Mukagona pabedi, kapena mukagona pa sofa mukuonera TV, kodi mwadzidzidzi mumavutika kupuma? Zimakhala ngati chifuwa chanu chachepa ndipo mukulephera kupuma mokwanira? Koma mukaimirira ndikukhala pansi, chimachepa. Kodi mudakumanapo ndi izi? Anthu ambiri amaganiza kuti izi ndi zachilendo, koma si chinthu choti munyalanyaze. Ichi ndi chomwe timachitcha Orthopnea m'mawu azachipatala.
Mwachidule, Orthopnea ndi chiyani?
Orthopnea ndi vuto lomwe limakuvutani kupuma mukagona, makamaka pamene khosi ndi chifuwa chanu zili pamlingo womwewo. Mwachitsanzo, ngati mutagona pabedi popanda pilo, mumamva kupuma movutikira, koma vutolo limatha mukakhala pansi kapena mukagona mutu wanu utakwezedwa pa mapilo awiri kapena atatu. Ichi ndiye chizindikiro chachikulu cha orthopnea.
Nayi chinthu china. Anthu ena amadzuka mwadzidzidzi usiku chifukwa chosowa mpweya. Timatcha izi Paroxysmal Nocturnal Dyspnea (PND). Orthopnea ndi yosiyana pang'ono. PND imachitika munthu akagona. Koma orthopnea imatha kuchitika ngakhale muli maso, ngakhale mutagona. Mwachitsanzo, mungamve mukamagona kuti muwonere TV, kapena dokotala akakulamulani kuti mugone pabedi kuti akufufuzeni.
Chofunika kwambiri ndichakuti Orthopnea si matenda, koma chizindikiro cha matenda ena . Chifukwa chake, ngati muli ndi vuto lamtunduwu, ndikofunikira kupeza chomwe chimayambitsa.
Ndi zizindikiro zina ziti zomwe zimabwera ndi orthopnea?
Kuwonjezera pa kuvutika kupuma, mungakumane ndi zizindikiro zina zingapo. Anthu ena amagona ndi mapilo ambiri pamwamba pawo, pomwe ena amagona atakhala pampando. Izi zili choncho chifukwa kupuma kumakhala kosavuta mutakhala kuposa kugona.
| Chizindikiro | Kufotokozera |
|---|---|
| Kulimba pachifuwa kapena kupweteka | Kumva ngati chifuwa chanu chachepa komanso cholemera mukamapuma. |
| Kupuma movutikira kapena kukhosomola | Phokoso la 'tchizi-tchizi' kuchokera pachifuwa munthu akamapuma kapena akamatsokomola nthawi zonse. |
| Kugunda kwa mtima | Kumva ngati mtima wako ukugunda mofulumira, ngati kugunda kwa mtima. |
N’chifukwa chiyani izi zimachitika? Kodi zimayambitsa matenda a orthopnea ndi ziti?
Chifukwa chachikulu cha izi ndi chakuti madzi amasonkhana m'mapapo chifukwa cha matenda ena m'thupi, kapena mapapo sangathe kufutukuka bwino ndikulandira mpweya.
Taganizirani izi motere. Tikawerama, magazi omwe ali m'miyendo yathu amabwerera ku chifuwa chathu. Mtima wathanzi ukhoza kupopera magazi owonjezerawa kubwerera m'thupi popanda vuto lililonse. Koma ngati mtima wanu uli wofooka, sungathe kupopera magazi owonjezerawa. Kenako magazi amenewo amasonkhana m'mapapu anu, zomwe zimapangitsa kuti mpweya ukhale wovuta kupuma. Mukaimirira ndikukhala pansi, mphamvu yokoka imabwezeretsa magaziwo ku miyendo yanu, kuchepetsa kuthamanga kwa magazi m'mapapu anu ndikupangitsa kuti kupuma kukhale kosavuta.
