I-dyspnea yasebusuku yaseParoxysmal, ebizwa ngokuthi "i-PND" ngoogqirha, isifo esibandezelekayo ngokuqhelekileyo esibangelwa ukuhluleka kwentliziyo . Umntu onayo i-PND uya kuphazamiseka ngokukhawuleza ebuthongweni obunzima nge- dyspnea eqhelekileyo (ukuphefumula okufutshane), kwaye uya kumfumana-okanye ngokwakhe ukuphefumula umoya, ukukhwehlela kunye nokuziva ephoqelekile ukuba aphume ebhedeni aze athathe isigxina.
Ngeyona ncinci ixhoba liya kuhlala phantsi kombhede, kwaye kaninzi unokuziva unesidingo sokuya kwiwindi evulekileyo yomoya.
Ukuphefumula ngokubanzi kuphucula ngaphezu kwemizuzu emininzi. Nangona emva kokuba iimpawu ziphelile, kunjalo, kusenokuba nzima ukubuyela emva koqhekeza lwe-PND, ngenxa yokuxhalabisa okubonakalayo okubonakalayo.
Ngamanye amaxesha i-PND ayisombululi ngokukhawuleza kwaye kunokuba isenokuqhubeka. Ngenxa yokuba iimpawu zisoloko zinzima kakhulu ukungazihoxisi, isiqhelo esiqhubekayo se-PND sinyanzelisa umnxeba kwi-911 okanye uhambo oluya kwigumbi elingxamisekileyo.
Kungakhathaliseki ukuba ingasombulula njani, okanye i-PND isoloko iyingozi kwaye isoloko ibonisa ukuba ukungaphumeleli kwentliziyo kuya kuba nzima kakhulu. Ngoko ke, nabani na ofumana i-PND kufuneka baqhagamshelane nogqirha wabo ngoko nangoko, nangona ukuba iimpawu zixazulula ngokukhawuleza.
Izizathu
I-dyspnea yasebusuku yaseParoxysmal ivame ukubangelwa yintliziyo yokuhluleka kwentliziyo , ngokuqhelekileyo (kodwa kungekho rhoqo) kubantu abaye babe neepasodes ze-dyspnea kunye nokuzikhandla, okanye i- orthopnea (ukuphefumula okufutshane ukulala).
Abantu abafumana i-PND banokubakho ubuncinane i- edema (ukuvuvukala) kwiinyawo zabo nasemilenzeni apho, ngokusweleka kwentliziyo, ngokuqhelekileyo kubonisa ukugqithiswa kwamanzi.
Kubantu abanesifo senhliziyo, ukulala ukuya kulala kungabangela ukutshintsha okubonakalayo emzimbeni. Enye into, i-fluid iguqulela ukusuka kwiifomyi zibe yiplasma, eyandisa umthamo we-plasma.
Ukongezelela, ezinye zezinto ezigqithiseleyo, ukuba ukuvumba kwamanzi "kudibanise" emilenzeni okanye isisu esisemini sikwazi ukuhamba ukusuka kumacandelo omzimba xa umntu elele. Lo mkhuhlane ogqithiseleyo ngoko unako ukubuyisela kwakhona kwimiphunga.
Ngamanye amaxesha ukutshintshwa kwamanzi okubangela ukuphefumla kungekudala xa umntu onentliziyo isweleka. Olu tshintsho olukhawulezayo lwamanzi luvelisa uphawu lwe-orthopnea. Abantu abaye bafundela ngokukhawuleza bafunde ukuphakamisa intloko yeembhedi zabo, ezichaphazela ukugcina izifuba zabo ziphakanyisiwe. Oku kunceda ukugcina umkhuhlane ungagudluli ukuya emiphakeni yawo. (Kungenxa yoko oogqirha bavame ukubuza izigulane zabo ngeentliziyo ezingaphumeleliyo zingaphi imithwalo abayisebenzisayo ebusuku - kukulinganisa okukrakra kwinqanaba le-orthopnea loo mntu ujongene nayo.)
Kodwa nge-PND ukutshintshwa kwamanzi akuyi kubangela iimpawu ngokukhawuleza. Kunoko, i-chain chain of events kwenzeka ukuba ekugqibeleni (emva kokuba umntu ebenalo ithuba lokulala) kuvelisa ukulibaziseka - kwaye ngokuqhelekileyo kunzima kakhulu ukuqala-dyspnea. Isizathu sokuqala ukulibazisa kweempawu kubantu abane-PND akucaci ngokupheleleyo. Kucingelwa ukuba mhlawumbi isikhungo sokuphefumula esisengqondweni singaxinezeleka ngexesha lokulala kubantu abaneentliziyo ezingaphumeleli, okanye ukuba amanqanaba athatywayo ngexesha lokulala adibanise ukusebenza komzimba, kwaye ngokuthe ngcembe ivumela umbane ukuba uqokelele emiphakeni.
Ngaba i-PND ingabangela iziganeko ezingezinye kuneNyantliziyo Yokwehluleka?
Indlela "eyiyo" yokusebenzisa igama elithi "PND" alivumelwanga ngokupheleleyo ngoogqirha. Iingcali ze-cardiologists zijonga ukuba i-PND ibe yimizuzu yobugcisa, kwaye bayathanda ukuyenza kuphela kwizigulane ezinokukhubazeka kwentliziyo. Ukusebenzisa oku kubaluleka ngokuthe ngqo kwi-"PND." Abantu abaneentliziyo ezingaphumeleli abaphuhlisa i-PND banokukwazi ukuhlakulela kakhulu, ukungaphumeleli kwentliziyo ngokukhawuleza. Oku kuthetha ukuba kufuneka bafumane unyango olukhuselekileyo ngokukhawuleza ukukhusela ukuba lukhuni, mhlawumbi isichengeni esisongela ubomi sokusilela kwintliziyo.
Ngoko xa izazi ze-cardiologists zithi "i-PND" zenza kokubili ukuxilonga kunye nesigqibo sokuxela.
Nangona kunjalo, ngokuthe ngqongqo, "i-dyspnea yesifo se-paroxysmal nocturnal" ithetha nje "ukukhawuleza kokuphefumula kokuphefumula ebusuku," kwaye oko kungasetyenziselwa nayiphi na imeko yonyango enokuvelisa i-dyspnea ngexesha lokulala. Ngoko ke, phakathi koluntu lwezonyango, "i-PND" yinto nje inkcazo yempawu. Ngaloo ndlela, uya kuva "i-PND" isetyenziswe kwiimeko ezahlukeneyo zonyango ezingabangela i-dyspnea ngokukhawuleza ebusuku. Ezi meko zininzi kwaye zibandakanya i- apnea yokulala , i- asthma , kunye ne- pulmonary embolus . Ziquka izimo zentliziyo ngaphandle kokungaphumeleli kwintliziyo ye-congestive njenge- diastolic yokuhluleka kwentliziyo kunye ne- hearticchemchemchemism (njenge -coronary syndrome ).
ILizwi
Akunyanga kuwe ukuba uqaphele ukuba i-dyspnea yakho ebonakalayo ebusuku iba ngenxa yokungaphumeleli kwentliziyo okanye esinye isizathu. Kuya kugqirha wakho. Oku kufuneka ukwazi ukuba i-PND ibonisa rhoqo ukuba ingxaki enkulu yezokwelapha iyaqhubeka. Kungakhathaliseki ukuba yintoni isizathu esiphezulu, kufuneka ufumane uncedo lwezonyango ngokukhawuleza ukuba ufumana le mpawu.
> Imithombo:
> 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.