Reka tuvuge ku nshuti yacu idufasha guhumeka: umutsi utera impumuro mbi!

Twese turahumeka, sibyo? Nubwo bishobora gusa nkaho ari ibintu byoroshye, hari uburyo bukomeye bwo guhumeka. Ese wari uzi ko hari umutsi w'ingenzi cyane mu mubiri wacu ugufasha guhumeka neza kandi neza? Uwo mutsi witwa Phrenic Never . Uyu munsi tugiye kuvuga kuri uyu musore mwiza, ariko utavugwaho cyane, urinda umwuka wacu.

Umutsi wa Phrenic ni iki?

Mu magambo make, umutsi wa phrenic ni umutsi ugenzura diaphragm yawe, ikaba ari ingenzi mu guhumeka. Diaphragm ni umutsi munini, ugororotse utandukanya igituza cyawe n'inda yawe. Tekereza kuri ubu buryo: Uyu mutsi ubwira diaphragm ngo "Sawa, noneho komeza" (ni ukuvuga, gabanya). Diaphragm irafungana kandi irahagarara gato. Uku kugenda kwemerera ibihaha byawe kwaguka no gufata umwuka (ni ukuvuga guhumeka ). Hanyuma umutsi wa phrenic ugabanya diaphragm. Hanyuma ibihaha bisubira mu mwanya wabyo wa mbere bigasohora umwuka (ni ukuvuga, sohora umwuka ), bigatuma ibihaha bigabanuka gato. Ni nk'igitaramo cy'ibipupe, kandi umutsi wa phrenic ni wo muyobozi mukuru.

Akamaro k'imitsi ya Phrenic ni akahe?

Rero, ushobora kuba usobanukiwe ubu ko umutsi wa phrenic ari igice cy'ingenzi cyane mu buryo bwacu bwo guhumeka . Ni wo ugufasha guhumeka. Mu by'ukuri, ni wo mutsi wonyine utanga ingendo (ni ukuvuga imikorere y'ingufu ) kuri diaphragm yawe. Umutsi wa phrenic wohereza ibimenyetso kuri diaphragm yawe kugira ngo bikure kandi bikure iyo uhumeka.

Si ibyo gusa, umutsi wa phrenic ukora byinshi.

• Diaphragm na pleura ya diaphragmatic (iyi ni inyama itwikira igice cyo hejuru cya diaphragm) bidufasha kumva gukorakora no kubabara.
• Ituma umuntu yumva pleura yo hagati mu gituza (agace gato gashyira umwobo w'igituza hagati y'ibihaha).
• Pericardium ( agafuka karinda umutima wawe) gatanga ihumure.
• Inda y'imbere ( agace gato kandi gakingira imbere mu nda yawe) igufasha kumva ukozeho kandi ubabara.

Gutanga amarangamutima muri ubu buryo nabyo ni ingenzi kuri uyu mutsi.

Umutsi wa Phrenic uherereye he?

Noneho reka turebe aho uyu mutsi w'ingenzi uherereye mu mubiri wacu. Umutsi wawe wa phrenic utangirira mu ijosi ryawe . Kuva aho, unyura mu gituza cyawe ugahuza na diaphragm yawe. Mu by'ukuri, utangirira hafi y'umutsi wa C3 mu ijosi ryawe (ni wo mu mutsi wawe wa cervical).mu mugongo w'inkondo y'umura ). Hanyuma ihuza n'uruti rw'umugongo rwa C4 na C5. Uyu mutsi unyura mu mutima wawe no mu bihaha hanyuma ukamanuka unyuze mu gituza cyawe ukagera kuri diaphragm. Muri iyi nzira, ihuza kandi n'imizi y'imitsi iri mu mugongo.

Imitsi yo mu bwonko y'ibumoso n'iburyo ni iyihe?

Mu by’ukuri, nta mutsi umwe w’amaraso utuma umuntu ababara, ahubwo dufite ibiri! Umwe ibumoso n’undi iburyo. Byombi bikora akazi kamwe. Umutsi w’amaraso w’ibumoso ugenzura uruhande rw’ibumoso rwa diaphragm yawe. Umutsi w’iburyo ugenzura uruhande rw’iburyo rwa diaphragm yawe. Ni nk’abantu babiri bakora ku mpande zombi. Ibi bituma impande zombi za diaphragm zikora nk’imwe, mu buryo butunganye.

Ni izihe ndwara zigira ingaruka ku mitsi ya phrenic?

