Matenda obanika kutulo - ndichiyani? Obstructive matenda obanika kutulo syndrome

Gulu lalikulu kugona matenda zikuphatikizapo otchedwa matenda obanika kutulo syndrome. Ndichiyani, kumene osati onse. Pamene iye anaonekera munthu wogona kumeneko nyengo yaitali kutha kupuma. zodabwitsazi ndi woopsa kwambiri, chifukwa nthawi zina zingakhale amapha.

Mu mawu ena, apnea ndi amasiya wathunthu olembedwa m'mphuno ndi m'kamwa otaya mpweya chimene chimafika masekondi osachepera khumi ndi anayambitsa mavuto yanjinga pharynx ndi. Pa nthawi yomweyo monga khama kupuma angapulumuke, kapena kwathu kapena kwina.

The mitundu ikuluikulu ya apnea

Pakali pano, Pali mitundu itatu waukulu wa mfundo imeneyi. Izi chapakati, obstructive ndi kusakaniza.

Chapakati apnea limanenedwa ngati kulephera kwa mpweya umayenda chifukwa chakuti zimachitika sikukudziwika dongosolo chapakati mantha amene imayendetsa khama kupuma. Monga ulamuliro, mtundu uwu kumachitika mwa anthu ndi njira mkhutu mu lamulo la kupuma, ndipo anagwirizana ndi kuwonongeka njira kwambiri ndi anatomical conductive wa CNS.

Obstructive matenda obanika kutulo ndi lalikulu, nthawi zambiri kufa chikhalidwe. Nthawi zambiri yodziwika ndi yakuti kukhala kumangidwa kupuma nthawi ya masekondi oposa khumi pa intervals wa nthawi khumi pa ora. Obstructive kapena zotumphukira apnea amakhala ndi toyalana ndi Mpweya mu airway chapamwamba. Chifukwa cha zimenezi, anthu onse mpweya wotuluka tikamapuma mwina sangafikire mapapo, choncho pali mpweya otaya kulephera.

Obwerawa mtundu wa apnea

Obwerawa apnea Amakhala ndi maonekedwe a mitundu onse takambirana pamwambapa. Ambiri, monga momwe deta ambiri a Laboratories kuti tione kugona - ndi obstructive matenda obanika kutulo, koma nthawi anati losanganikirana.
Ambiri a milandu ya obstructive matenda obanika kutulo chifukwa cha kugwirizana zosayenera chapakati mantha dongosolo mwachibale kwa nyemba za minofu kupuma. Zikatero pali minofu dystonia chapakati pakhosi.

Mu matenda obanika kutulo amuna (ndiko kuti, wakhala tafotokozazi) zambiri za nthawi makumi awiri zambiri ikuchokera makumi zaka makumi asanu. Ambiri a anthu akuvutika ndi kunenepa.

mitundu chipatala cha matenda obanika kutulo

Malinga ndi gulu la matenda obanika kutulo, kuwonjezera pa mitundu ya pamwamba ya kugawikana kuti ndi zogwirizana ndi pathogenesis wa syndrome ichi, pali mitundu matenda, wopangidwa mwa njira zotsatirazi:

• ndi matenda obanika kutulo snore zinthu;
• Pickwick syndrome;
• lakuthwa apnea ana (imfa ya nthumbi syndrome) ;
• chapakati hypoventilation;
• Ondine temberero.

Usiku snores akuwonetseredwa omveka bwino, amene amapezeka pa inhalation ndimeyi mpweya kuchepetsa m'kamwa ndi m'mphuno pharyngeal m'deralo.

Otchedwa Pickwickian matenda yodziwika ndi kukhalapo kwa kunenepa, usiku Nthaŵi zina mkonono umasonyeza, polycythemia, ndi hyperemia.

Apnea mu Makanda

Mwadzidzidzi apnea ana ndi chidwi player chiwerengero cha imfa pansi chaka chimodzi. chodabwitsa Izi zimachitika chifukwa cha ndithu wangwiro lamulo kupuma. Monga ulamuliro, izo zimachitika kawirikawiri makanda msanga. Ndipo analumikiza ngati pali catarrhal kutupa ndi kufinya kwa mundawo kupuma.

Chifukwa cha Wagdi makanda ndi underdeveloped chapakati mantha dongosolo ndi angathe kutumikira monga kutenthedwa, chifukwa chimene inasokoneza yachibadwa mode matenthedwe. Pa nthawi yomweyo mu akhanda akufotokozera wosanganiza matenda obanika kutulo, koma maonekedwe ake nawonso chapakati ndi obstructive limagwirira.

Ondine temberero ndi mtundu wa kudwala monga matenda obanika kutulo. Ndichiyani - samadziwika ndi anthu ambiri. zodabwitsazi ndi osowa kwambiri. Mu mawonekedwe kuugwira ya ulamuliro zodziwikiratu kwa mpweya wabwino, choncho mpweya akhoza lizilamuliridwa amangosankha, kuti n'zosatheka akagona. Munthu amagona, lamulo si wonyamulidwa, ndipo pali apnea. Izi nthawi zambiri pamaso pa zotupa, kutupa kapena ubongo osachiritsika monga kuvulala msana, kuwonjezera, njira opaleshoni.

