Ukuphefumula, noma i-dyspnea, akuyona nje isifo esesabekayo, kodwa futhi ngokuvamile kuyisibonakaliso esibalulekile senkinga enkulu yokwelashwa. Uma une-dyspnea, udokotela wakho kufanele athathe sonke isikhathi esidingekayo ukuze athole ukuxilongwa okulungile, ngoba ukuhlonza kahle kufanele kubaluleke kakhulu ekukhetheni ukwelashwa okungcono kakhulu.
Ngenhlanhla, kungenzeka ukuthi udokotela wakho uzoba nokubaluleka okubalulekile mayelana nalokho okubangela i-dyspnea yakho ngemva kokukhuluma nawe ngomlando wakho wezokwelapha, nokuhlola ngokucophelela ngokomzimba.
Ngokuvamile, ngokuhlolwa okukodwa noma kokubili ukuqinisekisa ukuxilongwa, ungaqala ukwelashwa ukwenza i-dyspnea ihambe.
Uyini iDyspnea Feel Like?
I-Dyspnea umuzwa wokuphefumula, wokungatholi umoya owanele.
Kungenziwa ihambisane nesifubeni sesifuba, uzizwa sengathi ugcwele amandla, noma uzwela ukwesaba. Kuye ngesibangela salo, i-dyspnea ingenzeka ngezikhathi ezithile ngezikhathi ezithile. Ngakolunye uhlangothi kungase kuqhubekele phambili, noma kungase kuqhube kancane kancane. Nakuba ezinye izinhlobo ze-dyspnea zinesizathu esicacile ongazibona (njengokuzivocavoca okunamandla), i-dyspnea engacacisiwe kufanele ihlolwe njalo ngudokotela.
Yiziphi izinhlobo zezimo zezokwelapha ezingabangela i-Dyspnea?
Ukuphazamiseka kwamapayipi kanye nezindiza
- Ukuphazamiseka okubandakanya amaphaphu ngokwabo, kuhlanganise nokuphefumula , umdlavuza wamaphaphu , i- pulmonary fibrosis , noma i- sarcoidosis .
- Ukuphazamiseka kwemimoya yomoya okubandakanya i- asthma ne- bronchitis .
- Izifo ezibandakanya amaphaphu noma umoya ohamba phambili kuhlanganise ne-bacterium pneumonia, i- histoplasmosis noma isifo sofuba .
- Ukuphazamiseka kwemithwalo yegazi emaphashini kufaka phakathi i- pulmonary hypertension kanye ne- pulmonary embolus .
- Ezinye izimo zamaphaphu noma isifuba kufaka phakathi izifo zesifo samaphaphu noma i- pneumothorax .
Izinkinga zenhliziyo
Cishe noma yikuphi ukugula kwengqondo kungaveza ukuphefumula (kubandakanya isifo se-coronary, isifo senhliziyo, ama-arrhythmias noma isifo se-pericardial), kodwa i-dyspnea ivame kakhulu ekuhlulekeni kwenhliziyo .
Izinkinga zokukhathazeka
Ukuhlaselwa kabuhlungu kuvame ukubonakala ngomzwelo wokuphefumula.
Ukunciphisa
Ukuba "ongaboni kahle" ngenxa yokugula noma yokuphila ngokwemvelo, kungaveza i-dyspnea ngisho nokuzikhandla kancane.
Ezinye izimo zezokwelapha
Lezi zingase zihlanganise i-anemia (isibalo esiphansi se-cell cell), i- dysautonomia , nezinkinga ze-thyroid .
Yiziphi Ezinye Izici Ezibalulekile Kumbangela We-Dyspnea?
Nazi izici ezibalulekile udokotela wakho okufanele azifune ekuzameni ukuthola imbangela yedayspnea yakho.
- Ungumuntu othumayo wamanje noma owedlule? (iphakamisa isifo sengaphazi noma isifo senhliziyo.)
- Ingabe unendlela yokuphila yangasese, i-cholesterol ephakanyisiwe, umfutho wegazi ophakeme, isifo sikashukela, noma ezinye izici zengozi yomzimba? (siphakamisa isifo senhliziyo.)
- Ingabe unomlando wokuvezwa kwezidakamizwa ezingaveza izifo zamaphaphu ?
