Kusokonezeka Kwambiri Kumayambitsa Zambiri
Matenda ochepa kwambiri a hypoventilation ali ndi kupuma kovuta pakati pa anthu omwe ali ochepa kwambiri, koma nchiyani chimayambitsa? Mwa kumvetsetsa bwino chifukwa chake chimachitika, mutha kupeza njira zochiritsira zomwe zingayende bwino. N'kofunikanso kuyamikira kugwirizana kwa matenda obisala ogona , zomwe zimagwirizana ndi zizindikiro zowonongeka.
Phunzirani za ubale wofunika kwambiri pakati pa kunenepa kwambiri, kutsekeka kwa kugona tulo, ndi carbon dioxide posungira tulo.
Momwe Kunenepa Kwambiri Matenda a Hypoventilation Amayamba
Obesity hypoventilation syndrome (OHS) imachitika pamene kupuma sikukwanira kuchotsa mpweya woipa m'thupi mwa munthu wambiri. Mwina pangakhale zifukwa zochepa zomwe zimapangitsa zotsatirazi. Pamapeto pake, zotsatira zake zimakhala zofanana, ndipo mavutowa amapangitsa kuti munthu asapume bwinobwino. Izi zikhoza kudziwika poyesa kuchuluka kwa mpweya wa carbon dioxide m'magazi, omwe amakulira pakumuka kwa anthu omwe ali ndi matenda obisala kwambiri a hypoventilation.
Mpweya wa diva ndi chowonongeka chomwe chimachotsedwa m'mapapu kuti titengere mpweya. Pamene kupuma sikukwanira, chifukwa cha zifukwa zosiyanasiyana, izi sizingatheke. M'malomwake, mpweya wa carbon dioxide umakhalabe wofalitsidwa ndipo pang'onopang'ono kumanga.
Zimakhala poizoni ndi zotsatira zoopsa, zomwe zimayambitsa kugona komanso (potsiriza) kupanda kanthu kapena imfa.
Dzina lakuti hypoventilation limatanthauza kupuma mokwanira. Zingatheke ngati mpweya ulibe mphamvu yokwanira kapena ngati sachitika nthawi zambiri. Tangoganizirani kokha kukhala wokhoza kudzaza mapapo anu theka labwino.
Kupuma kwapang'onopang'ono kungachititse kuti zikhale zovuta kuthetsa carbon dioxide ndi kutenga mpweya umene ukusowa kuti ukhalemo. Komanso, kupuma pang'ono kusiyana ndi momwe mukufunira kungakuchititseni kupuma pang'ono. Hyventilation yomwe imayimilira chikhalidwe ichi ikhoza kukhala chifukwa cha kuphatikiza izi. Tsoka ilo, iwo omwe ali osautsika amapeza zofooka izi ziri zopanda mphamvu zawo kuti azigonjetsa.
Udindo Wofunika Kwambiri Wopanda Kugonana
Sizingatheke kuti vutoli limapangitsa kuti matendawa asokonezeke. Ndipotu, kugona kwa mpweya kumachitika pakati pa 85 ndi 92% mwa anthu omwe ali ndi matenda olemera kwambiri a hypoventilation. Izi zikhoza kukhala chifukwa cha njira yofananamo yomwe imayambira komanso kutengera thupi. N'zotheka kuti OHS ikuimira kupopera koopsa kwambiri komwe kumapangitsa kuti kupuma kukhale kovuta kwambiri moti kumayamba kukhala ndi zotsatira zina zamasiku, makamaka kupumira kwa mpweya (kapena dyspnea ) ndi kuyesetsa.
Monga chikumbutso, kupuma kwa mpweya kumachitika pamene mphepo yam'mwamba imakhala yotsekedwa kapena yotsekedwa panthaŵi ya tulo. Kulepheretsa uku kumapangitsa kuti phokoso limveke popuma. Kusokonezeka uku kuli ndi zotsatira ziwiri: Oxygen levels drop when carbon dioxide liphuka.
Ngati zochitika za apnea ndizochepa, thupi lanu limatha kuchira ndipo sipangakhale zotsatira zoyamikira. Komabe, pamene apnea imapezeka kawirikawiri, palibe nthawi yokonza zinthu bwino. Ndondomeko zomwe zikhoza kuwalipira, kuphatikizapo kusintha kuti zithetsedwe pamagazi anu, sizingatheke.
