I-pulmonary hypertension- ixinzeleleke uxinzelelo lwegazi ngaphakathi kwipetroli ye-pulmonary-yimeko ebalulekileyo enobangela obuninzi. Oogqirha, ukuqonda imbangela yesifo somngcipheko we-pulmonary isinyathelo sokuqala esibalulekileyo ekunqumeni kwi-optimal treatment.
Ukubeka i-Pulmonary Hypertension
Ekubeni iimbangela zexinzelelo zengxubevange ye-pulmonary zihlukeneyo, kunceda ukuzihlukanisa kwiindidi ezidibeneyo.
Ngomgudu wokwenza ulungelelwaniso lwe-pulmonary hypertension-ukwenzela ukuba xa oogqirha nabaphandi baxubusha ngezizathu ezahlukahlukeneyo eziza kuthetha ulwimi olufanayo-I-World Health Organisation (WHO) iye yapapasha inkqubo entsha yokuhlelwa ngokukhawuleza ibe yimiqathango.
Ngaphambi kwesi simiso esitsha se-classification, i-pulmonary hypertension yayivame ukuhlukana ngamacandelo amabini ahlukeneyo: iiprayimari okanye idiopathic (apho kungekho nto ebangela ukuba ichongiwe), kunye nesibini (apho kubangelwa isizathu esiphezulu). Nangona kunjalo, zininzi iintlobo zesondlo soxinzelelo lwe-pulmonary ziye zafumanisa ukuba le nkqubo elula yokuhlelwa kwamanani ayinelanga.
Uhlobo lwe-WHO lwe-Pulmonary Hypertension
Inkqubo entsha yodidi lwe-WHO izama ukucacisa ngakumbi malunga neendlela zengcinezelo ye-pulmonary, kunye nokuphendula okulindelekileyo kunyango. Yinkqubo yokwenza uluhlu oluluncedo kwiingcali kwi-pulmonary hypertension, kodwa izigulane kunye noogqirha abathile kunokubonakala kukudideka.
Oku kuyinyani ngokukodwa kuba le nkqubo entsha yokuhlelwa ingqalelo ayiyiyo ihlelwe ngokucokisekileyo ngokungqinelana neendlela ezisisiseko seziphumo zengcinezelo yomsongo , kodwa kunoko, kubonakala ngathi yinto engathandabuzekiyo.
Inkqubo yesigaba se-WHO ihlula umxhesho wexinzelelo lwe-pulmonary kwizigaba ezihlanu:
- Iqela 1: Eli qela liquka ukuphazamiseka apho i-pulmonary blood pressure ishambelana nokungaqhelekanga kwamasebe amancinci omthi wamapulmonary, arterioles. Zininzi iintlobo zeengxowankulu zengxubevange ye-pulmonary ziseQela 1, kuquka i-idiopathic yomshumbuliso wegazi, kunye neengxowankulu zomshukela ngenxa yeentlobo ezininzi zentsholongwane efana ne- HIV , izifo ezixhamlayo ezifana ne- scleroderma , i-toxins ezifana ne-fenfluramine, i-amphetamines kunye ne-cocaine; kunye nezinye iintlobo zesifo senhliziyo esiswini.
- Iqela 2: Eli qela libandakanya uxinzelelo lwengqondo lwegazi olubangelwa zizifo zentliziyo ezisekhohlo ezinjenge-cardiomyopathy, i- diastolic ukungasebenzi , i- mitral stenosis , i- mitral regurgitation , i- aortic stenosis kunye nokuvuselelwa kwe-aortic .
- Iqela lesi-3: Eli qela liquka ingozi yempembelelo yomsongo ngenxa yeengxaki zeemiphunga, ezifana nesifo esingapheliyo sesifo somphunga.
- Iqela le-4: Eli qela liquka ingozi yomshukela ophezulu ngenxa ye- pulmonary embolus (iingubo zegazi eziya emaphafini) okanye i-pulmonary thrombosis (iingubo zegazi ezenza emaphaphu).
- Iqela le-5: Eli qela liquka ingozi yomshukela ophezulu ngenxa yezinye izizathu ezihlukeneyo, ezingahambelani kwezinye iindidi ezine.
Isishwankathelo
Udidi lwe-WHO lwe-pulmonary hypertension luncedo kwiingcali ezijongana rhoqo nezigulane ezinegazi le-pulmonary blood pressure. Kodwa yinkqubo yokwahlula okunzima kunye nokubambisana okukodwa (ngoko kufuneka kukhishwe ngekhanda kunokuba "kuqikelelwe"). Ukuba unesifo sengqondo somfutho wegazi, awufanele ukhathazeke malunga nenkqubo yokuhlelwa. Into ebalulekileyo kuwe akuyiyo indlela i-pulmonary your blood pressure ngayo ngayo, kodwa kunoko, ukuba ugqirha wakho wenza nantoni na eyimfuneko ukufumana isizathu esithile sesimo sakho ukwenzela ukuba unyango lwenu lunokulungiswa ngokufanelekileyo.
> Imithombo:
> Simonneau G, Gatzoulis MA, Adatia I, et al. Ukuhlaziywa kweeKliniki eziPhakamileyo zePulmonary Hypertension. J Am Coll Cardiol 2013; 62: D34.