MulembeFM

Zamkati

• Kodi zimayambitsa ndi zotani?
• Opioids
• Matenda osokoneza bongo
• Poizoni
• Kuvulala pamutu
• Ndi zisonyezo zina ziti zomwe zimatsatana ndi bradypnea?
• Kodi njira zamankhwala ndi ziti?
• Zovuta zotheka
• Chiwonetsero

Kodi bradypnea ndi chiyani?

Bradypnea ndimomwe amapumira pang'onopang'ono.

Mpweya wabwinobwino wa munthu wamkulu nthawi zambiri umakhala pakati pa 12 ndi 20 kupuma pamphindi. Kupuma kotsika pansi pa 12 kapena kupitilira 25 kupuma pamphindi mukamapuma kumatha kuwonetsa vuto lalikulu lathanzi.

Kupuma kwapadera kwa ana ndi awa:

Bradypnea imatha kuchitika mutagona kapena mukadzuka. Si chinthu chofanana ndi matenda obanika kutulo, pomwe kupuma kumatheratu. Ndipo kupuma movutikira, kapena kupuma pang'ono, kumatchedwa dyspnea.

Kodi zimayambitsa ndi zotani?

Kuwongolera kupuma ndi njira yovuta. Ma brainstem, omwe ali m'munsi mwa ubongo wanu, ndi ofunikira kuwongolera kupuma. Zizindikiro zimayenda kuchokera muubongo kudzera mumtsempha wam'mimba kupita kuminyewa yolimba komanso yopumula kuti mubweretse mpweya m'mapapu anu.

Ubongo wanu ndi mitsempha yayikulu yamagazi imakhala ndi masensa omwe amayang'ana kuchuluka kwa mpweya ndi mpweya woipa m'mwazi mwanu ndikusintha kupuma kwanu moyenera. Kuphatikiza apo, masensa mumlengalenga mwanu amayankha kutambasula komwe kumachitika mukamapuma ndikutumiza zizindikiritso kuubongo.

Mukhozanso kuchepetsa kupuma kwanu mwa kuyendetsa mpweya wanu ndi mpweya wanu - chizoloŵezi chofala chokhazikika.

Zinthu zingapo zingayambitse bradypnea, kuphatikizapo:

Opioids

Kuzunzidwa kwa opioid kwafika pamavuto ku United States. Mankhwala amphamvu awa amamangiriridwa ndi mapulogalamu m'katikati mwa manjenje anu. Izi zitha kuchepetsa kupuma kwanu. Kupitirira muyeso kwa opioid kumatha kukhala pachiwopsezo cha moyo ndikupangitsani kusiya kupuma kwathunthu. Ena mwa ma opioid omwe amachitidwa nkhanza ndi awa:

• heroin
• codeine
• hydrocodone
• morphine
• oxychodone

Mankhwalawa akhoza kukhala pachiwopsezo chachikulu ngati inunso:

• kusuta
• tengani benzodiazepines, barbiturates, phenobarbital, gabapentinoids, kapena zothandizira kugona
• kumwa mowa
• kukhala ndi vuto lobanika kutulo
• ali ndi matenda osokoneza bongo (COPD), khansa yam'mapapo, kapena matenda ena am'mapapo

Anthu omwe amalowetsa mapaketi amankhwala onyamula osaloledwa (olongedza thupi) amathanso kudwala bradypnea.

Matenda osokoneza bongo

Ngati chithokomiro chanu sichikugwira ntchito, mumakhala ndi mahomoni enaake. Popanda kuchitapo kanthu, izi zimachedwetsa thupi, kuphatikizapo kupuma. Ikhozanso kufooketsa minofu yofunikira kupuma ndikupangitsa kuchepa kwamapapu.

Poizoni

Zoizoni zina zimatha kukhudza thupi ndikuchepetsa kupuma kwanu. Chitsanzo cha izi ndi mankhwala otchedwa sodium azide, omwe amagwiritsidwa ntchito muma airbags agalimoto kuwathandiza kukwera. Amapezekanso mu mankhwala ophera tizilombo komanso zida zophulika. Mukapuma mpweya wambiri, mankhwalawa amatha kuchepetsa dongosolo lamanjenje komanso dongosolo lamtima.

Chitsanzo china ndi carbon monoxide, mpweya wopangidwa kuchokera mgalimoto, mafuta ndi mafuta owotchera mafuta, komanso ma jenereta. Gasiyi imatha kulowa m'mapapu ndikuchulukirachulukira m'magazi, zomwe zimabweretsa mpweya wochepa.

