I-Orthopnea

-Delile

• Izimpawu
• Izimbangela
• Izinketho zokwelashwa
• Izimo ezihlanganisiwe
• Ukwehluleka kwenhliziyo
• Isifo esingapheliyo se-pulmonary disease (COPD)
• I-edema yamaphaphu
• Umbono

Ukubuka konke

I-Orthopnea ukuphefumula okuncane noma ukuphefumula kanzima lapho ulala phansi. Livela emagameni esiGriki "ortho," okusho ukuthi iqonde noma ime mpo, futhi "i-pnea," okusho ukuthi "ukuphefumula."

Uma unalesi sibonakaliso, ukuphefumula kwakho kuzosebenza uma ulala phansi. Kufanele ithuthuke uma uhlala phansi noma ume.

Ezimweni eziningi, i-orthopnea iwuphawu lokwehluleka kwenhliziyo.

I-Orthopnea yehlukile kune-dyspnea, okunzima ukuphefumula ngesikhathi semisebenzi engadinisi. Uma une-dyspnea, uzizwa sengathi uphefumula kanzima noma unenkinga yokubamba umoya wakho, noma ngabe wenza muphi umsebenzi noma ukulesi simo.

Okunye ukuhluka kulesi sibonakaliso kufaka:

• I-Platypnea. Lesi sifo sibangela ukuphefumula okuncane lapho umile.
• I-Trepopnea. Lesi sifo sibangela ukuphefumula okuncane lapho ulele ngohlangothi.

Izimpawu

I-Orthopnea uphawu. Uzozizwa uphelelwa umoya lapho ulala phansi. Ukuhlala uphakamise umqamelo owodwa noma eminingi kungakuthuthukisa ukuphefumula kwakho.

Mangaki ama-pillows okudingeka uwasebenzise angatshela udokotela wakho ngobukhulu be-orthopnea yakho. Isibonelo, "i-orthopnea yomcamelo emithathu" kusho ukuthi i-orthopnea yakho inzima kakhulu.

Izimbangela

I-Orthopnea ibangelwa ingcindezi eyengeziwe emithanjeni yegazi yamaphaphu akho. Uma ulala phansi, igazi ligeleza lisuke emilenzeni liye enhliziyweni bese liya emaphashini akho. Kubantu abaphilile, lokhu kwabiwa kabusha kwegazi akubangeli zinkinga.

Kepha uma unesifo senhliziyo noma ukwehluleka kwenhliziyo, inhliziyo yakho ingahle ingabi namandla anele okumpompa igazi elingeziwe lisuke enhliziyweni. Lokhu kungakhuphula ingcindezi emithanjeni nasemithanjeni engaphakathi emaphashini akho, kubangele uketshezi luphumele emaphashini. Uketshezi olungeziwe yilokho okwenza kube nzima ukuphefumula.

Kwesinye isikhathi abantu abanesifo samaphaphu bathola i-orthopnea - ikakhulukazi lapho amaphaphu abo ekhiqiza amafinyila amaningi. Kunzima ukuthi amaphaphu akho asule amafinyila lapho ulele phansi.

Ezinye izimbangela ze-orthopnea zifaka:

• uketshezi oluningi emaphashini (i-pulmonary edema)
• inyumoniya enamandla
• ukukhuluphala ngokweqile
• i-fluid buildup ezungeze iphaphu (pleural effusion)
• uketshezi okwakhiwe esiswini (ascites)
• ukukhubazeka kwesifo se-diaphragm

Izinketho zokwelashwa

Ukuze unciphise ukuphefumula, ziphakamise umcamelo owodwa noma eminingi. Lokhu kufanele kukusize uphefumule kalula. Ungadinga futhi i-oxygen eyengeziwe, kungaba sekhaya noma esibhedlela.

Lapho nje udokotela wakho esehlolisise imbangela ye-orthopnea yakho, uzokwelashwa. Odokotela belapha ukwehluleka kwenhliziyo ngemithi, ngokuhlinzwa nangamadivayisi.

