Uma ulala embhedeni, noma ulala kusofa ubukele i-TV, ingabe ngokuzumayo uthola kunzima ukuphefumula? Kuzwakala sengathi isifuba sakho sinciphile futhi uphelelwa umoya? Kodwa uma usukuma futhi uhlala, kuyaphela. Wake wabhekana nalokhu? Abantu abaningi bacabanga ukuthi lokhu kuyinto evamile, kodwa akuyona into okufanele ungayinaki. Lokhu yilokho esikubiza ngokuthi i-Orthopnea ngokwezokwelapha.
Kalula nje, iyini i-Orthopnea?
I-Orthopnea yisimo lapho unenkinga yokuphefumula uma ulele phansi, ikakhulukazi lapho intamo nesifuba sakho kusezingeni elifanayo. Isibonelo, uma ulala embhedeni ungenamcamelo, uzizwa uphelelwa umoya, kodwa ubunzima buyaphela uma uhleli noma uma ulele ikhanda lakho liphakanyisiwe phezu kwemicamelo emibili noma emithathu. Lesi yisibonakaliso esiyinhloko se-orthopnea.
Nansi enye into. Abanye abantu bavuka ngokuzumayo ebusuku bephefumula kanzima. Lokhu sikubiza ngokuthi i-Paroxysmal Nocturnal Dyspnea (PND). I-Orthopnea ihlukile kancane. I-PND yenzeka kuphela ngesikhathi sokulala. Kodwa i-orthopnea ingenzeka ngisho nalapho uvukile, noma ngabe ulele phansi. Isibonelo, ungase uyizwe lapho ulele phansi ukuze ubukele i-TV, noma lapho udokotela ekuyala ukuba ulale embhedeni ukuze uhlolwe.
Into ebalulekile ukuthi i-Orthopnea ayisona isifo, kodwa uphawu lwesinye isifo . Ngakho-ke, uma unalolu hlobo lokungakhululeki, kubalulekile ukuthola imbangela eyisisekelo.
Yiziphi ezinye izimpawu ezihambisana ne-orthopnea?
Ngaphezu kobunzima bokuphefumula, ungase ube nezinye izimpawu eziningana. Abanye abantu balala bephethe imicamelo eminingi phezu kwabo, kanti abanye balala behleli esihlalweni. Lokhu kungenxa yokuthi kulula ukuphefumula uhleli kunokulala phansi.
| Isibonakaliso | Incazelo |
|---|---|
| Ukuqina kwesifuba noma ubuhlungu | Ukuzizwa sengathi isifuba sakho sinciphile futhi sinzima uma uphefumula. |
| Ukuphefumula noma ukukhwehlela | Umsindo othi 'ushizi-ushizi' uvela esifubeni uma uphefumula noma ukhwehlela njalo. |
| Ukushaya kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha, njengokushaya kwenhliziyo. |
Kungani lokhu kwenzeka? Ziyini izimbangela ze-orthopnea?
Isizathu esiyinhloko salokhu ukuthi uketshezi luqoqana emaphashini ngenxa yesimo esithile sezokwelapha emzimbeni, noma amaphaphu awakwazi ukwanda kahle futhi athathe umoya.
Cabanga ngale ndlela. Uma sigoba, igazi elisemilenzeni yethu libuyela esifubeni sethu. Inhliziyo enempilo ingapompa leli gazi elengeziwe libuyele emzimbeni ngaphandle kwezinkinga. Kodwa uma inhliziyo yakho ibuthakathaka, ayikwazi ukupompa leli gazi elengeziwe. Khona-ke lelo gazi liyanqwabelana emaphashini akho, lidale ingcindezi, okwenza kube nzima ukuphefumula. Uma usukuma futhi uhlala, amandla adonsela phansi abuyisela lelo gazi emilenzeni yakho, anciphise ingcindezi emaphashini akho futhi enze kube lula ukuphefumula.
