Orthopnea

Anter

• Nā ʻōuli
• Nā Kumu
• Nā koho lapaʻau
• Nā kūlana pili
• Hewa puʻuwai
• ʻO ka maʻi pulmonary obstructive maʻi (COPD)
• Edema pulmonary
• Outlook

Hōʻike Overview

ʻO Orthopnea ka pōkole o ka hanu a paʻakikī i ka hanu ʻana ke moe ʻoe i lalo. Ua hele mai ia mai nā huaʻōlelo Helene "ortho," ʻo ia hoʻi pololei a kū i luna paha, a "pnea," ʻo ia hoʻi "e hanu."

Inā loaʻa kēia hōʻailona iā ʻoe, e hana ʻia kou hanu ke moe ʻoe i lalo. E hoʻomaikaʻi hou ke noho ʻoe a kū paha.

I ka manawa pinepine, he hōʻailona ka orthopnea o ka puʻuwai puʻuwai.

ʻOkoʻa ʻo Orthopnea mai ka dyspnea, ka mea paʻakikī e hanu i nā hana non-strenuous. Inā loaʻa ʻoe i ka dyspnea, manaʻo ʻoe ua pōkole ʻoe i ka hanu a i ʻole pilikia paha ʻoe i ka hopu ʻana i kou hanu, no ka mea he aha nā hana āu e hana nei a i ke kūlana hea ʻoe i loko.

ʻO nā ʻano ʻē aʻe e pili ana i kēia hōʻailona me:

• Platypnea. ʻO kēia maʻi ke kumu o ka hanu ke kū ʻoe.
• Trepopnea. ʻO kēia maʻi ke kumu o ka hanu ke moe ʻoe ma kou ʻaoʻao.

Nā ʻōuli

ʻO Orthopnea kahi hōʻailona. E ʻike ʻoe i ka liʻiliʻi o ka hanu ke moe ʻoe i lalo. Noho pū ʻia i hoʻokahi a i ʻole mau uluna hiki ke hoʻomaikaʻi i kou hanu ʻana.

Ehia mau uluna āu e pono ai e hoʻohana hiki ke haʻi i kāu kauka e pili ana i ka paʻakikī o kāu orthopnea. ʻO kahi laʻana, "ʻekolu mau uluna orthopnea" ʻo ia hoʻi he koʻikoʻi loa kāu orthopnea.

Nā Kumu

Hoʻokumu ʻia ʻo Orthopnea e ka hoʻonui ʻana o kaomi i nā kīʻaha koko o kou mau māmā. Ke moe ʻoe i lalo, kahe ke koko mai kou mau wāwae a hoʻi i ka puʻuwai a laila i kou akemāmā. I ka poʻe olakino, ʻaʻole pilikia kēia hoʻokaʻawale hou ʻana i ke koko.

Akā inā loaʻa ʻoe i ka maʻi puʻuwai a i ʻole ʻole ka puʻuwai, ʻaʻole ikaika paha kou puʻuwai e pīpī i ke koko keu mai ka puʻuwai. Hiki i kēia ke hoʻonui i ke kaomi i nā uaua a me nā capillaries ma loko o kou mau māmā, e hoʻoheheʻe ʻia ka wai i loko o nā akemāmā. ʻO ka wai keu ka mea e paʻakikī e hanu.

I kekahi manawa loaʻa ka poʻe me ka maʻi pulmonary i orthopnea - keu hoʻi ke hana a ko lākou mau māmā i mau mucus nui aʻe. ʻOi aku ka paʻakikī o kou māmā e hoʻomaʻemaʻe i ka mucus ke moe ʻoe i lalo.

ʻO nā kumu kumu ʻē aʻe o ka orthopnea e komo pū ana:

• ʻoi loa ka wai i loko o nā akemāmā (edema pulmonary)
• pneumonia koʻikoʻi
• momona
• wai kūpuni a puni ka akuma (pleural effusion)
• wai paʻa i loko o ka ʻōpū (ascites)
• lumpia diaphragm

Nā koho lapaʻau

I mea e hoʻomaha ai i ka hanu, hāpai iā ʻoe iho i hoʻokahi a i ʻole nā ​​uluna. Pono kēia e kōkua iā ʻoe e hanu maʻalahi. Pono paha ʻoe i ka oxygen kākoʻo, ma ka home a i ʻole kahi haukapila.

