DAMKuTOHi

DAMKuTOHi (Dyspoë), ikhtiloli basomad yo amiqii nafaskashi, ki boisi ehsosi norasoii havo megardad. Sababi D. mumkin ast ikhtiloli yagon azoi faoliyati nafaskashi boshad, ki dar on qishri mayna, markazi nafas, asabhoi harommagz, mushakho, sanduqi sina, diafragma, shush, silsilai dilu ragho, hamchunin khun (gazhoro intiqol medihad) shirkat mevarzand. Agar tanzimi asabii nafaskashi khalal nayofta boshad, pas D. khususiyati jubroni kasb mekunad, yane on ba purra kardani norasoii oksigen va khorij namudani gazi karbonati ziyodati ravona shudaast. D. gunogun meshavad.
D.-i markazi ba ikhtiloli qishrii markazi nafaskashi va osebi on vobasta ast. Hangomi nevrozho (aksar dar mavridi gashyon) D. bo takhipnoe rukh menamoyad, yane nafaskashi ruyaki va tez meshavad (bazan to 50 – 70 harakati nafasgiri dar 1 daq.). Dar chunin holatho ba bemor dorui taskinbakhsh dodan lozim ast: naqei nardsunbul (dar 30 ml ob 1 chumcha).
D.-i basta ba ikhtiloli diafragma va sanduqi sina dar asnoi khalal yoftani harakati diafragma yo sanduqi sina (meteorizm, kifoz, skolioz, dardi sanduqi sina va g.) va yo dar javfi shushparda bisyor gun shudani ob (mas., gidrotoraks) padid meoyad. Hangomi in nafas sathi va tez meshavad; dar mavridi kori jismoni zud takhipnoe rukh menamoyad. Baroi muolijai chunin holat sababi onro raf sokhtan lozim ast (punksiyai plevra, istifodai naychahoi gazbaror va g.).
D.-i shushi metavonad hangomi khurd shudani sathi shush yo purra kashish nakhurdani boftahoi on, ikhtiloli nufuzpazirii bronkhho, diffuziyai gazho dar alveolaho ba vujud oyad. Bisyor vaqt sababi D.-i shushi khalal yoftani nufuzpazirii bronkhho binobar tashannuj, varam yo bo balgam basta shudani onho meboshad. Dar mavridi bemori hangomi nafas kashidan shush sado mebarorad.
D.-i dili binobar nuqsi qismi chapi dil paydo meshavad. Hangomi khunro kam firistodani dil tagziyai mayna khalal yofta, D. rukh menamoyad. Dar venahoi shush darmondani khun ba mubodilai gazho khalal vorid sokhta, havo giriftani shushro dushvor megardonad. Dar natija nafasgiri tez va amiq meshavad; bemor majbur ast, ki baroi oson shudani nafasgiri mavqei muvofiq juyad. CHunin tarzi D. shabona, vale beshtar hangomi kori jismoni ba vujud meoyad. Dar asnoi D.-i dili bisyor vaqt varam, akrosianoz, khunuk shudani dastu po mushohida meshavad.
D.-i gematogeni dar natijai ba markazi nafas tasir rasondani moddahoi tursh (hangomi atsidoz) yo mahsuli mubodilai khalalyofta (hangomi illati gurdaho va jigar) paydo meshavad. Atsidoz ba tez va amiq shudani nafaskashi bois megardad (polipnoe). Dar holathoi vaznin (igmoi diabeti) az shush sadoi baland meoyad.
Tabobati hama shaklhoi D. ba raf namudani sababhoi onho ravona meshavad.