Umfutho wegazi ophezulu we-pulmonary yisimo lapho umfutho wegazi ngaphakathi kwe-arteriary artery uphezulu kakhulu.
Umthambo we-pulmonary yisitsha esikhulu segazi esithwala igazi kusuka e- ventricle yenhliziyo efanele kuya emaphashini, lapho ithatha umoya-mpilo. Umthambo we-pulmonary ngokuvamile uyisitsha segazi esincane, esinegazi eliphakathi kuka-8 no-20 mmHg ekuphumuleni.
Uma ukucindezeleka kwegazi lokuphumula emthonjeni we-pulmonary kwanda ngaphezu kuka-25 mmHg, kuthiwa ukhona.
I-hypertension ye-pulmonary is njalo isimo esibucayi sezokwelapha, futhi uma kuba nzima kungaba ukukhubaza kakhulu ngisho nokusongela ukuphila. Ukwelashwa okuphelele kubalulekile. Ngakho uma une-high blood pressure, kufanele ube ngaphansi kwe-cardiologist onolwazi kanye / noma i-pulmonologist (isifo se-lung disease).
Izimpawu
I-pulpary hypertension emincane ngokuvamile ayibangeli izibonakaliso, kodwa njengoba izingcindezi emthonjeni we-pulmonary zanda, ukuphefumula, ubuthakathaka, ukuphelelwa amandla, nokukhathala kuyaba yinto evamile. Uma isimo siba sikhulu, ubuhlungu besifuba, i-edema enzima (ukuvuvukala), kanye ne-syncope (ukuphelelwa amandla noma ukulahlekelwa kwesazi) kungenzeka.
Izimbangela
Izinkinga eziningana zezokwelapha zingabangela ukucindezeleka kwe-pulmonary, okubandakanya ukuphazamiseka kwenhliziyo, ukuphazamiseka kwamaphaphu, izidakamizwa nezifo ezixhumene nezicubu.
Ukuxilongwa
Uma udokotela wakho ecabanga ukuthi ungaba nomfutho wegazi ophezulu we-pulmonary ngokusekelwe emlandweni wakho wezokwelapha noma ukuhlolwa kwakho ngokomzimba, uzovame ukuhlela isifundo se- echocardiogram . I-echocardiogram ingahlinzeka ngokulinganisela okuhle kwengcindezi ngaphakathi komshini we-pulmonary, futhi ingasiza ekutholeni imbangela eyimbangela yomshuwalense we-pulmonary.
Uma i-echocardiogram ibonisa ukucindezeleka komfutho we-pulmonary kodwa ingacacisi imbangela, kuyodingeka ukuthi kwenziwe umsebenzi ozokwelapha. Izimo eziningi zezokwelapha zingabangela ukucindezeleka kwe-pulmonary, ngakho-ke lo msebenzi ungafaka izinhlobo eziningi zokuhlolwa, kuye ngokuthi imbangela noma udokotela wakho angasolwa. Ukubheka ukuhlukumeza ngenxa yezimbangela ezithile kubaluleke kakhulu, noma kunjalo, ngoba ukwelashwa okunamandla kwe-pulmonary blood pressure kuncike kwisifo esiyinkimbinkimbi yezokwelapha.
Isibikezelo
Yeka ukuthi iziguli ezinomfutho wegazi ophezulu we-pulmonary hypertension zithinta kanjani izici eziningana, kufaka phakathi ukuthi umthamo wegazi we-pulmonary umfutho wegazi ungakanani, imbangela eyimbangela ye-hypertension ye-pulmonary, nesimo sempilo nesiguli sesiguli.
Kodwa kuzo zonke izimo, i-pulmonary blood pressure ingase ibe yisimo esibi kakhulu. Uma umfutho wegazi ophezulu we-pulmonary uba nzima ngokwanele ukuqala ukuveza izimpawu, ukufa ngokuvamile kubonakala eminyakeni engaba ngu-3 kuya kwemihlanu ngaphandle kokwelashwa okunonya.
Ukwelapha
Ukuphathwa kahle kwe-pulmonary hypertension kuncike ekubangela imbangela kanye nobukhulu besimo. Ezimweni eziningi, ekuqaleni ukwelashwa sekuqalile, kungcono.
Izwi elivela
I-hypertension ye-pulmonary is njalo isimo esidabukisayo sezokwelapha esivame ukuba nomphumela omubi kakhulu.
Uma unesifo somfutho wegazi, kubalulekile ukuthi udokotela wakho asebenze ngokucindezelayo ukuze athole isizathu esiqondile esiyimbangela, bese esungula ukwelashwa okufanelekile ngangokunokwenzeka.
Imithombo:
I-Badesch, i-DB, i-Champion, i-HC, i-Sanchez, i-MA, ne-al. Ukuxilongwa nokuhlolwa kwe-pulmonary blood pressure. J Am Coll Cardiol 2009; 54: S55.
Ocebile, S. Ukubaluleka kwemithi yokwelapha ye-pulmonary arterial hypertension. Am Heart J 2007; 153: 889.