Yintoni i-paroxysmal nocturnal dyspnea kunye nendlela yokunyanga

Umxholo

• Inokuvela nini
• Unyango lwenziwa njani
• Ezinye iintlobo zedyspnoea

I-Paroxysmal nocturnal dyspnea kukuphefumla okufutshane okwenzeka xa ulele, kubangele imvakalelo yokufuthanelwa ngesiquphe kwaye kubangele umntu ukuba ahlale okanye ade aphakame ayokukhangela indawo enomoya ngakumbi ukukhupha olu luvo.

Le dyspnoea inokubonakala neminye imiqondiso kunye neempawu ezinjengokubila kakhulu, ukukhohlela kunye nokuvutha, okuhlala kuphucula emva kwemizuzu embalwa uhleli okanye umile.

Olu hlobo lokuphefumla phantse luhlala luyingxaki evela kubantu abanesifo sentliziyo, ngakumbi xa bengenzi unyango olufanelekileyo. Ke, ukunqanda olu phawu, kufuneka usebenzise amayeza acetyiswe ngugqirha ukunyanga ukungasebenzi kakuhle kwentliziyo kunye nokunciphisa iimpawu.

Inokuvela nini

I-Paroxysmal nocturnal dyspnea ihlala ivela kubantu abane-congestive heart failure, njengoko ukungasebenzi kakuhle kwentliziyo kubangela ukuba ulwelo luqokeleleke egazini, kumalungu omzimba kwaye, ngenxa yoko, emiphungeni, kubangele ukuxinana kwemiphunga kunye nobunzima bokuphefumla.

Nangona kunjalo, olu phawu luvela kuphela kwiimeko apho isifo sibola khona, ngesiqhelo ngenxa yokungabikho konyango olwaneleyo okanye emva kweemeko ezifuna ukusebenza okukhulu emzimbeni, njengosulelo okanye emva kotyando, umzekelo.

Unyango lwenziwa njani

Unyango lwe-paroxysmal nocturnal dyspnea lwenziwa ngamayeza aboniswe ngugqirha oqhelekileyo okanye ugqirha wenhliziyo ukunyanga ukusilela kwentliziyo kunye nokunciphisa ukuqokelelana kolwelo emiphungeni, kwaye eminye imizekelo ibandakanya i-diuretics efana neFurosemide okanye iSpironolactone, antihypertensives ezifana ne-Enalapril, Captopril okanye Carvedilol , iziyobisi ezichasayo ezinje nge-Amiodarone (kwimeko ye-arrhythmia) okanye i-cardiotonics efana ne-Digoxin, umzekelo.

Fumana iinkcukacha ezithe kratya malunga nokuba yenziwa njani na into yokusilela kwentliziyo kunyango kunye nokusetyenziswa kwamayeza

Ezinye iintlobo zedyspnoea

I-Dyspnea ligama lonyango elisetyenziselwa ukutsho ukuba kukho imvakalelo yokuphefumla kancinci kwaye ixhaphake kakhulu kubantu abanohlobo oluthile lwentliziyo, imiphunga okanye ingxaki yokujikeleza kwegazi.

Ukongeza kwidyspnea yasebusuku yeparoxysmal, zikho nezinye iintlobo, ezinje:

• Ugqirha wamathambo: ukuphefumla kancinci nanini na xa ulele, ekwabakho nokwehluleka kwentliziyo, ukongeza kwimeko yokuxinana kwemiphunga okanye abantu abane-asthma kunye ne-emphysema, umzekelo;
• IPlatypnea: ligama elinikwe ukuphefumla okufutshane okuphuma okanye okuba mandundu kwindawo yokuma. Olu phawu luhlala luvela kwizigulana ezine-pericarditis, ukunciphisa imithambo yemiphunga okanye iingxaki ezithile zentliziyo, ezinje ngokungaqhelekanga kunxibelelwano lwamagumbi enhliziyo. Ukuphefumla okufutshane kudla ngokuza nolunye uphawu olubizwa ngokuba yi-orthodexia, eyehla ngesiquphe kumanqanaba eoksijini egazini nanini na xa umi kwindawo;
• Ukuxhamla: luthando lokuphefumla olubonakalayo nanini na umntu elele ngecala, kwaye oluphucukayo xa ejikela kwelinye icala. Inokuvela kwizifo zemiphunga ezichaphazela umphunga omnye kuphela;
• IDyspnea ekusebenzeni: kukuphefumla okufutshane okubonakalayo nanini na kwenziwa iinzame zomzimba, ezihlala zenzeka kubantu abanezifo ezonakalisa umsebenzi wentliziyo okanye wemiphunga.

Nanini na xa ubona imvakalelo yokuphefumla engapheliyo eqhubekayo, enamandla okanye ebonakala nezinye iimpawu ezinje ngesiyezi, ukukhohlela okanye ipallor, umzekelo, kubalulekile ukuba ufune unyango ukuze uchaze unobangela kwaye uqale unyango. Funda ukufumanisa ezona zinto zibangela ukuphefumla kancinci kwaye wenzeni kwimeko nganye.