Txaus rau tus neeg laus ua pa, yog tias nws tau txiav txim siab thaum so, yog los ntawm 8 mus rau 16 ua pa ib feeb. Nws yog ib txwm ua rau tus menyuam mos noj txog 44 ua pa ib feeb.
Yog vim li cas
Nquag ua pa nqus tau tshwm sim vim yog vim li cas hauv qab no:
- mob ntsws lossis lwm yam mob ntsws ntsws;
- mob hawb pob;
- Ybronchiolitis;
- hypoxia;
- lub plawv tsis ua hauj lwm;
- kev hloov pauv tachypnea hauv cov menyuam yug tshiab;
- shocks;
- tshuaj lom ntau yam;
- mob ntshav qab zib mellitus;
- hlwb pathologies (thawj: TBI, thromboembolism, spasm ntawm cerebral hlab ntsha; theem nrab: circulatory disorders, tuberculous meningitis).
Cov tsos mob ua pa
- Hloov pauv hauv kev ua pa: txawm tias qhov nce siab hauv kev ua pa (qhov no, ua pa qis yog pom, thaum exhalations thiab inhalations luv heev), lossis nws qeeb qeeb (kev ua pa ua pa tob heev).
- Hloov pauv hauv kev ua pa ua pa: lub sijhawm nruab nrab ntawm exhalations thiab inhalations tuaj yeem ua tauNtau yam, qee zaum, kev ua pa ua pa nres rau vib nas this lossis feeb, thiab rov pib dua.
- Tsis nco qab. Cov tsos mob no tsis cuam tshuam ncaj qha rau cov teeb meem ua pa, txawm li cas los xij, thaum tus neeg mob mob hnyav heev, muaj teeb meem ua pa tshwm sim hauv lub xeev tsis nco qab.
Cov kab mob ua pa uas tshwm sim los ntawm kev ua pa qis
- Cheyne-Stokes ua pa.
- Hyperventilation neurogenic.
- Tachypnea.
- Biota ua pa.
Central hyperventilation
Qhia tob (ntev) thiab ua pa tsis tu ncua (qhov ua pa mus txog 25-60 txav ib feeb). Feem ntau nrog los ntawm kev puas tsuaj rau lub midbrain (nyob nruab nrab ntawm lub hemispheres ntawm lub hlwb thiab nws qia).
Cheyne-Stokes ua pa
Ib daim ntawv ua pa ntawm kev ua pa, tus cwj pwm los ntawm kev sib sib zog nqus thiab nrawm ntawm kev ua pa, thiab tom qab ntawd lawv hloov mus rau ntau qhov muag thiab tsis tshua muaj, thiab thaum kawg ib ntus, tom qab uas lub voj voog rov ua dua.
Cov kev hloov pauv hauv kev ua pa no tshwm sim vim muaj cov pa roj carbon dioxide ntau dhau hauv cov ntshav, uas cuam tshuam rau kev ua haujlwm ntawm qhov chaw ua pa. Hauv cov menyuam yaus, qhov kev hloov pauv ntawm kev ua pa no tau pom ntau zaus thiab ploj mus nrog lub hnub nyoog.
Nyob rau hauv cov neeg laus, Cheyne-Stokes ua pa tob zuj zus vim yog:
- asthmatic xwm txheej;
- mob plawv hauv lub hlwb (hemorrhages, vascular spasms, strokes);
- Ydropsy (hydrocephalus);
- qaug cawv ntawm ntau yam keeb kwm (tshuaj ntau dhau, lom nrog tshuaj, cawv, nicotine, tshuaj lom neeg);
- TBI;
- mob ntshav qab zib coma;
- atherosclerosis ntawm cerebral hlab ntsha;
- lub plawv tsis ua hauj lwm;
- uremic coma (nrog raum tsis ua haujlwm).