Ezinye zezimo zezokwelapha eziyinhloko ezingabangela i-orthopnea zibalwe ngezansi.
| Isimo | Incazelo elula |
|---|---|
| Ukwehluleka Kwenhliziyo Okubangelwa Ukuqina Kwenhliziyo | Lokhu kuyimbangela enkulu ye-orthopnea. Njengoba inhliziyo iba buthaka, uketshezi luyanqwabelana emaphashini, okwenza kube nzima ukuphefumula. |
| Umfutho wegazi ophezulu wamaphaphu (PH) | Ukwanda kwengcindezi emithanjeni yegazi ethwala igazi iye emaphashini. |
| I-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu) | Iqembu lezifo ezibangela ukuvuvukala okungapheli kwamaphaphu, okubangela ubunzima bokuphefumula. |
| Ukukhuluphala ngokweqile | Ukukhuluphala ngokweqile kungabangela ubunzima bokuphefumula njengoba i-diaphragm ingakwazi ukukhula ngokugcwele. |
| Ukuvuvukala Kwamaphaphu | Ukuqongelela koketshezi emaphashini. |
| I-pneumonia Enzima | Ukutheleleka okukhulu okuthinta amaphaphu. |
| Ukukhubazeka Kwe-Diaphragm | I-diaphragm ebuthaka ngenxa yokulimala, isimila, noma esinye isifo, okwenza kube nzima ukuphefumula. |
Ukuthola kanjani lokhu, Dokotela?
Uma utshela udokotela wakho ukuthi unale nkinga, uzoqala ngokukubuza imibuzo embalwa. Ikakhulukazi, umbuzo othi "Mingaki imicamelo okudingeka ulale kuyo?" ubaluleke kakhulu. Inani lemicamelo oyidingayo, kungaba eyodwa, emibili, noma emithathu, lingakunikeza umbono wobucayi besimo.
Ngemuva kwalokho, bazoyala ukuhlolwa okuningana ukuthola imbangela eyisisekelo.
- I-X-ray yesifuba
- Iskeni yokuhlola ukusebenza kwenhliziyo (i-Echocardiogram)
- Ukuhlolwa kwe-ECG (i-Electrocardiogram)
- Ukuhlolwa kokusebenza kwamaphaphu
Yiziphi izindlela zokwelapha lokhu?
Khumbula, i-orthopnea akuyona uphawu, kodwa yisimo esiyimbangela yaso . Udokotela wakho uzophinde ancome izindlela zokunciphisa ukuphelelwa umoya ngenkathi welapha lesi simo.
Ngokuvamile, izimpawu zingalawulwa ngokulala ikhanda lakho liphakeme, ukunikeza umoya-mpilo uma kudingeka, nokwehlisa isisindo. Kukhona nokwelashwa okuqondile kuye ngokuthi imbangela iyini.
- Ukwehluleka Kwenhliziyo: Izinguquko zendlela yokuphila, imithi yokukhipha isisu, kanye nemithi efana ne-ACE inhibitors kanye ne-beta-blockers inganikezwa ukusiza inhliziyo isebenze kahle. Ngezinye izikhathi kungadingeka ukuhlinzwa noma i-pacemaker.
- I-COPD: Kusetshenziswa imithi ekhulisa imigudu yomoya (ama-Bronchodilators) futhi inciphise ukuvuvukala emaphashini (ama-Corticosteroids).
- Ukukhuluphala ngokweqile: Ukulawula isisindo ngokudla okunempilo kanye nokuzivocavoca kubalulekile.
- I-pneumonia: Ama-antibiotic kanye nomoya-mpilo kunikezwa uma kudingeka.
Ingabe i-orthopnea ingavinjelwa?
Indlela engcono kakhulu yokuvimbela i-orthopnea ukunciphisa ingozi yokuthola izifo ezibangela lokhu. Lokho kusho ukuphila ngendlela enempilo.
- Lawula kahle izimo ezandisa ingozi yesifo senhliziyo, njengesifo sikashukela, i-cholesterol ephezulu, kanye nomfutho wegazi ophakeme .
- Vivinya umzimba njalo. Kuhle ukuzivocavoca okungenani imizuzu engama-30 ngosuku, izinsuku eziningi zesonto.
