Ukuphefumla okufutshane, okanye i-dyspnea, akusona nje uphawu olwesabisayo, kodwa kaninzi luphawu olubalulekileyo lweengxaki zempilo. Ukuba une-dyspnea, ugqirha wakho kufuneka athathe lonke ixesha elifunekayo ukukhawuleza ukuxilongwa ngokuchanekileyo, ekubeni ukufumana ukuchonga okufanelekileyo kubalulekile ekukhetheni unyango olungcono.
Ngethamsanqa, mhlawumbi ugqirha uya kuba neenkcukacha ezibalulekileyo malunga nokubangela ukuba i-dyspnea yakho emva kokuthetha nawe ngembali yakho yezobugqirha, nokwenza uvavanyo olusenyameko.
Ngokuqhelekileyo, kunye novavanyo olulodwa okanye ezimbini olongezelelweyo ukuqinisekisa ukuxilongwa, ungaqala unyango ukwenza i-dyspnea ihambe.
Yintoni iDyspnea Ivakalelwa?
UDyspnea unomvakalelo wokuphefumla, wokungafumani umoya owaneleyo.
Inokuthi ihambelane nesibindi sesifuba, uvakalelwa ngathi unxiba, okanye uvakalelwa. Ngokuxhomekeka kwimbangela yayo, i-dyspnea inokuthi ivele ngezinye izihlandlo, kwii-episodes ezicacileyo. Ngakolunye uhlangothi, ingaba yinto eqhubekayo, okanye iyakhula ngakumbi. Nangona ezinye iindidi ze-dyspnea zinesizathu esicacileyo unokuzibona (njengokuzilolonga), i-dyspnea engachazwanga imele ihlaziywe ngugqirha.
Ziziphi iintlobo zezeMpilo eziNokuthi zenze i-Dyspnea?
Iziphazamiso zengqungquthela nezomoya
- Ukuphazamiseka okubandakanya imiphunga ngokwayo, kuquka imphysema , umdlavuza wamaphaphu , i- pulmonary fibrosis , okanye i- sarcoidosis .
- Iintlupheko zomoya ohamba nge- asthma kunye ne- bronchitis .
- Izifo ezibandakanya imiphunga okanye i-airways kuquka ne-bacterium pneumonia, i- histoplasmosis okanye isifo sofuba .
- Ukuphazamiseka kwemithambo yegazi emipompheni kubandakanywa uxinzelelo lwe- pulmonary and pulmonary embolus .
- Ezinye izimo zemiphunga okanye izifuba ziquka izifo zemiphunga okanye impneumothorax .
Ukukhathazeka kwentliziyo
Phantse nayiphi na i-disorder disorder iyakwenza ukuphefumla okufutshane (kubandakanya isifo se-coronary disease, isifo se-valve senhliziyo, i-arrhythmias okanye isifo se-pericardial), kodwa i-dyspnea ixhaphake kakhulu entliziyweni .
Iingxaki zokukhathazeka
Ukuhlaselwa kwesohlwayo kudla ngokubonakala kukuphefumula.
Ukumisela
Ukuba "engabonakaliyo," ngenxa yokugula okanye yokuphila kwindlela yokuphila, kunokuvelisa i-dyspnea kunye nefuthe elincinci.
Ezinye iimeko zonyango
Ezi zingabandakanya i-anemia (inani elibomvu leeseli legazi), i- dysautonomia , kunye neengxaki ze-thyroid .
Ziziphi ezinye izinto ezibalulekileyo kwiCause of Dyspnea?
Nazi izinto ezibalulekileyo ugqirha wakho kufuneka akhangele ekuzama ukucacisa imbangela yedyspnea yakho.
- Ngaba utshaya okanye utshaya? (ibonisa isifo somphunga okanye isifo senhliziyo.)
- Ngaba unomdla wokuhlala, u-cholesterol ophakanyisiweyo, umfutho wegazi ophezulu, isifo sikashukela, okanye ezinye izinto ezinobungozi benhliziyo? (ibonisa isifo senhliziyo.)
- Ingaba unayo imbali yokubhenca kwiibhoksi ezingenza izifo zemiphunga ?