Tachypnea
Hais txog hom ua tsis taus pa. Ua pa nyob rau hauv cov ntaub ntawv no yog superficial, tab sis nws lub suab tsis hloov. Vim yog qhov superficiality ntawm kev ua pa txav, qhov cua tsis txaus ntawm lub ntsws tsim, qee zaum rub rau ob peb hnub. Feem ntau, qhov ua pa qis no tshwm sim hauv cov neeg mob noj qab haus huv thaum lub cev ua haujlwm hnyav lossis lub paj hlwb. Nws ploj mus yam tsis muaj ib txoj hauv kev thaum cov xwm txheej saum toj no raug tshem tawm thiab hloov mus rau hauv ib qho kev sib dhos. Qee zaum tsim tawm tsam keeb kwm yav dhau los ntawm qee qhov pathologies.
Biota ua pa
Synonym: ua tsis taus pa. Qhov teeb meem no yog tshwm sim los ntawm kev ua pa tsis tu ncua. Nyob rau tib lub sijhawm, ua pa sib sib zog nqus tig mus rau hauv qhov nqus pa, cuam tshuam nrog kev ua pa tsis ua haujlwm. Atactic ua pa nrog kev puas tsuaj rau sab nraum qab ntawm lub hlwb.
Diagnosis
Yog tus neeg mob muaj kev hloov pauv ntawm qhov zaus / qhov tob ntawm kev ua pa, koj yuav tsum tau mus ntsib kws kho mob sai sai, tshwj xeeb tshaj yog tias cov kev hloov pauv no suav nrog:
- hyperthermia (siab kub);
- rub lossis lwm yam mob hauv siabthaum nqus tau / exhaling;
- ua tsis taus pa;
- new tachypnea;
- greyish lossis xiav ntawm daim tawv nqaij, daim di ncauj, rau tes, thaj chaw periorbital, cov pos hniav.
txhawm rau kuaj xyuas cov kab mob uas ua rau ua pa qis, tus kws kho mob ua cov kev tshawb fawb:
1. Sau ntawm anamnesis thiab kev tsis txaus siab:
- tshuaj thiab cov yam ntxwv ntawm qhov pib ntawm cov tsos mob (piv txwv li, ua pa tsis muaj zog);
- ua ntej tshwm sim ntawm kev ua txhaum ntawm ib qho xwm txheej tseem ceeb: lom, raug mob;
- nrawm ntawm qhov tshwm sim ntawm kev ua pa tsis zoo thaum tsis nco qab.
2. Kev tshuaj xyuas:
- txiav txim siab qhov tob, nrog rau qhov zaus ntawm kev ua pa ua pa ua haujlwm;
- txiav txim siab theem ntawm kev nco qab;
- txiav txim siab qhov muaj / tsis muaj cov cim qhia ntawm lub hlwb puas (tso qis hauv cov leeg nqaij, strabismus, qhov pom ntawm pathological reflexes, lub xeev ntawm cov menyuam kawm ntawv thiab lawv cov tshuaj tiv thaiv rau lub teeb: pinpoint (qis) cov menyuam kawm ntawv uas cuam tshuam tsis zoo rau lub teeb. - ib lub cim ntawm kev puas tsuaj rau lub hlwb qia; dav cov menyuam kawm ntawv uas tsis hnov mob rau lub teeb - lub cim ntawm kev puas tsuaj rau lub midbrain;
- kuaj lub plab, caj dab, taub hau, plawv thiab ntsws.
3. Kev tsom xam ntshav (kev siv dav dav thiab biochemistry), tshwj xeeb, kev txiav txim siab ntawm qib creatinine thiab urea, nrog rau oxygen saturation.
4. Acid-base muaj pes tsawg leeg ntawm cov ntshav (muaj / tsis muaj acidification ntawm cov ntshav).
5. Toxicology: muaj / tsis muaj tshuaj lom (tshuaj, tshuaj, hnyav hlau).
6. MRI,CT.
7. Neurosurgical kev sab laj.
8. Chest x-ray.
9. Pulse oximetry.
10. ECG.
11. Kev kuaj lub ntsws rau kev hloov pauv hauv qhov cua thiab nqus ntawm lub cev.
Kev kho mob
Thawj qhov tseem ceeb hauv kev kho qhov ua pa qis yog tshem tawm cov laj thawj tseem ceeb uas ua rau pom tus mob no:
- Detoxification (antidotes, infusions), vitamins C, B, hemodialysis rau uremia (lub raum tsis ua hauj lwm) thiab rau meningitis, tshuaj tua kab mob / tshuaj tua kab mob.
