Если клетки организма по каким-то причинам недостаточно снабжаются кислородом, у пациентов может возникнуть субъективное ощущение нехватки воздуха в процессе дыхания. Это может служить индикатором разных заболеваний.
В этот момент у человека обычно возникает одышка — частое глубокое дыхание или, напротив, поверхностное неэффективное. Одновременно человек может ощущать страх, быть заторможенным или же, напротив, психоэмоционально возбужденным.
Опасность нехватки воздуха (острой — удушья и хронической – одышки) заключается в том, что в человеческом организме могут начаться гипоксические изменения, ведущие к необратимым последствиям. Чаще всего недостаток кислорода обусловлен заболеваниями сердечно-сосудистой системы, бронхо-легочной, анемией (ведь кислород переносится гемоглобином, эритроцитами). Не хватает кислорода также при длительном нахождении на значительной высоте или в закрытом помещениии.
При значительном психологическом стрессе или физической нагрузке нехватка воздуха при дыхании является нормальной физиологической компенсаторной реакцией тела.
Причины расстройства дыхания
В процессе дыхания участвует много звеньев, снабжающих кислородом клетки организма и выводящих углекислый газ. Ощущение, что человеку не хватает воздуха в процессе дыхания является симптомом сбоя на этом пути. Процесс внешнего дыхания проходит с участием верхних и нижних дыхательных путей, дыхательных мышц и центра дыхания в среднем мозге. Нарушение возможно на любом из этапов.
Одышка часто является следствием затруднения прохождения воздуха через носоглотку, гортань, трахею, бронхи, иные элементы дыхательной системы. Или же следствием нарушения регуляторной функции дыхательного процесса в головном мозге.
Нарушение внешнего дыхания может появиться вследствие:
- закупорки инородным телом либо вязким секретом (при бронхиальной астме, бронхите, также опухолях);
- аллергического либо воспалительного отека (при ОРЗ, бронхоспазме, бронхиальной астме, пневмонии др.), спадения легочной ткани;
- раздражения дыхательного центра токсического характера от контакта с химическими веществами, а также токсинами и продуктами метаболизма, образующимися в крови человека вследствие тяжелых инфекционных болезней;
- неврологических осложнений, вызывающих сбои в нервной регуляции дыхания (при рассеянном склерозе, ботулизме, миастении), функциональных и невротических нарушений дыхания (при неврастении, ВСД, истерии);
- травмирования грудной клетки с нарушением герметичности окружающих легкие плевральных полостей, сдавливания легких извне (при пневмотораксе, гидротораксе).
Нехватка воздуха при дыхании может быть обусловлена сбоями в процессе внутреннего дыхания:
- связывание кислорода эритроцитами нарушается при различных видах анемии в результате уменьшения количества эритроцитов при потерях крови, отравлении определенными химвеществами, вызывающими в гемоглобине изменения (например, воздействии угарного газа);
- нарушения в процессе доставки кислорода в ткани (обусловленные заболеваниями сердечно-сосудистой системы, с вероятностью развития сердечной недостаточности, сердечной астмы, тяжелыми аритмиями, миокардитами, пороками, кардиомиопатиями, ГБ, ИБС и др.).
- нарушение дыхания на клеточном уровне вследствие химических отравлений.
Лечение и диагностика
Если Вам часто бывает трудно дышать, не хватает воздуха – это является сигналом для немедленного обращения к врачу. Главное — обнаружить заболевание, ставшее причиной симптома, оценить его опасность, и назначить лечение.
Дыхание — это непроизвольное действие, которое делает наше тело, независимо от того, осознаем мы это или нет. Наши тела нуждаются в кислороде, чтобы выжить, чтобы не только дышать, но и чтобы кислород циркулировал через нашу кровь ко всем нашим жизненно важным органам, нашим клеткам и тканям в наших телах.
Когда в нашей крови недостаточно кислорода, это называется гипоксемией.
«Гипоксемия может быть острой, возникающей внезапно из-за чрезвычайной ситуации или хронической, происходящей со временем из-за длительного состояния здоровья, такого как ХОБЛ», — добавляет Дебора.
