I-dyspnea ye-Paroxysmal ebusuku, ngokuvamile ebizwa ngokuthi "i-PND" odokotela, isifo esibuhlungu kakhulu esibangelwa ukuhluleka kwenhliziyo . Umuntu ophethe i-PND uzokuvuka ngokuzumayo ebuthongweni obunzima nge- dyspnea eqinile (ukuphefumula okuncane), futhi uzothola yena-noma-yena ngokwakhe ekhala umoya, ukukhwehlela, nokuzizwa ephoqelekile ukuba aphume embhedeni futhi athathe ukuma okuqondile.
Okungenani isisulu sizohlala emaphethelweni embhedeni, futhi ngokuvamile singase sibe nomuzwa wokuthi sidinga iwindi elivulekile lomoya.
Ukuphefumula ngokuvamile kuthuthukisa ngaphezu kwemizuzu embalwa. Ngisho nangemva kokuba izimpawu ziphela, noma kunjalo, kungase kube nzima ukubuyela emuva emva kwesiqephu se-PND, ngenxa yezinkathazo ukuthi lesi sibonakaliso esibuhlungu kakhulu nesimangalisa sivame ukukhiqiza.
Ngezinye izikhathi i-PND ayixazululanga ngokushesha futhi esikhundleni sayo ingaqhubeka. Ngenxa yokuthi izimpawu zihlale zikhuni kakhulu ukungazinaki, isiqephu esiqhubekayo se-PND sinqume ucingo ku-911 noma uhambo oluya ekamelweni eliphuthumayo.
Kungakhathaliseki ukuthi kuxazulula noma cha, u-PND uhlale uphawu oluyingozi oluvame ukukhombisa ukuthi ukuhluleka kwenhliziyo komuntu kuqhubeka kakhulu. Ngakho-ke, noma ubani ohlangabezana ne-PND udinga ukuxhumana nodokotela wakhe ngokushesha, ngisho noma izimpawu zixazulula ngokushesha.
Izimbangela
I-dyspnea ye-Paroxysmal yobusuku busuku ivame ukubangelwa ukuhluleka kwenhliziyo , ikakhulukazi (kodwa hhayi njalo) kubantu abaye babe neziqephu ze-dyspnea ngokuzikhandla, noma nge- orthopnea (ukuphefumula uma ulele phansi).
Abantu abathola i-PND nabo kaningi bane- edema (ukuvuvukala) ezinyaweni nasezinyaweni zabo, lapho ukuhluleka kwenhliziyo, ngokuvamile kubonisa ukugqithisa komfutho.
Kubantu abanokuhluleka kwenhliziyo, ukulala phansi ukulala kungabangela ukushintsha okukhulu kwamanzi emzimbeni. Okokuqala, uketshezi luvame ukudlulela ezicukheni zibe plasma, okwandisa umthamo we-plasma.
Ngaphezu kwalokho, ezinye ze-fluid ngokweqile, ukuthi amandla adonsela phansi "ahlanganiswe" emilenzeni noma isisu ngesikhathi sosuku sikwazi ukuhamba ukusuka ezingxenyeni eziphansi zomzimba lapho umuntu elele phansi. Le fluidi engaphezulu kakhulu iyakwazi ukubuyisela emaphashini.
Ngezinye izikhathi lezi zinguquko eziguquguqukayo zizobangela ukuphefumula ngokushesha uma umuntu ohlulekayo kwenhliziyo ehla. Le shift shift ngokushesha iveza uphawu lwe-orthopnea. Abantu abaye bafundela ngokushesha bafunde ukuphakamisa ikhanda lemibhede yabo, enomphumela wokugcina izifuba zabo ziphakanyisiwe. Lokhu kusiza ukugcina uketshezi ukuthuthela emaphashini abo. (Yingakho odokotela bavame ukubuza iziguli zabo ngokuhluleka kwenhliziyo ukuthi bangaphi amaphethelo abasebenzisa ebusuku - kungukulinganisa okunzima kwesilinganiso se-orthopnea umuntu abhekene nakho.)
