{"id":440,"date":"2025-11-19T18:20:46","date_gmt":"2025-11-19T17:20:46","guid":{"rendered":"https:\/\/semmelweis.hu\/otthonilelegeztetes\/?page_id=440"},"modified":"2025-11-19T18:20:46","modified_gmt":"2025-11-19T17:20:46","slug":"restriktiv-mellkasfal","status":"publish","type":"page","link":"https:\/\/semmelweis.hu\/otthonilelegeztetes\/szakemberek-szamara\/az-otthoni-lelegeztetes-betegsegspecifikus-indikacioi\/restriktiv-mellkasfal\/","title":{"rendered":"Restrikt\u00edv mellkasfali betegs\u00e9gek (RCWD)"},"content":{"rendered":"<p style=\"text-align: justify\">A restrikt\u00edv mellkasfali betegs\u00e9gek k\u00f6z\u00e9 soroljuk:<\/p>\n<ul style=\"text-align: justify\">\n<li>scoliosis, kyphosis,<\/li>\n<li>pectus carinatum, pectus excavatum,<\/li>\n<li>restrikt\u00edv pleuralis betegs\u00e9gek,<\/li>\n<li>poszt-tuberculosis szindr\u00f3ma,<\/li>\n<li>spondylitis ankylopoetica,<\/li>\n<li>poszt-traum\u00e1s \/ posztoperat\u00edv mellkas deformit\u00e1s<\/li>\n<\/ul>\n<p style=\"text-align: justify\">A mellkasfali restrikci\u00f3t (cs\u00f6kkent mellkasfali t\u00e1gul\u00e9konys\u00e1got) okoz\u00f3 k\u00f3rk\u00e9pek pulmon\u00e1lis betegs\u00e9g n\u00e9lk\u00fcl is jelent\u0151s\u00a0 hipoventil\u00e1ci\u00f3hoz \u00e9s k\u00f6vetkezm\u00e9nyes jobbsz\u00edvf\u00e9l terhel\u00e9shez vezethetnek. \u00c9jszakai folyamatos, \u00e9s nappali intermitt\u00e1l\u00f3 neminvaz\u00edv l\u00e9legeztet\u00e9ssel a nappali g\u00e1zcsere normaliz\u00e1l\u00f3dni tud, a betegek \u00e9letmin\u0151s\u00e9ge, terhelhet\u0151s\u00e9ge pedig javul\u00e1st mutathat.<\/p>\n<p style=\"text-align: justify\">\u00a0 Otthoni l\u00e9gz\u00e9st\u00e1mogat\u00e1s indokolt:<\/p>\n<ul style=\"text-align: justify\">\n<li>Kr\u00f3nikus nappali hiperkapnia (PaCO<sub>2 <\/sub>\u2265 45Hgmm)<\/li>\n<li>\u00c9jszakai hiperkapnia (PaCO<sub>2 <\/sub>\u2265 50Hgmm)<\/li>\n<li>Nappali normokapnia, mely alv\u00e1s alatt romlik (PTcCO<sub>2 <\/sub>\u2265 10Hgmm)<\/li>\n<li>Hypercapnia n\u00e9lk\u00fcl, ha bizony\u00edtott a jelent\u0151sen besz\u0171k\u00fclt l\u00e9gz\u00e9sfunkci\u00f3:\n<ul>\n<li>Vit\u00e1lkapacit\u00e1s (VC) vagy forsz\u00edrozott vit\u00e1lkapacit\u00e1s (FVC) &lt;50%<\/li>\n<li>Maxim\u00e1lis bel\u00e9gz\u00e9si nyom\u00e1s &lt; 60v\u00edzcm<\/li>\n<li>Vtidal &gt; 0.4 x VC vagy Pi0.4 x Pimax (mell\u0171ri nyom\u00e1s)<\/li>\n<li>\u00e9s az \u00e1llapot a beteg \u00e9letmin\u0151s\u00e9g\u00e9nek roml\u00e1s\u00e1hoz vezet.<\/li>\n<\/ul>\n<\/li>\n<li>Nyugalmi diszpnoe megjelen\u00e9se<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>A restrikt\u00edv mellkasfali betegs\u00e9gek k\u00f6z\u00e9 soroljuk: scoliosis, kyphosis, pectus carinatum, pectus excavatum, restrikt\u00edv pleuralis betegs\u00e9gek, poszt-tuberculosis szindr\u00f3ma, spondylitis ankylopoetica, poszt-traum\u00e1s \/ posztoperat\u00edv mellkas deformit\u00e1s A mellkasfali restrikci\u00f3t (cs\u00f6kkent mellkasfali t\u00e1gul\u00e9konys\u00e1got) okoz\u00f3 k\u00f3rk\u00e9pek pulmon\u00e1lis betegs\u00e9g n\u00e9lk\u00fcl is jelent\u0151s\u00a0 hipoventil\u00e1ci\u00f3hoz \u00e9s k\u00f6vetkezm\u00e9nyes jobbsz\u00edvf\u00e9l terhel\u00e9shez vezethetnek. \u00c9jszakai folyamatos, \u00e9s nappali intermitt\u00e1l\u00f3 neminvaz\u00edv l\u00e9legeztet\u00e9ssel a nappali g\u00e1zcsere normaliz\u00e1l\u00f3dni tud, &hellip;<\/p>\n","protected":false},"author":101676,"featured_media":0,"parent":93,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[8],"class_list":["post-440","page","type-page","status-publish","hentry","tag-szkoliozis"],"acf":[],"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/otthonilelegeztetes\/wp-json\/wp\/v2\/pages\/440","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/semmelweis.hu\/otthonilelegeztetes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/semmelweis.hu\/otthonilelegeztetes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/otthonilelegeztetes\/wp-json\/wp\/v2\/users\/101676"}],"replies":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/otthonilelegeztetes\/wp-json\/wp\/v2\/comments?post=440"}],"version-history":[{"count":4,"href":"https:\/\/semmelweis.hu\/otthonilelegeztetes\/wp-json\/wp\/v2\/pages\/440\/revisions"}],"predecessor-version":[{"id":444,"href":"https:\/\/semmelweis.hu\/otthonilelegeztetes\/wp-json\/wp\/v2\/pages\/440\/revisions\/444"}],"up":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/otthonilelegeztetes\/wp-json\/wp\/v2\/pages\/93"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/otthonilelegeztetes\/wp-json\/wp\/v2\/media?parent=440"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/otthonilelegeztetes\/wp-json\/wp\/v2\/categories?post=440"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/otthonilelegeztetes\/wp-json\/wp\/v2\/tags?post=440"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}