Orthopnea

Wadatacce

• Kwayar cututtuka
• Dalilin
• Zaɓuɓɓukan magani
• Yanayi masu alaƙa
• Ajiyar zuciya
• Ciwon cututtukan huhu na ƙarshe (COPD)
• Ciwon ciki na huhu
• Outlook

Bayani

Orthopnea shine ƙarancin numfashi ko wahalar numfashi lokacin da kake kwance. Ya fito daga kalmomin Helenanci "ortho," wanda ke nufin madaidaiciya ko a tsaye, da "pnea," wanda ke nufin "numfashi."

Idan kana da wannan alamar, numfashinka zai yi wahala yayin da kake kwance. Ya kamata ya inganta da zarar kun zauna ko tsayawa.

A mafi yawan lokuta, orthopnea alama ce ta gazawar zuciya.

Orthopnea ya bambanta da dyspnea, wanda yake wahalar numfashi yayin ayyukan da ba wahala. Idan kana da cutar dyspnea, zaka ji kamar baku da numfashi ko kuma kuna da matsala wajen numfashi, komai aikin da kuke yi ko wane matsayi kuke ciki.

Sauran bambancin akan wannan alamar sun hada da:

• Platypnea. Wannan cuta tana haifar da rashin numfashi idan ka tsaya.
• Trepopnea. Wannan rikicewar na haifar da ƙarancin numfashi lokacin da kake kwance a gefen ka.

Kwayar cututtuka

Orthopnea alama ce ta alama. Za ka ji karancin numfashi lokacin da kake kwance. Zama a matse kan matashin kai ɗaya ko sama da ɗaya na iya inganta numfashin ku.

Matasan kai nawa kuke buƙatar amfani da su na iya gaya wa likitanku game da tsananin ƙoshin jikinku. Misali, “gyaran kafa uku na matashin kai” yana nufin ciwon kashin ka yana da tsanani sosai.

Dalilin

Orthopnea yana haifar da ƙarin matsa lamba a cikin jijiyoyin huhu. Lokacin da kuka kwanta, jini yana gudana daga ƙafafunku zuwa zuciya sannan kuma zuwa huhunku. A cikin lafiyayyun mutane, wannan sake rarraba jini ba ya haifar da wata matsala.

Amma idan kana da ciwon zuciya ko rashin aikin zuciya, zuciyarka na iya zama ba ta da ƙarfi don fitar da ƙarin jinin daga zuciya. Wannan na iya kara matsin lamba a cikin jijiyoyin jiki da kumburin ciki a cikin huhu, wanda ke haifar da ruwa mai fita daga cikin huhun. Fluidarin ruwa shi ne yake wahalar numfashi.

Wani lokaci mutane da ke fama da cutar huhu suna samun kashin baya - musamman ma lokacin da huhunsu ke samar da ƙoshin hanci. Yana da wahala ga huhunka ya share dattin ciki lokacin da kake kwance.

Sauran abubuwan da ke haifar da ciwon sanyin kashi sun hada da:

• yawan ruwa a cikin huhu (huhu na huhu)
• ciwon huhu mai tsanani
• kiba
• Ruwan ruwa a kusa da huhu (kwayar halitta)
• haɓakar ruwa a cikin ciki (ascites)
• diaphragm inna

Zaɓuɓɓukan magani

Don sauƙaƙe ƙarancin numfashi, sa kanka kan matashin kai ɗaya ko sama da haka. Wannan zai taimaka muku numfashi cikin sauƙi. Hakanan zaka iya buƙatar ƙarin oxygen, ko a gida ko a asibiti.

Da zarar likitanku ya binciko dalilin sanyin ku, za a yi muku magani. Doctors suna magance rashin nasarar zuciya tare da magani, tiyata, da na'urori.

Magunguna waɗanda ke sauƙaƙe ciwon sanyin kashi a cikin mutane masu fama da ciwon zuciya sun haɗa da:

• Diuretics. Wadannan magunguna suna hana ruwa ya tashi a jikinka. Magunguna kamar furosemide (Lasix) suna dakatar da ruwa daga haɓaka a cikin huhunku.
• Angiotensin-converting enzyme (ACE) masu hanawa. Wadannan magungunan suna bada shawarar ga mutanen da ke fama da ciwon zuciya na hagu. Suna inganta haɓakar jini kuma suna hana zuciya yin aiki tuƙuru. ACE masu hanawa sun hada da captopril (Capoten), enalapril (Vasotec), da lisinopril (Zestril).
• Masu hana Beta ana kuma bada shawarar ga mutanen da ke fama da ciwon zuciya. Dogaro da yadda rashin ƙarfin zuciyarka ya kasance, akwai wasu magunguna waɗanda likitanka zai iya ba da umarnin su ma.

Idan kuna da Cutar Ciwon Cutar Tashin Ciki (COPD) na yau da kullun, likitanku zai ba da umarnin magunguna masu sauƙaƙe hanyoyin iska da rage kumburi a cikin huhu. Wadannan sun hada da:

• masu gyaran jiki kamar albuterol (ProAir HFA, Ventolin HFA), ipratropium (Atrovent), salmeterol (Serevent), da tiotropium (Spiriva)
• shaƙar ƙwayoyin steroid kamar budesonide (Pulmicort Flexhaler, Uceris), fluticasone (Flovent HFA, Flonase)
• haɗuwa da masu shan iska da shan iska, kamar su formoterol da budesonide (Symbicort) da salmeterol da fluticasone (Advair)

Hakanan kuna iya buƙatar ƙarin oxygen don taimaka muku numfashi yayin barci.

Yanayi masu alaƙa

Orthopnea na iya zama alamar yanayi daban-daban na likita, gami da:

Ajiyar zuciya

Wannan yanayin yana faruwa ne lokacin da zuciyarka ba zata iya harba jini yadda ya kamata a jikinka ba. Har ila yau ana kiransa ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa. Duk lokacin da ka kwanta, karin jini na gudana a cikin huhunka. Idan zuciyarka da ta raunana ba za ta iya tura wannan jinin zuwa ga sauran jiki ba, to matsin zai tashi a cikin huhunka kuma yana haifar da ƙarancin numfashi.

Sau da yawa wannan alamar ba ta farawa sai awanni da yawa bayan kun kwanta.

Ciwon cututtukan huhu na ƙarshe (COPD)

COPD haɗuwa ce da cututtukan huhu waɗanda suka haɗa da emphysema da mashako na kullum. Yana haifar da karancin numfashi, tari, numfashi, da matse kirji. Ba kamar na rashin cin nasara zuciya ba, ciwon sanyin kafa daga COPD yana farawa kusan kai tsaye bayan ka kwanta.

Ciwon ciki na huhu

Wannan yanayin yana faruwa ne sakamakon yawan ruwa a cikin huhu, wanda ke sa wahalar numfashi. Breatharancin numfashi yana daɗa muni lokacin da kake kwance. Sau da yawa wannan yana daga bugun zuciya.

Outlook

Hangenku ya dogara da wane irin yanayin ne yake haifar da ciwon kashin ku, yaya tsananin yanayin yake, da kuma yadda ake magance shi. Magunguna da sauran jiyya na iya zama mai tasiri wajen sauƙaƙe ciwon sanyin jiki da yanayin da ke haifar da shi, kamar ciwon zuciya da COPD.