Xa ulala ebhedini, okanye ulala esofeni ubukele iTV, ngaba ngequbuliso ufumana kunzima ukuphefumla? Kuvakala ngathi isifuba sakho sixinene kwaye uphelelwa ngumphefumlo? Kodwa xa usukuma kwaye uhlala, kuyaphela. Ngaba wakha wakubona oku? Abantu abaninzi bacinga ukuba oku kuqhelekile, kodwa asinto yokungayinaki. Oku sikubiza ngokuba yi-Orthopnea ngokwezonyango.
Ngamafutshane, yintoni i-Orthopnea?
I-Orthopnea yimeko apho unengxaki yokuphefumla xa ulele phantsi, ingakumbi xa intamo nesifuba sakho zikwinqanaba elifanayo. Umzekelo, ukuba ulala ebhedini ungenamqamelo, uziva uphelelwa ngumphefumlo, kodwa ubunzima buyaphela xa uhleli okanye xa ulele intloko yakho iphakanyisiwe kwimiqamelo emibini okanye emithathu. Olu luphawu oluphambili lwe-orthopnea.
Nantsi enye into. Abanye abantu bavuka ngequbuliso ebusuku bephelelwa ngumphefumlo. Le yiParoxysmal Nocturnal Dyspnea (PND). I-Orthopnea yahlukile kancinci. I-PND yenzeka kuphela xa ulele. Kodwa i-orthopnea inokwenzeka nokuba uvukile, nokuba ulele phantsi. Umzekelo, ungayiva xa ulele ubukele iTV, okanye xa ugqirha ekuyalela ukuba ulale ebhedini ukuze uhlolwe.
Into ebalulekileyo kukuba i-Orthopnea ayisosifo, kodwa luphawu lwesinye isifo . Ngoko ke, ukuba unengxaki enjalo, kubalulekile ukufumana unobangela.
Ziziphi ezinye iimpawu ezihambisana ne-orthopnea?
Ukongeza ekuphefumeni nzima, usenokuba nezinye iimpawu ezininzi. Abanye abantu balala benemiqamelo emininzi phezu kwabo, ngelixa abanye belala behleli esitulweni. Oku kungenxa yokuba kulula ukuphefumla xa uhleli kunokulala phantsi.
| Uphawu | Inkcazo |
|---|---|
| Ukuqina kwesifuba okanye intlungu | Ukuziva ngathi isifuba sakho sixinene kwaye sinzima xa uphefumla. |
| Ukuphefumla okanye ukukhohlela | Isandi esithi 'itshizi-tshizi' sivela esifubeni xa uphefumla okanye ukhwehlela rhoqo. |
| Ukubetha kwentliziyo | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza, njengentliziyo ebetha ngamandla. |
Kutheni oku kusenzeka? Zithini izizathu ze-orthopnea?
Isizathu esiphambili soku kukuba ulwelo luqokelelana emiphungeni ngenxa yemeko ethile yempilo emzimbeni, okanye imiphunga ayikwazi ukwanda kakuhle kwaye ifumane umoya.
Cinga ngale ndlela. Xa sigoba, igazi elisemilenzeni yethu libuyela esifubeni sethu. Intliziyo ephilileyo inokupompa eli gazi lingaphezulu emzimbeni ngaphandle kweengxaki. Kodwa ukuba intliziyo yakho ibuthathaka, ayinakupompa eli gazi lingaphezulu. Emva koko elo gazi liyaqokelelana emiphungeni yakho, lidale uxinzelelo, okwenza kube nzima ukuphefumla. Xa usukuma kwaye uhlala, amandla adonsela phantsi abuyisela elo gazi emilenzeni yakho, anciphise uxinzelelo emiphungeni yakho kwaye enze kube lula ukuphefumla.
