Umfutho wegazi ophezulu wamaphaphu - ekhaya

Umfutho wegazi ophezulu we-pulmonary (PAH) umfutho wegazi ophakeme ngokungajwayelekile emithanjeni yamaphaphu. Nge-PAH, uhlangothi lwangakwesokudla lwenhliziyo kufanele lusebenze kanzima kunokujwayelekile.

Njengoba ukugula kuya kuba kubi kakhulu, kuzodingeka wenze okuningi ukuze uzinakekele. Kuzodingeka futhi wenze izinguquko ekhaya lakho futhi uthole usizo olwengeziwe endlini.

Zama ukuhamba ukuze wakhe amandla:

• Buza udokotela noma umeluleki ukuthi uhambe ibanga elingakanani.
• Khulisa kancane ukuthi uhamba ibanga elingakanani.
• Zama ukungakhulumi lapho uhamba ukuze ungaphefumuli.
• Yima uma unesihlungu esifubeni noma uzizwa unesiyezi.

Hamba ngebhayisikili elimile. Buza udokotela wakho noma umelaphi ukuthi ukugibela isikhathi esingakanani futhi kunzima kangakanani.

Qina ngisho nalapho uhleli:

• Sebenzisa izisindo ezincane noma ishubhu yenjoloba ukwenza izingalo namahlombe akho kuqine.
• Asukume ahlale phansi amahlandla amaningi.
• Phakamisa imilenze yakho ngqo phambi kwakho. Bamba imizuzwana embalwa, bese besehlisa phansi.

Amanye amathiphu wokuzinakekela afaka:

• Zama ukudla izidlo ezincane eziyisithupha ngosuku. Kungaba lula ukuphefumula lapho isisu sakho singasuthanga.
• Ungaphuzi uketshezi oluningi ngaphambi noma ngenkathi udla ukudla kwakho.
• Buza udokotela wakho ukuthi yikuphi ukudla ongakudla ukuze uthole amandla amaningi.
• Uma ubhema, manje isikhathi sokuyeka. Hlala kude nabantu ababhemayo uma usuphumile. Ungavumeli ukubhema ekhaya lakho.
• Hlala kude nephunga elinamandla nomusi.
• Buza udokotela wakho noma umeluleki ukuthi yiziphi izivivinyo zokuphefumula ezikulungele.
• Thatha yonke imithi udokotela akunika yona.
• Khuluma nodokotela wakho uma uzizwa ucindezelekile noma ukhathazekile.
• Tshela udokotela wakho uma uqala ukuba nesiyezi noma ukuvuvukala okuningi emilenzeni yakho.

Kumele:

• Thola umkhuhlane njalo ngonyaka. Buza udokotela wakho ukuthi kufanele uthole umuthi wokugomela i-pneumonia.
• Geza izandla zakho njalo. Zigeze njalo ngemuva kokuya endlini yangasese nalapho useduze nabantu abagulayo.
• Hlala kude nezixuku.
• Cela izivakashi ezinemikhuhlane ukuthi zigqoke izifihla-buso, noma zikuvakashele ngemuva kokuphela kwemikhuhlane yazo.

Yenza kube lula kuwe ekhaya.

• Beka izinto ozisebenzisa kaningi ezindaweni lapho ungadingi ukufinyelela noma ukugoba ukuze uzithole.
• Sebenzisa inqola enamasondo ukuhambisa izinto endlini.
• Sebenzisa i-opener caner, i-washwasher nezinye izinto ezizokwenza imisebenzi yakho ibe lula ukuyenza.
• Sebenzisa amathuluzi okupheka (imimese, ama-peelers, namapani) angasindi.

Ukonga amandla akho:

• Sebenzisa ukunyakaza okuhamba kancane, lapho wenza izinto.
• Hlala phansi uma ukwazi lapho upheka, udla, ugqoka futhi ugeza.
• Thola usizo lwemisebenzi enzima.
• UNGAZAMI ukwenza okuningi ngosuku olulodwa.
• Gcina ifoni kuwe noma eduze kwakho.
• Zisonge ngethawula kunokuba womile.
• Zama ukunciphisa ukucindezeleka empilweni yakho.

Esibhedlela, uthole ukwelashwa komoya-mpilo. Ungadinga ukusebenzisa i-oxygen ekhaya. Ungashintshi ukuthi ugeleza kangakanani umoya-mpilo ngaphandle kokubuza udokotela wakho.

Yiba nesipele se-oxygen ekhaya noma nawe lapho uphuma. Gcina inombolo yocingo yomhlinzeki wakho womoya-mpilo ngaso sonke isikhathi. Funda ukusebenzisa i-oxygen ngokuphepha ekhaya.

Uma uhlola umoya-mpilo wakho nge-oximeter ekhaya futhi inombolo yakho ivame ukwehla ingaphansi kwama-90%, shayela udokotela wakho.

Umhlinzeki wakho wezokunakekelwa kwempilo esibhedlela angakucela ukuthi wenze ukuvakashelwa okulandelayo:

• Udokotela wakho oyinhloko
• Udokotela wakho wamaphaphu (i-pulmonologist) noma udokotela wenhliziyo yakho (i-cardiologist)
• Umuntu ongakusiza uyeke ukubhema, uma ubhema

Shayela udokotela wakho uma ukuphefumula kwakho kungukuthi:

• Ukuthola kunzima
• Kushesha kakhulu kunakuqala
• Kujulile, noma awukwazi ukuthola umoya ojulile

Shayela nodokotela wakho uma:

• Udinga ukuncika phambili lapho uhleli, ukuze uphefumule kalula
• Uzizwa ulele noma udidekile
• Unomkhuhlane
• Izandla zakho, noma isikhumba esiseduze kwezinzipho zakho, siluhlaza okwesibhakabhaka
• Uzizwa unesiyezi, udlula (i-syncope), noma unobuhlungu besifuba
• Ukhulise ukuvuvukala kwemilenze

Umfutho wegazi ophezulu wamaphaphu - ukuzinakekela; Umsebenzi - umfutho wegazi ophakeme wamaphaphu; Ukuvimbela izifo - umfutho wegazi ophakeme wamaphaphu; Oxygen - umfutho wegazi ophakeme wamaphaphu

• Umfutho wegazi ophezulu wamaphaphu

UChin K, uChannick RN. Umfutho wegazi ophezulu wamaphaphu. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 58.

UMcLaughlin VV, Humbert M. Pulmonary umfutho wegazi ophezulu. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 85.