Tangoganizirani, mukugona mokwanira kuti muchepetse kutopa kwa tsikulo. Koma mwadzidzidzi, mukudzuka ndikumva kupuma movutikira, chifuwa chanu chikulimba. Zili ngati kumira m'madzi ndipo muyenera kulimbana kuti mupume. Ichi ndi chochitika chomwe anthu ambiri amakumana nacho, koma amaopa kulankhula za icho, n'choopsa kwambiri. Mu zamankhwala, timatcha vutoli Paroxysmal Nocturnal Dyspnea, kapena PND mwachidule. Ichi si chinthu china chokha, chingakhale chizindikiro chofunikira chomwe thupi lanu limakupatsani.
Kodi PND ndi chiyani kwenikweni?
Mwachidule, PND ndi pamene mwadzidzidzi mumadzuka ola limodzi kapena awiri mutagona movutikira kupuma. Izi nthawi zambiri zimakhala zosokoneza kwambiri. Mungavutike kupuma, kupuma mofulumira, komanso kutsokomola.
Chofunika kwambiri ndichakuti vutoli lotchedwa PND limachitika munthu akagona . Izi n'zosiyana ndi vuto la kupuma movutikira lomwe limachitika munthu akagona ali maso (lotchedwa orthopnea).
Koma pali mpumulo. Mukadzuka chonchi, ngati mutakhala pabedi, kupuma kwanu nthawi zambiri kumabwerera mwakale mkati mwa mphindi 10 mpaka 15, ndipo kusapeza bwino kudzatha pang'onopang'ono.
N’chifukwa chiyani izi zimachitika ndikagona usiku? Kodi zifukwa zazikulu ndi ziti?
PND si matenda, koma chizindikiro cha vuto linalake la matenda. Zomwe zimayambitsa matendawa zitha kugawidwa m'magulu atatu akuluakulu:
| Gawo lalikulu lomwe lingayambitse | Kufotokoza mwachidule... |
|---|---|
| Matenda a Mtima | Tikagona chammbali, magazi ndi madzi m'miyendo yathu zimabwerera ku chifuwa, komwe ndi komwe mapapu athu amakhala chifukwa cha mphamvu yokoka. Mtima wathanzi ukhoza kupopera magazi owonjezerawa mosavuta kuzungulira thupi. Koma ngati pali kufooka mumtima (monga Congestive Heart Failure), madzi owonjezerawa amatha kusonkhana m'mapapu, zomwe zimapangitsa kuti mpweya ukhale wopanikizika komanso zimapangitsa kuti kupuma kukhale kovuta. |
| Matenda a Kupuma | Ngati muli ndi matenda monga mphumu kapena COPD (Chronic Obstructive Pulmonary Disease), mungakhale ndi vuto lopuma masana. Matendawa akhoza kukulirakulira chifukwa cha kusintha komwe kumachitika m'thupi lanu usiku. |
| Mavuto a Mitsempha | Kupuma kwathu kumayendetsedwa ndi zizindikiro zochokera muubongo. Mu matenda monga Sleep Apnea, njira yolumikiziranayi sigwira ntchito bwino. Kaya njira yopumira mpweya yatsekedwa, kapena ubongo umasiya kupereka chizindikiro chopumira kwakanthawi. Izi zimapangitsa kuti kupuma kusiye, zomwe zimakupangitsani kudzuka mwadzidzidzi. |
Matenda enaake omwe amakhudza PND
- Kupuma Movutikira: Kusiya kupuma mobwerezabwereza mukamagona.
- Kulephera kwa Mtima Wodzaza ndi Mitsempha: Kufooka kwa mphamvu ya mtima yopopa madzi.
- Kuthamanga kwa magazi m'mapapo: Kuwonjezeka kwa kuthamanga kwa magazi m'mitsempha yamagazi m'mapapo.
- COPD (Matenda Osatha a M'mapapo Oletsa Kutsekeka): Matenda a m'mapapo a nthawi yayitali.
- Mphumu
- Kutupa kwa m'mapapo: Kuchulukana kwa madzi m'mapapo.
- Matenda a Parkinson
- Kuukira kwa Mantha Usiku: Kuukira kwadzidzidzi kwa mantha komwe kumachitika usiku.
- Kunenepa kwambiri: Kunenepa kwambiri kungayambitsenso kupanikizika m'njira yopumira.
Kodi izi zimachiritsidwa bwanji?
