Hanyar da Jiyya na Rawan Cheyne-Stokes
Bayani
Abun hankalin Cheyne-stokes shine alamar numfashi wanda ba shi da kyau, kuma ba abin mamaki bane, ana kira shi "numfashi na numfashi." Ruwa na iya zama mai zurfi da sauri (hyperpnea), sa'annan lokaci na jinkirin motsa jiki mai zurfi, ko kuma katsewa ta hanyoyi na koyaswa, wanda mutum ya dakatar da numfashi gaba ɗaya na tsawon lokaci.
Kodayake Cheyne Stokes numfashi yana iya zama ba daidai ba, yakan sauko a cikin motsi na tsawon lokaci 30 da minti biyu.
Wannan wanda ba daidai ba ne, sau da yawa sau da yawa yanayin yanayin numfashi yana gani a kwanakin ƙarshe da kuma lokutan rayuwa, amma ana iya ganinsa a wasu mutane da ciwon zuciya.
Dalilin
An yi amfani da numfashi na Cheyne-Stokes a lokacin da mutane ke cikin tsarin mutuwa daga kowace cuta tare da ciwon daji. Wannan za a tattauna da farko, amma ka tuna cewa akwai wasu dalilai da aka tattauna a ƙasa, kuma wannan numfashi na iya faruwa a cikin mutanen da ba su da rai.
Cheyne-Stokes Breathing as Part of the Dying Process
Ƙarfin gwauranci na iya faruwa a ƙarshen rayuwa kuma zai iya zama matukar damuwa ga 'yan uwan da ke wurin. Yana da mahimmanci a lura cewa wannan numfashi ba shi da damuwa ga mutumin da yake mutuwa, kuma baya bukatar a bi da ita don dalilai na ta'aziyya. A gaskiya ma, wataƙila wata hanya ne jiki zai biya wani hanya don sauran canji na jiki da ke faruwa a ƙarshen rayuwa.
Kila ku yi mamaki abin da za ku yi tsammani a karshe na mutuwa . A wannan lokacin ba abin mamaki ba ne ga mutane suyi magana akan ganin ƙaunataccena waɗanda suka mutu tun da farko, ko da yake suna nuna damuwa yayin da suke ƙoƙarin bayyana abubuwan da ba za su iya samun kalmomi ba. Mai ƙaunatacce zai iya sanar da kai cewa tana mutuwa a cikin wani " kusan mutuwa " wanda zai iya gaya maka cewa za ta rasa ka kuma ce ta tafi.
Zai iya zama mai raɗaɗi ga wadanda suke mutuwa don yin watsi da maganganun su kamar yadda aka yi wa hallucinations ko kuma a gyara su. Ka yi kokarin saurara a lokacin da ƙaunataccenka ke farka, kuma ka tabbatar da ita cewa ka gaskata ta kuma kaunace ta.
Wasu dalilai na Cheyne-Stokes Breathing
Bugu da ƙari, kasancewar abin da ya faru a ƙarshen rayuwa, ana iya ganin numfashi na Cheyne-Stoke tare da:
- Cushewar zuciya mai rikitarwa - Kullun zuciya yana faruwa a lokacin da zuciya (a matsayin tsoka) ya raunana kuma yana da matsala ƙin jini. Hakazalika da sauran tsokoki, raunin ci gaba yana iya haifar da rashin ƙarfi na zuciya don yin aiki a cikin ƙwayar jini don samar da oxygen da na gina jiki zuwa jikin jikin.
- Kwayar man fetur na man fetur
- Hyponatremia (ƙananan sodium matakin jinin)
- Barci a babban tsawo
- Dama
- Traumatic kwakwalwa rauni
- Wasu magungunan magani kamar morphine
Physiology da Manufar
Ba'a san ainihin dalilin da ya sa wannan irin barci na tsakiya na barci (numfashi wanda yake kulawa da tsarin kulawa na tsakiya) yana faruwa. Rahoton kwanan nan ya kasance cewa numfashi na Cheyne-Stokes na iya zama hanyar da jiki yake biyawa ta wasu hanyoyi, maimakon matsala a ciki da kanta. Ana tsammanin cewa samfurin yin gyaran ciki da tsawa zai iya haifuwa ta farko daga numfashi mai zurfi don kara yawan matakin oxygen zuwa jiki (wanda ya rage yawan nauyin carbon dioxide a cikin jini) sannan ya biyo bayan lokuta na bugun zuciya (ba numfashi) kamar yadda jikin ya biya domin rage yawan carbon dioxide ta hanyar rage numfashi yayin da carbon dioxide a cikin jini yana ƙaruwa.
Cheyne-Stokes Breathing in Crowst Heart Heart failure
Muryar Cheyne-Stokes tana da kyau a cikin mutanen da ke fama da mummunan zuciya kuma an dauke su alamar rashin lafiya, Wannan ya ce, wasu mutane tare da Cheyne-Stokes na numfashi na biyu don rashin ciwon zuciya ya rayu don dogon lokaci.
Jiyya
A cikin shekarun da suka gabata, an gudanar da bincike sosai akan hanyar da za a bi da Cheyne-Stokes. A halin yanzu, ra'ayi yana jingina ne ga gaskantawa cewa wannan jigilar lissafin lissafi ne wanda ba dole ba ne a bi da shi.
Maganin barcin tsakiya na tsakiya kamar wannan numfashi na numfashi zai iya faɗakar da likitoci don nazarin sauran binciken game da rashin nasarar zuciya.
Harkokin maganin oxygen na gida, da kuma ci gaba da kwarjin iska mai iska (CPAP), wasu 'yan maganin da aka yi amfani dashi ga irin wannan barci na barci na tsakiya.
Tarihi
Cheyne-Stokes ko Hunter-Cheyne-Stokes numfashi na farko ya bayyana a cikin shekarun 1800 daga likitoci 2: Dr. John Cheyne da Dr. William Stokes.
Har ila yau Known As: ruguwar jiki, numfashi numfashi
Misalan: Lokacin da mahaifinsa ya tayar da hankalin Cheyne-stokes, Jordan ya kira iyalinsa don ya sanar da su cewa mahaifinsa yana mutuwa.
> Sources:
> Malhotra, A., da J. Fang. Sukan barci cikin numfashin zuciya. UpToDate . Updated 11/02/15. http://www.uptodate.com/contents/sleep-disordered-breathing-in-heart-failure
> Mehra, R., da D. Gottlieb. Shirin Shirin Canji a Jiyya na Ingancin Barci na Tsakiya a Cikin Zuciya. Chest . 2015. 148 (4): 848-851.
> Naughton, M. Cheyne-Stokes respiration: abokin ko maƙiyi? . Thorax . 20112. 67 (4): 357-60.
> Noqueira, R., Panerai, R., Teixeira, M., Robinson, T., da E. Bor-Seng. Hanyoyin Hemodynamic Cerebral Tsarin Cheyne-Stokes Tsuntsar da Cikin Ciki da Cutar. Journal of Stroke da Cerebrovascular Disease . 2017 Mar 14. (Epub gaba da bugu).
> Wang, Y., Cao, J., Feng, J., da B. Chen. Cheyne-Stokes tana jin zafi a lokacin barci: hanyoyin da kuma haɗin kai. Jaridar British Journal of Medicine Hospital . 2015. 76 (7): 390-6.