Orthopnea

Zvemukati

• Zviratidzo
• Zvinokonzera
• Kurapa nzira
• Yakabatana mamiriro
• Kutadza kwemoyo
• Chirwere chisingaperi chinodzivirira pulmonary chirwere (COPD)
• Pulmonary edema
• Outlook

Mhedziso

Orthopnea kupfupika kwemweya wekufema kana kunetseka kufema kana iwe wakarara pasi. Inobva mumazwi echiGiriki anoti "ortho," zvinoreva kuti yakatwasuka kana yakamira, uye "pnea," zvinoreva kuti "kufema."

Kana iwe uine chiratidzo ichi, kufema kwako kuchashanda kana iwe ukarara pasi. Inofanira kuvandudza kana iwe wagara kana kumira.

Muzviitiko zvakawanda, orthopnea chiratidzo chekutadza kwemoyo.

Orthopnea yakasiyana nedyspnea, iri kunetseka kufema panguva dzezvinhu zvisina kunetsa. Kana iwe uine dyspnea, iwe unonzwa kunge uri kushaya mweya wekufema kana iwe uchinetseka kubata mweya wako, zvisinei nebasa rauri kuita kana chinzvimbo iwe chauri.

Mimwe misiyano yechiratidzo ichi inosanganisira:

• Platypnea. Ichi chirwere chinokonzeresa kufema kana iwe wakamira.
• Trepopnea. Ichi chirwere chinokonzeresa kufema kana iwe ukarara nedivi rako.

Zviratidzo

Orthopnea chiratidzo. Iwe uchanzwa kupera mweya paunorara pasi. Kugara wakasimudzwa pane imwe kana kupfuura mapiro kunogona kuvandudza kufema kwako.

Mangani mapiro aunoda kushandisa anokwanisa kuudza chiremba wako nezve kuomarara kwechibereko chako. Semuenzaniso, "matatu mutsago orthopnea" zvinoreva kuti orthopnea yako yakanyanya.

Zvinokonzera

Orthopnea inokonzerwa nekuwedzera kumanikidza mumidziyo yeropa yemapapu ako. Paunorara pasi, ropa rinoyerera kubva pamakumbo ako richidzokera kumoyo uyezve kumapapu ako. Muvanhu vane hutano, uku kugoverwa patsva kweropa hakukonzere chero matambudziko.

Asi kana iwe uine chirwere chemwoyo kana kukundikana kwemoyo, moyo wako unogona kunge usina kusimba zvakakwana kupomba iro rinowedzera ropa kubva kunze kwemoyo. Izvi zvinogona kuwedzera kumanikidza mumatsinga uye capillaries mukati memapapu ako, zvichikonzera kuti mvura iturikire mumapapu. Iyo yekuwedzera mvura ndiyo inoita kuti zviome kufema.

Dzimwe nguva vanhu vane chirwere chemapapu vanowana orthopnea - kunyanya kana mapapu avo achiburitsa mucus yakawandisa. Zvakaoma kuti mapapu ako abudise mamasi paunenge wakarara pasi.

Zvimwe zvinogona kukonzera orthopnea zvinosanganisira:

• kuwandisa kwemvura mumapapu (pulmonary edema)
• mabayo akakomba
• kufutisa
• fluid buildup yakatenderedza mapapu (pleural effusion)
• mvura inovaka mudumbu (ascites)
• diaphragm kuoma mitezo

Kurapa nzira

Kuti usunungure mweya wekufema, zvidzivirire iwe kurwisa imwe kana yakawanda mapiro. Izvi zvinofanirwa kukubatsira iwe kufema zviri nyore. Iwe unogona zvakare kuda yekuwedzera okisijeni, kungave kumba kana muchipatara.

Kamwe kana chiremba wako aongorora chinokonzera orthopnea yako, unozorapwa. Vanachiremba vanorapa kukundikana kwemoyo nemishonga, kuvhiyiwa, uye zvishandiso.

Mishonga inoderedza orthopnea mune vanhu vane moyo kukundikana inosanganisira:

• Diuretics. Iyi mishonga inodzivirira fluid kubva pakuvaka mumuviri wako. Zvinodhaka zvakaita furosemide (Lasix) zvinomisa fluid kubva pakuvaka mumapapu ako.
• Angiotensin-inoshandura enzyme (ACE) inhibitors. Iyi mishonga inokurudzirwa kune vanhu vane kuruboshwe-sided moyo kutadza. Ivo vanovandudza kuyerera kweropa uye vanodzivirira moyo kubva mukufanirwa kushanda zvakaoma. ACE inhibitors inosanganisira captopril (Capoten), enalapril (Vasotec), uye lisinopril (Zestril).
• Beta-blockers inokurudzirwawo kune vanhu vane kutadza kwemoyo. Zvichienderana nekuti moyo wako wakundikana zvakadii, kune mimwe mishonga iyo yaunorayirwa nachiremba wako zvakare.

Kana iwe uine Chisingaperi Chinodzivirira Pulmonary Chirwere (COPD), chiremba wako anokuraira mishonga inozorodza mweya uye inoderedza kuzvimba mumapapu. Izvi zvinosanganisira:

• bronchodilators senge albuterol (ProAir HFA, Ventolin HFA), ipratropium (Atrovent), salmeterol (Serevent), uye tiotropium (Spiriva)
• inhaled steroid yakadai sa budesonide (Pulmicort Flexhaler, Uceris), fluticasone (Flovent HFA, Flonase)
• kusanganiswa kwebronchodilators uye inhaled steroids, senge formoterol uye budesonide (Symbicort) uye salmeterol uye fluticasone (Advair)

Iwe unogona zvakare kuda yekuwedzera okisijeni kuti ikubatsire iwe kufema iwe uchirara.

Yakabatana mamiriro

Orthopnea inogona kuve chiratidzo cheakasiyana marapirwo, kusanganisira:

Kutadza kwemoyo

Ichi chiitiko chinoitika kana moyo wako usingakwanise kupomba ropa mumuviri wako wese. Inonziwo congestive moyo kutadza. Pese paunorara, ropa rakawanda rinoyerera richipinda mumapapu ako. Kana moyo wako wakaneta usingakwanise kusundira iro ropa kunze kwemuviri wese, iko kumanikidza kunowedzera mukati memapapu ako uye kunokonzeresa kufema.

Kazhinji chiratidzo ichi hachitangi kusvika maawa akati wandei warara.

Chirwere chisingaperi chinodzivirira pulmonary chirwere (COPD)

COPD mubatanidzwa wezvirwere zvemapapu izvo zvinosanganisira emphysema uye chisingaperi bronchitis. Inokonzeresa kufema, kukosora, kufema, uye kuomesa pachipfuva. Kusiyana nekushaya moyo, orthopnea kubva kuCOPD inotanga nekukurumidza mushure mekunge warara pasi.

Pulmonary edema

Mamiriro aya anokonzerwa nekuwandisa kwemvura mumapapu, izvo zvinoita kuti zviome kufema. Iko kufema kwekufema kunowedzera kana iwe ukarara pasi. Kazhinji izvi zvinobva mukundikana kwemoyo.

Outlook

Maonero ako anoenderana nekuti ndeupi mamiriro ari kukonzera orthopnea yako, kuti yakanyanya sei iyo mamiriro, uye kurapwa kwazvinoita. Mishonga uye mamwe marapirwo anogona kushanda pakubvisa orthopnea uye nemamiriro ayo anokonzeresa, sekutadza kwemoyo neCOPD.