Kupfupika kwemhepo, kana dyspnea, haisi chiratidzo chinotyisa chete, asiwo inowanzoratidza chiratidzo chakakosha chechirwere chinotyisa. Kana iwe uine dyspnea, chiremba wako anofanira kutora nguva yose yakakodzera kuvhara pasi zvakakodzera kuongororwa, sezvo kuita zvakanaka kuongororwa kunokosha mukusarudza kurapa kwakanakisisa.
Nenzira inofadza, zvingangove kuti chiremba wako achava nemashoko anokosha pamusoro pezvinoita kuti dyspnea yako ichitaura newe pamusoro pezvakaitika kare mune zvehutano, uye kuongorora kunyatsoongorora.
Kazhinji, pamwe chete nemimwe miviri kana miviri miedzo kuti uone kuongorora, unogona kutanga mushonga kuti dyspnea iende.
Dyspnea Anonzwa Sei?
Dyspnea manzwiro ekufema, kusawana mweya wakakwana.
Inogona kufambidzana nechifuva chisimbiso, kunzwa sokunge iwe uri kunetseka, kana kunzwa kunetseka. Zvichienderana nechikonzero chazvo, dyspnea inogona kuitika nguva nenguva, muzvikamu zvakasiyana. Kune rumwe rutivi rwunogona kuenderera mberi, kana kunogona kuwedzera zvishoma nezvishoma. Kunyange zvazvo mamwe maitiro eDyspnea ane chikonzero chakajeka iwe unogona kuzviziva iwe (sekuita basa rakaoma), isina kufanirwa dyspnea inofanira kugara ichiongororwa nachiremba.
Ndezvipi Zvimwe Zvokurapa Mamiriro Ezvinhu Zvingaita Dyspnea?
Matambudziko emhepo
- Kushungurudza kunosanganisira mapapu pachavo, kusanganisira emphysema , kenza yemapapu , pulmonary fibrosis , kana sarcoidosis .
- Kushungurudzika kwemafunguro emhepo kunosanganisira chirwere uye bronchitis .
- Utachiona hunobatanidza mapapu kana mafirimu, kusanganisira mabhakitiriya pneumonia, histoplasmosis kana kuti tuberculosis .
- Matambudziko emidziyo yeropa mumapapupa anosanganisira pulmonary hypertension uye pulmonary embolus .
- Mimwe mamiriro emapapu kana chifuko zvinosanganisira kuvhiringidza chirwere chemapapu kana pneumothorax .
Matambudziko emwoyo
Chinenge chinetso chepfungwa chero chipi zvacho chinogona kuita kuti munhu asafema (kusanganisira coronary artery chirwere, chirwere chemwoyo, valythmias kana chirwere chepicardial), asi dyspnea inowanzosvika mukushaya mwoyo .
Matambudziko okuzvidya mwoyo
Kuvhunduka kunowanzoonekwa nekunzwa kufema.
Kudarika
Kuva "wakasununguka," nekuda kwekurwara kana mararamiro ehupenyu, zvinogona kubudisa dyspnea nemitoo maduku.
Zvimwe zvirwere zvehutano
Izvi zvinogona kusanganisira anemia (shoma shoma shoma count count), dysautonomia , uye zvinetso zvetachiona .
Ndezvipi Zvimwe Zvinokosha Zvinokosha Kukonzera Dyspnea?
Hezvino zvakakosha zvinonyanya kukosha chiremba wako anofanira kutarisa mukuedza kuziva chikonzero che dyspnea yako.
- Iwe uri iye zvino kana kuti akapfuura fodya here? (inoratidza zvirwere zvepapu kana chirwere chemwoyo.)
- Iwe une mararamiro ehupenyu, yakakosha cholesterol, hypertension, chirwere cheshuga, kana zvimwe zvirwere zvepfungwa zvinokonzera? (inoratidza chirwere chemwoyo.)
- Iwe une nhoroondo yekusununguka kune chepfu inogona kubudisa zvirwere zvepapupa here?