Ndikofunika kukumbukira izi: Matenda a PND amachiritsidwa osati chifukwa cha zizindikiro zokha, komanso chifukwa cha vuto lomwe linayambitsa matendawa. Dokotala wanu adzakuyang'anirani, adzakuyesani mayeso ena ngati pakufunika kutero, ndikupeza chomwe chimayambitsa matendawa. Kenako, adzayamba kulandira chithandizo kutengera chifukwa chake.
| Chifukwa | Mankhwala operekedwa kawirikawiri |
|---|---|
| Matenda a mtima | Mankhwala monga okodzetsa magazi ndi mankhwala oletsa kuthamanga kwa magazi (ACE inhibitors, beta-blockers) amaperekedwa. |
| Kulephera Kugona Bwino | Kugwiritsa ntchito makina monga CPAP kapena BiPAP kuti mpweya ukhale wotseguka panthawi yogona n'kofunika kwambiri. Kuchepetsa thupi n'kofunika kwambiri. |
| Matenda a kupuma (mphumu/COPD) | Mankhwala opumira a bronchodilators ndi mankhwala opumira a corticosteroids amagwiritsidwa ntchito. |
| Mavuto amisala | Mankhwala Ochiza Maganizo Okhudza Maganizo kapena mankhwala oletsa nkhawa amaperekedwa pa matenda monga kugwidwa ndi mantha usiku. |
Kodi tingatani kuti tipewe matenda a PND?
Chinthu chabwino kwambiri choti muchite ndikupeza chithandizo choyenera cha vuto lanu lomwe likukuvutitsani. Ndikofunikira kumwa mankhwala omwe dokotala wanu wakupatsani pa nthawi yake. Kuphatikiza apo, zinthu izi zingathandize kuti mtima ndi mapapo anu akhale athanzi:
- Kuchita Maseŵera Olimbitsa Thupi: Lankhulani ndi dokotala wanu za kuchuluka kwa maseŵera olimbitsa thupi komwe kuli koyenera kwa inu, ndikuchita maseŵera olimbitsa thupi tsiku lililonse. Izi zidzalimbitsa mtima ndi mapapo anu.
- Maseŵero olimbitsa thupi opumira: Maseŵero olimbitsa thupi opumira kwambiri komanso njira zopumulira zingathandize kuchepetsa mavuto opumira komanso nkhawa.
- Pewani kusuta: Ngati mukusuta, siyani lero. Kusuta ndiko kupha kwambiri mapapo. Kungaipitse matenda monga mphumu ndi COPD, ndipo kungayambitse matenda atsopano.
Kodi ndiyenera kupita kwa dokotala?
Yankho la funsoli ndi losavuta. Inde, ndithudi!
Ngati mudadzukapo usiku chifukwa cha kupuma movutikira, musangonyalanyaza. Ichi chingakhale chizindikiro choyamba cha matenda aakulu m'thupi lanu. Chifukwa chake , pitani kwa dokotala wa banja lanu nthawi yomweyo. Iye adzatha kukutsogolerani bwino.
Kumbukirani, ngati kupuma kwanu kuli kovuta, komwe kumayenderana ndi kupweteka pachifuwa kapena kumva ngati mukukomoka, pitani ku Dipatimenti Yodzidzimutsa ya chipatala chapafupi (ETU) mwamsanga.
Kugona bwino n'kofunika kwambiri m'thupi ndi m'maganizo mwathu. Kusokonezeka kwa tulo chifukwa cha matenda a PND kungakhudze kwambiri moyo wathu. Choncho musanyalanyaze chizindikiro ichi. Pezani upangiri woyenera wa dokotala, chizani chomwe chikuyambitsa vutoli, ndikuyamba kukhala ndi moyo woti mugone bwino kachiwiri.
Uthenga Wopita Nawo Kunyumba
- PND ndi kudzuka mwadzidzidzi kuchokera ku tulo usiku ndi kupuma movutikira. Ngakhale izi zitha kukhala zoopsa, si chizindikiro chomwe chiyenera kunyalanyazidwa.
- Izi zimachitika makamaka chifukwa cha matenda a mtima, matenda a dongosolo la kupuma, kapena mavuto a dongosolo la mitsempha monga Sleep Apnea.
- Ngati mutakumana ndi izi ngakhale kamodzi kokha, pitani kwa dokotala nthawi yomweyo. Ichi chingakhale chizindikiro choyamba cha matenda aakulu.
- Chithandizo si cha chizindikirocho, koma cha vuto lomwe linayambitsa vutoli.
- Moyo wathanzi (kuchita masewera olimbitsa thupi, kupewa kusuta fodya) kungathandize kuwongolera matenda omwe amayambitsa matenda a PND.
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