5 признаков недостатка кислорода в крови
1. Слабость и головокружение
Общими признаками низкого уровня кислорода в крови становятся слабость или головокружение . Люди, которые не имеют достаточного количества кислорода в крови, часто обнаруживают, что это происходит ежедневно, во время любого уровня света или активности.
Семейный врач д-р Д. Любовь утверждает: «Мышца может сжигать топливо без кислорода в течение ограниченного периода времени, но его нельзя поддерживать бесконечно. Поэтому хронически низкие уровни кислорода будут вызывать мышечную слабость. Было бы необычно, что низкий уровень кислорода будет причиной мышечной слабости в качестве единственного симптома; стоит ожидать, что также будет одышка.»
Поскольку ваша кровь переносит кислород по всему телу, быстро уставать или головокружение — это признак того, что ваша кровь не содержит достаточного количества кислорода.
2. Усталость
Хроническая усталость является основным признаком того, что ваше тело не получает достаточно кислорода. Существуют разные типы усталости. Но усталость, связанная с гипоксемией, хроническая и бесконечная.
Согласно статье, посвященной Healthline, с медицинской точки зрения доктор Грэм Роджерс: «Без надлежащего обмена газа ваше тело не может получить необходимый ему кислород. Со временем у вас будет развиваться недостаток кислорода в крови, что называется гипоксией. Когда ваше тело низко на кислороде, вы чувствуете усталость. Усталость приходит быстрее, когда ваши легкие не могут правильно вдыхать и выдыхать воздух».
Люди часто сообщают, что чувствуют себя истощенными в течение дня, и никакое количество сна не помогает. Уставать быстрее, чем другие, или быстрее, чем вы привыкли, также является признаком того, что в вашей крови недостаточно кислорода.
3. Быстрое сердцебиение
Чувства тревоги часто классифицируются быстро бьющимся сердцем. Это признак того, что ваше сердце работает и ему трудно доставить кислород ко всем местам. Если вы никогда не испытывали симптомов тревоги раньше, и ваше тело начало проявлять быстрое сердцебиение без других симптомов беспокойства, это может быть связано с низким уровнем кислорода в крови.
4. Одышка
Конечно, недостаток кислорода означает, что у вас возникнут проблемы с дыханием. Когда у вас возникают проблемы с дыханием и вытягиванием кислорода, у вас возникнет проблема с получением достаточного количества кислорода в крови. Люди, которые испытывают недостаток кислорода в крови, также сообщают, что не хватает дыхания независимо от того, выполняют ли они напряженную деятельность или нет.
5. Головная боль и путаница
У многих людей возникают головные боли, и они могут различаться по степени тяжести. Сами по себе головные боли не являются тревожным признаком отсутствия кислорода в крови. Но в сочетании с путаницей, головокружением и отсутствием координации, головные боли могут быть признаком того, что в вашем теле не циркулирует количество кислорода, которое ему нужно.
«Ваш мозг нуждается в определенном количестве кровотока и кислорода, чтобы эффективно работать, и чтобы мы чувствовали себя здоровыми. И если этот механизм поврежден, ваш мозг знает другие способы создания необходимого давления» — говорит д-р Dr. Patrick M Немчечек
Когда в вашей крови не хватает кислорода, трудно сконцентрироваться и скоординировать свое тело, что приведет к головным болям и путанице.
«Без достаточного количества кислорода в легких, органы не могут функционировать должным образом. В результате токсины накапливаются в кровотоке и возникают сосудистые головные боли. Это происходит потому, что низкий уровень кислорода инициирует расширение кровеносных сосудов и приводит к мигрени», — говорит д-р Марк Уайли.
Отсутствие кислорода в крови может вызывать беспокойство, потому что это часто является причиной или вызвано другими заболеваниями или болезнями. К счастью, обращение к врачу поможет выяснить, как лучше всего лечить проблему.
Как лечится гипоксия?
