Dyspnea kupindira kubatsira rubatsiro uye vanorwara-vane hanya nevarwere
Varwere vane chirwere chepachirwere chekuchengetedza chirwere chekuchengetedza chirwere kana kutarisa-kutarisa vanogona kuve nekuoma kufema sezvo vari pedyo nekuguma kwehupenyu hwavo. Ichi chinyorwa chinotsanangura kuti chii chinonzi dyspnea, chii chinokonzera uye chinopa mamwe mazano ezvoutano uye asingabatsiri / marapirwo anogona kubatsira varwere kufema nyore.
Dyspnea chii?
Dyspnea ishoma kufema kana kufema kana kushanda zvakaoma, izvo zvinogona kuitika dzimwe nguva pakarepo.
Vanhu vane dyspnea vanowanzozvitsanangura sekusuruvara kwefema , kusunga mumapfupa avo, kurwisana nemhepo, kana kunzwa kunzwa kuputika; kana kuti vangangoti, "Handigone kufema."
Mune zvimwe zviitiko, chirwere chemapfupa (kufema kwaanofema mukati nekunze) chichawedzera uye chifuva chavo chinogona kuoma sezvo murwere achiedza kuwana mweya wakakwana paanofema. Kana munhu wei okisijeni maitiro akakomba zvakanyanya, kubhururuka kunogona kuitika mumibhedha yake yemakumbo uye / kana miromo.
Chii Chinokonzera Dyspnea?
Kune zvikonzero zvakawanda zve dyspnea mumagumo-ehupenyu mamiriro ezvinhu . Kazhinji, mhaka yacho inowirirana zvakananga nechirwere chepachirwere chepfungwa - kunyanya kana kuongororwa kunosanganisira kuporesa kwayo, yakadai sekenza yemapapu kana chirwere chisingaperi chisingakonzerwi chepodemoni (COPD). Dyspnea inogonawo kuitika nekuda kwezvikonzero zvechipiri, zvakadai sepneumonia kana chemotherapy. Kazhinji, zviitiko zvakawanda zvinogona kuita kuti murwere ane chirwere chinopedzisira aine dyspnea.
Nokuti kufema chinhu chatinowanzotora zvishoma, vanhu vane dyspnea vanowanzova nekuzvidya mwoyo kwakanyanya . Inofungidzirwa kuti 55-70% yevanorwara uye vanorwara-vanorwara kune avo vari pedyo nekuguma kwehupenyu dyspnea, uye vamwe varwere vanoona kupererwa kwekufema / kufema zvinetso zvinotambudza kupfuura kurwadziwa mumuviri.
Kuzvidya mwoyo kunogona kukonzera kugunun'una, manzwiro, maitiro uye maitiro anooneka anowedzera dyspnea, saka zvakakosha kugadzirisa kushushikana kwemurwere , zvakare.
Mishonga Dyspnea Interventions
Nemhaka yokuti chinangwa chekuchengetedza uye chirwere chekuchengetedza chirwere ndechekupa nyaradzo kune varwere vanorwara, iwe haufaniri kunge uchidana 911. Mumamiriro ezvinhu aya, kana mudiwa wako kana murwere aine dyspnea, unofanira kufambisa chiremba wake kurapa pakarepo. Chiremba kana mukoti achakutungamirira mune zvakanakisisa kurapwa kuti upe kunyaradza. Kana murwere wako ari pasi pekuchengetwa kwekuchengetwa, iwe unofanira kudana dare rekuchengetedza uye mukoti wekuchengetedza achakupa mirayiridzo pamusoro pefoni asati atumira mukoti kuti aongorore zviratidzo zvevarwere.
Kana zvisina kudaro, kurapwa kwezvokurapa / kupindira kweDyspnea mukuchengetedza uye kutarisa-kutarisira zvinowanzotarisa kugadzirisa manzwiro omurwere ekufema , zvakadai se:
- Oxygen : Kutungamirira oxygen inowanzotanga mutsara wokurapa.
- Mishonga : Kana chikonzero che dyspnea chirwere chisingaperi, chakadai seCOPD, mishonga inoshandiswa iyo chirwere inogona kuongororwa uye kuchinjwa, kana zvichifanira. Morphine inowanzoshandiswa kugadzirisa kufema nokuti inoderedza midziyo yeropa mumapapu, inoderedza kufema, nekuwedzera kufema kwepfungwa - zvose zvingaderedzawo kushushikana kwehutano. Kunyange zvazvo mishonga inopesana nezvinodhaka inogona kuderedza manzwiro emurwere wekuzvidya mwoyo uye kuwedzera kunyaradzwa kwake, vanogonawo kuita kuti dyspnea iwedzere, zvakadaro.
Kwete-yeDypnea Inopindira
Kupindira kwekurapa kwakakosha zvikuru pakurapa dyspnea uye kunogona kushandiswa munguva yekurapwa kana iwe uchimirira rubatsiro rwekurapa kuti uuye. Zvimwe zvinhu zvaunogona kuita zvinosanganisira :
- Fira mukana uye ona kuti murwere ari kupfeka zvipfeko zvisingasviki.
- Wedzera humidity level muimba.
- Shandisa fan kuti urove mweya zvakananga kumeso omurwere, chero bedzi iye kana achigona kutsungirira kunzwa uku.
- Vhura firiji riri pedyo kuti upe mweya uye / kana mweya wakachena.
- Ita kuti murwere arambe akarara pamubhedha uye aite zvakadzika-kufema maitiro.
- Edzai nzira yekuzorodza, yakadai sekutamba mimhanzi inonakidza, kushandisa kuisa muviri kana chimwe chiitiko chokuzorodza chinosarudzwa nemurwere. Unogonawo kufunga nezvekushandisa mifananidzo yakatungamirirwa kana kufungisisa , iyo nzira mbiri dzinogona kubatsira.
- Ipa rutsigiro rwemweya kumurwere nokunyatsoteerera zvaanotaura uye zvino kupa chivimbo.
Yakarongedzwa uye yakarongedzwa naChris Raymond, April 14, 2016 .
> Sources :
"Dyspnea muDying Varwere" naDavid Hsu, MSC, MD Canada Physician Physician , Vol. 39, July 1993. Yakadzorerwa musi waApril 13, 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2379564/pdf/canfamphys00113-0099.pdf
> Kinzbrunner, BM; Weinreb, NJ; > Policzer >, JS; 20 Matambudziko Anowanzo: End of Life Care , McGraw-Hill Publishing, 2002.
> Ferrell, BR, > na > Coyle, N .; Bhuku reWorld Palliative Nursing , Oxford University Press, 2006.