Vanachiremba vakawana kuti kunyunyuta kunowanzoonekwa kwevarwere vachitsvaga rubatsiro ndeye dyspnea kana kupererwa kwemhepo - ngationgororei chinokonzera ichi chiitiko.
Varwere vanotambura nokufema kunotsanangura kusuruvara kwavo se "mhepo isina kukwana," "yakaoma mubhokisi," "mapapu haazere zvakakwana nemhepo."
Nenzira, paaidzidza zvinokonzera kupera kwekufema nekushayikwa kwemhepo kusvika muzana remakore rechi17, izwi rokuti "asthma", rakashandiswa pakutanga neHippocrates, rakashandiswa. Iye zvino pfungwa dze asthma nedyspnea dzakanyatsosiyaniswa.
Mitauro yedyspnea
Zvichienderana nehurefu hwe dyspnoea, kupfupika kwemhepo kunotsanangurwa kuva:
- kusingaperi - kunetseka kwemakore akawanda;
- subacute - murwere anorwara kwemazuva mazhinji;
- acute - akacherechedza mukati memaminitsi mashomanana.
Zvakakosha kuziva kuti kana dyspnoea inonetseka nezvekufamba kwenguva yakareba kana kukwira, chikonzero chechiitiko ichi hachifaniri kutarirwa - chero mutoro wakasimba unochinja kuchinja mukufema. Asi kana mhepo isina kukwana pazororo, zvakakosha kuona chiremba, nokuti dyspnoea ishamwari yezvirwere zvakawanda.
Zvinokonzera dyspnea yakaoma
Dambudziko rekufema rinowanzoitika, rinogara kwemaminitsi anoverengeka, rinogona kukonzerwa nezvirwere zvinotevera uye zvirwere:
- myocarditis (kuvhiringidza kwemwoyo musungo);
- myocardial infarction;
- moyo rhythm disorder;
- kusiya kusimba kwe ventricular;
- moyo weEmema wemapapu;
- pneumothorax (kusanganisa mumhepo yakanyarara);
- bronchial asthma;
- kurwisa;
- inhalation fumvina;
- atelectasis (lung lung lobes drop);
- thromboembolism of pulmonary arteries;
- acute hyperventilation syndrome.
Sezvaunogona kuona, kufema kunobata kunogona kukonzerwa nekushaya kushanda mubasa remwoyo yemwoyo kana kupemha system. Zvinonyanya kuoma kuparadzanisa idzi mbiri dzezvikonzero zve dyspnea kune vakwegura.
Zvinokonzera subacute dyspnea
Manzwiro okusuruvara panguva yekufema nekushayikwa kwemhepo, yakagara maawa akawanda, inogona kutaura pamusoro pezvirwere zvinotevera nekurwara:
- pleural effusion;
- pneumonia;
- metabolic acidosis;
- kuora mutezo kwechidimbu;
- uremia;
- kusagadzikana kwemashoko ezwi;
- kazhinji thromboembolism ye pulmonary arteries.
Dzimwe nguva zvinokonzera dyspnea zvakanyanya zviri mumabasa ekurapa (kudarika, kutengesa, madhara) uye chepfu.
Zvinokonzera chronic dyspnoea
Kana munhu kwemwedzi yakawanda kana makore achinyunyuta nezvekuomerwa nekufema pazororo kana pasi pekushaya simba mumuviri, zvinokonzera dyspnea munyaya iyi zvingave zvakabatana nekuvapo kwezvirwere zvinotevera:
- chirwere chemwoyo;
- Myxoma (benign tumor in theria);
- ischemic heart disease;
- kukanganiswa kwemoyo kwechimiro chisingaperi;
- cardiomyopathy (maitiro ekuchinja mumutsipa wemwoyo);
- chronic obstructive chirwere chemapemmoni ;
- tuberculosis;
- kenza yemapapu;
- emphysema yemapapu;
- kyphoscoliosis;
- pneumoconiosis (pulmonary fibrosis nemhaka yekuwedzera inhalation yeguruva).
Uyewo, zvinokonzera kusingaperi dyspnea zvinogona kusanganiswa nezvirwere zvemidziyo yemapinmoni, iyo, inotanga kupora mishonga yepamusoro; arteriovenous aneurysm; vasculitis; thromboembolic pulmonary arteries.
Dambudziko rokufema nekushayikwa kwemweya zvinosanganisirawo:
- kuneta;
- anemia ;
- ascites;
- thyroid gland diseases;
- Guillain-Barre syndrome;
- myasthenia gravis.
Mamwe marudzi e dyspnoea
Kutambudzika kufema dzimwe nguva kunoratidzira mune chimwe chinhu chakadai sedhiridhi - munyaya iyi, kupfupika kwefema kunosangana nemhepo inofadza.
Gwara, sekutonga, rinoratidza kupesana (kudzivirira) kwepamusoro chekufema uye inoonekwa apo:
- laryngospasm;
- kunyunyuta kwekaroti;
- diphtheria;
- kenza yemarara;
- tonsillar abscess.
Mukuwedzera, vanachiremba vanogovera avo vanonzi terminal terminal dyspnoea - chiratidzo chekufa kwava pedyo mune varwere vanorwara zvikuru.