Kutuka Ondine - kufema

Kwemazana emakore, vanhu, kuedza kunzwisisa uye kuti zvimwe kutsanangura chinoshamisa pachavo, kuchinja basa kuti vanamwari, hunhu midzimu uye nezvimwe zvisikwa rakavanzika. Kunyange nhasi vanhu havasi pakarepo kuti chituko Ondine - chinofema kumbomira chirwere uye kufirwa - kwete zvimwe kutukwa yekare kana ano esoteric dambudziko, chirwere kunokonzerwa zvimwe zvaidiwa nevamwe vanhu. Chii chirwere ichi, sei chinoratidza pacharo uye kana iwe unogona kugadzirisa here? Tichaedza kupindura mibvunzo yose yakabvunzwa munyaya ino.

An ngano

Doctors uye masayendisiti kusvikira pakutanga XX remakore vasingagoni kunzwisisa chii ndizvo zvikonzero kukonzera kutuka Ondine chirwere - kurega kufema hope dzangu basa, zvichiita kuti rufu zvose vacheche nevana vaduku, uye vakuru vemazera ose.

Zita Fani iyi akapa tsaru nengano German nezvorudo mermaids Undine uye knight Guldbrandta Ringshtettenskogo. Maererano nengano iyi, musikana akaramba kusafa kuti mudiwa wake. aritari knight Asati apika amude kusvikira kunogona kufema. Zvisinei, rudo rukuru varume vakapfuura nani nokukurumidza, uye vakachinja Undine. Sei akafa njuzu - hazvizivikanwi, asi muviri wake chakawanikwa mvura Danube. Murume akakurumidza runako akanyaradza Guldbrandt uye, tichikanganwa mhiko, ivo achangoroora. Ondine chipoko haana kuregerera vatengesi uye, kuonekwa kuti knight, akatuka kwaari, zvichiita wachi kuyeuka kufema. Nokuda kwaizvozvi, kuti knight akashaiwa hope, nekuti, akotsira, angadai pakarepo kufa, kukunyengetererai kufema.

Nhasi vanachiremba zita sokutukwa Ondine - kufema syndrome. In chirwere ichi muvanhu panguva hope zvinoitika chavanoziva uye kusingadzoreki kumira kufema.

Chii chinoitika murwere?

Masayendisiti anoti ose kunyange chose vanhu utano usiku kufema nokuda 10-20 seconds. Hapana chakaipa, nekuti ipapo zvisingatomboiti kufema basa anodzorerwa. Nhengo vanhu dziridza chituko Ondine urwere, haibatanidzi rudzi "otomatiki" kudzora kufema.

Fema vakazvimiririra munhu asingagoni, uye pane mamiriro disritmicheskoy hypoventilation, kana kupfuura kungoti - femo. Panyaya iyi muviri anogamuchira chidukuduku okisijeni, iyo inotungamira vachivavhiringidza uye atadze kushanda zvakanaka pamusoro zvomukati uye hurongwa.

Ndechipi chikonzero?

Kwemakore, masayendisiti uye vanachiremba munyika dzakawanda vakaedza kupindura mubvunzo zvakataurwa chirwere ndiye "kutuka Ondine" uye kunzwisisa ayo dzenharo. The budiriro rokutanga kudzidza chirwere yakaitwa nemasayendisiti Sevringausom uye Mitchell yechipiri yezana XX remakore somugumisiro pakudzidza varwere zvikuru kukuvara pfungwa nokuda aakataura akarasa otomatiki kudzora yako kufema. Vaongorori vakakwanisa kumisa kuti chituko Ondine chirwere - chimiro chirwere akadai hope kufema syndrome. Zvisinei, kupindura mubvunzo wokuti nei chirwere ichi chinobata vanhuwo, masayendisiti kukwanisa.

Kupomera Gene?

Up yedu mazuva, vanachiremba vakatadza kuziva zvinokonzera chirwere ichi. Munguva pfupi yapfuura, French masayendisiti vakakwanisa kuwana "muparanzvongo" chemabhazi kufema. Vakawana Thox2B Gene. Saka, chituko Ondine chirwere akaratidza kuva majini chirwere, kwete nhaka asi ikabuda embryo panguva pamuviri nguva.

Chii chinogona kuponesa?

Kana pamazuva akare, vana vakaita chirwere vafa, asi nhasi chiremba anogona kubatsira varwere vakadaro vararame kuti vakura, uchishandisa zvinotevera nzira:

• kudyara kumicheto pahuro (tracheostomy) uye unobva murwere kuti ventilator ;
• ose zuva asati arara kupfeka kufefetedza chifukidzo pamusoro mwana.