Тесты
Переход к врачу и проведение тестов для определения того, сколько кислорода в вашей крови является первым шагом к тому, чтобы лечить проблему. Врач проведет серию тестов, чтобы узнать, сколько кислорода в вашей крови, а затем проверить общие причины низкого уровня кислорода. Затем ваш врач будет лечить эти проблемы, какими бы они ни были. Например, вашему сердцу может понадобиться помощь, позволяющая правильно накачивать и, возможно, понадобится медикаментозная помощь для повышения качества циркуляции кислорода.
Кислородная маска
Гипоксимию, которая не очень тяжелая, можно лечить с помощью переносной кислородной маски. Она представляет собой тонкую трубку с двумя отдельными отверстиями, которые сидят только внутри ваших ноздрей. Она будет перекачивать кислород в ваше тело и позволять большему количеству кислорода циркулировать через вашу кровь. Это краткосрочное лечение, которое используется для повышения уровня кислорода.
Регулярное использование кислорода
Когда уровень кислорода в крови сильно низкий, врач часто назначает регулярное и долгосрочное использование кислорода. В зависимости от тяжести уровня кислорода в крови, ваш врач может назначить использовать кислород ежедневно, ночью или периодически в течение дня.
Последние мысли
Если вы обеспокоены симптомами низкого уровня кислорода в крови, лучше всего записаться на прием к врачу и провести необходимые тесты, чтобы убедиться, что все работает правильно. Низкий уровень кислорода может вызвать другие риски для здоровья, поэтому его обнаружение и лечение как можно быстрее — лучший способ действий.
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7 минут Автор: Любовь Добрецова 1705
Кислород (oxygenium, обозначение — О) является жизненно необходимым газом в составе воздуха, не имеющим цвета и запаха. Недостаточное содержание кислорода в органах и тканях человеческого организма в медицине называется гипоксией.
Нормальный уровень сатурации (насыщения кровеносных сосудов oxygenium) у взрослого человека составляет 96-98%. При снижении показателей развивается гипоксемия – нехватка кислорода в крови. Гипоксемия и гипоксия находятся в тесной корреляции.
Дефицит молекул О в крови, неизменно, приводит к кислородному голоданию всех органов и систем. Эти состояния не относятся к самостоятельным заболеваниям, а являются патологическими процессами, сопутствующими болезням сердца, головного мозга, центральной нервной системы, органов дыхания, почек, печени и т.д.
При вдыхании кислород из легких поступает в кровь, где захватывается гемоглобином – железосодержащим белком. С помощью красных кровяных клеток (эритроцитов), гемоглобин, насыщенный кислородом, разносится по организму. Проникая в органы и ткани, гемоглобин отдает кислород для обеспечения их жизнедеятельности. Взамен молекул oxygenium, к железосодержащему белку присоединяется диоксид углерода.
Эритроциты переносят его в обратном направлении (в легкие) для дальнейшей утилизации. Сбой процесса обмена газами в организме происходит под влиянием экзогенных или эндогенных факторов. К первым относятся внешние воздействия, не зависящие от человека, ко вторым – нарушения, происходящие внутри организма.
Основные причины кислородного дефицита
Экзогенными причинами дефицита кислорода являются:
- разряженный воздух в окружающей среде. Такое явления характерно для высокогорных климатических районов, непроветриваемых помещений.
- дегидратация (обезвоживание) организма, вследствие воздействия высоких температур (перегрева), на фоне недостаточного употребления воды.
Условно, к экзогенным факторам можно отнести специфические пристрастия и условия, вызывающие повышенную потребность в кислороде:
- никотиновая зависимость;
- увлечение подводными видами спорта или альпинизмом;
- интенсивные спортивные тренировки и иные физические перегрузки;
- избыточная масса тела;
- голодание и кахексия (истощение организма);
- тяжелые условия труда (работа в помещениях, закрытых от доступа внешней среды с недостаточной искусственной вентиляцией).
Эндогенные причины кислородного голодания связаны с различными патологиями органов дыхания, сердца, сосудов, кровеносной системы.
