Kutsekemera kwapadera kwapadera

Hypoventilation yoyamba ya alveolar ndimatenda achilendo momwe munthu samapuma mokwanira pamphindi. Mapapu ndi njira zapaulendo ndizabwinobwino.

Kawirikawiri, mpweya wa okosijeni m'magazi ukakhala wochepa kapena mpweya wa kaboni dayokisaidi umakhala waukulu, pamakhala chizindikiritso chochokera muubongo chopumira kwambiri kapena mwachangu. Mwa anthu omwe ali ndi alveolar hypoventilation oyambilira, kusintha kwa kupuma sikukuchitika.

Zomwe zimayambitsa vutoli sizikudziwika. Anthu ena ali ndi vuto linalake.

Matendawa amakhudza kwambiri amuna azaka 20 mpaka 50 zakubadwa. Zikhozanso kuchitika kwa ana.

Zizindikiro nthawi zambiri zimakhala zoyipa tikamagona. Nthawi zosiya kupuma (matenda obanika kutulo) nthawi zambiri zimachitika munthu akamagona. Nthawi zambiri sipamakhala mpweya wopuma masana.

Zizindikiro zake ndi izi:

• Mtundu wabuluu wakhungu chifukwa cha kusowa kwa mpweya
• Kugona masana
• Kutopa
• Mutu wam'mawa
• Kutupa kwa akakolo
• Kudzuka kutulo osamasulidwa
• Kudzuka nthawi zambiri usiku

Anthu omwe ali ndi matendawa amakhudzidwa kwambiri ngakhale ndi mankhwala ochepetsa mphamvu kapena mankhwala ozunguza bongo. Mankhwalawa amatha kukulitsa vuto lawo lakupuma.

Wothandizira zaumoyo adzayesa thupi ndikufunsa za zizindikiro.

Kuyesedwa kudzachitika pofuna kuwononga zifukwa zina. Mwachitsanzo, kusokonekera kwa minofu kumatha kupangitsa minofu ya nthiti kukhala yofooka, ndipo matenda osachiritsika am'mapapo mwanga (COPD) amawononga minofu yam'mapapo. Sitiroko yaying'ono imatha kukhudza malo opumira muubongo.

Mayeso omwe angachitike ndi awa:

• Kuyeza kuchuluka kwa oxygen ndi kaboni dayokisaidi m'magazi (magazi am'magazi)
  
• X-ray pachifuwa kapena CT scan
• Mayeso a magazi a Hematocrit ndi hemoglobin amayang'ana momwe oxygen ilili ndi mphamvu ya maselo ofiira
• Kuyesa kwa mapapo
• Miyezo yama oxygen usiku umodzi (oximetry)
• Mpweya wamagazi
• Kuphunzira kugona (polysomnography)

Mankhwala omwe amalimbikitsa kupuma atha kugwiritsidwa ntchito koma sikugwira ntchito nthawi zonse. Zipangizo zomwe zimathandiza kupuma, makamaka usiku, zitha kuthandiza anthu ena.Thandizo la oxygen lingathandize anthu ochepa, koma limatha kukulitsa zizindikiritso za usiku kwa ena.

Kuyankha kwa mankhwala kumasiyana.

Kuchuluka kwa mpweya wochepa wamagazi kumatha kuyambitsa kuthamanga kwa magazi m'mitsempha yamagazi yamapapu. Izi zitha kupangitsa kuti cor pulmonale (kumanja kwa mtima kulephera).

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za matendawa. Funsani chithandizo chamankhwala nthawi yomweyo ngati khungu labluish (cyanosis) limapezeka.

Palibe njira yodziwika yopewera. Muyenera kupewa kugwiritsa ntchito mankhwala ogona kapena mankhwala ena omwe angayambitse tulo.

Temberero la Ondine; Mpweya kulephera; Kutha kwa hypoxic ventilator drive; Kutha kwa ma hypercapnic ventilator drive

• Dongosolo kupuma

Cielo C, Marcus CL. Ma syndromes apakati a hypoventilation. Kugona ndi Chipatala. 2014; 9 (1): 105-118. PMID: 24678286 pubed.ncbi.nlm.nih.gov/24678286/.

Malhotra A, Powell F. Zovuta zamagetsi zowongolera mpweya. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 80.

Weinberger SE, Cockrill BA, Mandel J. Zovuta zamagetsi zowongolera. Mu: Weinberger SE, Cockrill BA, Mandel J, olemba. Mfundo za Pulmonary Medicine. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 18.