Pafupipafupi osaya kupuma. Osaya kupuma kwa mwana

Mokwanira wamkulu kupuma mlingo phunziro kwa mtima wa ake pa mpumulo, ndi kwa mpweya 8 mpaka 16 pa mphindi. Kwa mwana wakhanda bwinobwino kunyamula mpweya 44 pa mphindi.

zifukwa

Pafupipafupi osaya kupuma kumachitika chifukwa cha zifukwa zotsatirazi:

• chibayo kapena ena kuvulala matenda a m'mapapo;
• mphumu;
• bronchiolitis;
• hypoxia;
• mtima kulephera;
• chosakhalitsa tachypnea wa ana akhanda;
• zodabwitsa;
• chiphe chikhalidwe osiyanasiyana;
• shuga;
• ubongo kudwala (zikuluzikulu: CCT, thromboembolism oziziritsa vasospasm; sekondale: magazi bata tuberculous kakhosi).

Zizindikiro za matenda kupuma

• kupuma mlingo kusintha kapena mathamangitsidwe kwambiri kayendedwe kupuma (mu nkhani iyi, pali kufupika kwa mpweya pamene mpweya ndi waufupi kwambiri) kapena kwambiri liwiro lake (kayendedwe kupuma m'kati mwenimweni).
• Anasintha mungoli kupuma: intervals pakati inhalations ndi exhalations angakhale osiyana zina kusiya kupuma masekondi kayendedwe kapena Mphindi, kenako zongowonjezwdwa.
• Kupanda kutsitsimuka. Chizindikiro chimenechi si n'zogwirizana ndi mavuto kupuma, koma mu nkhani ya matenda oopsa kwambiri a matenda wodwalayo kupuma zidzachitika boma atakomoka.

Mitundu ya matenda ndi kupuma kuti awonekere osaya kupuma

• Cheyne-Stokes kupuma.
• Neurogenic hyperventilation.
• Tachypnea.
• Biota mpweya.

hyperventilation chapakati

Ndi kwambiri mpweya (padziko) ndipo kawirikawiri (bh ukufika kayendedwe 25-60 pamphindi). Kawirikawiri limodzi ndi kuwonongeka kwa midbrain (lili pakati pa hemispheres a ubongo ndi thunthu lake).

Cheyne-Stokes kupuma

Pathological mawonekedwe kupuma, yodziwika recess ndi yofulumizitsa kayendedwe kupuma, ndiyeno kusintha awo mu kwambiri kungotengeka ndi ochepa maonekedwe ndi kumapeto kwa chete kwa, ndipo kenako kayendedwe ka akubwerezedwa kachiwiri.

asinthire mpweya wa chichokera owonjezera mpweya woipa mu magazi, chifukwa amene akusokoneza pakati kupuma. Ana ngati kupuma kusintha anati nthawi zambiri ndi zaka mipita.

Odwala wamkulu, osaya kupuma Cheyne-Stokes akufotokozera chifukwa:

• udindo asthmaticus;
• matenda magazi mu ubongo (kukha mwazi mtima spasms, sitiroko);
• hydrocephalus (hydrocephalus);
• intoxications Genesis zosiyanasiyana (mankhwala ambiri osokoneza, kuledzera mankhwala, mowa, fodya, mankhwala);
• mwakayakaya mutu;
• ashuga chikomokere;
• atherosclerosis ziwiya oziziritsa;
• mtima kulephera;
• uraemic chikomokere (mu insufficiency aimpso).

tachypnea

Zimatanthauza mtundu wina wa dyspnea. Kupuma mu nkhani iyi pamwamba, koma mungoli yake sanasinthe. Chifukwa shallowness kayendedwe kupuma akufotokozera osakwanira mpweya wabwino, nthawi kuchedwa kwa masiku angapo. Nthawi zambiri izi kupuma osaya amapezeka odwala wathanzi ndi nkhawa kwadzaoneni m'thupi kapena maganizo mantha. Izo Mwamsanga ndi kuwonongedwa kwa zinthu zakumwamba ndi n'kukhala ndi mungoli yachibadwa. Kawirikawiri akufotokozera pamaso pa pathologies ena.

biota mpweya

Lofanana: atactic mpweya. kuphwanya Izi amakhala ndi magulu disordered kupuma. Mu mpweya mwakuya pochitika mu osaya kupuma, likukulira kusapezeka kayendedwe kupuma. Atactic kupuma limodzi ndi kuwonongeka kumbuyo kwa tsinde ubongo.

diagnostics

Ngati wodwala ali iliyonse kusintha pafupipafupi / akuya kupuma kuyesetsa panopa kuti dokotala, makamaka ngati kusintha amenewa pamodzi:

• Hyperthermia (kutentha);
• kukoka kapena zina chifuwa ululu pamene wina akapuma / exhaling;
• movutikira;
• choyamba adanyamuka tachypnea;
• grayish kapena bluish khungu, milomo, misomali periorbital dera m'kamwa.

