Cheyne-Stokes: ua, pathogenesis, kev kho mob

Cheyne-Stokes ua tsis taus pa tau txais nws lub npe nyob rau hauv Honor ntawm ob cov kws kho mob. Yuav ua li cas yog lawv cov credit? Lawv thawj hais lub ntiaj teb no hais txog qhov no zoo ntawm txawv txav ua tsis taus pa, kuj hu ua Cheyne-Stokes syndrome. Ua ntej, nws tsis paub txog dab tsi.

Raws li qhov no syndrome tshwm sim?

Ua tsis taus pa ua pa txawv Team sib ntawm uas ib tug shutdown. Nyob rau hauv thawj theem yog ib tug luv luv so, ces los txog rau theem ntawm dyspnea. Nws kav los ntawm ib tug ob peb lub vib nas this rau feeb, thiab chiv muaj heev nyob ntsiag to ntiav ua tsis taus pa, uas yog sai ua ntxaum thiab nrov, thiab nce mus txog lub tseem ceeb heev taw tes rau lub thib tsib rau xya nqus tau pa. Ces nws yog hais txog cov tib decreases. Thaum nws sau ib nyuag nres nyob rau hauv ua tsis taus pa. Thiab yog li ntawd lub voj voog. Cheyne-Stokes ua pa - nws yog heev txaus ntshai.

Periodic ua tsis taus pa tsiaj

Qhov no syndrome tshwm sim ob leeg nyob rau tib neeg thiab nyob rau hauv cov tsiaj, thiab nyob rau hauv lub caij nyoog kawg no ib tug me ntsis ntau tshaj. Nws yog yog li ntawd tsim nyog los them vim cov xim rau lawv. Cov tsiaj tshwm sim qeeb ua pa nce nyob rau hauv amplitude (mus txog ib tug tseem ceeb hyperpnoea) nrog ib tug ntxiv yuav txo tau ntawm lawv kom ncua (apnea). Tom ntej no, pib loj hlob dua ua pa taw. Thiab lawv rov ua tiav apnea, lub caij ntawm uas yog hom twg los ntawm 30 mus rau 45 vib nas this. Tom qab hais tias, txhua yam yog rov qab.

Ua rau lub syndrome, alternating ua tsis taus pa

Qhov no hom ntawm periodic ua tsis taus pa yog feem ntau cai nyob rau hauv cov tsiaj nrog xws li ailments li emission ntawm cov ntshav nyob rau hauv lub medulla oblongata, petechial kub taub hau, tag nrho cov hom ntawm tshuaj lom, uremia. Cov pathology thiab ua kom muaj nws. Cheyne-Stokes ua pa, yog vim li cas uas koj muaj tam sim no lub npe hu, yog ib tug loj ua txhaum uas yuav tsum tau kev kho mob. Thaum lub sij hawm lub tsheb, cov neeg mob tsis yog qhia lawv tus kheej nyob rau hauv qhov chaw los yog kiag li poob nco qab. Txawm li cas los, nws tau txais zoo nrog lub resumption ntawm cov pa. Muaj kuj yog pov thawj ntawm lwm yam txawv txav ua tsis taus pa. Nws yog yus muaj los ntawm tsis tshua muaj neeg intercalary sib sib zog nqus pa, hu ua peaks. Cheyne-Stokes syndrome, nyob rau hauv uas ntawm ib tug khub ntawm cov raug theem ntawm dyspnea cai intercalary ua pa, yog ib lub npe ntawm alternating ua tsis taus pa. Nws tsis tshua muaj tshwm sim. Nruab nrab Cheyne-Stokes ua pa tshwm sim ntau ntau zaus. Thiab nws yog ib qho undeniable fact. Tej zaum kuj muaj yog ib qho txawv txav alternating ua tsis taus pa thaum txhua ob yoj yog ntau ces dag. Qhov no yog heev uas zoo sib xws rau lwm tus kab mob, uas yog, tus alternating kev hloov ntawm lub plawv ua si. Muaj cov lus qhia txog cov kev sib nrig sib hloov rov muaj dua breathlessness kabmob paroxysmal tsuag, thiab Cheyne-Stokes syndrome. Tab sis, Thaj, nws yog ib tug rarity.

