Zifukwa za Kutupa Kwambiri Ndi Nthawi Yomwe Muyenera Kudandaula
Kupuma pang'ono ndi chizindikiro chofala chomwe chimapangitsa anthu kuti ayendere dokotala wawo. Chizindikiro ichi chikhoza kubwera mofulumira kapena kubwera pang'onopang'ono moti sichidziwika poyamba.
Ngati muli ndi mpweya wochepa, sizikutanthauza kuti muyenera kukhala ndi nkhawa za khansa ya m'mapapo kapena zovuta monga matenda a mtima. Pali zifukwa zambiri za mpweya wochepa.
Komabe, popeza "zosazolowereka" zomwe zimayambitsa kupuma pang'ono nthawi zambiri zimanyalanyazidwa, ndikofunikira kupanga msonkhano ndi dokotala kuti mudziwe chifukwa chake.
Zindikirani: Nthawi Yomwe Mufufuze Mwamsanga
Ngati kupuma kwanu kuli koopsa, kunabwera mwadzidzidzi, kapena kumayanjanitsidwa ndi zizindikiro za kupweteka kwa chifuwa, kukakamira magazi, kupweteka kwa mutu, kupweteka, kutupa, kapena kupukuta kwa miyendo yanu ya pansi, kapena ngati mumamva ngati chinachake chingakhale cholakwika ( kumverera kwa chiwonongeko chomwe chikubwera), kusiya kuwerenga ndi kuitanitsa 911. Zina mwa zifukwa zomwe zimayambitsa kupuma pang'ono zingakhale zowopsya moyo ndipo zimasowa kuchipatala mwamsanga. Ngati simukudziwa kuti mukufunika kusamala, yesani kumbali yochenjeza.
Mwachidule
Tilibe tanthauzo lomveka bwino la kupuma pang'ono, koma anthu ambiri amafotokoza chizindikiro ichi ngati kudzimva kuti ndizovuta kwa kupuma. Mwinamwake mungakhale ndikumverera kuti simungathe kupeza mpweya wokwanira kapena kuti pamafunika khama kusiyana ndi kupuma.
Anthu ena amafotokozanso kuti chifuwa chimamveka bwino. Kupuma pang'ono kungakhale kovuta mu nkhani ya mphindi kapena maola; kapena kupitirira masiku, masabata, miyezi kapena zaka.
Malamulo Achidwi
Ngati mukuwerenga za kupuma pang'ono, mukhoza kusokonezeka ndi mawu onse ogwiritsidwa ntchito pofotokoza chizindikiro ichi.
Kuthamangira mofulumira kwa ena mwa mawuwa ndi monga:
- Dyspnea amatanthauza kutengeka kwa mpweya wochepa
- Tachypnea imatanthawuza kupuma mofulumira ndi kapena popanda kumverera kwa kupuma pang'ono
- Bradypnea amatanthauza kupuma pang'ono
Chiwerewere chodziwikiratu kwa anthu akuluakulu chimaonedwa kukhala pakati pa 12 ndi 18 mpweya pamphindi panthawi yopuma kwa akuluakulu, ndipo amasiyana ndi ana malingana ndi msinkhu. Mphamvu ya kupuma imayesedwa ndi ena kukhala chizindikiro chofunika "choiwalika," ndipo nthawi zina amamupatsa dokotala zambiri zowonjezera kupanikizika kwa magazi kapena matenda anu okhudza matenda aakulu. Ndikofunika kuzindikira kuti mutha kupuma pang'ono ndi kupuma kwabwino, kapena mmalo mwake, mukhoza kukhala ndi chifuwa chachilendo koma osazindikira kupuma kulikonse.
Zimayambitsa
Mu 85 peresenti ya anthu, zikhalidwe zokhudzana ndi mtima ndi mapapo zimayambitsa kupuma pang'ono. Ngakhale ambiri a ife timaganiza za mapapu athu choyamba ngati tipuma mpweya, mkhalidwe wa mtima uyenera kuganiziridwa mosamala. Ndipotu, phunziro lomwe linkawoneka pa anthu omwe anali ndi mpweya wochepa chabe ngati chizindikiro chawo chokha cha matenda a mtima anali ndi mwayi waukulu wakufa kusiyana ndi omwe anali ndi ululu wopweteka.
