Ucwaningo lubonisa ukuthi i- COPD nokuhluleka kwenhliziyo kuvame ukuhlangana. Ingabe lokhu kuba nezindawo eyodwa wena engozini enkulu komunye? Noma ingabe kungenzeka ukuthi babe nesici esiyingozi esivamile? Nakhu ukuthi i-COPD nokuhluleka kwenhliziyo kuxhumene kanjani.
Kuyini Ukuhluleka Inhliziyo?
Ukwehluleka kwenhliziyo , isimo esingapheli lapho inhliziyo iqhuma ngokungenangqondo ngaphezu kwesikhathi eside, ngokuvamile kuholela emininingwaneni ehambisana nezimo ezihambisanayo.
Ngokufanayo ne-COPD, abantu abanokuhluleka kwenhliziyo banganciphisa noma bangabhekana nokukhubeka kwenhliziyo-lapho inhliziyo ingasebenzi kahle futhi izimpawu zimbi.
Ukuhluleka kwenhliziyo kuphakathi kwezimo zenhliziyo ezivame kakhulu, okwenzeka lapho inhliziyo ingasakwazi ukuphampa ukunikezwa kwegazi okwanele kumaseli, izicubu, nezitho zomzimba wakho. Kunezimo eziningi zenhliziyo ezingaholela ekuhlulekeni kwenhliziyo, kufaka phakathi isifo se-aronary and disease valvelar.
Ukuphazamisa Izimpawu
Ngokusho kocwaningo, izigidi eziyi-14 zaseMelika zineCOPD kanye nezigidi ezinhlanu zinezinkinga ezingapheli zenhliziyo. Naphezu kokubambisana kokubili ukubhema njengento evamile engozini, inani elikhulu labantu abatholwa ukuthi banezinkinga cishe lichaza ukuthi kungani bahlala bekhona.
Ngeshwa, abantu abaningi abanezimo zombili abaziqapheli, njengoba izimpawu zingafana.
Isibonelo, lapho isiguli esingenaso isifo samaphaphu esikhona sihambela udokotela ekhononda ngokuphefumula kanye / noma ukukhathala ngesikhathi sokuzivocavoca, kungenzeka ukuthi ahlolwe ukuhlolwa kwe-cardiac imaging eyenzelwe ukusiza udokotela ukuba athole ukuxilongwa kwenhliziyo ukwehluleka.
Ngakolunye uhlangothi, lapho isiguli esine-COPD esinqinile, esho ukuthi ayinakho ukukhushulwa kwe-COPD, isikhalaza ukuthi sinenkinga yokuphefumula noma ukukhathala lapho kuzama ukuvivinya umzimba, udokotela cishe uzofaka izimpawu ku-COPD.
Futhi, izikhathi eziningi, udokotela ngeke aze ahlele ngisho nokuhlolwa kwe-cardiac imaging.
Lokhu kungabambeleli kuphela ukuxilongwa kokuhluleka kwenhliziyo okukhona, uma kukhona, kodwa futhi kubambezela isiguli ukuthola ukwelashwa kwenhliziyo, okungaholela ezinkingeni ezinkulu ezingathinta ukubikezelwa kwazo.
Uma Ucabanga Unenhliziyo Yehlulekile
Ngenxa yokuthi izimpawu zesifo senhliziyo nokuhluleka kwenhliziyo kuvame ukuhambisana nezimpawu ze-COPD, kubalulekile ukuthi uqaphele umzimba wakho futhi ubike noma yikuphi okulandelayo okutholwe kudokotela wakho:
- Ubuhlungu besifuba noma ukungakhululeki
- I-palpitations yenhliziyo
- Lightheadedness noma isiyezi
- Ukukhathala, ukukhathala, noma ukulala kwesimini
- Ukuhlukumeza ama-muscle
- I-Dyspnea , i- orthopnea , noma i- dyspnea ye-paroxysmal nocturnal
- Ukuvuvukala emaphethelweni aphansi (okuvame ukuhluleka kwenhliziyo)
Njenga-COPD, ukuxilongwa kwesifo senhliziyo noma ukuhluleka kwenhliziyo kubalulekile. Ngaphambilini utholakele, ekuqaleni ungafuna ukwelashwa.
Izinkinga zenhliziyo ezingenakwenzeka zingalimaza izimpawu zakho ze- COPD nokubikezela kwakho konke. Eqinisweni, abantu abanezimo ezimbili zombili bavame ukubi kakhulu, ukuhlala esibhedlela isikhathi eside kanye nesilinganiso sokufa kwabantu kunabantu abanenkinga yeCOPD noma izinhliziyo zodwa.
Ukwelashwa okuhluke
Ukwelashwa kwesifo senhliziyo noma ukuhluleka kwenhliziyo kuhluke ekwelashweni kwe-COPD, yingakho kubaluleke kakhulu ukuthi kuhlolwe kahle.
Ukuthuthukiswa kwesayensi yezokwelapha kuholela ekukhethweni okungcono kakhulu kokwelashwa kwesifo senhliziyo nokuhluleka kwenhliziyo.
Enye indlela yokwelapha iziguli ezikhuthazwa kakhulu ukuba zihlanganyele ukuvuselelwa kwe-cardiopulmonary. Ukwelashwa kutholakale ukuguqula ukukhubazeka kwemisipha ehambisana nalezi zimo futhi ekugcineni kungathuthukisa ukubikezela kwakho.
Uma ungumguli we-COPD oye wathola ukuthi unesifo senhliziyo, khuluma nodokotela wakho namhlanje mayelana nokuqala uhlelo lokuqeqesha umzimba noma uhlelo oluhlelekile lokuvuselela i-cardiopulmonary endaweni yangakini.
Imithombo:
IJele, uSanja MD, Le Jemtel, Thierry H. MD. Ukusetshenziswa Kwe-Diagnostic ye-B-Type Peptide Natriuretic kanye Nemiphumela Yomsebenzi Wezinguquko Ze-Muscle ku-COPD kanye Nokuhluleka Kwempilo Engapheli. CHEST 2006; 130; 1220-1230. I-DOI 10.1378 / isifuba.130.4.1220.
IJele, uSanja MD, Le Jemtel, Thierry H. MD, Padeletti, uMargherita MD. Izinselelo zokuxilonga nokuThola ezithombeni ezigulini ezinezifo ezingapheliyo zokuvimbela izifo ze-Pulmonary and Pression Heart Failure. I-American College of Cardiology Foundation. I-Vol. 49, No. 2, 2007. ini: 10.1016 / j.jacc.2006.08.046.