Palliative chisamaliro - kupuma movutikira

Wina amene akudwala kwambiri amavutika kupuma kapena kumva ngati kuti sakupeza mpweya wokwanira. Vutoli limatchedwa kuti kupuma movutikira. Mawu azachipatala a izi ndi dyspnea.

Kusamalira odwala ndi njira yokhayo yosamalirira yomwe imayang'ana kuthana ndi zowawa ndi kusintha komanso kukhala ndi moyo wabwino kwa anthu omwe ali ndi matenda akulu komanso amakhala ndi moyo ochepa.

Kupuma pang'ono kumangokhala vuto mukamayenda masitepe. Kapenanso, zitha kukhala zovuta kwambiri kuti munthuyo avutike kuyankhula kapena kudya.

Kupuma pang'ono kumayambitsa zifukwa zambiri, kuphatikizapo:

• Nkhawa ndi mantha
• Mantha
• Matenda a m'mapapo, monga chibayo kapena bronchitis
• Matenda a m'mapapo, monga matenda osokoneza bongo (COPD)
• Mavuto ndi mtima, impso, kapena chiwindi
• Kuchepa kwa magazi m'thupi
• Kudzimbidwa

Ndi matenda akulu kapena kumapeto kwa moyo, sizachilendo kupuma. Mutha kukumana kapena simukukumana nazo. Lankhulani ndi gulu lanu lazaumoyo kuti mudziwe zomwe muyenera kuyembekezera.

Ndi mpweya wochepa mumatha kumva:

• Zosasangalatsa
• Monga simukupeza mpweya wokwanira
• Kuvuta kupuma
• Otopa
• Monga mukupuma mwachangu
• Mantha, nkhawa, mkwiyo, chisoni, kusowa chochita

Mutha kuwona kuti khungu lanu lili ndi timbulu tating'onoting'ono pa zala zanu, zala zakumapazi, mphuno, makutu, kapena nkhope.

Ngati mukumva kupuma movutikira, ngakhale kuli kofatsa, uzani wina pagulu lanu losamalira. Kupeza choyambitsa kumathandizira gululi kusankha zamankhwala. Namwino amatha kuwona kuchuluka kwa mpweya womwe uli m'magazi anu polumikiza chala chanu kumakina otchedwa pulse oximeter. X-ray pachifuwa kapena ECG (electrocardiogram) ingathandize gulu lanu losamalira kupeza vuto la mtima kapena mapapo.

Kuti muthandizire kupuma pang'ono, yesani:

• Kukhala pansi
• Kukhala pansi kapena kugona pampando wotsamira
• Kukweza mutu wa bedi kapena kugwiritsa ntchito mapilo kukhala tsonga
• Kutsamira patsogolo

Pezani njira zopumulira.

• Mverani nyimbo zodekha.
• Pezani kutikita.
• Ikani nsalu yozizira pakhosi kapena pamutu panu.
• Tengani mpweya pang'onopang'ono kudzera m'mphuno mwanu ndikutuluka pakamwa panu. Zitha kuthandizira kunyamula milomo yanu ngati momwe mumayimbira likhweru. Izi zimatchedwa kupumira pakamwa.
• Pezani chilimbikitso kuchokera kwa mnzanu wodekha, wachibale, kapena membala wa timu yothandizira odwala
• Pezani mphepo kuchokera pazenera lotseguka kapena zimakupiza.

Kuti mupume mosavuta, mvetsetsani momwe mungagwiritsire ntchito:

• Mpweya
• Mankhwala othandizira kupuma

Nthawi iliyonse yomwe simungathe kuletsa kupuma pang'ono:

• Itanani dokotala wanu, namwino, kapena wina aliyense wamagulu azachipatala kuti akupatseni malangizo.
• Imbani 911 kapena nambala yadzidzidzi yakomweko kuti muthandizidwe.

Kambiranani ndi wothandizira zaumoyo wanu ngati mukufuna kupita kuchipatala pakakhala mpweya wochepa.

Dziwani zambiri za:

• Malangizo othandizira pasadakhale
• Othandizira azaumoyo

Dyspnea - kutha kwa moyo; Kusamalira odwala - kupuma movutikira

Braithwaite SA, Perina D. Dyspnea. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 22.

Johnson MJ, Eva GE, Booth S. Mankhwala othandizira komanso kuwongolera zizindikilo. Mu: Kumar P, Clark M, eds. Kumar ndi Clarke's Clinical Medicine. 9th ed. Philadelphia, PA: Elsevier; 2017: mutu 3.

Kviatkovsky MJ, Ketterer BN, Goodlin SJ. Kusamalira mwachidwi m'chipinda cha anthu odwala mwakayakaya. Mu: Brown DL, mkonzi. Kusamalira Kwambiri Mtima. Wachitatu ed. Philadelphia, PA: Elsevier; 2019: chap 52.

• Mavuto Opuma
• Kusamalira