Xav txog seb, koj tsaug zog zoo kom txo qhov nkees ntawm ib hnub. Tab sis tam sim ntawd, koj sawv nrog kev xav tsis thoob ntawm kev ua pa luv luv, nruj hauv koj lub hauv siab. Nws zoo li poob dej hauv dej thiab koj yuav tsum tawm tsam kom ua pa. Qhov no yog ib qho kev paub uas ntau tus neeg tau ntsib, tab sis ntshai tham txog, nws yog qhov txaus ntshai heev. Hauv kev kho mob, peb hu qhov mob no Paroxysmal Nocturnal Dyspnea, lossis PND luv luv. Qhov no tsis yog lwm yam xwb, nws tuaj yeem yog lub cim tseem ceeb uas koj lub cev muab rau koj.
PND yog dab tsi tiag?
Hais yooj yim xwb, PND yog thaum koj sawv los ib teev lossis ob teev tom qab koj tsaug zog thiab ua pa nyuaj. Qhov no feem ntau ua rau koj ntxhov siab heev. Tej zaum koj yuav ua pa nyuaj, ua pa sai sai, thiab tej zaum yuav hnoos.
Qhov tseem ceeb yog tias qhov mob no hu ua PND tsuas yog tshwm sim thaum koj tsaug zog xwb . Qhov no txawv ntawm qhov ua pa luv luv uas tshwm sim thaum koj pw thaum koj tseem sawv (hu ua orthopnea).
Tiamsis muaj qee qhov kev nplij siab. Thaum koj sawv zoo li no, yog tias koj zaum saum txaj, koj txoj kev ua pa yuav rov qab mus rau qhov qub hauv 10 txog 15 feeb, thiab qhov tsis xis nyob yuav maj mam ploj mus.
Vim li cas qhov no thiaj tshwm sim thaum kuv pw tsaug zog hmo ntuj? Cov laj thawj tseem ceeb yog dab tsi?
PND tsis yog ib yam kab mob, tab sis yog ib qho tsos mob ntawm ib qho mob uas twb muaj lawm. Cov ua rau muaj peev xwm muab faib ua peb pawg tseem ceeb:
| Thaj chaw tseem ceeb uas yuav ua rau | Yuav piav qhia yooj yim... |
|---|---|
| Kab mob plawv | Thaum peb pw ntawm peb sab, cov ntshav thiab cov kua dej hauv peb ob txhais ceg ntws rov qab mus rau hauv siab, uas yog qhov chaw uas peb lub ntsws nyob vim yog lub ntiajteb txawj nqus. Lub plawv noj qab nyob zoo tuaj yeem yooj yim tso cov ntshav ntxiv no mus rau hauv lub cev. Tab sis yog tias muaj qhov tsis muaj zog hauv lub plawv (xws li Congestive Heart Failure), cov kua dej ntxiv no tuaj yeem sib sau ua ke hauv lub ntsws, tsim kev nyuaj siab thiab ua rau nws nyuaj rau ua pa. |
| Cov Mob Ua Pa | Yog koj muaj mob xws li mob hawb pob lossis COPD (Chronic Obstructive Pulmonary Disease), koj yuav ua pa nyuaj thaum nruab hnub. Cov mob no tuaj yeem ua rau hnyav dua los ntawm kev hloov pauv uas tshwm sim hauv koj lub cev thaum hmo ntuj. |
| Cov Teeb Meem Txog Lub Hlwb | Peb txoj kev ua pa yog tswj los ntawm cov teeb liab los ntawm lub hlwb. Hauv cov mob zoo li Sleep Apnea, cov txheej txheem teeb liab no tsis ua haujlwm zoo. Yog tias txoj hlab pa raug thaiv, lossis lub hlwb tsis muab lub teeb liab kom ua pa ib pliag. Qhov no ua rau kev ua pa nres, ua rau koj sawv tam sim ntawd. |
Cov mob tshwj xeeb uas cuam tshuam rau PND
- Pw tsaug zog Apnea: Ua pa tsis taus ntau zaus thaum pw tsaug zog.
- Kab Mob Plawv Tsis Ua Haujlwm: Lub plawv tsis muaj zog txaus.
- Mob Ntshav Siab (Pulmonary Hypertension): Mob siab ntxiv rau hauv cov hlab ntsha ntawm lub ntsws.
- COPD (Kab Mob Ntsws Hnyuv Ntev): Ib qho kab mob ntsws uas kav ntev.
- Mob hawb pob
- Pulmonary Edema: Cov dej sib sau ua ke hauv lub ntsws.
- Kab mob Parkinson
- Kev Ntshai Thaum Hmo Ntuj: Kev ntshai tam sim ntawd uas tshwm sim thaum hmo ntuj.
- Kev rog dhau heev: Kev rog dhau heev kuj tseem tuaj yeem ua rau muaj kev nyuaj siab rau txoj hlab pa.
Qhov no kho li cas?
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov qhov no: PND tsis yog kho rau cov tsos mob xwb, tab sis rau qhov mob uas ua rau nws. Koj tus kws kho mob yuav kuaj koj, khiav qee qhov kev kuaj yog tias tsim nyog, thiab nrhiav qhov ua rau tseeb. Tom qab ntawd, lawv yuav pib kho raws li qhov ua rau ntawd.
| Vim li cas | Cov kev kho mob uas feem ntau muab |
|---|---|
| Kab mob plawv | Cov tshuaj xws li diuretics thiab cov tshuaj tswj ntshav siab (ACE inhibitors, beta-blockers) raug muab. |
| Kev pw tsaug zog tsis taus pa | Siv lub tshuab zoo li CPAP lossis BiPAP los ua kom txoj hlab pa qhib thaum pw tsaug zog kuj tseem ceeb heev. Kev poob phaus kuj tseem ceeb heev. |
| Cov kab mob ua pa (mob hawb pob/COPD) | Cov tshuaj bronchodilators uas nqus pa thiab cov tshuaj corticosteroids uas nqus pa yog siv. |
| Teeb meem kev noj qab haus huv ntawm lub hlwb | Kev Kho Mob Txog Kev Xav lossis tshuaj tiv thaiv kev ntxhov siab yog muab rau cov mob xws li kev ntshai thaum hmo ntuj. |
Peb ua tau dab tsi los tiv thaiv PND?
Qhov zoo tshaj plaws uas yuav tsum ua yog nrhiav kev kho mob kom zoo rau koj tus mob. Nws yog ib qho tseem ceeb uas yuav tsum noj cov tshuaj uas koj tus kws kho mob sau ntawv kom raws sijhawm. Tsis tas li ntawd xwb, cov no tuaj yeem pab kom koj lub plawv thiab lub ntsws noj qab nyob zoo:
- Kev Ua Si: Tham nrog koj tus kws kho mob txog qib kev ua si uas muaj kev nyab xeeb thiab tsim nyog rau koj, thiab ua si txhua hnub. Qhov no yuav ua rau koj lub plawv thiab lub ntsws muaj zog.
- Kev cob qhia ua pa: Kev cob qhia ua pa tob tob thiab kev so kom txaus tuaj yeem pab tswj kev nyuaj siab thiab kev ntxhov siab.
- Tsis txhob haus luam yeeb: Yog koj haus luam yeeb, tso tseg hnub no. Kev haus luam yeeb yog qhov ua rau lub ntsws tuag ntau tshaj plaws. Nws tuaj yeem ua rau cov mob xws li mob hawb pob thiab COPD hnyav zuj zus, thiab tseem tuaj yeem ua rau muaj cov kab mob tshiab.
Kuv puas yuav tsum tau mus ntsib kws kho mob?
Cov lus teb rau qhov no yooj yim heev. Yog lawm, yeej muaj tseeb!
Yog tias koj tau sawv ntxov thaum hmo ntuj nrog lub sijhawm ua tsis taus pa, tsis txhob tsis quav ntsej nws. Nws yuav yog thawj qhov cim ceeb toom ntawm tus mob hnyav hauv koj lub cev. Yog li , mus ntsib koj tus kws kho mob tam sim ntawd. Nws yuav muaj peev xwm coj koj kom raug.
Nco ntsoov, yog tias koj ua tsis taus pa hnyav heev, nrog rau mob hauv siab lossis xav tias tsis muaj zog, mus rau chav kho mob ceev (ETU) ze tshaj plaws hauv tsev kho mob yam tsis muaj kev ncua.
Kev pw tsaug zog zoo yog qhov tseem ceeb rau peb lub cev thiab lub siab. Kev cuam tshuam kev pw tsaug zog ntawd vim yog PND tuaj yeem muaj kev cuam tshuam loj rau lub neej zoo. Yog li ntawd, tsis txhob tsis quav ntsej txog cov tsos mob no. Nrhiav kev kho mob kom zoo, kho qhov ua rau, thiab pib ua neej nyob uas koj tuaj yeem pw tsaug zog zoo dua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- PND yog qhov ua rau sawv ntxov sai sai thaum hmo ntuj nrog rau ua tsis taus pa. Txawm hais tias qhov no tuaj yeem yog qhov kev paub txaus ntshai, nws tsis yog ib qho tsos mob uas yuav tsum tsis txhob quav ntsej.
- Qhov no feem ntau yog tshwm sim los ntawm kab mob plawv, kab mob ua pa, lossis teeb meem ntawm lub paj hlwb xws li Kev Pw Tsaug Zog Apnea.
- Yog koj muaj qhov no ib zaug xwb, mus ntsib kws kho mob tam sim ntawd. Qhov no yuav yog ib qho cim qhia ntxov ntawm tus kab mob loj.
- Kev kho mob tsis yog rau cov tsos mob, tab sis rau qhov mob uas ua rau muaj qhov teeb meem ntawd.
- Kev ua neej noj qab haus huv (kev tawm dag zog, tsis txhob haus luam yeeb) tuaj yeem pab tswj cov mob uas ua rau muaj PND.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus