Khawuthelekelele, ulele kamnandi ukuze unciphise ukudinwa kosuku. Kodwa ngequbuliso, uvuka unemvakalelo embi yokuphefumla kancinci, uxinezelekile esifubeni sakho. Kufana nokutshona emanzini kwaye kufuneka ulwe ukuze uphefumle. Eli liva abantu abaninzi abalivayo, kodwa bayoyika ukuthetha ngalo, liyoyikisa kakhulu. Kwizonyango, esi sifo sibizwa ngokuba yiParoxysmal Nocturnal Dyspnea, okanye iPND ngamafutshane. Oku akuyonto nje enye, kunokuba luphawu olubalulekileyo olunikwa ngumzimba wakho.
Yintoni kanye kanye i-PND?
Ngamafutshane, i-PND ithetha xa uvuka ngequbuliso emva kweyure okanye ezimbini ulele nzima ukuphefumla. Oku kudla ngokuphazamisa kakhulu. Usenokuba nzima ukuphefumla, ukuphefumla ngokukhawuleza, kwaye usenokukhwehlela.
Into ebalulekileyo kukuba le meko ibizwa ngokuba yi-PND yenzeka kuphela xa ulele . Oku kwahlukile kwingxaki yokuphefumla eyenzeka xa ulele ngelixa uvukile (ebizwa ngokuba yi-orthopnea).
Kodwa kukho isiqabu. Xa uvuka ngolu hlobo, ukuba uhlala ebhedini, ukuphefumla kwakho kuya kubuyela kwimeko yesiqhelo kwimizuzu eli-10 ukuya kweli-15, kwaye ukungakhululeki kuya kuphela kancinci kancinci.
Kutheni oku kwenzeka xa ndilele ebusuku? Zithini izizathu eziphambili?
I-PND ayisosifo, kodwa luphawu lwesifo esithile esingabonakaliyo. Izizathu zingahlulwa zibe ziindidi ezintathu eziphambili:
| Eyona ndawo iphambili enokubangela | Ukuchaza ngokulula... |
|---|---|
| Isifo sentliziyo | Xa silala ngecala, igazi kunye nolwelo olusemilenzeni yethu lubuyela esifubeni, apho imiphunga yethu ibangelwa ngumxhuzulane. Intliziyo ephilileyo inokupompa ngokulula eli gazi lingaphezulu emzimbeni. Kodwa ukuba kukho ubuthathaka entliziyweni (njengokungakwazi kwentliziyo), olu lwelo lungaphezulu lunokuqokelelwa emiphungeni, ludale uxinzelelo kwaye lwenze kube nzima ukuphefumla. |
| Iimeko zokuphefumla | Ukuba unesifo esifana ne-asthma okanye i-COPD (iSifo esingapheliyo sokuQonda iiPulmonary), unokuba nobunzima bokuphefumla emini. Ezi meko zinokwenziwa mandundu lutshintsho olwenzeka emzimbeni wakho ebusuku. |
| Iingxaki ze-Neurological | Ukuphefumla kwethu kulawulwa ziimpawu ezivela ebuchotsheni. Kwiimeko ezifana ne-Sleep Apnea, le nkqubo yokubonisa ayisebenzi kakuhle. Nokuba indlela yomoya ivaliwe, okanye ingqondo iyeka ukunika isibonakaliso sokuphefumla okomzuzwana. Oku kubangela ukuba ukuphefumla kuyeke, nto leyo ebangela ukuba uvuke ngequbuliso. |
Iimeko ezithile zonyango ezichaphazela i-PND
- I-Sleep Apnea: Ukuyeka ukuphefumla ngokuphindaphindiweyo ngexesha lokulala.
- Ukusilela kwentliziyo exineneyo: Ubuthathaka bokukwazi kwentliziyo ukupompa.
- Uxinzelelo lwegazi oluphezulu kwimiphunga: Uxinzelelo oluphezulu kwimithambo yegazi yemiphunga.
- I-COPD (Isifo Esingapheliyo Sokuqanda Amaphaphu): Isifo semiphunga esihlala ixesha elide.
- Isifuba
- Ukudumba kweMiphunga: Ukuqokelelwa kwamanzi emiphungeni.
- Isifo sikaParkinson
- Uhlaselo Loloyiko Lwasebusuku: Uhlaselo Loloyiko Olukhawulezileyo oluvela ebusuku.
- Ukutyeba kakhulu: Ukutyeba kakhulu kunokubangela uxinzelelo kwindlela yokuphefumla.
Iphathwa njani le nto?
