Ubunzima bokuphefumula - ukulala phansi

Ubunzima bokuphefumula ngenkathi ulele phansi isimo esingajwayelekile lapho umuntu enenkinga yokuphefumula ngokujwayelekile lapho elele phansi. Inhloko kumele iphakanyiswe ngokuhlala noma ukuma ukuze ikwazi ukuphefumula ngokujulile noma ngokunethezeka.

Uhlobo lokuphefumula kanzima ngenkathi ulele phansi yi-paroxysmal nocturnal dyspnea. Lesi simo sidala ukuthi umuntu avuke ngokuzumayo phakathi nobusuku ezizwa ephelelwa umoya.

Lesi yisikhalazo esivamile kubantu abanezinhlobo ezithile zezinkinga zenhliziyo noma zamaphaphu. Kwesinye isikhathi inkinga icashile. Abantu bangakubona kuphela lapho bebona ukuthi ukulala kunethezekile ngemicamelo eminingi ngaphansi kwekhanda labo, noma ikhanda labo lisendaweni enconyiwe.

Izimbangela zingafaka:

• Isifo esingapheliyo se-pulmonary disease (COPD)
• Cor pulmonale
• Ukwehluleka kwenhliziyo
• Ukukhuluphala ngokweqile (akubangeli ngqo ukuphefumula kanzima ngenkathi ulele phansi kepha kuvame ukonakalisa ezinye izimo eziholela kukho)
• Ukuphazamiseka kovalo
• I-apnea yokulala
• Ukuhogela

Umhlinzeki wakho wokunakekelwa kwezempilo angancoma izinyathelo zokuzinakekela. Isibonelo, ukwehlisa isisindo kungaphakanyiswa uma ukhuluphele.

Uma unenkinga engachazeki yokuphefumula ngenkathi ulele phansi, shayela umhlinzeki wakho.

Umhlinzeki uzokwenza ukuhlolwa ngokomzimba futhi abuze imibuzo mayelana nenkinga.

Imibuzo ingafaka:

• Ngabe le nkinga ivele ngokuzumayo noma kancane?
• Ingabe kuya ngokuya kuba kubi (kuyaqhubeka)?
• Kubi kangakanani?
• Ingabe udinga imicamelo emingaki ukukusiza uphefumule kahle?
• Ngabe kukhona iqakala, unyawo, noma ukuvuvukala kwemilenze?
• Ingabe unenkinga yokuphefumula ngezinye izikhathi?
• Umude kangakanani? Usinda kangakanani? Ngabe isisindo sakho sishintshile muva nje?
• Yiziphi ezinye izimpawu onazo?

Ukuhlolwa komzimba kuzofaka ukunakwa okukhethekile enhliziyweni nasemaphashini (izinhlelo zenhliziyo nemithambo yokuphefumula).

Ukuhlolwa okungenziwa kufaka okulandelayo:

• I-x-ray yesifuba
• ECG
• I-Echocardiogram
• Ukuhlolwa komsebenzi wePulmonary

Ukwelashwa kuya ngesizathu senkinga yokuphefumula.

Ungadinga ukusebenzisa i-oxygen.

Ukuvuka ebusuku uphelelwa umoya; I-paroxysmal sebusuku dyspnea; PND; Ukuphefumula kanzima ngenkathi ulele; I-Orthopnea; Ukwehluleka kwenhliziyo - i-orthopnea

• Ukuphefumula

IBraithwaite SA, uPerina D.Dyspnea. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 22.

UDavis JL, uMurray JF. Umlando nokuhlolwa komzimba. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 16.

UJanuzzi JL, uMann DL. Sondela esigulini ngokuhluleka kwenhliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, et al. ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 21.

U-O'Connor CM, uRogers JG. Ukwehluleka kwenhliziyo: i-pathophysiology kanye nokuxilongwa. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 58.