Kupuma pang'ono, kapena dyspnea, si chizindikiro choopsya chokha, komanso nthawi zambiri ndi chizindikiro chofunika cha matenda aakulu. Ngati muli ndi dyspnea, dokotala wanu ayenera kuthandizira nthawi zonse kuti apeze chithandizo choyenera, popeza kupeza mankhwala abwino n'kofunika posankha chithandizo chabwino kwambiri.
Mwamwayi, ndiye kuti dokotala wanu angakhale ndi zifukwa zofunikira pa zomwe zikuchititsa dyspnea musanalankhulane ndi inu za mbiri yanu yachipatala, ndikuyang'ana mwatcheru.
Kawirikawiri, ndi mayesero amodzi kapena awiri kuti mutsimikizire matendawa, mukhoza kuyamba mankhwala kuti dyspnea achoke.
Dyspnea Kumva Ngati?
Dyspnea ndikumverera kopuma, posapeza mpweya wokwanira.
Ikhoza kukhala limodzi ndi chifuwa cholimba, kumverera ngati kuti mukung'ung'udza, kapena kuti mumakhala ndi mantha. Malingana ndi chifukwa chake, dyspnea ikhoza kuchitika nthawi zina, m'magulu osiyana. Kumbali ina ingathe kukhala yopitilira, kapena ikhoza kuwonjezereka pang'onopang'ono. Ngakhale kuti mitundu ina ya dyspnea ili ndi chifukwa chodziwikiratu (monga zovuta zolimbitsa thupi), dyspnea yosadziwika nthawi zonse iyenera kuyesedwa ndi dokotala.
Kodi Mitundu Yamankhwala Yotani Imayambitsa Dyspnea?
Matenda a mphuno ndi mpweya
- Matenda okhudzana ndi mapapo, kuphatikizapo emphysema , khansara yamapapo , pulmonary fibrosis , kapena sarcoidosis .
- Kusokonezeka kwa airways kuphatikizapo mphumu ndi bronchitis .
- Matenda omwe amaphatikizapo mapapo kapena ndege, kuphatikizapo mabakiteriya a chibayo, histoplasmosis kapena chifuwa chachikulu cha TB .
- Kusokonezeka kwa mitsempha ya m'magazi m'mapapu kuphatikizapo pulmonary hypertension ndi pulmonary embolus .
- Mafupa ena ammapapo kapena chifuwa kuphatikizapo matenda ochepetsa mapapo kapena pneumothorax .
Matenda a mtima
Pafupi vuto lililonse la mtima lingathe kutulutsa mpweya wochepa (kuphatikizapo matenda a mitsempha ya mtima, matenda a mtima, valimthmia kapena pericardial disease), koma dyspnea imakhala yowonongeka mtima .
Matenda oda nkhaŵa
Zowopsya nthawi zambiri zimadziwika ndikumverera mopuma.
Kugonjetsa
Pokhala "wopanda mawonekedwe," chifukwa cha matenda kapena kukhala moyo wapansi, akhoza kupanga dyspnea ngakhale ngakhale pang'ono.
Zochitika zina zamankhwala
Izi zingaphatikizepo kuchepa kwa magazi (kuchepa kwa maselo ofiira ochepa), dysautonomia , ndi matenda a chithokomiro .
Kodi Ndi Zinthu Zina Ziti Zothandiza Kwambiri Kuchokera kwa Dyspnea?
Nazi zizindikiro zofunika zomwe dokotala ayenera kuyang'ana pofuna kuyesa chifukwa cha dyspnea yanu.
- Kodi ndinu wosuta fodya wamakono kapena wam'mbuyo? (amasonyeza matenda a m'mapapo kapena matenda a mtima.)
- Kodi muli ndi moyo wokhazikika, cholesterol yokwera, matenda a shuga, matenda a shuga, kapena zinthu zina zoopsa za mtima? (akusonyeza matenda a mtima.)
- Kodi muli ndi mbiri yakuwonetsa poizoni zomwe zingayambitse matenda a m'mapapo ?
