Dyspnea maraice, wanda ake kira "PND" da likitoci, ya zama alama ce ta musamman wanda ya haifar da rashin lafiya . Mutumin da ke da PND zai tashi daga barci mai zurfi tare da dyspnea mai tsanani (rashin ƙarfi na numfashi), kuma zai sami gashin kansa don yin iska, tarin zuciya, da jin dadin fita daga gado kuma ya ɗauka tsaye.
A kalla mutumin da aka azabtar zai zauna a gefen gado, kuma sau da yawa yana jin cewa akwai buƙatar shiga wata taga don iska.
Ƙarfin iska kullum yana inganta fiye da minti kadan. Ko da bayan bayyanar cututtuka sun tafi, duk da haka, har yanzu yana da wuya a dawowa barci bayan wani matsala na PND, saboda damuwa cewa irin wannan mummunan cututtuka da ke haifar da ita.
Wani lokaci PND ba ya warware sauri kuma a maimakon haka zai iya ci gaba. Saboda bayyanar cututtuka sun kasance mai tsanani don yin watsi da su, wani ɓangare na gaba na PND yana kira zuwa 911 ko tafiya zuwa ɗakin gaggawa.
Ko yayinda ba ta magance shi ba, PND ya zama alama ce mai hatsari wanda yawanci ya nuna cewa rashin zuciyar mutum ya zama mafi muni. Don haka, duk wanda ya sami PND yana buƙatar tuntuɓar likita a nan gaba, koda kuwa bayyanar cututtuka ta yi sauri.
Dalilin
Dyspnea maras amfani da launi na yau da kullum yana haifar da rashin tausayi na zuciya , mafi yawan (amma ba koyaushe) a cikin mutanen da suka samu ciwon dyspnea tare da aiki, ko kuma kothopnea (gajeren numfashi lokacin kwanciya).
Mutanen da suka fuskanci PND kuma suna da akalla wasu kalmomi (ƙumburi) a ƙafafunsu da ƙafafunsu, wanda, a cikin ƙin zuciya, yawanci yana nuna yawan sauyin ruwa.
A cikin mutanen da ke da ciwon zuciya, kwance ga barci zai iya haifar da ruwa mai yawa a cikin jiki. Ɗaya daga cikin abu, ruwa yana kokarin canzawa daga kyallen takarda a cikin plasma, wanda ya kara girman ƙwayar plasma.
Bugu da ari, wasu daga cikin haɗarin ruwa, wannan nauyin ya "sanya shi" a kafafu ko ciki a lokacin rana zai iya motsawa daga ƙananan sassa na jiki lokacin da mutum ya kwanta. Wannan haɗarin ruwa yana iya sake rarraba ga huhu.
Wasu lokuta wadannan canzawar ruwa zai haifar da rashin ƙarfi lokacin da mutumin da ke da ciwon zuciya ya kwanta. Wannan saurin motsawa na yau da kullum ya haifar da alamar ingancin. Mutanen da suke da orthopnea da sauri suna koyon girman kan gadajensu, wanda yana da tasirin kiyaye kodayansu. Wannan yana taimaka wajen kiyaye ruwa daga motsi zuwa ga huhu. (Haka kuma dalilin da ya sa likitoci sukan tambayi marasa lafiya da ciwon zuciya da yawa daga cikin matasan da suka yi amfani da su a daren - yana da kimanin kimanin nauyin orthopnea wanda mutumin yake fuskanta.)
Amma tare da PND ruwa yana canzawa baya haifar da bayyanar cututtuka nan da nan. Maimakon haka, jerin abubuwa sun faru ne a ƙarshe (bayan mutum ya sami zarafi ya bar barci) ya haifar da jinkirin - kuma yawanci mafi tsanani - farawa na dyspnea. Dalilin da aka jinkirta farkon bayyanar cututtuka a cikin mutane da PND ba cikakke ba ne. Ana tsammanin cewa watakila cibiyar na numfashi a cikin kwakwalwa na iya zama takaici a lokacin barci a cikin mutane da rashin ciwo zuciya, ko kuma rage yawan adrenaline a lokacin barci yana iya rage zuciya a zuciya, kuma yana iya ba da damar samar da ruwa a cikin huhu.
Shin ana iya samun PND ta hanyar Hanyoyi Sauran Bayan Raunin Zuciya?
Hanyar "dama" don amfani da kalmar "PND" ba ta amince da shi gaba da likitoci ba. Kwararrun likitoci sunyi la'akari da cewa PND ya zama lokaci na fasaha, kuma suna da amfani da shi kawai ga marasa lafiya da ciwon zuciya. Wannan amfani yana ba da muhimmanci ga "PND." Mutane da ke da ciwon zuciya da suka ci gaba da PND suna iya haifar da mummunan rauni, rashin ƙarfin zuciya a cikin kwanan nan. Wannan yana nufin cewa ya kamata su yi matukar damuwa da sauri don hana wannan mummunan hali, watakila yiwuwar barazanar rai na rashin tausayi na zuciya daga faruwa.
To, a lokacin da masu kwakwalwa suka ce "PND" suna yin duka ganewa da kuma bayanan sanarwa.
Duk da haka, magana mai mahimmanci, "dyspnea na nocturnal nocturnal" yana nufin "rashin ƙarfi na farko na numfashi a cikin dare," kuma saboda haka za'a iya amfani da ita ga kowane yanayin lafiya wanda zai iya haifar da dyspnea yayin barci. Saboda haka, a tsakanin magunguna a manyan, "PND" kawai shine bayanin alamun. Sabili da haka, za ku ji "PND" amfani da hanyoyi daban-daban na kiwon lafiya wanda zai iya haifar da dyspnea na dare da dare. Wadannan ka'idodin suna da yawa kuma sun hada da barci mai barci , fuka , da kuma amintattun kwalliya . Har ila yau sun haɗa da yanayin kwakwalwa banda cututtukan zuciya kamar kwakwalwar zuciya kamar yadda ciwon zuciya na diastolic da ciwon ischemia mai cututtukan zuciya (kamar tare da ciwo na jijiyoyin zuciya ).
Kalma Daga
Ba makawa ba ne don gano ko dyspnea mai dadi da dare ne saboda rashin cin nasara na zuciya ko wani abu. Tana da likitanku. Abin da kake buƙatar sani shi ne cewa PND yana nuna cewa akwai matsala mai tsanani da ke faruwa. Duk abin da yakamata ya kasance, kana buƙatar samun taimako na likita nan da nan idan ka fuskanci wannan bayyanar.
> Sources:
> 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.