Kufema kunetseka - kurara pasi

Kufema kunetseka paunenge wakarara pasi chinhu chisina kujairika umo munhu ane dambudziko rekufema zvakajairika kana akarara akati sandara. Musoro unofanirwa kusimudzwa nekugara kana kumira kuti ugone kufema zvakadzama kana kugadzikana.

Mhando yekufema kunetseka paunenge wakarara pasi ndeye paroxysmal nocturnal dyspnea. Mamiriro ezvinhu aya anoita kuti munhu amuke pakarepo panguva yehusiku achinzwa kupera mweya.

Ichi chichemo chakajairika kune vanhu vane mamwe marudzi emoyo kana mapapu matambudziko. Dzimwe nguva dambudziko iri rakavanzika. Vanhu vanogona kungozviona ivo pavanoona kuti kurara kunonyanya kugadzikana nemipiro mizhinji pasi pemusoro wavo, kana musoro wavo munzvimbo yakasimudzwa.

Zvinokonzera zvinogona kusanganisira:

• Chirwere chisingaperi chinodzivirira pulmonary chirwere (COPD)
• Cor pulmonale
• Kutadza kwemoyo
• Kufutisa (hakukonzere zvakananga kunetseka kufema wakarara pasi asi kazhinji kunowedzeredza mamwe mamiriro anotungamira kwairi)
• Panic kusagadzikana
• Kurara kufema
• Kuchengeta

Mubatsiri wako wehutano anogona kukurudzira matanho ekuzvichengeta. Semuenzaniso, kurasikirwa uremu kunogona kukurudzirwa kana iwe wakanyanya kufutisa.

Kana iwe uine chero kusanzwisisika kunetseka mukufema iwe wakarara pasi, daidza wako mupi.

Iye mupi achaita bvunzo dzepanyama uye obvunza mibvunzo nezve dambudziko.

Mibvunzo inogona kusanganisira:

• Dambudziko iri rakaitika nekukasira kana zvishoma nezvishoma?
• Zviri kuwedzera (kufambira mberi)?
• Zvakaipa sei?
• Ndeapi mapiro aunoda kuti akubatsire kufema zvakanaka?
• Pane here bundu, tsoka, kana gumbo kuzvimba?
• Iwe unonetseka here kufema pane dzimwe nguva?
• Kureba sei? Unorema zvakadii? Huremu hwako hwachinja nguva pfupi yadarika here?
• Ndezvipi zvimwe zviratidzo zvaunazvo?

Iko kuongorora kwemuviri kuchasanganisira kutarisisa kwakanyanya kune moyo nemapapu (yemoyo uye yekufema masystem).

Kuyedza kunogona kuitwa kunosanganisira zvinotevera:

• Chest x-ray
• ECG
• Echocardiogram
• Pulmonary basa bvunzo

Kurapa kunoenderana nechinokonzera dambudziko rekufema.

Ungangoda kushandisa oxygen.

Kumuka usiku kufema kwekufema; Paroxysmal nocturnal dyspnea; PND; Kunetseka kufema wakarara pasi; Orthopnea; Kutadza kwemoyo - orthopnea

• Kufema

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.

Davis JL, Murray JF. Nhoroondo uye kuongorora kwemuviri. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.

Januzzi JL, Mann DL. Kusvika kumurwere nekutadza kwemoyo. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, et al. eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 21.

O'Connor CM, Rogers JG. Kundikana kwemoyo: pathophysiology uye kuongororwa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 58.