Cor pulmonale

I-Cor pulmonale yimeko ebangela ukuba icala lasekunene lentliziyo lisilele. Uxinzelelo lwegazi lwexesha elide kwimithambo yemiphunga kunye ne-ventricle yasekunene yentliziyo inokukhokelela kwi-cor pulmonale.

Uxinzelelo lwegazi oluphezulu kwimithambo yemiphunga ibizwa ngokuba yi-pulmonary hypertension. Ngoyena nobangela uqhelekileyo wecor pulmonale.

Kubantu abane-pulmonary hypertension, utshintsho kwimithambo yegazi encinci ngaphakathi kwimiphunga kunokukhokelela ekunyukeni koxinzelelo lwegazi kwicala lasekunene lentliziyo. Oku kwenza ukuba kube nzima ngentliziyo ukupompa igazi kwimiphunga. Ukuba olu xinzelelo luphezulu luyaqhubeka, lubeka uxinzelelo kwicala lasekunene lentliziyo. Olo xinzelelo lunokubangela i-cor pulmonale.

Iimeko zemiphunga ezibangela inqanaba eliphantsi le-oksijini yegazi egazini ixesha elide linokukhokelela kwi-cor pulmonale. Ezinye zazo zezi:

• Izifo ezizimela ngokuzenzekelayo ezonakalisa imiphunga, njenge-scleroderma
• Isifo esinganyangekiyo semiphunga (COPD)
• Ukuqina kwegazi okungapheliyo emiphungeni
• ICystic fibrosis (CF)
• I-bronchiectasis enzima
  
• Ukuphazamiseka kwethishu yemiphunga (isifo semiphunga esiphakathi)
• Ukujika okumandla kwendawo ephezulu yomqolo (kyphoscoliosis)
• Ukuthintela ukuphefumla kokulala, okubangela ukuphefumla ngenxa yokuvuvukala komoya
• Idiopathic (akukho sizathu sithile) ukuqina (ukuqina) kwemithambo yegazi yemiphunga

Ukuphefumla okufutshane okanye intloko ebushushwini ngexesha lomsebenzi ihlala iluphawu lokuqala lwe-cor pulmonale. Unokuba nentliziyo ebetha ngokukhawuleza kwaye uzive ngathi intliziyo yakho ibetha ngamandla.

Ngokuhamba kwexesha, iimpawu zenzeka ngokukhanya okanye nokuba uphumle. Iimpawu osenokuba nazo zezi:

• Ukuphelelwa ngamandla ngexesha lomsebenzi
• Ukungonwabi kwesifuba, ihlala iphambi kwesifuba
• Iintlungu zesifuba
• Ukudumba kweenyawo okanye kwamaqatha
• Iimpawu zokuphazamiseka kwemiphunga, ezinje ngokuphefumula okanye ukukhohlela okanye ukuveliswa kwephlegm
• Imilebe eluhlaza okwesibhakabhaka kunye neminwe (cyanosis)

Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu zakho. Uviwo lunokufumana:

• Ulwakhiwo lwamanzi kwisisu sakho
• Intliziyo engaqhelekanga iyavakala
• Ulusu oluhlaza okwesibhakabhaka
• Ukudumba kwesibindi
• Ukudumba kwemithambo yentamo, engumqondiso woxinzelelo oluphezulu kwicala lasekunene lentliziyo
• Ukudumba kweqatha

Olu vavanyo lunokunceda ukufumanisa i-cor pulmonale kunye nesizathu sayo:

