Orthopnea ndiro zita rinoshandiswa navanachiremba nokuda kwechiratidzo che dyspnea (kukurumidza kufema) iyo inoitika kana munhu akarara pasi. Orthopnea inoonekwa sechiratidzo chinokosha kunyanya nokuti inowanzova chiratidzo chekuwedzera kukanganisa kwemwoyo , asi inogonawo kukonzerwa nedzimwe mamiriro ezvehutano. Nokuda kwechikonzero ichi, ani naani anoona orthopnea anofanira kugara achiongororwa nachiremba.
Chii Chinokonzera Orthopnea?
Kana munhu akavata pasi, simba rinokonzera kuparadzanisa kwemvura mukati memuviri. Kazhinji, mamwe emvura mumucheto wepasi, kunyanya makumbo uye nhengo dzemuviri, zvinopinda muchifuva. Iyi kugoverwa kwemvura inowanzova yakanyanya kuduku, uye kuvanhu vakawanda haina chaicho chinogona kuitika pakufema.
Zvisinei, kune vanhu vane kupera kwemwoyo kunokanganisa , mwoyo unogona kusakwanisa kugadzirisa ichi chidimbu ichi, uye haugone kuita basa rakawedzerwa rinodiwa kuchengetedza ichi huwandu hwemvura kubva pakuunganidza mumapapu. Somugumisiro, mapirmita kusangana - uye kutanga maperembudzi edema - zvinogona kuitika, uye kuperevedza kwemhepo kunoguma. Mukuwedzera kune dyspnea, vamwe vanhu vachabatwawo nekukanganiswa kana kuputika pavanorara pasi. Izvi zvinetso zvekufema zvinokonzerwa nokutora nzvimbo yakagadziriswa inonzi inonzi orthopnea.
Kana munhu akawana orthopnea, kugara kumusoro kana kukwidza musoro kunodzosera kumwe kwekuparadzanisa kwemvura kunenge kwaitika, uye kunoderedza kupora kwepermonary.
Zviratidzo zvinowanzovandudzwa zvishoma nokuchinja nzvimbo.
Kukundikana kwemwoyo haisi iyo chete iyo inokonzera orthopnea, asi ndiyo inonyanya kukonzera. Dzimwe nguva vanhu vane astmma kana bronchitis vasingaperi vachave nezvinetso zvakawanda zvokufema pavanorara pasi. Zviratidzo zvekufema uye kupfupika kwefema zvinowanikwa nemamiriro aya, zvisinei, kazhinji hazviperi nokukurumidza mushure mokugara, asi kutora nguva yakawanda yekugadzirisa.
Kurara kwepabhesi kunogonawo kubudisa zviratidzo zvakafanana neo orthopnea, kana kakawanda, kusvika paroxysmal nocturnal dyspnea (inotaurwa mundima inotevera).
Related Symptoms
Chimwe chiratidzo chakanyatsobatanidzwa nehutukutu hwemoyo chinonzi paroxysmal nocturnal dyspnea, kana PND . PND inofananidzwawo nehuwandu hwekudzikinura hunoitika panguva yehope, asi iyo yakaoma kunzwisisa kupfuura "orthopnea". Kazhinji, vanhu vane PND havaoni dyspnea mushure mekurara pasi. Pane kudaro, ivo vanomutswa kubva pakubata nechinguva chekufema kwakanyanya kunokonzera kuti vagare pakarepo kuti vabatsirwe. Mukuwedzera kune dyspnea, varwere vane PND vanowanzotarisana nemapatpitations , kukurumidza kufamba, uye pfungwa yekutya.
Zviri pachena, PND ndiyo chiitiko chinoshamisa zvikuru kupfuura orthopnea. Inofungidzirwa kuti mamwe maitiro (kunze kwekusarudzwa kwemvura chete) aripo kune vanhu vane PND, zvichida yakabatana nekuchinja muuropi yepumusoro yepamusoro inogona kusanganiswa nemoyo kusakatika.
Munguva pfupi yapfuura, vanachiremba vakaona rumwe rudzi rwechiratidzo kune vanhu vane kukanganisa kwemwoyo izvo zvakabatanawo nekugadziriswa kwemvura - " bendopnea ," kana dyspnea inokonzerwa nekukotama.
Kuongorora Orthopnea
Vanachiremba vanofanira kugara vachibvunza chero munhu anorwara nemwoyo kusakundikana kana kuti anofungidzira kusagadzikana kwemoyo kana vachiwana chero dyspnea paanovata pasi.
Uyu mubvunzo unokosha nekuti kuwedzera hutachiona huzhinji hunoratidza kuora kwepfungwa mukati memwoyo.
Vanhu vazhinji vane orthopnea vanobata nechiratidzo chacho vasingafungi nokuwedzera mutezo kana maviri. Vangave vasina kumboziva kuti vanopedzisira vafema pavanoreva nhema-vanogona kungonzwa vachinetseka nemisoro yavo yakakwirira. Ichi ndicho chikonzero vanachiremba vanowanzobvunza kuti vangani miviri yemurwere ane mwoyo kusakosha iri kushandisa, uye inonyora mhinduro dziri mu chati se "maviri-pillow orthopnea" kana "matatu-pilow orthopnea."
Nemhaka yokuti kuwedzera hutende kana kazhinji kunowanzova chiratidzo chekutanga chekuora mwoyo kusakundikana, munhu wese ane mwoyo wekukundikana (uye nevamwe vavo vanokosha) vanofanira kubhadhara kunyanya kuwedzera zviratidzo, uye kunyange kuwandu hwemitsipa yavanoshandisa.
Kupindira kwepakutanga apo zviratidzo zviri zvinyoro zvinogona kudzivisa kuora mwoyo kwematambudziko, nekudzivirira kudiwa kwekuchengetwa muzvipatara.
Shoko Rinobva
Orthopnea ndeimwe yezviratidzo zvakawanda zvepermonary congestion iyo inogona kuitika kune vanhu vane mwoyo kusakundikana. Kutanga kwe-orthopnea, kana kuchinja muhutano hwe-orthopnea, kunogona kuratidza kuchinja kwakakosha mumusana wekushaya kwemoyo. Saka, ani naani ane mwoyo kusakatika anofanirwa kubhadhara chiratidzo ichi.
> Sources:
> Ganong WF. Kufuridzirwa Kugadziriswa Muutano Nezvirwere. Muna: Kudzokorora kweMedical Physiology, 12th ed. Los Altos: Lange Medical Publications, 1985; 558-71.
> Thibodeau JT, Turer AT, Gualano SK, et al. Kuzivikanwa kweNorodhi Chiratidzo cheMwoyo Wakakundikana Kukundikana: Bendopnea. JACC Moyo Inoshaya 2014; 2: 24-31.
> Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / AHA Nhungamiro yekutungamira kweMwoyo kusakundikana: Executive Summary: Bhuku reAmerican College of Cardiology Foundation / American Heart Association Task Force pamitemo yekuita. Circulation 2013; 128: 1810.