Neefsashada gaaban, ama dyspnea, ma aha oo kaliya calaamad argagax leh, laakiin sidoo kale waa calaamad muhiim ah oo ku saabsan dhibaatada caafimaad ee culus. Haddii aad qabtid dyspnea, dhakhtarkaagu waa inuu qaataa wakhti kasta oo lagama maarmaanka ah si loo xakameeyo baadhitaanka saxda ah, tan iyo sameynta baadhitaanka saxda ah ayaa muhiim u ah xulashada daaweynta ugu fiican.
Nasiib wanaag, waxay u badan tahay in dhakhtarkaagu uu ku siin doono tilmaamo muhiim ah oo ku saabsan waxa keena dyspnea ka dib markaad ka hadlaysid taariikhdaada caafimaad, iyo inaad sameysid baadhitaan jireed oo taxadar leh.
Caadi ahaan, hal ama labo tijaabo oo dheeri ah si loo xaqiijiyo ogaanshaha, waxaad bilaabi kartaa daaweyn si aad u sameyso xanuunka dyspnea.
Waa Maxay Dyspnea Feel Sida?
Dyspnea waa dareemid neefsasho, oo aan helin hawo ku filan.
Waxaa la socon kara xabadka, adigoo dareemaya inaad cabsaneyso, ama dareemid argagax. Iyadoo ku xiran sababteeda, dyspnea ayaa dhici karta marmar marmar, xaalado kala duwan. Dhanka kale waxay noqon kartaa mid joogto ah, ama si tartiib ah u sii xumaan kartaa. Inkasta oo qaababka noocyada dyspnea ay leeyihiin sabab cad oo aad isbarbar dhigi kartid (sida jimicsi culus), dyspnea aan la garaneynin waa in markasta lagu qiimeeyaa dhakhtar.
Waa maxay nooca shuruudaha daaweyntu ay sababi karto xanuunka?
Cudurrada sambabaha iyo hawo-mareenka
- Ciladaha ku lug leh sambabada naftooda, oo ay ka mid yihiin emphysema , kansarka sanbabada , fibriska sambabada , ama sarkacada .
- Cudurada hawo-mareenka oo ay ku jiraan neefta iyo boronkiitada .
- Caabuqyo ku lug leh sambabada ama hawo-mareenada oo ay ku jiraan bakteeriya oof-wareen, histoplasmosis ama tiibisho .
- Cudurada xididdada dhiigga ee ku jira sambabada oo ay ka mid yihiin hypertension sambabada iyo embolus pulmonary .
- Xaalado kale oo sanbab ama xabadka ah oo ay ku jiraan cudurrada sambabada ee xanniban ama pneumothorax .
Jirrada wadnaha
Ku dhawaad kasta oo ah xanuun wadnaha ah wuxuu keeni karaa neefsasho gaaban (oo ay ku jiraan cudurka halbowlaha wadnaha, wadna garaaca wadnaha, xakameyn ama cudur halis ah), laakiin dyspnea ayaa inta badan cillad wadnaha ku dhaca .
Ciladaha walaaca
Weerarada argagaxa waxaa inta badan lagu gartaa dareenka neefsashada.
Qaboojinta
Isagoo ah "qaab muuqaal ah," sababtoo ah jirro ama qaab nololeed, waxay soo saari kartaa xanuunka dyspnea xitaa jimicsi yar.
Xaalado caafimaad oo kale
Kuwaas waxaa ku jiri kara dhiig yari (tirada unugyada dhiiga cas ee hooseeya), xanuunka autismiya , iyo xanuunka thyroid .
Maxay Tahay Waxyaabaha Muhiimka Ah Ee Muhiimka Ah Ee Dhibaatada?
Halkan waa sheekooyin muhiim ah oo uu dhakhtarkaagu raadinayo inuu isku dayayo inuu ogaado sababta keentay xanuunkaaga.
- Ma waxaad tahay sigaar-cabaha hadda ama horay? (waxay soo jeedinayaan cudurka sambabada ama cudurka wadnaha.)
- Miyaad qabtaa qaab nololeed dabacsan, kolestaroolka sareeya, hypertension, sonkorow, ama waxyaabo kale oo halis ah wadnaha? (waxay soo jeedinaysaa cudurka wadnaha.)
- Miyaad leedahay taariikh soo gaarsiisan sunta sunta ee keeni karta cudurka sambabada ?
- Miyaad leedahay nidaam difaac ah oo daciif ah, ama soo dhawaansho dhowaan soo gaadhay wakiilada faafa? (waxay soo jeedinaysaa cudurka sanbabada ama cudurada kale ee sambabada ah.
