Bradypnea

Zvemukati

• Ndezvipi zvikonzero uye zvinokonzeresa?
• Opioid
• Hypothyroidism
• Uturu
• Kukuvara kwemusoro
• Ndezvipi zvimwe zviratidzo zvinogona kuperekedza bradypnea?
• Ndedzipi nzira dzekurapa?
• Zvinogona kuitika
• Outlook

Chii chinonzi bradypnea?

Bradypnea inononoka kufema mwero.

Iyo yakajairika yekufema mwero yemunhu mukuru inowanzo pakati pegumi nemaviri nemakumi maviri mafemo paminiti. Mwero wekufema uri pazasi pegumi nemaviri kana anopfuura makumi maviri nemashanu pakufema paminiti uchizorora kunogona kuratidza chinetso chehutano.

Kazhinji kufema kwevana mwero ndeiyi:

Bradypnea inogona kuitika panguva yekurara kana paunenge wakamuka. Haisi chinhu chakafanana neapnea, iri kana kufema kuchimira zvachose. Uye kufema kunoshanda, kana kufema kufema, kunonzi dyspnea.

Ndezvipi zvikonzero uye zvinokonzeresa?

Iwo manejimendi ekufema inzira yakaoma. Iyo brainstem, iyo nzvimbo iri pasi peuropi hwako, inodikanwa kudzora kufema. Zviratidzo zvinofamba zvichibva muuropi kuburikidza nemuzongoza kusvika kumhasuru inosunga uye kuzorora kuunza mweya mumapapu ako.

Uropi hwako nemidziyo mikuru yeropa zvine ma sensors anotarisa huwandu hweoxygen uye kabhoni dhayokisaidhi muropa rako uye kugadzirisa yako kufema mwero zvinoenderana. Uye zvakare, ma sensors ari mumhepo ako anopindura anotambanuka anoitika panguva yekufema uye anotumira masaini kudzokera kuuropi.

Iwe unogona zvakare kudzikamisa yako wega kufema nekudzora mahaga ako uye nekubuditsa - yakajairwa yekuzorora tsika.

Zvimwe zvinhu zvishoma zvinogona kukonzera bradypnea, kusanganisira:

Opioid

Kushungurudzwa kweopioid kwasvika pamatanho muUnited States. Iyi mishonga ine simba inonamatira kune ma receptors mune yako yepakati system system. Izvi zvinogona kudzora zvakanyanya kufema kwako. Kuwedzeredza opioid kunogona kutyisidzira hupenyu uye kukonzera kuti umire kufema zvakakwana. Mamwe maopioid anowanzoshungurudzwa ndeaya:

• heroin
• codeine
• hydrocodone
• morphine
• oxycodone

Iyi mishonga inogona kuisa njodzi huru kana iwe zvakare:

• chiutsi
• tora benzodiazepines, barbiturates, phenobarbital, gabapentinoids, kana rubatsiro rwekurara.
• kunwa doro
• kuva nekutadza kufema kufema
• vane chirwere chisingaperi chinodzivirira pulmonary (COPD), kenza yemapapu, kana mamwe mamiriro emapapu

Vanhu vanonwisa mapakeji emishonga yezvifambiso zvisiri pamutemo (vatakuri vemitumbi) vanogona zvakare kusangana nebradypnea.

Hypothyroidism

Kana yako yegland isingashandisi, unoshaya mamwe mahormone. Kusarapwa, izvi zvinogona kudzora mamwe maitiro emuviri, kusanganisira kufema. Inogona zvakare kunetesa mhasuru dzinodiwa pakufema uye inotungamira kudzikira kwemapapu.

Uturu

Humwe huturu hunogona kukanganisa muviri nekudzora kufema kwako. Muenzaniso weiyi ikemikari inonzi sodium azide, iyo inoshandiswa mumotokari maairbag kuvabatsira kufutisa. Inowanikwawo mumishonga yezvipembenene uye zvinoputika. Kana ikafemerwa muhuwandu hwakakura, ichi chemikemikari chinogona kudzora ese epakati etsinga system uye yemoyo system.

Mumwe muenzaniso ndeye carbon monoxide, gasi rinogadzirwa kubva mumotokari, oiri uye gasi mafesi, uye majenareta. Iyi gasi inogona kunyudzwa kuburikidza nemapapu uye kuunganidzwa muropa, zvichitungamira kune yakaderera oxygen mazinga.

