Izimbangela Nokunakekelwa Kwe-Cheyne-Stokes Respirations
Sibutsetelo
Ukuphefumula kwama-cheyne-stokes kuyindlela yokuphefumula okungavamile, futhi akumangalisi ukuthi ngezinye izikhathi kuthiwa "ukuphefumula kwe-agonal." Ukuphefumula kungaba okujule kakhulu futhi okusheshayo (hyperpnea), kulandelwa izikhathi zokuphefumula okuncane okuncane, noma ukuphazanyiswa yiziqephu ze-apnea, lapho umuntu eyeka ukuphefumula ngokuphelele isikhathi esithile.
Nakuba u-Cheyne Stokes ukuphefumula kungase kubonakale kungaqondakali, kuvame ukuvela emijikelezweni ehlala phakathi kwamasekhondi angu-30 nemizuzu emibili.
Le ndlela yokuphefumula engavamile, engavamile yokubuka ukuvame ukubonwa ezinsukwini zokugcina namahora okuphila, kodwa ingabonakala nakwabanye abantu abanenkinga yokuphefumula inhliziyo.
Izimbangela
Ukuphefumula kwe-Cheyne-Stokes kuvame ukubonakala lapho abantu besesimweni sokufa kunoma yisiphi isifo esibandakanya umdlavuza. Lokhu kuzoxoxwa kuqala, kodwa khumbula ukuthi kunezinye izimbangela ezixoxwa ngezansi ngezansi, futhi lokhu kuphefumula kungenzeka kubantu abangapheli ngokufa.
I-Cheyne-Stokes Iphuza Njengengxenye Yezokubulala
Ukuphefumula okungavamile kungenzeka ekupheleni kokuphila futhi kungaphazamisa kakhulu amalungu omndeni akhona. Kubalulekile ukuqaphela ukuthi ukuphefumula akukhathazi kumuntu ofayo, futhi akudingeki ukuba aphathwe ngenhloso yokududuza. Eqinisweni, kungenzeka ukuthi umzimba uvuselela ngendlela ethile ukuze kube nezinguquko zomzimba ezenzeka ekupheleni kokuphila.
Ungase uzibuze ukuthi yini enye ongayilindela ezigabeni zokugcina zokufa . Ngalesi sikhathi akuvamile ukuthi abantu bakhulume ngokubona abathandekayo abafile ngaphambili, baze babonakale bekhungathekile njengoba bezama ukuchaza izinto abangabonakali ukuthola amagama. Othandekayo wakho angase akutshele ukuthi ufe ngohlobo " lokuqwashisa kokufa " lapho angakutshela khona ukuthi uzokukhumbula futhi uthi uyahamba.
Kungaba buhlungu kulabo abafa ukuthi imibono yabo ixoshwe njengezingcingo noma ukulungiswa. Zama ukulalela ngezikhathi lapho othandekayo wakho ephapheme, futhi umqinisekise ukuthi uyamkholwa futhi uyamthanda.
Ezinye Izimbangela ze-Cheyne- Stokes Breathing
Ngaphandle kokuphelela kokuphila, ukuphefumula kwe-Cheyne-Stoke kungabonakala nge:
- Ukuhluleka kwenhliziyo ukukhumula - Ukuhluleka kwenhliziyo kwenzeka lapho inhliziyo (njenge-muscle) iba buthakathaka futhi inzima ukushaya igazi. Ngokufanayo nezinye izicathulo, ukukhubazeka okuqhubekayo kungaholela ekuhlulekeni kwenhliziyo ukusebenza ekujikelezeni kwegazi ukunikeza oksijini nezakhi kumaseli omzimba.