Ezinye zeengxaki eziphambili zempilo ezinokubangela i-orthopnea zidweliswe ngezantsi.
| Imeko | Ingcaciso elula |
|---|---|
| Ukungaphumeleli kwentliziyo edibeneyo | Le yeyona nto ibangela i-orthopnea. Njengoko intliziyo ibuthathaka, ulwelo luyaqokelelana lujikeleze imiphunga, nto leyo eyenza kube nzima ukuphefumla. |
| Uxinzelelo lwegazi oluphezulu lwemiphunga (PH) | Uxinzelelo oluphezulu kwimithambo yegazi ethwala igazi ukuya emiphungeni. |
| I-COPD (Isifo Esingapheliyo Sokuthintelwa Kwemiphunga) | Iqela lezifo ezibangela ukudumba okungapheliyo kwemiphunga, okubangela ubunzima bokuphefumla. |
| Ukutyeba kakhulu | Ukutyeba kakhulu kunokubangela ubunzima bokuphefumla njengoko i-diaphragm ingakwazi ukwanda ngokupheleleyo. |
| Ukudumba kweMiphunga | Ukuqokelelana kolwelo emiphungeni. |
| I-Pneumonia Enzima | Usulelo olunzima oluchaphazela imiphunga. |
| Ukukhubazeka kweDiaphragm | I-diaphragm ebuthathaka ngenxa yokwenzakala, ithumba, okanye esinye isifo, nto leyo eyenza kube nzima ukuphefumla. |
Uyifumana njani le nto, Gqirha?
Xa uxelela ugqirha wakho ukuba unale ngxaki, uza kuqala akubuze imibuzo embalwa. Ngokukodwa, umbuzo othi "Zingaphi ii-pillow ekufuneka ulale kuzo?" ubaluleke kakhulu. Inani lee-pillow ozifunayo, nokuba mnye, mibini, okanye mithathu, lingakunika umbono wobunzima bemeko.
Emva koko, baya kuyalela iimvavanyo ezininzi ukuze bafumane unobangela oyintloko.
- I-X-reyi yesifuba
- Iskeni yokujonga ukusebenza kwentliziyo (i-Echocardiogram)
- Uvavanyo lwe-ECG (i-Electrocardiogram)
- Uvavanyo lomsebenzi wemiphunga
Zithini iindlela zonyango zoku?
Khumbula, i-orthopnea ayilophawu, kodwa yimeko ebangela oko . Ugqirha wakho uza kucebisa neendlela zokunciphisa ukuphefumla kwakho ngelixa unyanga le meko.
Ngokwesiqhelo, iimpawu zinokulawulwa ngokulala intloko yakho iphakanyisiwe, ukunika ioksijini ukuba kuyimfuneko, kunye nokunciphisa umzimba. Kukwakho nonyango oluthile oluxhomekeke kwisizathu.
- Ukungasebenzi kwentliziyo: Utshintsho kwindlela yokuphila, amayeza okukhupha isisu, kunye namayeza anjenge-ACE inhibitors kunye ne-beta-blockers anokunikwa ukunceda ukusebenza kwentliziyo. Ngamanye amaxesha kunokufuneka utyando okanye i-pacemaker.
- I-COPD: Kusetyenziswa amayeza andisa iindlela zomoya (iiBronchodilators) kwaye anciphise ukudumba emiphungeni (iiCorticosteroids).
- Ukutyeba kakhulu: Ukulawula ubunzima ngokutya okunempilo kunye nokuzilolonga kubalulekile.
- Isifo semiphunga: Ii-antibiotics kunye ne-oxygen ziyanikwa ukuba kuyimfuneko.
Ngaba i-orthopnea ingathintelwa?
Eyona ndlela ilungileyo yokuthintela i-orthopnea kukunciphisa umngcipheko wokufumana izifo ezibangela oko. Oko kuthetha ukuphila ubomi obusempilweni.
- Lawula ngokufanelekileyo iimeko ezonyusa umngcipheko wesifo sentliziyo, ezifana nesifo seswekile, i-cholesterol ephezulu, kunye noxinzelelo lwegazi oluphezulu .
- Zilolonge rhoqo. Kulungile ukuzilolonga ubuncinane imizuzu engama-30 ngosuku, uninzi lweentsuku zeveki.
- Kuphephe ukutshaya ngokupheleleyo. Ukuba uyatshaya, cela uncedo kugqirha wakho ukuze uyeke.