Ke kuhi ke kauka i ke kumu o kāu orthopnea, e mālama ʻia ʻoe. Mālama nā kauka i ka maikaʻi ʻole o ka puʻuwai me ka lāʻau lapaʻau, ʻoki kino a me nā hāmeʻa.

ʻO nā lāʻau e hōʻoluʻolu i ka orthopnea i ka poʻe me ka puʻuwai puʻuwai e komo pū:

• ʻO Diuretics. Pale kēia mau lāʻau i ke kū ʻole ʻana o ka wai i kou kino. ʻO nā lāʻau e like me ka furosemide (Lasix) e hoʻōki i ka wai mai ke kūkulu ʻana i kāu mau māmā.
• ʻO nā mea hoʻopaneʻe énzimme hoʻololi-Angiotensin (ACE). Paipai ʻia kēia mau lāʻau no ka poʻe hemahema puʻuwai hema. Hoʻonui lākou i ke kahe o ke koko a pale i ka puʻuwai e hana e like me ka paʻakikī. Hoʻopili nā mea pale ACE i ka captopril (Capoten), enalapril (Vasotec), a me ka lisinopril (Zestril).
• Nā poloka beta paipai ʻia no ka poʻe me ka puʻuwai puʻuwai. Kaukaʻi ʻia i ka nui o ka puʻuwai o kou puʻuwai, aia kekahi mau lāʻau ʻē aʻe a kāu kauka i kuhikuhi ai pū kekahi.

Inā loaʻa ʻoe i ka maʻi maʻi pulmonary maʻi (COPD), e kauoha ana kāu kauka i nā lāʻau e hoʻomaha ai i nā ala ākea a hoʻēmi i ka mumū ma nā akemāmā. Pākuʻi ʻia kēia mau mea:

• nā bronchodilators e like me albuterol (ProAir HFA, Ventolin HFA), ipratropium (Atrovent), salmeterol (Serevent), a me tiotropium (Spiriva)
• inhaled steroid e like me budesonide (Pulmicort Flexhaler, Uceris), fluticasone (Flovent HFA, Flonase)
• nā hui pū ʻana o nā bronchodilators a me nā steroid i inhaled, e like me formoterol a me budesonide (Symbicort) a me salmeterol a me fluticasone (Advair)

Pono paha ʻoe i oxygen oxygen e kōkua iā ʻoe e hanu iā ʻoe ke hiamoe.

Nā kūlana pili

Hiki i ka Orthopnea ke hōʻailona o nā ʻano olakino ʻokoʻa, e like me:

Hewa puʻuwai

Kū kēia ʻano ke hiki ʻole i kou puʻuwai ke paipū pono i ke koko ma loko o kou kino. Kapa ʻia ia hoʻi he puʻuwai puʻuwai. Ke moe ʻoe i lalo, nui ke kahe o ke koko i kāu mau māmā. Inā ʻaʻole hiki i kou puʻuwai nāwaliwali ke pahu i kēlā koko i ke koena o ke kino, kūkulu ke kaomi i loko o kou mau māmā a kumu i ka hanu liʻiliʻi.

ʻO ka pinepine ʻaʻole hoʻomaka kēia ʻōuli a hiki i kekahi mau hola ma hope o kou moe ʻana i lalo.

ʻO ka maʻi pulmonary obstructive maʻi (COPD)

ʻO ka COPD kahi hui pū ʻia o nā maʻi pūpū e pili pū ana me ka emphysema a me ka bronchitis mau. Hoʻohālikelike ia i ka hanu, kahe, kahe, a me ka paʻa o ka umauma. ʻAʻole like me ka ʻole o ka puʻuwai, hoʻomaka koke ka orthopnea mai COPD ma hope koke o kou moe ʻana i lalo.

Edema pulmonary

Hoʻokumu ʻia kēia ʻano e ka nui o ka wai i loko o nā akemāmā, kahi mea paʻakikī e hanu. Eʻoi aku ka maikaʻi o ka hanu ke moe ʻoe i lalo. ʻO ka manawa pinepine mai ka puʻuwai puʻuwai.

Outlook

Aia i kāu nānā i ke ʻano o ke ʻano o kāu orthopnea, pehea ke koʻikoʻi o ia ʻano, a pehea e mālama ʻia ai. Hiki ke hoʻohana pono ʻia nā lāʻau a me nā ʻano lāʻau ʻē aʻe i ka hoʻomaha ʻana i ka orthopnea a me nā ʻano i hoʻokumu ʻia, e like me ka puʻuwai puʻuwai a me COPD.