Zina mwazimene zimawoneka bwino ndi izi:
- Phumu
- COPD
- Kuwononga mtima
- Kuwombera kozizira , magazi omwe amachokera ku magazi ena (mitsempha yambiri ya mitsempha) m'milingo kapena m'mphepete ndipo amapita kumapapo
- Matenda monga bronchitis ndi chibayo
- Kusokonezeka mtima kwa mtima
- Pneumothorax, kugwa kwa mapapo
Zina zomwe zimayambitsa zimaphatikizapo:
- Kusuta
- Kuchepa kwa magazi: Ndi kuchepa kwa magazi m'thupi, mungathenso kutopa, khungu loyera, ndi tsitsi
- Matenda a chithokomiro: Onse hyperthyroidism ndi hypothyroidism zingayambitse kupuma
Zopanda zochepa zomwe zimayambitsa kupuma pang'ono zingaphatikizepo izi:
- Matenda owopsa komanso owopsa, kuphatikizapo khansa ya m'mapapo: M'mbuyomu, chifuwa chosatha kapena kukakamira magazi ndizozizindikiro za khansa ya m'mapapo. Chifukwa chachikulu cha khansara yamapapo pa nthawi ino, mapapo ampache adenocarcinoma, nthawi zambiri amachititsa mpweya wochepa ngati chizindikiro choyamba. Kumbukirani kuti anthu ambiri omwe ali ndi khansara yamapapo lero ndi osuta fodya (mwina sanasuta kapena kusiya nthawi yapitayi).
- Nkhawa ndi mantha (phunzirani zambiri za kupuma pang'ono ndi kupweteka pachifuwa chokhudzana ndi mantha)
- Zinthu zimatulutsa mwangozi m'mapapo
- Matenda a mphutsi yamtima
- Acidx yamadzi
- Mankhwala othamanga (anaphylaxis)
- Matenda a ubongo monga multiple sclerosis
- Matenda ena a mapapo monga sarcoidosis ndi bronchiectasis
- Kulephera kuchita masewera olimbitsa thupi nthawi zonse: Musanayambe kupuma pang'ono chifukwa cholephera kugwira ntchito, lankhulani ndi dokotala wanu.
Kudziwa
Ndikofunika kupanga nthawi yoonana ndi dokotala ngati mukupuma pang'ono, ngakhale mukuganiza kuti pali chifukwa chomveka chofotokozera zizindikiro zanu. Lembani dokotala wanu kapena muitaneni 911 mwamsanga ngati muli ndi ululu pachifuwa, muzimva mutu kapena ngati zizindikiro zanu zikuwonjezereka mwamsanga.
Mukamapita kukaonana ndi dokotala, amatha kusamalira mbiri yake ndikuyesa. Mafunso ena omwe angafunse ndi awa:
- Kodi ndi liti pamene munayamba kupuma mpweya ndipo munayamba bwanji?
- Kodi zizindikiro zanu zimachitika panthawi yopumula kapena pokhapokha ndi ntchito? Ngati mumangomva kupuma pang'ono ndi ntchito, ndi zinthu ziti zomwe zikuwoneka kuti zimayambitsa zizindikiro zanu?
- Kodi mumamva ngati mutakhala pansi kapena mukugona?
- Kodi muli ndi zizindikiro zina, monga kupweteka pachifuwa, chifuwa, kupweteka , malungo, kupweteka kwa m'mapazi, kutaya thupi kapena kutopa?
- Kodi muli ndi mbiri yakale ya banja la mavuto amtima kapena mapapo?
- Kodi munayamba mwasuta? Ngati ndi choncho, kwa nthawi yaitali bwanji?
- Kodi mwayenda posachedwa ndi galimoto kapena ndege?
Kufufuza
Mayeso omwe adokotala anu angakulimbikitseni adzadalira zizindikiro zanu ndi zofufuza zakuthupi, koma zikhoza kuphatikizapo:
- Pulojekiti yowonongeka, mayesero omwe amachitidwa poika chofufumitsa chala chanu kapena earlobe kuti muyese kuchuluka kwa mpweya wanu m'magazi anu.