Kupuma Kumakhala Kovuta Kwambiri pa Kunenepa Kwambiri
Kawirikawiri, kuyesetsa kupuma kumakhala kovuta pakati pa anthu omwe ali ochepa kwambiri. Zimakhala zovuta kufalitsa mapapu motsutsana ndi kupanikizika kowonjezereka komwe kumapangitsa kuti thupi likhale lolemera kwambiri. Yerekezerani nokha kuti mukuyesera kuyika buluni ndi udzu. Ndi ntchito yovuta.
Tsopano ikani bukhu lolemera pamwamba pa baluni ndipo yesani chinthu chomwecho. Zimakhala ntchito yeniyeni. Mofananamo, kulemera kwina kwa munthu wochuluka kumakhala kovuta kuti mapapo akwaniritsidwe.
Mapapu amadzaza ndi chithandizo cha mfupa ndi minofu yopuma pambali pa nthiti. Pamene minofuyi imakoka, mapapu amakhala ngati mimba. Anthu ovutika amachepetsetsa kwambiri minofu. Osati kokha akulimbana ndi kutsutsana komwe tafotokozedwa pamwambapa, koma minofu yogwiritsidwa ntchito siilimbika monga momwe iyenera kukhalira.
Zinthu izi zikuphatikizapo ntchito yowonjezera yowonjezereka. Izi zidzatopetsa munthu, kotero kuti pamapeto pake pang'onopang'ono mopuma kapena kupuma pang'ono kumatengedwa. Izi zimabweretsa hypoventilation yomwe imayambitsa matendawa.
Kusintha kwa Thupi Worsens Hypoventilation
Chifukwa cha kupuma kovuta, thupi limayesetsa kusintha. Mwatsoka, ena mwa kusintha kumeneku amachititsa kuti hypoventilation iwonjezeke.
Ubongo umayamba kunyalanyaza chizindikiro cha mpweya wochepa wa oxygen ndi mkulu wa carbon dioxide m'magazi. Zizindikirozi zimayambitsa ubongo kuti thupi lizipuma mofulumira pofuna kuyesetsa zolakwikazo. Pamene matendawa amakhala aakulu, alamu amanyalanyazidwa. Mwamwayi, mankhwala akuwongolera mwamsanga njirayi yowonongeka.
Zimadziŵikiranso kuti anthu olemera kwambiri amakhala ndi mahomoni osaneneka otchedwa leptin . Sizodziwika kuti leptin ingathandize bwanji kusintha kusintha kwa thupi, komabe. Kafufuzidwe pa izi zachititsa umboni wosatsutsika mpaka pano.
Pomaliza, chifukwa mapapu sagwidwa bwino, zotupa za m'munsi zimatha kugwa. Izi zimapangitsa kuti zikhale zovuta kufotokoza magazi omwe amazungulira m'magawo amenewa. Zotsatira zake, mavuto a mpweya ndi mpweya wa carbon dioxide akuchuluka.
Zomwe zimayambitsa vuto la kunenepa kwambiri kwa hypoventilation matenda zimakhala zambiri. Pamapeto pake zimapezeka pamene pali mpweya wosakwanira wa mpweya ndi carbon dioxide. Izi zikhoza kukhala chifukwa cha zofooka zomwe zimaperekedwa m'mapapo ndi kunenepa kwambiri. Palinso ndondomeko yowonongeka ya kugona kwa ubstructive, popeza izi zimasokoneza kupuma kwa usiku zimapangitsa zinthu kukhala zovuta. Ngakhale kusintha kwa thupi kwa thupi kumayamba kulephera. Mwamwayi, pali njira zabwino zothandizira mankhwala zomwe zingathetsere vutoli, kuphatikizapo chithandizo chabwino chapansi.
Zotsatira:
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Mokhlesi, B et al . "Matenda a obesity hypoventilation: kuchuluka kwa anthu odwala matenda obisala ogona." Kugona Breath 2007; 11: 117.
Mokhlesi, B et al . "Kufufuza ndi kutsata kwa odwala omwe ali ndi vuto la kunenepa kwambiri kwa hypoventilation." Proc Am Thorac Soc 2008; 5: 218.
Piper, AJ et al . "Mmene panopa zimakhudzira ubongo wa hypoventilation." Curr Opin Pulm Med 2007; 13: 490.