Zina mwa matenda akuluakulu omwe angayambitse orthopnea zalembedwa pansipa.
| Mkhalidwe | Kufotokozera kosavuta |
|---|---|
| Kulephera kwa Mtima Wodzaza ndi Mitsempha | Ichi ndi chifukwa chachikulu cha matenda a orthopnea. Pamene mtima ukufooka, madzi amasonkhana mozungulira mapapo, zomwe zimapangitsa kuti zikhale zovuta kupuma. |
| Kuthamanga kwa Magazi M'mapapo (PH) | Kupanikizika kwakukulu m'mitsempha yamagazi yomwe imanyamula magazi kupita ku mapapo. |
| COPD (Matenda Osatha a M'mapapo Oletsa Kutsekeka) | Gulu la matenda omwe amayambitsa kutupa kosatha kwa mapapo, komwe kumayambitsa kuvutika kupuma. |
| Kunenepa kwambiri | Kunenepa kwambiri kungayambitse mavuto opuma chifukwa diaphragm singathe kufutukuka mokwanira. |
| Kutupa kwa M'mapapo | Kuchulukana kwa madzi m'mapapo. |
| Chibayo chachikulu | Matenda oopsa omwe amakhudza mapapo. |
| Kulephera kwa Diaphragm | Chifuwa chofooka chifukwa cha kuvulala, chotupa, kapena matenda ena, zomwe zimapangitsa kuti zikhale zovuta kupuma. |
Kodi mwapeza bwanji izi, Dokotala?
Mukauza dokotala wanu kuti muli ndi vutoli, iye adzakufunsani mafunso angapo kaye. Makamaka, funso lakuti "Kodi muyenera kugona pa mapilo angati?" ndi lofunika kwambiri. Chiwerengero cha mapilo omwe mukufuna, kaya ndi chimodzi, ziwiri, kapena zitatu, chingakupatseni lingaliro la kuopsa kwa vutoli.
Kenako, adzayitanitsa mayeso angapo kuti apeze chomwe chimayambitsa vutoli.
- X-ray pachifuwa
- Kujambula kuti muwone momwe mtima ukugwira ntchito (Echocardiogram)
- Mayeso a ECG (Electrocardiogram)
- Mayeso a ntchito ya m'mapapo
Kodi mankhwala ochizira izi ndi otani?
Kumbukirani kuti orthopnea si chizindikiro, koma vuto lomwe limayambitsa vutoli . Dokotala wanu adzakulangizaninso njira zochepetsera kupuma kwanu pochiza vutoli.
Kawirikawiri, zizindikiro zimatha kuthetsedwa pogona mutu uli pamwamba, kupereka mpweya ngati pakufunika kutero, komanso kuchepetsa thupi. Palinso mankhwala enaake kutengera chifukwa chake.
- Kulephera kwa Mtima: Kusintha kwa moyo, kumwa mankhwala ochepetsa mphamvu ya mkodzo, ndi mankhwala monga ACE inhibitors ndi beta-blockers angaperekedwe kuti athandize mtima kugwira ntchito bwino. Nthawi zina opaleshoni kapena pacemaker ingafunike.
- COPD: Mankhwala omwe amakulitsa njira zopumira (Ma bronchodilators) ndikuchepetsa kutupa m'mapapo (Corticosteroids) amagwiritsidwa ntchito.
- Kunenepa Kwambiri: Kuchepetsa thupi kudzera mu zakudya zabwino komanso kuchita masewera olimbitsa thupi ndikofunikira kwambiri.
- Chibayo: Mankhwala opha tizilombo toyambitsa matenda ndi mpweya amaperekedwa ngati pakufunika kutero.
Kodi orthopnea ingapewedwe?
Njira yabwino yopewera matenda a orthopnea ndi kuchepetsa chiopsezo chotenga matenda omwe amayambitsa matendawa. Izi zikutanthauza kukhala ndi moyo wathanzi.
- Kuwongolera bwino matenda omwe amawonjezera chiopsezo cha matenda a mtima, monga matenda a shuga, cholesterol yambiri, ndi kuthamanga kwa magazi .
- Kuchita masewera olimbitsa thupi nthawi zonse. Ndi bwino kuchita masewera olimbitsa thupi kwa mphindi zosachepera 30 patsiku, masiku ambiri a sabata.
