Paroxysmal nocturnal dyspnea, inowanzonzi "PND" navanachiremba, chiratidzo chinonyanya kukuvadza chinowanzokonzerwa nekushaya mwoyo . Munhu ane PND achangomuka pakarepo kubva pakubatwa nehope zvakasimba nehosha dyspnea (kukurumidza kufema kufema), uye achazowana iye-kana-iye pachake achitema mweya, kukwezva, uye kunzwa achimanikidzwa kuti abve pamubhedha ndokutora mamiriro akakodzera.
Pachinhu chiduku, uyo anenge atambudzwa achagara pamucheto wemubhedha, uye kazhinji angave akanzwa kudiwa kuenda kumhepo yakazaruka yemhepo.
Kufema kunowanzovandudza kwemaminitsi mashomanana. Kunyange mushure mekunge zviratidzo zvichisiya, zvisinei zvingave zvisingakwanisi kudzokera kurara mushure mechiitiko chePND, nekuda kwekufunganya kuti chiratidzo ichi chinotambudza uye chinotyisa chinowanzobereka.
Dzimwe nguva PND haina kugadzirisa nokukurumidza uye panzvimbo iyo inogona kuramba iripo. Nemhaka yokuti zviratidzo zvacho zvinowedzera zvakanyanya kusazviteerera, chiitiko chinoramba chiripo chePND chinomanikidza foni kusvika 911 kana kuti kuenda kune imwe nzvimbo yepamhanho.
Zvichida kana kwete iyo inogadzirisa pachayo, PND inogara iri chiratidzo chinotyisa chinowanzoratidza kuti mwoyo wevanhu kusakundikana kuri kuwedzera. Saka, ani naani anotarisana nePND anofanira kuonana nachiremba wavo pakarepo, kunyange kana zviratidzo zvikasarudza nokukurumidza.
Zvinokonzera
Paroxysmal nocturnal dyspnea kazhinji inokonzerwa ne congestive moyo kusakundikana , kazhinji (asi kwete nguva dzose) kune vanhu vanewo zvikamu zve dyspnea nemishonga, kana kuti orthopnea (kukurumidza kufema apo pavete pasi).
Vanhu vane ruzivo rwePND vanowanzove nevevamwe edema (kuvhuvhuta) mumakumbo avo nemakumbo avo, mumoyo kusakundikana, kazhinji zvinoratidza kuti mvura inoputika.
Muvanhu vane kushaya mwoyo, kurara pasi kuenda kunorara kunogona kukonzera kushanduka kwemvura mumutumbi. Nechinhu chimwe chete, kusvibiswa kunowedzera kuchinja kubva kumatavi kusvika mu plasma, iyo inowedzera huwandu hweplasma.
Uyezve, mamwe emvura yakanyanyisa, iyo yakasvibiswa "yakanyonganiswa" mumakumbo kana mimba panguva iyo inogona kubva kubva kumaodzanyemba emuviri kana munhu akarara. Izvi zvinodhaka zvakanyanya zvino zvinokwanisa kudzokorora kumapapu.
Dzimwe nguva kuchinja kwemvura kunokonzera kupera kwekufema nokukurumidza apo munhu ane mwoyo wekukundikana anowira pasi. Iko kushanduka kwechirwere ichi kunowedzera kunounza chiratidzo che orthopnea. Vanhu vakakurumidza kukurumidza kudzidza kudzidza musoro wemabhedha avo, izvo zvinoguma nekuchengeta mabhokisi avo akakwirira. Izvi zvinobatsira kuchengetedza mvura yakasvibiswa kuti isaenda kumapapu avo. (Ichi ndicho chikonzero nei vanachiremba vachiwanzobvunza varwere vavo vane mwoyo yekukundikana kuti vangani miviri yavo yavanoshandisa usiku - ihwo huwandu hwakaenzana hwehutano hwemuteereti munhu ari kuitika.)
Asi nePND mashandisirwe emvura haafaniri kuita zviratidzo pakarepo. Pane kudaro, zviyero zvezviitiko zvinowanzoitika (pakupedzisira munhu anenge awana mukana wekurara) anounza kunonoka-uye kazhinji kakawanda zvikuru-kubuda kwe dyspnea. Chikonzero chekurumidza kunonoka kwezviratidzo kune vanhu vane PND hachisi zvachose chakajeka. Zvinofungidzirwa kuti zvichida nzvimbo yekuputira muuropi inogona kuora mwoyo panguva yokurara kune vanhu vane mwoyo kusakundikana, kana kuti mikana yakaderera yeadrenaline munguva yehope inogona kuora mwoyo mwoyo, uye zvishoma nezvishoma inobvumira fluid kuunganidza mumapapu.
Ko PND Inogona Kukonzerwa Nezvimwe Zvimwe Zvimwe Kupererwa Kwemwoyo Here?
Nzira "yakarurama" yokushandisa izwi rokuti "PND" haina kubvumirana zvachose navanachiremba. Cardiologists kazhinji vanofunga kuti PND ndiyo izwi remifananidzo, uye inowanzoishandisa kune varwere vane congestive heart failure. Uku kushandiswa kunopa chinhu chakakosha kune "PND." Vanhu vane mwoyo wekukundikana vanokura PND vanogona kunge vachikurira zvakanyanya, zvakanyanya kuora mwoyo kusakurumidza. Izvi zvinoreva kuti ivo vanofanira kunge vane chirwere chinotyisa panguva iyoyo kuti vadzivirire icho chakanyanya, zvichida kutyisidzira upenyu hwekushaya kwemoyo kusati kwaitika.
Saka apo cardiologists inoti "PND" ivo vari kuita zvose zvirwere uye chirevo chekutaura.
Zvisinei, kunyatsotaura, "paroxysmal nocturnal dyspnea" zvinongoreva "kukurumidza kusviba kwekufema usiku," uye saizvozvo inogona kushandiswa kune chero mamiriro ezvinhu ehutano anogona kubudisa dyspnea panguva yehope. Saka, pakati pezvokurapa munharaunda yakawanda, "PND" inongorondedzero yechiratidzo. Nokudaro, iwe unonzwa "PND" yakashandiswa kune zvakasiyana-siyana zvehutano zvinogona kukonzera dyspnea kamwe-kamwe usiku. Mamiriro aya akawandisa uye anosanganisira kurara kwepabhesi , chirwere chemafi , uye mapurmoni . Zvinosanganisirawo mamiriro emwoyo kunze kwekupedza mwoyo kusakundikana kwakadai sa diastolic mwoyo kusakatika uye yakaoma mwoyo ischemia (sekuita neacute coronary syndrome ).
Shoko Rinobva
Hazvisi kwauri kuti uone kana dyspnea yako inobata usiku inokonzerwa nekushaya kwemoyo kana kune chimwe chikonzero. Zviri kuna chiremba wako. Izvo zvaunoda kuziva ndezvokuti PND inogara ichiratidza kuti dambudziko guru rezvoutano riri kuitika. Pasinei nokuti chii chinokonzera kuva, unoda kuwana rubatsiro rwechiremba pakarepo kana iwe uine chiratidzo ichi.
> Sources:
> 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.