Mawonekedwe chapakati obstructive matenda obanika kutulo

zosinthika imeneyi anthu supine malo zambiri amapezeka anthu ndi mawonetseredwe wofatsa matendawa. Iwo yodziwika ndi apnea obstructive
madandaulo a Nthaŵi zina mkonono umasonyeza zonse ndi tulo masana Komabe, pali polysomnography, palibe kupuma khama syndrome thoracic Anabweza, ndilo khalidwe la zosiyanasiyana chapakati cha matenda. Mankhwala a mtundu wa matenda obanika kutulo n'zosavuta kuzitsatira, ngati njira zofanana n'zotheka kuphunzira kulemba kugona pa kanema, T. E. Pa phokoso imene airway kutsegula aliyense yanthaŵi apnea.

The njira zofunikira zodabwitsazi likhoza kulumikizidwa ndi chakuti pali yimitsira khama kupuma mwa mavuto a pharynx mu malo supine. Komabe, mankhwala oletsa ululu pamalopo zinachititsa kuti mawonetseredwe mwachizolowezi wa matenda obanika kutulo.

Laryngeal mtundu wa matenda obanika kutulo

Izi njira ndi n'kukhala kwambiri kuposa obstructive matenda obanika kutulo. Makamaka fomu iyi kumachitika pamene chapamwamba airway kutsekeka akagona kukhala pambuyo chisokonezo mu innervation wa m'mphako ya zimene zimachititsa kuti mfundo kuti overlaps. Ozungulira odwalawo, anthu amakonda kunena ali Nthaŵi zina mkonono umasonyeza aliyense zachilendo, komanso zizindikiro zina, monga kugona, mutu m'mawa ndi chifunga cha chikumbumtima. Zifukwa akhoza kukhala matenda chapakati ndi zotumphukira.

Usiku laryngeal spasms amapezeka nthawi ndithu chifukwa zimakhudza ntchito mawu zingwe acid amathiridwa. Munthu sangathe kupuma bwinobwino ndi kupuma nthawi yomweyo amakhala likukulira, kenako n'kudzuka zikuchepa. zizindikiro zambiri mpaka mphindi ziwiri kapena zitatu.

Lingaliro la hypopnea

Chotero chodabwitsa ndi chochitika kupuma, amene amakhala ndi tsankho kuchepa m'mphuno ndi m'kamwa Mpweya, komanso kuchepa matalikidwe a osachepera kawiri zovuta ndi kuchepa magazi mpweya peresenti machulukitsidwe atatu, mmene nthawi si masekondi khumi. hypopnea syndrome mwina onse obstructive ndi mtundu chapakati.

Zikhulupiriro zoterezi zimatchedwa amatchedwa matenda wamba kupuma. zopambana izi ndi maziko a ena kudwala wa syndrome ostruktivnogo hypopnea.

Pakali pano, palibe tanthauzo bwino syndrome matenda obanika kutulo. Poyamba, kutanthauzira anali ochokera chokha chiwerengero cha zochitika kupuma paola tulo. Choncho Nthaŵi zina mkonono umasonyeza ndi imodzi mwa singasiyanitsidwe ndi zizindikiro kwambiri khalidwe la obstructive matenda obanika kutulo, komanso yaikulu chinthu choopsya. Komabe, si anthu onse ndi Nthaŵi zina mkonono umasonyeza obstructive matenda obanika kutulo syndrome ndi chiopsezo yatsoka yake kwambiri kuposa a anthu amene si snore.

The kukula kwa matenda obanika kutulo

Komanso, lero pali gulu lina la matenda obanika kutulo, ozikidwa pa choopsa cha. muyezo wake ndi chiwerengero ndi nthawi ya nkhani paola kugona.

Monga ulamuliro, limamutchula madigiri zitatu za matenda obanika kutulo mwamphamvu:

- mawonekedwe wofatsa (ku nkhani zisanu ndi ziwiri pa usiku);

- zovuta pafupifupi (kwa adani makumi awiri ku makumi);

- aakulu (woposa makumi anayi Makanema).

Malingana ndi mtundu wa ntchito mankhwala osiyanasiyana a matenda obanika kutulo. Komanso, pali zofunika kwambiri zovuta ndi nthawi ya ndondomeko machulukitsidwe magazi ndi mpweya ndi matenda okha. Mlingo wa kukula kwa matenda matenda obanika kutulo imawunikidwa ndi akalozera matenda kupuma amene masamu malinga ndi chilinganizo a.

Terms zina kuwunika zovuta matenda obanika kutulo akhoza kukhala magazi mpweya kuukira machulukitsidwe magawo potengera, mlingo wa tulo usiku, ndipo kwambiri - matenda a mtima, imakhudzana ndi kuvutika kupuma.

