I-Orthopnea ligama lisebenzisa oogqirha be- dyspnea (ukuphefumula okufutshane) okwenzekayo xa umntu ulala phantsi. I-Orthopnea ithathwa njengesibonakaliso esibalulekileyo ngokuyininzi kuba isoloko ibonakalisa ukuhluleka kwentliziyo , kodwa kunokubangelwa nezinye iimeko zonyango. Ngenxa yoko, nabani na ofumana i-orthopnea kufuneka bahlale behlolwe ngugqirha.
Yintoni eyenza i-Orthopnea?
Xa umntu elala phantsi, ubukhulu bamandla bubangela ukubuyisela kwakhona umbane ngaphakathi komzimba. Ngokuqhelekileyo, ezinye ze-fluid kwicandelo elincinane lomzimba, ngokukodwa imilenze kunye nezitho zesisu, zithatha kwindawo yesifuba. Oku kwabiwa kwamanzi ngokuqhelekileyo kuyinto encinci, kwaye kubantu abaninzi abanalo nantoni na ukuphefumla.
Nangona kunjalo, kubantu abanokuphelelwa yintliziyo yesifo , intliziyo ingenakukwazi ukufumana lo mkhuhlane owongezelelweyo, kwaye ayikwazi ukwenza umsebenzi ofunekayo wokugcina lo mkhuhlane owongezelelweyo ukusuka ekuphumeni kwimiphunga. Ngenxa yoko, ukudibanisa kwamapulmonary - kunye ne -edema yamapulm yasekuqaleni - kwenzeka, kunye neziphumo zokuphefumula okufutshane. Ukongeza kwi-dyspnea, abanye abantu baya kubakho ukukhwehlela okanye ukuqhuma xa belele. Olu hlobo lweengxaki zokuphefumula ezibangelwa ukucinga ukuba isikhundla siphezulu sibizwa ngokuba yi-orthopnea.
Xa umntu efumana i-orthopnea, ukuhlala phezulu okanye ukuphakamisa intloko kubuyisa ukubuyisela kwakhona okwenziwe ngamanzi, kwaye kunciphisa ukudibanisa kwamapulmonari.
Iimpawu ziphuculwe ngokukhawuleza nje ngokuguqula isikhundla.
Ukungaphumeleli kwintliziyo akuyona yodwa imbangela ye-orthopnea, kodwa yinto ebalulekileyo kakhulu. Maxa wambi abantu abane- asthma okanye i-bronchitis engapheliyo baya kuba neengxaki zokuphefumla xa belele phantsi. Iimpawu zokuphefumula nokuphefumula okuphefumlelweyo kwezi zimo, nangona kunjalo, ngokuqhelekileyo azidluli ngokukhawuleza emva kokuhlala, kodwa kuthatha ixesha elide ukulungisa.
I-apnea yokulala ingaphinda ivelise iimpawu ezifana ne-orthopnea, okanye ngokuphindaphindiweyo, ukuya kwi-dyspnea yomsuku wesifo (ekhankanywe kwicandelo elilandelayo).
Iimpawu ezihambelanayo
Olunye uphawu oluhambelana kakhulu nentsilelo ye-heartymalysis, i-dyspnea, okanye i-PND . I-PND nayo ihambelana nokubuyiswa kombane okwenzekayo ngexesha lokulala, kodwa yimeko enzima kunokuba i-orthopnea "elula". Ngokuqhelekileyo, abantu abanePND abakuboni i-dyspnea emva kokulala. Kunoko, bavuswa ebuthongweni kunye neqhekeza lokuphefumula okukhulu okubangela ukuba bahlale ngokukhawuleza. Ukongeza kwi-dyspnea, izigulane ezine-PND nazo zihlala zifumana izibilini , zivutha ngamandla, kwaye zivalo.
Ngokucacileyo, i-PND yimeko ephawulekayo kakhulu kune-orthopnea. Kucingelwa ukuba enye indlela eyongezelelweyo (ngaphandle kwendlela yokwabiwa kwamanzi elula) ikhona kubantu abane-PND, mhlawumbi ihambelana neenguqu kwiziko lokuphefumula elingase lidibaniswe nentliziyo yokuhluleka.
Kungekudala, oogqirha baye baqonda olunye uhlobo lweempawu kubantu abanentliziyo engaphumeleliyo enxulumene nolwabiwo lwamanzi - " bendopnea ," okanye i-dyspnea ebangelwa ukuguqa.
Ukuphonononga i-Orthopnea
Oogqirha kufuneka bacele rhoqo nawuphi na isigulane ukusilela intliziyo okanye ukutshutshiswa kwentliziyo ingaba bafumana nayiphi na i-dyspnea xa belele.
Lo ngumbuzo obalulekileyo kuba ukugqithisa i-orthopnea kubonisa ukuba kukho ukuphazamiseka komsebenzi wenyama.
Abantu abaninzi abane-orthopnea bajongana nale mpawu ngokungazi kakuhle ngokufaka umlotha okanye ezimbini. Basenokungaqondi ukuba banokuphefumula xa belele phantsi - banokuziva bekhululekile kakhulu kunye neentloko zabo eziphakamileyo. Yingakho oogqirha abaza kucela ukuba bangaphi imithwalo isigulane esinokukhubazeka kwentliziyo esetyenziswayo, kwaye siya kubhala iimpendulo kwitshati ngokuthi "i-orthopnea emibili" okanye "i-orthopnea emithathu.
Ngenxa yokuba i-orthopnea eyona nto ibonakala yinto yokuqala yokwehluleka kwenhliziyo, nabani na abanesifo senhliziyo (kunye nabanye babo abalulekayo) kufuneka bahlawule ingqalelo kwimpawu ezibuhlungu, kunye nenani leemithwalo abayisebenzisayo.
Ukungenelela kwangethuba xa iimpawu zincinci ziyakwazi ukuphepha ukuphazamiseka kwentliziyo, nokukhusela imfuneko yokubhedlelelwa esibhedlele.
ILizwi
I-Orthopnea ngenye yeembonakaliso ezininzi ze-pulmonary congestion ezingenzeka kubantu abanesifo senhliziyo. Ukuqala kwe-orthopnea, okanye utshintsho kwi-orthopnea, ingabonakalisa utshintsho olubalulekileyo ekuxhaseni kwenhliziyo. Ngoko ke, nabani na onentliziyo engaphumeleli kufuneka bahlawule le ngxaki.
> Imithombo:
> Ganong WF. Izilungiso zokuphefumula kwiMpilo neZifo. Ku: Ukuhlaziywa kwePhysical Psychology, 12th. I-Los Altos: I-Lange yezoNyango, 1985; 558- "71.
> Thibodeau JT, Turer AT, Gualano SK, et al. Ubume beNew Symptom of Failure Advanced Heart: Bendopnea. Inhliziyo yeJACC iphumelela ngo-2014; 2: 24-31.
> Yancy CW, Jessup M, Bozkurt B, et al. I-ACCF / I-AHA Isikhokelo sokuPhathwa kweNtliziyo engaphumeleli: Isishwankathelo seSigqeba: Ingxelo ye-American College of Cardiology Foundation / i-American Heart Association Task Force kwizikhokelo zenkqubo. Uhambo luka-2013; 128: 1810.