Ukungaphumeleli Kwintliziyo Yentliziyo Ekholileyo Ehlanganiswe neCOPD ephezulu
I-Cor pulmonale yinkxalabo yesifo esingapheliyo se-pulmonary disease (COPD) kunye ne- emphysema . Ngamanye amaxesha kuthiwa ukukhubazeka kwentliziyo ephakathi .
I-cor pulmonale ibangelwa ukwanda kwexinzelelo lwegazi kwisitya, esibizwa ngokuba ngumthambo we-pulmonary, ephethe igazi esuka entliziyweni ukuya kumaphaphu. Ukunyuswa kwengcinezelo yegazi kukukhokelela ekuphuculeni nasekuphumelelweni okulandelelweyo kwinqanaba elilungileyo lentliziyo.
Kwiimeko eziqhelekileyo, icala langasekhohlo lentliziyo lijongene nokupompa igazi kuwo wonke umzimba kwaye kudinga uxinzelelo oluphezulu. Uhlangothi oluchanekileyo, ngokuphambene, lubamba indima yokupompa igazi emiphakeni kwaye idinga uxinzelelo oluncinci.
Nangona kunjalo, xa imeko ibangela uxinzelelo olungakumbi kwimida kunye nelinye icala lentliziyo, sibhekisela kuyo njengengcinezelo yomshukela we-pulmonary . Igama elithi pulmonary libhekise ngqo kwimiphunga.
Izizathu
Naluphina umqathango okhokelela kwingcinezelo yomshumbululwazi unokufaka umxube kwi- ventricle efanelekileyo kunye ne-atrium yentliziyo. I-ventricle efanelekileyo iphepha igazi ukuya kumaphaphu; i-atrium efanelekileyo ifumana igazi elibuya entliziyweni. Xa la macala amabini ahluleka okanye angakwazi ukusebenza ngokuchasene neengcinezelo ezingaphelelekanga kwimiphunga, le meko ibizwa ngokuba yi-cor pulmonale.
Nangona i-COPD yinto eqhelekileyo ye-cor pulmonale, ezinye izimbangela ziquka i-cystic fibrosis, i-apnea yokulala, i-scleroderma yemiphunga, i-blot clots emapapu, okanye umonakalo wesikhumba semiphunga.
Iimpawu
Iimpawu zivame ukuhambelana nesifo sengumphunga kwaye zingabandakanya:
- ukuphefumula okufutshane ( dyspnea )
- ukuqhuma nokukhwehlela
- ukuvuvukala kweenyawo kunye / okanye ii-ankle
- iintlungu zesifuba
- i-bluish tinge kwesikhumba sakho, umbhedi wesikhonkwane, imilomo, okanye iisini (i- cyanosis )
- iimvumba zentamo
- ukungakwazi ukunyamezela ukusetyenziswa
I-pulmonary hypertension kunye ne-cor pulmonale inokukhokelela ekugcineni ukugcinwa kwamanzi okutshatyalaliswa, okubangelwa yingozi yokutya ubomi, ukutshatyalaliswa nokufa.
Ukuxilongwa
I-diagnostic yokuqala ye-cor pulmon ngokuqhelekileyo yenza iofisi yegqirha. Uvavanyo lomzimba lwaluza kuthatha naziphi na iintliziyo ezingavamile, ukugcinwa kwamanzi, okanye iintsholongwane ezisentanyeni ezibonisa umfutho wexinzelelo lwe-pulmonary.
Iimvavanyo zegazi nazo ziya kwenziwa ukwenzela ukujonga, phakathi kwezinye izinto, i-amino acid eyenziwa entliziyweni ebizwa ngokuba. Ukuba amazinga e-BNP aphakamileyo, ibonisa ukuba intliziyo igxininiswe kwaye, kwiimeko ezinzima, kunokubonisa okokuqala kwintliziyo.
Ukubonelela ngokuxilongwa ngokucacileyo, ugqirha unokukwenza le mvavanyo elandelayo:
- i-echocardiogram, esebenzisa amaza omsindo ukubonisa intliziyo
- x-ray esifubeni
- ukukhangela ikhompyutha ye-tomography (CT) yesifuba
- gesi yegazi
- i-pulmonary artery catheterization (ukufaka i-catheter kwi-pulmonary artery ukujonga ukusilela kwintliziyo
- ukutsalwa kwe-umoya / ukutshatyalaliswa (ukusetyenziswa kwezinto ezichithwa ngama-radioactive ukuhlola ukuphuma komoya kunye nokuhamba kwegazi kumphunga)
Unyango
Utyando lwe-cor pulmonale lujolise ekuphatheni isigulo esiphezulu. Ngokubhekiselele kwiCOPD kunye nezinye iingxaki zemiphunga, ukhetho luquka:
- i-oksijini yonyango yokwandisa izinga le-oksijini kwigazi
- i-calcium i-block blockers ekhusela i-calcium ukungena kwiiseli zentliziyo kunye neendonga zegazi, ngaloo ndlela zinciphisa uxinzelelo lwegazi
- i-anticoagulants (i-blood thinners) eyaziwa ngokunciphisa ukufa kwabantu abantu abanexinzelelo lwe-pulmonary
- mhlawumbi intliziyo okanye ukupakisha imiphunga kwiimeko eziphambili kakhulu
Utyando nge-oksijini, imichiza, kunye / okanye utyando lunokubangela ukuphuculwa kweempawu, amandla amakhulu, kwaye ngokuphindaphindiweyo ixesha lokuhlala ixesha elide.
Ekubeni i-COPD ibangela imbangela ye-cor pulmonale, ukuyeka ukutshaya kunokunceda ukucotha ukuqhubela phambili kwe-COPD kwaye kunokuthintela i-cor pulmonale ukuba ingenzeki.
> Umthombo:
> ILebhu yeSizwe yeMathala ka-US: iiNational Institutes of Health. "I-cor pulmonale." EBethesda, eMaryn; hlaziywa ngoJanuwari 30, 2016.