Iingxaki kunye nokunyangwa kwama-Cheyne-Stokes Respirations
Sibanzi
Ukuphefumula kwe-Cheyne-stokes yindlela yokuphefumla engavamile, kwaye akumangalisi, ngamanye amaxesha kuthiwa "ukuphefumula kwe-agonal." Ukuphefumula kunokuba kunzulu kakhulu kwaye kukhawuleza (hyperpnea), kulandelwa ngamaxesha okuphefumula okungancinci, okanye ukuphazanyiswa ziziqwenga ze-apnea, apho umntu eyeka ukuphefumla ngokupheleleyo ixesha elide.
Nangona i-Cheyne Stokes iphefumula ingase ibonakale ingavumelekile, idla ngokuqhubekayo kumjikelezo ohlala phakathi kwemizuzwana engama-30 nemizuzu emibini.
Le ndlela engavumelekanga, ukuhlala iphefumula ingabonakaliyo kubonakala kwiintsuku zokugqibela kunye neeyure zobomi, kodwa kubonakala nakwezinye abantu abanokukhubazeka kwentliziyo.
Izizathu
Ukuphefumula kwe-Cheyne-Stokes kubonakala ngokuqhelekileyo xa abantu besesimweni sokufa ukusuka nasiphi na ukugula kuquka nomhlaza. Oku kuya kuxoxwa kuqala, kodwa khumbula ukuba kukho ezinye izizathu ezixoxwa ngazo ngaphantsi, kwaye ukuphefumla kungenzeka kubantu abangenakufa.
I-Cheyne-Stokes Ukuphefumula njengengxenye yeNkqubo yokuDela
Ukuphefumula okungaqhelekiyo kungenzeka ekupheleni kobomi kwaye kunokuphazamisa kakhulu amalungu omndeni akhoyo. Kubalulekile ukuqaphela ukuba ukuphefumla akunakukhathazeka kumntu ofayo, kwaye akudingeki ukuba uphathwe ngenjongo yokuthuthuzela. Enyanisweni, mhlawumbi yindlela umzimba uhlawulela ngandlela-thile kwezinye iinguqu zenyama ezenzeka ekupheleni kobomi.
Unokuzibuza ukuba yini enye ongayilindela kwiinqanaba zokugqibela zokufa . Ngeli xesha akuqhelekanga ukuba abantu bathethe ngokuboniweyo abathandekayo abafayo ngaphambili, babonakala bekhungathekile njengoko bezama ukuchaza izinto abangabonakali ukuba bafumane amagama. Umthandana wakho unokukuxelela ukuba uyafa ngohlobo " lokusasaza ukufa " apho unokukuxelela ukuba uya kukukhumbula kwaye uthi uyahamba.
Kungaba buhlungu ngabo bafa ukuba banezimvo zabo zixoshwe njengeengcinga okanye zilungiswe. Zama ukuphulaphula ngexesha lakho elimthandayo livukile, kwaye umqinisekise ukuba uyamkholwa kwaye umthande.
Ezinye izizathu ze-Cheyne- Stokes Breathing
Ukongeza kwinto yokuphela kokuphila, ukuphefumula kwe-Cheyne-Stoke kubonakala nge:
- Ukungaphumeleli kwentliziyo ye-Congestive - Ukungaphumeleli kwentliziyo kwenzeka xa intliziyo (njengesihlunu) iba buthathaka kwaye inzima ukupompa igazi. Ngokufanayo nezinye izihlunu, ukunyamezela okuqhubekayo kunokukhokelela ekuqhubekeni kwentliziyo ukuqhuba ukujikeleza kwegazi ukubonelela i-oxygen kunye nezondlo kwiiseli zomzimba.
