I-Cor pulmonale: yintoni, izizathu kunye nonyango

Umxholo

• Izizathu eziphambili
• Iimpawu zecor pulmonale
• Unyango lwenziwa njani

I-Cor pulmonale ihambelana notshintsho lwe-ventricle elungileyo ngenxa yesifo semiphunga. I-ventricle elungileyo sisakhiwo senkqubo ye-cardiovascular system ejongene nokuhambisa igazi lisuka entliziyweni lisiya emiphungeni kwaye, ngenxa yezifo zemiphunga, ikakhulu iZifo eziNgapheliyo zePulmonary Disease (COPD), ezinokuthi zibe nolwakhiwo kwaye, ngenxa yoko, kubekho utshintsho olusebenzayo. Funda indlela yokuchonga nokunyanga iCOPD.

I-Cor pulmonale inokuhlelwa njenge-acute okanye engapheliyo:

• Cor pulmonale etsolo: inokubangelwa ngenxa ye-pulmonary embolism okanye yokwenzakala okubangelwa kukungeniswa komoya kwaye zihlala zibuyela umva ngokulula;
• Cor pulmonale engapheliyo: ikakhulu kubangelwa yi-COPD, kodwa inokubangelwa kukuphulukana nethishu yemiphunga ngenxa yoqhaqho, i-pulmonary fibrosis, ukuphazamiseka okubandakanya izihlunu zokuphefumla okanye ngenxa ye-pulmonary embolism engapheliyo.

Ukuxilongwa kwenziwa ngokusekelwe kwiimpawu kunye neemvavanyo zelabhoratri kunye nokucinga, ezinje nge-echocardiography, apho ulwakhiwo lwentliziyo lujongwa ngexesha lokwenyani, kwimeko apho kuguqulwa ulwakhiwo lwe-ventricle elungileyo.

Izizathu eziphambili

Phambi kwezifo zemiphunga, igazi lidlula kwimithambo yemiphunga kunye nemithambo enobunzima, libonakalisa uxinzelelo lwegazi kwimiphunga, nto leyo ebangela ukuba izakhiwo zentliziyo, ngakumbi i-ventricle elungileyo, zigcwaliswe.

Uxinzelelo lwegazi kunye, ngenxa yoko, i-cor pulmonale inokubangelwa ngu:

• Isifo esinganyangekiyo semiphunga;
• Ukubethelwa kwemiphunga;
• Icystic fibrosis;
• Iscleroderma;
• I-emphysema;
• Ukungoneliseki kwentliziyo

Ukongeza, utshintsho kwi-vascularity kunye nokwanda kwe-viscosity yegazi kunokubangela uxinzelelo lwegazi lwe-pulmonary. Funda ngakumbi malunga noxinzelelo lwegazi kwimiphunga.

Iimpawu zecor pulmonale

Ekuqaleni, i-cor pulmonale i-asymptomatic, nangona kunjalo iimpawu ezingachazwanga zinokuvela, ezinje:

• Ukudinwa kakhulu;
• ICyanosis;
• Ukukhwehlela nge-phlegm okanye ngegazi;
• Ubunzima okanye ukuvutha xa uphefumla;
• Iintlungu zesifuba;
• Ukudumba kwamalungu asezantsi;
• Ukwandiswa kwesibindi;
• Ukujulwa kwemithambo yegazi, eyimithambo ebekwe entanyeni;
• Amehlo atyheli.

Ukuxilongwa kwenziwa ngovavanyo lweempawu kunye neemvavanyo ezinje ngeemvavanyo zaselebhu, ezinje ngerteri yegazi kunye nokubalwa kwegazi, umzekelo, i-electrocardiogram kunye ne-echocardiogram, eyenziwayo ukuvavanya ukwakheka kwentliziyo ngexesha lokwenyani, kwaye kunokubonwa Ngale nto kuvavanywa utshintsho kwi-ventricle elungileyo. Qonda ukuba yenziwa njani i-echocardiogram.

Ukongeza, ezinye iimvavanyo zinokuyalelwa ukuba ziqinisekise ukuxilongwa, ezinje ngesifuba se-tomography, i-lung biopsy kunye ne-angiotomografi yemithambo yemiphunga. Jonga ukuba yeyiphi i-angiotomography eyenzelwe yona.

Unyango lwenziwa njani

Unyango lwe-cor pulmonale lwenziwa ngokwesifo semiphunga esihambelanayo, kwaye kuhlala kucetyiswa ukuba kuphuculwe ioksijini, kunciphise ukugcinwa kwamanzi, ukulawula isifo se-pulmonary kunye nokuphucula ukusebenza kwe-ventricular elungileyo.

Kunokucetyiswa li-medium ukuba lisebenzise amayeza aphucula ukujikeleza kunye nokunciphisa uxinzelelo ngaphakathi komphunga, njenge-antihypertensives kunye ne-anticoagulants, umzekelo. Kwiimeko ezinzima kakhulu, nangona kunjalo, ukufakelwa kwentliziyo okanye kwemiphunga kunokuba yimfuneko ukusombulula i-cor pulmonale.