He aha ka paroxysmal nocturnal dyspnea a pehea e mālama ai

Anter

• Āhea hiki ke ala aʻe
• Pehea e hana ai i ka lāʻau
• Nā ʻano ʻē aʻe o dyspnoea

ʻO Paroxysmal nocturnal dyspnea ka pōkole o ka hanu e ʻike ʻia i ka wā hiamoe, e hoʻoulu ana i ka hanu a hiki i ke kanaka e noho a ala paha i ka ʻimi ʻana i kahi ākea loa e hoʻomaha ai kēia naʻau.

Hōʻike ʻia kēia dyspnoea me nā ʻōuli a me nā ʻōuli e like me ka sweating ikaika, ka ʻū ʻana a me ke kaniʻuhū ʻana, kahi e hoʻomaikaʻi mau ai ma hope o kekahi mau minuke e noho ana a kū paha.

ʻO kēia ʻano hanu o ka hanu ua aneane pinepine i kahi komplication e ala aʻe i ka poʻe me ka puʻuwai puʻuwai, keu hoʻi ke hana ʻole lākou i ka lāʻau kūpono. No laila, e hōʻalo i kēia ʻōuli, pono e hoʻohana i nā lāʻau i koi ʻia e ke kauka i mea e mālama pono ʻole ai i ka puʻuwai a hōʻemi i nā hōʻailona.

Āhea hiki ke ala aʻe

Kū pinepine ʻo Paroxysmal nocturnal dyspnea i ka poʻe me ka puʻuwai puʻuwai kūpikipiki, e like me ka hana ʻole ʻana o ka puʻuwai e hōʻiliʻili ai nā wai i ke kahe o ke koko, nā lālā o ke kino a, no laila, i loko o nā akemāmā, e hoʻoulu ana i ka pulmonary congestion a me nā pilikia i ka hanu.

Eia nō naʻe, ʻike ʻia kēia hōʻailona ma nā hihia kahi decompensated ka maʻi, ma muli o ka loaʻa ʻole o ka lapaʻau kūpono a ma hope paha o nā hanana e koi ana i nā hana ʻoi aku ka nui mai ke kino, e like me kahi maʻi a ma hope paha o ke kaha ʻana, no ka laʻana.

Pehea e hana ai i ka lāʻau

Hana ʻia ka mālama ʻana i ka paroxysmal nocturnal dyspnea me nā lāʻau i hōʻike ʻia e ka mea hana maʻamau a i ʻole ka mea maʻi maʻi cardiologist e mālama ai i ka puʻuwai puʻuwai a hoʻemi i ka hōʻiliʻili ʻana o ka wai i nā akemāmā, a ʻo kekahi mau laʻana me nā diuretics e like me Furosemide a i ʻole Spironolactone, antihypertensives e like me Enalapril, C laptopril a i ʻole Carvedilol , nā lāʻau antiarrhythmic e like me Amiodarone (i ka hihia o arrhythmia) a i ʻole cardiotonics e like me Digoxin, no ka laʻana.

E ʻike i nā kikoʻī e pili ana i ka hana ʻana o ka mālama ʻana i ka puʻuwai a me nā lāʻau e hoʻohana ai.

Nā ʻano ʻē aʻe o dyspnoea

ʻO Dyspnea kahi manawa olakino i ʻōlelo ʻia aia kekahi ʻano o ka pōkole o ka hanu a ʻoi aku ka maʻamau i nā poʻe me kekahi ʻano puʻuwai, lolo a me ka pilikia kahe.

Ma waho aʻe o ka paroxysmal nocturnal dyspnea, aia kekahi mau ʻano ʻē aʻe, e like me:

• Orthopnea: ka pōkole o ka hanu ke moe ʻoe i lalo, kahi i loaʻa ʻole i ka puʻuwai puʻuwai, i ka hoʻohui ʻana i nā hihia o ka pulmonary congestion a i ʻole ka poʻe me ka hānō a me ka emphysema, no ka laʻana;
• Platypnea: ka inoa i hāʻawi ʻia i ka pōkole o ka hanu e kū a i ʻole worsens paha me ke kūlana kū. Kū pinepine kēia ʻōuli i nā mea maʻi me ka pericarditis, ka hoʻonui ʻia o nā kīʻaha pulmonary a i ʻole kekahi mau pilikia puʻuwai, e like me ka kamaʻilio maʻamau ʻole o nā keʻena puʻuwai. Hōʻea mau kēia hanu me kekahi ʻōuli ʻē aʻe i kapa ʻia ʻo orthodexia, ʻo ia ka hāʻule koke ʻana o nā pae oxygen o ke koko i nā manawa āpau āu i ke kūlana kū.
• Trepopnea: he ʻano ʻino o ka hanu e hōʻike ʻia i ka manawa a ke kanaka e moe ai ma kona ʻaoʻao, a hoʻomaikaʻi i ka huli ʻana i ka ʻaoʻao ʻē aʻe. Hiki iā ia ke ala aʻe i nā maʻi puʻupuʻu e hoʻopili i hoʻokahi māmā wale nō;
• Dyspnea ma ka hoʻoikaika ʻana: ʻo ka pōkole o ka hanu e ʻike ʻia i kēlā me kēia manawa e hana ʻia kahi hoʻoikaika kino, i hana mau ʻia i ka poʻe me nā maʻi e hōʻino i ka hana o ka puʻuwai a i ʻole nā ​​ake māmā.

Ke ʻike ʻoe i ka manaʻo o ka pōkole o ka hanu e hoʻomau mau ana, ikaika a i ʻole ʻike ʻia me nā ʻōuli ʻē aʻe e like me ka palaho, ʻū a pallor paha, no ka laʻana, he mea nui e ʻimi i ka lāʻau lapaʻau e ʻike ai i ke kumu a hoʻomaka i ka lāʻau. E aʻo e ʻike i nā kumu nui o ka hanu a me ka mea e hana ai i kēlā me kēia hihia.