I-pulmonary hypertension yimeko apho uxinzelelo lwegazi ngaphakathi kwipetroli ye-pulmonary iphezulu kakhulu.
Umthambo we-pulmonary isitya esikhulu segazi esithwala igazi kwi -ventricle yeyona nto efanelekileyo kwimiphunga, apho ithatha i-oxygen. I-pulmonary artery ngokuqhelekileyo isitya soxinzelelo se-low-blood pressure, esinomlinganiselo wegazi ophakathi kwe-8 no-20 mmHg.
Ukuba ukunyuka kwengcinezelo yegazi kwipetroli ye-pulmonary kwanda kuma-25 mmHg, i-pulmonary hypertension kuthiwa ikhoyo.
I-pulmonary hypertension ihlala yimeko enzulu yonyango, kwaye ukuba iya kuba nzima kakhulu inokuphazamisa kakhulu kwaye isongela ubomi. Uncedo olufanelekileyo lubalulekile. Ngoko ukuba unesifo sengqondo somfutho wegazi, kufuneka ube phantsi kwenkathalo ye-cardiologist kunye / okanye i-pulmonologist (isifo seengqondo zemiphunga).
Iimpawu
I-hypertension emfutshane yomshumbululwazi kaninzi ayibangela ukuba kubekho iimpawu, kodwa njengoko iingcinezelo kwi-pulmonary artery zanda, ukuphefumla okufutshane, ubuthathaka, ukunyaniseka kunye nokukhathala kuyafana. Ukuba imeko iya kuba nzima, intlungu yesifuba, i-edema enzima (ukuvuvukala), kunye ne-syncope (ukuphelelwa amandla okanye ukulahleka kwengqondo) kuya kwenzeka.
Izizathu
Iingxaki ezininzi zezonyango zingenza i-pulmonary hypertension, kuquka ukukhathazeka kwentliziyo, ukuphazamiseka kwemiphunga, iziyobisi kunye nezifo zenyama.
Ukuxilongwa
Ukuba ugqirha wakho ucinga ukuba unakho uxinzelelo lwe-pulmonary olusekelwe kwimbali yakho yezobugqirha okanye uvavanyo lwakho lomzimba, uya kuqhuba ngokucwangcisa i- echocardiogram . I-echocardiogram inganika uqikelelo olufanelekileyo lweengcinezelo ngaphakathi kwipetrogram ye-pulmonary, kwaye inokukunceda ekufumaneni imbangela yecala loxinzelelo lwe-pulmonary.
Ukuba i-echocardiogram ibonisa ingcinezelo yomshumpulane kodwa ingacacisi isizathu, kuya kufuneka ukuba kwenziwe umsebenzi ogqityiweyo wonyango. Uninzi lweemeko zonyango lunokuvelisa i-pulmonary hypertension, ngoko-ke lo msebenzi ungabandakanya iintlobo ezininzi zeemvavanyo, kuxhomekeke kwisizathu (ugqirha) wakho ugqirha. Ukukhangela ngentshutshiso ngesibango esithile kubaluleke kakhulu, nangona kunjalo, kuba unyango oluphezulu lwe-pulmonary blood pressure lusekelwe kwisifo sengqondo esisisiseko.
Prognosis
Ngaba izigulane ezinexinzelelo zengxubevange ye-pulmonary zixhomekeke kwizinto ezininzi, kuquka ukuphakama kwengcinezelo yegazi yepommonary, imbangela yecala loxinzelelo lwe-pulmonary, kunye nobudala kunye nesimo sempilo yesigulane.
Kodwa kuzo zonke iimeko, i-pulmonary hypertension ingaba yimeko ebi kakhulu. Xa i-pulmonary yexinzelelo yengqondo iba nzima ngokwaneleyo ukuqala ukuvelisa iimpawu, ukufa kufuthi kubakho kwiminyaka emithathu ukuya kwemihlanu kungekho unyango olubi.
Unyango
Uphulo oluphezulu lwe-pulmonary hypertension lugxininisekile kwisona esiyintloko kunye nobunzima bemo. Kwiimeko ezininzi, ngaphambili unyango luye lwaqala, lungcono.
ILizwi
I-pulmonary hypertension ihlala yimeko echaphazelekayo yonyango edla ngokuba nesiphumo esibi kakhulu.
Ukuba unengcinezelo yomshumpulane, kubalulekile ukuba ugqirha wakho asebenze ngokugqithiseleyo ukuze achaze isizathu esona sizathu esithile, aze aqalise unyango olufanelekileyo ngokukhawuleza.
Imithombo:
Badesch, DB, Champion, HC, Sanchez, MA, et al. Ukuxilongwa kunye nokuhlolwa kwe-pulmonary arterial blood pressure. J Am Coll Cardiol 2009; 54: S55.
Ucebile, S. Inani leempawu ezivunyiweyo ze-pulmonary arterial blood pressure. Inhliziyo J 2007; 153: 889.