Kei te kitea e koe he uaua ki te manawa ina takoto koe i te moenga, ina takoto rānei koe i runga i te sofa ki te mātaki pouaka whakaata? Kei te ahua kei te kikī tō uma, kei te kore rānei e taea e koe te manawa? Heoi, ina noho tika koe, ka memeha haere te kare. Mena he mea mōhio tēnei, kia mōhio koe ahakoa he maha ngā tāngata e whakahē ana i ēnei āhuatanga he raruraru iti noa iho, he mea nui tonu. I roto i te rongoā, ka kiia tēnei mate ko te Orthopnea .
He aha te Orthopnea i roto i ngā kupu māmā?
Ko te Orthopnea e pā ana ki te uaua ki te manawa ina takoto papatahi koe, inā koa he ōrite tō mahunga me tō uma. Whakaarohia te kore manawa i a koe e takoto ana me te kore urunga, engari ka kitea he whakamarie i a koe e noho ana, e whakatakoto ana rānei i ngā urunga e rua, e toru rānei hei hiki ake i tō mahunga. Ko tēnei whakamarie i te noho ko te tohu matua o te Orthopnea.
He mea nui kia wehewehea tēnei mai i te Paroxysmal Nocturnal Dyspnea (PND), arā, ka oho ohorere te tangata i te pō me te whakaaro kei te hemo te manawa. Ahakoa ka puta te PND i te wā moe, ka puta pea te Orthopnea i ngā wā katoa e takoto papatahi ana koe, ahakoa kei te ara ake koe—pērā i te wā e mātakitaki ana i te pouaka whakaata, i te wā rānei e tirotirohia ana koe e te hauora me takoto koe.
Ko te mea nui, kia maumahara ehara te Orthopnea i te mate tonu; he tohu noa iho nō tētahi mate hauora kei raro iho . Nō reira, ki te pāngia koe e ēnei uauatanga, he mea nui kia rapua he aromatawai hauora tika hei tautuhi i te pūtake.
He aha ngā tohu e haere tahi ana me te Orthopnea?
Haunga ngā uauatanga o te manawa, tera pea ka kite koe i ētahi atu tohu. He maha ngā tāngata e pāngia ana e tēnei mate e hiahia ana kia moe me te tautoko i ngā urunga maha, kia pai ake rānei te moe i runga i te tūru, nā te mea ka pai ake te manawa mā te noho tika.
| Tohu | Whakaahuatanga |
|---|---|
| Te kikī o te uma, te mamae rānei | Te āhua nei kua herea tō uma, kua taumaha rānei tō uma i a koe e manawa ana. |
| Te whewhe, te maremare tonu rānei | Te rongo i te whiowhio ina manawa koe, te māre rānei e kore e memeha. |
| Ngā tere o te ngakau | Te āhua nei kei te tere haere tō ngākau, kei te rere, kei te patupatu rānei i roto i tō uma. |
He aha tēnei ka puta ai? He aha te take o te Orthopnea?
Ko te take matua o te orthopnea ko te wai e kohia ana i te taha o ngā pukahukahu, i te kore rānei e taea e ngā pukahukahu te whānui katoa, he maha ngā wā nā tētahi mate hauora kei raro.
Whakaarohia pēnei: ina takoto papatahi koe, ka rere te toto mai i ō waewae ki tō uma. I roto i te tangata hauora, ka ngāwari te pupuhi a te ngākau i tēnei rahinga tāpiri. Heoi, ki te ngoikore tō ngākau, tera pea ka uaua ki te whakahaere i tēnei rere nui. Ka akiakihia te wai e te pēhanga ka puta ki roto i ngā pukahukahu, ka uaua ai te manawa. Kia noho koe ki runga, ka āwhina te kaha ā-papa ki te kukume i taua wai ki raro ki ō waewae, ka whakamama i te pēhanga ki ō pukahukahu, ā, ka māmā ake te manawa.
Kei raro nei ngā āhuatanga noa e pā ana ki te orthopnea:
| Āhua | Whakamārama Poto |
|---|---|
| Te ngoikore o te ngākau | He take matua. Ka taea e te ngoikore o te ngākau te kohikohi wai i roto i ngā pukahukahu, ka uaua ai tō manawa. |
| Te toto toto tiketike o te pūkahukahu | Te pikinga ake o te pēhanga i roto i ngā oko toto e kawe ana i te toto ki ō pukahukahu. |
| COPD | He rōpū mate pūkahukahu mumura mau tonu e uaua haere ai te manawa. |
| Momonatanga | Ka kore e tino whānui te puku o tō diaphragm i te taumaha nui rawa, ka pāngia ai te manawa. |
| Pupuhi Pūkahukahu | Te kohikohinga tuturu o te wai i roto i te kiko o te pukahukahu. |
| Pīnioma kino | He mate kino o ngā pukahukahu. |
| Te Pararutiki o te Diaphragm | He whara, he mate rānei e ngoikore ai te diaphragm, e whakararu ai i tō kaha ki te manawa noa. |
Me pēhea te tātaritanga a tō tākuta i tēnei?
Ina kōrero koe ki tētahi tākuta i Nirogi Lanka mō ēnei uauatanga, ka pātaihia e rātou ētahi pātai taipitopito. Ko tētahi pātai tātaritanga nui ko: "E hia ngā urunga e hiahiatia ana e koe kia moe pai ai koe?" Ko te maha o ngā urunga e hiahiatia ana e koe e tohu ana i te kaha o te mate.
