororwa ne-central central nerve system) inoitika. Imwe pfungwa yapfuura yave iyo Cheyne-Stokes kufema kunogona kuva nzira iyo muviri unogadzirisa mune imwe nzira, panzvimbo yechinetso uye pachako. Zvinofungidzirwa kuti muenzaniso wekutsvaira uye kuoma kunogona kutanga kukonzerwa nekufema kwakadzika kuwedzera maitiro emukemikisi mumuviri (izvo zvinoderedza carbon dioxide muropa) zvichitevera nguva dzepnea (kwete kufema) sezvo muviri uchibhadhara zvakaderera carbon dioxide nokudzivirira kufema apo carbon dioxide muropa inowedzera.
Cheyne-Stokes Achifema muChese Heart Heart Kusakwanisa
Cheyne-Stokes kufema kunowanzoshamwaridzana pakati pevanhu vane congestive heart failure uye inoonekwa sechirevo chisina kunaka chekujekesa, Iyo yakati, vamwe vanhu vane Cheyne-Stokes vachifema zvakanyanya kusvika pamwoyo kusaguma vanorarama kwenguva yakareba.
Kurapa
Kwemakore yakawanda yakawanda yekutsvakurudza kwakaitwa nenzira yakarurama yekubata cheyne-Stokes kupemha. Panguva ino yemazuva ano, maonero aya anotsigira kune kutenda kuti iyi inopindurwa yepanyama iyo inenge isingatarisirwi kutarisirwa pairi.
Central sleep apnea zvakadai izvi zvinopesana nokufema kunogona kuvaridzira madherei kuti vaongorore zvimwe zvakawanikwa maererano nekunetseka kwemoyo.
Musha weoksijeni yakarapwa, pamwe chete nekuenderera mberi kwakanaka kwemhepo inokonzerwa nemhepo (CPAP), ndezvishoma zvekusarudzwa kwekurapwa kwave kushandiswa pamhando iyi yemukati wepabonde yekurara.
Nhoroondo
Cheyne-Stokes kana Hunter-Cheyne-Stokes kufema kwakatanga kutsanangurwa muma1800 navechiremba vaviri: Dr. John Cheyne naDkt. William Stokes.
Uyewo anozivikanwa se: agonal respiration, periodic breathing
Mienzaniso: Apo baba vake vakagadzira Cheyne-Stokes respirations, Jorodhani yakadana mhuri yake kuti ivazive kuti yakaonekwa baba vake vainge vafa.
> Sources:
> Malhotra, A., uye J. Fang. Kurara kunetseka kufema kufema mukati memwoyo. UpToDate . Updated 11/02/15. http://www.uptodate.com/contents/sleep-disordered-breathing-in-heart-failure
> Mehra, R., na D. Gottlieb. Paradigm Inoshandiswa Mukurapa kweCentral Sleep Apnea muKuneta Kwepfungwa. Chest . 2015. 148 (4): 848-851.
> Naughton, M. Cheyne-Stokes kufema: shamwari kana muvengi? . Thorax . 20112. 67 (4): 357-60.
> Noqueira, R., Panerai, R., Teixeira, M., Robinson, T., uye E. Bor-Seng. Mhando yeCerebral Hemodynamic yeCheyne-Stokes Kufuridzirwa mune Mumiriri ane Stroke. Zvinyorwa zveStroke uye Cerebrovascular Disease . 2017 Mar 14. (Epub mberi kwekudhinda).
> Wang, Y., Cao, J., Feng, J., naBen Chen. Cheyne-Stokes kupemha panguva yehope: nzira uye zvingabatsira. British Journal of Hospital Mushonga . 2015. 76 (7): 390-6.