Dyspnea, kapena chokumana nacho chokhumudwitsa kapena chosamvetsetseka pakumva kupuma, chiri ndi zifukwa zambiri ndipo ndi chizindikiro chofala chomwe chikufotokozedwa ndi anthu omwe amachezera dokotala wawo. Anthu ena amangodandaula za zolimba mu chifuwa pomwe ena akulongosola kuti akusowa. Ena amatchula ngati kupuma pang'ono, njala ya mlengalenga, kapena kukhala ndi mtima wofuna kupuma chifukwa cha kusowa kwa mpweya m'magazi.
Zizindikiro ndi Zizindikiro
Dyspnea sizimawonetsa nthawi zonse kukhalapo kwachilendo. Nthaŵi zina, zimakhala zachilendo, monga nthawi yochita masewera olimbitsa thupi. Komabe, kawirikawiri ndi chenjezo loti pali matenda akuluakulu, kotero ndikofunikira kuti mupite kuchipatala mwamsanga. Ndipotu, ngati muwona mpweya wochepa komanso wadzidzidzi, ndipo umakhala ndi kupweteka pachifuwa, kunyozetsa, kapena kumutu, muyenera kuitanitsa 911 kapena wina akakuyendetseni ku dipatimenti yowopsa kwambiri.
Zizindikiro za dyspnea zikuphatikizapo:
- Zikumveka bwino, kupuma mwakhama
- Kuda nkhawa, kusokonezeka nkhope
- Mphuno yotentha
- Kutulutsidwa kwa mimba ndi / kapena chifuwa
- Kuponya
- Cyanosis
Zimayambitsa
Mmene munthu amafotokozera zomwe zinachitikira dyspnea zingakhale chitsimikizo pa zomwe zimayambitsa chifukwa chiyambireni anthu mosiyana ndi malingana ndi chikhalidwe chimene chikuyambitsa. Komabe, mndandanda wa zifukwa zomwe zingayambitse ndizowonjezereka, ndipo zingakhale ndi zotsatirazi:
- Kusokonezeka kwa mtima, kuphatikizapo matenda a mtima, kupweteka mtima kwa mtima , ndi arrhythmias
- Kusokonezeka kwa mapapo, kuphatikizapo COPD, kuthamanga kwa magazi, ndi chibayo
- Kupuma kwa chinthu chachilendo
- Nthendayi
- Kunenepa kwambiri
- Matenda a reflux a Gastroesophageal (GERD)
- Chitonthozo ku khoma la chifuwa
- Kupanikizika
Kufufuza ndi Chithandizo
Chifukwa dyspnea ndi chenjezo kwa osamalira omwe amadwala matenda aakulu, dokotala wanu akhoza kuchita bwino mbiri komanso thupi ngati mukulongosola kuti muli ndi chizindikiro ichi.
Dokotala wanu akufuna kudziwa ngati mukukumana ndi dyspnea makamaka pa nthawi ya ntchito kapena kupumula, ndipo kaya ikubwera mwadzidzidzi kapena pang'onopang'ono.
Kumvetsetsa mbiri yanu yachipatala n'kopindulitsa chifukwa zina mwazidzidzidzi (monga mbiri ya kusuta) zingathandize dokotala kutulutsa zikhalidwe zina ndikupereka kulemera kwa ena. Zonsezi zidzakuthandizira kuyesa kupititsa patsogolo kuti mudziwe chomwe chimayambitsa dyspnea ndi chithandizo cha mankhwala. Izi ziphatikizapo:
- Mayeso a magazi
- Chifuwa cha X-ray
- Electrocardiograph
- Kupima spirometry
- Kuyesera ntchito yonse ya pulmonary
- Mmene magazi amawombera magazi
- Zojambulajambula
- Kuyesera kochita masewera olimbitsa thupi
- Kuyezetsa koyezetsa thupi mokwanira
Mankhwala a dyspnea adzadalira chifukwa choyambitsa. Mwachitsanzo, ngati mphumu ikupangitsa kupuma kupuma, kuyambitsa kapena kusokoneza mankhwala monga bronchodilators ndi steroids kungachepetse vutoli. Ngati nkhawa ndi mantha ndizolakwa, mankhwala ochiritsira ndi chidziwitso ndi mankhwala angathe kuthandizira. Pamene COPD ili ndi mlandu, njira zowonjezera kupuma ndi oxygen supplementation zingathandize.
> Zotsatira:
> ADAM Kupweteka Kwambiri.
> Donald A. Mahler; Denis E. O'Donnell (20 Januwale 2014). Dyspnea: Njira, Njira, ndi Utsogoleri, Kusintha kwachitatu . CRC Press.
> Wills CP, Young M, White DW (February 2010). "Pitfalls pakuyesa kupuma pang'ono". Emerg. Med. Kliniki. North Am .