Gawo mwa mtundu kulephera kupuma, pathogenesis, zinthu etiopathogenetic

Kupuma kulephera, chamangidwa zochokera gulu la zigawo zambiri - matenda kumabweretsa osauka kuwombola mpweya mu thupi. Chifukwa, magazi wodwalayo ladzala ndi mpweya, izo kufulumizitsa kugunda, mmene ambiri a thupi akasauka kwambiri. Gawo kulephera kupuma nkhani zimayambitsa matenda, makamaka madziwo, mwamphamvu ndi zinthu zina. dokotala anafotokoza mfundo zonsezi ndi anapereka chithandizo zovuta.

Gawo mwa mtundu kulephera kupuma

• Obstructive. Vutolo limachitika chifukwa chakuti zotengera mwapang'ono zokwawa mpweya. Otere amaneneratu n'zotheka vuto la matenda, obstructive m'mapapo mwanga matenda.
• Kutipanikiza mtundu. Kugwirizana ndi utachepa kupuma padziko phapo. Izi angayambe chifuwa chachikulu, chibayo ndi zina matenda ena.
• Osokonezeka.

Gulu la otaya matenda

• Aakulu. Akufotokozera zaka. chifukwa wake ndi matenda amene pang'onopang'ono amakhudza m'mapapo kapena bronchial timachubu, wamanjenje dongosolo kapena minofu. Choyamba ndinawona mu kuwala kwa dyspnea. Kenako, kufupika kwa ukuwonjezeka mpweya, akufotokozera cyanosis, mtima ntchito worsens.
• Pachimake kupuma kulephera. Gawo limanena kuti chloroquine munthu akumverera awonongedwa lakuthwa. Khungu akutembenukira buluu, kuthamanga limatuluka zikuchepa, ndiye monga mwadzidzidzi kugwa. Zizindikiro akukulira mofulumira kwambiri. Pali mavuto a m'maganizo pa maziko a suffocation. zimayambitsa kungakhale choipa, chimfine kapena matenda tizilombo, poisonings.

Gawo kulephera kupuma pa zinthu etiopathogenetic

• Bronchopulmonary. Zimakhala obstructive, mtolo mayamwidwe. Yotsirizira umakula chifukwa cha fibrosis m'mapapo mwanga, thromboembolic malformations.
• Neuromuscular. Mpatuko pa maziko a zosayenera kugwira ntchito kwa minofu, chiwonongeko cha manyuroni galimoto, ndi molekezera mitsempha.
• Centrogenic. Nthawi zambiri anamuona pa kuvulala ubongo, matenda a kutsitsimuka. Ngozi makamaka ndi kuti, kuwonjezera pa kugwira ntchito molakwika ubongo ili mu malo kupuma, wodwalayo loyang'anizana kutha chinenero blockage wa airway magazi, zili m'mimba.
• Torakodiafragmalnaya kumachitika pamene chifuwa choipa, kuphwanya sayenda ake ndi mphamvu.

Malinga ndi zovuta matenda

• Pamene digiri koyamba (choyamba) dyspnea kokha mu mkhalidwe kuchuluka zolimbitsa thupi.
• wachiwiri amakhala ndi dyspnea aakulu pa katundu mwachizolowezi ndi otsika.
• Mlingo wamphamvu lachitatu: kufupika kwa mpweya mu boma lopuma.

Malinga ndi mtundu wa mpweya kuwombola matenda

• Hypoxemic, kuti kumachepetsa mlingo wa mpweya magazi wolumikizira.
• Hypercapnia, nthawi zambiri akufotokozera mu matenda ndi matenda ena.

Pali zinthu zina zomwe zikhoza anamanga gulu la kulephera kupuma. Madokotala muli mitundu yambiri ya matenda, anapatsidwa pathogenesis ake. Mmene izi, diffusive mpweya olekanitsidwa ndi kulephera losanganikirana.