Uxinzelelo lwegazi kwimiphunga - ekhaya

Uxinzelelo lwegazi lwe-pulmonary (PAH) luxinzelelo lwegazi ngokungaqhelekanga kwimithambo yemiphunga. Nge-PAH, icala lasekunene lentliziyo kufuneka lisebenze nzima kunesiqhelo.

Njengokuba ukugula kusiba mandundu, kuya kufuneka wenze ngakumbi ukuzikhathalela. Uya kudinga ukwenza utshintsho ekhayeni lakho kwaye ufumane uncedo ngakumbi ekhaya.

Zama ukuhamba ukwakha amandla:

• Buza ugqirha okanye ugqirha ukuba uhambe kangakanani.
• Yandisa kancinci indlela ohamba ngayo.
• Zama ukungathethi xa uhamba ukuze ungaphefumli.
• Yeka ukuba unentlungu esifubeni okanye uziva unesiyezi.

Khwela ibhayisekile emileyo. Buza ugqirha wakho okanye ugqirha ukuba uza kukhwela ixesha elingakanani kwaye kunzima kangakanani ukukhwela.

Yomelela naxa uhleli:

• Sebenzisa iintsimbi ezincinci okanye iityhubhu zerabha ukwenza iingalo zakho namagxa omelele.
• Sukuma uhlale phantsi amatyeli aliqela.
• Phakamisa imilenze yakho ngqo phambi kwakho. Bamba imizuzwana embalwa, emva koko ubathobe.

Ezinye iingcebiso zokuzinyamekela zibandakanya:

• Zama ukutya izidlo ezithandathu ezincinci ngosuku. Kunokuba lula ukuphefumla xa isisu sakho singagcwalanga.
• Musa ukusela ulwelo oluninzi ngaphambi okanye xa usitya ukutya kwakho.
• Buza ugqirha wakho ukutya okutyayo ukuze ufumane amandla.
• Ukuba uyatshaya, ngoku lixesha lokuba uyeke. Hlala kude nabantu abatshayayo xa uphumile. Musa ukuvumela ukutshaya ekhayeni lakho.
• Hlala kude nevumba elinamandla kunye nomsi.
• Buza ugqirha wakho okanye ugqirha ukuba yeyiphi imithambo yokuphefumla ekulungeleyo.
• Thatha onke amayeza amiselwe ngugqirha wakho.
• Thetha nogqirha wakho ukuba uziva uxinezelekile okanye uxhalabile.
• Tshela ugqirha wakho ukuba uya kuba nesiyezi okanye unokudumba okungakumbi kwimilenze yakho.

Kufuneke u:

• Fumana umkhuhlane unyaka nonyaka. Buza ugqirha wakho ukuba kufuneka ufumane iyeza lokuthintela inyumoniya.
• Hlamba izandla zakho rhoqo. Ngalo lonke ixesha zihlambe emva kokuba uye kwigumbi lokuhlambela naxa uhlala nabantu abagulayo.
• Hlala kude nezihlwele.
• Cela iindwendwe ezinemikhuhlane ukuba zinxibe iimaski, okanye zikutyelele emva kokuba imikhuhlane yabo ihambile.

Yenza kube lula kuwe ekhaya.

• Beka izinto oqhele ukuzisebenzisa kwiindawo apho unganyanzelekanga ukuba ufike okanye ugobe ukuze uzifumane.
• Sebenzisa inqwelo enamavili ukuhambisa izinto endlwini.
• Sebenzisa isixhobo sokuvula umbane, isitya sokuhlambela izitya kunye nezinye izinto eziza kwenza imisebenzi yakho ibe lula ukuyenza.
• Sebenzisa izixhobo zokupheka (iimela, iipele, neepani) ezingasindi.

Ukugcina amandla akho:

• Sebenzisa ukucotha, ukuzinza xa usenza izinto.
• Hlala phantsi ukuba unako xa upheka, usitya, unxiba kwaye uhlamba.
• Fumana uncedo kwimisebenzi enzima.
• SUKUZAMA ukwenza kakhulu ngosuku olunye.
• Gcina ifowuni kunye nawe okanye kufuphi nawe.
• Zisongele ngetawuli kunokuba wome.
• Zama ukunciphisa uxinzelelo ebomini bakho.

Esibhedlele, ufumene unyango lweoksijini. Kuya kufuneka usebenzise ioksijini ekhaya. SUKUTSHINTSHE ioksijini engakanani ngaphandle kokucela ugqirha.

Yiba nesibonelelo sokugcina ioksijini ekhaya okanye kunye nawe xa uphuma. Gcina inombolo yefowuni yomthengisi weoksijini ngamaxesha onke. Funda ukusebenzisa ioksijini ngokukhuselekileyo ekhaya.

Ukuba ujonga ioksijini nge-oximeter ekhaya kwaye inani lakho lihlala lihla ngaphantsi kwe-90%, tsalela ugqirha wakho.

Umboneleli wakho wezempilo esibhedlele angakucela ukuba wenze utyelelo olulandelayo kunye:

• Ugqirha wakho ophambili
• Ugqirha wakho wemiphunga (ugqirha wamaphaphu) okanye ugqirha wentliziyo (ugqirha wentliziyo)
• Umntu onokukunceda uyeke ukutshaya, ukuba uyatshaya

Biza ugqirha wakho ukuba ukuphefumla kwakho:

• Kuya kusiba nzima
• Ngokukhawuleza kunangaphambili
• Ukunciphisa, okanye awukwazi ukufumana umoya ophefumlelweyo

Fowunela ugqirha wakho ukuba:

• Kufuneka uncike phambili xa uhleli, uphefumle ngokulula
• Uziva uyozela okanye udidekile
• Unomkhuhlane
• Iminwe yakho, okanye ulusu olujikeleze iinzipho zakho, luhlaza okwesibhakabhaka
• Uziva unesiyezi, udlula (syncope), okanye unentlungu esifubeni
• Uye wandise ukudumba kwemilenze

Uxinzelelo lwegazi kwimiphunga - ukuzikhathalela; Umsebenzi - uxinzelelo lwegazi kwimiphunga; Ukuthintela usulelo - uxinzelelo lwegazi kwimiphunga; Ioksijini - uxinzelelo lwegazi lwemiphunga

• Uxinzelelo lwegazi olusisiseko

UChin K, uChannick RN. Uxinzelelo lwegazi. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 58.

UMcLaughlin VV, uHumbert M.Uxinzelelo lwegazi lwePulmonary. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 85.