Kwa matenda a pathologies amene amayambitsa osaya kupuma, dokotala akuchita maphunziro ambiri a:

1. Medical mbiri ndi madandaulo:

• mankhwala ndi makhalidwe a chisonyezo (mwachitsanzo, ofooka osaya kupuma);
• yoyamba maonekedwe a kuyan'anila za Mulimonse kwambiri: ndi poizoni, zoopsa;
• liwiro anasonyeza disordered kupuma mwambo imfa ya chikumbumtima.

2. Yang'anani:

• Khama la kuya, komanso pafupipafupi opangidwa ndi magulu kupuma;
• Khama la mlingo wa chikumbu mtima;
• motsimikiza pamaso / pakalibe zizindikiro za kuvulala ubongo (flaccid minofu, strabismus, maonekedwe a bongo pathological, boma la ana ndi akamva kuwala: mfundo (ana yopapatiza) kuti anatani bwino kuwala - chizindikiro cha kugonjetsedwa kwa tsinde ubongo, ana lonse kuti samva kuti kuwala - sekondale umboni wa kuwonongeka kwa bongo;
• Kuphunzira m'mimba dera khosi, mutu, mtima ndi mapapo.

3. Analysis magazi (okwana ndi sayansi), makamaka mtima wa creatinine ndi urea, komanso mpweya machulukitsidwe.

4. asidi-m'munsi zikuchokera magazi (pamaso / pakalibe acidification magazi).

5. Toxicology: pamaso / pakalibe poizoni (mankhwala, mankhwala, zitsulo).

6. Kujambula, CT.

7. Kufunsa wa neurosurgeon lapansi.

8. likasa m'deralo.

9. Kugunda oximetry.

10. ECG.

11. Jambulani mapapo kusintha mu mpweya wabwino ndi perfusion wa limba ndi.

chithandizo

Ntchito yaikulu ya mankhwala osaya kupuma kuchotsa muzu imene inachititsa maonekedwe a chikhalidwe wapatsidwa;

• Detoxification (ZINGATHANDIZE kulowetsedwa), mavitamini C, B, hemodialysis mu uremia (insufficiency aimpso), ndi vuto la matenda oumitsa khosi - mankhwala / mavairasi oyambitsa wothandizira.
• Kuchotsa edema oziziritsa (okodzetsa, corticosteroids).
• Zikutanthauza kuti kuwongolera ubongo mphamvu (Metaboliki, neyrotrofiki).
• Translation pa makina othandiza (ngati n'koyenera).

zosokonezeka

Osaya kupuma mwa iko kokha chifukwa mavuto alionse kwambiri, koma zingachititse kuti hypoxia (hypoxia) chifukwa kusintha mungoli kupuma. Ndiko kuti, padziko wosabereka kupuma zoyenda, chifukwa sasamalira kuyenda kwa bwino kwa mpweya wa thupi.

Osaya kupuma kwa mwana

The yachibadwa mlingo kupuma ndi osiyana ana a misinkhu yosiyanasiyana. Mwachitsanzo, makanda amapanga ndi mpweya 50 pa mphindi, ana pansi chaka chimodzi - 25-40, mpaka zaka 3 - 25 (30), zaka 4-6 - kuti mpweya 25 zinthu zachilendo.

Ngati mwana zaka 1-3 amanyamula kayendedwe zoposa 35 kupuma, koma zaka 4-6 - oposa 30 pa mphindi, ngati mpweya Tingaone kuti kungotengeka pafupipafupi. M'kuunika likulowerera osakwanira kuchuluka kwa mpweya, ndi unyinji waukulu ndi anapitiriza mu bronchi ndi trachea sali nawo kuwombola mpweya. Chifukwa mpweya woyenera kayendedwe kupuma sikokwanira.

Chifukwa cha chikhalidwe ichi, nthawi zambiri ana amavutika SARS ndi ARI. Komanso, pamwamba mbali ya mpweya amatsogolera kuti chitukuko cha mphumu bronchial kapena chifuwa cha mphumu. Chifukwa makolo ayenera nthawi zonse dokotala kudziwa chifukwa cha kusintha pafupipafupi / akuya kupuma kwa mwana.

matenda Komanso ngati kusintha kupuma mwina chifukwa wongokhala, kunenepa, zizolowezi hunched, kuchuluka mafuta, chisokonezo cha kaimidwe, kusowa kuyenda, kuumitsa ndi masewera.

Komanso, pamwamba gawo la mpweya wa ana angathe chifukwa prematurity (kusowa surfactant) Hyperthermia (kutentha), kapena nkhawa.

Palpitations kupuma movutikira zambiri akufotokozera pa ana pathologies zotsatirazi:

• bronchial mphumu;
• chibayo;
• chifuwa;
• pleurisy;
• rhinitis;
• laryngitis;
• chifuwa chachikulu;
• chifuwa;
• matenda a mtima.

Therapy osaya kupuma, komanso akuluakulu, umalimbana ndi kuthetsa zimayambitsa zomwe zinatipangitsa izo. Mulimonsemo, m'pofunika kusonyeza mwana dokotala, kuwongola matenda lolondola ndi mankhwala chithandizo choyenera.

Mukhoza kufunsa za akatswiri zotsatirazi:

• dokotala;
• pulmonologist;
• zamaganizo;
• allergist;
• Dokotala cardiologist.