Kunezimbangela eziningi zomshukela ophezulu we- pulmonary . Uma une-hypertension ye-pulmonary, isinyathelo esibalulekile sokuqala ekunqumeni ngomuthi omuhle kakhulu ukucacisa imbangela ebangela isimo sakho. Kulula nje, lokhu kungenxa yokuthi ukuphatha ngobuhlungu isizathu esiyinhloko, ezimweni eziningi, indlela engcono kakhulu yokuvimbela noma ukunciphisa ukuqhubeka komfutho wegazi ophezulu we-pulmonary.
Muva nje, i-World Health Organization (WHO) ihlukanise izimbangela ze-hypertension yamapayipi emaqenjini amahlanu (Amaqembu I ngokusebenzisa V). Ngenkathi lesi simiso esisha sokwehlukanisa kahle sinokubaluleka, kuqondana kakhulu neziguli ezibhekana nalesi simo ukucabanga ukuthi zinemikhakha emibili kuphela emikhulu: isifo somfutho wegazi ophezulu kanye nesekondari.
- Nasi isigaba se-WHO se-blood pressure , uma unesithakazelo ekufundeni ngakho ngokuningiliziwe.
I-Hypertension Primary Pulmonary
Umfutho wegazi ophezulu wamaphilisi oyinhloko - obizwa ngokuthi i-idiopathic pulpertension pulmonary pulmonary - umane usho ukuthi akukho sizathu esiyinkimbinkimbi esingabonakala ngesimo. Umfutho wegazi ophezulu we-pulmonary is ajwayelekile (okwenzeka kubantu abangu-1 noma kwaba-2 kwayisigidi), futhi kungenzeka ukuba kwenzeke kwabesifazane kunamadoda. Manje sekucatshangwa ukuthi amacala amaningi e-primary blood pressure ahlobene ne-genetic defect.
Ukwelashwa kwesifo somfutho we-pulmonary ngokuqinile kuncike ekwelapheni imbangela eyinhloko, ngakho odokotela akufanele baxazulule ukuxilongwa kwe-primary blood pressure yomshuwalense kuze kube yilapho zonke izinhlobo zomshukela ophezulu we-pulmonary hypertension zikhishwe ngokucophelela.
I-high blood pressure yegazi
Igama elithi "secondary" lomshuwalense we-pulmonary lisho nje ukuthi ukucindezeleka komfutho wegazi kwamanye amazwe kubangelwa isimo esithile esiyinkinga yezokwelapha.
Uma une-hypertension ye-pulmonary, kubalulekile ukushiya kungekho tshe elivuliwe ekuzameni ukukhomba imbangela eyimbangela.
Izimo zezokwelapha ezingabangela ukucindezeleka kwe-pulmonary zihlanganisa ukuphazamiseka kwenhliziyo, ukuphazamiseka kwamaphaphu, izifo ezixhumene nezicubu, izidakamizwa nokushaya kwesinye isimo sezokwelapha.
Izifo ze-cardiac ezingabangela ukucindezeleka kwe-pulmonary zifaka:
- I-Cardiomyopathy
- Ukukhubazeka kwe-Diastolic
- I-Mitral stenosis noma i- mitration yokuvuselelwa
- I-Aortic stenosis noma i- aortic yokuphindaphinda
- I-pericarditis yesigcino
- Isifo senhliziyo esiphumele
Izinhlobo ezimbili zesifo senhliziyo esisodwa, ikakhulukazi, zingase zibalekele kuze kube yilapho usukhulile futhi uqala ukubonisa izimpawu zomshukela ophezulu we-pulmonary. Lezi yi-defect septal defect kanye ne-ventricular septal defect.
Ukuphazamiseka kwamagciwane okungabangela ukushisa komfutho wegazi kuhlanganisa:
- Isifo se-Chronic obstructive pulmonary (COPD)
- Isifo sesifo samaphaphu
- I-apnea yokulala
- I-pulmonary pulmonary embolus
Izifo zesisu ezixhumene nazo ezingabangela ukucindezeleka kwe-pulmonary zihlanganisa:
Izidakamizwa ezingabangela umfutho wegazi ophezulu we-pulmonary zifaka:
- Izidakamizwa ezicindezelayo ukudlala i-fenfluramine, dexfenfluramine, ne-diethylpropion
- Amphetamines, methamphetamines, ne-cocaine
Ezinye izimo zezokwelapha ezingabangela ukucindezeleka kwe-pulmonary zihlanganisa:
- I-HIV / AIDS
- Schistosomiasis
- Izinhlobo ezihlukahlukene zezifo zesibindi
- Ukuphefumula kwesifo se-hemolytic
Isifingqo
Kunezimbangela eziningi ze-hypertension ye-pulmonary, okungenza ukuveza ukuthi imbangela ebalulekile iyinkimbinkimbi. Noma kunjalo, ngoba ukwelashwa ngokuyinhloko kuhloswe imbangela eyimbangela, uma unomfutho wegazi ophezulu we-pulmonary kubaluleke kakhulu ukuthatha noma yiziphi izinyathelo ezingadingeka ukuze uthole isizathu esiyimbangela yesimo sakho.
Imithombo:
UGalie, N, Hoeper, MM, Humbert, M, et al. Imihlahlandlela yokuxilongwa nokuphathwa kwegazi lomfutho wegazi. I-Eur Respir J 2009; 34: 1219.