Tekereza, bigenda bite haramutse hagize ikintu cyangiza uyu mutsi w’amaraso? Iyo bibaye, diaphragm yawe ishobora gucika intege cyangwa se igakora nabi (ni ukuvuga gucika intege ). Rero, niba umutsi w’amaraso udashobora kugenzura diaphragm neza, ibihaha ntibishobora kugenda no gukora uko bikwiye. Icyo gihe , guhumeka bishobora kugorana cyane .

Iyi paralysis ishobora kugira ingaruka ku ruhande rumwe gusa rwa diaphragm (rwitwa paralysis unilateral ) cyangwa impande zombi (rwitwa paralysis bilateral ). Iyo impande zombi zibaye paralysis ikomeye mu buryo butunguranye (paralysis ikomeye bilateral diaphragm), ushobora gukenera guhumeka mu buryo bwa mechanical kugira ngo bigufashe guhumeka. Ibi bivuze ko ugomba guhumeka wifashishije imashini.

Ni izihe mpamvu zitera ubumuga bwo mu gituza (diaphragm)?

Hari impamvu zitandukanye zishobora gutuma diaphragm idakora neza. Reka turebere hamwe izo ari zo:

• Indwara ziterwa n'ubwiyongere bw'umubiri (nk'indwara ya Guillain-Barré ) n'indwara zo kubyimba (nk'indwara ya Parsonage-Turner ). Muri izi ndwara, ubudahangarwa bwacu bw'umubiri bwibasira imitsi.
• Ubusembwa cyangwa ibikomere mu gihe cyo kubyara .
• Indwara yo mu mugongo (iyi ni indwara igenda igabanuka ibaho uko vertebrae y'ijosi isaza).
• Ingorane ziterwa no kubagwa cyangwa gukomereka mu ijosi cyangwa mu gituza. Hari igihe uyu mutsi ushobora kwangirika utabigambiriye mu gihe cyo kubagwa.
• Indwara z'imitsi , nka Amyotrophic Lateral Sclerosis (ALS)n'indwara nka Multiple Sclerosis (MS) .
• Ibikomere byo mu mugongo .
• Ibibyimba by'umugongo , kanseri y'ibihaha , na kanseri ya metastatic bishobora gukanda imitsi.

Ni ibihe bimenyetso by'indwara ya Paralyzed Diaphragm?

Iyo diaphragm ikoze nabi, ibimenyetso nk'ibi bikunze kugaragara:

• Guhumeka nabi (cyane cyane iyo uryamye). Hari abantu bumva babura umwuka iyo baryamye.
• Umusonga ukunze kugaragara.
• Kubura umwuka mu gihe cyo gusinzira ( guhagarara k'ubuhumekero mu gihe cyo gusinzira) cyangwa izindi ndwara nshya zo gusinzira.
• Abana bashobora kurira nabi cyane . Ibi bivuze ko kurira k'umwana bisa n'aho ari hasi cyane kandi nta buzima buhari.

Ariko, ibimenyetso bya paralysia y'umwijima rimwe na rimwe bishobora kugorana kubimenya . Cyane cyane niba ufite paralysia y'umwijima uruhande rumwe, bishobora kutagaragara. Rero, niba wumva ufite ikibazo cyo guhumeka, ububabare bushya, cyangwa ufite ibindi bimenyetso, menya neza ko wagiye kwa muganga .

Ni iyihe sano iri hagati ya hiccups n'umutsi utera indwara ya phrenic?

Twese turwara ibisebe, sibyo? Akenshi bigenda bishira nyuma y'igihe runaka. Ariko, rimwe na rimwe, ibisebe bishobora kumara iminsi, wenda ukwezi cyangwa kurenzaho. Tekereza ukuntu byaba bibabaje iyo bibaho! Muri ibyo bihe, impamvu ishobora kuba ari uburibwe bw'imitsi ya phrenic . Iyi mitsi ya phrenic ishobora kurakara nyuma yo kubagwa, bitewe n'ikibyimba, cyangwa bitewe n'ikindi kibazo. Ni bwo ibi bihe bidashira bibaho.

Izi mpungenge zidashira zirababaza cyane kandi ntizituma umuntu yumva ameze neza. Zishobora kubangamira kuvuga, gusinzira, ndetse no kurya. Dore bimwe mu bintu ushobora gukora kugira ngo uvure izi mpungenge zidashira:

• Imiti inyobwa, nka chlorpromazine , baclofen , na gabapentin .
• Imitsi ifungana : Ibi bihagarika imitsi imenyesha ko diaphragm itangiye gufungana.
• Guca amenyo ni ukubaga ku buryo bwo gukata imitsi yo mu bwonko no guhagarika burundu uruhande rumwe rw'agahu k'amaraso. Ariko, ibi ntibikunze gukorwa kenshi kandi bikorwa gake cyane.

