Ngamanye amaxesha ndixelelwa zizigulane ukuba zine-asthma yesifo kwaye zibuza ukuba zifuna unyango oluthile lwe-asthma. Ezi zi gulane zihlala zizibuza ukuba zezi ziphumo zilandelayo zibangelwa yi-asthma:
I-Cardiac Asthma Ihlukile Kwi-asthma
Nangona izigulane ezininzi zicinga ngokungafaniyo kwaye zifumana iimpawu ezinjenge-asthma, i-asthma ye-heart ayiyi-asthma.
Nangona i- pathophysiology ye-asthma ibandakanya ukuvuvukala nokunciphisa i-airways, iimpawu ze-asthma ye-heart zibangelwa imeko ephantsi.
Ukungaphumeleli kwintliziyo, imeko apho intliziyo ingaqhubeki ngokuqhelekileyo, ngamanye amaxesha unokulinganisa i-asthma kwaye ngamanye amaxesha ubizwa ngokuba yi-asthma yegulya ngezigulane. Ukuvuthwa ngesifo se-astmma senhliziyo akubanga ngenxa yokunciphisa ukuhamba kwe-airways nokuvuvukala, kodwa ngenxa yokungena kwamanzi emaphaphu. Xa intliziyo yepompo ayisebenzi kakuhle, i-fluid iyakwazi ukubuyela kwimiphunga. Umkhuhlane emiphakeni yikhokelela ekuqhubeni emiphakeni.
Ukuhluleka kwenhliziyo akuyona imeko ethile, kodwa ukuhlanganiswa kweempawu. Ngamanye amazwi, ukuhluleka kwentliziyo kunesizathu kwaye ugqirha wakho kufuneka amisele imbangela ukuze anikezele unyango olungcono. Ngamanye amaxesha ukungaphumeleli kwentliziyo kubangelwa kukunciphisa imida ehambisa igazi kwi ntliziyo. Ngamanye amaxesha ukunyuswa kwengcinezelo yegazi kwiminyaka emininzi kubangela umonakalo wentliziyo kunye nomsebenzi wepompofu.
Amaxesha angaphezulu kwezi zihlandlo zikhokelela entliziyweni ukuba ibuthathaka, iqine, okanye zombini.
Ngamanye amaxesha umsebenzi weentliziyo ezihlwempuzekileyo awukho ngenxa yokuhamba kwegazi embi, okubizwa ngokuba yi-cardiomyopathy. Ukusuleleka kwezilwanyana, ukusetyenziswa kakubi kweziyobisi, kunye nokusetyenziswa kakubi kotywala kunokubangelwa kwintliziyo yesifo esonakalisiweyo kunye neempawu zokwahluleka kwentliziyo.
Ekugqibeleni, ezinye iingxaki zezokwelapha zingaphinda zenzeke ngokugqithiseleyo intliziyo kwaye zibangele intlungu yenhliziyo. Ezi ziquka iingxaki zentliziyo ye-valve, isifo se-thyroid, isifo sesifo esingasasigxina okanye isifo sikashukela.
Ngamanye amaxesha unyango lunokuphelisa isifo esiyintloko kunye neempawu eziphuculweyo.
Iimpawu zeCardiac Asthma
Ukongeza kwiimpawu ze-asthma ezifana nokuphefumula, ukuphefumula okufutshane, kunye nokukhwehlela, i-asthma ye-cardiac ingakhokelela ekubeni kugcinwe ukugcinwa kwamanzi emagqabini kunye nephezu eliphantsi ekuthiwa yi-edema. Ukongeza izigulane ziyakubona ukunyuka kwesisindo ngenxa yokugcinwa kwamanzi. Izigulane ezineengxaki zeentliziyo zengxaki ezingenakho ukufana nezinye izigulane ezine-asthma ezilawulwa kakubi ziquka ukukhathala, ubuthathaka kunye nokudinwa.
Ngaba i-Cardiac Astmma iyingozi?
Ku nokuba njalo. Xa iimpawu ezinzima ngokwaneleyo zingakhokelela kwi-hypoxemia okanye i-oxygen encinci egazini. I-asthma ye-cardiac ingadinga ukuxhasa inkxaso ye-ventilatory njenge-intubation okanye ukungena kwiyunithi yokunyamekela. Ukuba isiguli sesifo sengqondo sesifo se-asthma sibhekene nokunciphisa kancinci ukuhamba kwegazi entliziyweni kwisifo se-myocardial infarction okanye intliziyo yesifo, isiqhelo singasongela ubomi.
Kuyathakazelisa ukuba phantse kwisithathu sazo zonke izigulane ezisebekhulile kunye nokungaphumeleli kwentliziyo ye-congestive will fail with.
Ukuxilongwa
Kwiimeko ezininzi ukuxilongwa kukliniki ugqirha wakho Ukuba ugqirha wakho ugxeka ukuba iimpawu zakho azibangelwa yi-asthma, banokuyalela iindidi zeemvavanyo ukuba bafune ukungaphumeleli kwintliziyo ye-congestive:
- I-BNP - uvavanyo lwegazi oluphakanyisiweyo kwi-heart failure ye-congestive.
- Uvavanyo lwe- Echocardiogram - uvavanyo lwe-ultrasound lwenhliziyo ekhangeleka ukubona indlela intliziyo yakho iqhuma ngayo.
- I-ECG- intliziyo ekulandelelwanakho inokukhawuleza ichonge iingxaki ezinzulu ngentliziyo kwaye zichonge ukuba ngaba unomonakalo ngaphambili kwintliziyo.
- Iimpawu ze-CAR ze-Cardiac ezininzi ziqalise ukuhlola iimviwo ze-MRI ukuze zifune i-calcium deposits kunye ne-blockages kwimithambo yegazi ehambisa intliziyo.
Unyango
Unyango oluphambili luya kubakho ukujongana nesifo sesifo senhliziyo. Ukuba iimpawu zibangelwa ipompo yeentliziyo ezihlwempuzekileyo, ngoko ke unyango luya kujolisa kuloo mayeza afana ne:
- I-Diuretics- kubangele ukwanda kwamanzi kunye nokususwa kwe-fluid
- I-ACE Inhibitors-ukunciphisa uxinzelelo entliziyweni
- I-Nitrate- Yenza i-vasodilation kwaye iyanciphise umthamo we-volume
Ngethuba elifutshane, ugqirha wakho uya kubaphatha nge -agonists (BABA) abancinci be-beta (SABA) ukuze kuphuculwe iimpawu. Ukongezelela, Ukuba unayo i-hypoxia ke uya kunyangwa nge-oxygen. Izigulane ze-astmma ze-cardiac ezineempawu zokuphefumula okufutshane ziphendula ngokukhawuleza kwi-SABAs.
Kwezinye iimeko, unako ukuphathwa ngokufana nesigulane se-asth nge-systemic steroids. Oku kuya kuba yinto xa ungaphenduli ngokukhawuleza kwizithiyo ze-diuretics kwaye kukho inkxalabo enokuthi unayo isifo se-asthma okanye esinye isifo se-airway disease okanye i-COPD. Ukuba kukho inkxalabo unokufumana i-antibiotics.
Ukuba ugqirha wakho uxolisa ukuba isondo sakho sisifo se-asthma yesifo senhliziyo, unganakho ukuba nesifo se-asthma nonke. Yingakho kubalulekile ukubona ugqirha wakho malunga nayiphi na impawu ebonakala ngathi i-asthma. Elinye iqhosha elibalulekileyo abayifundisayo kwisikolo sezokwelapha kukuba akusiyo yonke into eyenziwa yi-asthma. Kuphela ugqirha oqeqeshwe ngokufanelekileyo unokufumanisa ukuba iziphi iimpawu zakho zivela kwaye zikunika unyango olufanelekileyo.
> Imithombo
> Jorge S, uBququemin MH, u-Delerme S, uBenceceur M, Isnard R, uAkkar R. I-astmma ye-cardiac kwizigulane ezigugile: iziganeko, inkcazo yeklinikhi kunye nesiphumo. I-BMC Cardiovasc Disord 2007. 7: 16.
> Intliziyo yeSizwe, iLung, neSigqeba seGazi. Ingaba ukuhluleka kwentliziyo?
> Keet CA, McCormack M. I- Cardiac Asthma : Ixesha elidala elinokuthi linentsingiselo entsha? J Allergy Clin Immunol Pract. 2016 Sep-Oct; 4 (5): 924-5.
> Bang CL, uPorsbjerg CM. Cinga kabini - Ukulibaziseka kokuxilongwa kwisigulane esinentlungu ebindiweyo yesifuba. I-Repir Med Case Rep. 2016 Aug 20; 19: 94-7.