Kufema kunetseka

Kufema kunetseka kunogona kusanganisira:

• Kufema kufema
• Kusagadzikana kufema
• Kunzwa kunge usiri kuwana mhepo yakakwana

Iko hakuna tsananguro yakajairika yekutambudzika kufema. Vamwe vanhu vanonzwa kufema nekuita zvinyoro nyoro (semuenzaniso, kukwira masitepisi), kunyangwe vasina chirwere chekurapa. Vamwe vanogona kunge vaine chirwere chepamusoro chemapapu, asi vangangonzwa vasina mweya wekufema.

Kupururudza ndeimwe nzira yekutambudzika kwekufema maunoita ruzha rwakakwira kana uchifema kunze.

Kufema kufema kune zvakawanda zvakasiyana zvikonzero. Semuenzaniso, chirwere chemwoyo chinogona kukonzera kufema kana moyo wako usingakwanise kupomba ropa rakaringana kuti upe oxygen mumuviri wako. Kana uropi hwako, mhasuru, kana imwe nhengo yemuviri ikasawana oxygen yakakwana, mweya wekufema unogona kuitika.

Kufema kunetseka kunogona zvakare kunge kuri nekuda kwematambudziko nemapapu, mweya, kana mamwe matambudziko ehutano.

Zvinetso nemapapu:

• Ropa rinovhara mumatsinga emapapu (pulmonary embolism)
• Kuzvimba uye mamasi anovaka mune diki diki mamhepo mapapu mumapapu (bronchiolitis)
• Chirwere chisingaperi chinodzivirira pulmonary chirwere (COPD), senge chisingaperi bronchitis kana emphysema
• Chirwere chemabayo
• Kuwedzera kweropa mumatsinga emapapu (pulmonary hypertension)
• Zvimwe chirwere chemapapu

Zvinetso nemhepo inoenda kumapapu:

• Kuvharika kwenzvimbo dzemhepo mumhino dzako, muromo, kana huro
• Kudzipwa pane chimwe chinhu chakanamirwa mumhepo
• Kuzvimba kutenderedza tambo dzemazwi (croup)
• Kuzvimba kwetishu (epiglottis) inovhara mhepo (epiglottitis)

Zvinetso nemoyo:

• Kurwadziwa pachifuva nekuda kwekutadza kweropa kuyerera kuburikidza nemidziyo yeropa yemoyo (angina)
• Kumira kurova kwemoyo
• Urema hwemwoyo kubva pakuberekwa (chirwere chepfungwa chepfungwa)
• Kutadza kwemoyo
• Mwoyo mutinhimira kukanganiswa (arrhythmias)

Zvimwe zvikonzero:

• Allergies (senge kuumba, dander, kana mukume)
• Kukwirira kwakakwirira uko kune oxygen shoma mumhepo
• Kumanikidza kwemadziro echifuva
• Guruva munharaunda
• Kushungurudzika mupfungwa, sekushushikana
• Hiatal hernia (mamiriro mune chikamu chedumbu chinotambanuka kuburikidza nekuvhurwa kwedhiramu muchipfuva)
• Kufutisa
• Kutya kwekutya
• Anemia (yakaderera hemoglobin)
• Zvinetso zveropa (apo masero ako eropa asingakwanise kutora okisijeni zvakajairika, chirwere chinonzi methemoglobinemia muenzaniso)

Dzimwe nguva, kunetseka kufema kwakapfava kunogona kuve kwakajairwa uye hachisi chikonzero chekufunganya. Mhino yakanyanyisa ndeye mumwe muenzaniso. Kurovedza muviri kunonetsa, kunyanya kana usingaite maekisesaizi kazhinji, ndiwo mumwe muenzaniso.

Kana kufema kunetseka kuri kutsva kana kuri kuramba kuchikura, zvinogona kunge kuri nekuda kwedambudziko rakakomba. Kunyangwe zvikonzero zvakawanda zvisina ngozi uye zvichirapika nyore, fonera wako mupi wehutano kune chero chinetso chekufema.

Kana iwe uri kurapwa kwechinetso chenguva refu nemapapu ako kana nemoyo, tevera zvinongedzo zvemupi wako kuti ubatsire nedambudziko iro.

Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (se911) kana:

• Kufema kunetseka kunouya kamwe kamwe kana zvakakomba kuchikanganisa kufema kwako uye kunyange kutaura
• Mumwe munhu anomira zvachose kufema

Ona mupiki wako kana chimwe chezvinotevera chikaitika nekufema kunetseka:

• Chifuva kusagadzikana, kurwadziwa, kana kumanikidzwa. Izvi ndizvo zviratidzo zveangina.
• Kupindwa nechando.
• Kufema kwekufema mushure mekuita kushoma kana kuita kana uchizorora.
• Kupfupika kwemweya unokumutsa iwe husiku kana kunoda kuti iwe urare wakakwiridzirwa kumusoro kuti ufeme.
• Kufema nekufema kutaura.
• Kuomesa pahuro kana kuhukura, kukosora kwakakora.
• Wakafemera mukati kana kudzipwa nechinhu (chishuwo chekunze chinhu kana kumedza).
• Kushungurudza.

Iye mupi anozokuongorora. Iwe uchazobvunzwa nezve yako nhoroondo yezvokurapa uye zviratidzo. Mibvunzo inogona kusanganisira kuti wakave nenguva yakareba sei uchinetseka kufema uye payakatanga. Iwe unogona zvakare kubvunzwa kana chero chinhu chichiita kuti chiwedzere uye kana iwe ukaita kugunun'una kana kurira kurira kana uchifema.

Miedzo inogona kurairwa inosanganisira:

• Ropa okisijeni kuzadza (kupomba oximetry)
• Kuongororwa kweropa (kunogona kusanganisira arterial ropa magasi)
• Chest x-ray
• CT scan yechifuva
• Electrocardiogram (ECG)
• Echocardiogram
• Exercise kuyedza
• Pulmonary basa bvunzo

Kana kunetseka kwekufema kwakanyanya, ungangoda kuenda kuchipatara. Iwe unogona kugamuchira mishonga yekurapa iyo chinetso chekutambudzika kufema.

Kana ropa rako reokisijeni rakadzika kwazvo, ungangoda oxygen.

Kufema kwekufema; Kufema; Kunetseka kufema; Dyspnea

• Nzira yekufema kana iwe uchinge uchinge uchishaya mweya wekufema
• Chirwere chemukati chemapapu - vanhu vakuru - kubuda
• Okisijeni chengetedzo
• Kufamba nematambudziko ekufema
• Kushandisa oxygen kumba

• Mapapu
• Emphysema

Braithwaite SA, Perina D. Dyspnea. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 22.

Kraft M. Nzira kune murwere ane chirwere chekufema. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 83.

Schwartzstein RM, Adams L. Dyspnea. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 29.