Ni gute twarinda imitsi yacu ya phrenic?

Ibi bizafasha mu gutuma sisitemu yacu yose y'imitsi ikomeza kugira ubuzima bwiza, ntabwo ari imitsi ya phrenic gusa. Gukurikiza ibi ni byiza ku mitsi ya phrenic ndetse no ku mubiri wose:

• Rya indyo yuzuye kandi ugire ibiro bikubereye. Shyiramo imbuto, imboga, na poroteyine zidafite ibinure mu ndyo yawe.
• Gira ibitotsi bihagije . Gerageza gusinzira nibura amasaha 7-8 ku munsi.
• Siporo nziza kandi ugire imyitozo ngororamubiri. Ushobora gukora ibintu nko kugenda, kwiruka, cyangwa koga.
• Niba ufite indwara zishobora kwangiza imitsi yawe, nka diyabete cyangwa umuvuduko ukabije w'amaraso , zigenzure neza. Kurikiza amabwiriza ya muganga witonze.
• Gucunga imihangayiko . Ibintu nko gutekereza cyane, yoga, no gukora ibintu ukunda kwidagadura bishobora kugabanya imihangayiko.
• Niba unywa itabi, gerageza kurireka . Nanone, irinde gukoresha ubundi bwoko bw'itabi na nikotine. Ibi byangiza cyane imitsi.

Ni ryari ngomba kujya kwa muganga?

Niba ubonye ibimenyetso bishya bigira ingaruka ku guhumeka kwawe, menya neza ko wagiye kwa muganga. Ntukirengagize ikintu cyose kidakomeye. Urugero:

• Niba ufite ibibazo ntabwo bizashira.
• Niba wumva ufite ikibazo cyo guhumeka nabi cyangwa guhumeka nabi, cyane cyane niba ukeneye kwishingikiriza ku mutwe wawe n'imisego kugira ngo bigufashe guhumeka byoroshye iyo uryamye.
• Ibimenyetso by'indwara yo guhumeka mu gihe cyo gusinzira birimo kugona gushya, kubyuka uhumeka umwuka uremereye, cyangwa kumva unaniwe cyane kandi usinziriye ku manywa.
• Niba ufite ububabare bw'urutugu budasobanutse cyangwa intege nke zo ku kuboko , cyane cyane iyo bijyana no guhumeka nabi.

Wibuke ko imitsi yawe ya phrenic ihora igufasha. Ikora diaphragm iyo uhumeka, bigatuma ibihaha byawe bikora neza. Ushobora no kutazigera utekereza ku mitsi yawe ya phrenic. Ariko, niba hari impinduka ufite mu guhumeka kwawe, ntuzirengagize. Nubwo atari ikibazo cy'imitsi ya phrenic, niba ufite ikibazo cyo guhumeka, ni byiza kugana muganga.

Hanyuma, hari ibintu bike byo kwibuka

Rero, imitsi ya phrenic twavuze uyu munsi imeze nk'umugaragu ucecetse mu mubiri wacu. Kubera umurimo ukomeye ikora ni bwo dushobora guhumeka nta nkomyi.

• Umutsi w’amaraso ugenzura diaphragm kandi ukadufasha guhumeka. Ukora nk'insinga y'amashanyarazi, utwara ibimenyetso biva mu bwonko bijya kuri diaphragm.
• Iyo uyu mutsi wangiritse, diaphragm ishobora kubura imikorere myiza ndetse no guhumeka bikaba byagorana.
• Guhora wiheba rimwe na rimwe bishobora kuba bifitanye isano n'ikibazo cy'iyi mitsi itera impumuro mbi.
• Niba wumva impinduka cyangwa kutamererwa neza mu mikorere yawe yo guhumeka, ntubyirengagize. Shaka inama kwa muganga ako kanya. Kwita ku bintu bito cyane nk'ibi ni ingenzi cyane kugira ngo ubeho ubuzima bwiza. Kuko, nta kintu cy'agaciro kiruta guhumeka!

Imitsi yo mu bwonko, Guhumeka, Indwara yo mu bwonko, Imitsi yo mu bwonko, Kwiheba, Imitsi yo mu bwonko, Indwara yo mu bwonko