Hypoxic ka hoʻololiʻana i ke ala e malamaʻi i ola.

Hypoxic ka hoʻololiʻana i ke ano o ka hoʻoulu kumupaʻa
i ke kino no ka ola i manaoia ma ka hope kenekulia kokoke
nā ma Rusia, a Ukraine. I Rusia, i ka hoʻomaka 'ana i ua i ma kamaʻilio
Lapaʻau a me liluwelo pilikia, ninau
ka hoʻololiʻana i ka stress, a mawaho aʻe
'ia, a ma ka Ukraine-ʻano nui i loko o ke kula o ka physiology
meaola i hua'ōlelo o nā haʻuki a me
like pii uphill.

Ua Ua ua loaʻa i loko nō naʻe o ka pokole
waiū hoʻohālike au i hypobaric ana normobaric
hypoxic hypoxia ka paipai 'ana i ka ho'ā hope o adaptive keʻano o ka hanaʻana
a pau pae o ka meaola.

I hookuu i ka manaʻo o ka hypoxia
like me ka typical pathological kaʻina hana i loko o
Clinicians mai i lealea nui aku ai, a
conversely pili i ka pono e hoʻomohala hou, a nui hou
pharmacological konohiki ke hoʻololi i ka neutralize kona waiwai. Eia naʻe, ka mea, 'aʻole wale nō ke kumu o ka "e kū'ē'ē mai"
Ua Ua huli ana i ka manaʻo o hypoxic ka hoʻololiʻana i loko o 'inikua hoʻomaʻamaʻa
hihia, hoʻopulapula a me ka Kāohiʻana.

mea
maikaʻi hiʻona mākou i loko o ka manao, oo ike o ka pathophysiology
ka manaʻo o "hypoxia" a aka mohai
normobaric hypoxic aʻo e hoʻoikaika kuleana
i ke kino o ka maloko, a mawaho aʻe?

1. Gipoksiya- ao ololi no ka meaola. keia
i ho'ākāka 'manaʻo nui o ka o oxygen i ke kino e like me ka oxidant, kona komo i loko o ka
ATP hoʻololi kemikala, i ke alo o physiological pololei ke kāohi cii (pO2) e hoʻopā ai
i loko o ka meaola.

Kēia mea i ke kumu no ka hoʻohana like me ka pO2
ololi aʻo nenoai, e hoʻopaʻa i nā mea maikaʻi pololei o kona loaʻa ai i loko o
kino.

He aha Make mākou manaʻo e pili ana i ka pono, e hana
oxygen ma amo'ōnaehana i mau, a, ma keia aoao, i ka maikai?

Ke kiʻi o kēia ola: hypokinesia a me ka stress,
Ua hiki aku i ka overvoltage, a laila, i ka iaea ooieoeiiaeuiiai exhaustion o ka i komo
ka oxygen noa amo'ōnaehana i nā pae. Ua Ua maopopo i "hoohaahaa ana,"
E hoʻonoho iā lākou iho i nā a me nā kino, a me ka maʻamau nenoaia
ka functioning o i ka nānā 'ana i ka pono o ka ikaika i loko o ia mau mea, oiai kekahi poe
paribus pono e kaukaʻi ma o ka lako hou i ka o oxygen? eia i loko o ka'aʻaʻa.

2. He aha
aoao, e malama i ka pono ai moku'āina o ka o oxygen amo kahua
laila? He aha ka ke lanakila ma luna o nā hypoxic ololi
o ia hoʻi, waiū e o oxygen amo kahua?

Helu ha awina dramatically maoli i ka naau a me ka
hanu, ka oxygen hokii. Hana cardiac reflexes i ka puʻe o ka inflowing
a me ke koko e kahe ana mai o ka naau (pre- a me ka afterload), myocardium launa mai
lawa krovi- kūpapakū a me ka oxygen. Minuke koko ka leo a me ka hoʻokomo ea
mahuahua me ka nui loa. Pela, aia no he ano - he oiaio, ua
Pākōlea ma mua o Loko Ka. Ke kūpono lactic acidosis a me ka mea, lalau mai
e au pāʻani i ke kūlana maikaʻi.

Eia hou kekahi, hoʻokō 'hiki ole no ka kela mea keia mea. no hoi,
ināʻaʻole no nā mea a pau e hiki thermal stress: aai, Lūkini bata,
gipertemicheskie auau cryosauna ...

Kaʻina normobaric hypoxic hypoxic aʻo like me ka mea o ka hoʻololiʻana, aole ia i koi
mai ka hana ana mai o ke kumuhana i ho'āʻo pono. ? Eaia hapa puʻe
oxygen ma loko o ka oxygen ma amo'ōnaehana -povsemestnaya a me ka multilevel. Eia naʻe,
nui i ano no ka adequacy
i ka papa kiʻekiʻe o hypoxic hypoxia - pā lonoaʻili o ka'ōnaehana
ka oxygen amo.

E maopopo i ka pā lonoaʻili i ka hypoxia E e ia i loko o helu i loko o kekahi palapala, e ke manao
physiology hanana ma o oxygen amo'ōnaehana 'ia i hanu
he hypoxic kinoea läÿau.

Ka mua mea mākou
Ia kaua ke ike: ka hooulu ana o ka huʻi hypoxemia. Keʻano o kēia kaʻina hana no ka awelika hihia
Ua kohu ka aniani kiʻi S-hoʻokino hālawa
hemoglobin oxygenation mai Ambient pO2. Ke hālawa deoxygenation o hemoglobin - nā māhele: mua,
ka wā saturation ka ho'ēmiʻana hiki ke ho'ākāka 'ia ma ka laina pilina, a
Ka lua o ka hapa - "plateau". Inā 'oe e hoʻomau ha hope a hiki i ka "plateau"
loaʻa nā fluctuations ma o oxygen saturation ua i iki mai, a i ka pihoihoi.