Vanachiremba German zvakagadzira nzira kudyara zvinofema mutinhimira stimulator pulses kupinda mumuviri, vachibvumira varwere kutungamirira dzinenge kwomuzvarirwo upenyu. Musimboti nzira iri chokwadi kuti munguva kuvhiyiwa diki iri phrenic etsinga iri akasima chaiyo electrode, izvo anoita kufema mumwaka hope.

mushonga Modern havagoni kupa zvimwe pakurapa kutuka Ondine urwere, nekuti zvinongokonzerwa hakuwaniki asi.

mapoka njodzi

Atarisana nechirwere ichi kunogona mumwe nomumwe wedu. Kutaura zvazviri, vakuru kashoma kukanganiswa chirwere ichi nyore, asi vanotyisa chaizvo chikonzero: kare, varwere anongoti haana kurarama kusvika vayaruka, kufira hope dzake. Kakawanda kutuka Ondine chirwere kunokwanisa kuonekwa mune neonates uye vacheche. Asi repakati uye vechikuru, uye mumakore achangopfuura, uye vakomana vanotambura mamwe marudzi chituko Ondine - hope kufema syndrome (SAS).

kufema chirwere

Kunze chirwere Ondine pamusoro apa, pane mhando dzakawanda hope kufema (kufema zvinetso pakurara basa):

1. Central.
2. Obstructive kana peripheral.
3. Hwakakanyiwa.

Vazhinji vedu havana kutomboziva payo, kakawanda aipesana chirwere muupenyu hwezuva nezuva. Zvinonzi ngonono, inova imwe zviratidzo uye kuratidzwa peripheral kufema.

Ngatikurukurei muudzame kusiyana kunyongana ari kufema basa iri hope ataurwa pamusoro.

peripheral kufema

Izvi mhando chinofema nyonganyonga mashandiro - mamiriro vanokwanisa chinouraya, uye kunoratidzwa chakajairika, nguva dzinopfuura 15 paawa, uye kuvhiringidzwa asi refu ari kufema basa mumasekonzi anopfuura 10. kufema zvakadaro Kazhinji akafanirwa kuti kutyora mutemo ndima tsinga nomunhu kubva pakati muuropi kuti tsandanyama kuitawo kufema. Kutaura zvazviri, ngonono zvinogona kukonzerwa uye anatomical zvimwe zviri nemamiriro nasopharynx, asi kazhinji kacho iyi mhando hosha - kutuka Ondine - neuropathology, kuvhiringidzika kushanda nechepakati tsinga (CNS).

Central maonero

Kusiyana peripheral, kwakadai kufema kunoitika nokuda zvakasiyana Kumwe kuchinja kunotanga muuropi nokuda kurwara, kuvhiya kana kunotevera. Muchiitiko ichi hakuna kufema nesimba, sezvo Airways havasi simba nomunhu kubva nechepakati tsinga.

Mixed kufema vakagamuchira zita rayo kubva chokwadi kuti mune ichi chirwere chokumbotadza kufema munhu akarara zvinoratidza zviratidzo zvose nechepakati uye peripheral mhando. Kakawanda, kwakadai kutyora kufema basa akawanikwa uye chirwere mugore upenyu vana okutanga.

zviratidzo ngozi

Kune nezviratidzo zvinoverengeka, vakati umwe kwavari pachako kana vaunoda, nguva dzose unofanira kubvunza chiremba:

1. Constant uye kuneta nokurukutika.
2. Vasingadzoreki kutarisirwa uye ndangariro.
3. Chirwere nehope, usingatangi kupfuura kunyange pashure yakareba hope.
4. Kunzvaira hope uye kakawanda kutsinzina.
5. Ngonono.
6. Persistent mangwanani nomusoro.

Zvakaipira chipi mhando kufema ndechokuti usiku muviri asingadi kuwana zororo zvakakodzera sezvo nyama, nhengo uye hurongwa kushanda mu "zvashata" nzira nokuda yakaderera wokufema, vakanga vachiuya.

Kuumba kwenguva refu, hope kufema chirwere yekudyidzana kunowedzera ngozi yokubatwa nezvirwere ari zvemwoyo, kwemakemikari anobudiswa, huta uye dzimwe dzemuviri.

Zvechokwadi, vakawanda zviratidzo anokwanisika kuitikawo mune dzimwe hosha, asi zviri nani kuti kujekesa chirwere pedyo mazvikokota.