Ngezinye izikhathi ngitshelwe iziguli ukuthi zine-asthma yesifo sezinhliziyo futhi ziyazibuza ukuthi zidinga ukwelashwa okuqondene nesifo sofuba. Lezi ziguli zivame ukuzibuza ukuthi izimpawu ezilandelayo zibangelwa yi-asthma:
I-asthma ye-Cardiac Ihlukile Ku-asthma
Naphezu kweziguli eziningi ezicabangela ngokuhlukile futhi zithola izimpawu ezinjenge-asthma, i-asthma yomzimba akuyona i-asthma ngempela.
Nakuba i- pathophysiology ye-asthma ihilela ukuvuvukala nokunciphisa ukuhamba kwemimoya, izimpawu zesifo sokuphefumula komzimba zibangelwa isimo esingaphansi.
Ukuhluleka kwenhliziyo, isimo lapho inhliziyo ingapheli khona ngendlela evamile, ngezinye izikhathi ingalingisa i-asthma futhi ngezinye izikhathi ibizwa ngokuthi i-asthma yesifo yiziguli. Ukuphefumula ngokuphefumula komzimba akubangelwa ukunciphisa ukuhamba kwemimoya nokuvuvukala, kodwa ngenxa yoketshezi emaphashini. Lapho inhliziyo yepompo ingasebenzi ngendlela efanele, i-fluid ibuye ibuyele emaphashini. Uketshezi emaphashini yilokho okuholela ekuqhumeni emaphashini.
Ukuhluleka kwenhliziyo akusona isimo esithile, kepha ukuhlanganiswa kwezimpawu. Ngamanye amazwi, ukwehluleka kwenhliziyo kunesizathu futhi udokotela wakho kufanele anqume imbangela ukuze akunikeze ukwelashwa okungcono kakhulu. Ngezinye izikhathi ukwehluleka kwenhliziyo kubangelwa ukunciphisa imithanguzo ehlinzeka ngegazi enhliziyweni. Ngezinye izikhathi ukuphakama kwengcindezi yegazi ngaphezulu kweminyaka eminingi kubangela umonakalo wenhliziyo nomsebenzi ompofu wepompo.
Izikhathi eziningi lezi zimo ziholela enhliziyweni ekubeni buthakathaka, inzima, noma kokubili.
Ngezinye izikhathi inhliziyo enhle ayisebenzi ngenxa yokungahambi kahle kwegazi, ngokuvamile ebizwa ngokuthi i-cardiomyopathy. Ukutheleleka ngegciwane, ukusebenzisa kabi izidakamizwa, nokusebenzisa kabi utshwala kungaholela ekutheni inhlitiyo yenhliziyo eyonakaliswe kanye nezimpawu zokuhluleka kwenhliziyo.
Okokugcina, izinkinga ezithile zezokwelapha zingase zisebenze ngokweqile enhliziyweni futhi zibangele izinsizwa zenhliziyo ezilimele. Lokhu kufaka izinkinga ze-valve senhliziyo, isifo se-thyroid, isifo esingenasifo sezinso, noma isifo sikashukela.
Ngezinye izikhathi imithi yokwelapha ingakwazi ukuguqula isifo esiyinkimbinkimbi futhi izimpawu ezenzeke ngcono.
Izimpawu ze-Asthma ye-Cardiac
Ukwengeza izimpawu ezifana nesifo se-asthma, ukuphefumula, nokukhwehlela, ukuphefumula komzimba kungase kuholele ekugcineni ukugcina amanzi emagqumeni nasemkhawulweni ophansi obizwa ngokuthi i-edema. Ukwengeza iziguli zingase zibone ukwanda kwesisindo ngenxa yokugcinwa kwamanzi. Iziguli ezinesifo senhliziyo zibika ezinye izimpawu ezingafana neziguli ezine-asthma ezilawulwa kabi ezibandakanya ukukhathala, ubuthakathaka, nokukhathala ngokweqile.
Ingabe I-Cardiac Asthma Iphuthumayo?
Kungaba njalo. Uma izimpawu zinzima ngokwanele zingabangela i-hypoxemia noma i-oxygen encane egazini. I-asthma ye-cardiac ingadinga ukwesekwa kwe-ventilatory njengokungenwa noma ukufakwa engxenyeni yokunakekela kakhulu. Uma isiguli se-asthma yesifo senhliziyo sibhekene nokunciphisa okujulile ekugezeni kwegazi kuya enhliziyweni ku-infarction e-myocardial acute noma ukuhlasela kwenhliziyo, isiqephu singasongela ukuphila.
