Primary alveolar hypoventilation

Primary alveolar hypoventilation chirwere chisingawanzoitika umo munhu asingatore mweya wakakwana paminiti. Mapapu nemumhepo zvakajairika.

Kazhinji, kana okisijeni muropa iri shoma kana kuti kabhoni dhayokisaidhi yakakwira, pane chiratidzo kubva kuuropi chekufema zvakadzama kana nekukurumidza. Mune vanhu vane primary alveolar hypoventilation, shanduko iyi yekufema haiitike.

Chikonzero cheichi chiitiko hachizivikanwe. Vamwe vanhu vane hutachiona husina kukwana.

Chirwere ichi chinonyanya kubata varume vane makore makumi maviri kusvika makumi mashanu ekuberekwa. Izvo zvinogona zvakare kuitika muvana.

Zviratidzo zvinowanzo nyanyisa panguva yekurara. Zvikamu zvekumira kufema (apnea) zvinowanzoitika kana wakarara. Kazhinji hapana kupfupika kwekufema mukati mezuva.

Zviratidzo zvinosanganisira:

• Bluish coloration yeganda inokonzerwa nekushayikwa kwe oxygen
• Kukotsira masikati
• Kuneta
• Mangwanani kutemwa nemusoro
• Kuzvimba kwemakumbo
• Kumuka kubva kuhope kwakamiswa
• Kumuka kakawanda husiku

Vanhu vane chirwere ichi vanonetsekana kunyangwe zvidiki zvidiki zvekunyaradza kana narcotic. Iyi mishonga inogona kuita kuti dambudziko ravo rekufema rinyanye kukura.

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezve zviratidzo.

Miedzo ichaitwa kutonga kunze kwezvimwe zvikonzero. Semuenzaniso, tsandanyama dystrophy inogona kuita kuti mhasuru dzembabvu dzive shoma, uye chisingaperi obstructive pulmonary chirwere (COPD) chinokuvadza matumbu emapapu pachawo. Sitiroko diki inogona kukanganisa nzvimbo yekufema muuropi.

Miedzo inogona kuitwa inosanganisira:

• Kuyera mazinga eoksijeni uye kabhoni dhayokisaidhi muropa (arterial ropa magasi)
  
• Chest x-ray kana CT scan
• Hematocrit uye hemoglobin kuongororwa kweropa kuongorora okisijeni kutakura kugona kwemasero matsvuku eropa
• Lung basa bvunzo
• Manheru eokisijeni zviyero (oximetry)
• Magasi eropa
• Kurara kudzidza (polysomnography)

Mishonga inosimudzira mweya wekufema inogona kushandiswa asi haiwanzoshanda. Mechina michina inobatsira kufema, kunyanya husiku, inogona kubatsira kune vamwe vanhu.Oxygen therapy inogona kubatsira mune vanhu vashoma, asi inogona kuwedzera zviratidzo zvehusiku kune vamwe.

Mhinduro kurapa inosiyana.

Ropa reokisijeni rakadzika rinogona kukonzera kukwira kweropa mumapapu eropa. Izvi zvinogona kutungamira ku cor pulmonale (kurudyi-sided moyo kutadza).

Fonera mupiki wako kana iwe uine zviratidzo zvechirwere ichi. Tsvaga kurapwa panguva pfupi kana bhuruu reganda (cyanosis) rikaitika.

Iko hakuna kunozivikanwa kudzivirira. Iwe unofanirwa kudzivirira kushandisa yekurara mishonga kana zvimwe zvinodhaka zvinogona kukonzera kutsumwaira.

Kutuka kwaOndine; Kufefetedza mweya; Yakadzikira hypoxic ventilator drive; Yakadzikira hypercapnic ventilator drive

• Kufuridzira system

Cielo C, Marcus CL. Central hypoventilation syndromes. Kurara neMedhi. 2014; 9 (1): 105-118. PMID: 24678286 pubed.ncbi.nlm.nih.gov/24678286/.

Malhotra A, Powell F. Kukanganisika kwekudzora mweya. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 80.

Weinberger SE, Cockrill BA, Mandel J. Kukanganisika kwekudzora mweya. Mune: Weinberger SE, Cockrill BA, Mandel J, eds. Nheyo dzePulmonary Medicine. 7th ed. Philadelphia, PA: Elsevier; 2019: chits. 18.