Cheyne-Stokes: mea, lalau mai, pathogenesis, lapaʻau

Cheyne-Stokes hanu loaʻa kona inoa i loko o ka hanohano o na kauka elua. He aha ka lākou aie? Ka mea, hai mua o ka honua e pili ana i keia ano o ka'āno'ē hanu, iʻikeʻia me Cheyne-Stokes maʻi pale. Ma mua, ka mea, ua i kaʻike i ka i kekahi mea.

E like me keia maʻi pale ia lŘlŘ?

Hanu breaths kekahi mauʻanuʻu waena a he shutdown. Ma ke kahua mua he mea he pōkole wanaao ae, alaila hele mai ka pae o ka dyspnea. Ua mau, mai ka mau o ke kekona i ka minuke, a initially he mea loa malie pāpaʻu hanu, a ua hoʻomaka koke liloʻoi a me ka oi walaʻau, a hiki i ka pilikia wahi ma ka lima i ka hiku o ka inhalation. Laila ia mea e pili ana i ka ia emi iho. Once ka mea, ke hoʻoholo 'ia i ka manawa pōkole holo ana ma ka hanu' ana. A no laila, i ka p ÷ ai. Cheyne-Stokes ka hanu nā - ia ka noho pilikia loa.

Papa'āweʻaweʻa kemika hanu holoholona

Kēia maʻi pale ia lŘlŘ nā loko o kānaka, a me na holoholona, a me ka mea hope, o ka iki hou pinepine. He nolaila, e pono e uku ka noonoo ana i ka ia. Hoʻohuli ai i nā holoholona aicieeaao lohi breaths mahuahua ma ka ikaika hawewe (mai i ka nui hyperpnoea) me ka hou ka ho'ēmiʻana o lākou, e kakali (apnea). Next, hoʻomaka e ulu hou ha ka neʻe 'ana. A me ka mea hou pau apnea, ka lōʻihi like 'ole o ka papa koa i mai 30 a hiki i 45 kekona. Ma hope iho o ia, a pau ua hai.

Kumu o ka maʻi pale, alternating hanu

Kēiaʻano o ka papa'āweʻaweʻa kemika hanu ua ana mālama i loko o na holoholona a me na maʻi puʻuwai i ea puka ana o ke koko i loko o ka medulla oblongata, petechial ke kuni, a pau ka violaʻumi o kaʻapu kōheoheo, uremia. Mau pathology a me ke kumu o ia. Cheyne-Stokes ka hanu, i ke kumu o ka a au i kēia manawa ike, o ka 'aʻe' nui e pono mālama '. Iloko o ka holo ana, e hoomanawanui i ka apuepue orient ia lakou iho ma ka makahiki paha loa nele ike paka i. Naʻe, e loaʻa maikaʻi me ka resumption o breaths. Aia i kekahi hoike ana i kekahi 'ano o ka'āno'ē hanu. Ua Ua wehewehe aku ma ka loa intercalary hanu nui, i kapaʻia kuahiwi. Cheyne-Stokes maʻi pale, ma i waena o ka paʻa o ka typical kūlana o ka dyspnea malama intercalary breaths, o ka inoa o alternating hanu. Ua kākaʻikahi ia lŘlŘ. Average Cheyne-Stokes ka hanu nā lŘlŘ oi pinepine ia. A ia mea he C. Brewer mea. I kekahi manawa, he mea ka'āno'ē alternating hanu wā kēlā me kēia lua o ka nalu Ua oi superficial. Kēia ka mea i like loa me kekahi maʻi,ʻo ia, i ka alternating loli o ka naau hope. Aia ka 'ike e pili ana i ka manao lokahi mahele ma recurring breathlessness hua ana i paroxysmal ma ke ano maoli, a me Cheyne-Stokes maʻi pale. Akā, apparently, ia mea he rarity.

pathogenesis

Ua Ua manaoio ia Cheyne-Stokes aneane mau lepa i ka lolo hypoxia a me nā maʻi puʻuwai o ke oho mea, a me kona membranes. Eia hou, e hiki ke hana i loko o ka naʻau o ka hoʻokō 'ole a me ka uremia. Keʻano papa hana o ka hanana o Cheyne-Stokes maʻi pale i ua uuku? Anoee. Kekahi kānakaʻepekema i hoomaopopo ia e like me penei. I ka hypoxia ia lŘlŘ inhibition o subcortical hale, a keena o ka cerebral cortex, nolaila he mea he ihola ma ka hanu 'ana, he mea ua pilikia functioning vasomotor mawaena konu o ka lilo o ka ike paka i. hiki nō Chemoreceptors akā,ʻo loko o ia wahi, i hiki pane i ka ike hou i loko o ka lehulehu o kinoea i loko o ke koko. Cheyne-Stokes hanu ke kumu no na mea he nui kāna hana i loko o ke kino o ka hoʻomanawanui. A ka mea, Aloha nui scary. No ke aha la naehana kikowaenaʻeleu hou? Pono ia ka poʻea pau i ka oi mahuahua ma ka lāʻau ikiʻai wale pūʻolo helu me chemoreceptors, he pololei hopena ma luna o kekahi o carbon dioxide maʻiʻo nui o na-oaio? A, e like me ka pono i nā makana, mai na baroreceptors. A pau i kēia mea ku pono i ka'aloʻahiʻa ka ho'ēmiʻana. Pela, hanu ua hoihoi hou ia. Kona hou entails ka oxygenation o ke koko, hoemi i ka cerebral hypoxia, e like me ka hoʻoikaika 'ana i ka ha awina o neurons i loko o ka vasomotor waena.

Ma kēia kahua, kekahi ke mālama i ka hanu nui, ka mōakaaka o ka ike paka i, maʻamau puʻe, maikai hoopiha ana o ka naau. Hoʻokomo ea, piʻi pū, ma o na la, a mahuahua nui o oxygen hoʻopilikia i loko o arterial koko. He aha ka hana a hiki i ka o carbon dioxide? Kona mana, ma ka mea ku ole, emi. Mau keʻano o ka hanaʻana entail ka ka ho'ēmiʻana o Nine Inch, a reflex stimulation o ka hanu oaio, hana no i hoʻomaka e 'ūlōlohi mai ana, - apnea ia lŘlŘ.

Cheyne-Stokes lapaau

oe e komo "Theophylline" i loko o ka aa koko i loko o ka hanana o kēia maʻi pale. Ma ia hihia, ina he nui laʻau heluna o ka lāʻau i ole he hoʻonui i ke anoe o ka lolo ipu koko a normalize i ke ahonui o ka moku'āina o ke ola, e pono e kiʻi i ka pana "Metrazol" lāʻau i e i ka hopena ma luna o ka ÷ naehana hanu waena. Ua hiki maoli kōkua. Oiai ka hoʻomanawanui mea ino, e mea pono ia e me ia. A me ka mea pono e hoʻomanaʻo ia wale i ke kauka ke ho oholo wae mai i kēia pōʻino kulana. Kēia mea,ʻaʻole i ka ina ia he mea hiki ke Makuakane me ka maʻi ma luna o lākou iho.