• Uvavanyo lwe-antibody yegazi
• Uvavanyo lwegazi ukujonga into ebizwa ngokuba yingqondo ye-natriuretic peptide (BNP)
• I-x-ray yesifuba
• Ukuxilongwa kwe-CT kwesifuba, kunye okanye ngaphandle kwenaliti yolwelo olwahlukileyo (idayi)
• Echocardiogram
• ECG
• I-biopsy yemiphunga (kunqabile ukuba yenziwe)
• Ukulinganisa ioksijini yegazi ngokujonga iarterial yegazi yegazi (ABG)
• Uvavanyo lomsebenzi wePulmonary (lung)
• I-catheterization yentliziyo elungileyo
• Ukungenisa umoya kunye nokuvavanywa kwemiphunga (V / Q scan)
• Uvavanyo lwezifo zemiphunga ezenzekelayo

Injongo yonyango kukulawula iimpawu. Kubalulekile ukunyanga iingxaki zonyango ezibangela uxinzelelo lwegazi kwimiphunga, kuba zinokukhokelela kwi-cor pulmonale.

Zininzi iindlela zokhetho ezikhoyo. Ngokubanzi, unobangela we-cor pulmonale yakho uya kugqiba ukuba loluphi unyango olufumanayo.

Ukuba umboneleli wakho ukumisela amayeza, ungawathatha ngomlomo (ngomlomo), uwafumane ngomthambo (efakwa ngaphakathi okanye nge-IV), okanye ubaphefumlele kwi-inhaled. Uya kujongwa ngeliso elibukhali ngexesha lonyango ukuba ujonge iziphumo ebezingalindelekanga kwaye ubone ukuba lisebenza kanjani na iyeza. Ungaze uyeke ukuthatha amayeza akho ngaphandle kokuqala uthethe nomboneleli wakho.

Olunye unyango lunokubandakanya:

• Abacoci begazi ukunciphisa umngcipheko wamahlwili egazi
• Amayeza okulawula ukusilela kwentliziyo
• Unyango lweoksijini ekhaya
• Ukufakelwa kwemiphunga okanye intliziyo nomphunga, ukuba ngaba iyeza alisebenzi

Iingcebiso ezibalulekileyo zokulandela:

• Gwema imisebenzi enzima kunye nokuphakamisa okunzima.
• Gwema ukuhamba kwiindawo eziphakamileyo.
• Fumana iyeza lokugonya lonyaka lomkhuhlane, kunye nezinye izitofu zokugonya, ezinjenge-pneumonia vaccine.
• Ukuba uyatshaya, yeka.
• Nciphisa ityuwa oyityayo. Umboneleli wakho unokukucela ukuba unciphise ukuba uphuza amanzi angakanani emini.
• Sebenzisa ioksijini ukuba umboneleli wakho umisela oko.
• Abasetyhini akufuneki bakhulelwe.

Ukwenza kakuhle kangakanani kuxhomekeke kwisizathu se-cor pulmonale yakho.

Njengokuba ukugula kwakho kusiba kubi, kuyakufuneka wenze utshintsho ekhayeni lakho ukuze ube nakho ukulawula kangangoko. Uya kudinga uncedo malunga nendlu yakho.

I-Cor pulmonale inokukhokelela ku:

• Ukuphefumla okusongela ubomi
• Ulwelo olunamandla olwakhiweyo emzimbeni wakho
• Umothuko
• Ukufa

Fowunela umboneleli wakho ukuba unomoya ophefumlayo okanye iintlungu zesifuba.

Musa ukutshaya. Ukutshaya kubangela isifo semiphunga, esinokukhokelela kwi-cor pulmonale.

Ukusilela kwentliziyo esekunene; Isifo sentliziyo sepulmonary

• Isifo esingapheliyo sokuphazamiseka kwemiphunga - abantu abadala - ukukhutshwa

• I-Sarcoid, isigaba se-IV - i-x-ray yesifuba
• Acute vs.Izifo ezingapheliyo
• Cor pulmonale
• Inkqubo yokuphefumla

UBarnett CF, uDe Marco T.Uxinzelelo lwegazi ngenxa yesifo semiphunga. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 59.

IBhatt SP, iDransfield MT. Izifo ezingapheliyo zemiphunga kunye nesifo sentliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 86.