- Ingabe unesimiso sokuzivikela somzimba esibuthakathaka, noma ukuvezwa kwamuva kwamagciwane asulelayo? (iphakamisa umkhuhlane noma esinye isifo esithathelwanayo se-pulmonary.)
- Uke wahlinzwa ngokusanda, ukuphumula okulele isikhathi eside, noma uhambo olude lendiza? (iphakamisa ukuhlanganiswa kwamapulmoni.)
- Uke waba nesifo sakamuva nesikhathi eside sokungasebenzi? (iphakamisa ukuchithwa kwemithetho.)
- Unayo yini izimpawu zezinye izimo zezokwelapha ezingaveza i-dyspnea (njengesifo se-thyroid, noma i-dysautonomia)?
- Ingabe i-dyspnea yakho ibonisa imbangela ethile? (Ngokwesibonelo, i- orthopnea noma i- paroxysmal nocturnal dyspnea ingase iphakamise ukuhluleka kwenhliziyo.)
- Ingabe i-dyspnea yakho iphikelela, noma iyaqhubeka ikhula kakhulu? (Leli phethini libonisa ukuphefumula noma ezinye izifo zamaphaphu, noma ukuhluleka kwenhliziyo.)
- Ingabe i-dyspnea yakho ifika futhi ihambe, ngeziqephu ezihlelekile? (Leli phethini lingaphakamisa i-asthma, i-emphysema, i-pulmonary embolus, noma i-coronary artery disease.)
Yikuphi Ukuhlolwa Okungadingeka?
Uma udokotela wakho esolisa isifo samaphaphu, kungenzeka ukuthi uzofuna isifo se-x-ray ne- pulmonary function ukusiza ukuqinisekisa ukuxilongwa.
Uma kwenzeka ukusolakala ukuthi i-pulmonary embolus, kungenzeka ukuthi uzodinga ukukhenwa kwamaphaphu (ukuhlolwa kwe-imaging okubheka amabhulogi emiphakathini yamaphaphu), ukuhlolwa kwe-D-dimer (ukuhlolwa kwegazi okubheka izimpawu ze-clot yamuva yegazi) , kanye nokuhlolwa kwe-ultrasound yemilenze yakho (ukufuna i-clot yegazi). Uma kucatshangwa ukuthi isifo senhliziyo siyimbangela, udokotela wakho cishe uzoqala nge- echocardiogram ukuhlola umsebenzi wenhliziyo yakho. Ukuhlolwa kwegazi kungasiza uma i-dyspnea yakho icatshangelwa ukuthi ihlobene ne-anemia, isifo se-thyroid noma ukutheleleka.
Okubalulekile
I-dyspnea engalindelekile noma engalindelekile ingabangelwa izimo zezokwelapha ezibalulekile neziyingozi, ngakho-ke uma uhlangabezana nalesi sibonakaliso kufanele uhlolwe ngokushesha udokotela. Ezimweni eziningi, ngemuva kokuhlolwa kokuqala kwezokwelapha (umlando wezokwelapha nokuhlolwa ngokomzimba), udokotela ocophelelayo uyoba nomqondo omuhle wokuthi yini ebangela inkinga. Ukuhlolwa okuqhubekayo kungaqondiswa ngqo ekuqinisekiseni ukuxilongwa okusolakala.
Ukubona imbangela efanele yokuphefumula kubalulekile ngokwanele ukuthi, uma ukholwa ukuthi udokotela wakho ugijime ngokuhlola kwakhe i-dyspnea yakho, noma kubonakala sengathi akakwazi ukuphoqa isizathu esithile, kufanele ucabangele ngokubona omunye udokotela.
Imithombo:
Parshall MB, Schwartzstein RM, Adams L, et al. Isitatimende esisemthethweni sase-American Thoracic Society: ubuyekeze ezindleleni, ekuhloleni nasekulawuleni i-dyspnea. Am J Respir Crit Care Med 2012; 185: 435.
Oelsner EC, Lima JA, Kawut SM, et al. Izivivinyo ezingenasidingo zokuhlola ukuhlolwa kwe-dyspnea phakathi kweziguli: Isifundo se-lung-Multi-ethnic Study of Atherosclerosis. Am J Med 2015; 128: 171.