Kufuridzira

Kufema kunongotsanangurwa se'kunzwa kuti wapererwa nemweya', uye vazhinji vedu tinojairana nekunzwa ikoko patakambomhanya tiri vana kana makore akatevera kukwira makomo kana kumhanyira bhazi. Muchirevo chechinyorwa ichi ichokwadi kuita kwakaringana kuita nesimba uye isu takasununguka nazvo nekuti tinogona kuzvidzora.

Zvisinei kana tichinzwa kufemereka uye tisina kushingirira inyaya yakasiyana. Isu hatichanzwi mukutonga uye chimwe chigumisiro ndechekuti yedu kuzvidya mwoyo simuka. Kana tikangotanga kushushikana manzwiro anogona kutenderera kuvhunduka, izvo zvinongoita kuti zvinhu zvinyanye sezvo izvi pachazvo zvichigona kukonzera kufema. Zviri nyore kufema kana tikaramba takadzikama sezvatingagona.

Kufema kunogona kuuya kamwe kamwe (sekurwisa kwakanyanya) kana zvishoma nezvishoma. Inogona kugara kwenguva yakareba uye kuva chirwere chisingaperi. Kuti udzivise kuzvidya mwoyo zvakanyanya zvakakosha kuti vanhu vanobatwa (varwere nevachengeti) vadzoserwe mukutonga kwemamiriro ezvinhu, uye ndizvo zvichaitwa nachiremba wako. Saka zvakakosha kuti uzivise chiremba wako nezve chero zvisingatarisirwe mabhaundi ekufema. (NB chiremba wako anoreva kufema se dyspnea).

Zvinokonzera

Kurwisa kwakasimba

Kurwiswa kamwe kamwe kunoda kuti iwe uone chiremba nekukurumidza, sezvo kazhinji zvinoda kurapwa nekukurumidza. Vanhu vane asthma, chisingaperi obstructive pulmonary chirwere (COPD) kana kuora mwoyo kunowanzogadzirirwa zvakanaka navanachiremba vavo, nechirongwa chekuita chinosanganisira kutanga kurapwa chiremba asati asvika. Kana zviri zvitsva kwauri tsvaga rubatsiro rwekuchipatara pasina kunonoka.

Muboka revanhu vane aspergillosis, pane kazhinji asima, COPD uye utachiona.pneumonia uye bronchitis) kufunga. The British Lung Foundation nyora zvinotevera zvinowanzoitika:

• Kuwedzera kwe asthma: Iwe unogona kunzwa kuti chipfuva chako chakasimba kana kunzwa uri kufema pane kupfupika nekufema.
• Kuwedzera kweCOPD: Unogona kunzwa kupera simba uye kuneta kupfuura zvawagara uye nzira dzako dzekudzora kufema kwako hadzishande zvakanyanya.
• A pulmonary embolism. Apa ndipo paunenge uine magwamba mutsinga dzako dzemapapu dzakafamba kubva kune dzimwe nzvimbo dzemuviri wako, kazhinji makumbo ako kana maoko. Magwamba aya anogona kunge ari madiki uye akonzeresa kufema kwakanyanya. Mamwe magwara anogona kuburitswa nekufamba kwenguva uye kuita kuti kunzwa kwako kufema kuwedzere, uye pakupedzisira unogona kunge uine kufema kwenguva refu kwemazuva ese.
• Zvirwere zvemapapu zvakadai pneumonia uye bronchitis.
• Pneumothorax (inonziwo mapapu akadonha)
• Pulmonary edema kana kuputika kana mvura mumapapu ako. Izvi zvinogona kunge zviri nekuda kwekutadza kwemoyo wako kupomba mvura yakatenderedza zvakanaka kana nekuda kwechirwere chechiropa, gomarara kana hutachiona. Zvinogonawo kukonzera kufema kwenguva refu, asi izvi zvinogona kudzoserwa kana chikonzero chazivikanwa.
• A heart attack (inonziwo coronary artery thrombosis)
• Cardiac arrhythmia. Uyu ndiwo mutinhimira wemoyo usina kujairika. Iwe unogona kunzwa moyo wako uchipotsa kurova kana iwe unogona kunzwa palpitations.
• Hyperventilation kana panic attack.

Kutadza kufema kwenguva refu (chronic).