Imithi ekhulula i-orthopnea kubantu abanokwehluleka kwenhliziyo ifaka:

• Izidakamizwa. Le mithi ivimbela uketshezi ekwakheni emzimbeni wakho. Izidakamizwa ezinjenge-furosemide (Lasix) zivimba uketshezi ekwakheni amaphaphu akho.
• I-Angiotensin-converting enzyme (ACE) inhibitors. Le mithi inconyelwa abantu abanesifo senhliziyo esisehlangothini lwesobunxele. Benza ngcono ukugeleza kwegazi futhi bavimbele inhliziyo ekusebenzeni kanzima. Ama-ACE inhibitors afaka phakathi i-captopril (iCapoten), i-enalapril (iVasotec), ne-lisinopril (iZestril).
• Ama-beta blockers Kunconywa nabantu abanesifo senhliziyo. Ngokuya ngokuthi ukwehluleka kwenhliziyo yakho kubucayi kangakanani, kuneminye imithi udokotela wakho angakuyala nayo.

Uma une-Chronic Obstructive Pulmonary Disease (COPD), udokotela wakho uzokunikeza imishanguzo evula umoya futhi inciphise ukuvuvukala emaphashini. Lokhu kufaka phakathi:

• ama-bronchodilator afana ne-albuterol (ProAir HFA, Ventolin HFA), ipratropium (Atrovent), salmeterol (Serevent), ne-tiotropium (Spiriva)
• i-steroids emuncwe njenge-budesonide (Pulmicort Flexhaler, Uceris), i-fluticasone (i-Flovent HFA, i-Flonase)
• inhlanganisela yama-bronchodilators ne-inhaled steroids, njenge-formoterol ne-budesonide (Symbicort) ne-salmeterol ne-fluticasone (i-Advair)

Ungadinga futhi i-oxygen eyengeziwe ukukusiza uphefumule ngenkathi ulele.

Izimo ezihlanganisiwe

I-Orthopnea ingaba uphawu lwezimo ezahlukahlukene zezokwelapha, kufaka phakathi:

Ukwehluleka kwenhliziyo

Lesi simo senzeka lapho inhliziyo yakho ingakwazi ukumpompa igazi ngempumelelo emzimbeni wakho wonke. Kubizwa nangokuthi ukwehluleka kwenhliziyo okucinana. Noma nini lapho ulala phansi, igazi eliningi ligelezela emaphashini akho. Uma inhliziyo yakho ebuthakathaka ingakwazi ukulikhiphela lelo gazi kuwo wonke umzimba, ingcindezi iyakheka ngaphakathi kwamaphaphu akho futhi ibangele ukuphefumula okuncane.

Imvamisa lolu phawu aluqali kuze kube ngamahora ambalwa ngemuva kokulala.

Isifo esingapheliyo se-pulmonary disease (COPD)

I-COPD iyinhlanganisela yezifo zamaphaphu ezibandakanya i-emphysema ne-bronchitis engapheli. Kubangela ukuphefumula okuncane, ukukhwehlela, ukuqhuma kwesifuba nokuqina kwesifuba. Ngokungafani nokwehluleka kwenhliziyo, i-orthopnea evela ku-COPD iqala cishe ngokushesha ngemuva kokulala phansi.

I-edema yamaphaphu

Lesi simo sidalwa uketshezi oluningi emaphashini, okwenza kube nzima ukuphefumula. Ukuphefumula okuncane kuba kubi kakhulu uma ulala phansi. Imvamisa lokhu kusuka ekuhlulekeni kwenhliziyo.

Umbono

Umbono wakho uncike ekutheni yisiphi isimo esidala i-orthopnea yakho, ukuthi leso simo sinzima kangakanani, nokuthi siphathwa kanjani. Imithi nokunye ukwelashwa kungasebenza ekwehliseni i-orthopnea nezimo eziyibangelayo, njengokuhluleka kwenhliziyo ne-COPD.