- Chombo cha electrocardiogram (EKG) kuyang'ana zizindikiro za matenda a mtima kapena zovuta za mtima
- Chifuwa cha X-ray kuti muyang'ane matenda kapena kukula m'mapapu anu (kumbukirani kuti chifuwa chodziwika bwino ) chimatha kuphonya khansa yamapapo m'mayambiriro oyambirira)
- Magazi amagwira ntchito pofuna kuyang'ana magazi m'thupi
- Kuyesera kachitidwe ka pulmonary kuyesa mphumu kapena emphysema ndi zina zamapapu
Mayesero ena angaphatikizepo:
- Khungu la CT la chifuwa chanu
- Kuyesedwa kwapanikizika
- Chidutswa cha echocardiogram. Izi ndi mtima wanu wochuluka kuti muyang'ane mavuto ndi magetsi anu, momwe mtima wanu uliri ndi ngati muli ndi malo owonongeka mu mtima mwanu.
- Bronchoscopy. Bronchoscopy ndi tiyi yotentha yomwe imayikidwa m'kamwa mwako mpaka pansi mu bronchi kuti muyang'ane matenda kapena thupi lachilendo.
Phunzirani zambiri za momwe dokotala ayenera kufufuza mpweya wochepa (dyspnea) .
Dyspnea ndi COPD
Kwa iwo omwe ali ndi COPD, dyspnea ndi yofala ndipo mlingo wa dyspnea womwe mungathe kupereka zambiri zokhudza kukula kwa matenda anu kapena kuwonjezereka. Pochita izi, madokotala nthawi zambiri amagwiritsa ntchito zomwe zimatchedwa kusintha kwa kafukufuku wa zachipatala dyspnea scale .
Chithandizo
Chithandizo cha kupuma kwanu chidzadalira chifukwa, koma chofunika kwambiri choyamba ndicho kutsimikiza kuti mukupeza mpweya wokwanira kuti mupereke makoswe anu ndi mpweya umene akufunikira. Mu mankhwala amodzidzidzimutsa, izi zimatchulidwa kuti ABC ndi A kuyima paulendo wautali, B akuyimira kupuma, ndipo C ikuimira kuyendayenda.
Kodi Ndi Nthawi Yovuta Kwambiri?
Nthawi zina zimakhala zovuta kudziŵa momwe kupuma kwanu kulili kovuta, ndipo ndikofunika kuti mupite ndi intuition yanu. Ndipotu, nthawi zina mpweya wochepa kwambiri umakhala wonyansa, monga hyperventilation kapena mantha a mantha, koma zizindikiro zowononga zimakhala zokhudzana ndi zifukwa zazikulu. Ngati mukufunsanso kuitanitsa 911, pitirizani kuchita zimenezo. Ngati simukusowa thandizo, ndizo zabwino. Koma ngati mutero, simufuna kudikira motalika kwambiri.
Zizindikiro zomwe zimasonyeza kuti kupuma pang'ono kungakhale kovuta, komabe kumakhala kupweteka pachifuwa, bluish tinge kwa zala zanu ndi milomo (cyanosis,) kutupa kapena kukhudzidwa kumtima mwako ndi milomo, kusakhoza kulankhula chifukwa cha kupuma kovuta, ndi Kuwonjezeka mwamsanga kwa zizindikiro zanu. Musayese kuyendetsa galimoto kupita kuchipatala mwamsanga kapena chipinda chodzidzimutsa, ndipo ndibwino kuti muitanitse 911 kuposa kukhala ndi mnzanu akukuyendetsani. Pomalizira pake, musanyengedwe ngati zizindikiro zanu zikuwoneka mwadzidzidzi. Kuchuluka kwa chidziwitso kapena kuyenda kwa thupi lachilendo komwe kumakhala panjira, kungapangitse kuti zizindikiro zikuwoneke bwino.
> Zotsatira:
Kasper, Dennis L .., Anthony S. Fauci, ndi Stephen L .. Hauser. Mfundo za Harrison za Mankhwala a M'kati. New York: maphunziro a Mc Graw Hill, 2015. Print.
> National Institute of Health. Medline Plus. Kupweteka Kwambiri. Kusinthidwa 03/05/18. https://medlineplus.gov/ency/article/003075.htm
> Nishino, T. Dyspnoea: njira zowonongeka ndi chithandizo. British Journal of Anesthesia . 2011. 106 (4): 463-74.