Ukwelashwa kweDyspnea ukusiza iziguli zokunakekelwa kweziguli kanye neziguli
Izigulane ezigulayo ezikhungweni zokubeletha noma izilonda zokwelapha zingase zithole ukuphefumula kanzima njengoba zisondela ekupheleni kokuphila kwazo. Lesi sihloko sichaza ukuthi yiyiphi i-dyspnea, yiyiphi imbangela futhi inikeza ezinye izindlela zokwelapha nezingahambi kwezokwelapha ezingasiza iziguli ukuphefumula lula.
Iyini uDyspnea?
I-Dyspnea ukuphefumula noma ukuphefumula okunzima noma okusebenzayo, okungenzeka ngezinye izikhathi kwenzeke ngokuzumayo.
Abantu ababhekana ne-dyspnea bavame ukuchaza njengokuphefumula, ukuqina kwesifuba, ukulwa emoyeni, noma ukuzwa ukuphefumula; noma bangase bathi, "Angikwazi ukuphefumula."
Kwezinye izimo, izinga lokuphefumula kwesiguli (ukuthi uphefumulela ngokushesha futhi liphuma kanjani) liyokhula futhi esifubeni sabo singanqanda njengoba isiguli sizama ukuthola umoya okwanele ngenkathi kuphefumula. Uma amazinga e-oksijeni womuntu ehlehliswa kakhulu, ukuguqulwa kwemvelo kungahle kwenzeke emibhede yakhe yesipikili kanye / noma izindebe.
Yini eyenza i-Dyspnea?
Kunezimbangela eziningi ze-dyspnea ezimweni zokuphela kokuphila . Ngokuvamile, imbangela ihlobene ngqo nesifo sesiguli - ikakhulukazi uma ukuxilongwa kuhilela isimiso sakhe sokuphefumula, njengomdlavuza wamaphaphu noma isifo se-chronic obstructive pulmonary (COPD). I-Dyspnea nayo ingenzeka ngenxa yezimbangela zesibini, njenge-pneumonia noma i-chemotherapy. Ngokuvamile, izici eziningana zingabangela isiguli esigulayo esine-dyspnea.
Ngoba ukuphefumula into esiyithatha ngokujwayelekile, abantu ababhekana ne-dyspnea ngokuvamile bahlangabezana nokukhathazeka okuphakeme . Kulinganiselwa ukuthi iziguli ezingama-55-70% zezifo zokunakekelwa kwezifo zokubeletha kanye nezinkinga zokubeletha eziseduze nokuphela kokuphila kwe-dyspnea, kanti ezinye iziguli zithola ubunzima bokuphefumula / ukuphefumula okucindezelayo kunokucindezeleka ngokomzimba.
Ukukhathazeka kungabangela ukubonakaliswa kwengqondo, ngokomzwelo, ukuziphatha nokubonakalayo okudambisa i-dyspnea, ngakho-ke kubalulekile ukuphatha ukukhathazeka kwesiguli .
Ukungenelela kwe-Medical Dyspnea
Ngenxa yokuthi umgomo wokunakekelwa ngokucophelela nokugulisa izifo ukuhlinzeka induduzo kulaba abagulayo abagulayo, kungenzeka ukuthi ungabize u-911. Kulezi zimo, uma othandekayo wakho noma isiguli ehlangabezana ne-dyspnea, kufanele uxhumane nodokotela wakhe wokuphulukisa ngokushesha. Udokotela noma umhlengikazi uyokuqondisa ekwelapheni okungcono ukunikeza induduzo. Uma isiguli sakho singaphansi kokunakekelwa kwe-hospice, kufanele ushayele i- ejensi yokubhedlela kanye nomhlengikazi we- hospice uyokunikeza imiyalo phezu kwefoni ngaphambi kokuthumela umhlengikazi ukuze ahlole izimpawu zesiguli.
Uma kungenjalo, ukwelashwa / ukungenelela kwe-dyspnea kwizikhungo zokunakekelwa kwezifo zokubeletha kanye nokuzinakekelwa ngokujwayelekile kuhloswe ekunciphiseni umuzwa wesifo sokuphefumula , njengokuthi:
- I-oksijeni : Ukulawula i-oxygen ngokuvamile kuyindlela yokuqala yokwelashwa.
- Imithi : Uma imbangela ye-dyspnea ingukugula okungapheli, njenge-COPD, imithi esebenzayo yalesi sifo ingabuyekezwa futhi ilungiswe, uma kunesidingo. I-Morphine isetshenziselwa ukunciphisa ukuphefumula ngoba iyanciphisa imithwalo yegazi emaphashini, inciphisa izinga lokuphefumula, futhi ikhulise ukuphefumula okukhulu - konke okungahle kunciphise izinga lokukhathazeka kwesiguli. Nakuba imishanguzo yokulwa nokukhathazeka inganciphisa imizwa yesiguli yokukhathazeka futhi yandise izinga lakhe lokududuza, ingenza i-dyspnea ibe nzima nakakhulu, noma kunjalo.
Ukungenelela okungezona okwelashwa kweDyspnea
Ukungenelela okungezona kwezokwelapha kubaluleke kakhulu ekwelapheni i-dyspnea futhi kungenziwa ngesikhathi sokwelashwa noma ngenkathi ulinde usizo lwezokwelapha ukufika. Ezinye izinto ongayenza zihlanganisa :
- Khanda ekamelweni bese uqinisekisa ukuthi isiguli sigqoke izingubo ezilula.
- Ukwandisa izinga lokumswakama ekamelweni.
- Sebenzisa fan ukushaya umoya ngokuqondile ebusweni ubuso, uma nje angakwazi ukubekezelela lo mzwelo.
- Vula iwindi eliseduze ukuze unikeze umoya omusha kanye / noma umoya omusha.
- Ngabe isiguli sihlale silele embhedeni futhi senze ukuzivocavoca okujulile.
- Zama inqubo yokuphumula, njengokudlala umculo ophumuzayo, ukusebenzisa ukusikhipha noma ukunye okuthinta ukukhethwa kwesiguli. Ungase ucabange futhi usebenzisa izithombe eziqondisiwe noma ukuzindla , okuyizindlela ezimbili ezingasiza.
- Nikeza ukusekelwa ngokomzwelo ngesiguli ngokulalela ngokushiwo lokho akushoyo bese enikeza ukuqinisekiswa.
Ihlelwe futhi ibuyekezwe nguChris Raymond, ngo-Ephreli 14, 2016 .
> Imithombo :
"Dyspnea ekulaleni iziguli" nguDavid Hsu, MSC, MD Canadian Family Physician , Vol. 39, ngoJulayi 1993. Ibuyiswe ngo-Ephreli 13, 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2379564/pdf/canfamphys00113-0099.pdf
> Kinzbrunner, BM; I-Weinreb, NJ; > Ipolisi >, JS; Izinkinga Ezivamile: Ukuphela Kokunakekelwa Kwezempilo , uMcGraw-Hill Publishing, 2002.
> Ferrell, BR, > no > Coyle, N .; I-Bookbook ye-Nursing Palliative , i-Oxford University Press, ngo-2006.