Dyspnea Expiratory: Ubangela. Inspiratory and dyspnea expiratory

Ukuphelelwa umoya ubhalo expiratory lwenzeka xa bronchospasm. Oku kuphazanyiswa patency of yomoya amancinci. Bronchioles constrict, nto leyo ebangelwa kwindawo efihlakeleyo, kwaye nkcwe inwebu yangaphakathi.

iintlobo odyshek

Ukuphelelwa umoya , oogqirha badla ngokuba dyspnea. It is a ukuphazamiseka komsebenzi yokuphefumla, olwenzeka eziliqela izifo. Dyspnea kungaba inspiratory. Lubonakala yi umpefumlo owazixhamla ngayo. Dyspnea kwenzeka loo hlobo kunye sisifo sentliziyo okanye sisilonda esidumbileyoesingaphakathi ye phecana eliphezulu zemiphunga. Kusenokuba babonakale ngenxa spasm of kwingxinano inyumoniya secretion lwezidumbu, ithumba, ngokuveza lo nokudumba ngokuma mucosal.

ngumphunga Slow, apho ibe weva impempe encinane, umqondiso wokuba ekuqaleni dyspnea expiratory. Oku kwenzeka xa idumbile mucosal nokumfixana bronchioles okanye secretion kubonakala imiqobo angafundisi permeability of bronchi encinane.

Kwakhona, kukho ukuphelelwa olungumxube umoya. Kuyinto eqhelekileyo ukuba ukusilela ezihlasela zosulele ngokuphefumla.

Kufuneka siqonde ukuba dyspnea - inspiratory kunye expiratory - okubangelwa yezizathu ezahlukeneyo. Ngoko ke, ezahlukeneyo neendlela ukuba unyango ezi meko.

Izinto ezibangela ukuphelelwa umoya expiratory

Abantu abanengxaki asthma okanye iphika rhoqo obstructive, sazi iimpawu ihambe ezi zifo. Enye iimpawu zazo eziphambili na imbonakalo dyspnea. Lubonakala yi ngumphunga emxholweni, nto leyo sikhatshwa ikhwelo. Isifuba phantse akazibandakanyi ukuphefumla. Yena kusoloko kukho uphawu kwisikhundla iphefumlelwe.

ukuphelelwa Aspiratory ngumphefumlo uphawu izifo ezifana:

- somoya;

- bronchiolitis okanye bronchitis obstructive;

- efizema lung ezingapheliyo, luphawulwa ilahleko esiqwini luthambe;

- yamathumba le bronchi;

- COPD;

- abanesigulo emiphungeni.

Kwakhona kwenzeka xa hit kwi ngokuma yequmrhu amazwe. Kodwa dyspnea inspiratory kwenzeka xa yimiqobo uqhoqhoqho kunye kwingqula. Kodwa ukuvala nzima le bronchi enkulu kunye noqhoqhoqho njengoko umoya, kunye nokukhupha.

iimpawu uphawu

Kwimeko yokuhlukunyezwa umsebenzi wemiphunga zingenzeka dyspnea expiratory. Xa oku kwenziwe uphefumlela ngokufanelekileyo kunye nokukhupha nzima. Ukukhulula umoya ovela emiphungeni, isigulane kunyanzeleka ukuba wenze umgudu. yomgudu ziqala ukusebenza ngakumbi.

Abaninzi ezikhala iintlungu kwindawo esifubeni. Kusenokwenzeka kwakhona ukuphuhlisa cyanosis komlomo, isikhumba ngokubonakalayo luthuthu. Abantu abanolu hlobo dyspnea sivame ukubila ngokugqithiseleyo. Xa ukuqhubela esikhumba meko ukufumana umthunzi ongwevu, ubuthathaka kwandisa kakhulu.

Ngaphandle kwento yokuba dyspnea expiratory ukuphefumla nzima, isigulana ingaqala ukomiwa. Kodwa dyspnea inokuba engavezwanga. Ngobunzulu izenzo dyspnea iya kuxhomekeka izizathu apho liye lavela, iqonga kwezifo, ubukho isikhohlela.