pathogenesis

Nws yog ntseeg hais tias Cheyne-Stokes yuav luag ib txwm pib ntsais koj teeb lub hlwb hypoxia thiab lwm yam ailments ntawm lub grey teeb meem, thiab nws week. Nyob rau hauv tas li ntawd, nws yuav tshwm sim nyob rau hauv lub plawv tsis ua hauj lwm thiab uremia. Lub mechanism ntawm tshwm sim ntawm Cheyne-Stokes syndrome tau me ntsis kawm. Tej zaum piav txog nws raws li nram no. Thaum hypoxia tshwm sim inhibition ntawm subcortical lug thiab hlwb ntawm lub cerebral cortex, li no muaj ib tug mas nyob rau hauv ua tsis taus pa, muaj yog ib tug tsis nco qab yog ntxhov ua tau hauj lwm vasomotor chaw. Chemoreceptors tab sis txawm nyob rau hauv xws li ib tug teeb meem no yuav tseem teb mus rau lub tshwm sim hloov nyob rau hauv lub concentration ntawm gases nyob rau hauv cov ntshav. Cheyne-Stokes ua tsis taus pa ua kom muaj ntau mob nyob rau hauv lub cev ntawm tus neeg mob. Thiab nws yog heev txaus ntshai. Yog vim li cas ua pa chaw active dua? Cia li no muaj txhawb rau ib tug ntse nce nyob rau hauv mem tes pob khoom nrog chemoreceptors, ib tug ncaj qha feem rau ib tug tseem ceeb carbon dioxide cov ntsiab lus ntawm cov chaw zov me nyuam, raws li tau zoo raws li incentives los ntawm cov baroreceptors. Tag nrho cov no yog vim lub siab yuav txo tau. Yog li, ua tsis taus pa yog rov qab los. Nws daim ntawv rov ntxiv entails lub oxygenation ntawm cov ntshav, txo lub cerebral hypoxia, raws li zoo raws li kev txhim kho cov kev ua si ntawm neurons nyob rau hauv lub vasomotor chaw.

Rau ntawm no theem, ib tug yuav soj ntsuam ib tug sib sib zog nqus pa, cov clarity nco qab, ib txwm siab, zoo filling ntawm lub plawv. Cua nce, yuav ua tau rau ntau zog oxygen nro nyob rau hauv arterial cov ntshav. Yuav ua li cas tshwm sim rau cov pa roj carbon dioxide? Nws lub hwj chim, on qhov tsis tooj, decreases. Cov dab entail txo cov tshuaj thiab reflex stimulation ntawm kev ua pa chaw, lub lag luam uas pib qeeb, - apnea no tshwm sim.

Cheyne-Stokes kev kho mob

koj yuav tsum tau sau "Theophylline" mus rau hauv cov hlab ntsha nyob rau hauv cov kev tshwm sim ntawm no syndrome. Nyob rau hauv cov ntaub ntawv uas, yog tias ib tug loj npaum li cas ntawm cov tshuaj tsis pab mus rau expansion ntawm lub paj hlwb cov hlab ntsha thiab normalize tus neeg mob lub xeev kev kho mob, koj yuav tsum tau txhaj tshuaj "Metrazol" cov tshuaj uas yuav muaj kev cuam tshuam rau cov pa chaw. Nws muaj peev xwm tiag tiag pab. Thaum tus neeg mob yog phem, nws yog tsim nyog yuav tsum tau nrog nws. Thiab nws yuav tsum tau nco ntsoov hais tias tias tsuas yog ib tug kws kho mob yuav deduce los ntawm qhov tsis muaj hmoo tus mob. Qhov no tsis yog rooj plaub thaum nws yog ua tau kom tiv nrog tus kab mob no rau lawv tus kheej.