Dyspnea njira zothandizira odwala komanso odwala-osamalira odwala
Odwala omwe ali ndi matenda odwala matenda opatsirana opaleshoni kapena odwala matenda opatsirana amatha kupuma mosavuta pamene akuyandikira mapeto a moyo wawo. Nkhaniyi ikufotokoza zomwe dyspnea imayambitsa, zomwe zimayambitsa ndipo zimapereka chithandizo chamankhwala ndi chithandizo chopanda chithandizo chomwe chingathandize odwala kupuma mosavuta.
Dyspnea ndi chiyani?
Dyspnea ndi kupuma pang'ono kapena kupuma kovuta kapena kolemetsa, komwe nthawi zina kumachitika mwadzidzidzi.
Anthu omwe ali ndi dyspnea nthawi zambiri amalongosola kuti ndi mpweya wochepa , kumangirika pachifuwa chawo, kumenyana ndi mpweya, kapena kumverera kupweteka; kapena anganene kuti, "Sindingapume."
Nthaŵi zina, kupuma kwa wodwala (momwe amapuma mofulumira mkati ndi kunja) kudzawonjezeka ndipo chifuwa chawo chikhoza kukhala ngati wodwalayo akuyesera kupeza mpweya wokwanira pamene akupuma. Ngati mpweya wa munthu umakhala wosokonezeka kwambiri, kutuluka kwa mpweya kumatha kuchitika m'mabedi ake omwe ali pamsomali ndi / kapena milomo.
N'chiyani Chimachititsa Dyspnea?
Pali zifukwa zambiri za dyspnea m'masiku otsiriza . Kawirikawiri, chifukwa chake chimagwirizana kwambiri ndi matenda omwe akudwala - makamaka ngati matendawa akuphatikizapo matenda opatsirana, monga khansara yamapapo kapena matenda osokoneza bongo (COPD). Dyspnea imatha kupezeka chifukwa cha zifukwa ziwiri, monga chibayo kapena chemotherapy. Kawirikawiri, zifukwa zingapo zingathandize wodwala wodwalayo amene akudwala dyspnea.
Chifukwa kupuma ndi chinthu chomwe timachimva chochepa, anthu omwe ali ndi dyspnea nthawi zambiri amakumana ndi nkhawa . Odwala 55 mpaka 70% alionse odwala matenda opatsirana komanso odwala matenda opatsirana kumapeto kwa moyo wa dyspnea, ndipo odwala ena amavutika kwambiri ndi kupuma / kupuma kupweteka kuposa kupweteka kwa thupi.
Nkhawa ingayambitse kusokonezeka maganizo, maganizo, khalidwe ndi maonekedwe omwe amachititsa kuti dyspnea ikhale yowonjezera, motero ndikofunika kusamalira nkhawa za wodwalayo .
Njira zachipatala za Dyspnea
Chifukwa cholinga cha chisamaliro cholera ndi kuchipatala ndikutonthoza odwala omwe akudwala, simungathe kuitanitsa 911. Muzochitikazi, ngati wokondedwa wanu kapena wodwala akukumana ndi dyspnea, mufunsane naye kuchipatala mwamsanga. Dokotala kapena namwino adzakutsogolerani mu chithandizo chabwino kuti mutonthoze. Ngati wodwala ali pansi pa chisamaliro cha odwala, muyenera kutchula chipatala cha chipatala komanso namwino wodwala kuchipatala adzakupatsani malangizo pa foni musanayambe kutumiza namwino kuti akayese zizindikiro za wodwalayo.
Apo ayi, mankhwala ochiritsira mankhwala / dyspnea m'mapiritsi ochezera odwala komanso ochepetsetsa amagwiritsa ntchito kuthetsa maganizo a wodwalayo , monga:
- Oxygen : Kusamalira mpweya ndilo mzere woyamba wa mankhwala.
- Mankhwala : Ngati chifukwa cha dyspnea ndi matenda aakulu, monga COPD, mankhwala omwe amagwiritsidwa ntchito kuti matendawa athe kuyambiranso ndi kusintha, ngati n'koyenera. Morphine imagwiritsidwa ntchito popewera kupuma chifukwa imachepetsa mitsempha ya m'magazi m'mapapo, imachepetsa kupuma, ndipo imapangitsa kupuma kwakukulu - zonse zomwe zingathe kuchepetsa nkhawa ya wodwalayo. Ngakhale mankhwala oletsa nkhawa angachepetse nkhawa ya wodwalayo ndikuonjezera chitonthozo chake, akhoza kupanga dyspnea moipa, komabe.
Osagwiritsa ntchito mankhwala a Dyspnea
Njira zopanda chithandizo zamankhwala ndizofunika kwambiri pochiza dyspnea ndipo zingagwiritsidwe ntchito panthawi yachipatala kapena mukudikirira thandizo la mankhwala kuti lifike. Zinthu zina zomwe mungachite ndizo :
- Sungani chipinda ndikuonetsetsa kuti wodwalayo akuvala zovala zochepa.
- Lonjezani msinkhu wa chinyezi mu chipinda.
- Gwiritsani ntchito fanesi kuti muzitha kuwombera mwapang'onopang'ono pamaso pa wodwalayo, ngati atatha kupirira maganizo amenewa.
- Tsegulani zenera pafupi kuti mupereke mphepo ndi / kapena mpweya watsopano.
- Wodwala akhale pansi pabedi ndikuchita masewera olimbitsa thupi.
- Yesani njira yotsitsimutsa, monga kusewera nyimbo zosangalatsa, kugwiritsa ntchito minofu kapena kukhudzidwa kwina kosangalatsa kwa chisankho cha wodwalayo. Mungaganizirenso kugwiritsa ntchito mafano otsogolera kapena kusinkhasinkha , zomwe ndi njira ziwiri zomwe zingathandize.
- Perekani chithandizo chamumtima kwa wodwalayo mwa kumvetsera mwatcheru zomwe akunena ndikupereka chilimbikitso.
Kusinthidwa ndi kusinthidwa ndi Chris Raymond, pa 14 April, 2016 .
> Zotsatira :
"Dyspnea in Ding Patients" ndi David Hsu, MSC, MD Canadian Family Physician , Vol. 39, Julayi 1993. Ikubweranso pa April 13, 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2379564/pdf/canfamphys00113-0099.pdf
> Kinzbrunner, BM; Weinreb, NJ; > Policzer >, JS; Mavuto Odziwika: Kutha kwa Moyo Care , McGraw-Hill Publishing, 2002.
> Ferrell, BR, > ndi > Coyle, N .; Buku la Palliative Nursing , Oxford University Press, 2006.