- Ingaba unesistim somzimba sokusilela, okanye ukutshatyalaliswa kwangoko kumagosa asulelayo? (ibonisa umbane okanye esinye isifo sesifo esichengayo.)
- Ngaba usenokuhlinzwa ngokutsha, ukuphumla kwexesha lokulala okanye ixesha elide lokuhamba? (iphakamisa i-pulmonary embolus.)
- Ngaba unakho ukugula kwangoku kunye nexesha elide lokungasebenzi? (ibonisa ukuchithwa kwempahla.)
- Ingaba unempawu zezinye izimo zonyango ezingenza i-dyspnea (njengesifo se-thyroid, okanye i-dysautonomia)?
- Ngaba umzekelo wakho we-dyspnea ubonisa isizathu esithile? (Ngokomzekelo, i- orthopnea okanye i- paroxysmal nocturnal dyspnea inokubonisa ukusilela kwintliziyo.)
- Ingaba i-dyspnea yakho iyaqhubeka, okanye iqhubeka ikhula ngakumbi? (Le pateni ibonisa ukunyuka kwesifo se-pneumonia okanye esinye isifo somphunga, okanye ukungaphumeleli kwentliziyo.)
- Ingaba i-dyspnea yakho iza kwaye ihambe, kwiindawo ezicacileyo ezicacileyo? (Le pateni inokusikisela isifo se-asthma, imphysema, i-pulmonary embolus, okanye i-coronary disease).
Yiyiphi Inzame Eyayimfuneko?
Ukuba ugqirha wakho ugxeka izifo zomphunga, mhlawumbi uya kufuna i-x-ray kunye neemvavanyo zomsebenzi wepmonta ukuze uncede uqinisekise ukuxilongwa.
Ukuba kukho ukukhunjulwa kwe-pulmonary embolus, mhlawumbi uya kufuna umpompo wokuhlola (umvavanyo wokucinga okhangele iimpawu zeemingcipheko emphupheni), uvavanyo lwe-D-dimer (uvavanyo lwegazi olujonge imiqondiso yecala legazi lwakutshanje) , kunye nokuhlolwa kwe-ultrasound yemilenze yakho (ukujonga i-clot yegazi). Ukuba isifo sengqondo sicingelwa ukuba sisona sizathu, ugqirha wakho unokuqala nge- echocardiogram ukuhlola umsebenzi wentliziyo yakho. Iimvavanyo zegazi ziyakunceda ukuba i-dyspnea yakho icingelwa ukuba ihlobene ne-anemia, isifo se-thyroid okanye isifo.
Ngaphantsi
I-dyspnea engabonakaliyo okanye engalindelekanga ibangelwa yimiba ebalulekileyo kunye nokuba yingozi yingozi yezokwelapha, ngoko ke ukuba unesi sifo kufuneka uhlolwe ngokukhawuleza ngangoko ugqirha. Kwiimeko ezininzi, emva kokuvavanywa kwangaphambili kwezokwelapha (imbali yonyango kunye nokuhlolwa komzimba), ugqirha oqathayo uya kuba neengcamango ezintle malunga noko kubangela ingxaki. Uvavanyo oluqhubekayo lunokuthi lujoliswe ngqo ekuqinisekiseni ukuxilongwa.
Ukuchonga isizathu esifanelekileyo sokuphefumula kubalulekile ukuba, ukuba ukholelwa ukuba ugqirha wakho uye wagijima ngokuhlola kwakhe i-dyspnea yakho, okanye mhlawumbi ubonakala engenakho ukuphazamisa isizathu esithile, kufuneka uqwalasele ngokubona omnye ugqirha.
Imithombo:
Parshall MB, Schwartzstein RM, Adams L, et al. Isitatimende esisemthethweni sase-American Thoracic Society: ukuhlaziywa kwiindlela, ukuhlolwa kunye nokulawulwa kwe-dyspnea. Ingaba iJ Respir Crit Care Med 2012; 185: 435.
Oelsner EC, uLima JA, Kawut SM, et al. Iimvavanyo ezingabonakaliyo zokuvavanya uvavanyo lwe-dyspnea phakathi kwabagulayo: Ucwaningo lwe-Multi-Ethnic of Atherosclerosis study lung. U-J Med 2015; 128: 171.