Dhibaatada neefsashada - jiifsiga

Neefsashada oo dhib ah inta uu jiifo waa xaalad aan caadi ahayn taas oo qofku dhibaato ku qabo neefsashada si caadi ah markuu jiifo. Madaxa waa in kor loo qaadaa iyadoo la fadhiisanayo ama la istaagayo si uu awood ugu yeesho neefsi qoto dheer ama raaxo leh.

Nooc neefsashada ah oo dhib ah intaad jiifayso waa paroxysmal nopurnal dyspnea. Xaaladani waxay qofka ku keentaa inuu si kedis ah u soo tooso inta lagu jiro habeenkii isagoo dareemaya neef yar.

Tani waa cabasho guud oo ay qabaan dadka qaba noocyo ka mid ah dhibaatooyinka wadnaha ama sambabada. Mararka qaarkood dhibaatadu waa mid qarsoon. Dadku waxay ogaan karaan oo keliya markay ogaadaan in hurdadu ay ka raaxo badan tahay barkimooyin badan oo madaxooda ka hooseeya, ama madaxooda oo ku jira meel lagu taakuleeyo.

Sababaha waxaa ka mid noqon kara:

• Cudurka sanbabada ee joogtada ah (COPD)
• Cor pulmonale
• Wadne istaag
• Cayilnaanta (si toos ah uma keento neefsashada dhib inta jiifta laakiin badanaa waxay ka sii daraysaa xaaladaha kale ee u horseeda)
• Ciladda argagaxa
• Xilliga hurdada
• Khuursi

Bixiyahaaga daryeelka caafimaadka ayaa kugula talin kara talaabooyin is-daryeelid ah. Tusaale ahaan, miisaan lumis ayaa lagugula talin karaa haddaad cayillan tahay.

Haddii aad dhibaato ku qabtid neefsasho la'aanteed marka aad jiifsaneyso, wac bixiyahaaga.

Bixiyuhu wuxuu sameyn doonaa baaritaan jireed wuxuuna weydiin doonaa su'aalo ku saabsan dhibaatada.

Su'aalaha waxaa ka mid noqon kara:

• Dhibaatadani si kadis ah miyay u soo korodhay mise si gaabis ah?
• Miyey ka sii daraysaa (horumar)?
• Sidee xun yahay?
• Immisa barkimood ayaad u baahan tahay si ay kaaga caawiyaan inaad si raaxo leh u neefsato?
• Ma jiraa wax anqaw, cago, ama lug ah oo barara?
• Dhibaato ma kugu haysaa neefsashada waqtiyo kale?
• Intee dherer tahay Meeqa miisaan ayaad leedahay? Miisaankaagu dhowaan miyuu isbeddelay?
• Maxaa astaamo kale oo aad leedahay?

Imtixaanka jireed waxaa ku jiri doona fiiro gaar ah wadnaha iyo sambabaha (wadnaha iyo nidaamka neefsashada).

Tijaabooyinka la qaadi karo waxaa ka mid ah kuwan soo socda:

• Raajo xabadka ah
• ECG
• Echocardiogram
• Imtixaanada shaqada ee sambabada

Daaweyntu waxay kuxirantahay sababta dhibaatada neefsashada.

Waxaad u baahan kartaa inaad isticmaasho oksijiin.

Soo kicinta habeenkii neefsashada oo gaaban; Paroxysmal dyspnea habeenkii; PND; Neefsashada oo ku adkaata markaad jiifto; Orthopnea; Wadne istaag - orthopnea

• Neefsashada

Braithwaite SA, Perina D. Dyspnea. Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier; 2018: cutubka 22.

Davis JL, Murray JF. Taariikhda iyo baaritaanka jirka. Gudaha: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray iyo Nadel Buugga Buugga Caafimaadka Neefsashada. 6aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 16.

Januzzi JL, Mann DL. U dhowaanshaha bukaanka wadnaha oo istaaga. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, et al. eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 21.

O’Connor CM, Rogers JG. Wadnaha oo istaaga: cilmu-nafsiga iyo ogaanshaha cudurka. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 58.