- Miyaad qabatay qaliin dhaw, nasasho nasasho dheer, ama safar dheer oo diyaarad ah? (waxay soo jeedinaysaa embolus sambab.)
- Miyaad qabtaa cudur dhowaan leh mudo dheer oo aan dhaqdhaqaaq lahayn? (waxay soo jeedineysaa inyar.)
- Miyaad leedahay calaamado xaalado caafimaad oo kale oo keeni kara xanuunka dyspnea (sida cudurka thyroid, ama dysautonomia)?
- Miyuu jiraa dyspnea kugula jeedaa sabab gaar ah? (Tusaale ahaan, xinjirowga maqaarka ama walxaha " paroxysmal" ee nocturnal dyspnea ayaa soo jeedin kara wadnaha oo aan shaqayn.)
- Miyuu jirrooyinkaaga joogtada ah, ama si joogto ah uga sii daraya? (Qaabkani waxa uu soo jeedin karaa oof-wareen ama cudur kale oo sanbab, ama wadnaha oo aan shaqeynin.)
- Miyuu dyspnea ku yimaadaa oo tagaa, marxalado aan caadi ahayn? (Qaabkani waxa uu noqon karaa mid soo jeedin kara neefta, amphysema, sambabada sambabada ee soo noqota, ama cudurka halbowlaha wadnaha.
Imtixaan noocee ah baa laga yaabaa in loo baahdo?
Haddii dhakhtarkaaga uu ka shakiyo cudurka sambabada, waxay u badan tahay inuu isagu ama iyadu rabi doono raajada feedhaha iyo baaritaanada sambabada si loo xaqiijiyo xaqiijinta cudurka.
Haddii sambab embolu laga shakisan yahay, waxay u badan tahay inaad u baahan tahay skaanka sanbabada (tijaabo sawireed oo eegaya xirmooyinka xirmooyinka sambabada), baaritaanka D-dimer (tijaabo dhiig ah oo eegaya calaamadaha dhiig-xinjirowga dhowaan) , iyo baaritaanka ultrasound ee lugahaaga (si aad u eegto xinjir dhiig). Haddii cudur wadnaha loo maleeyo inuu yahay sababta, dhakhtarkaagu wuxuu u muuqanayaa inuu ku bilaabmayo echocardiogram si loo qiimeeyo shaqada wadnahaaga. Baaritaannada dhiigga ayaa caawin kara haddii dyspnea loo maleynayo inuu la xiriiro dhiig yari, cudurka qanjirka, ama infekshanka.
Khadadka hoose
Dyspnea aan la garanayn ama lama filaan ah ayaa sababi kara xaalado caafimaad oo muhiim ah oo halis ah, sidaas darteed haddii aad la kulantid calaamaddan waa in lagu qiimeeyaa sida ugu dhakhsaha badan dhakhtar. Kiisaska intooda badan, ka dib marka la sameeyo qiimeyn caafimaad oo dhammeystiran (taariikhda caafimaad iyo baaritaanka jireed), takhtar taxaddar leh ayaa fikrad fiican ku yeelan doona waxa keena dhibaatada. Baaritaan dheeraad ah kadib ayaa si gaar ah loola socon karaa si loo xaqiijiyo baaritaanka lagu tuhunsan yahay.
Aqoonsiga sababaha saxda ah ee neefta oo gaabis ah ayaa muhiim ah, haddii aad aamisan tahay in dhakhtarkaaga uu si degdeg ah u kiciyay qiimeyntiisa ku saabsan dyspnea, ama haddii kale u muuqato inaanad awoodin inaad joojisid sababaha ay dhici karto, waa inaad si adag u tixgelisaa arag dhakhtarka kale.
Ilaha:
Parshall MB, Schwartzstein RM, Adams L, et al. Qoraal rasmi ah oo lagu magacaabo "The Thoracic Society": waxay cusbooneysiisaa qaababka, qiimeynta, iyo maareynta xanuunka dyspnea. Amx Respir Care Daryeelka Caafimaadka 2012; 185: 435.
Oelsner EC, Lima JA, Kawut SM, iyo al. Baaritaano aan caadi aheyn oo loogu talagalay qiimeynta ogaanshaha baarista cudurka dabiiciga ah ee ka midka ah bukaan-socodka: Daraasada Multi-Ethnic ee baadhitaanka sanbabada Atherosclerosis. Am J Med 2015; 128: 171.