Kupuma kovuta - kugona pansi

Kupuma movutikira mutagona ndi vuto lina lomwe limapangitsa kuti munthu azivutika kupuma bwinobwino atagona pansi. Mutu uyenera kukwezedwa pokhala kapena kuyimirira kuti uzitha kupuma bwino kapena momasuka.

Mtundu wa kupuma movutikira mutagona ndi paroxysmal nocturnal dyspnea. Matendawa amachititsa munthu kudzuka modzidzimutsa usiku akumva kupuma pang'ono.

Ili ndi dandaulo lofala kwa anthu omwe ali ndi mitundu ina yamatenda amtima kapena yamapapo. Nthawi zina vuto limakhala losaonekera. Anthu amatha kungozizindikira akazindikira kuti kugona kumakhala kosavuta ndi mapilo ambiri pansi pamutu pawo, kapena mutu wawo pamalo opendekekera.

Zoyambitsa zingaphatikizepo:

• Matenda osokoneza bongo (COPD)
• Cor pulmonale
• Mtima kulephera
• Kunenepa kwambiri (sikumayambitsa kupuma movutikira kwenikweni mukugona koma nthawi zambiri kumawononga zinthu zina zomwe zimayambitsa)
• Kusokonezeka kwamantha
• Mpweya wogona
• Nthawi zina

Wothandizira zaumoyo wanu akhoza kulimbikitsa njira zodzisamalirira. Mwachitsanzo, mwina munganene kuti muchepetse ngati muli onenepa kwambiri.

Ngati muli ndi vuto losapumira popuma mukugona, itanani omwe akukuthandizani.

Woperekayo ayesa mayeso ndikufunsa mafunso okhudza vutoli.

Mafunso angaphatikizepo:

• Kodi vutoli lidayamba mwadzidzidzi kapena pang'onopang'ono?
• Kodi chikuipiraipira (kupita patsogolo)?
• Nzoipa bwanji?
• Kodi ndi mapilo angati omwe mukufunikira kukuthandizani kupuma bwino?
• Kodi pali chotupa, phazi, kapena mwendo kutupa?
• Kodi zimakuvutani kupuma nthawi zina?
• Ndinu atali bwanji? Mumalemera zingati? Kodi kulemera kwanu kwasintha posachedwa?
• Ndi zisonyezo zina ziti zomwe muli nazo?

Kuyeza kwakuthupi kumaphatikizira chidwi chapadera pamtima ndi m'mapapo (zamitsempha zam'mimba ndi momwe amapumira).

Mayeso omwe angachitike ndi awa:

• X-ray pachifuwa
• ECG
• Zojambulajambula
• Mayeso a ntchito yamapapo

Chithandizo chimadalira chifukwa cha vuto lakupuma.

Muyenera kugwiritsa ntchito mpweya.

Kudzuka usiku kupuma movutikira; Paroxysmal usiku usiku dyspnea; PND; Kuvuta kupuma mutagona; Mafupa; Mtima kulephera - mafupa

• Kupuma

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.

Davis JL, Murray JF. Mbiri ndi kuwunika kwakuthupi. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 16.

Januzzi JL, Mann DL. Yandikirani wodwalayo ndi kulephera kwa mtima. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, ndi al. okonza. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 21.

O'Connor CM, Rogers JG. Kulephera kwa mtima: pathophysiology ndi matenda. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 58.