Unonophelo lokunyanga - ukuphefumla okufutshane

Umntu ogula kakhulu unokuba nengxaki yokuphefumla okanye azive ngathi akafumani moya waneleyo. Le meko ibizwa ngokuba kukuphefumla okufutshane. Ixesha lonyango yile dyspnea.

Ukhathalelo lokuthambisa yindlela ebanzi yokukhathalela egxile ekunyangeni iintlungu kunye neempawu kunye nokuphucula umgangatho wobomi kubantu abagula kakhulu kunye nobomi obulinganiselweyo.

Ukuphefumla kancinci kunokuba yingxaki xa unyuka izitepsi. Okanye, kunokuba nzima kakhulu ukuba umntu abe nengxaki yokuthetha okanye yokutya.

Ukuphefumla okufutshane kunezizathu ezininzi ezinokubangela, kubandakanya:

• Ixhala kunye noloyiko
• Uloyiko
• Usulelo lwemiphunga, njenge-pneumonia okanye i-bronchitis
• Ukugula kwemiphunga, njengesifo esinganyangekiyo semiphunga (COPD)
• Iingxaki ngentliziyo, izintso, okanye isibindi
• Ukunqongophala kwegazi
• Ukuqunjelwa

Ngokugula kakhulu okanye ukuphela kobomi, kuqhelekile ukuziva uphefumla kancinci. Unokuyifumana okanye ungangayifumani. Thetha neqela lakho lokhathalelo lwempilo ukuze wazi ukuba ulindele ntoni.

Ngokuphefumla okufutshane ungaziva:

• Ukungakhululeki
• Njengoko ungafumani moya waneleyo
• Ingxaki yokuphefumla
• Udiniwe
• Njengokuba uphefumla ngokukhawuleza
• Uloyiko, unxunguphalo, umsindo, usizi, ukungancedi

Ungabona ukuba ulusu lwakho lunombala oluhlaza okwesibhakabhaka kwiminwe yakho, iinzwane, impumlo, iindlebe, okanye ubuso.

Ukuba uziva uphefumla kancinci, nokuba ubumnene, xelela omnye umntu kwiqela lakho lokukhathalela. Ukufumana unobangela kuya kunceda iqela ligqibe ngonyango. Umongikazi unokujonga ukuba ingakanani na ioksijini esegazini lakho ngokudibanisa incam yomnwe wakho kumatshini obizwa ngokuba yi-pulse oximeter. I-x-ray yesifuba okanye i-ECG (i-electrocardiogram) inokunceda iqela lakho lokhathalelo ukuba lifumane ingxaki enokubakho yentliziyo okanye yemiphunga.

Ukunceda ngokuphefumla okufutshane, zama:

• Ukuhlala phezulu
• Ukuhlala okanye ukulala kwisitulo esihleli phantsi
• Ukuphakamisa intloko yebhedi okanye ukusebenzisa imiqamelo ukuhlala phezulu
• Ukoyama phambili

Khangela iindlela zokuphumla.

• Mamela umculo opholileyo.
• Fumana umyalezo.
• Beka ilaphu elipholileyo entanyeni okanye entloko.
• Thatha umoya ophefumlayo ungene ngeempumlo zakho uze uphume ngomlomo wakho. Inokukunceda ukutyhoboza imilebe yakho ngokungathi uza kubetha impempe. Oku kubizwa ngokuba ngumlomo ophefumlelweyo.
• Fumana isiqinisekiso kumhlobo ozolileyo, ilungu losapho, okanye ilungu leqela lokunyamekela abagulayo.
• Fumana umoya ophuma kwifestile evulekileyo okanye ifeni.

Ukuphefumla ngokulula, qonda indlela yokusebenzisa:

• Ioksijini
• Amayeza okunceda ngokuphefumla

Nangaliphi na ixesha ongakwaziyo ukulawula ukuphefumla okufutshane:

• Biza ugqirha wakho, umongikazi, okanye elinye ilungu leqela lakho lokhathalelo lwempilo ngengcebiso.
• Tsalela u-911 okanye inombolo yongxamiseko yendawo ukuze ufumane uncedo.

Xoxa nomboneleli wakho wezempilo ukuba ngaba ufuna ukuya esibhedlele xa umphefumlo uphelelwa ngamandla.

Funda nzulu malunga:

• Imiyalelo yokhathalelo kwangaphambili
• Iiarhente zononophelo lwempilo

IDyspnea -ukuphela kobomi; Ukhathalelo lwe-Hospice-ukuphefumla kancinci

IBraithwaite SA, uPerina D. Dyspnea. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 22.

UJohnson MJ, uEva GE, uBooth S. Amayeza okunyanga kunye nolawulo lweempawu. Ku: Kumar P, Clark M, ii-eds. Kumar kunye noClarke's Clinical Medicine. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2017: isahluko 3.

UKviatkovsky MJ, uKetterer BN, uGoodlin SJ. Unonophelo lokunyanzeliswa kwiyunithi yonyango olunzulu. Ku: I-Brown DL, ed. Unonophelo olunzulu lweCardiac. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; 2019: isahluko 52.

• Iingxaki zokuphefumla
• Ukunyamekela