Lua. Heart kōmiʻano mea he aniani ku pono ana o ka desaturation
ano, e hoike ana:

laina kaukaʻi o ka naau uku o ka ulu ana i loko o ka minuke mua;

-stabilizatsiyu ole "plateau" maʻikena pae;

-posleduyuschuyu ka welelau o ka naau ana ke kaupalenaʻana a hiki i ka ho
ilikai.

Ka luna kiʻi ho i ka loli ma ka naau, a
vascular'ōnaehana ku ei ka backdrop o ka hikiwawe loa ka ulu 'hypoxemia.

Pehea e wehewehe ai
i ke kumu o ka "plateau" i loko o nāʻano o ka desaturation?

1. 
   Ināʻaʻole no ka mea adaptive maomeka o ka naau,
   Small a me ka nui holo, i ka hoʻopuehu lākou pane, i nāʻano a i mea i 'ano like me nāʻano a
   Heart ana, alaila, e olelo ana theoretically, ua hiki ike me ka nui loa haʻahaʻa pae o ka o oxygen saturation i loko o ka
   kāʻei kua ulu hypoxemia.
2. 
   Ua hiki e ea ae ia o ka manawa o ka hanana
   "Plateau" - i ka manawa o ke kukuluia'na o ka "okoa" ma mua o ka mea mua,
   moku'āina i loko o ka'ōnaehana, ina he uku 'pane ma kekahi mau pae.
   Aia ka hōʻike ana, pO2 hanu ma keia wahi
   Ua Ua kokoke i ka pO2 o venous koko. I ka loli ana o ka naau i loko o kēia mau ana E hoike mai
   i ka hoike ana mai o ooieoeiiaeuiiai deficits. Ooieoeiiaeuiuo deficits cardiac -first anu u i circulatory ole.
3. 
   Paha, i keia manawa e hele mai i loko o hula
   ololi ua ke kiʻekiʻe o ka ulu 'hypocapnia i alakaʻi ai i ka Solomona
   hemoglobin me ka oxygen.
4. 
   Ka a pau eiiieaena hoʻokomo ea a me reactions
   mea'ōnaehana mānowai koko ha awina ma keia wahi i nā hualoaʻa ma ka loli
   hoʻokomo ea-perfusion hiʻohiʻona.

He aha ke i aku nei au ka mea a pau? A me'ē aʻe. like no ka
nō i waena o nā kānakaʻimi noiʻi ka mea, aohe hope mōakaaka i loko o ka naauao o ka hoopuka: no ka mea aʻo kaʻina hana, ua waiho aku ia hypoxia me he ololi o ka hoʻololiʻana a me hypoxic ana? Hope - mea ole
kaʻoi loa i loko o ka luawai-ike kumu.

Anei mākou i ka pono, e olelo aku i ka hana
hypoxia me he ololi i loko o ke aʻo o ka o oxygen amo kahua? Mākou i.

Mākou pono Ua kuapo i ka hoʻohana 'mea,ʻaʻole he pōkole i ka hypoxic ana, a
ololi e hiki i uku 'reactions ma ka amo'ōnaehana
oxygen, iaʻi kona ulu ana. 'Aʻole wale nō e mākou i hahai i ka AIM o e pili ana
hypoxic moku'āina, akā, ke hana wale i ka 'auhau hoemiia
ka oxygen hapa puʻe i loko o ka alveolar kinoea kumu eiiieaena
kū'ē keʻano o ka hanaʻana i loko o ke kino o ka oxygen ma amo'ōnaehana, ke kaupalenaʻana ia
waiū manawa.

Ma hypoxia,
ʻae nō hoʻi e hoʻokō me ka lōʻihi like 'ole o ka huʻi ka hoʻololiʻana ololi
hypoxemia.

Wale ma lalo o kēia mau hana hiki ke käpae 'ʻino wale i
waiwai. Kēia ala i ke aʻo ua lawe mai a me ka 'akomi kahua
Na Makuahine - "hypoxic hola", e leie aku no me ka nui loa i oi
nā aoao o ka hoʻololiʻana.

Ua pono e olelo mai ia i kekahiʻano o ka hoʻololiʻana mea ole
He mea i keia la me ka pololei e hooponopono kahua.

Akomi hōʻeuʻeu kahua
iaea ooieoeiiaeuiiai hooponopono a me ka hooponopono "hypoxic hola" e leie aku oe, e kiai
i ka hopena o ka ka hoʻololiʻana o ka pilikia
i kekahi kau ahaolelo o ke aʻo a me ka lōʻihi-manawa - Ma ka holo ana o kona palapala noi.

Penei, he mea hikiʻano
i ka manaʻo o adaptive lapaau, i mea ka hypoxic ka hoʻololiʻana, mea he Logical ka hopena i loko o ka palapala o ka 'oihana
akomi mana o ka hypoxia. ua apono
me ka nui loa hoʻonui i ka laulā o
hypoxic aʻo, deducing mai kona kaukaʻi ma ke alo o
hana kūikawā nā limahana e like me mastering ka polokalamu hooponopono koi wale nō ko ka hale ona waiwai Hawaiʻi
Kamepiula peripherals.

Ke kumu o ka hypoxic kinoea meakino ke
e kekahi o na? ueony gipoksikatorov.

Ka'ōnaehana "hypoxic hola" ka hoʻomaikaʻi i ke kaʻina hana o ka normobaric hypoxic aʻo i hypoxic adaptatsiyu- mea o ka malama ola.