IBradypnea

Umxholo

• Yintoni unobangela kunye neempawu?
• Iipioids
• IHypothyroidism
• Ityhefu
• Ukwenzakala entloko
• Zeziphi ezinye iimpawu ezinokuhamba ne-bradypnea?
• Zithini iindlela zokhetho zonyango?
• Iingxaki ezinokwenzeka
• Imbonakalo

Yintoni i-bradypnea?

IBradypnea yinqanaba lokuphefumla elingaqhelekanga.

Izinga lokuphefumla lomntu omdala liqhelekileyo phakathi kwe-12 kunye ne-20 yokuphefumla ngomzuzu. Inqanaba lokuphefumla elingaphantsi kwe-12 okanye ngaphezulu kwama-25 okuphefumla ngomzuzu ngelixa uphumle kunokubonisa ingxaki esempilweni.

Amanqanaba esiqhelo okuphefumla kwabantwana ngala:

I-Bradypnea inokwenzeka xa ulele okanye xa uvukile. Ayifani nento efana nokuphefumla, ekuthi xa ukuphefumla kuyeke ngokupheleleyo. Ukuphefumla nzima, okanye ukuphefumla okufutshane, kubizwa ngokuba yi-dyspnea.

Yintoni unobangela kunye neempawu?

Ulawulo lokuphefumla yinkqubo entsonkothileyo. Inkqubo yengqondo, indawo esezantsi kwengqondo yakho, iyimfuneko ukulawula ukuphefumla. Iimpawu zihamba zisuka kwingqondo ngeentambo zomqolo ukuya kwiimisipha eziqinileyo kwaye ziphumle ukuzisa umoya kwimiphunga yakho.

Ingqondo yakho kunye nemithambo yegazi ephambili ineenzwa ezijonga ubungakanani beoksijini kunye nekhabhon diokside egazini lakho kwaye zilungelelanise indlela ophefumla ngayo ngokufanelekileyo. Ukongeza, izivamvo kwiindlela zakho zomoya ziphendula ukolula okwenzeka ngexesha lokuphefumla kwaye zithumele imiqondiso kwakhona kwingqondo.

Unokunciphisa ukuphefumla kwakho ngokulawula i-inhales kunye ne-exles-isenzo esiqhelekileyo sokuphumla.

Zininzi izinto ezinokubangela i-bradypnea, kubandakanya:

Iipioids

Ukuphathwa gadalala kwe-Opioid kuye kwafikelela kumanqanaba eengxaki eMelika. La machiza anamandla ancamathele kwii-receptors kwinkqubo yakho yemithambo-luvo. Oku kunokucothisa ngokuphawulekayo izinga lokuphefumla kwakho. Ukugqithisa kwe-opioid kunokuba yingozi ebomini kwaye kubangele ukuba uyeke ukuphefumla ngokupheleleyo. Ezinye ze-opioid ezixhaphazwa gwenxa zezi:

• Iheroin
• ikhowudi
• hydrocodone
• Imofini
• yioocodone

La machiza anokuba yingozi enkulu ukuba nawe:

• umsi
• Thatha i-benzodiazepines, barbiturates, phenobarbital, gabapentinoids, okanye izixhobo zokulala
• usele utywala
• ube ne-apnea yokulala ephazamisayo
• unesifo esinganyangekiyo semiphunga (COPD), umhlaza wemiphunga, okanye ezinye iimeko zemiphunga

Abantu abangena iipakethe zeziyobisi zezithuthi ezingekho mthethweni (iipakethi zomzimba) banokuba namava e-bradypnea.

IHypothyroidism

Ukuba i-thyroid gland ayisebenzi, unamahomoni athile. Ukunganyangwa, oku kunokucothisa ezinye iinkqubo zomzimba, kubandakanya ukuphefumla. Inokubenza buthathaka izihlunu ezifunekayo zokuphefumla kwaye ikhokelele ekunciphiseni kwamandla emiphunga.

Ityhefu

Ezinye iityhefu zinokuchaphazela umzimba ngokucothisa ukuphefumla kwakho. Umzekelo woku yikhemikhali ebizwa ngokuba yi-sodium azide, nesetyenziswa kwiibhokisi zomoya ezibanceda bakwazi ukunyusa umoya. Ikwafumaneka nakwizibulali zinambuzane nakwizixhobo zokuqhushumba. Xa uphefumlelwe ngamanani amaninzi, le khemikhali inganciphisa zombini inkqubo ye-nervous system kunye ne-cardiovascular system.

Omnye umzekelo yi-carbon monoxide, igesi eveliswa zizithuthi, i-oyile kunye negesi, kunye nabavelisi. Le gesi inokutsalwa ngemiphunga ize iqokeleleke kwigazi, kukhokelela kumanqanaba eoksijini asezantsi.

