Chifukwa Chiyani Sindikutha Kupuma Kwambiri?

Zamkati

• Nchiyani chimayambitsa dyspnea?
• Kodi zizindikiro za dyspnea ndi ziti?
• Kodi vuto lomwe limayambitsa matenda a dyspnea limapezeka bwanji?
• Tengani mbiri yazachipatala
• Chitani kuyezetsa kwakuthupi
• Chitani mayeso
• Kodi dyspnea imathandizidwa bwanji?
• Tengera kwina

Kodi dyspnea ndi chiyani?

Kusokonezeka kwamomwe mumapumira nthawi zonse kumatha kukhala koopsa. Kumva ngati kuti sungathe kupuma movutikira amadziwika kuti azachipatala ngati dyspnea. Njira zina zofotokozera chizindikirochi ndi njala ya mpweya, kupuma pang'ono, komanso kukhwimitsa chifuwa. Dyspnea ndi chizindikiro cha matenda osiyanasiyana, ndipo amatha kubwera mwachangu kapena kukula pakapita nthawi.

Matenda onse a dyspnea amalola kuti mupite kukaonana ndi dokotala kuti akazindikire chomwe chikuyambitsa vutolo ndikupeza chithandizo choyenera. Dyspnea yowopsa yomwe imachitika mwachangu ndipo imakhudza magwiridwe anu onse imafunika kuthandizidwa mwachangu.

Nchiyani chimayambitsa dyspnea?

Dyspnea ndi chizindikiro cha zinthu zosiyanasiyana. Pafupifupi 85 peresenti ya matenda a dyspnea ndi ofanana ndi:

• mphumu
• congestive mtima kulephera
• myocardial ischemia, kapena kuchepa kwa magazi kumafikira pamtima zomwe nthawi zambiri zimakhala chifukwa cha kutsekeka komwe kungayambitse matenda amtima
• Matenda osokoneza bongo (COPD)
• matenda am'mapapo amkati
• chibayo
• matenda amisala, monga nkhawa

Zinthu zambiri zomwe zimakhudzana ndi dyspnea zimakhudzana ndi mtima ndi mapapo. Izi ndichifukwa choti ziwalozi ndizomwe zimayendetsa mpweya komanso kuchotsa mpweya woipa mthupi lanu lonse. Mkhalidwe wamtima ndi m'mapapo ungasinthe njirazi, ndikupangitsa kupuma pang'ono.

Pali zina zomwe zimachitika mumtima ndi m'mapapo zomwe zimakhudzana ndi dyspnea kupatula zomwe zimafotokozedwa pamwambapa.

Mkhalidwe wamtima umaphatikizapo:

• angina
• pulmonary edema (kuchokera ku congestive mtima kulephera)
• matenda ovuta a valvular
• matenda amtima
• mtima tamponade
• kuthamanga kwa magazi

Mavuto am'mapapo ndi awa:

• khansa ya m'mapapo
• Matenda oopsa
• kugona tulo
• embolism ya m'mapapo mwanga
• anaphylaxis
• mapapo anakomoka
• ntenda yopuma movutikira
• bronchiectasis
• Kutulutsa magazi
• edema wosakhala wamtima wa m'mapapo

Dyspnea sikuti imangogwirizana ndi mtima ndi mapapo. Zinthu zina ndi zina zimatha kubweretsa chizindikirocho, monga:

• kuchepa kwa magazi m'thupi
• Kuwonetsedwa kwa kaboni monoxide
• okwera kwambiri
• kutentha kwambiri kapena kutentha kwambiri
• kunenepa kwambiri
• kuchita masewera olimbitsa thupi mwamphamvu

Monga momwe dyspnea imatha kuchitika pazifukwa zosiyanasiyana, kuyamba kwa chizindikirocho kumasiyana.

Mutha kukhala ndi dyspnea mwadzidzidzi. Izi zimafuna chithandizo chamankhwala mwachangu. Zinthu zomwe zingayambitse dyspnea mwachangu zimaphatikizapo mphumu, nkhawa, kapena matenda amtima.

Mofananamo, mutha kukhala ndi matenda opatsirana ambiri. Apa ndipomwe mpweya wochepa umatha kupitirira mwezi. Mutha kukhala ndi dyspnea yayitali chifukwa cha COPD, kunenepa kwambiri, kapena vuto lina.

Kodi zizindikiro za dyspnea ndi ziti?

Mutha kukhala ndi zizindikilo zingapo zomwe zili ndi dyspnea. Zizindikiro zowonjezerazi zitha kukuthandizani inu ndi dokotala kuzindikira chomwe chimayambitsa. Mukakhala ndi chifuwa, dyspnea imatha chifukwa cha vuto m'mapapu anu. Ngati mukumva chizindikirocho ngati zowawa pachifuwa, adokotala amatha kuyesa momwe mtima ulili. Dokotala wanu amatha kupeza zizindikilo kunja kwa mtima ndi mapapo zomwe zimayambitsanso dyspnea.