- Kodi muli ndi mphamvu yoziteteza ku chitetezo cha m'thupi, kapena kutengeka kwa opatsirana opatsirana posachedwapa? (akusonyeza chibayo kapena matenda ena opatsirana opatsirana.)
- Kodi mwachitapo opaleshoni yatsopano, kupuma kwa nthawi yayitali, kapena ulendo wautali wa ndege? (akusonyeza kupuma kwa pulmonary.)
- Kodi mwakhala ndi matenda atsopano ndi nthawi yochulukirapo? (akusonyeza deconditioning.)
- Kodi muli ndi zizindikiro za matenda ena omwe angabweretse dyspnea (monga matenda a chithokomiro, kapena dysautonomia)?
- Kodi chitsanzo cha dyspnea yanu chimasonyeza chifukwa china? (Mwachitsanzo, orthopnea kapena paroxysmal usiku wa dyspnea angasonyeze kuti mtima ukulephera.)
- Kodi dyspnea yanu imapitirizabe, kapena ikupitirirabe? (Njira imeneyi ikuwonetsa chibayo kapena matenda ena a mapapo, kapena mtima wosalimba.)
- Kodi dyspnea yanu imabwera ndikupita, mu nyengo zosavuta? (Chitsanzo ichi chingakhale chopusa cha mphumu, emphysema, kupuma kwa pulmonary kawirikawiri, kapena matenda a mitsempha yamakono.)
Ndi Mayesero Otani Amene Angakhale Ofunika?
Ngati dokotala akukayikira matenda a mapapu, ayenera kuti akufuna chifuwa cha x-ray ndi pulmonary ntchito kuti atsimikizire kuti ali ndi matenda.
Ngati mukuganiza kuti mapulaneti amatha kugwiritsidwa ntchito, ndiye kuti mukufunikira mapulogalamu a mapapu (mayeso ojambula zithunzi omwe amawoneka m'mitsempha ya m'mapapo), kuyesa D-dimer (kuyesa magazi komwe kumawoneka zizindikiro za magazi atsopano) , ndi mayeso a ultrasound a miyendo yanu (kuyang'ana magazi). Ngati matenda a mtima ndi omwe amachititsa kuti adziwe, dokotala wanu angayambe ndi kafukufuku kuti ayese ntchito ya mtima wanu. Mayeso a magazi angakhale othandiza ngati dyspnea yanu imaganiza kuti ikugwirizana ndi matenda a magazi, matenda a chithokomiro, kapena matenda.
Mfundo Yofunika Kwambiri
Dyspnea yosadziwika kapena yosayembekezeka ikhoza kuyambitsidwa ndi matenda ambiri omwe angakhale oopsa komanso omwe angakhale oopsa, kotero ngati mukukumana ndi chizindikiro ichi muyenera kuyesedwa mwamsanga ndi dokotala. Kawirikawiri, atachita kafukufuku woyambirira wa zachipatala (mbiri yachipatala ndi kuunika kwa thupi), dokotala wodziŵa bwino adzakhala ndi lingaliro labwino kwambiri pa zomwe zikuyambitsa vutoli. Kuyezetsa koyeso kumatha kutsatiridwa makamaka kuti atsimikizire kuti akudziwidwa kuti akudwala.
Kudziwa chifukwa choyenera cha kupuma pang'ono n'kofunika kwambiri kuti, ngati mukukhulupirira dokotala wanu wathamanga kupyolera muyeso la dyspnea yanu, kapena ngati zikuwoneka kuti simungathe kufooketsa chifukwa chake, muyenera kuganizira kwambiri dokotala wina.
Zotsatira:
Parshall MB, Schwartzstein RM, Adams L, et al. Ndondomeko ya boma ya American Thoracic Society: ndondomeko pa njira, kufufuza, ndi kayendedwe ka dyspnea. Am J Respir Crit Care Med 2012; 185: 435.
Oelsner EC, Lima JA, Kawut SM, et al. Mayeso osayvasive omwe amafufuza kuti apeze matenda a dyspnea pakati pa odwala matendawa: Maphunziro a Maphunziro Amaphunziro Amitundu Yambirimbiri a Atherosclerosis. Am J Med 2015; 128: 171.