Zvinokonzera Kushoma kweBhati uye Nguva Yekutambudzika
Kupfupika kwepfupa chiratidzo chinowanzoita kuti vanhu vashanyire chiremba wavo. Ichi chiratidzo chinogona kuuya nokukurumidza kana kuuya pakarepo zvishoma zvokuti hazvizivikanwi pakutanga.
Kana uri kuwana kupera kwekufema, izvo hazvirevi kuti iwe unofanira kunge unonetseka nezvekenza yemapapu kana mamiriro akaoma akadai sehosha yemwoyo. Pane zvikonzero zvakawanda zvekufema kwekufema.
Asi, sezvo "zvisingawanzozivikanwi" zvinokonzera kupfupika kwefema zvinowanzokanganwa, zvakakosha kuita musangano pamwe chete nechiremba wako kuti aone chikonzero chacho.
Cherechedza: Nguva Yokutsvaga Kuchenjerera
Kana uchinge uchinge uchinge uine mweya wakaoma, wakauya kamwe kamwe, kana unobatanidza nezviratidzo zvekurwadziwa kwepfupa, kukonzera ropa, kuchena kwepfungwa, kurwadziwa, kupfugama, kana kubwinya kwemakumbo ako pasi, kana kana iwe uchinzwa sechinhu chingave chakaipa kwazvo ( manzwiro ekuparadzwa kunouya), rega kuverenga uye kudana 911. Zvimwe zvezvikonzero zvinokonzera kufema kufema zvinogona kutyisa upenyu uye zvinoda kurapwa nokukurumidza. Kana iwe usingazivi kuti iwe unoda kutarisirwa kwekare, famba parutivi rwekuchenjerera.
Overview
Hatina tsanangudzo yakajeka yokupererwa kwepfufu, asi vanhu vazhinji vanotsanangura chiratidzo ichi senzwi rekutenderera kwekuoma nekufema. Iwe unogona kunge uine manzwiro ekushaya kukwanisa kuwana mhepo yakakwana mukati kana kuti inotora simba rakawanda kudarika kufema kufema.
Vamwe vanhu vanotsanangurawo kushungurudzika kwechifuva chisimbiso. Kupfupika kwemweya kunogona kuuya zvakanyanya munyaya yemaminitsi kana maawa; kana kusingaperi kwemazuva, vhiki, mwedzi kana kunyange makore.
Zvirwere Zvirwere
Kana uri kuverenga pamusoro pekufema kwekufema, unogona kuvhiringidzwa nemashoko ose anoshandiswa kurondedzera ichi chiratidzo.
Kokurumidza kumhanya kune imwe yemashoko aya kunosanganisira:
- Dyspnea inoreva kushungurudzika kwekufema
- Tachypnea inoreva kukurumidza kufema uye kana kusina kunzwa kwokuti kupererwa kwekufema
- Bradypnea inoreva kushoma kwekufema
Chirwere chekufema chinowanzoitika kune vanhu vakuru chinoonekwa sevari pakati pe12 ne18 kufema kwemaminiti panguva yekuzorora kwevanhu vakuru, uye inopesana nevana zvichienderana nezera. Kuwedzera kweputiro kunofungidzirwa nevamwe kuva "kukanganikwa" chiratidzo chakakosha, uye dzimwe nguva chingapa chiremba wako ruzivo rwakanyanya kudarika ropa rako kana kuti kupisa kwako maererano nekuoma kwehutano. Zvakakosha kucherechedza kuti iwe unganzwa kupererwa kwepamuviri nehuwandu hwemaputiro ekufema, kana kuti panzvimbo iyo, unogona kuva nechirwere chekufuridzira chisina kujairika asi usati uone kufema kunonetsa.
Zvinokonzera
Muna 85 kubva muzana yevanhu, mamiriro ezvinhu anoenderana nemwoyo nemapapu zvinokonzerwa nekufema kwekufema. Kunyange zvazvo vazhinji vedu tichifunga nezvemapapu edu kutanga kana tikanzwa kufema kufema, mamiriro emwoyo inofanira kunyatsoongororwa. Muzvokwadi, chidzidzo chakatarisa vanhu avo vaiva nekufema kwekufemerwa sechiratidzo chavo choga chepfungwa chakange chiine mukana mukuru wekufa kudarika avo vakange vane kurwadziwa kwepfupa.