- I-carbon carbon monoxide
- I-Hyponatremia (izinga eliphantsi le-sodium egazini)
- Ukulala ephakamileyo
- Stroke
- Ukulimala kwengqondo ebuhlungu
- Amanye amachiza angaphezu kwamanzi afana ne-morphine
I-Physiology kunye nenjongo
Ayaziwa kakuhle ukuba kutheni lolu hlobo lwesifo sokulala esiphakathi (ukuphefumula okujongwa yinkqubo yesantya ephakathi) kwenzeka. Ingcamango yakutshanje yinto yokuba ukuphefumula kwe-Cheyne-Stokes ingaba yindlela apho umzimba uhlawula ngayo ngandlela-thile, kunokuba ingxaki kunye nayo. Kucingelwa ukuba umzekelo wokuxhoma kunye nokuxhoma kungabangela kuqala ukuphefumla okunyusa ukunyusa izinga le-oksijini emzimbeni (okwehlisa izinga le-carbon dioxide egazini) elilandelwa ngamaxesha okuphefumula (kungaphefumli) njengoko umzimba uhlawulela ukunciphisa i-carbon dioxide ngokunciphisa ukuphefumula ngelixa i-carbon dioxide egazini ikhula.
I-Cheyne-Stokes Ukuphulukana kwiNtliziyo Yokwehluleka
Ukuphefumula kwe-Cheyne-Stokes kuqhelekileyo kubantu abaphelelwa yintliziyo yesifo kunye nesicatshulwa esilungileyo sokuthi, abanye abantu abaneCheyne-Stokes baphefumula ngokusweleka kwintliziyo bahlala ixesha elide.
Unyango
Kule minyaka ixabiso elifanelekileyo lophando lwenziwe ngendlela efanelekileyo yokuphatha ukuphefumla kukaCheyne-Stokes. Ngethuba langoku, imbono ixhomekeke ekukholweni ukuba le mpendulo yempembelelo yomzimba engekho imfuneko yokuba ilashwe nganye.
Ukuphefumula kokulala okusemgangathweni okunjalo ukuphefumula okuphazamisayo kungabonisa oogqirha ukuba bahlole ezinye iziphumo malunga nokuhluleka kwentliziyo.
I-home oxygen yonyango, kunye noxinzelelo oluqhubekayo lwe-airway (CPAP), ziinkalo ezimbalwa zeendlela zokonyango eziye zazisetyenziselwa lolu hlobo lwe-apnea yokulala.
Imbali
Ukuphefumula kwe-Cheyne-Stokes okanye i-Hunter-Cheyne-Stokes kuqale kwachazwa kuma-1800 ngabagqirha aba-2: uDkt. John Cheyne noDkt. William Stokes.
Kwaziwa nangokuthi : ukuphefumula kwe-agonal, ukuphefumula ngokukhawuleza
Umzekelo: Xa uyise ehlakulela ukuphefumula kwe-Cheyne-stokes, uJordan wabiza intsapho yakhe ukuba bazise ukuba kubonakala ukuba uyise ufile.
> Imithombo:
> Malhotra, A., noJ. Fang. Ukuphefumula okuphazamisekile ukuphefumula kwentliziyo. UpToDate . Updated 11/02/15. http://www.uptodate.com/contents/sleep-disordered-breathing-in-heart-failure
> Mehra, R., noD. Gottlieb. I-Paradigm Shift kwi-Treatment ye-Central Sleep Apnea In Heart Failure. Esifubeni . 2015. 148 (4): 848-851.
> Naughton, M. Cheyne-Stokes ukuphefumula: umhlobo okanye intshaba? . Thorax . 20112. 67 (4): 357-60.
> Noqueira, R., Panerai, R., Teixeira, M., Robinson, T., no-E. Bor-Seng. Impembelelo ye-Cerebral Hemodynamic ye-Cheyne-Stokes Ukuphefumula kwiMonde kunye neStroke. I-Journal ye-Stroke ne-Cerebrovascular Disease . Ngo-2017 ngoMatshi 14. (uEpub ngaphambi kokuprinta).
> Wang, Y., Cao, J., Feng, J., noBen Chen. Ukuphefumula kwe-Cheyne-Stokes ngexesha lokulala: iinkqubo kunye nokungenelela okunokwenzeka. IBritish Journal of Medicine Hospital . 2015. 76 (7): 390-6.