Umfutho wegazi ophezulu we-pulmonary- waveza ukucindezeleka kwegazi ngaphakathi komthambo we-pulmonary-yisimo esibi esiba nezimbangela eziningi. Odokotela, ukuqonda imbangela yomfutho wegazi ophezulu we-pulmonary isinyathelo sokuqala esibucayi ekunqumeni ukwelashwa okuphelele.
Ukuhlunga i-Pulmonary Hypertension
Njengoba izimbangela ze-hypertension ye-pulmonary zihlukahlukene kangaka, kusiza ukuzihlukanisa zibe izigaba ezingafani.
Ngomzamo wokumisa ukuhlukaniswa komfutho wegazi ophezulu we-pulmonary-ukuze kuthi lapho odokotela nabacwaningi bexoxa ngezimbangela ezihlukahlukene bazobe bekhuluma ulimi olufanayo-i-World Health Organization (WHO) ishicilele uhlelo olusha lwesigaba esivela ngokushesha.
Ngaphambi kwalesi simiso esisha sokwehlukaniswa, ukucindezeleka kwegazi kwamapulangwe kwakuvame ukuhlukaniswa ngezigaba ezimbili ezibanzi kuphela: okuyisisekelo noma idiopathic (lapho kungabikho imbangela eyimbangela engabonakala khona), futhi eyesibili (lapho imbangela eyimbangela ifunyenwe khona). Kodwa-ke, izinhlobo eziningi ze-secondary pulmonary hypertension ziye zaqaphela ukuthi le ndlela elula yokwenza ngezigaba yaba yanele.
I-WHO Classification ye-Pulmonary Hypertension
Uhlelo olusha lwesigaba se-WHO luzama ukucacisa ngokucacile mayelana nendlela yokushisa komfutho wegazi, nokuphendula okulindelekile kokwelashwa. Kuyindlela ewusizo yokuhlukanisa ochwepheshe ngegazi lomfutho wegazi, kodwa iziguli nabanye odokotela kungabonakala kudideka kancane.
Lokhu kuyiqiniso ikakhulukazi ngoba le nqubo entsha yokuhlelwa ngezigaba ayilungiswanga kahle ngokuvumelana nendlela yokwenza umfutho wegazi ophezulu we-pulmonary , kodwa kunalokho, kubonakala sengathi ayifuni.
Uhlelo lwesigaba se-WHO luhlukanisa umfutho wegazi ophezulu we-pulmonary ngezigaba ezinhlanu:
- Iqembu 1: Leli qembu lihlanganisa ukuphazamiseka lapho umfutho wegazi ophezulu we-pulmonary kuhlotshaniswa nokungajwayelekile emagatsheni amancane omuthi we-pulmonary, i-arterioles. Izinhlobo eziningana zomshukela ophezulu we-pulmonary ziphakathi kweQembu 1, kuhlanganise ne-hypertension ye-idiopathic yamapayipi, kanye nomfutho wegazi ophezulu we-pulmonary ngenxa yezinhlobo eziningana zokutheleleka njenge- HIV , izifo ezixhumene nezicubu ezifana ne- scleroderma , ubuthi obufana ne-fenfluramine, i-amphetamines ne-cocaine; kanye nezinye izinhlobo zesifo senhliziyo esiswini.
- Iqembu 2: Leli qembu lihlanganisa ukucindezeleka komfutho wegazi okubangelwa izifo zenhliziyo ezinhlangothini lwesokunxele ezifana nokudla komzimba, ukungasebenzi kwe-diastolic , i- mitral stenosis , i- mitral regurgitation , i- aortic stenosis , nokuvuselelwa kwe-aortic .
- Iqembu le-3: Leli qembu lifaka umfutho wegazi ophezulu we-pulmonary ngenxa yezinkinga zamaphaphu, njenge-chronic obstructive lung lung disease.
- Iqembu 4: Leli qembu lifaka umfutho wegazi ophezulu we-pulmonary ngenxa ye- pulmonary embolus (i-blood clots eya emaphashini) noma i-thrombosis ye-pulmonary (i-blood clots eyenza emaphashini).
- Iqembu lama-5: Leli qembu lihlanganisa ukucindezeleka komfutho we-pulmonary ngenxa yezinye izimbangela ezihlukahlukene, ezingafani kwezinye izigaba ezine.
Isifingqo
Uhlobo lwe-WHO lwe-hypertension ye-pulmonary luwusizo ochwepheshe ababhekana njalo neziguli ezine-high blood pressure. Kodwa kuyinkimbinkimbi yokuhlukanisa uhlelo olunokubambisana okuncane (ngakho kufanele kube ngekhanda kunokuba "kucatshangwe"). Uma une-high blood pressure, akufanele ukhathazeke ngesistimu yokuhlukanisa. Into ebalulekile kuwe akuyona indlela okwehlukaniswa ngayo umfutho wegazi ophezulu we-pulmonary, kodwa kunalokho, ukuthi udokotela wakho wenza noma yini edingekayo ukuze athole imbangela ethile yesimo sakho ukuze ukwelashwa kwakho kulungiswe ngendlela efanele.
> Imithombo:
> Simonneau G, Gatzoulis MA, Adatia I, et al. Ukubuyekezwa Kwemitholampilo Ye-Pulmonary Hypertension. J Am Coll Cardiol 2013; 62: D34.