- Kev tshem tawm cerebral edema (diuretics, corticosteroids).
- Means kom txhim kho lub hlwb noj zaub mov (metabolism, neurotrophy).
- Hloov mus rau lub tshuab ua pa (yog tias tsim nyog).
Kev nyuaj siab
Ua pa tob rau hauv nws tus kheej tsis ua rau muaj teeb meem loj, tab sis nws tuaj yeem ua rau hypoxia (oxygen starvation) vim muaj kev hloov pauv hauv kev ua pa. Qhov ntawd yog, kev ua pa sab nraud ntawm lub ntsws tsis ua haujlwm, vim tias lawv tsis muab cov pa oxygen rau lub cev.
Ua pa me me
Qhov ua pa ib txwm txawv rau cov menyuam yaus hnub nyoog sib txawv. Yog li, cov menyuam yug tshiab siv sijhawm txog 50 ua pa ib feeb, cov menyuam yaus txog ib xyoos - 25-40, mus txog 3 xyoos - 25 (txog 30), 4-6 xyoo - txog 25 ua pa hauv ib txwm muaj.
Yog tias tus menyuam hnub nyoog 1-3 xyoos ua haujlwm ua pa ntau dua 35, thiab 4-6 xyoo - ntau dua 30 ib feeb, ces qhov ua pa tuaj yeem suav tau.ob qho tib si superficial thiab nquag. Nyob rau tib lub sijhawm, huab cua tsis txaus nkag mus rau hauv lub ntsws thiab nws cov khoom khaws cia hauv bronchi thiab trachea, uas tsis koom nrog kev sib pauv roj. Rau qhov ua pa ib txwm muaj, cov kev ua pa ua pa no tsis txaus.
Raws li qhov tshwm sim ntawm tus mob no, cov menyuam yaus feem ntau raug mob los ntawm tus kab mob ua pa nyuaj thiab mob ua pa nyuaj. Tsis tas li ntawd, ua pa tsis tu ncua ua rau muaj kev txhim kho ntawm bronchial hawb pob lossis mob ntsws asthmatic. Yog li ntawd, cov niam txiv yuav tsum tau hu rau tus kws kho mob kom paub seb vim li cas qhov kev hloov ntawm qhov zaus / qhov tob ntawm kev ua pa ntawm tus menyuam.
Ntxiv rau cov kab mob, xws li kev hloov pauv hauv kev ua pa tuaj yeem yog qhov tshwm sim ntawm hypodynamia, rog dhau, stooping tus cwj pwm, nce roj tsim, lub cev tsis zoo, tsis muaj kev taug kev, tawv tawv thiab kis las.
Ntxiv rau, qhov ua pa nrawm nrawm hauv cov menyuam yaus tuaj yeem txhim kho vim qhov ua tsis tiav (tsis muaj surfactant), hyperthermia (siab kub) lossis cov xwm txheej ntxhov siab.
Kev ua pa nrawm nrawm feem ntau tshwm sim hauv cov menyuam yaus uas muaj cov kab mob hauv qab no:
- bronchial hawb pob;
- pneumonia;
- ua xua;
- pleurisy;
- rhinitis;
- laryngitis;
- tuberculosis;
- chronic bronchitis;
- pab mob ntawm lub siab.
Kev kho rau qhov ua pa ntiav, ib yam li hauv cov neeg laus, yog txhawm rau tshem tawm cov laj thawj uas ua rau nws. Txawm li cas los xij, tus menyuam yuav tsum raug qhia rau tus kws kho mob txhawm rau kuaj xyuas kom raug thiab sau ntawv kho kom txaus.
Tej zaum koj yuav tau sab laj nrog cov hauv qab noCov kws tshaj lij:
- pediatrician;
- pulmonologist;
- psychiatry;
- tsis haum;
- tus kws kho mob menyuam yaus.
