Kodi paroxysmal nocturnal dyspnea ndi momwe mungachiritsire

Zamkati

• Zitha kuwuka liti
• Momwe mankhwalawa amachitikira
• Mitundu ina ya dyspnoea

Paroxysmal nocturnal dyspnea ndi kupuma pang'ono komwe kumawoneka munthu akamagona, kumapangitsa kuti munthu azidzimva mwadzidzidzi ndikupangitsa munthuyo kukhala kapena ngakhale kudzuka kufunafuna malo ampweya wambiri kuti athetse kutsitsaku.

Dyspnoea iyi imatha kuwonekera ndi zizindikilo zina monga thukuta, kutsokomola ndi kupuma, komwe kumatha bwino pakangotha ​​mphindi zochepa kukhala kapena kuyimirira.

Mpweya woterewu nthawi zambiri umakhala vuto lomwe limakhalapo mwa anthu omwe ali ndi vuto la mtima, makamaka ngati sakuchiza moyenera. Chifukwa chake, kuti mupewe chizindikirochi, m'pofunika kugwiritsa ntchito mankhwala omwe adalangizidwa ndi dokotala kuti athetse vuto la mtima ndikuchepetsa zizindikilozo.

Zitha kuwuka liti

Paroxysmal nocturnal dyspnea nthawi zambiri imapezeka mwa anthu omwe ali ndi vuto la mtima wosakhazikika, chifukwa kusagwira bwino ntchito kwa mtima kumapangitsa kuti madzi azichuluka m'magazi, ziwalo za thupi ndipo, chifukwa chake, m'mapapu, kuchititsa kusokonezeka kwa m'mapapo komanso kupuma movutikira.

Komabe, chizindikirochi chimangowonekera munthawi yomwe matenda amatha, makamaka chifukwa chosowa chithandizo chokwanira kapena pambuyo pazochitika zomwe zimafunikira magwiridwe antchito amthupi, monga matenda kapena opaleshoni.

Momwe mankhwalawa amachitikira

Kuchiza kwa paroxysmal nocturnal dyspnea kumachitika ndi mankhwala omwe akuwonetsedwa ndi asing'anga kapena cardiologist kuti athetse vuto la mtima ndikuchepetsa kuchuluka kwa madzi m'mapapu, ndipo zitsanzo zina zimaphatikizapo ma diuretics monga Furosemide kapena Spironolactone, antihypertensives monga Enalapril, Captopril kapena Carvedilol , mankhwala osokoneza bongo monga Amiodarone (ngati arrhythmia) kapena cardiotonics monga Digoxin, mwachitsanzo.

Pezani zambiri zamomwe mankhwala amtundu wa mtima amachitikira komanso mankhwala omwe angagwiritsidwe ntchito.

Mitundu ina ya dyspnoea

Dyspnea ndi mawu azachipatala omwe amanenedwa kuti pali kupuma pang'ono ndipo nthawi zambiri amakhala ofala kwa anthu omwe ali ndi vuto lamtima, mapapo kapena kuzungulira kwa magazi.

Kuphatikiza pa dyspnea ya paroxysmal usiku, palinso mitundu ina, monga:

• Mafupa: kupuma movutikira nthawi zonse mukamagona, komwe kulinso mu mtima kulephera, kuphatikiza pamatenda am'mapapo kapena anthu omwe ali ndi mphumu ndi emphysema, mwachitsanzo;
• Platypnea: ndi dzina lomwe limaperekedwa kufupikitsa mpweya komwe kumawuka kapena kumakulirakulira ndikayimirira. Chizindikirochi nthawi zambiri chimapezeka mwa odwala omwe ali ndi pericarditis, kuchepa kwa ziwiya zam'mapapo kapena mavuto ena amtima, monga kulumikizana kwachilendo kwa zipinda zamtima. Kupuma kochepa kumeneku kumabwera ndi chizindikiro china chotchedwa orthodexia, chomwe ndi kugwa mwadzidzidzi kwa mpweya wamagazi nthawi iliyonse mukakhala pamalo oyimirira;
• Trepopnea: ndikumva kupuma pang'ono komwe kumawonekera munthu akagona mbali yake, ndipo kumawongolera kutembenukira mbali inayo. Itha kukhala m'matenda am'mapapo omwe amakhudza m'mapapo amodzi okha;
• Dyspnea poyesetsa: ndi kupuma kochepa komwe kumawonekera pakagwiridwa ntchito iliyonse, yomwe imakonda kupezeka mwa anthu omwe ali ndi matenda omwe amalepheretsa kugwira ntchito kwa mtima kapena mapapo.

Nthawi zonse mukawona kupuma kochepa komwe kukupitilira, kwamphamvu kapena kumawoneka ndi zizindikilo zina monga chizungulire, chifuwa kapena pallor, mwachitsanzo, ndikofunikira kupita kuchipatala kuti mudziwe chomwe chikuyambitsa ndikuyamba chithandizo. Phunzirani kuzindikira zomwe zimayambitsa kupuma movutikira komanso zoyenera kuchita nthawi iliyonse.