Wake wazizwa sengathi uphelelwa umoya, isifuba sakho siqinile, noma ubunenkinga yokuphefumula? Lokhu yilokho esikubiza ngokuthi ukuphelelwa umoya, noma ukuphelelwa umoya, ngokwezokwelapha. Abanye abantu bakubiza nangokuthi "ukuphelelwa umoya" noma "ukuphelelwa umoya." Kuvamile ukuzizwa uphelelwa umoya ngesikhathi sokuzivocavoca okunzima, ukukhwela izitebhisi, noma uma unomkhuhlane. Kodwa-ke, uma lesi simo sivela njalo noma senzeka ngisho nalapho uphumule, kungaba uphawu lwenkinga yempilo.
Kuyini i-Dyspnea? Ake sikuqonde kalula.
Kalula nje, i-Dyspnea yigama odokotela abalisebenzisayo uma bekhuluma ngobunzima bokuphefumula. Akusona isifo, kodwa uphawu. Njengomkhuhlane. Umkhuhlane awusona isifo, kodwa uphawu lokutheleleka noma esinye isifo. Yileyo ndlela lesi simo esibizwa ngokuthi i-Dyspnea esiba ngayo.
Ungazizwa lokhu ngezindlela ezahlukene:
- Ukuzizwa uphelelwa umoya (indlala yomoya).
- Ukuzwa ukuqina nokucinana esifubeni.
- Kudingeka usebenze kanzima kunokuvamile ukuze uphefumule.
- Ukungakwazi ukuphefumula ngokujulile.
Lokhu kungaba uphawu olukhulu lwesifo samaphaphu nesenhliziyo ikakhulukazi. Kungabonakala nasezimweni ezifana ne-asthma, i-allergies, kanye nokukhathazeka.
Amanye amagama amabili ahlobene nokuphelelwa umoya
Udokotela wakho angase asebenzise la magama, ngakho ake sifunde kancane ngalokhu.
- I-Paroxysmal Nocturnal Dyspnea (PND): Lesi yisimo esingavamile. Kulesi simo, uvuka ngokuzumayo unobunzima bokuphefumula ihora noma amabili ngemva kokulala.
- Ukuphefumula Okujulile: Lokhu kwenzeka lapho uphefumula ngokujulile ngokuphindaphindiwe ukuze unciphise ukuphefumula okufushane.
Izindlela ezimbili eziyinhloko lapho ubunzima bokuphefumula buvela khona
Lesi simo se-Dyspnea singahlukaniswa ngezinhlobo ezimbili eziyinhloko ngokusekelwe esivinini sokuqala kanye nobude besikhathi. Izimbangela zalokhu kokubili nazo zingahluka. Ake sikubheke ngale ndlela ukuze sikuqonde kalula.
| Isimo | Incazelo | Izimbangela ezivamile |
|---|---|---|
| Ukuphelelwa umoya okukhulu | Lokhu kuqala ngokuzumayo futhi kuhlale isikhathi esifushane (kusukela emahoreni ambalwa kuya ezinsukwini ezimbalwa). | Ukungezwani komzimba, ukucindezeleka, ukuvivinya umzimba, umkhuhlane, umkhuhlane. Izimbangela ezinkulu kakhulu: ukuhlaselwa yinhliziyo, i-anaphylaxis, i-pulmonary embolism. |
| Ukuphelelwa Yigazi Okungapheli | Lesi yisimo esihlala amasonto amaningana noma ngaphezulu, noma esifika futhi sidlule njalo. | Isifuba somoya, Ukwehluleka Kwenhliziyo, I-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu), kanye nobuthakathaka bomzimba obubangelwa ukungazivocavoci. |
Kungani sinenkinga yokuphefumula? Ziyini izimbangela?
Cabanga ngenhliziyo yakho namaphaphu njengabangane ababili abakhulu abasebenza ndawonye. Amaphaphu aneza umoya-mpilo egazini, inhliziyo ipompa igazi elihambisa umoya-mpilo emzimbeni wonke, kanti amaphaphu nawo athwala i-carbon dioxide ayibuyisele emzimbeni bese eyikhipha.
Ngakho-ke, uma kunenkinga ngokusebenza kwenhliziyo noma amaphaphu, kungase kube nokuntuleka komoya-mpilo egazini noma ukwanda kwe-carbon dioxide. Bese ubuchopho buthola isignali ethi, "Ukuphefumula akwanele, phefumula kanzima." Yilapho-ke sizizwa sinenkinga yokuphefumula.
Izimbangela eziyinhloko izifo zamaphaphu nezenhliziyo. Ake sizibheke ngokwehlukana.
Izimbangela ezihlobene namaphaphu kanye nohlelo lokuphefumula
- Isifuba somoya
- Ukungezwani komzimba
- I-COPD (evamile phakathi kwababhemayo)
- Izifo zokuphefumula (isb., i-bronchitis, i-COVID-19, i-pneumonia)
- Ukuvuvukala noma ukugeleza kwegazi emithanjeni (i-pleurisy)
- Ukuqongelela koketshezi emaphashini (i-Pulmonary Edema) noma izibazi (i-Fibrosis)
- Umdlavuza wamaphaphu
- Umfutho wegazi ophezulu wamaphaphu
- Isifo sofuba
- Amaphaphu Awile / I-Pneumothorax
- I-Pulmonary Embolism
- Ukuminyana
Izinkinga zenhliziyo negazi
- I-anemia - Lokhu kusho ukwehla kwamangqamuzana abomvu egazini.