Kusafema kufema kazhinji chiratidzo chechirwere chisingaperi chakadai seasthma, Allergic Bronchopulmonary Aspergillosis (ABPA), Chronic Pulmonary Aspergillosis (CPA), kufutisa nezvimwe. The British Lung Foundation nyora zvinotevera zvinowanzoitika:

• Chronic obstructive pulmonary disease (COPD)
• Heart failure. Izvi zvinogona kuve nekuda kwematambudziko ane rhythm, mavharuvhu kana mhasuru dzemoyo wemoyo wako.
• Interstitial lung chirwere (ILD), kusanganisira idiopathic pulmonary fibrosis (IPF). Aya ndiwo mamiriro apo kuzvimba kana mavanga mavanga anovaka mumapapu ako.
• Allergic alveolitis, kunova kusawirirana kwemapapu kune mamwe maguruva aunofema maari.
• Industrial kana occupational zvirwere zvemapapu zvakaita se asbestosis, iyo inokonzerwa nekuratidzwa kune asbestos.
• Bronchiectasis. Apa ndipo apo machubhu ako ebronchi ane mavanga uye akamonyaniswa zvichitungamira mukuvakwa kwephlegm uye kukosora kusingaperi.
• Muscular dystrophy kana myasthenia gravis, izvo zvinokonzera kushaya simba kwetsandanyama.
• Anemia uye chirwere cheitsvo.
• Kufutisa, kushaya kusimba, uye kunzwa kunetseka kana kuora mwoyo zvinogonawo kuita kuti unzwe kupera simba. Iwe unogona kazhinji kuve nematambudziko aya pamwe nemamwe mamiriro. Kuvarapa chinhu chakakosha pakurapa kufema kwako.

Kuongorora kufema

Chiremba wako achada kuona kuti chii chiri kukonzera kufema kwako uye, sezvauri kuona pamusoro, pane zvakawanda zvingaitika saka kuongororwa kunogona kutora nguva. Muboka revanhu vane aspergillosis rondedzero ipfupi zvikuru asi chiremba wako acharamba achida kuve nechokwadi kuti awana chikonzero chaicho. Pane mazano akawanda anobatsira pane webhusaiti yeBLF kune vanhu vanoenda kunoona chiremba wavo kekutanga nekufema, kusanganisira kurekodha marudzi ebasa rinoita kuti ufemese pafoni ine kamera uye kuratidza zvakarekodhwa kuna chiremba wako.

CHERECHEDZA kana uri murwere asingaperi kufema unombokumbirwa kuti utore nhanho yako yekufema kubva pa1-5 uchishandisa chikero ichi:

Kutarisira Kufema

Kana chikonzero chekufema kwako chave chasimbiswa, iwe nachiremba wako munogona kushanda pamwe chete kuti muwane kutonga kwekufema kwako kumashure. Zvinhu zvaunogona kuita zvinosanganisira (kubva BLF webhusaiti):

