Temberero la Ondine - apnea

Kwa zaka zambiri, anthu, kuyesera kuti timvetse ndi mwanjira kufotokoza chinthu chachilendo kwa iwo okha, kuloza udindo iwo milungu, mizimu chilengedwe ndi zina zolengedwa lachinsinsi. Ngakhale masiku ano anthu si nthawi zonse yomweyo kuzindikira kuti temberero la Ondine - kupuma kutha syndrome ndi imfa yadzidzidzi - osati temberero zakale ngakhale zamakono esoteric vuto, matenda chifukwa cha mbali zina za anthu ena. Kodi matenda, mmene kumaonekera ndi ngati inu lingathe? Tidzayensa kuyankha mafunso onse zafotokozedwa m'nkhani ino.

An nthano zakale

Madokotala ndi asayansi mpaka chiyambi cha m'ma XX sanathe kumvetsa kuti ndi zifukwa kuchititsa temberero la syndrome Ondine - kusiya kupuma ntchito yanga tulo, zikubweretsa imfa ya makanda ndi ana aang'ono, ndi akulu a mibadwo yonse.

Dzina la zodabwitsazi anapereka akale German nthano za chikondi mermaids Undine ndi Knight Guldbrandta Ringshtettenskogo. Malinga ndi nthano ino, mtsikana anakana chosafa kuti akhale ndi wokondedwa wakeyo. Patsogolo pa guwa Knight analumbirira mumamukonda mpaka kupuma. Komabe, chikondi cha anthu akulu anadutsa m'malo mofulumira, ndipo anasintha Undine. Chifukwa anafa mermaid - silikudziwika, koma thupi munapezedwa mu madzi a Danube. mwamuna wake kutonthozedwa Guldbrandt wokongola mwamsanga ndipo, kuiwala lumbiro, kumene m'banja. Ondine mzimu sanali kukhululukira oukira ndipo anaonekera kwa Knight, iye wotembereredwa iye, kuchititsa wotchi kukumbukira kupuma. Chifukwa cha zimenezi, Knight sanathe kugona, chifukwa, tulo, iye yomweyo kufa, kuleka kupuma.

Lero lino, madotolo dzina temberero Ondine - apnea syndrome. Mu matenda anthu akagona zimachitika atakomoka ndi kusalankhula kutha kupuma.

Kodi n'chiyani chikuchitikira mtima?

Asayansi amanena kuti aliyense ngakhale kwathunthu anthu athanzi usiku anasiya kupuma masekondi 10-20. Palibe cholakwika, chifukwa ndiye yachibadwa ntchito kupuma wabwezeretsedwa. The chamoyo ndi anthu amene anayambitsa themberero la syndrome Ondine, silingawafike mode "zodziwikiratu" mpweya kulamulira.

Kupuma mosadalira munthu sangakhoze, ndipo pali boma disritmicheskoy hypoventilation, kapena kuposa chabe - awonongedwa. Pankhaniyi thupi wolandira zochepa kwambiri mpweya, imbaenda chisokonezo ndi wonongeka ziwalo mkati ndi kachitidwe.

Chifukwa chiyani?

Kwa zaka zambiri, asayansi ndi madokotala m'mayiko ambiri ayesetsa kuyankha funso la chimene syndrome ndi "temberero la Ondine" ndi kumvetsa zimayambitsa. The yojambula yoyamba kuphunzira matenda lidalengedwa ndi asayansi Sevringausom ndi Mitchell mu theka lachiwiri la XX m'ma chifukwa cha kuphunzira odwala ndi choipa aakulu ubongo chifukwa zomwe anataya ulamuliro basi kupuma anu. Ofufuzawa anali kupeza kuti temberero la syndrome Ondine - mawonekedwe a matenda monga matenda matenda obanika kutulo. Komabe, poyankha funso la chifukwa matenda amakhudza anthu wamba, asayansi alephera.

Mlandu jini?

Mpaka wathu masiku, madokotala sanathe kudziwa zimene zimayambitsa matenda izi. Posachedwapa, asayansi French anatha kupeza "ponena" kusiya kupuma. Iwo anapeza Thox2B mbewu. Choncho, themberero la syndrome Ondine anasonyeza kuti matenda chibadwa, osati cholowa koma akufotokozera mu Ndisanaumbidwe pa nthawi akalandire chithandizo.

Kodi angatipulumutse?

