Isixazululo esijwayelekile se-COPD singenza i-Edema
Uma unesifo se-chronic obstructive pulmonary ( COPD ) futhi imilenze yakho nezinyawo zakho ziqala ukuvuvukala, kungenzeka ukuthi uhlangabezana nobunzima obunzima kodwa obuvamile besimo. Le nkinga iyaziwa ngokuthi i-pulmonary blood pressure.
Ukucindezeleka komfutho wegazi
Umfutho wegazi ophezulu we-pulmonary usho ukuthi ukucindezeleka kwegazi kuphakeme kunokwesimo senhliziyo yakho nasemaphashini akho.
Kuyinto engathà sina, njengoba ukucindezela okwenyuka enhliziyweni yakho nasemaphaphini kubangela ukulimala emithonjeni ebalulekile yegazi. Ngenxa yalokhu, igazi libuyela emuva emithanjeni emzimbeni wakho.
Uma igazi libuyela emuva emithanjeni emzimbeni wakho wonke, uketshezi lungangena ezinhlobonhlobo ezizungezile. Ngenxa yemiphumela yamandla adonsela phansi, amachibi angoketshezi ezingxenyeni eziphansi kunazo zonke zomzimba wakho-izinyawo zakho, izinqama, nemilenze-futhi wenza ukuba zivule. Emibhalweni yezokwelapha, lokhu kuvuvukala kwaziwa ngokuthi i-edema.
Izimpawu
Ngeshwa, umfutho wegazi ophezulu we-pulmonary uhle kakhulu kubantu abaneCOPD. Kwenzeka ngoba imithwalo yegazi ethwala igazi phakathi kwenhliziyo yakho namaphaphu ibe nzima futhi imincane.
Lokhu kuphakamisa umfutho wegazi ikakhulukazi emithanjeni yegazi phakathi naphakathi kwamaphaphu, okwenze kube nzima nakakhulu ngakwesokunene kwesandla senhliziyo yakho (ingxenye yenhliziyo ehambisa igazi phakathi kwenhliziyo yakho namaphaphu akho) ukupompa.
Umfutho wegazi ophezulu we-pulmonary ungaholela ekuhlulekeni kwenhliziyo noma kwesifo sokungasebenzi, lapho ohlangothini olufanele lwenhliziyo luba khona futhi alufaki kahle.
Ixhunywe engozini ephakeme yokukhushulwa kwe-COPD nokuphila okuphansi.
Ngaphandle kokuvuvukala kwezinyawo, ama-ankle, nemilenze, i-pulmonary hypertension ingabangela izimpawu ezilandelayo:
- ukuphefumula emisebenzini yesikhashana
- ukushaya kwenhliziyo ngokushesha noma okugijima
- ukukhathala
- ubuhlungu besifuba , noma ubuhlungu esiswini sakho sokunene kwesokudla
- ukunciphisa ukudla
- Izindebe ezinemibala eluhlaza (kubonisa ukuthi igazi lakho alithwali oksijini okwanele)
Kulabantu abaningi abane-COPD, ukucindezeleka komfutho we-pulmonary kumnene ukulinganisa. Kuphela eqenjini elincane labantu eliba nzima. Abantu abanomfutho wegazi ophezulu we-pulmonary okungalungile okwenzeni ukuvuvukala okukhulu emiphakathini yabo engezansi bangathola kunzima ukwenza imisebenzi eminingi yansuku zonke.
Ukwelapha Ukuvuvukala
Ayikho ukwelashwa okuqondene nomlenze ne-ankle ukuvuvukala uma kuziwa endlebeni yomshukela kanye ne-COPD. Esikhundleni salokho, ukwelapha izimo ezingezansi ezenza ukuba ukuvuvukala endaweni yokuqala kungasiza ekutheni uthathe ukucindezeleka inhliziyo yakho namaphaphu, futhi ekugcineni unciphise ukuvuvukala. Ukugcina amazinga asemzimbeni emzimbeni wakho olinganiselayo futhi isu lokunciphisa izimpawu ezisuka emzimbeni wegazi.
Ngokuqondile, kufanele ulandele imiyalelo kadokotela wakho mayelana nokuphathwa kwe-COPD yakho negazi lomfutho wegazi, okufaka imithi , ukuvivinya umzimba , usawoti kanye nemingcele yemanzi, kanye nokwelashwa ngokomzimba, uma kunqunywe noma kunconywa. Uma ukuvuvukala kwakho nezinye izimpawu zibonakala zikhula kakhulu, udokotela wakho anganquma ukwenza izinguquko emgomweni wakho wemithi, kuhlanganise nokwelashwa kwe-oksijeni.
Kunezinto ezimbalwa ongazenza ekhaya ukusiza ukunciphisa ukuvuvukala. Ukubeka izinyawo zakho phezulu kunenhliziyo yakho futhi kaningi ngangokunokwenzeka kuyosiza ukunciphisa i-edema emaphethelweni akho aphansi. Uma ukuvuvukala kunenkinga enkulu, kungcono ukukhuluma nodokotela wakho, njengoba angase anconywe ukwelashwa kwe-diuretic , okukhuthaza umzimba wakho ukuba uqede uketshezi okungadingekile.
> Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo. Iphepha Lokungena Kwegazi Lomzimba.
> Hurdman J et al. Ukunyuka kwegazi emzimbeni ku-COPD: Imiphumela Kusuka ku-Registry ASPIRE. Journal European Respiratory Journal. 2013 41: 1292-1301.
> I-Zangiabadi A, De Pasquale CG, iSajkov D. I-Hypertension ye-Pulmonary ne-Heart Heart Dysfunction in Chronic Lung Disease. I-Res Int Res. 2014; 2014: 739674.