Wakambonzwa sekuti wapererwa nemhepo, chipfuva chako chakaoma, kana kuti wainetseka kufema here? Izvi ndizvo zvatinoti kushaya mweya, kana kuti dyspnea, mukurapa. Vamwe vanhu vanotiwo "kushaya mweya" kana "kushaya mweya." Zvakajairika kunzwa kushaya mweya panguva yekurovedza muviri, kukwira masitepisi, kana kana uine dzihwa. Zvisinei, kana chirwere ichi chikaitika kakawanda kana kuti chikaitika kunyangwe wakazorora, chinogona kuva chiratidzo chedambudziko rehutano.
Chii chinonzi Dyspnea? Ngatinzwisise zviri nyore.
Zvichitaurwa zviri nyore, Dyspnea izwi rinoshandiswa navanachiremba pakutaura nezvekunetseka kufema. Harisi chirwere, asi chiratidzo. Kungofanana nefivha. Fivha haisi chirwere, asi chiratidzo chehutachiona kana chimwe chirwere. Ndizvo zvakaita chirwere ichi chinonzi Dyspnea.
Unogona kunzwa izvi nenzira dzakasiyana:
- Kunzwa nzara yekufema (nzara yemhepo).
- Kunzwa kubatwa uye kudzvinyirirwa muchipfuva.
- Kushanda nesimba kupfuura zvakajairika kuti ufeme.
- Kusakwanisa kufema zvakadzama.
Ichi chinogona kuva chiratidzo chikuru chechirwere chemapapu nemoyo. Chinogonawo kuonekwa muzvirwere zvakaita seasthma, allergies, uye kuzvidya mwoyo.
Mamwe mazwi maviri ane chekuita nekushaya mweya
Chiremba wako angashandisa mazwi aya, saka ngatidzidzei zvishoma nezvazvo zvakare.
- Paroxysmal Nocturnal Dyspnea (PND): Ichi chirwere chakasiyana. Mumamiriro ezvinhu aya, unomuka kamwe kamwe uchinetseka kufema awa imwe kana maviri mushure mekurara.
- Kushaya simba rekufema: Apa ndipo paunofema zvakadzika kakawanda (kufema) kuti uderedze kushaya simba rekufema.
Nzira mbiri huru dzinoita kuti kufema kuome
Dambudziko iri rekushaya simba kwemuviri (Dyspnea) rinogona kukamurwa kuita mhando mbiri huru zvichienderana nekumhanya kwekutanga uye nguva yaro. Zvikonzero zveizvi zviviri zvinogonawo kusiyana. Ngatizvitarise nenzira iyi kuti tinzwisise zviri nyore.
| Chinzvimbo | Tsananguro | Zvikonzero zvakajairika |
|---|---|---|
| Kushaya simba kwakanyanya | Izvi zvinotanga kamwe kamwe uye zvinotora nguva pfupi (kubva pamaawa mashoma kusvika kumazuva mashoma). | Kurwara nepfungwa, kushushikana, kurovedza muviri, dzihwa, furuu. Zvimwe zvikonzero zvakakomba: kurwara nemoyo, anaphylaxis, pulmonary embolism. |
| Kushaya Simba Risingaperi | Ichi chirwere chinogara kwemavhiki akati wandei kana kupfuura, kana kuti chinouya uye chinopera kakawanda. | Asthma, Kukundikana kwemoyo, COPD (Chronic Obstructive Pulmonary Disease), uye kushaya simba kwemuviri nekuda kwekusaita maekisesaizi. |
Sei tichinetseka kufema? Ndezvipi zvinokonzera?
Funga nezvemwoyo wako nemapapu seshamwari mbiri dzepamwoyo dziri kushanda pamwe chete. Mapapu anowedzera okisijeni muropa, moyo unopomba ropa rinopa okisijeni mumuviri wese, uye mapapu anotakurawo kabhoni dhayokisaidhi mumuviri woiburitsa.
Saka, kana paine dambudziko nekushanda kwemoyo kana mapapu, panogona kunge paine kushomeka kweokisijeni muropa kana kuwedzera kwecarbon dioxide. Ipapo uropi hunogamuchira chiratidzo chinoti, "Kufema hakuna kukwana, fema nesimba." Ndipo patinonzwa kuoma kufema.
Zvikonzero zvikuru zvirwere zvemapapu nemwoyo. Ngatizvitarisei zvakasiyana.
Zvikonzero zvine chekuita nemapapu nehurongwa hwekufema
- Asima
- Kurwara
- COPD (yakajairika pakati pevanosvuta)
- Zvirwere zvekufema (semuenzaniso, bronchitis, COVID-19, pneumonia)
- Kubuda kweropa muropa kana kuzvimba (pleurisy)
- Kuungana kwemvura mumapapu (Pulmonary Edema) kana mavanga (Fibrosis)
- Kenza yemapapu
- Kukwira Kweropa Kwemapapu
- Tibhii
- Mapapu Akadonha / Pneumothorax
- Kubviswa kweMapupa
- Kudzipwa
Zvikonzero zvine chekuita nemoyo neropa
- Anemia - Izvi zvinoreva kudzikira kwemasero matsvuku eropa muropa.