- Ukwehluleka Kwenhliziyo
- I-cardiomyopathy
- Isilinganiso senhliziyo esingavamile (i-Arrhythmia)
- Ukuvuvukala kwenhliziyo (isib. i-Endocarditis, i-Pericarditis)
Ezinye izizathu
- Ukukhathazeka: Lokhu kuyimbangela evamile kakhulu.
- Ukukhuluphala: Inkomba yesisindo somzimba (i-BMI) engaphezu kuka-30.
- Ukuntuleka kokuzilolonga: Uma ungazivivinyi, imisipha yakho iba buthakathaka futhi uzizwa uphelelwa umoya ngisho nalapho wenza imisebenzi emincane.
- Eminye imithi: Lokhu kungabangelwa futhi eminye imithi yokwehlisa i-cholesterol (ama-statin) kanye neminye imithi yokucindezela kwegazi okuphezulu (ama-beta-blockers).
- Ukuphula into efana nombambo.
- I-Sleep Apnea: Isimo lapho ukuphefumula kuyeka khona ngesikhathi sokulala.
Udokotela angayithola kanjani imbangela yalokhu?
Uma ukhononda ngokuphelelwa umoya, udokotela uzoqala akuhlole. Uzolalela amaphaphu akho nge-stethoscope, alinganise umfutho wegazi lakho, bese elinganisa inani lomoya-mpilo egazini lakho nge-clip encane emunweni wakho (i-pulse oximeter).
Ngaphezu kwalokho, ukuhlolwa okufana nalokhu kungenziwa ukuthola imbangela eqondile:
- I-X-ray yesifuba noma i-CT scan: Ukuhlola noma yiziphi izinkinga ngamaphaphu.
- Ukuhlolwa kwegazi: Hlola ukuthi awunayo yini i-anemia noma ezinye izifo.
- Ukuhlolwa Kokusebenza Kwamaphaphu: Kala ukuthi uphefumula kahle kangakanani.
- Ukuhlolwa Kokuzivocavoca Kwenhliziyo Namaphaphu: Ukuhlolwa okulinganisa ukuthi inhliziyo namaphaphu akho asebenza kanjani ngenkathi uhamba ku-treadmill kanye nokuzivocavoca.
Isikhathi sokuthola iseluleko sezokwelapha ngokushesha
Ubunzima bokuphefumula ngezinye izikhathi kungaba uphawu lwesimo esibucayi sezokwelapha. Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, hamba uye emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (i-ETU) ngokushesha.
| Izimpawu eziphuthumayo okufanele uziqaphele |
|---|
| - Ukuphefumula okuphuthumayo, okunzima. |
| - Ukuphelelwa umoya okungaphezi ngisho nangemva kokuphumula imizuzu engama-30. |
| - Umbala oluhlaza okwesibhakabhaka wezindebe, isikhumba, noma izinzipho (i-Cyanosis). |
| - Ubuhlungu besifuba noma umuzwa wokuqina esifubeni. |
| - Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile (ukushaya kwenhliziyo). |
| - Umkhuhlane ophezulu. |
| - Umsindo wokuphefumula noma umsindo ophakeme (stridor) lapho uphefumula. |
| - Ukuvuvukala kwamaqakala noma izinyawo. |
Ungasiphatha futhi usivimbele kanjani lesi simo?
Ukwelashwa kuncike embangeni yokuphelelwa umoya kwakho. Udokotela wakho uzonquma imbangela bese ekunikeza ukwelashwa okufanele. Ngokuvamile, lezi zinto zingakusiza uzizwe ungcono.
- Ukuzivocavoca: Ukuzivocavoca njalo kuqinisa inhliziyo namaphaphu akho, ukuze kungadingeki kusebenze kanzima kangako.
- Ukuzivocavoca kokuphefumula: Udokotela wakho angakufundisa ukuzivocavoca kokuphefumula okufanele kanye namasu okuzola ingqondo yakho.
- Imithi: Ama-inhalers (ama-bronchodilator) anganikezwa izimo ezifana ne-asthma kanye ne-COPD.
- Ukwelashwa Nge-Oxygen: Uma amazinga akho e-oxygen egazini ephansi kakhulu, udokotela wakho angase akunike i-oxygen yangaphandle.
- Gwema ukubhema: Lokhu kuyinto okufanele uyenze nakanjani.
- Ukugcina isisindo esinempilo.
- Gwema ukuphefumula izinto ezicasula amaphaphu, njengothuli nentuthu.
Ukuphelelwa umoya akuyona into okufanele ungayinaki. Uma ubhekana nobunzima obunjalo njalo, ungesabi ukukhuluma nodokotela womndeni wakho. Ngezinye izikhathi, ngisho noshintsho oluncane lungenza umehluko omkhulu ezingeni lempilo yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphelelwa umoya akusona isifo, kodwa kuwuphawu lwenkinga yempilo eyisisekelo.
- Lokhu kungathinteka yizici ezahlukahlukene, njengokuphazamiseka kwamaphaphu, inhliziyo, kanye nokucindezeleka kwengqondo.
- Nakuba kujwayelekile ukuzizwa ukhathele ngesikhathi sokuzikhandla okuvamile, uma lokhu kungakhululeki kwenzeka njalo noma ngisho nalapho uphumule , khathazeka .
- Uma unezimpawu ezifana nobunzima obukhulu obungazelelwe bokuphefumula, ubuhlungu besifuba, noma izindebe eziluhlaza okwesibhakabhaka,Yiya eyunithi yokwelashwa okuphuthumayo (i-ETU) ngokushesha.
- Ungesabi lokhu, khuluma nodokotela wakho ngokukhululekile, thola imbangela, bese ucela ukwelashwa okufanele.
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