Kakawanda kudzika kufema. Kudzika kufema mwana

Yakakwana akura zvazvingava kufema, pasi Kutsunga ayo panguva zororo, inobva 8 kusvika 16 kundosvikira paminiti. Nokuti mwana anowanzoita kutakura 44 kundosvikira paminiti.

zvikonzero

Kakawanda kudzika kufema kunoitika nokuda kwezvikonzero zvinotevera:

• nemabayo kana zvimwe kukuvara rwarisa bapu;
• asima;
• bronchiolitis;
• hypoxia;
• mwoyo kutadza;
• zvinopfuura tachypnea of achangoberekwa;
• ukapisa murwi;
• Kusvibisa siyana nechisikirwo;
• chirwere cheshuga mellitus;
• uropi zvokurwara (chikuru: CCT, thromboembolism, chepfungwa vasospasm; yechipiri: kweropa chinovanetsa, tuberculous yomumuzongoza).

Zviratidzo kufema zvirwere

• respiratoria shanduko kana kunyanyisa kumhanyisa kuti kufema kufamba (iyi, pane kupfupika mweya kana mweya uye pfupi chaizvo) kana kunyanyisa tava kuderera ake (kufema fambisa yakadzika kwazvo).
• Kuchinja kufema mutinhimira: zvikamu pakati inhalations uye exhalations zvingasadaro mune zvimwe zviitiko kumira kufema kufamba mumasekonzi kana maminitsi, uye ipapo Renewable.
• Kushaya pfungwa. chiratidzo ichi hakunei zvakananga nezvinetso kufema, asi pane zvakaitika chaizvo nemamiriro murwere kufema zvinetso kuitika mune imwe chavanoziva ezvinhu.

Marudzi kufema zvirwere kuti kuonekwa kudzika kufema

• CHENIC-Stokes kufema.
• Neurogenic hyperventilation.
• Tachypnea.
• Biota mweya.

Central hyperventilation

Zviri befu (pamusoro) uye kakawanda (bh inosvika 25-60 kufamba paminiti). Kazhinji achiperekedzwa kuvadza midbrain (riri pakati hemispheres uropi uye nehunde yawo).

CHENIC-Stokes afemeruke

Pathological chimiro kufema, inozivikanwa rusesi uye rokumuka kufema kufamba, uye ipapo avo yokuchinjira zvikuru zvachero uye sparse chitarisiko uye pakupera ari kumbomira, pashure iyo kutenderera inodzokororwa zvakare.

kuchinja kwakadaro mune mweya muka kubva zvakawandisa carbon dioxide inobvisa muropa, nokuda iyo kwakakanganiswa ari kufema centre. In vana vaduku vakaita chinofema shanduko iri kuchengetwa kakawanda, uye pamwe zera pemipata.

In varwere mukuru, kudzika kufema CHENIC-Stokes nezvechinhu nokuda:

• chinzvimbo asthmaticus;
• kweropa zvirwere muuropi (ropa, vascular kurwadza kwacho, sitiroko);
• hydrocephalus (hydrocephalus);
• intoxications siyana Genesisi (zvinodhaka ovhadhozi, zvinodhaka kudhaka, doro, chikakananda, kemikari);
• musoro kunotevera;
• shuga chaanoziva;
• atherosclerosis pamusoro chepfungwa midziyo;
• mwoyo kutadza;
• uraemic chaanoziva (mu renal insufficiency).

tachypnea

Rinoreva imwe mhando dyspnea. Kufema iyi pose, asi ayo mutinhimira hakuna kushanduka. Nokuda shallowness ari kufema kufamba anova kukwana kufefetedza, kunonoka nguva kwemazuva mashomanana. Kakawanda izvi kufema shoma kunoitika Varwere hwakanaka kwazvo chaiko mupfungwa kana kusagadzikana kunetseka. It haazombotaurwi chete kubviswa pamusoro zvinhu uye dzikwanise hwandaiva mutinhimira. Kashoma ikabuda pamberi zvimwe pathologies.

Biota mweya

Fanano: atactic mweya. kukanganisa uku kunoratidzwa disordered kufema masangano. In ichi zvakadzama kundosvikira kuyambukira kudzika kufema, inoratidza kusavapo kufema mapato rakakwana. Atactic kufema achiperekedzwa kukuvadzwa kumashure uropi hunde.

Diagnostics

Kana murwere ane kakawanda kuchinja / kudzika chinofema achidisa kuona chiremba, kunyanya kana kuchinja kwakadaro ikashandiswa pamwe:

• Hyperthermia (kupisa);
• kudhonza kana mamwe marwadzo bhokisi kana Kufema / exhaling;
• arikutadza kufema;
• kutanga akasimuka tachypnea;
• grayish kana rinokwanisa kucheneruka ganda, miromo, zvipikiri, periorbital nharaunda, matadza.

