Lesi simpawu singase siphumelele ngemisebenzi eyisisekelo ku-COPD
I-Tachypnea yigama lezokwelapha ukwenyuka izinga lokuphefumula (ukuphefumula). Izinga lokuphefumula evamile liphakathi kuka-12 kuya ku-20 kubantu abadala. Noma yini engaphezu kuka-20 ukuphefumula ngomzuzu ibizwa ngokuthi i-tachypnea.
Umsebenzi we-Tachypnea
Eyaziwa nangokuthi ukuphefumula okusheshayo, i-tachypnea ivame kakhulu kubantu abane- emphysema , noma ngenxa yokuthi abatholi oksijini okwanele noma bazama "ukuphuza" i-carbon dioxide eyengeziwe (umshini we-metabolism), owakhiwe egazini labo ngenxa yokuxoshwa okungafanelekile kwe-air inhaled.
Ngamanye amazwi, i-tachypnea kubantu abane COPD ngokuvamile kubangelwa izinga eliphansi kakhulu le-oksijeni (ukucindezela okuyingxenye yomoya-mpilo noma i-pO2,) okuvuselela ukuphefumula okusheshayo, okungekho okujulile, noma izinga eliphakeme kakhulu le-carbon dioxide (elikhuthaza ukuphefumula okusheshayo okusheshayo .)
Ngaphezu kwe-COPD ephethe i-oksijeni ephansi noma izinga eliphakeme le-carbon dioxide, kunezinye izindlela abantu abaneCOPD abangase bahlakulele ngayo i-tachypnea. Isibonelo, ama-fever ahlobene nezifo zamaphaphu angabangela i-tachypnea. Ukulimala kwenhliziyo njengokuhluleka kwenhliziyo, kanye nokuphefumula kwegazi kungaholela ekuphefumuleni okusheshayo, njengoba kungaba nokukhathazeka okuhlobene no-dyspnea - ukukhathazeka ngokuthola umoya omuhle nokuwukhulula.
I-Tachypnea vs Iminye Imigomo Ehambisana Nokuphefumula
Kungasiza ekuchazeni imigomo embalwa ukuqonda kangcono i-tachypnea. Nakuba i-tachypnea ibhekisela ekuphefumuleni okusheshayo okusheshayo, i- hyperpnea imele kokubili ukuphefumula okusheshayo nokujulile futhi kwenzeka ngesikhathi sokuvivinya umzimba ngokulinganisela.
I-Dyspnea ibhekisela ekuzweleni kokuphefumula . Nge-dyspnea, izinga lokuphefumula lingase liphuthume, liphuze, noma livamile, futhi ukuphefumula okungajulile kungabi okujulile, okujulile noma okujwayelekile.
I-Hyperventilation iphefumula ngokujulile, kodwa ngokungafani ne-hyperpnea, ayinayo umsebenzi wokusebenza emzimbeni.
Empeleni kwenza ukulinganisela kwe-acid-base emzimbeni kubi nakakhulu.
I-Tachypnea njenge-Symbol of Chronic Pulmonary Disstructive Disease (COPD)
I-Tachypnea ivame nazo zonke izinhlobo ze-COPD futhi, kanye ne-dyspnea, isifo esivamile sokukhushulwa kwe- COPD . Amafomu e-COPD lapho i-tachypnea evamile ihlanganisa i-bronchitis engapheli, i-emphysema, ne-bronchiectasis.
I-Physiological vs Tachypnea ye-Pathological
Ukuhlukaniswa okubaluleke kakhulu ukuphawula nge-tachypnea ku-COPD kungakhathaliseki ukuthi kungokwenyama noma ukuphilisa. Lokho kuyizwi elikhulu, kodwa umqondo kulula ukuwuqonda. Izindlela zemvelo zisho ukuthi i-tachypnea inenhloso. Ngakho ngokuthatha ukuphefumula okusheshayo okusheshayo, umzimba ulungisa ezinye izinto ezingavamile. Kulesi simo, kubalulekile ukuphatha imbangela eyimbangela, njengoba ukwelapha i-tachypnea yodwa kungase kube yingozi.
Ngokuphambene nalokho, i-tachypnea ye-pathological ivela lapho umuntu eba nokuphefumula okusheshayo, okungajulile okungaba yingozi kumzimba.
Ukwelashwa kwe-Tachypnea
Ukwelashwa kwe-tachypnea ne-COPD kuncike ekunakekeleni imbangela eyimbangela yalesi sifo, futhi uma kungokwenyama noma ukugula. Ukwelashwa kungabandakanya ama-inhalers afana ne-bronchodilators ukuvula imimoya evumela umoya-mpilo ukuthi ufike kangcono ekuhlaleni i-alveoli ne-carbon dioxide kalula.
I-steroids inganciphisa ukuvuvukala emoyeni we-airways ukusiza nazo zombili lezi zinqubo kanye. Uma imithi yedwa ingakwazi ukubuyisela amazinga e-oksijeni ukuba ajwayelekile emzimbeni, kungadingeka ukwelapha oksijini .
I-Tachypnea ne-COPD ingase ibe ngenxa yezifo. Ukutheleleka kwamangqamuzana kungabangela umkhuhlane, okwakubangela ukuthi i-tachypnea yezinto eziphilayo zenzeke. Ukwelashwa kwalokhu kuzokwelapha ukutheleleka kunokuba uqondane ngokuqondile ne-tachypnea.
Uma i-tachypnea i-pathological-ngamanye amazwi, uma ukuphefumula okusheshayo okusheshayo akusebenzi ukubuyisela amazinga e-oksijeni / carbon dioxide kanye nokulinganisela kwe-asidi-base yomzimba-khona-ke ukwelashwa okubheke ngqo kwi-tachypnea kungahlolwa.
Isibonelo singaba ne-hyperventilation ngenxa yokukhathazeka. Esikhundleni sokuthuthukisa amazinga e-oxygen / carbon dioxide kanye ne-acid-base balance of the blood, hyperventilation ingenza lokhu kube kubi nakakhulu. Kulesi simo, ukuphatha ukukhathazeka, isibonelo, ngokuphefumula, ukuqondiswa, noma ukuzindla, kungaba yindlela yokwelapha engcono kakhulu. Ukukhathazeka kuvame kakhulu kubantu abane-COPD, futhi lokhu kungasiza ekwenzeni okungalingani okubangelwa isifo samaphaphu.
> Imithombo:
> Han, MK. (Mashi 2016). Imfundo yesineke: Isifo se-Chronic obstructive pulmonary (COPD), kuhlanganise ne-emphysema. (Ngaphandle Kwezinto Eziyisisekelo). Ku: UpToDate, i-Stoller JK (Ed), UpToDate, Waltham, MA.
> Schwartzstein RM, Richards J, Edlow JA. (February 2017) .I-syperrome ye-Yperventilation. Ku: UpToDate, Aronson MD, Hockberger RS (Eds), UpToDate, Waltham, MA.