Kātahi pea ka tonoa e tō tākuta he whakamātautau tātaritanga motuhake:
- X-ray o te uma
- Echocardiogram (hei aromatawai i te mahi a te ngakau)
- Te hiko o te manawa (ECG)
- Ngā whakamātautau mahi pūkahukahu
He aha ngā kōwhiringa maimoatanga?
Kia maumahara ko te mate taketake te mea e rongoatia ana e mātou, ehara i te tohumate o te orthopnea anake. Ahakoa e whakahaere ana tō tākuta i te pūtake o te mate, ka whakaratohia hoki e rātou he rautaki hei whakamama i tō manawa.
Ko te nuinga o te wā, ko te moe i runga i te tūnga teitei, te tāpiri hāora, te whakahaere taumaha rānei. Ko ngā maimoatanga motuhake i runga i te take ko:
- Te ngoikore o te ngākau: Ngā whakarerekētanga o te āhua noho, ngā rongoā diuretic hei tango i te wai nui, me ngā rongoā pēnei i te ACE inhibitors, i te Beta-blockers rānei. I ētahi wā, me mahi pokanga, me whakamahi rānei i te pacemaker.
- COPD: Ngā rongoā bronchodilator me ngā corticosteroids hei whakaiti i te mumura me te whakatuwhera i ō ara manawa.
- Momonatanga: He arotahi ki ngā kai hauora me ngā kaupapa whakakori tinana ārahi hei whakahaere i te taumaha.
- Pēnomia: Ngā rongoā paturopi me te tautoko manawa e hiahiatia ana.
Kia mahara: Ki te pāngia koe, tō whanaunga rānei e te poto o te manawa ohorere, nui hoki, waea atu ki te 911, toro atu rānei ki tō tari urupare ohorere tata tonu atu.
Ka taea e koe te ārai i te orthopnea?
Ko te huarahi tino whai hua hei ārai i te orthopnea ko te whakahaere i ngā āhuatanga mōrearea e pā ana ki ōna pūtake. I roto i te poto, ko te whai i tētahi momo noho hauora tō parepare pai rawa atu.
- Whakahaerehia ngā mate pūmau: Kia mataara tonu ki tō huka toto, ki ngā taumata cholesterol, me te toto toto tiketike hei whakaiti i te tūponotanga o te mate ngakau.
- Whakakorikori tinana i ngā wā katoa: Whai kia 30 meneti te iti rawa o te korikori tinana i te nuinga o ngā rā o te wiki.
- Kati te kai hikareti: Ka kino te kai hikareti i tō ngākau me ō pukahukahu. Mena he kai hikareti koe, kōrero ki tō tākuta mō te tautoko ngaio hei āwhina i a koe ki te mutu ake.
- Whakaitihia, whakakorea rānei te waipiro: Ka taea e te inu nui i te waipiro te ngoikore o te uaua o te ngākau.
- Kai i ngā kai hauora mō te ngākau: Tāpirihia he nui o ngā hua hou, huawhenua, me ngā kai whai kiko ki roto i ō kai.
- Whakaritea ngā tirotiro hauora ā-tau: He mea nui ngā whakamātautau hauora auau kia noho mōhio ai koe ki te hauora o tō ngākau me tō pukahukahu.
Ahakoa te pāngia e te orthopnea, ehara i te mea he ngoikore tō ngākau, engari he tohu nui tēnei e tika ana kia arohia. Tena koa, whakapā atu ki tētahi tohunga hauora kia whiwhi ai koe i tētahi tātaritanga tika.
Ngā Whakaaro Matua
Orthopnea, poto te manawa, uaua ki te manawa i te takoto, ngoikore o te ngakau, mate pūkahukahu, dyspnea, ngoikore o te ngakau
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 He aha te mamae uaua (myalgia)?
Ahakoa he mea noa te mamae o te uaua i muri i te whakangungu kaha, ko te Myalgia he mamae nui, whānui, puhoi, koi rānei i roto i ngā uaua me te tuara e puta ana me te kore he mahi uaua i mua. Ka rite ki te mea kua maru ō uaua, ka ngoikore koe, ka kore rānei e taea te nekeneke whakamarie.
💬 He aha ngā tino take o te mamae nui o ngā uaua?
Ko ngā take noa ko: 1) Ngā mate huaketo (pēnei i te COVID-19, te rewharewha, te dengue rānei), ka puta te mumura i roto i tō pūnaha ārai mate; 2) Ngā mamae o te uaua nā te matewai, te kore taurite o ngā electrolyte rānei (pēnei i te iti o te pāhare pāporo); 3) Ngā pānga taha o ngā rongoā pēnei i te statins (ka taea te pakaru o te uaua); 4) Ngā mate pēnei i te fibromyalgia.
💬 Āhea ahau me rapu awhina ohorere mō te mamae o te uaua (hei tauira, te Rhabdomyolysis)?
Ki te kore te okiokinga me te wai e whakaora i te mamae i roto i ētahi rā, ki te kite rānei koe i ēnei mea: 1) Mimi pouri, tae tī (he tohu kua pakaru te pūmua uaua, ka arahi pea ki te ngoikore o te whatukuhu); 2) Kaki maro me te kirika (tērā pea ka pāngia e te meningitis); 3) Uaua ki te manawa—kaua e tatari. Haere ki te rūma whawhati tata, waea atu rānei ki te 911 tonu.