Zvimwe zvezvikonzero zvakanyanya zvinosanganisira:
- Asthma
- COPD
- Heart attack
- Kubatana kwepulmonary , ropa rinoputika kubva kune rimwe ropa rinoputika (mumvura yakadzika inonzi thrombosis) mumakumbo kana pamapapu uye inoenda kumapapu
- Zvirwere zvakadai sebronchitis uye pneumonia
- Congestive heart failure
- Pneumothorax, kuwa kwemapapu
Zvimwe zvinowanzokonzera zvinosanganisira:
- Kusvuta
- Anemia: Neine anemia, unogonawo kutora kuneta, ganda rinenge riripo, uye kuchena
- Mamiriro ehutano: Hwose hyperthyroidism uye hypothyroidism zvinogona kukonzera kufema
Zvishoma zvinokonzera asi zvinokosha zvinokonzera kufema kufema zvinogona kusanganisira:
- Zvirwere zvinouraya uye zvinouraya, zvinosanganisira mutsa wemapapu: Kare, kuramba kuora mwoyo kana kukonzera ropa kwakanga kuri zviratidzo zvakajairika zvekenza yemapapu. Chikonzero chinowanzokonzerwa nemukenza wemapapu panguva ino, mapapu adenocarcinoma, kazhinji chinokonzera kupfupika kwemhepo sechiratidzo chekutanga. Ramba uchifunga kuti vazhinji vevanhu vanorwara nekenza yemapapu nhasi havasi vasvuta (vangave vasina kumboputa kana kusiya imwe nguva munguva yakapfuura).
- Kuzvidya mwoyo uye kutyisidzira (dzidza zvakawanda pamusoro pokupererwa kwepfufu uye kurwadziwa kwepfuva kunobatana nekutya kwekutya)
- Zvinhu zvinoputirwa zvisina kuchena mumapapu
- Zvinetso zvemagetsi emwoyo
- Acid reflux
- Allergic reactions (anaphylaxis)
- Zvirwere zvehutano zvakadai sa multiple sclerosis
- Zvimwe zvirwere zvepapupa zvakadai sarcoidosis uye bronchiectasis
- Kusava nekurovedza muviri nguva dzose: Usati wapedza kufema kufema sekuda kwekusagadzikana, taura nachiremba wako.
Kuziva
Zvakakosha kuita musangano kuti uone chiremba wako kana iwe uchikurumidza kufema, kunyange iwe uchifunga kuti pane chikonzero chakajeka chokutsanangura zviratidzo zvako. Taura nachiremba wako kana kudana 911 pakarepo kana uine chirwere chepfuva, unzwe uine musoro kana kuti zviratidzo zvako zvinowedzera kukurumidza.
Paunoshanyira chiremba wako, achatora nhoroondo yakanyatsocherechedza uye anoongorora muviri. Mimwe yemibvunzo yaangabvunza inosanganisira:
- Ndeipi wakatanga kuona kupererwa kwemhepo uye yakatanga sei?
- Ko zviratidzo zvako zvinowanikwa pazororo kana kuti nemabasa chete here? Kana iwe unongonzwa uchingopererwa nekuita basa, ndeapi mabasa anoita seanoita zviratidzo zvako?
- Iwe unonzwa uchiwedzererwa kana iwe wakagara kumusoro kana wakarara pasi?
- Iwe une zvimwe zviratidzo, zvakadai sekurwadziwa kwepfupa, kukwezva, kuputika , fivha, kurwadziwa kwemakumbo, kusatsanangurwa kwekurema kana kuti kuneta?
- Iwe une nhoroondo yemhuri yako yematambudziko emwoyo kana mapapu here?
- Wakambosvuta here? Kana zvakadaro, kwenguva yakareba sei?
- Wakambofamba ichangopfuura nemotokari kana ne ndege?
Kuongorora
Iko miedzo yako chiremba achakurudzira ichatarisa pane zviratidzo zvako zvepanyama uye zvakawanikwa mumuviri, asi zvinowanzosanganisira:
- Pulse oximetry, muedzo unoitwa nekuisa chidimbu pamunwe wako kana earlobe kuti uenzanise huwandu hweokisijeni muropa rako
- An electrocardiogram (EKG) kutsvaga zviratidzo zvekurwadziwa kwepfungwa kana kusagadzikana kwemwoyo
- Bhokisi re x-ray kuti utsvake zvirwere kana kukura mumapapu ako (gara uchifunga mupfungwa dzako kuti chifu chema x-ray chinogona kurasikirwa nekenza yemapapu mapiyona)
- Ropa rinoshanda kuti ritsvake anemia uye zvimwe zvinokonzera
- Pulmonary function tests kuti utsvake chihwere kana emphysema uye mamwe mamiriro emapapu
Mimwe miedzo ingasanganisira:
- A CT scan of your chest
- A test stress
- Echocardiogram. Iyi i-ultrasound yemwoyo wako kutarisa zvinetso nemoyo wako valves, kuti mwoyo wako wakasimba sei uye kana uine nzvimbo dzakakanganiswa mumoyo mako.
- A bronchoscopy. A bronchoscopy inogadziriswa tsvina inowanikwa mumuromo wako uye pasi mubronchi yako kuti utsvake matumire kana mutumbi wekunze.
Dzidza zvakawanda nezvekuti chiremba wako anofanira kuongorora sei kufema kwekufema (dyspnea) .
Dyspnea naCOPD
Kune avo vane COPD, dyspnea yakajairika uye dyspnea iwe unogona kupa ruzivo rwakawanda sekukura kwehutano hwako kana kuwedzera. Kuti vaite izvi, vanachiremba vanowanzoshandisa izvo zvinonzi shanduko yezvokurapa yezvechiremba council dyspnea scale .
Kurapa
Kurapa kwekupera kwako kwepfupa kunobva pane chinokonzera, asi chinonyanya kukosha kutanga danho ndechekuti uve nechokwadi chokuti uri kuwana mweya wakakwana kuti upe maviri ako ne oxygen yavanoda. Muchirapa chinokurumidzira, izvi zvinotumidzwa seACC neA kumira kumhepo, B achimirira kufema, uye C inomiririra kupararira.
Ndeipi Iyo Inotyisa?
Dzimwe nguva zvinogona kuva zvakaoma kuziva kuti kukanganisa kwako kuperevedza kwepfungwa ndeyei, uye ndizvo zvinokosha kuti uende neunyanzvi hwako. Mune dzimwe nguva, dzimwe nguva kusuruvara kwakanyanya kunopisa kunogona kuva chinhu chakaipa, se hyperventilation kana panic attack, asi zviratidzo zvinyoro zvingave zvakabatana nemigumisiro yakakomba. Kana iwe uri kumubvunzurudza kudana 911 zvachose, enda mberi uite saizvozvo. Kana iwe usina kudikanwa rubatsiro, ndizvo zvakanaka. Asi kana ukadaro, haudi kumirira kwenguva refu.
Zviratidzo zvinoratidza kuti kupfupika kwepfupa kunogona kuve kwakakomba, zvisinei, kunosanganisira kurwadziwa kwepfupa, bluish tinge kuminwe yako nemiromo (cyanosis,) kuvhara kana kunzwa kwekuzara mukati mako nemiromo, kusakwanisa kutaura nekuda kwekufema kwakaoma, uye kukurumidza nokukurumidza muzviratidzo zvako. Usaedza kuendesa iwe pachako kune imwe nguva yekunyatsokurumidza kana mukamuri inokurumidzira, uye zviri nani kudana 911 pane kuva neshamwari inokufambisa iwe. Pakupedzisira, usanyengerwa kana zviratidzo zvako zvichiita sezviri kuwedzera. Nhamba yakaderedza yekuziva kana kufamba kwechimwe chimwe nyika yakagara mumugwagwa kunogona kuita kuti zviratidzo zvionekwe zvichivandudza zvishoma nezvishoma.
> Sources:
> Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill yembudzi, 2015. Print.
> National Institute of Health. Medline Plus. Kupisa Kunetseka. Updated 03/05/18. https://medlineplus.gov/ency/article/003075.htm
> Nishino, T. Dyspnoea: nzira dzinotungamirira uye kurapa. British Journal yeAnesthesia . 2011. 106 (4): 463-74.