- Iwe une simba rekudzivirira zvirwere zvemuviri, here kana kuti kukurumidza kuonekwa kune vanotapukisa? (inoratidzira pneumonia kana zvimwe zvirwere zvinotapukira zvinouraya.)
- Wakave nekuvhiyiwa kwemazuva ano, kurara kwenguva refu, kana rwendo rurefu rwendege? (inotaura zvinonzi pulmonary embolus.)
- Wakambove nehutachiwana huchangobva kurwara kwenguva yakareba yekusashanda here? (rinotsanangura deconditioning.)
- Iwe une zviratidzo zvehumwe hutano hunogona kubudisa dyspnea (yakafanana nechirwere chetachiona, kana dysautonomia)?
- Ko muenzaniso we dyspnea yako inoratidza chikonzero chaicho here? (Somuenzaniso, orthopnea kana paroxysmal nocturnal dyspnea inogona kuratidza mwoyo kusakona.)
- Iko dyspnea yako inopfuurira, kana ichiramba ichiwedzera? (Uyu muenzaniso unofadza wepineumonia kana zvimwe zvirwere zvepapupa, kana mwoyo kusakundikana.)
- Dyspnea yako inouya uye inofamba, mune zvakanyatsoratidza zvikamu here? (Iyi muenzaniso inogona kuva inofungidzira yephma, emphysema, purogiramu yenguva dzose yemapurmoni, kana chirwere chegoni.)
Ipi Kuedzwa Kunogona Kudiwa?
Kana chiremba wako achifungira chirwere chemapapu, zvinenge zvichida kuti iye achange aida chifukidzo che-x-ray nemapirmoni chekuita kuti zvibatsire kusimbisa kuongororwa.
Kana chirongwa chemapurmoni chichifungidzirwa, zvichida iwe uchada mapapu scan (chiyero chekufungidzira chinotarisa mabheji muyeriyamu yemapapu), kuedza D-dimer (kuongorora ropa kunotarisa zviratidzo zvekupedzisira ropa clot) , uye muedzo we ultrasound wemakumbo ako (kutsvaga ropa rinoputika). Kana chirwere chemwoyo chinofungidzirwa kuti ndicho chinokonzera, chiremba wako anogona kutanga ne echocardiogram kuti aongorore basa remwoyo wako. Kuyera ropa kunogona kubatsira kana dyspnea yako inofungidzirwa yakabatana neanemia, chirwere chetachiona, kana utachiona.
The Bottom Line
Dyspnea isina kutsanangurwa kana kuti isingatarisiri inogona kukonzerwa nehuwandu hunokosha uye hunogona kuva hwehutano hwehutano, saka kana iwe uri kutarisana nechiratidzo ichi unofanirwa kuongororwa nokukurumidza sezvinobvira nachiremba. Muzviitiko zvizhinji, mushure mokunge maita zvekuongorora kurapwa kwechiremba (nhoroondo yezvokurapa uye kuongororwa kwepanyama), chiremba akachenjerera achava nechinangwa chakanakisisa chekukonzera dambudziko. Kuwedzerwa kuedza kunogona kutungamirirwa zvakananga kuitira kutsigira kunenge kuchifungidzirwa kuongorora.
Kuziva chikonzero chakakosha chekufema kwepfupi kunokosha zvokuti, kana iwe uchitenda kuti chiremba wako akakurumidza kuburikidza nekuongorora kwake dyspnea yako, kana kuti zvichiita sekusakwanisa kuputsa pasi chikonzero chinokonzera, iwe unofanira kufunga zvakasimba kuona mumwe chiremba.
Sources:
Parshall MB, Schwartzstein RM, Adams L, et al. Mutungamiriri weAmerica Thoracic Society statement: kuvandudzwa pane nzira, kuongorora, uye kutarisira dyspnea. Am J Respir Crit Care Med 2012; 185: 435.
Oelsner EC, Lima JA, Kawut SM, et al. Noninvasive miedzo yekuongororwa kwekuongorora kuonekwa kwedyspnea pakati pemapoka ekunze: Multi-Ethnic Study of Atherosclerosis lung study. Am J Med 2015; 128: 171.