- Nciphisa okanye uyeke ngokupheleleyo ukusebenzisa utywala .
- Yongeza iziqhamo, imifuno, kunye nokutya okunesondlo ekutyeni kwakho.
- Fumana uhlolo lwezonyango ubuncinane kanye ngonyaka kwaye uqaphele imeko yakho yempilo.
Ukuba ne-orthopnea akuthethi ukuba unesifo sentliziyo. Nangona kunjalo, inokuba luphawu olukhulu lokuhlaselwa sisifo sentliziyo. Ngoko ke, qiniseka ukuba ubona ugqirha ukuze ufumane ukuxilongwa okufanelekileyo.
Umyalezo Wokuya Ekhaya
- I-Orthopnea yimeko apho kuba nzima ukuphefumla xa ugobile, kodwa iyaphucuka xa uhlala phantsi.
- Esi asisosifo, kodwa luphawu lwesifo esithile esingabonakaliyo, esidla ngokuchaphazela intliziyo okanye imiphunga.
- Uphawu oluqhelekileyo loku kukusebenzisa imiqamelo emininzi ukuze ulale kuyo.
- Ungaze uyityeshele le mpawu. Bona ugqirha wakho ngokukhawuleza ukuze ufumane unobangela.
- Ngokunyanga ngokufanelekileyo imeko engundoqo, unokulawula ubunzima bakho bokuphefumla kwaye uphile ubomi obuhle.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni iMiscle Ache/Myalgia?
Kuqhelekile ukuziva izihlunu zibuhlungu/zibuhlungu emva kokuzilolonga ejimini okanye emva kokubaleka nokuhamba kakhulu. Kodwa le meko ibizwa ngokuba yi-'Muscle Ache (Myalgia)' luphawu olubi olukwenza uzive ngathi zonke izihlunu (nomqolo) emzimbeni wakho zityumkile kwaye zityumkile ngequbuliso, nto leyo eyenza kube nzima nokuvuka ebhedini, ngaphandle kokwenza nawuphi na umsebenzi onzima.
💬 Zeziphi izizathu eziphambili zentlungu/iintlungu zemisipha ezenza kube nzima ukuphuma ebhedini?
Kukho izizathu ezininzi eziphambili zoku: 1) 'Usulelo olukhulu lwentsholongwane' - Xa ufumana i-dengue, i-COVID-19, okanye umkhuhlane oqhelekileyo, amasosha omzimba wakho aya emfazweni kwaye izihlunu zakho emzimbeni wakho wonke ziyaqaqamba. 2) 'Ukuqaqamba kwemisipha/ukukrala' - Xa umzimba wakho uphelelwe ngamanzi emzimbeni, iindawo ezifana neenwele zakho ziyaqina ngequbuliso. 3) 'I-Statins/Rhabdomyolysis', isiphumo esibi seziyobisi ezinciphisa i-cholesterol, inokubangela iintlungu zemisipha. 4) I-Fibromyalgia.
💬 Xa unezihlunu ezibuhlungu, kufuneka uye esibhedlele ngoko nangoko, ungahlali ekhaya usele iPanadol. Zithini iimeko ezibulalayo/ezingxamisekileyo (Rhabdomyolysis)?
Kwiimeko ezininzi, oku kuya kuphela kwiintsuku ezi-3-4 xa kukho umkhuhlane/ukudinwa okubangelwa yintsholongwane (phumla/sela amanzi). Kodwa eyona ngozi inkulu! Kunye nentlungu yemisipha, ukuba 1) umchamo wakho ujika ube yikofu emnyama okanye ube nombala wegazi (umchamo onombala weti emnyama), oko kuthetha ukuba imisipha yakho iyanyibilika kwaye izintso zakho ziqala ukubola (Ingozi Yezintso Ebukhali)! 2) Ukuba imisipha yentamo yakho ikhenkcezisiwe kwaye unomkhuhlane (iMeningitis), 3) Ukuba unengxaki yokuphefumla, kufuneka ulaliswe esibhedlele ngoko nangoko!
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