Ucalulo ngohlobo ukusilela yokuphefumla, Pathogenesis, izinto etiopathogenetic

ukusilela yokuphefumla, nto leyo eyakhelwe isekelwe phezu ukuhlelwa izakhi - sisifo olubangela igesi exchange kakuhle emzimbeni. Ngenxa yoko, igazi yomguli Igcwele ioksijini, oko ophilisayo nokubetha kwentliziyo, imeko jikelele umzimba uba bangamahlwempu kakhulu. Ukuhlelwa ukusilela nokuphefumla ingqalelo ezibangela sifo, ingakumbi flow yayo, abawayo kunye nezinye izinto. Ugqirha ushwankathela zonke ezi zinto nesinika unyango ezintsonkothileyo.

Ucalulo ngohlobo ukusilela nokuphefumla

• Obstructive. Oku kuvela ngenxa yokuba iimpahla iingqameko enambuzelayo umoya. Loo urhulumente kunokwenzeka xa iphika, obstructive isifo miphungeni.
• uhlobo Ingqongqo. Okunxulumene lehla ubuso yokuphefumla kwemiphunga. Oku kwenzeka sisifo sephepha, inyumoniya kunye nezinye izifo.
• Mixed.

Ukuhlelwa ukugeleza sifo

• Ezondeleyo. Yenzeka kule minyaka. ibangelwa sisifo esigcina echaphazela imiphunga okanye iityhubhu inyumoniya, i-luvo okanye izihlunu. Okokuqala kubonakala ekukhanyeni dyspnea. Kamva, ukuphelelwa ukunyuka umoya, iphuhlisa cyanosis, umsebenzi intliziyo mandundu.
• ukusilela ezihlasela zosulele ngokuphefumla. Classification ithi kuhlaselo etsolo umntu uziva a nephika elibukhali. Isikhumba Ijika luhlaza, xi liphuma kabukhali, ngoko kanye njengokuba ijika ukuwa. Iimpawu ezikhulayo ngokukhawuleza kakhulu. Kukho abagula ngengqondo kwisiqalo of ukutsarhwa. Oonobangela kuba ukwenzakala, ifiva, okanye izifo egazini, kwetyhefu.

Ukuhlelwa ukusilela nokuphefumla ezintweni etiopathogenetic

• Bronchopulmonary. Kunokuba obstructive, ingqongqo, kwe-. Le yokugqibela ikhula ngenxa yokuba abanesigulo yemiphunga, malformations thromboembolic.
• Neuromuscular. Phuhlisa kwisiqalo eminye ngokungafanelekanga izihlunu, ukutshatyalaliswa luvo iimoto, ke kwalapho.
• Centrogenic. Eyona sivame kakubi kwengqondo, ukuphazamiseka lokuqonda. A ngozi kukuba, ukongeza ekusebenzeni ngokungafanelekanga lobuchopho ibekwe kwiziko yokuphefumla, isigulana lijongene babengayeki ukuvaleka ulwimi igazi ngokuma, imixholo isisu.
• Torakodiafragmalnaya kwenzeka xa ukwenzakala esifubeni, olwaphula ukuhamba kunye nesikhundla.

Ngokutsho ubungqongqo sifo

• Xa isidanga sokuqala (lokuqala) dyspnea waphawula kuphela kwimo eyandileyo eyahlukahlukeneyo.
• Elesibini luphawulwa dyspnea kakhulu ngexesha imithwalo yesiqhelo nezisezantsi.
• I degree onamandla lesithathu: ukuphelelwa ngumphefumlo kwimo yokuphumla ngokupheleleyo.

Ngokutsho uhlobo exchange gas disorder

• Hypoxemic, wehlisa izinga ioksijini egazini yodidi oluphezulu.
• Hypercapnia, nto leyo ngokufuthi ikhula bronchitis kunye nezinye izifo.

Kukho ezinye izinto ezinokuba kwakhiwa uhlobo ukusilela sokuphefumla. Oogqirha kwakhona iintlobo ezininzi zesi sifo, anikwe Pathogenesis wayo. Ukususela kulo mbono, umoya diffusive bebodwa yaye ukusilela mixed.