Ukwehluleka Kwengqondo Ehlangene Okuhambisana Ne-Advanced COPD
I-Cor pulmonale iyinkimbinkimbi yesifo esingenasifo se-pulmonary chronic obstructive (COPD) ne- emphysema . Ngezinye izikhathi libizwa ngokuthi ukwehluleka kwenhliziyo kwangempela .
I-Cor pulmona ibangelwa ukwanda kwegazi emkhunjini, owaziwa ngokuthi umthambo we-pulmonary, ophethe igazi kusukela enhliziyweni kuya emaphashini. Ukunyuka kwengcindezi yegazi kuholela ekwandiseni nasekuhlulekeni okwalandela kwesokudla senhliziyo.
Ngaphansi kwezimo ezivamile, ohlangothini lwesobunxele lwenhliziyo unesibopho sokushaya igazi emzimbeni wonke futhi kudinga ukucindezela okuphakeme. Ngakwesokudla, ngokuphambene, kuthatha indima yokupompa igazi emaphashini futhi idinga ukucindezela okuphansi kakhulu.
Kodwa-ke, uma isimo siholela ekucindezelweni okukhudlwana emithanjeni nasenhlangothini elungile lenhliziyo, sibheka lokho njengengcindezi yomshukela we-pulmonary . Igama elithi pulmonary libhekisela ngqo kumaphaphu.
Izimbangela
Noma yimuphi umphumela oholela emfuthweni wegazi ophezulu ungangena u- ventricle kanye ne-atrium yenhliziyo. I-ventricle efanele iqhuma igazi emaphashini; i-atrium efanele ithola igazi elibuya enhliziyweni. Lapho la makamelo amabili ehluleka noma engakwazi ukusebenza ngokumelene nezingcindezi ezingavamile emaphashini, lesi simo sabizwa ngokuthi i-cor pulmonale.
Nakuba i-COPD iyimbangela evamile ye-cor pulmonale, ezinye izimbangela zihlanganisa i-cystic fibrosis, i-apnea yokulala, i-scleroderma yamaphaphu, i-blot clots emaphashini, noma umonakalo wesikhumba samaphaphu.
Izimpawu
Izimpawu zivame ukuhlobene nesifo sephaphu futhi singabandakanya:
- ukuphefumula ( dyspnea )
- ukukhwehlela nokukhwehlela
- ukuvuvukala kwezinyawo kanye / noma izinyawo
- izinhlungu zesifuba
- bluish tinge esikhumbeni sakho, embhedeni wezinyosi, izindebe, noma izinsini ( cyanosis )
- izikhwebu zentamo ezikhulunywa
- ukungakwazi ukubekezelela ukuzivocavoca
I-pulperary hypertension kanye ne-cor pulmonale ingabangela ukugcinwa okunamandla okuketshezi okwakungabangela ukuba umuntu asengozini yokudinga i-dyspnea, ukushaqeka, ngisho nokufa.
Ukuxilongwa
Ukuxilongwa kokuqala kwe-cor pulmonale kuvame ukwenza ihhovisi lodokotela. Ukuhlola ngokomzimba ngokuvamile kwakuthatha izintambo zenhliziyo ezingavamile, ukugcinwa kwamanzi oketshezi, noma ukuvuthwa kwemisipha yezintamo ezibonisa ukucindezeleka kwe-pulmonary.
Ukuhlolwa kwegazi kuzokwenziwa futhi ukuhlola, phakathi kwezinye izinto, i-amino acid eyenziwa enhliziyweni ebizwa ngokuthi. Uma amazinga e-BNP ephakeme, kubonisa ukuthi inhliziyo igxilile futhi, ezimweni ezinzima, ingaba yisibonakaliso sokuqala kwenhliziyo.
Ukuhlinzeka ngokuxilongwa okucacile, udokotela angase enze lezi zivivinyo ezilandelayo:
- i-echocardiogram, esebenzisa amagagasi omsindo ukubona ngeso lengqondo inhliziyo
- i-x-ray yesifuba
- ukuskena kwekhompyutha ye-tomography (CT) yesifuba
- amagesi egazi egazi
- umshini we-pulmonary catheterization (ukufaka i-catheter emthini we-pulmonary ukuhlola ukwehluleka kwenhliziyo
- ukusatshalaliswa kwe-ventilation / perfusion (ukusetshenziswa kwemishini emisebe yomsakazo ukuhlola ukugeleza komoya nokugeleza kwegazi emaphashini)
Ukwelapha
Ukwelashwa kwe-cor pulmonale kugxile ekwelapheni ukugula okuyisisekelo. Ngokuphathelene ne-COPD nezinye izinkinga zamaphaphu, izinketho zingafaka:
- ukwelapha oksijini ukwandisa izinga le-oksijeni egazini
- i-calcium channel blockers ezivimbela i-calcium ukuthi ingangeni emangqamuzaneni enhliziyo nasezindongeni zegazi, ngaleyo ndlela yehlise ukucindezelwa kwegazi
- i-anticoagulants (igazi elincane) eliyaziwa ukunciphisa ukushona kwabantu abanegazi eliphakeme le-pulmonary
- mhlawumbe ukufakelwa kwenhliziyo noma amaphaphu ezimweni eziphambili kakhulu
Ukwelashwa nge-oxygen, imithi, kanye / noma ukuhlinzwa kungaholela ekuthuthukiseni izimpawu, amandla amakhulu, futhi kaningi isikhathi sokuphila eside.
Njengoba i-COPD iyimbangela ehamba phambili ye-cor pulmonale, ukuyeka ukubhema kungasiza ekunciphiseni ukuqhubekela phambili kwe-COPD futhi kungavimbela i-cor pulmonale engakaze kwenzeke.
> Umthombo:
> I-Library National yaseMelika Yezokwelapha: Izikhungo Zikazwelonke Zempilo. "I-Cor pulmona." I-Bethesda, e-Maryland; ibuyekeziwe ngoJanuwari 30, 2016.