Ngati m'masiku akale, ana ngati syndrome amatipeza kufa, koma lero madokotala angathandize odwala ngati adzapulumuke akula, pogwiritsa ntchito njira zotsatirazi:

• kuphunzitsa chubu mu mmero (tracheostomy) ndi kulumikiza wodwalayo kwa othandizira ;
• tsiku lililonse asanagone kuvala mpweya chigoba pa mwanayo.

madokotala German atulukira njira kuti likhazikike kupuma mungoli stimulator nyemba mu thupi, ndi kulola kuti odwala kutsogolera miyoyo pafupifupi yachibadwa. Akamanena za njira kwagona kuti pa opaleshoni yaing'ono mu mitsempha phrenic ndi anapatsa elekitirodi wapadera, amene nthawi ntchito kupuma akagona.

mankhwala amakono sangathe kupereka mankhwala aliwonse a temberero la syndrome Ondine, chifukwa kulibe panobe.

anthu okhudzidwa

Anakumana ndi matenda aliyense wa ife. Ndipotu, akulu kawirikawiri ndi matenda izi chifukwa losavuta, koma yoopsa kwambiri: m'mbuyomu, odwala chabe sanakhale ndi moyo wamkulu, akufa tulo take. Nthawi zambiri temberero la syndrome Ondine amawapeza mu neonates ndi makanda. Koma wazaka zapakati achikulire anthu, ndipo m'zaka za posachedwapa, ndipo anyamata amadwala mitundu ina temberero Ondine - matenda obanika kutulo syndrome (SAS).

syndrome apnea

Kuwonjezera syndrome Ondine tafotokozazi, pali mitundu ingapo ya matenda obanika kutulo (kupuma matenda pa ntchito kugona):

1. Central.
2. Obstructive kapena zotumphukira.
3. Osokonezeka.

Ambiri a ife sindife ngakhale mosazindikira, mobwerezabwereza ankamenyana ndi matenda tsiku ndi tsiku. Iwo Nthaŵi zina mkonono umasonyeza, yemwe ali mmodzi wa zizindikiro ndi maonekedwe a apnea zotumphukira.

Tiyeni tione mwatsatanetsatane kusiyana matenda a ntchito kupuma tulo tatchulazi.

apnea zotumphukira

Mtundu wa kupuma ntchito matenda - chikhalidwe zoika moyo pachiswe, ndipo amakhala ndi pafupipafupi kwambiri, nthawi zoposa 15 pa ola limodzi, ndi kusokoneza m'malo yaitali ntchito kupuma masekondi oposa 10. Chotero apnea nthawi zambiri ndi chifukwa kuphwanya Ndime ya zikhumbo mitsempha kuchokera pakati pa ubongo minofu nawo kupuma. Ndipotu Nthaŵi zina mkonono umasonyeza chifukwa ndi mbali anatomical ya kapangidwe ka nasopharynx ndi, koma nthawi zambiri mtundu wa matenda - temberero la Ondine - neuropathology, chisokonezo kugwira ntchito kwa dongosolo chapakati mantha (CNS).

view chapakati

Mosiyana ndi zotumphukira, mtundu wa apnea kumachitika chifukwa zosiyanasiyana kusintha pathological mu ubongo chifukwa cha matenda, opaleshoni kapena kupwetekedwa mtima. Pankhaniyi palibe khama kupuma, monga Airways si mphamvu zikhumbo ku chapakati mantha dongosolo.

Obwerawa apnea walandira dzina chakuti mu izi syndrome matenda obanika kutulo zizindikiro za onse mtundu chapakati ndi zotumphukira. Nthawi zambiri, mtundu wa kuphwanya ntchito kupuma opezeka ndi matenda mu chaka choyamba cha moyo wa ana.

zizindikiro zowopsa

Pali zizindikiro, anati mmodzi wa iwo nokha kapena okondedwa anu, nthawi zonse muyenera kukaonana ndi dokotala:

1. Zonse kutopa ndiponso kutopa.
2. Chakhungu chidwi ndi kukumbukira.
3. Matenda tulo, sikuti kudali ngakhale pambuyo tulo yaitali.
4. Zosakhazikika kugona pafupipafupi maso.
5. Nthaŵi zina mkonono umasonyeza.
6. Lekeza m'mawa mutu.

Kuopsa kwa mtundu uliwonse wa apnea ndi usiku thupi sakhala azipuma mokwanira monga zimakhala, ziwalo ndi machitidwe ntchito mode "mwadzidzidzi" chifukwa pamlingo wochepa mpweya, iwo anali kubwera.

Likupangika kwa nthawi yaitali, matenda obanika kutulo syndrome kwambiri kumaonjezera ngozi ya matenda a mtima, endocrine, mantha ndi machitidwe ena a m'thupi.

Kumene ambiri zizindikiro akhoza zimachitika matenda ena, koma ndi bwino kulongosola matenda ndi katswiri.