Дыхательная система
Артериальная гипоксемия сопровождает заболевания, для которых характерно снижение вентиляции легких:
- пневмосклероз (замещение паренхимы легких соединительной тканью);
- пневмония (воспаление легких);
- плеврит (воспаление легочной оболочки);
- обструкция органов дыхания (бронхов или легких), вследствие хронических заболеваний (астма, бронхит и т.д.);
- перелом или сильный ушиб грудной клетки.
Сердечно-сосудистая система
Циркуляторными причинами, провоцирующими дефицит кислорода, являются:
- врожденный дефект межжелудочковой перегородки сердца, при котором происходит смешивание артериальной и венозной крови;
- угнетение способности миокарда перекачивать кровь, иначе сердечная недостаточность;
- воспалительные болезни миокарда (миокардит, перикардит, эндокардит);
- ИБС (ишемическая болезнь сердца) и некроз участка миокарда (инфаркт);
- иммунопатологические воспаления сосудов;
- тромбоз, тромбофлебит, варикоз, атеросклероз.
Любые хронические патологии сердца и сосудов могут привести к гипоксии.
Кровеносная система
Повышенная потребность в кислороде возникает при утрате способности гемоглобина присоединяться к эритроцитам. Гемическая гипоксия может быть вызвана онкогематологическими болезнями (злокачественное поражение крови и лимфатической системы), гематологическим синдромом, иначе анемией (пониженное содержание гемоглобина в крови).
Отдельно выделяют ночной и техногенный вид нехватки кислорода. Ночной вариант представляет собой апноэ – временную остановку дыхания, обусловленную чрезмерным расслаблением глотки вследствие храпа.
Техногенная гипоксия является результатом длительного пребывания или постоянного проживания в неблагополучных экологических условиях (искусственное загрязнение атмосферы промышленными отходами).
Формы гипоксии
По скорости развития классифицируют три формы гипоксии:
- хроническая (может длиться на протяжении нескольких лет);
- острая (до двух часов);
- молниеносная (развивается в течение трех минут).
При несвоевременном приеме медикаментов, под воздействием нервно-психологического или физического напряжения, хронический недостаток кислорода может перейти в острую форму гипоксии.
Симптоматика кислородной недостаточности
В зависимости от степени тяжести, симптомы кислородного голодания принято разделять на две категории (ранние и поздние). К первой категории относятся:
- головокружения, сопровождаемые цефалгическим синдромом (головными болями);
- вялость, сонливость, гипоактивность;
- нервно-психологическая слабость (астения);
- повышение частоты сердечного ритма (тахикардия);
- частое и глубокое дыхание;
- бледность кожных покровов (нередко, синюшность в области носогубного треугольника).
Хроническая гипоксия понижает показатели АД (артериального давления). Поздние проявления нехватки oxygenium характеризуют:
- СХУ (синдром хронической усталости);
- дисания (нарушение сна);
- стабильная тахикардия;
- психоэмоциональная неадекватность (тревожность, апатия или агрессивность);
- быстрые, ритмичные сокращения мышечных волокон ног и рук (тремор);
- диспноэ;
- накопление жидкости в межклеточном пространстве нижних конечностей (отечность);
- нарушение координации (атаксия);
- инконтиненция (недержание мочи);
- тошнота.
Психосоматические проявления гипоксии сопровождают симптомы основного заболевания, спровоцировавшего кислородную недостаточность. Из клинико-диагностических признаков дефицита кислорода выделяют ненормированное содержание гемоглобина и повышение уровня эритроцитов в общем анализе крови.
Опасные последствия гипоксии
Длительное кислородное голодание вызывает дегенеративные процессы головного мозга и нервной системы, приводящие к энцефалопатии и деменции (слабоумию), повышенный риск инфарктов, инсультов, отека легких, гипотонию, судорожный синдром. Острая кислородная недостаточность опасна развитием коматозного состояния и летальным исходом.
Дополнительно о гипоксемии плода
Отдельного внимания заслуживает дефицит кислорода у женщины в перинатальный период. Гипоксемия у будущей мамы отражается низким кислородным снабжением плода. Состояние представляет опасность:
- отставания ребенка в развитии;
- фетопатии (патологии плода);
- преждевременного родоразрешения;
- отслойки плаценты;
- внутриутробной гибели малыша.