Ukwenzakala entloko

Ukulimala kufutshane ne-brainstem kunye noxinzelelo oluphezulu ngaphakathi kwengqondo kunokukhokelela kwi-bradycardia (ukunciphisa ukubetha kwentliziyo), kunye ne-bradypnea.

Ezinye iimeko ezinokukhokelela kwi-bradypnea zibandakanya:

• ukusetyenziswa kwamayeza okuthambisa okanye okubulala iintlungu
• ukuphazamiseka kwemiphunga njenge-emphysema, i-bronchitis engapheliyo, i-asthma ebukhali, inyumoniya kunye ne-edema yemiphunga
• iingxaki zokuphefumla ngexesha lokulala, njenge-apnea yokulala
• iimeko ezichaphazela imithambo-luvo okanye izihlunu ezichaphazelekayo ekuphefumlweni, ezinje nge-Guillain-Barré syndrome okanye i-amyotrophic lateral sclerosis (ALS)

Kwisifundo se-2016 besebenzisa iigundane, abaphandi bafumanise ukuba uxinzelelo lweemvakalelo kunye noxinzelelo olungapheliyo kunokubangela ukwehla kwenqanaba lokuphefumla, ubuncinci kwixesha elifutshane. Enye inkxalabo kukuba iqondo eliphantsi eliqhubekayo lokuphefumla linokubonisa ukuba izintso zonyuse uxinzelelo lwegazi lomzimba. Oku kunokukhokelela kuphuhliso lwexinzelelo lwegazi ixesha elide.

Zeziphi ezinye iimpawu ezinokuhamba ne-bradypnea?

Iimpawu ezinokuhamba nokuphefumla okucothayo zixhomekeke kwisizathu. Umzekelo:

• Iiopioids zinokubangela iingxaki zokulala, ukuqhina, ukunciphisa ukuphaphama, kunye nokubamba.
• Ezinye iimpawu ze-hypothyroidism zinokubandakanya ukungakhathali, ulusu olomileyo kunye nokulahleka kweenwele.
• Ityhefu ye-sodium azide inokukhokelela kwiimpawu ezahlukeneyo kubandakanya intloko, isiyezi, irhashalala, ubuthathaka, isicaphucaphu kunye nokugabha.
• Ukubonakaliswa kwi-carbon monoxide kunokubangela intloko, utywala, isifo senhliziyo, ukungaphefumli, kunye ne-coma.

Ukuphefumla okucothayo, kunye nezinye iimpawu ezinje ngokudideka, ukujika luhlaza okwesibhakabhaka, okanye ukulahleka kwengqondo, ziziganeko ezisongela ubomi ezifuna ukhathalelo olukhawulezileyo.

Zithini iindlela zokhetho zonyango?

Ukuba izinga lakho lokuphefumla libonakala licotha kunesiqhelo, jonga ugqirha wakho kuvavanyo olucokisekileyo. Oku kuya kubandakanya uvavanyo lomzimba kunye nokutshekishwa kwezinye iimpawu zakho ezibalulekileyo-ukubetha, ubushushu bomzimba, kunye noxinzelelo lwegazi. Kunye nezinye iimpawu zakho, uvavanyo lomzimba kunye nembali yezonyango ziya kunceda ukumisela ukuba ziyafuneka na iimvavanyo zokuqonda isifo.

Kwiimeko ezingxamisekileyo, ioksijini eyongezelelweyo kunye namanye amanyathelo enkxaso yobomi anokufuneka. Ukunyanga nayiphi na imeko engaphantsi kunokusombulula i-bradypnea. Unyango olunokubakho zezi:

• umlutha we-opioid: iinkqubo zokubuyisa iziyobisi, enye indlela yokulawula iintlungu
• i-opioid overdose: xa ithathwa ngexesha, ichiza elibizwa ngokuba yiNaloxone linokuthintela iisayithi ze-opioid receptor, zibuyise iziphumo ezinetyhefu yokugqithisa
• i-hypothyroidism: amayeza e-thyroid yemihla ngemihla
• Ityhefu: ukulawulwa kweoksijini, unyango lwayo nayiphi na ityhefu, kunye nokubeka iliso kwiimpawu ezibalulekileyo
• ukwenzakala entloko: ukujonga ngononophelo, ukhathalelo lwenkxaso kunye notyando

Iingxaki ezinokwenzeka

Ukuba izinga lakho lokuphefumla liwela phantsi kakhulu ixesha elide, kunokukhokelela ku:

• i-hypoxemia, okanye ioksijini ephantsi yegazi
• i-acidosis yokuphefumla, imeko apho igazi lakho liba ne-asidi kakhulu
• gqibezela ukusilela kokuphefumla

Imbonakalo

Umbono wakho uya kuxhomekeka kwisizathu se-bradypnea, unyango olufumanayo, kunye nendlela osabela ngayo kolo nyango. Ezinye zeemeko ezibangela i-bradypnea inokufuna ulawulo lwexesha elide.