Orthopnea shine sunan likitocin da suke amfani da su don bayyanar cutar dyspnea (gajeren numfashi) wanda ke faruwa a yayin da mutum yake kwance. Orthopnea an dauke shi muhimmiyar alama ce saboda yawancin lokuta alamar rashin ciwo na zuciya , amma ana iya haifar da shi ta wasu yanayin kiwon lafiya. Saboda wannan dalili, duk wani wanda ke samun ilimin tarin hankalin ya kamata a koya masa kullum ta likita.
Mene ne yake sanya Orthopnea?
Lokacin da kowa ya kwance ƙasa, nauyi zai haifar da sakewa cikin ruwa cikin jiki. Yawancin lokaci, wasu daga cikin ruwa a cikin kasan jikin, musamman kafafu da gabobin jiki, suna ɗorawa a cikin akwatin kirji. Wannan redistribution na ruwa ne al'ada zama ƙananan, kuma a mafi yawan mutane ba shi da wani tasiri duk abin da numfashi.
Duk da haka, a cikin mutanen da ke fama da rashin tausayi na zuciya , zuciya ba zai iya karɓar wannan karin ruwa ba, kuma ba zai iya aiwatar da ƙarin aikin da ake bukata don kiyaye wannan karin ruwa daga tarawa a cikin huhu ba. A sakamakon haka, ƙwaƙwalwa na huhu - da kuma harshe na huhu - zai iya faruwa, da kuma gajeren numfashi. Bugu da ƙari ga dyspnea, wasu mutane zasu fuskanci tari ko yunkuri yayin kwance. Wadannan nau'i na numfashi suna haifar da zaton cewa matsayi na ƙaddarawa ana kiran su orthopnea.
Lokacin da mutum ya ji asibirin, ya zauna ko yaɗa kansa ya juya wasu daga cikin redistribution na ruwa wanda ya faru, kuma ya sauya gwangwadon kwakwalwa.
Kwayoyin cututtuka yawanci ana inganta su ta hanyar canza matsayi.
Ƙarƙashin zuciya ba shine kawai hanyar kothopnea ba, amma wannan shine mafi yawan abin da ya fi dacewa. Wani lokaci masu fama da ciwon sukari ko ciwon sukari na yau da kullum zasu sami matsaloli masu numfashi yayin kwance. Alamar cututtuka da raunin numfashi da ke faruwa tare da waɗannan yanayi, duk da haka, yawanci ba su ɓacewa da sauri bayan sun zauna, amma karɓar karin lokaci don warwarewa.
Abincin barci na iya haifar da alamar bayyanar cututtuka da suka dace da orthopnea, ko kuma sau da yawa, zuwa dyspnea maraice ta paroxysmal (da aka ambata a sashe na gaba).
Abun hanyoyi masu kama da juna
Wani alama kuma mai haɗuwa da rashin ƙarfi na zuciya shine dyspnea na nocturnal nocturnal, ko PND . PND ma yana da alaka da redistribution na ruwa wanda yake faruwa a lokacin barci, amma yanayin da ya fi rikitarwa fiye da "asiri" mai sauƙi. Kullum, mutanen da ke da PND basu lura dyspnea daidai ba bayan kwance. Maimakon haka, ana farka daga barci tare da wani ɓangaren rashin ƙarfi na numfashi wanda zai sa su zauna nan da nan don taimako. Bugu da ƙari ga dyspnea, marasa lafiya tare da PND kuma sukan shawo kan maganganu , ƙwaƙwalwa mai tsanani, da jin tsoro.
A bayyane yake, PND wani abu ne mafi ban mamaki fiye da kothonnea. Ana tsammanin wasu samfurori na dabam (ba tare da tsabtace ruwa ba) suna cikin mutanen da ke da PND, watakila alaka da canje-canje a cibiyar kwakwalwa na kwakwalwa wanda zai iya haɗuwa da rashin ƙarfi na zuciya.
Kwanan nan, likitoci sun gane wani nau'i na alamar alama a cikin mutane da rashin tausayi na zuciya kuma yana da alaƙa da sake juyayi - " bendopnea ," ko dyspnea da aka lalacewa ta hanyar kunya.
Ƙasanta Orthopnea
Doctors ya kamata su tambayi duk wani mai haƙuri da ciwon zuciya ko abin da ake tsammani zuciya rashin cin nasara ko sun fuskanci kowane dyspnea a kan kwance.
Wannan tambaya ce mai mahimmanci domin tada hanzari yana nuna wani mummunar lalacewa a cikin aikin zuciya.
Mutane da yawa tare da orthopnea magance wannan alamar ta hanyar ƙara matashin kai ko biyu. Zai yiwu ba su gane cewa suna da numfashi lokacin da suke kwance - suna iya jin dadi sosai da kawunansu. Wannan shine dalilin da yasa likitoci zasu tambayi yawancin matasan da ke fama da ciwon zuciya ta amfani da su, kuma za su rubuta amsoshin a cikin zane a matsayin "tarin hanzari biyu" ko "matattarar matattawa uku".
Saboda ciwon hawan tarin hanzari yana da alamar nuna rashin ciwo ga zuciya, duk wanda ke tare da ciwon zuciya (da sauran masu haɗaka) ya kamata ya kula da ƙara tsananta alamar bayyanar cututtuka, har ma da matakan matasan da suke amfani da su.
Aminiya na farko idan bayyanar cututtuka sun fi dacewa za su iya kauce wa rikici na zuciya, kuma su hana bukatar yin asibiti.
Kalma Daga
Orthopnea yana daya daga cikin bayyanai da yawa na kwakwalwa na mahaifa wanda zai iya faruwa a cikin mutane da rashin tausayi na zuciya. Tushen kothopnea, ko canje-canje a cikin matsanancin tayi, zai iya nuna manyan canje-canje a cikin tsananin rashin gazawar zuciya. Saboda haka, duk wanda yake da ciwon zuciya ya kamata ya kula da wannan bayyanar.
> Sources:
> Ganong WF. Sauye-sauye na numfashi a cikin Lafiya da Cutar. A: Review of Medical Physiology, 12th ed. Los Altos: Lange Medical Publications, 1985; 558 â € 71.
> Thibodeau JT, Ture AT, Gualano SK, et al. Nunawar wani labari na al'ada na ci gaba mai zurfi: Bendopnea. JACC Zuciya ta Lalacewa 2014; 2: 24-31.
> Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / Dokar Sharuɗɗa ta AHA don Gudanar da Zuciyar Zuciya: Babban Tsarin: Rahoton Cibiyar Kasuwancin Cibiyar Kwayoyin Kayan Kwafa ta Amurka (American Academy of Cardiology Foundation / American Heart Association Task Force on Guidelines. Yanayin 2013; 128: 1810.