I-Dyspnea, noma okuhlangenwe nakho okungajabulisi noma okungakhululekile ngesikhathi sokuphefumula, kunezimbangela eziningi futhi isibonakaliso esivamile esichazwe ngabantu abavakashela udokotela wabo. Abanye abantu bakhononda ngokuqina ngaphakathi esifubeni kanti abanye bechaza ukuthi bacindezelekile. Abanye babhekisela kukho njengokuphefumula, ukulamba kwendlala, noma ukuzwa ukuthi unesifiso sokuphefumula esibangelwa ukungabi khona kwe-oksijeni egazini.
Izimpawu Nezibonakaliso
I-Dyspnea ayisho ngaso sonke isikhathi ukuthi kukhona isimo esingavamile. Ngezinye izikhathi, kujwayelekile, njengokuzivocavoca okunzima. Kodwa-ke, ngokuvamile kuyisibonakaliso sokuxwayisa ukuthi kukhona izifo ezibalulekile, ngakho-ke kubalulekile ukuthi ufune usizo lwezokwelapha ngokushesha. Eqinisweni, uma ubona ukuphefumula okukhulu futhi okungazelelwe kokuphefumula, futhi kuhambisana nobuhlungu besifuba, isiyaluyalu, noma ikhanda eliphansi, kufanele ubize u-911 noma omunye umuntu akushayele emnyangweni ophuthumayo kakhulu.
Izimpawu ze-dyspnea zifaka:
- Kuzwakala ngokuzwakalayo, ukuphefumula okusebenzayo
- Isimo sokukhathazeka, esicindezelekile ebusweni
- Amakha amnyama
- Ukuvikelwa kwesisu kanye / noma isifuba
- I-Gasping
- I-Cyanosis
Izimbangela
Indlela umuntu achaza ngayo isipiliyoni se-dyspnea ingaba yinkomba yombangela wayo oyisisekelo kusukela abantu bezwa ngokuhlukile kuye ngokuthi yisiphi isimo esibangela. Kodwa-ke, uhlu lwezimbangela ezingabangela kakhulu, futhi lungabandakanya noma yikuphi okulandelayo:
- Ukuphazanyiswa kwenhliziyo, kuhlanganise nokuhlaselwa kwenhliziyo, ukuhluleka kwenhliziyo kwangempela , kanye nokuhlelwa kwe-arrhythmias
- Ukuphazanyiswa kwamapayipi, kuhlanganise ne- COPD, ukucindezeleka kwe-pulmonary, ne-pneumonia
- Inhalation yento yangaphandle
- Amagciwane
- Ukukhuluphala
- Isifo se-reflux se-gastroesophageal (GERD)
- I-Trauma eya edongeni lesifuba
- Ukuhlaselwa kobuhlungu
Ukuhlolwa Nokunakekelwa
Ngenxa yokuthi i-dyspnea iyisignali yokuxwayisa kulabo abanakekele ukuthi ukugula okungathí sina kungase kube khona, udokotela wakho cishe uzokwenza umlando ophelele nangokomzimba uma uchaza ukuthi ubona lesi sibonakaliso.
Udokotela wakho uzofuna ukwazi ukuthi uthola i-dyspnea ikakhulukazi ngesikhathi somsebenzi noma ekuphumuleni, nokuthi ngabe iza ngokuzumayo noma kancane.
Ukuqonda umlando wakho wezokwelapha kuwusizo ngoba ezinye izinto eziyingozi (njengomlando wokubhema) zingasiza udokotela wakho ukulawula izimo ezithile futhi anike abanye isisindo. Zonke lezi zici zizosiza ukuqondisa ukuhlolwa okuqhubekayo ukusiza ukukhomba imbangela ye-dyspnea yakho kanye nokuphathwa kokwelashwa. Lokhu kungafaka:
- Ukuhlolwa kwegazi
- I-x-ray yesifuba
- I-Electrocardiograph
- Ukuhlola i-spirometry
- Gcwalisa ukuhlolwa komsebenzi wamapayipi
- Isilinganiso segesi egazini legazi
- I-Echocardiography
- Ukuhlola okujwayelekile kokuhlolwa kwesisindo
- Qedela ukuhlolwa kokuvivinya umzimba kwe-cardiopulmonary
Ukwelashwa kwe-dyspnea kuzoxhomeka kubangelwa imbangela. Isibonelo, uma i-asthma yenza kube nzima ukuphefumula, ukuqala noma ukuguqula imithi efana ne-bronchodilators ne-steroids kunganciphisa isimo. Uma ukukhathazeka noma ukuphazamiseka kwengqondo kuwukusola, ukwelashwa nge-cognitive therapy and / noma imithi kungasiza. Uma i-COPD ilahlwa, amasu akhethekile okuphefumula kanye ne-oxygen supplementation angasiza.
> Imithombo:
> ADAM Breathing Inzima.
> UDonald A. Mahler; UDenis E. O'Donnell (20 Januwari 2014). I-Dyspnea: Izindlela, Ukulinganisa, Nokuphathwa, I-Edition Yesibili . I-CRC Press.
> Wills CP, Young M, White DW (February 2010). "Izibhamu ekuhloleni kokuphefumula". Emerg. I-Med. Umtholampilo. North Am .