Kuyathakazelisa ukuthi cishe ingxenye yesithathu yazo zonke iziguli ezikhulile ezinokuhluleka kwenhliziyo ngokukhululeka kuzoletha ngesondo.
Ukuxilongwa
Ezikhathini eziningi ukuxilongwa kugcizelela udokotela wakho Uma udokotela wakho esolwa ukuthi izimpawu zakho azibangelwa i-asthma, zingase zilandele izivivinyo eziningi ukuze zibheke ukuhluleka kwenhliziyo njengokungathi:
- I-BNP - ukuhlolwa kwegazi okuphakanyisiwe ekuhlulekeni kwenhliziyo ye congestive.
- I-Echocardiogram - ukuhlolwa kwe-ultrasound yenhliziyo ebukeka ukubona ukuthi inhliziyo yakho iqhuma kanjani.
- I-ECG- inhliziyo elandelanayo ingakwazi ukubona ngokushesha izinkinga ezinzima ngenhliziyo bese ubona ukuthi ngabe unomonakalo owenziwe enhliziyweni.
- I-MRI yezinhliziyo eziningi seziqalile ukwenza izivivinyo ze-MRI ukuze zifune i-calcium deposits kanye nama-blockages emithonjeni yegazi enikeza inhliziyo.
Ukwelapha
Ukwelapha okuyinhloko kuyoba ukubhekana nesifo sengqondo esiphezulu. Uma izimpawu zibangelwa ipompo yenhliziyo empofu, khona-ke ukwelashwa kuzogxila kulokho ngemithi efana nalokhu:
- I-Diuretics- ibangela ukuvuthwa okwenyuka nokukhipha uketshezi
- ACE Inhibitors- ukunciphisa ukucindezeleka enhliziyweni
- I-Nitrate- Yenza i-vasodilation futhi yehle ngokweqile
Esikhathini esifushane, udokotela wakho cishe uzophatha nge -agaists abasebenzisa i-beta esifushane (SABA) ukuze kuthuthukiswe izimpawu. Ukwengeza, Uma une-hypoxia uzobe usuphathwa nge-oxygen. Iziguli ze-cardiac astmma ezinezimpawu zokuphefumula ngokuvamile ziphendula ngokushesha kuma-SABAs.
Kwezinye izimo, ungaphathwa kangcono njengesiguli se-asthma nge-steroids yesistimu. Lokhu kuzoba njalo uma ungaphenduli ngokushesha kuma-diuretics futhi kukhona ukukhathazeka okungenzeka ukuthi une-asthma noma enye ingxenye ye-airway disease noma i-COPD. Uma kunokukhathazeka ungathola futhi ama-antibiotics.
Uma udokotela wakho esola ukuthi isondo lakho libangelwa ukuphefumula komzimba, kungenzeka ukuthi awunayo i-asthma nhlobo. Yingakho kubalulekile ukubona udokotela wakho mayelana nanoma yiziphi izimpawu ezibonakala ziba yi-asthma. I-tenet ebalulekile abayifundisayo esikoleni sezokwelapha yilokho akusho konke okuphefumulayo. Udokotela oqeqeshiwe kuphela ongakwazi ukubona ukuthi izimpawu zakho zivelaphi bese ekunikeza ukwelashwa okufanele kakhulu.
> Imithombo
> UJorge S, uBacquemin MH, uDelerme S, uBenceceur M, Isnard R, i-Achkar R. I-asthma iziguli ezikhulile: izenzakalo, isethulo semitholampilo kanye nomphumela. BMC Cardiovasc Disord 2007. 7: 16.
> Inhliziyo kaZwelonke, iLung, ne-Blood Institute. Ingabe inhlupho yezinhliziyo?
> Keet CA, McCormack M. Isifo Sengqondo : Isikhathi Esidala Esingaba Nencazelo Entsha? J Allergy Clin Immunol Pract. 2016 Sep-Oct; 4 (5): 924-5.
> Bang CL, uPorsbjerg CM. Cabanga kabili - Ukulibaziseka kokuxilonga esigulini esinokuhlunguphazwa kwesifuba esibuhlungu. I-Respir Med Case Rep. 2016 Aug 20; 19: 94-7.