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ASFIKSIYA

44dd95c794a40bdd637398bd24c2dc54ASFIKSIYA (Asphyxia, az a – hissachai inkori va sphyxis – nabz), holati garonu khatarnokest, ki binobar dar organizm nogahon kam shudani oksigen va jam gashtani gazi karbonat ruy medihad. Sababhoi A. chuninand: 1) az darun basta shudani rohi nafas, mas., dar asnoi rohi nafasro band kardani jismhoi begona, az qabili moddai qay, ob (dar vaqti garq shudan), bo luob basta shudani noi nafas va bronkhho, hini guluzindonak bo guborparda basta shudani khanjara va g.; 2) az berun rust va fishurda shudani rohi nafas (dar mavridi khudro ovekhtan, bugi kardan, az sadama fishurda shudani gulu va azoi qafasi sina); 3) falaj yo tashannuji bardavomi mushakhoi nafaskashi (mas., dar natijai zahroludi); 4) ba darun raftani zabon va basta shudani rohi nafas (dar marizone, ki ba takhtapusht khoband yo behush meboshand); bemorihoi khanjara (varam, omos, sukhtagi va g.); dar javfi plevra darmondani havo (pnevmotoraks), khun (gemotoraks), moe (gidrotoraks); ba sanduqi sina fishor ovardani chizi vaznin (A.-i osebi).
A. vobasta ba sababi paydoish gunogun boshad ham, khususiyathoi umumi niz dorad. YAkum, dar organizm tagyirote ba vujud meoyad, ki on ba seroksigenii boftaho va az organizm dur kardani gazi karbonat ravona shudaast. Duyum, binobar dar boftaho narasidani oksigen faoliyati uzvho khele vayron meshavad (nig. Gipoksiya); dar navbati avval faoliyati dil va markazi nafaskashii magzi sar khalal meyobad, badan nafaskashi az chand soniya to chand daqiqa qat gashta, hangomi ba bemor narasonidani yorii tajili marg faro merasad.
Dar mavridi A. rui jafodida kabud , bazan hatto siyoh meshavad. Saravval u mekushad, ki kori mutadili rohhoi nafasro barqaror namoyad (sakht mesulfad, az bugi raho yoftan mekhohad va g.). Sipas az hush meravad, gavharaki chashm avval tang, bad vase megardad. Dar natijai az gazi karbonat angekhtani markazi faoliyati dilu ragho dar magzi sar va harommagz fishori khuni sharayon baland shuda, dil tez mezanad, jabrdida beikhtiyor qazoi hojat va peshob mekunad. Davomoti A. ba darajai ikhtiloli nafaskashi vobasta ast. Hangomi purra basta shudani rohi nafas, A. 3 – 6 daqiqa davom karda bo marg meanjomad. Az in ru hangomi paydoishi alomathoi nakhustini A. yorii tajilii tibbi zarur ast.
YOrii avvalin az rafi omile, ki rohi nafasro giriftaast yo fishurdaast, inchunin az dodani nafasi suni iborat meboshad. Agar A. dar natijai bo jismhoi begona basta shudani rohi nafas yo binobar rohi nafasro band kardani moe yo moddai qay ba vujud omada boshad, pas zud sari jafodidaro poyon va poyhoyashro bolo karda khobondan zarur ast; agar A. dar natijai az berun fishurda shudani rohi nafas rukh namoyad, omili fishorovarro favran bartaraf karda, nafasi suni dodan lozim (beshtar nafasdihii dahon ba dahon yo dahon bo bini muvofiq ast).
Dar mavridi ba mushohida rasidani margi kliniki, jabrdidaro dar muddati 5 – 7 daqiqa bo rohi reanimatsiya az marg najot dodan mumkin ast. A. dar tifli navzod az tazyiqi nof (dar asnoi tavlid) ba vujud meoyad. Sistemai asab va organizmi tiflakon nisbat ba organizmi kalonsolon ba norasoii oksigen to andozae tobovar ast. Binobar in hangomi A. margi onho dertar faro merasad. Kormandoni tib baroi az A. rahondani navzodon hama guna tadbirhoi tajilro meandeshand.

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