Astaamaha Tani waxay ku dhacdaa Hawlaha Aasaasiga ah ee COPD
Tachypnea waa ereyga caafimaad ee kor u kaca heerka neefsashada (neefsashada). Heerka neefsiga caadiga ah wuxuu u dhexeeyaa 12 illaa 20 dadka waaweyn. Wax kasta oo ka badan 20 neefsasho daqiiqaddiiba waxaa lagu magacaabaa tachypnea.
Shaqada Tachypnea
Sidoo kale loo yaqaano neefsashada degdegga ah, tachypnea wuxuu ku badan yahay dadka qaba amphysema , sababtoo ah ma helayaan oksijiin ku filan ama waxay isku dayayaan in ay "u daadiyaan" karbondiyoksit ka badan (sheyga qashinka ee dheef-shiid kiimikaad), kaas oo ka dhisay dhiigooda sababtoo ah ka-saaritaan la'aanta hawo nuugay.
Tusaale ahaan, tachypnea ee dadka qaba COPD waxaa badanaa sabab u ah mid aad u hooseeya heerka oksijiinta (cadaadis qayb ka ah oksijiinka ama pO2,) taasoo kicinaysa neefsashada degdegga, neefsashada, ama aad u sarreeya heerka dioxide (taas oo kicinaysa neefsashada degdegga ah ee soodhada .)
Marka laga soo tago COPD oo mas'uul ka ah qulqulka oksijiinta yar ama heerkulka dioxide sareeya, waxaa jira qaabab kale oo ay dadka qaba COPD ay ku dhici karto taakuleyn. Tusaale ahaan, xummad la xidhiidha infakshanka sambabaha ayaa sababi kara taakuumo. Dhibaatada wadnaha sida wadne-istaaga wadnaha, iyo sidoo kale dhiig-yaraanta ayaa sidoo kale wax ka geysan kara neefsashada degdegga ah, sida walaac la xidhiidha dyspnea - oo ka walaacsan helitaanka neefta wanaagsan iyo sii deynta.
Tachypnea vs Waxyaabaha kale ee Neefsashada la Xiriira
Waxay kaa caawin kartaa inaad qeexdo dhowr ereyo si aad si fiican u fahamtid tachypnea. Halka takhaacu uu loola jeedo neefsashada degdegga ah ee degdegga ah, hyperpnea wuxuu u taagan yahay neefsasho degdeg ah oo qoto dheer wuxuuna dhacaa inta lagu jiro jimicsiga dhexdhexaadka ah.
Dyspnea waxaa loola jeedaa dareemida neefsashada gaaban . Daawada dyspnea, sicirka neefsashadu wuxuu noqon karaa mid deg deg ah, gaabis ah, ama caadi ah, iyo qoto dheer ee neefsashadu waxay noqon kartaa mid hooseeya, qoto dheer, ama caadi ah.
Hyperventilation waa neefsasho qoto dheer oo degdeg ah, laakiin liddi ku ah hyperpnea, ma laha shaqeyn jireed jirka.
Xaqiiqadu waxay ka dhigeysaa isu-dheelitirka acid-saldhigga jirka ka sii daraya.
Tachypnea oo ah calaamad muujinaysa Cudurka Cudurka Wadnaha (Chronic Pulmonosterent Disease) (COPD)
Tachypnea waxay ku badan tahay noocyada kala duwan ee COPD iyo, iyo dyspnea, waa calaamadaha caadiga ah ee ka sii daridda COPD . Noocyada COPD ee tachypnea uu ku badan yahay waxaa ka mid ah boronkiitada waayeelka, emphysema, iyo bronchiectasis.
Physiological vs Baaritaanka Tachypnea
Waa mid aad u muhiim ah in la xasuusiyo tachypnea ee COPD waa haddii uu yahay mid jir ahaaneed oo jimicsi ah. Kuwani waa erayo waaweyn, laakiin fikradu waa sahlan tahay in la fahmo. Jidh-jimicsiga waxaa loola jeedaa in tachypnea ujeedo leeyahay. Markaa adoo qaadaya neefsashada degdegga ah, jidhku waxa uu hagaajinayaa waxyaabo kale oo aan caadi ahayn. Xaaladdan, waxaa muhiim ah in lagu daaweeyo sababta asaasiga ah, maadaama daaweynta tachypnea kaliya ay dhab ahaantii noqon karto mid waxyeello leh.
Taa bedelkeeda, tachypnea ayaa lagu arkaa marka qofku yeesho dhakhso ah, neefsasho gacmeed kaas oo waxyeelo u geysan kara jirka.
Daaweynta Tachypnea
Daaweynta tachypnea leh COPD waxay ku xiran tahay sida loo daweeyo sababaha asaasiga ah ee cudurka, iyo haddii ay tahay mid jireed ama jir ahaaneed. Daaweynta waxaa ku jiri kara neefsashad sida boronoojiyeyaasha si loo furo hawo-mareenada u oggolaanaya ogsijiinta in ay si fiican u tagaan alveoli iyo karbiyamka dioxide si fudud loo nadiifiyo.
Steroids waxay hoos u dhigi kartaa bararka hawada hawada si ay uga caawiso labada habab midkood. Haddii daawooyinka kali ah aysan awoodin in ay soo celiyaan heerarka oksijiinta si caadi ah jirka, waxaa loo baahan karaa daaweynta oksijiin .
Tachypnea qaba COPD ayaa sidoo kale laga yaabaa inay sabab u tahay infekshanada. Caabuqyada sanbabadu waxay keeni karaan qandho, taasoo keenta inay keento dhakhtarka jirka. Daaweynta tani waxay noqon laheyd daaweynta infekshin halkii si toos ah looga hadli lahaa taakuumada.
Haddii tachypnea uu yahay pathological - si kale haddii loo dhigo, haddii neefsashadu si deg deg ah u shaqeynayso si loo soo celiyo heerarka oksijiin / karbon dioxide iyo dheelitirka acid-saldhigga jirka-ka dibna daaweynta si gaar ah loogu eego tachypnea waa la isku dayi karaa.
Tusaale ahaan waxay noqon laheyd mid farsamo-darro ah sababtoo ah walaac. Halkii ay hagaajin lahaayeen heerarka oksijiin / karbon dioxide iyo dheellitirka acid-saldhigga dhiigga, dardar-galinta waxay taasi ka sii dari kartaa. Xaaladdan, daaweynta walwalka, tusaale ahaan, neefsashada nasashada, sawir gacmeedka ama fekerka, waxay noqon kartaa daaweynta ugu fiican. Walaaca ayaa aad ugu badan dadka qaba COPD, tani waxay sii kordhin kartaa cilladaha aan fiicneyn ee uu keeno cudurka sambabada.
> Ilo:
> Han, MK. (Maarso 2016). Waxbarashada bukaan-socodka: Cudurka dabaysha ee joogtada ah (COPD), oo ay ka mid yihiin astaamaha. (Marka laga reebo asaasiga). In: UpToDate, Stoller JK (Ed), UpToDate, Waltham, MA.
> Schwartzstein RM, Richards J, Edlow JA. (Feebarwari 2017). In: UpToDate, Aronson MD, Hockberger RS (Eds), UpToDate, Waltham, MA.