- I-Carbon monoxide poisoning
- I-Hyponatremia (izinga eliphansi le-sodium egazini)
- Ukulala endaweni ephezulu
- Isibungu
- Ukulimala kwengqondo ebuhlungu
- Ezinye izidakamizwa ngokweqile ezifana ne-morphine
I-Physiology neNjongo
Ayaziwa ukuthi kungani lolu hlobo lwe-apnea yokulala ebusweni (ukuphefumula okuqashwe yi-system central nervous) kwenzeka. Umcabango wamuva wukuthi Ukuphefumula kwe-Cheyne-Stokes kungase kube indlela umzimba ohlawulela ngandlela-thile, kunokuba kube nenkinga ngaphakathi. Kucatshangwa ukuthi iphethini yokukhipha nokuxuba kungabangela kuqala ekuphefumuleni okujulile ukukhulisa izinga le-oksijeni emzimbeni (okuyinto eyanciphisa amazinga e-carbon dioxide egazini) kulandelwa izikhathi zokuphefumula (hhayi ukuphefumula) njengoba umzimba uhlaziya ukuncipha kwe-carbon dioxide ngokunciphisa ukuphefumula ngenkathi i-carbon dioxide egazini ikhula.
U-Cheyne-Stokes uphumule ekuhlulekeni kwenhliziyo ye-Congestive
Ukuphefumula kwe-Cheyne-Stokes kuvamile kakhulu kubantu abanesifo senhliziyo esithintekayo futhi kubhekwa njengesibonakaliso esibi sokuthi, abanye abantu abaneCheyne-Stokes baphefumulela ukuhluleka kwenhliziyo bahlala isikhathi eside.
Ukwelapha
Eminyakeni edlule ukulinganisa okulinganayo kwenziwe ngendlela efanele yokuphatha ukuphefumula kwe-Cheyne-Stokes. Ngesikhathi samanje, umbono uxhomeke ekukholweni ukuthi lokhu kuyimpendulo yokuphulukisa ngokomzimba engadingeki ukuthi ilashwe ngayinye.
I-apnea yokulala ephakathi nendawo kungukuthi ukuphefumula okuphazamisekile kungase kuxwayise odokotela ukuba bahlole ezinye iziphumo mayelana nokuhluleka kwenhliziyo.
Ukwelashwa kwe-oxygen ekhaya, kanye nokucindezela okuqhubekayo kwe-airway (CPAP), kukhona okukhethwa kukho ukwelashwa okuye kwasetshenziselwa lolu hlobo lwe-apnea yokulala ephakathi.
Umlando
Ukuphefumula kwe-Cheyne-Stokes noma i-Hunter-Cheyne-Stokes kuqale kwachazwa ngawo-1800 odokotela ababili: uDkt. John Cheyne noDkt. William Stokes.
Futhi ebizwa ngokuthi : ukuphefumula kwe-agonal, ukuphefumula ngezikhathi ezithile
Izibonelo: Lapho uyise eqala ukuphefumula kwe-Cheyne-Stokes, uJordan wabiza umndeni wakhe ukuthi ubazise ukuthi ubaba wakhe ufile.
> Imithombo:
> Malhotra, A., noJ. Fang. Ukuphefumula okuphazamisekile ekupheleleni kwenhliziyo. UpToDate . Kubuyekezwe 11/02/15. http://www.uptodate.com/contents/sleep-disordered-breathing-in-heart-failure
> Mehra, R., noD. Gottlieb. I-Paradigm Shift ekwelapheni kwe-Central Sleep Apnea ekuhlulekeni kwenhliziyo. Isifuba . 2015. 148 (4): 848-851.
> Naughton, M. Cheyne-Stokes ukuphefumula: umngane noma isitha? . I-Thorax . 20112. 67 (4): 357-60.
> Noqueira, R., Panerai, R., Teixeira, M., Robinson, T., no-E. Bor-Seng. Imiphumela ye-Cerebral Hemodynamic ye-Cheyne-Stokes Ukuphefumula Kwesineke Nge-Stroke. I-Journal of Stroke ne-Cerebrovascular Ill . 2017 Mashi 14. (Epub ngaphambi kokuphrinta).
> Wang, Y., Cao, J., Feng, J., noBen Chen. Ukuphefumula kwe-Cheyne-Stokes ngesikhathi sokulala: izindlela kanye nokungenelela okungenzeka. I-British Journal of Hospital Medicine . 2015. 76 (7): 390-6.