Ngophuhliso olu hlobo lomoya dyspnea unako ukungena emiphungeni, kodwa ngenxa ukufukuka kunye spasm beendonga inyumoniya, akayi ngokupheleleyo. Le meko idla nzima ukuqokelela yencindi viscous.

iimpawu clinical

Akusoloko lula ukuqonda oko baqalisa ukuba inkathazo uphefumlayo isigulane. Ekuhambeni kwexesha ukuze unikele ingqalelo uze uphawule isiqalo uhlaselo de iingxaki, kuyimfuneko ukwazi iimpawu dyspnea expiratory.

Elinye lamanqaku aphambili apho kufuneka sinikele ingqalelo na ubude kwimveliso. Kwenyusa kakhulu. Kwezinye iimeko mhlawumbi igqithe ixesha ubude inspiratory 2 amaxesha. Umoya ihamba ebalulekileyo nengxabano kwezihlunu. utshintsho iimpawu uxinzelelo intrathoracic abonakale. Oku kungqinwa ngokuthi ewayo kunye nezithuba ukubola intercostal. Kwangaxeshanye emithanjeni entanyeni nomphunga eyahluklleyo.

dyspnea Expiratory na uphawu sombefu. Xa ixesha elide esi sifo ingabonwa kweebhokisi isandi uphawu leyo kwenzeka ngenxa beqokelela umoya kwemfuneko. Ngapha koko, eli intshukumo eliqingqiweyo uvalo. Uya kuqaphela ukuba xa prostukivanii iindawo ezithile esifubeni umda lung isusiwe.

Kodwa kukho ezinye iimpawu dyspnea expiratory, leyo ingabonwa kunye nabantu ngaphandle noqeqesho zonyango. Xa siphefumla, uyakwazi ukuva impempe kukukhanya okanye isandi hlukile kube mnandi (crepitus). Kwezinye iimeko mhlawumbi nokuba aviwe mgama.

iimpawu zesifo

Ngenxa yokuba le dyspnea expiratory luphawu oluthile zizifo zamaphaphu, kubalulekile ukuqonda ukuba esi sifo kufuneka sizimisele.

Umzekelo, ukuba ogulayo bronchitis obstructive, isici uphawu ayikho kuphela uphuhliso ukusilela yokuphefumla, kodwa ukunyuka kweqondo lobushushu. Ukongeza, izigulane kufuneka bubuthathaka okwandileyo, lisuke labuna ulusu, akrozianoz. ngebala oluhlaza livela kwimimandla ekwanti umzimba intliziyo; iminwe neenzwane, iindlebe, imilebe, incam empumlo.

Kodwa ukuba uphawu luphawu lokuba sombefu yayiqale. Ukuphelelwa umoya kwenzeka ngexesha exacerbation expiratory kwesi sifo. Kwiimeko ezininzi, iqala phezu adibane allergen. Esi sifo ngamaxesha athile. Kodwa ukonakala ezinokuthi zenzeke inhalation nomsi icuba okanye ezinye izinto kunye livumba ivuza. Ngamanye amaxesha exacerbation yesifuba ezinxulumene nokonyuka umsebenzi emzimbeni. Amaninzi ukuxhuzula ziqale kusasa okanye ebusuku iiyure.

zokusombulula

Kwezinye iimeko ke kuyimfuneko ukuba kuqhuba isaveyi yezikolo ezizodwa ukuqonda uhlobo dyspnoea. Ingakumbi eyingozi livela ebantwaneni. Abantwana badla dyspnea expiratory iqatshelwe bronchitis obstructive. Kulo mzekelo, kufuneka ufune uncedo esibhedlele. In kwiziko lonyango akakwazi kuphela ukuxilongwa, kodwa ukuze libonelele ngoncedo oluyimfuneko ingcali.