Kukuvara kwemusoro

Kukuvadza padhuze neiyo brainstem uye kumanikidza kwakanyanya mukati mehuropi kunogona kutungamira ku bradycardia (yakaderera kurova kwemoyo), pamwe nebradypnea.

Mimwe mimwe mamiriro anogona kutungamira ku bradypnea anosanganisira:

• kushandisa sedatives kana kutindivadza
• mapapu matambudziko akadai emphysema, chisingaperi bronchitis, chakakomba asima, mabayo, uye mapapu edema
• matambudziko ekufema panguva yekurara, senge kurara kufema
• mamiriro anokanganisa tsinga kana mhasuru dzakabatana nekufema, senge Guillain-Barre syndrome kana amyotrophic lateral sclerosis (ALS)

Mune ongororo yegore ra2016 uchishandisa makonzo, vaongorori vakaona kuti kushushikana kwepfungwa uye kusagadzikana kusingaperi kunogona kutungamira mukudzikira kwekufema, kunyanya munguva pfupi. Kumwe kunetsekana ndekwekuti kuramba uchifema kwakaperera kunogona kuratidza itsvo kuwedzera BP yemuviri. Izvi zvinogona kutungamira mukuvandudzwa kweropa rakakwira kwenguva refu.

Ndezvipi zvimwe zviratidzo zvinogona kuperekedza bradypnea?

Zviratidzo zvinogona kuperekedza kunonoka kufema zvinoenderana nechikonzero. Semuyenzaniso:

• Maopioid anogona zvakare kukonzera matambudziko ekurara, kuvharirwa, kudzikira kwekusvinura, uye kuchenesa.
• Zvimwe zviratidzo zve hypothyroidism zvinogona kusanganisira kuneta, kuoma ganda, uye kurasikirwa nevhudzi.
• Sodium azide chepfu inogona kutungamira kune akasiyana zviratidzo zvinosanganisira kutemwa nemusoro, dzungu, kuputika, kushaya simba, kusvotwa, uye kurutsa.
• Kuratidzirwa kune kabhoni monoxide kunogona kukonzera kutemwa nemusoro, dzungu, huta hwemwoyo, kutadza kufema, uye koma.

Kunonoka kufema, pamwe nezvimwe zviratidzo zvakaita sekuvhiringidzika, kuita bhuruu, kana kurasikirwa kwekuziva, zviitiko zvinotyisidzira hupenyu zvinoda kurapwa nekukurumidza.

Ndedzipi nzira dzekurapa?

Kana kufema kwako kuchiratidzika kunge kunonoka pane zvakajairwa, ona chiremba wako kuti anyatsoongorora. Izvi zvinogona kusanganisira kuongororwa kwemuviri uye cheki yezvimwe zviratidzo zvakakosha - kupomba, kudziya kwemuviri, uye kuwedzerwa kweropa. Pamwe pamwe nezvimwe zviratidzo, bvunzo yemumuviri uye nhoroondo yezvokurapa inobatsira kuti uone kana kumwe kuongorora kwekuongorora kuchidikanwa.

Mumamiriro ekukurumidzira, okisijeni yekuwedzera uye mamwe matanho ehupenyu anokwanisa kudikanwa. Kurapa chero mamiriro ezvinhu ari pasi kunogona kugadzirisa iyo bradypnea. Zvimwe zvinogona kurapwa ndezvi:

• opioid kupindwa muropa: kupindwa muropa nekudzoreredza zvirongwa, mamwe maratidziro ekurwadziwa
• opioid overdose: kana ikatorwa nenguva, mushonga unonzi Naloxone unogona kuvharira opioid receptor saiti, ichichinja huturu hwehuwandu hwekuwedzeredza
• hypothyroidism: mishonga yezuva nezuva yetachiona
• chepfu: manejimendi, kurapwa kwechero chepfu, uye kuongorora kwakakosha zviratidzo
• kukuvara kwemusoro: kunyatso tarisa, kuchengetedza kutsigira, uye kuvhiya

Zvinogona kuitika

Kana yako yekufema mwero inowira pasi zvakanyanya kwenguva yakareba, inogona kutungamira ku:

• hypoxemia, kana yakaderera ropa oxygen
• kufema acidosis, mamiriro umo ropa rako rinova rakawandisa
• kukwana kufema kutadza

Outlook

Maonero ako anoenderana nechikonzero chebradypnea, kurapwa kwaunogashira, uye nemabatiro aunoita kurapwa ikoko. Mimwe mamiriro anokonzeresa bradypnea angangoda manejimendi-kwenguva refu.