Orthopnea ndizo madokotala amagwiritsira ntchito chizindikiro cha dyspnea (kupuma pang'ono) komwe kumachitika pamene munthu akugona pansi. Orthopnea imaonedwa ngati chizindikiro chofunika makamaka chifukwa nthawi zambiri chimakhala chizindikiro cha kufooketsa mtima , komabe chikhoza kuyambanso ndi matenda ena. Pachifukwa ichi, aliyense amene akumana ndi orthopnea ayenera kuyesedwa nthawi zonse ndi dokotala.
N'chiyani Chimachititsa Orthopnea?
Pamene wina agona pansi, mphamvu yokoka imayambitsa kubwezeretsa kwa madzi mkati mwa thupi. Kawirikawiri, madzi ena m'munsi mwa thupi, makamaka miyendo ndi ziwalo za mimba, amalowa m'chifuwa. Kubwezeretsanso kwa madziwa kumakhala kochepa kwambiri, ndipo mwa anthu ambiri mulibe mphamvu iliyonse kupuma.
Komabe, kwa anthu omwe ali ndi mtima wokhutira mtima , mtima ukhoza kusamalidwa ndi madzi ena owonjezera, ndipo sangathe kugwira ntchito yowonjezera kuti izi zisawonongeke m'mapapu. Zotsatira zake, kupuma kwa pulmonary - ndi mapangidwe oyambirira a pulema - akhoza kuchitika, ndi zotsatira zochepa za mpweya. Kuphatikiza pa dyspnea, anthu ena amakumana ndi chifuwa kapena akudumpha pogona. Mitundu iyi ya kupuma kwapangidwe chifukwa choganiza kuti malo obwezeretsa amadziwika amatchedwa orthopnea.
Munthu akamakumana ndi orthopnea, kukwera kapena kukweza mutu kumatsitsa kugawa kwa madzi komwe kwakhalapo, ndipo kumachepetsa mpweya wa mpweya.
Zizindikiro kawirikawiri zimangosintha mosavuta mwa kusintha malo.
Kulephera kwa mtima sizomwe zimayambitsa ma orthopnea, koma ndi chifukwa chofala kwambiri. Nthawi zina anthu omwe ali ndi mphumu kapena matendawa amakhala ndi mavuto ambiri opuma pamene akugona. Zizindikiro za kupuma ndi mpweya wochepa umene umapezeka ndi izi, komabe sizimatha msanga mutakhala pansi, koma zimatenga nthawi yochuluka kuti muthetse.
Kugonana kofiira kungapangitse zizindikiro zofanana ndi orthopnea, kapena kawirikawiri, kuti apange dyspnea usiku (wotchulidwa mu gawo lotsatira).
Zizindikiro Zogwirizana
Chizindikiro china chokhudzana kwambiri ndi vuto la mtima ndi paroxysmal usiku wotchedwa dyspnea, kapena PND . PND imayanjananso ndi kubwezeretsa kwa madzi komwe kumachitika pogona, koma ndilovuta kwambiri kuposa "orthopnea" yosavuta. Kawirikawiri, anthu omwe ali ndi PND sazindikira dyspnea atangokhala pansi. M'malo mwake, iwo amadzutsidwa kuchokera ku tulo ndi nthawi ya mpweya wochepa umene umawapangitsa kukhala nthawi yomweyo kuti awathandize. Kuphatikiza pa dyspnea, odwala omwe ali ndi PND amakhalanso ndi zizindikiro, amawombera kwambiri, komanso amanjenjemera.
Mwachiwonekere, PND ndi chochitika chodabwitsa kwambiri kuposa orthopnea. Zikuganiziridwa kuti njira zina (kupatula kugawidwa kwa madzi ochepa) zilipo mwa anthu omwe ali ndi PND, mwinamwake zokhudzana ndi kusintha kwa malo a kupuma kwa ubongo omwe angawonongeke mtima.
Posachedwapa, madokotala adziwa mtundu wina wa zizindikiro kwa anthu omwe ali ndi mtima wolephera womwe umagwirizananso ndi kubwezeretsa kwa madzi - " bendopnea ," kapena dyspnea yomwe imapangidwanso .
Kufufuza Orthopnea
Madokotala ayenera nthawi zonse kufunsa odwala alionse ndi mtima wosalimba kapena akuganiza kuti akulephera kukhala ndi mtima ngati ali ndi dyspnea.
Funso limeneli ndilofunika chifukwa kuwonjezereka kwa mankhwala amodzi kumatanthawuza kuwonongeka kwa mtima.
Anthu ambiri omwe ali ndi orthopnea amakumana ndi chisonyezo mosamvetsetseka powonjezera mtsamiro kapena awiri. Iwo sangazindikire ngakhale kuti amapuma pang'ono pamene akugona pansi - iwo amangokhala omasuka ndi mitu yawo. Ichi ndi chifukwa chake madokotala nthawi zambiri amafunsa kuti ndi mapiritsi angati wodwalayo amene ali ndi mtima wosagwiritsidwa ntchito, ndipo adzalemba mayankho ake pa tchati monga "awiri-pillow orthopnea" kapena "atatu-pillow orthopnea."
Chifukwa kuwonjezeka kwa orthopnea nthawi zambiri ndi chizindikiro choyamba cha kufooketsa mtima, aliyense amene ali ndi vuto la mtima (ndi ena ena ofunikira) ayenera kumvetsera zowononga zizindikiro, komanso ngakhale chiwerengero cha mapilo omwe akugwiritsa ntchito.
Kuchitapo kanthu mwamsanga pamene zizindikiro zowonongeka zimatha kupeŵa vuto la mtima, ndi kupeŵa kufunika kokhala m'chipatala.
Mawu Ochokera
Orthopnea ndi imodzi mwa mawonetseredwe a mpweya wosokonezeka omwe amatha kuchitika kwa anthu omwe ali ndi vuto la mtima. Kuyamba kwa orthopnea, kapena kusintha kwa matenda a orthopnea, kungasonyeze kusintha kwakukulu kwa kuuma mtima kwa mtima. Choncho, aliyense amene ali ndi mtima wolephera ayenera kulabadira chizindikiro ichi.
> Zotsatira:
> Wofanana WF. Kusintha kwa Mpweya Wathanzi ndi Matenda. Mu: Kukambitsirana kwa Physiology ya Zamankhwala, 12th ed. Los Altos: Lange Medical Publications, 1985; 558 - 71.
> Thibodeau JT, Turer AT, Gualano SK, et al. Khalidwe la Chizindikiro Chachilendo cha Kulephera kwa Mtima wa Mtima: Bendopnea. JACC Mtima Walephera 2014; 2: 24-31.
> Yambani CW, Jessup M, Bozkurt B, et al. 2013 ACCF / AHA Malangizo othandizira kulamulira kwa mtima: Chidule Chachidule: Lipoti la American College Association of Cardiology Foundation / American Heart Association Task Force pa ndondomeko zoyendetsera ntchito. Circulation 2013; 128: 1810.