Способы медицинской коррекции
Лечение кислородного голодания – это комплекс мер, направленных, прежде всего, на ликвидацию причины гипоксемии. При проявлении симптомов нехватки кислорода врач должен скорректировать терапию основного заболевания. В зависимости от патологии и особенностей ее течения, пациентам могут быть назначены:
- препараты, разжижающие кровь;
- регуляторы окислительно-восстановительных процессов;
- витаминно-минеральные комплексы;
- железосодержащие лекарства;
- медикаменты, улучшающие кровообращение.
Сердечно-сосудистые средства (кардиотоники) и лекарства от легочных болезней подбираются индивидуально. Для повышения вентиляции легких используется оксигенотерапия:
- ингаляционная (посредством кислородной маски или носового катетера, через кислородную подушку);
- гипербарическая оксигенация с помощью сеансов в барокамере;
- неингаляционная (внутривенное введение физраствора, обогащенного перекисью водорода и озоном).
Гипоксемия, связанная с нарушением кроветворения, лечится посредством гемотрансфузии (переливание крови). Оксигенотерапия и гемотрансфузия проводятся в стационарных условиях.
Немедикаментозные методы
Повысить кислород в крови, не прибегая к лекарственным препаратам, помогают:
- Рациональная физическая нагрузка. При выполнении физических упражнений естественным образом кровь насыщается молекулами oxygenium, ускоряется обмен веществ, стабилизируется уровень АД.
- Ежедневное пребывание на свежем воздухе. Для прогулок следует выбирать парковые зоны, расположенные вдали от промышленных предприятий, железнодорожных и автомобильных магистралей.
- Йога и дыхательная гимнастика. Рекомендуется пациентам с ограниченными физическими возможностями. Специальные упражнения для поверхностного и глубокого дыхания позволяют увеличить скорость газообмена.
- Соблюдение режима труда и отдыха. Человеку, страдающему от гипоксии, необходим полноценный сон, и категорически противопоказаны нервные и физические перегрузки.
- Использование средств народной медицины. Фитоотвары, обладающие сосудорасширяющими и антиоксидантными свойствами, готовят на основе боярышника, березовых и брусничных листьев, гинкго билобы.
Не менее важным условием нормальной концентрации кислорода в крови является здоровое питание и правильный питьевой режим. Необходимо обогатить рацион овощами, фруктами, зеленью – в качестве натуральных витаминов, выпивать ежедневно до двух литров чистой (не газированной) воды.
Дополнительно
При развитии острой гипоксии человеку требуется экстренная медицинская помощь, с последующей госпитализацией. До приезда бригады скорой помощи необходимо обеспечить пациенту доступ свежего воздуха (ослабить ворот одежды, открыть окна), измерить частоту сердечных сокращений (пульс). При наличии медицинских навыков, по необходимости, провести процедуру искусственного дыхания.
Итоги
Недостаток кислорода в крови может быть обусловлен:
- наличием хронических патологий сердечно-сосудистой, кровеносной и дыхательной системы;
- обильным кровотечением;
- неблагоприятными условиями (высокогорный климат, работа в шахте);
- образом жизни (никотиновая зависимость, увлечение подводным плаваньем и альпинизмом, нерациональные физические нагрузки, голодание и т.д.).
Состояние кислородного голодания может иметь острую и хроническую форму. В первом случае, пациенту показана срочная госпитализация. При острой гипоксии возникает серьезная опасность развития удушья, коматозного состояния, остановки сердечной деятельности и летального исхода.
В повышении кислорода задействуют внутривенные медицинские препараты и процедуры искусственного насыщения крови молекулами oxygenium. При хронической форме гипоксии назначаются медикаменты, диетотерапия, лечебная физкультура. Поднять кислородный уровень помогает дыхательная гимнастика, регулярные прогулки в лесополосе, занятия йогой, средства народной медицины.
Избыток кислорода в крови, так же, как и его недостаток, вреден для здоровья. Кислородное отравление может привести к чрезмерному образованию свободных радикалов, которые ускоряют процесс старения организма и активизируют раковые клетки.
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