Zizindikiro zomwe zimachitika pambali pa dyspnea ndizo:

• kugunda kwa mtima
• kuonda
• akuwombera m'mapapo
• kupuma
• thukuta usiku
• mapazi otupa ndi akakolo
• kupuma movutikira mutagona pansi
• malungo akulu
• kuzizira
• chifuwa
• kupuma kwakanthawi kochepa komwe kumawonjezeka

Onetsetsani kuti mwalemba mndandanda wazizindikiro zomwe mumakumana nazo ndi dyspnea kuti muthe kugawana ndi dokotala.

Muyenera kupita kuchipatala mwachangu mukakumana ndi izi:

• kupuma pang'ono mwadzidzidzi komwe kumasokoneza luso lanu logwira ntchito
• kutaya chidziwitso
• kupweteka pachifuwa
• nseru

Kodi vuto lomwe limayambitsa matenda a dyspnea limapezeka bwanji?

Dyspnea ndi chizindikiro chomwe chimatha kukumana ndi zovuta zosiyanasiyana. Chifukwa chake, kusankhidwa kwa dokotala wanu kumatha kuchuluka. Nthawi zambiri, dokotala wanu:

Tengani mbiri yazachipatala

Izi ziphatikizapo kukambirana zambiri monga:

• thanzi lanu komanso zomwe mukudwala
• Matenda achilendo komanso m'mbuyomu komanso maopaleshoni
• mankhwala omwe mumagwiritsa ntchito
• zizolowezi zanu zosuta
• mbiri ya banja lanu
• maopareshoni aposachedwa
• malo anu ogwirira ntchito

Chitani kuyezetsa kwakuthupi

Izi ziphatikizapo:

• kutenga zizindikiro zanu zofunika
• kujambula kulemera kwanu
• kuzindikira mawonekedwe anu
• kuyeza kutalika kwanu kwakumtunda ndi oximetry ya pulse
• kusanthula mapapu anu, mitsempha ya khosi, ndi mtima

Kuwunika kwakuthupi kumatha kuphatikizira muyeso ndi kuwunika kwina kutengera zomwe adapeza dokotala wanu.

Chitani mayeso

Dokotala wanu adzayesa mayeso kutengera mbiri yanu ndikuwunika kwanu. Mayeso ena oyambira angaphatikizepo:

• X-ray pachifuwa
• makina ojambulira
• spirometry
• kuyesa magazi

Ngati mayesero am'mbuyomu samadziwika, mungafunike kuyesa kwakukulu, kuphatikiza:

• mayesero athunthu am'mapapo mwanga
• chithuchitra
• kompyuta tomography
• mpweya wabwino / perfusion scanning
• mayesero opsinjika

Kodi dyspnea imathandizidwa bwanji?

Dyspnea imatha kuchiritsidwa pozindikira ndi kuchiza zomwe zikuyambitsa. Pakadutsa nthawi kuti dokotala wanu adziwe kuti ali ndi vutoli, mutha kulandira thandizo monga mpweya komanso mpweya wabwino kuti athe kuzindikira chizindikirocho.

Chithandizo cha dyspnea chingaphatikizepo:

• kuchotsa kutseka kwa njira yapaulendo
• kuchotsa ntchofu
• kuchepetsa kutupa kwa mpweya
• kuchepetsa njala ya thupi ya mpweya

Dokotala wanu akhoza kukupatsani mankhwala kuti muchepetse matenda. Izi zitha kuphatikizira ma steroids a mphumu, maantibayotiki a chibayo, kapena mankhwala ena okhudzana ndi vuto lanu. Mwinanso mungafunike oxygen yowonjezera. Nthawi zina, kuchitidwa opaleshoni kumatha kukhala kofunikira kuti muchepetse dyspnea.

Palinso zochiritsira zowonjezera za dyspnea zomwe zimapitilira njira zamankhwala. Dokotala wanu angakulimbikitseni kuti muyesetse kupuma. Izi zitha kulimbikitsa magwiridwe antchito am'mapapo komanso kukuthandizani kuthana ndi dyspnea ikakhala m'moyo wanu watsiku ndi tsiku.

Ngati mukukumana ndi vuto la dyspnea, muyenera kukambirana zosintha momwe mungachepetsere vutoli. Kusintha kumeneku kumachepetsa kuchepa kwa dyspnea ndikuphatikizira:

• kuonda
• kuchiza matenda
• kusiya kusuta
• kupewa zoyambitsa zachilengedwe monga ma allergen ndi mpweya wa poizoni
• kukhala m'malo otsika kwambiri (ochepera 5,000 mapazi)
• kuyang'anira zida zilizonse kapena mankhwala omwe mungagwiritse ntchito

Tengera kwina

Dyspnea ndi chizindikiro cha matenda kapena chifukwa choyambitsa china. Chizindikiro ichi chiyenera kutengedwa mozama ndipo chimafunikira kupita kuchipatala.

Kuwona kwa dyspnea kumadalira pazomwe zimayambitsa.