Nokuti nechirwere pamusoro pathologies kuti kukonzera kudzika kufema, chiremba anoita nhamba yezvidzidzo:

1. Nhoroondo Medical uye zvichemo:

• mushonga uye maitiro chiratidzo (semuenzaniso, simba kudzika kufema);
• pashure kuonekwa kutyorwa chero chiitiko chinokosha: kuti chepfu, kunotevera;
• Kasira vanoratidza disordered kufema iri huye kurasikirwa chavanoziva.

2. Cherechedzai:

• Kutsunga kudzama, uyewo kakawanda zvinoberekwa kufema masangano;
• Kutsunga padanho pfungwa;
• Kutsunga kuvapo / kusavapo zviratidzo kukuvara uropi (flaccid tsandanyama, strabismus, kuvapo pathological hunenge, mamiriro vadzidzi vavo pavakanzwa chiedza: pfungwa (yakamanikana) vadzidzi kuti sei havaratidzi kuti chiedza - chiratidzo kukundwa uropi hunde, rakafara vadzidzi kuti handifaniri kuti chiedza - yechipiri chinoratidza uropi;
• pakuongorora abdominal nzvimbo, mutsipa, musoro, mwoyo nemapapu.

3. Analysis ropa (zvachose uye nemakemikari omuviri), zvikuru kutsunga creatinine uye urea, uyewo okisijeni saturation.

4. asidhi-chawo Zvinoumba ropa (kuvapo / kusavapo ropa acidification).

5. Toxicology: kuvapo / kusavapo zvine chepfu (mishonga, zvinodhaka, inorema simbi).

6. MRI, CT.

7. Consultation of neurosurgeon.

8. Chest nzvimbo.

9. Pulse oximetry.

10. ECG.

11. Scan mapapu kuti kuchinja kufefetedza uye perfusion kunoitwa nhengo.

mabatiro

The chikuru Basa kudzika kufema mishonga iri kubvisa honzeri kuti akakonzera nezve kupiwa ezvinhu:

• Detoxification (mushonga aizomupa), mavhitaminzi C, B, hemodialysis mu uremia (renal insufficiency), uye kana yomumuzongoza - mishonga / antiviral nevamiririri.
• Kubviswa chepfungwa edema (diuretics, corticosteroids).
• Zvinoreva anatsiridze uropi simba (Metaboliki, neyrotrofiki).
• Translation uri ventilator (kana zvakakodzera).

yematambudziko

Kudzika kufema haisi pachakwo kukonzera chero matambudziko zvakakomba, asi zvingaita kuti hypoxia (hypoxia) nokuda nokuchinja kufema mutinhimira. Ndiko, pose isingabereki kufema inofamba, sezvo haripi zvakakodzera chokubuda okisijeni kumuviri.

Kudzika kufema mwana

Inowanzotorwa zvazvingava kufema kwakasiyana vana vemazera akasiyana. Somuenzaniso, vacheche vanoumba kuti mweya 50 paminiti, vacheche pasi gore rimwe - 25-40, kusvikira 3 years - 25 (30), makore 4-6 - kusvika 25 kundosvikira chaiye ezvinhu.

Kana mwana 1-3 makore anotakura anopfuura 35 kufema kufamba, asi 4-6 makore - anopfuura 30 paminiti, kwakadaro mweya anogona kuonekwa sezvo asingafungi uye kakawanda. Muchiedza chinopinda iri kushomeka huwandu mhepo, uye murwi wayo chikuru iri rakaramba muna principales uye trachea havasi kuitawo gasi exchange. For zvakakodzera kufefetedza ari kufema kufamba hakuna kukwana.

Somugumisiro ichi, vana vanowanzotambura kubva SARS uye Ari. Uyezve, pose chikamu mweya kunotungamirira chitange Árbol asima kana asthmatic bronchitis. Nokuti vabereki vanofanira nguva dzose bvunza chiremba kuti aone chakakonzera kuchinja kakawanda / kudzama afemeruke kwemwana.

Uyezve zvirwere kuchinja kufema kwakadaro kunogona kuva nokuda nokusarovedza muviri, kufutisa, hunched tsika, wakawedzera gasi, nenyonganiso kuti mamiriro, kushaya kufamba, kuomesa uye zvemitambo.

Uyezve, pose mugove kufema vana zvingamuka nokuda Prematurity (kushaya surfactant) Hyperthermia (kupisa) kana kunetseka.

Palpitations kupfupika mweya kazhinji ikabuda vana zvinotevera pathologies:

• Árbol asima;
• nemabayo;
• Kurwara;
• pleurisy;
• rhinitis;
• laryngitis;
• tiibhii;
• chisingaperi bronchitis;
• mwoyo chirwere.

Zvipatara kudzika kufema, uyewo vakuru, nechinangwa kubvisa zvinokonzera kuti akaita. Chero zvazvingava, zvakakodzera kuratidza mwana chiremba, pakururamisa yakarurama zvokuongorora uye taurira zvakakodzera kurapwa.

Ungafanira kubvunza zvinotevera vanachiremba:

• wevana;
• pulmonologist;
• chiremba wepfungwa;
• allergist;
• chiremba cardiologist.