Cacisa uhlobo ukuphelelwa umoya, ungasebenzisa X-ray, ECG, echocardiogram. Kwakhona ubonisiweyo uqhuba isifundo se ubume zerhasi egazini. Ubungakanani kwimiqobo inyumoniya bungabonakala ukuba bathathe imilinganiselo yezixa zezithako kwemiphunga okanye imitha flow eliyincopho ukwenza.

ukunakekelwa predoctor

Ukuba wena okanye umntu bume yakho bathwaxwa ukuhlaselwa sisifo sombefu, kuyimfuneko ukwazi ukuba yintoni enokwenziwa phambi kokufika oogqirha. Okokuqala zonke izigulane ezinjalo kufuneka uhlale phantsi uze uzame ukumbopha. Stress nokuqina kukhokelela ekwandeni izinga lentliziyo kunye nokwanda mpilo kunye nenani kwezondlo. Ngenxa yoko, ukuphelelwa umoya expiratory angaqala ukuphuhlisa ngakumbi.

Igumbi apho isigulane kunye kokuhlaselwa dyspnea, kufuneka umoya kakuhle. Ukongeza, kufuneka ingqalelo ihlawulwe ukufuma. Ukuba yome kakhulu, uyacebiswa ukuba babeke phezu komlilo imbiza okanye iketile ngamanzi, vula isiciko. Kwakhona, ungenza akuxhome iitawuli ezimanzi okanye amaxwebhu.

unyango olufanelekileyo

Ukuba unobangela ukuphelelwa umoya waqala spasm, yi nga ku pfuna ku bronchodilators. Abantu abanengxaki somoya, lisoloko likho kufuneka sibe njengeeinhalers. izigulane ezifana ngexesha lokuhlasela kufuneka asebenzise leykotirenovyh bachasene receptor, izilwa-buhlungu monoclonal, cromones. Ukuba isigulana na ukumisela uthomalaliso efanelekileyo, ngoko ekuhambeni kwexesha oko kunganciphisa uvakalelo dilators inyumoniya (lunezinto ziyekelele izihlunu anencasa ukunceda ukwandisa le mithambo). Ngenxa yoku, isigulane babonakale badla ongalawulekiyo of umoya.

zindlela ingasetyenziselwa spasmolysis njengoko 'Salbutamol', 'Berotek "" Ventolin "," Metaprel "," Fenoterol "," Berodual "" Terbutaline ". Kodwa ngalinye kula amayeza zineziphumo ebezingalindelekanga kunye Izimo. Ngoko ke, ukukhethwa ichiza ekunene kufuneka iphunyezwe kunye nogqirha.

Xa bronchitis, kunye inhalation emiselweyo, kuba sifo sizibonakalisa yi kukuba kukho dyspnea expiratory. ungenelelo Plan nursing kulo mzekelo kukuqinisekisa ukuba kwebhedi ukuphumla nomonde, ulawulo lomsebenzi ebonakalayo nokubonelela inkqubo unyango. Umongikazi kufuneka esweni ukuphunyezwa yonke imiyalelo kagqirha.

amanyathelo othintelo

Kwezinye iimeko, izifo zemiphunga zinokuthintelwa uphuhliso nokuhlutha izinto. Ukuze wenze oku, umele enze izindululo zonyango. Baya ubilisa phantsi koko kufuneka:

- stop ukutshaya kunye nezinye imikhwa emibi, sokuphepha ukutyelela iindawo apho kusenokubakho umsi;

- nciphisa ukunxibelelana ialeji ezinokubakho, kuquka imichiza indlu;

- ukuqhuba yokuqaqadeka, novithamini unyango;

- hlaziya indlela yobomi, ukuze ninikele ixesha elaneleyo lokuphumla ukutya okunesondlo;

- uphuhliso ukusetyenziswa yomoya expectorants;

- xa igciwane kukusebenzisa antibiotics.

Ukubambelela amanyathelo othintelo ekucetyiswa kwaye unyango ngokukhawuleza xa kuthe uhlaselo negalelo yokuba isigulane uyakwazi ukulawula dyspnea. Kubalulekile ukuba sikhumbule ukuba dyspnea expiratory kwenzeka izifo phecana nokuphefumla ngenxa licuthe yomoya encinane. unyango lingaze kufuneka lujoliswe, ukuba imisipha kakuhle.