- Kukundikana kweMwoyo
- Cardiomyopathy
- Kurova kwemoyo kusina kujairika (Arrhythmia)
- Kuzvimba kwemoyo (semuenzaniso Endocarditis, Pericarditis)
Zvimwe zvikonzero
- Kunetseka: Ichi chikonzero chinowanzoitika.
- Kufuta: Body mass index (BMI) inodarika 30.
- Kusaita maekisesaizi: Kana usingaite maekisesaizi, tsandanyama dzako dzinoshaya simba uye unonzwa kushaya mweya kunyangwe uchiita mabasa madiki.
- Mimwe mishonga: Izvi zvinogonawo kukonzerwa nemimwe mishonga inoderedza cholesterol (statins) uye mimwe mishonga yeBP (beta-blockers).
- Kutyora chimwe chinhu chakaita sembabvu.
- Kushaya simba rekufema panguva yekurara: Chirwere chinomira kufema panguva yekurara.
Chiremba angawana sei chikonzero cheizvi?
Kana uchinyunyuta nezvekupererwa nemweya, chiremba achatanga akuongorora. Achateerera mapapu ako ne stethoscope, oyera BP yako, uye oyera huwandu hweoxygen muropa rako nekachipi kadiki pamunwe wako (pulse oximeter).
Uye zvakare, bvunzo dzakadai dzinogona kuitwa kuti uwane chikonzero chaicho:
- X-ray yechipfuva kana CT scan: Kutarisa kana paine matambudziko mumapapu.
- Kuongororwa kweropa: Tarisa kana une anemia kana zvimwe zvirwere.
- Kuongororwa Kwekushanda Kwemapapu: Yera kuti unofema zvakanaka sei mukati nekubuda.
- Kuedzwa kweMaekisesaizi eCardiopulmonary: Kuedzwa kunoongorora mashandiro anoita moyo nemapapu ako paunenge uchifamba patreadmill uye uchiekisesaiza.
Nguva yekutsvaga mazano ekurapa nekukasika
Kuoma kufema kunogona kuva chiratidzo chechirwere chakakomba. Kana uine chimwe chezviratidzo zvinotevera kana kupfuura, enda kuchipatara chiri pedyo (ETU) nekukurumidza.
| Zviratidzo zvekukurumidzira zvekutarisira |
|---|
| - Kufema kamwe kamwe, zvakaoma zvikuru. |
| - Kushaya mweya zvakanaka hakurerutsi kunyangwe mushure mekuzorora kwemaminitsi makumi matatu. |
| - Ruvara rwebhuruu rwemiromo, ganda, kana nzara (Cyanosis). |
| - Kurwadziwa pachipfuva kana kunzwa kubatwa muchipfuva. |
| - Kurova kwemoyo nekukurumidza kana kusina kurongeka (kurova kwemoyo). |
| - Fivha yakanyanya. |
| - Kufema kana ruzha rwakanyanya (stridor) kana uchifema. |
| - Kuzvimba kwemakumbo kana tsoka. |
Nzira yekudzivirira nekudzivirira chirwere ichi?
Kurapwa kunoenderana nechikonzero chekushaya kwako mweya. Chiremba wako ndiye achaona chikonzero chacho uye achakupa mushonga wakakodzera. Kazhinji, zvinhu izvi zvinogona kukubatsira kuti unzwe zviri nani.
- Kurovedza muviri: Kurovedza muviri nguva dzose kunosimbisa mwoyo nemapapu, saka hazvifanirwe kushanda nesimba.
- Maekisesaizi ekufema: Chiremba wako anogona kukudzidzisa maekisesaizi ekufema akakodzera uye matekiniki ekudzikamisa pfungwa dzako.
- Mishonga: Mishonga yekufemesa (bronchodilators) inogona kunyorerwa kune zvirwere zvakaita seasthma neCOPD.
- Kurapa Oxygen: Kana mwero weokisijeni muropa rako wakaderera zvikuru, chiremba wako anogona kukupa okisijeni yekunze.
- Dzivisa kusvuta: Izvi zvinoitwa zvechokwadi.
- Kuramba uine huremu hwakanaka.
- Dzivisa kufema zvinhu zvinotsamwisa mapapu, zvakaita seguruva neutsi.
Kushaya mweya wekufema hakusi chinhu chekuregeredza. Kana uchisangana nematambudziko akadai kakawanda, usatya kutaura nachiremba wemhuri yako. Dzimwe nguva, kunyangwe shanduko diki inogona kuchinja hupenyu hwako zvakanyanya.
Mharidzo Yekuenda Nayo Kumba
- Kushaya simba mumuviri hachisi chirwere, asi chiratidzo chedambudziko rehutano riripo.
- Izvi zvinogona kukanganiswa nezvinhu zvakasiyana-siyana, zvakaita semapapu, mwoyo, uye kushushikana kwepfungwa.
- Kunyangwe zvakajairika kunzwa kuneta panguva yekurovedza muviri kwakajairika, kana kusagadzikana uku kuchiitika kakawanda kana kunyangwe paunenge wakazorora , funga .
- Kana uine zviratidzo zvakaita sekuoma kufema kamwe kamwe, kurwadziwa pachipfuva, kana miromo yebhuruu,Enda kuchikamu chekurapa chekukurumidzira (ETU) nekukasika.
- Usatya izvi, taura nachiremba wako pachena, tsvaga chikonzero chacho, uye tsvaga kurapwa kwakakodzera.
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