- Pewani kusuta fodya kotheratu. Ngati mukusuta, funsani dokotala wanu kuti akuthandizeni kusiya kusuta.
- Chepetsani kapena siyani kumwa mowa kwathunthu .
- Onjezani zipatso, ndiwo zamasamba, ndi zakudya zopatsa thanzi muzakudya zanu.
- Pitani kuchipatala kamodzi pachaka ndipo dziwani za thanzi lanu.
Kukhala ndi orthopnea sikutanthauza kuti muli ndi vuto la mtima. Komabe, kungakhale chizindikiro chachikulu cha vuto la mtima. Chifukwa chake, onetsetsani kuti mwawonana ndi dokotala kuti akupatseni chithandizo choyenera.
Uthenga Wopita Nawo Kunyumba
- Orthopnea ndi vuto lomwe limakhala lovuta kupuma mukawerama, koma limakhala bwino mukakhala pansi.
- Imeneyi si matenda, koma chizindikiro cha matenda enaake omwe nthawi zambiri amakhudza mtima kapena mapapo.
- Chizindikiro chodziwika bwino cha izi ndikugwiritsa ntchito mapilo angapo pogona.
- Musanyalanyaze chizindikiro ichi. Pitani kwa dokotala mwamsanga kuti mudziwe chomwe chikuyambitsa.
- Mwa kuchiza bwino vuto lomwe limayambitsa vutoli, mutha kuwongolera mavuto anu opuma ndikukhala ndi moyo wabwino.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi kupweteka kwa minofu / myalgia ndi chiyani?
Ndizachilendo kumva kupweteka/kupweteka kwa minofu mukatha kuchita masewera olimbitsa thupi ku gym kapena mutathamanga ndi kuyenda kwambiri. Koma vuto ili lotchedwa 'Muscle Ache (Myalgia)' ndi chizindikiro chachikulu chomwe chimakupangitsani kumva ngati minofu yonse (ndi msana) m'thupi lanu yasweka mwadzidzidzi, zomwe zimapangitsa kuti zikhale zovuta kudzuka pabedi, popanda kugwira ntchito yolemetsa.
💬 Kodi ndi zinthu ziti zomwe zimayambitsa kupweteka kwa minofu zomwe zimapangitsa kuti munthu asatuluke pabedi?
Pali zifukwa zingapo zazikulu zomwe zimayambitsa izi: 1) 'Matenda oopsa a kachilombo' - Mukadwala dengue, COVID-19, kapena chimfine wamba, chitetezo chanu cha mthupi chimapita kunkhondo ndipo minofu yanu yonse m'thupi lanu imapweteka. 2) 'Kupweteka kwa Minofu/Kupweteka kwa Minofu' - Thupi lanu likasowa madzi m'thupi, malo ngati tsitsi lanu amauma mwadzidzidzi. 3) 'Statins/Rhabdomyolysis', yomwe ndi zotsatira za mankhwala ochepetsa cholesterol, ingayambitsenso kupweteka kwa minofu. 4) Fibromyalgia.
💬 Mukakhala ndi kupweteka kwa minofu, muyenera kupita kuchipatala nthawi yomweyo, osati kungogona kunyumba ndikumwa Panadol. Kodi 'matenda oopsa/oopsa (Rhabdomyolysis)' ndi ati?
Nthawi zambiri, izi zimatha pakatha masiku 3-4 ndi malungo/kutopa (kupuma/kumwa madzi). Koma choopsa chachikulu! Pamodzi ndi kupweteka kwa minofu, ngati 1) mkodzo wanu ukhala wakuda kapena magazi (mkodzo wakuda ngati tiyi), zikutanthauza kuti minofu yanu ikusungunuka ndipo impso zanu zikuyamba kuvunda (Kuvulala Kwambiri kwa Impso)! 2) Ngati minofu ya khosi lanu yazizira ndipo muli ndi malungo (Meningitis), 3) Ngati mukuvutika kupuma, muyenera kupita kuchipatala nthawi yomweyo!
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment