Khafetsa tebang hema. Tebang hema ngoana

Lekaneng batho ba baholo ho hema sekhahla, ho boikemisetso ba lona phomotse, ke ho tloha breaths 8 ho ea ho 16 ka motsotso. Bakeng sa lesea le ka tloaelo etsa ho fihlela ho breaths 44 ka motsotso.

mabaka a

Khafetsa tebang ho hema le hlaha ka lebaka la ho mabaka ana a latelang:

• serame sa matšoafo kapa tse ling tse ntsa kotsi a tšoaetsanoang matšoafo;
• asma;
• bronchiolitis;
• hypoxia;
• pelo ea ho hloleha;
• e fetang tachypnea ea sa tsoa tsoaloa le;
• shocks;
• chefo tlhaho tse sa tšoaneng;
• lefu la tsoekere mellitus;
• boko bolwetse (ea mantlha: CCT, thromboembolism, bokong vasospasm; mahareng: ho potoloha ha mali pherekano, tuberculous meningitis).

Matšoao a mafu a matšoafo

• matšoafo sekhahla phetoho ka matsapa ka tsela e feteletseng ea mekhatlo matšoafo (tabeng ena, ho na le bokhutšoanyane phefumoloho ha phefumoloho le khutšoanyane haholo) kapa ka tsela e feteletseng slowing hae (mekhatlo matšoafo ke tebileng haholo).
• Fetola morethetho matšoafo: tšoaneng pakeng tsa inhalations le exhalations ka 'na ba e fapaneng maemong a mang ho ba thibela ho hema metsotsoana mekhatlo kapa metsotso e,' me joale ka nchafatsoang.
• Ho hloka kelo-hloko. letšoao ena e sa ka ho toba amana le mathata a ho hema, empa tabeng ea boemo bo tebileng haholo ea mafu a mokuli a matšoafo li etsahale ka boemo ba tsebe letho.

Mefuta e meng ea lefu la matšoafo hore hlaha tebang hema

• Cheyne-Stokes hema.
• Neurogenic hyperventilation.
• Tachypnea.
• Biota phefumoloho.

hyperventilation Central

Ke tebileng phefumoloho (holim'a) le khafetsa (bh fihla mekhatlo 25-60 ka motsotso). Hangata e tsamaea le tshenyo ho midbrain (teng pakeng tsa hemispheres tsa boko le kutu ea eona).

Cheyne-Stokes respiration

Pathological mofuta o mong oa ho hema, tšoauoa phomotse le quickening mekhatlo matšoafo, 'me joale phetoho bona hore e be le ho feta ka ntle feela le sparse ponahalo le qetellong ea khefu ho, ka mor'a moo ka potoloho e pheta hape.

liphetoho tse joalo ka phefumoloho ea hlaha ho tswa ho feteletseng carbon dioxide e maling, e loketseng ho tse ferekanngoa le setsi sa ho hema. Ka bana ba banyenyane ba joaloka ho hema phetoho e ketekoa hangata, 'me ka lilemo makhalo.

Bakuli batho ba baholo, tebang hema Cheyne-Stokes develops e loketseng ho:

• boemo asthmaticus;
• mafu a ho potoloha ha mali bokong (hemorrhage, vascular spasms, setorouku);
• hydrocephalus (hydrocephalus);
• intoxications Genese tse fapa-fapaneng (lithethefatsi overdose, botahoa lithethefatsi, joala, bokoali, lik'hemik'hale);
• sithabela hlooho;
• lefu la tsoekere coma;
• atherosclerosis likepe bokong;
• pelo ea ho hloleha;
• uraemic coma (ka insufficiency renal).

tachypnea

Le bua ka mofuta o mong oa dyspnea. Hema tabeng ena holim, empa morethetho lona e-s'o fetohe. Ka lebaka la ho shallowness ea motsamao o hema develops lekaneng ventilation, ka makhetlo a lieha bakeng sa matsatsi a 'maloa. Hangata ka ho fetisisa ena ho hema a sa tebang le hlaha ka bakuli ba bophelo bo botle le ho sithabela haholo 'meleng kapa ho imeloa kelellong a tšohile. Ho nyamela ka ho felisoa ha mabaka a ka holimo le ho fetoloa le morethetho tloaelehileng. Seoelo develops ka ho ba teng ha pathologies itseng.

biota phefumoloho

Synonyme: atactic phefumoloho. tlōlo ena e tšoauoa ka mekhatlo disordered hema. Ka breaths ena tebileng feta ka tebang ho hema, hill ka ho feletseng ho ba sieo ha ho sisinyeha ho hema. Atactic hema tsamaea le tšenyo e le morao ya bakoang boko.

tlhathoba

Ha mokuli e ka ba le phetoho maqhubu / botebo ba ho hema ka potlako hloka ho bona ngaka, haholo-holo haeba liphetoho tse joalo ba ho kopantswe le:

• Hyperthermia (mocheso);
• hula kapa tse ling tse sefubeng bohloko ha inhaling / exhaling;
• bothata ba ho hema ka;
• pele ho ile ha hlaha tachypnea;
• grayish kapa type genus letlalo, molomo, manala, periorbital sebakeng, marenene.

Bakeng sa fumanoe tsa pathologies tse bakang tebang ho hema, ngaka phethahatsa maloa tsa lithuto tsa:

1. Medical histori le ditletlebo:

• lengolo la ngaka le lintho tse khethollang letšoao (mohlala, fokolang tebang hema);
• etelloa pele ke ponahalo ea ditlolo tsa ketsahalo efe kapa efe ea bohlokoa: ho chefo, ho sithabela;
• lebelo bontshiweng disordered hema ka ketsahalo ea ho lahleheloa ke akheha.

2. Hlahloba:

• boikemisetso ba botebo, hammoho e le maqhubu a hlahisoang ke mekhatlo matšoafo;
• boikemisetso ba boemo ba ka ilibana;
• boikemisetso ba ho ba teng / sieo ha matšoao ea bobe boko (flaccid mesifa, strabismus, ponahalo ea reflexes pathological, profinseng ea barutoana le kamoo ba ileng ba khanya: ntlha (barutoana moqotetsane) hore ba itšoara hampe leseling - le pontso ea ho hlōloa ha bakoang boko, barutoana lohle hore u se ke ua arabela joang khanya - mahareng sesupo sa tšenyo e boko;
• hlahloba ka mpeng sebakeng, molaleng, hlooho, pelo le matšoafo.

3. Analysis mali (palo yohle le Biochemistry), ka ho khetheha boikemisetso ba creatinine le urea, hammoho le oksijene ho tlala.

4. acid e-botlaaseng ho hlophisoa mali (ho ba teng / sieo ha acidification mali).

5. Toxicology: ho ba teng ha / sieo ha dintho tse chefo (meriana, lithethefatsi, tšepe e boima).

6. MRI, CT.

7. Consultation tsa methapo ea kutlo ho.

8. sefubeng area.

9. pulse length oximetry.

10. ECG.

11. Scan matšoafo bakeng sa liphetoho ho ventilation le perfusion ea lekala e.

kalafo

Mosebetsi o ka sehloohong oa phekolo tebang ho hema ke ho felisa sesosa e bakileng ponahalo ea boemo bo fanoeng:

• Detoxification (antidotes Infusion), divithamini C, B, hemodialysis ka uremia (insufficiency renal), 'me ka tabeng ea meningitis - lithibela-mafu / antiviral mahlahana.
• Tlosa edema bokong (diuretics, corticosteroids).
• Ho bolela ho ntlafatsa boko matla (Metaboliki, neyrotrofiki).
• Phetolelo ka mochine o hokeletsoeng ka (haeba ho hlokahala).

mathata

Tebang ho hema ha se ka bohona bakela mathata leha e le efe ka ho teba, empa ka 'na lebisa hypoxia (hypoxia) ka lebaka la ho liphetoho ka morethetho matšoafo. Ke hore, holim 'sa beheng matšoafo tshisinyo, kaha ha ho fana ka ho phalla ka tsela e loketseng ea oksijene ho' mele.

Tebang hema ngoana

E tloaelehileng sekhahla ho hema ke fapaneng bakeng sa bana ba lilemo tse sa tšoaneng. Mohlala, masea a etsa ho fihlela ho breaths 50 ka motsotso, masea tlas'a selemo se le seng - 25-40, ho fihlela ho lilemo tse 3 - 25 (30), lilemo tse 4-6 - ho fihlela ho breaths 25 maemong a tloaelehileng.

Ha lesea lilemo tse 1-3 jarelang mekhatlo tse fetang 35 ho hema, empa lilemo tse 4-6 - ho feta 30 ka motsotso, e joalo e phefumoloho ka bonoa e le ka ntle feela le khafetsa. Leseling le kenella ka hare ho lekaneng palo ea moea, 'me boima ba sona ka sehloohong e bolokoa ka bronchi le trachea ha ba sebetsang e le phapanyetsano khase. Bakeng sa ventilation e loketseng ea ho sisinyeha le ho hema ha hoa lekana.

Ka lebaka la boemo ba sena, bana ba atisa ho utloa bohloko ho tswa ho SARS le Ari. Ho phaella moo, holim 'karolo ea phefumoloho ea isang ntshetsopele ya asma bronchial kapa la bronchitis asthmatic. Hobane batsoali ba lokela ho lula a bale ngaka ho fumana hore na sesosa sa ho fetoha ha maqhubu a / botebo ba respiration ea lesea.

mafu a ka ho eketsehileng joalo liphetoho matšoafo a ka ba ka lebaka la ho se sebetse 'meleng, botenya, mekhoa hunched, e ile ea eketseha khase, meferefere ea mele, ho hloka ho tsamaea, ba satalatsa le lipapali.

Ho feta moo, holim 'karolo e itseng ea phefumoloho ea ka bana ba ka' na ba e loketseng ho prematurity (ho hloka surfactant) Hyperthermia (mocheso) kapa ho imeloa kelellong.

Palpitations bokhutšoanyane phefumoloho hangata ka ho fetisisa develops ka bana pathologies latelang:

• bronchial asma;
• serame sa matšoafo;
• kulisoa;
• pleurisy;
• rhinitis;
• laryngitis;
• lefuba;
• la bronchitis foleng;
• lefu la pelo.

Therapy tebang ho hema, hammoho le ho batho ba baholo, o ikemiseditse ho felisa lisosa tse bakileng. Leha ho le joalo, ho ke ho hlokahala hore ho bontša ngoana ngaka, ho beha ho fumanoe nepahetse behe kalafo e loketseng.

O 'na ha hlokahala hore a bale ditsebi latelang:

• ngaka ea bana;
• pulmonologist;
• mafu a kelello;
• allergist;
• kokelo ea bana cardiologist.