Ukuphefumla ubunzima - ukulala phantsi

Ukuphefumla ubunzima ngelixa ulele phantsi yimeko engaqhelekanga apho umntu enengxaki yokuphefumla ngesiqhelo xa elele phantsi. Intloko kufuneka iphakanyiswe ngokuhlala okanye ukuma ukuze ikwazi ukuphefumla ngokunzulu okanye ngokukhululekileyo.

Uhlobo lobunzima bokuphefumla ngelixa ulele phantsi yi-paroxysmal nocturnal dyspnea. Le meko ibangela ukuba umntu avuke ngesiquphe ebudeni bexesha lasebusuku evakalelwa kukuphefumla okufutshane.

Esi sisikhalazo esiqhelekileyo kubantu abaneentlobo ezithile zeentliziyo okanye iingxaki zemiphunga. Ngamanye amaxesha ingxaki ifihlakele. Abantu banokuyibona kuphela xa beqonda ukuba ukulala kukhululeke ngakumbi kunemiqamelo emininzi phantsi kwentloko yabo, okanye iintloko zabo zikwindawo yokuxhasa.

Izizathu zingabandakanya:

• Isifo esinganyangekiyo semiphunga (COPD)
• Cor pulmonale
• Ukumelwa yintliziyo
• Ukutyeba kakhulu (akubangeli ngokuthe ngqo ubunzima bokuphefumla ngelixa ulele phantsi kodwa zihlala zisiba mandundu kwezinye iimeko ezikhokelela kuko)
• Ukuphazamiseka kovalo
• Ukulala ngokuphefumla
• Irhona

Umboneleli wakho wezempilo unokucebisa ngamanyathelo okuzikhathalela. Umzekelo, ukunciphisa umzimba kungacetyiswa ukuba utyebile.

Ukuba unayo nayiphi na ingxaki engachazekiyo yokuphefumla ngelixa ulele phantsi, tsalela umnikezeli wakho.

Umboneleli uya kwenza uvavanyo lomzimba kwaye abuze imibuzo malunga nengxaki.

Imibuzo inokubandakanya:

• Ngaba le ngxaki ikhule ngesiquphe okanye ngokucotha?
• Ngaba iya isiba mandundu (inkqubela)?
• Kubi kangakanani?
• Mingaphi imiqamelo oyifunayo ukukunceda uphefumle kamnandi?
• Ngaba likhona iqatha, unyawo, okanye umlenze odumbayo?
• Ngaba unengxaki yokuphefumla ngamanye amaxesha?
• Inga umde kangakanani? Ulinganisa kangakanani? Ngaba ubunzima bakho butshintshile kutsha nje?
• Zeziphi ezinye iimpawu onazo?

Uvavanyo lomzimba luya kubandakanya ingqalelo ekhethekileyo entliziyweni nasemiphungeni (iinkqubo zentliziyo kunye nokuphefumla).

Uvavanyo olunokwenziwa lunokubandakanya oku kulandelayo:

• I-x-ray yesifuba
• ECG
• Echocardiogram
• Uvavanyo lomsebenzi wePulmonary

Unyango luxhomekeke kwisizathu sengxaki yokuphefumla.

Kuya kufuneka usebenzise ioksijini.

Ukuvuka ebusuku umphefumlo omncinci; I-Paroxysmal dyspnea yasebusuku; PND; Kunzima ukuphefumla xa ulele; Amathambo; Ukungaphumeleli kwentliziyo-i-orthopnea

• Ukuphefumla

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.

UDavis JL, uMurray JF. Imbali kunye novavanyo lomzimba. 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 16.

UJanuzzi JL, uMann DL. Sondela kwisigulana ngokusilela kwentliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, et al. ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 21.

O'Connor CM, uRogers JG. Ukusilela kwentliziyo: i-pathophysiology kunye noxilongo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 58.