Kodwa nge-PND ukushintshwa kwamanzi angabangeli izimpawu ngokushesha. Esikhundleni salokho, kwenzeka ukwenzeka kwezenzakalo ezenziwa ukuthi ekugcineni (emva kokuba umuntu ebenethuba lokulala) kuveza ukulibaziseka - futhi okuvame kakhulu ukuqala kwe-dyspnea. Isizathu sokuqala ukubambezeleka kwezimpawu kubantu abane-PND akucaci ngokuphelele. Kucatshangwa ukuthi mhlawumbe isikhungo sokuphefumula ebuchosheni singase sicindezeleke ngesikhathi sokulala kubantu abanesifo senhliziyo, noma ukuthi amazinga e-adrenaline ngesikhathi sokulala angase acindezeleke inhliziyo, futhi kancane kancane avumela uketshezi ukuthi kuqoqwe emaphashini.
Ingabe i-PND ingabangela izimo ngaphandle kokuhluleka kwenhliziyo?
Indlela "efanele" yokusebenzisa igama elithi "PND" ayivunyelwanga ngokuphelele odokotela. I-cardiologists ngokuvamile ibheka i-PND ngokuthi yikhathi sobuciko, futhi ijwayele ukuyisebenzisa kuphela kwiziguli ezinenkinga yokushaya inhliziyo enhliziyweni. Lokhu kusetshenziselwa ukubaluleka okubaluleke kakhulu ku "PND." Abantu abanokuhluleka kwenhliziyo abathuthukisa i-PND cishe bayakwazi ukuthuthukisa ukwehluleka kwenhliziyo okukhulu, ngokushesha. Lokhu kusho ukuthi kufanele baphathe ukwelashwa okunamandla ngaso leso sikhathi ukuvimbela lokho okukhulu, mhlawumbe isiqephu esongela ukuphila sokuhluleka kwenhliziyo okungenzeki.
Ngakho lapho izazi ze-cardiologists zithi "i-PND" zenza kokubili ukuxilongwa nesitatimende sokubikezela.
Kodwa-ke, ngokuqondile, "i-paroxysmal nocturnal dyspnea" isho ukuthi "ukuphefumula kokuphefumula ebusuku," futhi kungasetshenziswa kunoma yisiphi isimo sezokwelapha esingase sikhiqize i-dyspnea ngesikhathi sokulala. Ngakho-ke, phakathi komphakathi wezokwelapha kabanzi, "i-PND" nje ichaza uphawu. Ngakho-ke, uzozwa "i-PND" isebenze ezinhlobonhlobo zezokwelapha ezihlukahlukene ezingabangela i-dyspnea engazelelwe ebusuku. Lezi zimo ziningi futhi zibandakanya ukuphefumula , i- asthma , ne- pulmonary embolus . Futhi zihlanganisa izimo zenhliziyo ngaphandle kokuhluleka kwenhliziyo ekhululekile njenge- diastolic inhliziyo ukwehluleka kanye nesifo se-heartchemic ischemia (njenge- acute coronary syndrome ).
Izwi elivela
Akukona kuwe ukuthi uhlole ukuthi i-dyspnea yakho enobusuku ebusuku ingenxa yokuhluleka kwenhliziyo noma kwenye imbangela. Kufika kudokotela wakho. Okudingayo ukwazi ukuthi i-PND ibonisa ukuthi inkinga enkulu yokwelapha iyaqhubeka. Kungakhathaliseki ukuthi imbangela ivelaphi, udinga ukuthola usizo lwezokwelapha ngokushesha uma uhlangabezana nalesi sibonakaliso.
> Imithombo:
> Yancy CW, Jessup M, Bozkurt B, et al. Umhlahlandlela we-ACCF / AHA ka-2013 we-Management of Heart Failure: Summary Executive: Umbiko we-American College Association of Cardiology Foundation / American Heart Association Task Force emithethweni yokuziphatha. Ukujikeleza 2013; 128: 1810.