• Kana uchisvuta, wana rubatsiro kuti urege. Pane humbowo hwakanaka kwazvo hwekuti kuona munhu akadzidziswa kubatsira vanhu kurega kusvuta, pamwe nekutora nguva dzose chikakananda chinotsiva uye/kana mishonga inorwisa chikara, kunowedzera mukana wako wekuve usingasvuti kwenguva refu.
• Kutsvaga flu jab makore ose.
• edza mamwe maitiro ekufema. Pane nzira dzakasiyana-siyana dzaungashandisa kukubatsira kudzora kufema kwako. Kana iwe ukadzidzira izvi uye nekuzvishandisa mazuva ese, zvinokubatsira iwe paunenge uchishanda uye uchifema. Vachakubatsirawo kubata kana ukatadza kufema kamwe kamwe. Mimwe mienzaniso ndeiyi:
  - Furidza paunenge uchienda: femera kunze paunenge uchiita basa rakakura, sekusimuka, kutambanudza kana kukotama.
  -Kufema kwemiromo: femera kunze nemiromo yako yakapuruzirwa sekunge uri kuridza muridzo.
• Iva wakagwinya zvakanyanya. Kusimbisa muviri kungava kufamba, kurima gadheni, kufamba nembwa, basa repamba kana kushambira pamwe nekuenda kugym. Verenga gwara reNHS nezve maekisesaizi akagara pasi.
• Kana uine chirwere chemapapu, unogona kutumirwa kune a pulmonary rehabilitation (PR) chirongwa nachiremba wako, uye kana uine dambudziko remwoyo kune mabasa ekugadzirisa mwoyo zvakare. Aya makirasi anokubatsira kuti utore kutonga pamusoro pekufema kwako, kukuita kuti uve wakakwana uye zvakare kunakidzwa kwakawanda.
  Kana uchifemeruka nekuda kwekutadza kusimba, bvunza Chiremba weChiremba wako kana mukoti anodzidzira nezvezvirongwa zvekutumira zvinotsigira vanhu vanoda kushingaira.
• Inwa uye idya zvine hutano uye gadzirisa uremu hwako. Chiremba wako anogona kukubatsira kuona kuti huremu hwako hunofanira kunge huri hupi. Kana iwe wakatakura huremu hwakawandisa iwe unozoda simba rakawanda kufema uye kufamba-famba, uye zvichave zvakanyanya kuoma kuwana kutonga pamusoro pemanzwiro ako ekufema.
  Kana uine chirwere cheshuga, bvunza nezvezviitiko zvekudzidzisa kuti zvikubatsire kudzora uremu hwako uye kudya kudya kwakaringana. Chiremba weChiremba wako kana mukoti anogona kukubatsira kuti uwane rubatsiro rwekusimbisa pakudya.
• Wana kurapwa kana uchinzwa kushushikana kana kunetseka. Kana kwaunogara kusina kiriniki yakazvipira kutadza kufema inopa rubatsiro urwu, kumbira Chiremba weChiremba wako kuti akutumire kuna chipangamazano kana chiremba wepfungwa anozokwanisa kukubatsira. Dzimwe nguva mishonga inogona kubatsirawo, saka taura naChiremba wako nezveizvi.
• Shandisa mushonga wakakodzera nenzira kwayo.- Kumwe kufema kunorapwa nema inhalers. Kana uine inhaler ita shuwa kuti pane munhu anogara achikutarisa unoziva mashandisiro aungaita. Usatya kukumbira kuedza mhando dzakasiyana kana iwe usingakwanise kuenderera neiyo yaunayo. Zvishandise sezvawakarairwa. Bvunza chiremba wako kana mukoti kuti akupe tsananguro yakanyorwa yemaitiro ekugadzirisa mamiriro emapapu ako.
• Kana iwe ukatora mapiritsi, capsules kana zvinwiwa kuti udzore kufema kwako ita shuwa kuti unoziva chikonzero nei uchiatora uye bvunza nyanzvi yako yezvehutano kana wemishonga kana usingaite. Kana kufema kwako kuri nekuda kwekushaya simba kwemoyo ungangoda kugadzirisa kurapwa kwako zvichienderana nehuremu hwako uye kuti zvitsitsinho zvako zvinozvimba zvakadii. Ita shuwa kuti une hurongwa hwakanyorwa hwaunonzwisisa.
• Kana uine COPD, unogona kunge uine paki yekununura kuitira kuti utange kurapwa nekukasira kana uine moto unopisa. Izvi zvinofanirwa kugara zvichiuya nehurongwa hwekuita hwakanyorwa hwaunonzwisisa nekubvumirana nahwo.

Okisijeni inogona kubatsira here?

Humbowo hunoratidza kuti okisijeni haizobatsiri kufema kwako kana mwero weokisijeni weropa rako wakajairika. Asi kana uine chimiro zvinoreva kuti mwero weokisijeni muropa rako wakadzikira, kurapwa kweokisijeni zvinogona kuita kuti unzwe zviri nani uye urarame kwenguva refu.

Chiremba wezvirwere zvese anogona kukutumirai mazano uye kuongororwa. Iwe unofanirwa kuona timu yenyanzvi kuti iongorore zvaunoda uye ive nechokwadi chekuti unoshandisa oxygen zvakachengeteka. Ivo vanozoongorora mashandisiro ako eokisijeni uye vochinja mushonga wako sezvo zvaunoda zvinochinja. Usamboshandisa oxygen pasina zano renyanzvi.

Kuwedzera mamwe mashoko:

• NHS Sarudzo mapeji pamusoro pekufema
• British Lung Foundation mapeji pamusoro pekufema