Kubalulekile ukukhumbula oku: I-PND ayinyangwa ngenxa yeempawu kuphela, kodwa ngenxa yemeko ebangela oko. Ugqirha wakho uza kukuhlola, enze uvavanyo oluthile ukuba kuyimfuneko, aze afumane unobangela ochanekileyo. Emva koko, baza kuqala unyango olusekelwe kuloo nobangela.
| Isizathu | Unyango olunikwa rhoqo |
|---|---|
| Isifo sentliziyo | Amayeza anjenge-diuretics kunye namayeza okulawula uxinzelelo lwegazi (i-ACE inhibitors, i-beta-blockers) ayanikwa. |
| I-Apnea yokulala | Ukusebenzisa umatshini ofana neCPAP okanye iBiPAP ukugcina indlela yomoya ivulekile ngexesha lokulala nako kubaluleke kakhulu. Ukunciphisa umzimba nako kubaluleke kakhulu. |
| Izifo zokuphefumla (isifuba/i-COPD) | Ii-bronchodilators ezifuthwayo kunye nee-corticosteroids ezifuthwayo ziyasetyenziswa. |
| Iingxaki zempilo yengqondo | Unyango Lokuziphatha Oluqondayo okanye amayeza okulwa nokuxhalaba anikwa kwiimeko ezifana nokuhlaselwa luloyiko ebusuku. |
Yintoni esinokuyenza ukuthintela i-PND?
Eyona nto ingcono onokuyenza kukufumana unyango olufanelekileyo lwemeko yakho engaphantsi. Kubalulekile ukuthatha amayeza achazwe ngugqirha wakho ngexesha. Ukongeza, ezi zinto zinokukunceda ukugcina intliziyo yakho kunye nemiphunga isempilweni:
- Ukuzilolonga: Thetha nogqirha wakho malunga nomgangatho okhuselekileyo wokuzilolonga ofanelekileyo kuwe, kwaye uzilolonge yonke imihla. Oku kuya kuyiqinisa intliziyo yakho kunye nemiphunga.
- Ukuzilolonga ngokuphefumla: Ukuzilolonga ngokuphefumla nzulu kunye neendlela zokuphumla kunokunceda ukulawula ubunzima bokuphefumla kunye nokuxhalaba.
- Kuphephe ukutshaya: Ukuba uyatshaya, yeka namhlanje. Ukutshaya yeyona nto ibulala imiphunga kakhulu. Kungenza iimeko ezifana ne-asthma kunye ne-COPD zibe mandundu, kwaye kunokukhokelela kwizifo ezintsha.
Ngaba kufuneka ndibone ugqirha?
Impendulo yale nto ilula kakhulu. Ewe, ngokuqinisekileyo!
Ukuba wakha wavuka ebusuku uphelelwa ngumphefumlo, musa ukuyityeshela loo nto. Isenokuba luphawu lokuqala lwesilumkiso semeko embi emzimbeni wakho. Ngoko ke , bonana nogqirha wakho wosapho ngokukhawuleza. Uya kukwazi ukukukhokela ngendlela efanelekileyo.
Khumbula, ukuba ukuphefumla kwakho kubuhlungu kakhulu, kuhamba nentlungu esifubeni okanye ukuziva ubuthathaka, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngaphandle kokulibazisa.
Ukulala kakuhle kubalulekile kwimizimba yethu nakwiingqondo zethu. Ukuphazamiseka kobuthongo obubangelwa yi-PND kunokuba nefuthe elikhulu kumgangatho wobomi. Ngoko ke musa ukuyityeshela le mpawu. Fumana iingcebiso zonyango ezifanelekileyo, unyange unobangela, kwaye uqale ukuphila ubomi apho unokulala kamnandi kwakhona.
Umyalezo Wokuya Ekhaya
- I-PND kukuvuka ngequbuliso ebuthongweni ebusuku ngenxa yokuphefumla kancinci. Nangona oku kunokuba ngamava othusayo, asilophawu olufanele lungananzwa.
- Oku kubangelwa ikakhulu sisifo sentliziyo, izifo zenkqubo yokuphefumla, okanye iingxaki zenkqubo yemithambo-luvo ezifana ne-Sleep Apnea.
- Ukuba oku kwenzeka kanye, bonana nogqirha ngoko nangoko. Kusenokuba luphawu lokuqala lwesifo esinzulu.
- Unyango alukho ngenxa yempawu, kodwa ngenxa yemeko ebangela ukuba zivele.
- Indlela yokuphila enempilo (ukuzilolonga, ukuphepha ukutshaya) inokunceda ekulawuleni iimeko ezibangela i-PND.
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