- Gwema ukubhema ngokuphelele. Uma ubhema, cela usizo kudokotela wakho ukuze uyeke.
- Nciphisa noma uyeke ngokuphelele ukusebenzisa utshwala .
- Faka izithelo, imifino, nokudla okunomsoco ekudleni kwakho.
- Hlola udokotela okungenani kanye ngonyaka futhi uqaphele isimo sakho sempilo.
Ukuba ne-orthopnea akusho ukuthi unesifo senhliziyo. Kodwa-ke, kungaba uphawu olukhulu lokuhlaselwa yinhliziyo. Ngakho-ke, qiniseka ukuthi ubona udokotela ukuze uthole ukuxilongwa okufanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Orthopnea yisimo lapho kuba nzima ukuphefumula uma ugoba, kodwa kuyathuthuka uma uhlala phansi.
- Lokhu akusona isifo, kodwa kuwuphawu lwesimo esingaphansi, esivame ukubandakanya inhliziyo noma amaphaphu.
- Uphawu oluvamile lwalokhu ukusebenzisa imicamelo eminingi ukuze ulale kuyo.
- Ungalokothi ungazinaki lezi zimpawu. Bona udokotela wakho ngokushesha ngangokunokwenzeka ukuze uthole imbangela.
- Ngokwelapha kahle isimo esiyisisekelo, ungalawula ubunzima bakho bokuphefumula futhi uphile impilo enhle.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini Ubuhlungu Bemisipha / I-Myalgia?
Kuvamile ukuzwa imisipha ebuhlungu/ebuhlungu ngemva kokujima ejimini noma ngemva kokugijima nokuhamba kakhulu. Kodwa lesi simo esibizwa ngokuthi 'Ubuhlungu Bemisipha (Myalgia)' siyisibonakaliso esibi esikwenza uzizwe sengathi yonke imisipha (nomgogodla) emzimbeni wakho iyachotshozwa futhi ichotshozwe ngokuzumayo, okwenza kube nzima ngisho nokuvuka embhedeni, ngaphandle kokwenza noma yimuphi umsebenzi onzima.
💬 Yiziphi izimbangela eziyinhloko zobuhlungu/izinhlungu zemisipha ezenza kube nzima ukuphuma embhedeni?
Kunezizathu eziningana eziyinhloko zalokhu: 1) 'Ukutheleleka okukhulu kwegciwane' - Uma uthola i-dengue, i-COVID-19, noma umkhuhlane ovamile, amasosha omzimba wakho aya empini futhi imisipha yakho yonke emzimbeni wakho iyaqaqamba. 2) 'Ukuqaqamba Kwemisipha/Ukuqaqamba Kwamalunga' - Uma umzimba wakho uphelelwa amanzi emzimbeni, izindawo ezifana nezinwele zakho ziyaqina ngokuzumayo. 3) 'I-Statins/Rhabdomyolysis', umphumela omubi wemithi yokwehlisa i-cholesterol, nayo ingabangela ubuhlungu bemisipha. 4) I-Fibromyalgia.
💬 Uma unezinhlungu zemisipha, kufanele uye esibhedlela ngokushesha, hhayi nje ukuhlala ekhaya bese uthatha iPanadol. Yiziphi 'izimo ezibulalayo/eziphuthumayo (i-Rhabdomyolysis)'?
Ezimweni eziningi, lokhu kuzophela ezinsukwini ezingu-3-4 ngenxa yomkhuhlane/ukukhathala okubangelwa yigciwane (ukuphumula/ukuphuza amanzi). Kodwa ingozi enkulu! Kanye nobuhlungu bemisipha, uma 1) umchamo wakho uphenduka ikhofi emnyama noma umbala wegazi (umchamo omnyama onombala wetiye), kusho ukuthi imisipha yakho iyancibilika futhi izinso zakho ziqala ukubola (Ukulimala Kwezinso Okukhulu)! 2) Uma imisipha yakho yentamo iqandisiwe futhi unomkhuhlane (i-Meningitis), 3) Uma unenkinga yokuphefumula, udinga ukulaliswa esibhedlela ngokushesha!
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