I-hypoventilation ukuncipha kokuphefumula. Ngezimbangela eziningi, lesi sifo sokuphefumula sidinga ukuphathwa ngokwanele kwezokwelapha ukunciphisa ubungozi bezinkinga, ikakhulukazi ubungozi bokuhluleka ukuphefumula.

I-Hypoventilation yisifo sokuphefumula esibonakala ngaphansi kokuphefumula okujwayelekile. Kuba nomphumela wenani elinganele lomoya ophefumulelwe.

Icala elikhethekile: siyini ukukhuluphala-hypoventilation syndrome?

Phambilini eyaziwa ngokuthi yiPickwick's syndrome, ukukhuluphala ngokweqile kwe-hypoventilation syndrome kubonakala ngokubonakala kwe-hypoventilation engapheli kubantu abakhuluphele ngaphandle kwesifo sokuphefumula. Le ndlela ethile ye-hypoventilation ingaba nezincazelo eziningana: izingqinamba zemishini, ukungasebenzi kahle kwezikhungo zokuphefumula, kanye / noma ukuphindaphinda kwama-apneas okuvimbela.

I-Hypoventilation ingaba nezimbangela eziningi, njenge:

• izifo eziyinhloko zemizwa, kufaka phakathi izinhlobo ezithile ze-polyradiculoneuritis (ukulimala kwezinzwa okuholela ekuqedeni komgogodla we-myelin ozungeze izinzwa) nezinhlobo ezithile ze-myasthenia gravis (isifo se-neuromuscular ebangela ubuthakathaka bemisipha);
• ubuthi obunzima, njengokudakwa izidakamizwa ze-psychotropic, morphines, noma utshwala;
• ukukhathala kwemisipha yokuphefumula, engabonakala ngesikhathi sokusebenza isikhathi eside kanye / noma okukhulu kwemisipha;
• ukuvinjelwa kwemigwaqo yomoya engenhla, engenzeka ikakhulukazi ngesikhathi ukuhogela izidumbu zakwamanye amazwe, i-epiglottitis (ukuvuvukala kwe-epiglottis), i-laryngospasm (ukusikwa okungazibandakanyi kwemisipha ezungeze umphimbo), i-angioedema (ukuvuvukala okungaphansi), i-goiter ecindezelayo (ukwanda kwevolumu yegilozi ngokucindezela kwendawo), i-tracheal stenosis (yehla ngobubanzi we-trachea), noma i-glossoptosis (ukuma kabi kolimi);
• ukuvimbela i-bronchial, okungenzeka ngokwesibonelo kube ngenxa yesifuba somoya esibucayi (ukuvuvukala kwemigwaqo yomoya), isifo samaphaphu esingapheliyo (isifo samaphaphu okuyimbangela enkulu yokubhema), ukuqina komqubuko, noma ukuminyana komkhuhlane.
• ukukhubazeka kwesifuba, okungaba umphumela we-kyphoscoliosis (ukukhubazeka okuphindwe kabili komgogodla), i-ankylosing spondylitis (isifo esingalapheki sokuvuvukala samalunga omgogodla nomhlane ongezansi) noma i-thoracoplasty (i-rib surgery thoracic);
• ukubuyiswa kwamaphaphu okubanzi, ukuhlinzwa okubandakanya ukususa ingxenye yamaphaphu, ikakhulukazi uma kuba nomdlavuza wamaphaphu;
• a ubuningi, okuwukuvuvukala kwe-pleura, ulwelwesi olumboza amaphaphu;
• a ukukhuluphala, njengasesimeni sokukhuluphala-hypoventilation syndrome.

Imiphumela kanye nenkambo ye-hypoventilation incike kumapharamitha amaningi kufaka phakathi umsuka wesifo sokuphefumula nesimo sesiguli.

I-hypoventilation ingahambisana nezinye izenzakalo ezimbili zomtholampilo:

• i-hypoxemiaokungukuthi, ukwehla kwenani le-oxygen egazini;
• i-hypercapnia, okungukuthi, izinga elidlulele le-carbon dioxide egazini.

I-Hypoventilation nayo ingaholela ku ukwehluleka ukuphefumula, ukulimala kohlelo lwamaphaphu. Ukwehluleka okukhulu kokuphefumula kudinga ukunakekelwa ngokushesha kwezokwelapha.

Ukuphathwa kwezokwelapha kwe-hypoventilation kuncike kwimvelaphi yayo, imiphumela yayo kanye nokuziphendukela kwayo. Ngokuya ngecala, lingenziwa ngudokotela ojwayelekile noma udokotela wamaphaphu. Ukuphathwa kwezinsizakalo zezokwelapha eziphuthumayo kuyadingeka ezimweni ezibucayi kakhulu, ikakhulukazi ezimweni zokwehluleka okukhulu kokuphefumula. Ngesikhathi se-hypoventilation enkulu, ukuqaliswa komoya kungenziwa.