Kuvulala pamutu

Kuvulala pafupi ndi ubongo ndi kuthamanga kwambiri mkati mwa ubongo kumatha kubweretsa bradycardia (kuchepa kwa kugunda kwa mtima), komanso bradypnea.

Zina zomwe zingayambitse bradypnea ndizo:

• kugwiritsa ntchito mankhwala opha ululu kapena ochititsa dzanzi
• Matenda am'mapapo monga emphysema, bronchitis osachiritsika, mphumu yayikulu, chibayo, ndi edema yam'mapapo
• mavuto opuma mukamagona, monga matenda obanika kutulo
• zinthu zomwe zimakhudza mitsempha kapena minofu yokhudzana ndi kupuma, monga matenda a Guillain-Barré kapena amyotrophic lateral sclerosis (ALS)

Pakafukufuku wa 2016 wogwiritsa ntchito makoswe, ofufuza adapeza kuti kupsinjika kwamaganizidwe ndi nkhawa yayikulu kumatha kubweretsa kuchepa kwa kupuma, makamaka kwakanthawi kochepa. Chodetsa nkhaŵa nchakuti kupuma kosalekeza kosalekeza kungasonyeze impso kuwonjezera kuthamanga kwa magazi. Izi zitha kupangitsa kuti kuthamanga kwa magazi kukhale kwakanthawi.

Ndi zisonyezo zina ziti zomwe zimatsatana ndi bradypnea?

Zizindikiro zomwe zimatsata kupuma pang'onopang'ono zimadalira chifukwa. Mwachitsanzo:

• Opioids amathanso kuyambitsa mavuto ogona, kudzimbidwa, kuchepa kwa chidwi, ndi kuyabwa.
• Zizindikiro zina za hypothyroidism zitha kuphatikizira ulesi, khungu louma komanso tsitsi.
• Poizoni wa sodium azide amatha kuyambitsa zizindikilo zosiyanasiyana kuphatikiza kupweteka mutu, chizungulire, zotupa, kufooka, nseru, ndi kusanza.
• Kuwonetsedwa kwa carbon monoxide kumatha kupweteketsa mutu, chizungulire, kuwopsa kwa mtima, kupuma, komanso kukomoka.

Kupuma pang'ono, komanso zizindikilo zina monga kusokonezeka, kutembenukira buluu, kapena kutaya chidziwitso, ndi zochitika zowopsa pamoyo zomwe zimafunikira chithandizo chadzidzidzi mwachangu.

Kodi njira zamankhwala ndi ziti?

Ngati kupuma kwanu kukuwoneka kocheperako kuposa zachilendo, pitani kuchipatala kuti mukawunike bwino. Izi mwina ziphatikizanso kuwunika thupi ndi kuwunika zina mwazofunikira - kugunda, kutentha thupi, ndi kuthamanga kwa magazi. Pamodzi ndi zizindikilo zanu zina, kuyeza kwakuthupi ndi mbiri yazachipatala kudzakuthandizani kudziwa ngati pakufunika kuyesereranso kwina.

Pazifukwa zadzidzidzi, oxygen yowonjezera ndi njira zina zothandizira moyo zingafunike. Kuthana ndi vuto lililonse kumatha kuthetsa bradypnea. Zina mwazithandizo ndi:

• chizolowezi cha opioid: mapulogalamu obwezeretsa zosokoneza bongo, kuwongolera kupweteka kwina
• opioid overdose: akamwedwa munthawi yake, mankhwala omwe amatchedwa Naloxone amatha kulepheretsa opioid receptor malo, kuthana ndi zotsatira zoyipa za bongo
• hypothyroidism: mankhwala a chithokomiro tsiku lililonse
• poizoni: kuyang'anira mpweya, chithandizo cha poyizoni aliyense, ndikuwunika zizindikilo zofunika
• kuvulala pamutu: kuwunika mosamala, chisamaliro chothandizira, ndi opaleshoni

Zovuta zotheka

Ngati kupuma kwanu kutsika kwambiri kwa nthawi yayitali, kungayambitse:

• hypoxemia, kapena oxygen yotsika magazi
• kupuma acidosis, vuto lomwe magazi anu amakhala acidic kwambiri
• wathunthu kupuma kulephera

Chiwonetsero

Maganizo anu adzadalira chifukwa cha bradypnea, chithandizo chomwe mumalandira, komanso momwe mumayankhira kuchipatala. Zina zomwe zimayambitsa bradypnea zimatha kuyang'anira nthawi yayitali.