Yini i-paroxysmal nocturnal dyspnea nokuthi ungaphatha kanjani

-Delile

• Kungavuka nini
• Yelashwa kanjani
• Ezinye izinhlobo ze-dyspnoea

I-paroxysmal nocturnal dyspnea ukuphefumula okuncane okuvela ngesikhathi sokulala, kubangele umuzwa ongazelelwe wokukhathala futhi kubangele ukuthi umuntu ahlale noma aze asukume ayofuna indawo enomoya ukuze akhulule lo muzwa.

Le dyspnoea ingavela nezinye izimpawu nezimpawu ezifana nokujuluka okukhulu, ukukhwehlela nokuphefumula, okuvame ukuthuthuka ngemuva kwemizuzu embalwa uhleli noma umile.

Lolu hlobo lokuphefumula cishe njalo luyinkinga eba khona kubantu abanokwehluleka kwenhliziyo, ikakhulukazi lapho bengenzi ukwelashwa okufanele. Ngakho-ke, ukugwema lolu phawu, kuyadingeka ukuthi usebenzise imishanguzo enconywe ngudokotela ukuze welaphe ukungasebenzi kahle kwenhliziyo futhi unciphise izimpawu.

Kungavuka nini

I-paroxysmal nocturnal dyspnea ivame ukuvela kubantu abane-congestive heart failure, njengoba ukungasebenzi kahle kwenhliziyo kubangela ukuthi uketshezi luqoqane egazini, kumalungu omzimba futhi, ngenxa yalokho, emaphashini, kubangele ukuminyana kwamaphaphu kanye nobunzima ekuphefumuleni.

Kodwa-ke, lesi sibonakaliso sivela kuphela ezimweni lapho isifo sibola khona, imvamisa ngenxa yokungabi bikho kokwelashwa okwanele noma ngemuva kwezimo ezidinga ukusebenza okukhulu emzimbeni, njengokutheleleka noma ngemuva kokuhlinzwa, ngokwesibonelo.

Yelashwa kanjani

Ukwelashwa kwe-paroxysmal nocturnal dyspnea kwenziwa ngemithi ekhonjiswe ngudokotela ojwayelekile noma i-cardiologist yokwelapha ukwehluleka kwenhliziyo nokunciphisa ukuqoqwa koketshezi emaphashini, kanti ezinye izibonelo zifaka ama-diuretics afana neFurosemide noma iSpironolactone, ama-antihypertensives anjenge-Enalapril, Captopril noma iCarvedilol , izidakamizwa ezilwa nesondo ezifana ne-Amiodarone (uma kwenzeka i-arrhythmia) noma i-cardiotonics efana ne-Digoxin, isibonelo.

Thola imininingwane eminingi yokuthi ukwelashwa kokuhluleka kwenhliziyo kwenziwa kanjani nokuthi yimaphi amakhambi okufanele uwasebenzise.

Ezinye izinhlobo ze-dyspnoea

I-Dyspnea yigama lezokwelapha elisetshenziselwa ukusho ukuthi kukhona ukuzwa kokuphefumula futhi kuvame kakhulu kubantu abanenkinga ethile yenhliziyo, amaphaphu noma ukujikeleza kwegazi.

Ngaphezu kwe-paroxysmal nocturnal dyspnea, kunezinye izinhlobo, njenge:

• I-Orthopnea: ukuphefumula okuncane noma nini lapho ulala phansi, okukhona nokwehluleka kwenhliziyo, ngaphezu kwamacala okucinana kwamaphaphu noma abantu abane-asthma ne-emphysema, isibonelo;
• I-Platypnea: yigama elinikezwe ukuphefumula okufishane okuvelayo noma okuya kuba kubi ngesikhundla sokuma. Lesi sibonakaliso sivame ukuvela ezigulini ezine-pericarditis, ukuvuleka kwemikhumbi yamaphaphu noma izinkinga ezithile zenhliziyo, njengokuxhumana okungajwayelekile kwamagumbi enhliziyo. Lokhu kuphefumula okuncane kuvame ukuza nolunye uphawu olubizwa ngokuthi i-orthodexia, okuwukwehla okungazelelwe kwamazinga e-oxygen egazini noma kunini lapho usesikhundleni sokuma;
• I-Trepopnea: kungukuzwa kokuphefumula okuvela njalo lapho umuntu elele ngohlangothi, futhi okuthuthukayo lapho ephendukela kolunye uhlangothi. Kungaba nezifo zamaphaphu ezithinta iphaphu elilodwa kuphela;
• I-Dyspnea ngokuzikhandla: ukuphefumula okufushane okuvela noma yinini lapho kwenziwa umzamo womzimba, ovame ukwenzeka kubantu abanezifo ezibeka engcupheni umsebenzi wenhliziyo noma wamaphaphu.

Noma nini lapho ubona umuzwa wokuphefumula ophikelelayo, onamandla noma ovela nezinye izimpawu ezifana nesiyezi, ukukhwehlela noma i-pallor, ngokwesibonelo, kubalulekile ukufuna usizo lwezokwelapha ukuthola imbangela bese uqala ukwelashwa. Funda ukukhomba izimbangela ezinkulu zokuphefumula okuncane nokuthi wenzeni esimweni ngasinye.