Chizindikiro ichi Chikhoza Kuchita Zochitika Zachikulu mu COPD
Tachypnea ndilo lingaliro lachipatala cha kuwonjezeka kwa mlingo wa kupuma (kupuma). Matenda oyenera kupuma amakhala pakati pa 12 ndi 20 akuluakulu. Chilichonse choposa 20 kupuma mphindi chimatchedwa tachypnea.
Ntchito ya Tachypnea
Kutchedwa kupuma mofulumira, tachypnea imapezeka mwa anthu omwe ali ndi emphysema , mwina chifukwa chakuti alibe oxygen yokwanira kapena akuyesera "kuvulaza" carbon dioxide wochulukirapo (chitayira cha metabolism), chomwe chimakhala m'magazi awo chifukwa cha kuthamangitsidwa kochepa kwa mpweya wotayidwa.
M'mawu ena, tachypnea mwa anthu omwe ali ndi COPD nthawi zambiri amachitidwa ndi mpweya wochepa kwambiri (mpweya wochepa wa oxygen kapena pO2,) umene umapangitsa kupuma msanga, kupuma pang'ono, kapena kutsika kwambiri kwa carbon dioxide (zomwe zimapangitsa kuti mpweya usapume msanga .)
Kuwonjezera pa COPD kukhala ndi okosijeni otsika kapena okwera carbon dioxide, pali njira zina zomwe anthu omwe ali ndi COPD angathe kukhala ndi tachypnea. Mwachitsanzo, malungo okhudzana ndi matenda a mapapo angayambitse tachypnea. Kuwonongeka kwa mtima monga congestive mtima kulephera, komanso kuchepa kwa magazi kungathandizenso kupuma mofulumira, monga momwe mungathe kudera nkhawa ndi dyspnea - ndikudandaula za kupuma bwino ndi kumasula.
Tachypnea vs Other Breathing-Related Terms
Zingathandize kufotokozera mawu pang'ono kuti mumvetse bwino tachypnea. Pamene tachypnea imatanthawuza kupuma mofulumira, hyperpnea imayimirira mofulumira komanso kupuma kwambiri ndipo imachitika nthawi yochita masewera olimbitsa thupi.
Dyspnea amatanthauza kutengeka kwa mpweya wochepa . Ndi dyspnea, kupuma kumakhala kofulumira, kofulumira, kapena koyenera, ndipo kupuma kwakukulu kungakhale kosazama, kozama, kapena koyenera.
Hyperventilation imapuma kwambiri, koma mosiyana ndi hyperpnea, ilibe thupi la thupi m'thupi.
Izi zimapangitsa kuti thupi likhale labwino kwambiri.
Tachypnea monga Chizindikiro cha Matenda Oletsa Kugonjetsa Odwala (COPD)
Tachypnea imapezeka ndi mitundu yonse ya COPD ndipo, pamodzi ndi dyspnea, ndi chizindikiro chofala cha kuchuluka kwa COPD . Mafomu a COPD omwe tachypnea amavomereza amapezeka ndi matenda a bronchitis, emphysema, ndi bronchiectasis.
Matenda a Physiological Tachypnea
Kusiyanitsa kwakukulu koyenera kuzindikila ndi tachypnea mu COPD ndikuti kaya ndizogwirizana ndi zovuta. Awa ndi mawu akulu, koma lingalirolo ndi lophweka kumvetsa. Zachilengedwe zimatanthauza kuti tachypnea ili ndi cholinga. Choncho mwa kuthamanga mofulumira, thupi limakonza zovuta zina. Pachifukwa ichi, ndikofunikira kuthana ndi chifukwa, monga kuchiza tachypnea yekha kungakhale kovulaza.
Mosiyana ndi zimenezi, munthu amatha kupuma mofulumira, zomwe zimakhala zovulaza thupi.
Kuchiza kwa Tachypnea
Chithandizo cha tachypnea ndi COPD chimadalira kuthana ndi chifukwa chachikulu cha matendawa, ndipo ngati chiri chokhudza thupi kapena matenda. Mankhwalawa angaphatikizepo inhalers monga bronchodilators kutsegula mpweya kuti mpweya wabwino ufike bwino ku alveoli ndi carbon dioxide mosavuta.
Steroids ikhoza kuchepetsa kutupa mu airways kumathandiza ndi njira zonsezi. Ngati mankhwala okhawo sangakwanitse kubwezeretsa mpweya wokhala ndi thupi, thupi liyenera kutero.
Tachypnea ndi COPD ingakhalenso chifukwa cha matenda. Matenda opatsirana angayambitse malungo, omwe amachititsa kuti thupi liziyenda bwino. Thandizo la izi likanakhala kulimbana ndi matenda m'malo moyankha molunjika pa tachypnea.
Ngati tachypnea ndi matenda osokoneza bongo, ngati kupuma mofulumira sikugwira ntchito kubwezeretsa mpweya wa okosijeni / carbon dioxide ndi kuchuluka kwa mchere wa thupi-ndiye mankhwala omwe akuyang'anitsitsa pa tachypnea akhoza kuyesedwa.
Chitsanzo chingakhale ndi hyperventilation chifukwa cha nkhawa. M'malo mowonjezera mpweya wabwino wa okosijeni / carbon dioxide ndi asidi-m'munsi mwa magazi, hyperventilation ikhoza kuipitsa izi. Pachifukwa ichi, kuthetsa nkhawa, mwachitsanzo, ndi kupuma, kujambula, kapena kusinkhasinkha, kungakhale chithandizo chabwino kwambiri. Nkhawa imakhala yowonongeka kwambiri kwa anthu omwe ali ndi COPD, ndipo izi zingapangitse kuti zikhale zovuta kwambiri chifukwa cha matenda a m'mapapo.
> Zotsatira:
> Han, MK. (March 2016). Maphunziro a odwala: Matenda osokoneza bongo (COPD), kuphatikizapo emphysema. (Pambuyo pa Zamaziko). Mu: UpToDate, Stoller JK (Ed), UpToDate, Waltham, MA.
> Schwartzstein RM, Richards J, Edlow JA. (February 2017) .Hyperventilation syndrome. Mu: UpToDate, Aronson MD, Hockberger RS (Eds), UpToDate, Waltham, MA.