Tanthauzo la obstructive matenda obanika kutulo

Today n'zotheka kuonetsetsa tanthauzo yonse ya obstructive syndrome matenda obanika kutulo. Ichi ndi mkhalidwe umene munthu ali ambiri kawirikawiri kutha kupuma chifukwa lathunthu kapena tsankho apnea. Izi zikhoza kukhala chifukwa kutha kwa mpweya m'mapapo mwanga, ndipo ngakhale kuti pali kupuma khama, amene yodziwika ndi kukhalapo kwa Nthaŵi zina mkonono umasonyeza, ndi zambiri - kuchepa mpweya magazi ndi kugawikana tulo.

Pali zingaoneke awakenings pafupipafupi ndipo kwambiri masana tulo. Pofuna kudziwa matenda obanika kutulo, imene kupuma n'chosiyana kwambiri ndi boma wabwinobwino, m'pofunika kudziwa ngati izo ziri kwenikweni zochititsa inatenga masekondi osachepera khumi ndi panali nthawi khumi pa ora.

Makamaka obstructive matenda obanika kutulo

Zikavuta kwambiri, zingaoneke usiku oyima mazana asanu kupuma, ndi okwana kutalika kwa maola atatu kapena anayi. Pali n'kofunika mankhwalawa apnea. Kukhalapo ngati matenda kungachititse kuti pachimake ndi aakulu hypoxemia, amene kwambiri kumaonjezera ngozi angathe kudwala matenda oopsa ndipo kumayambitsa arrhythmias mtima, kuti infarction m'mnyewa wamtima, kuti sitiroko ndi imfa ngakhale mwadzidzidzi akagona.

Mu tsiku nthawi anthu akuvutika ndi matenda uyu, pakhala akuukira tulo, kuchulukitsidwa irritability, utachepa tcheru, kuwonongeka kwa potency ndi yaitali mutu. Kuwonjezera kugona ndi matenda oopsa kwambiri mu nyengo ya galimoto, ngati pali chiopsezo ena pa ngozi zapamsewu.

History of apnea

Nthawi yoyambirira chiwonetsero cha matenda obanika kutulo syndrome wakhala anafotokoza mwatsatanetsatane mu 1919. Mu chitsanzo anatitenga achinyamata amene ali onenepa kwambiri ndipo amene lipoti pamaso pa tulo masana. Kale mu 1956, izo anafotokoza boma la kuonetsa zizindikiro ngati kuzindikira monga kunenepa, Nthaŵi zina mkonono umasonyeza usiku, matenda oopsa.

Temberero la syndrome Ondine ndi osowa mtundu wa tulo chapakati apnea. Chimene icho chiri, sadziwa zambiri. Matenda kawirikawiri limodzi ndi hypoxia kwambiri ndi kusintha ntchito ubongo, zomwe zingatithandize kukhala awakenings m'malo pafupipafupi usiku. Komanso, pali milandu kumene kuli apnea anthu ndi kulemera mulingo woyenera thupi ndi kusowa tulo masana.

Zotsatira za matenda obanika kutulo

Kusowa tulo ndi kugona zosiyanasiyana matenda omwe amayamba chifukwa obstructive syndrome matenda obanika kutulo, anthu ndi mphamvu pa tsiku ndi tsiku moyo wawo. Nthawi yomweyo yafupika zokolola, kuchuluka mtengo mankhwala wowonjezera nthawi chodwala ndi zina zotero.

Komanso, apnea (kuti kuli anali anasonyeza kale) akutitsogolera kuti kuchepa kupanga mpweya molumikizana ndi kutsitsa khalidwe la kugona, chifukwa pochititsa kumasulidwa mahomoni nkhawa, amene angadwale zoipazi, kuonjezera kugunda kwa mtima ndi kuyambitsa stagnation za mtima. Komanso apnea kumam'phunzitsa munthu kusokonezeka kwa mphamvu kuposa chifukwa chiopsezo kunenepa ndi matenda a shuga.

Childs, kuchepa lakuthwa mu mlingo wa mpweya mu thupi kungachititse kuti mutu m'mawa, utachepa luso kuganizira, kuganiza mwanzeru, kuphunzira ndi kuloweza chilichonse. Komanso tulo kumabweretsa alili maganizo ndi khalidwe la mtima, komanso ndi mkhalidwe maganizo. Choncho, kusagona kuonjezera kuthekera ngozi pa ntchito ndi pa msewu.

Akulimbana ndi matenda obanika kutulo (chiyani komanso mmene kumenyana nawo, taphunzira taphunzira) komanso anafotokoza ndi mankhwala amakono. Lero, iwo ndi mwachilungamo zovuta kuchiza mfundo zomwe zimadalira osakaniza zifukwa zosiyana, ndi mlingo wa kukula kwa matendawa. Ngati pali Nthaŵi zina mkonono umasonyeza yosavuta mitundu wofatsa wa matenda obanika kutulo, ndi othandiza kwambiri wapadera laser ndi pafupipafupi wailesi njira ya chithandizo cha m'kamwa zofewa ndi uvula. Ndi kwambiri mfundo yofunika kwambiri mu ndondomeko chithandizo imatengedwa opaleshoni ngati kupuma movutikira.