Cor pulmonale

ICor pulmonale yisimo esidala ukuthi uhlangothi lwangakwesokudla lwenhliziyo luhluleke. Umfutho wegazi ophezulu wesikhathi eside emithanjeni yamaphaphu naku-ventricle yangakwesokudla yenhliziyo kungaholela ku-cor pulmonale.

Umfutho wegazi ophezulu emithanjeni yamaphaphu ubizwa ngokuthi yi-pulmonary hypertension. Kuyimbangela evame kakhulu ye-cor pulmonale.

Kubantu abanesifo somfutho wegazi ophezulu wamaphaphu, ukuguquka kwemithambo yegazi emincane ngaphakathi kwamaphaphu kungaholela ekwandeni kwengcindezi yegazi ohlangothini olungakwesokudla lwenhliziyo. Lokhu kwenza kube nzima ngenhliziyo ukupompa igazi emaphashini. Uma le ngcindezi ephezulu iqhubeka, ibeka ubunzima ohlangothini lokunene lwenhliziyo. Lowo mkhuba ungadala i-cor pulmonale.

Izimo zamaphaphu ezidala izinga eliphansi le-oksijeni egazini egazini isikhathi eside zingaholela nase-cor pulmonale. Ezinye zazo yilezi:

• Izifo ezisebenza ngokuzenzakalela ezilimaza amaphaphu, njenge-scleroderma
• Isifo esingapheliyo se-pulmonary disease (COPD)
• Amahlule egazi angapheli emaphashini
• ICystic fibrosis (CF)
• I-bronchiectasis enamandla
  
• Ukuqhekeka kwezicubu zamaphaphu (isifo samaphaphu esiphakathi)
• Ukugoba okunzima kwengxenye ephezulu yomgogodla (kyphoscoliosis)
• Ukuvimbela ukuphefumula kokulala, okubangela ukuphefumula ngenxa yokuvuvukala komoya
• I-Idiopathic (asikho isizathu esithile) ukuqina (ukuqina) kwemithambo yegazi yamaphaphu

Ukuphefumula okuncane noma ikhanda elikhanyayo ngesikhathi somsebenzi ngokuvamile kuyisibonakaliso sokuqala se-cor pulmonale. Ungaba nokushaya kwenhliziyo okusheshayo futhi uzizwe sengathi inhliziyo yakho ishaya ngamandla.

Ngokuhamba kwesikhathi, izimpawu zenzeka ngomsebenzi olula noma ngisho nalapho uphumule. Izimpawu okungenzeka unazo yilezi:

• Ukuphelelwa amandla ngesikhathi somsebenzi
• Ukungakhululeki kwesifuba, imvamisa ngaphambili kwesifuba
• Ubuhlungu besifuba
• Ukuvuvukala kwezinyawo noma kwamaqakala
• Izimpawu zokuphazamiseka kwamaphaphu, njengokuphefumula noma ukukhwehlela noma ukukhiqizwa kwe-phlegm
• Izindebe neminwe eluhlaza okwesibhakabhaka (i-cyanosis)

Umhlinzeki wakho wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu zakho. Ukuhlolwa kungathola:

• Ukwakhela uketshezi esiswini sakho
• Inhliziyo engajwayelekile izwakala
• Isikhumba esiluhlaza okwesibhakabhaka
• Ukuvuvukala kwesibindi
• Ukuvuvukala kwemithambo yentamo, okuwuphawu lwengcindezi ephezulu ohlangothini lwesokudla senhliziyo
• Ukuvuvukala kweqakala

Lezi zivivinyo zingasiza ukuxilonga i-cor pulmonale kanye nembangela yayo:

• Ukuhlolwa kwamasosha omzimba egazini
• Ukuhlolwa kwegazi ukuhlola into ebizwa nge-brain natriuretic peptide (BNP)
• I-x-ray yesifuba
• Ukuhlolwa kwesifuba kwe-CT, noma ngaphandle komjovo woketshezi (idayi)
• I-Echocardiogram
• ECG
• I-Lung biopsy (akuvamile ukwenziwa)
• Ukukala i-oxygen yegazi ngokuhlola i-arterial blood gas (ABG)
• Ukuhlolwa komsebenzi wePulmonary (lung)
• I-catheterization yenhliziyo engakwesokudla
• Ukuphefumula nokuskena kwamaphaphu (i-V / Q scan)
• Ukuhlolwa kwesifo samaphaphu okuzenzakalelayo

Umgomo wokwelashwa ukulawula izimpawu. Kubalulekile ukwelapha izinkinga zezokwelapha ezibangela umfutho wegazi ophezulu wamaphaphu, ngoba zingaholela ku-cor pulmonale.

Izinketho eziningi zokwelashwa ziyatholakala. Ngokuvamile, imbangela ye-cor pulmonale yakho izonquma ukuthi yikuphi ukwelashwa okutholayo.

Uma umhlinzeki wakho ekunika imithi, ungayithatha ngomlomo (ngomlomo), uyithole ngomthambo (ngemithambo yegazi noma nge-IV), noma uyiphefumulele (idonsa). Uzobhekwa ngeso elibukhali ngesikhathi sokwelashwa ukuze ubuke imiphumela engemihle futhi ubone ukuthi umuthi usebenza kanjani kuwe. Ungalokothi uyeke ukuthatha imithi yakho ngaphandle kokuqala ukhulume nomhlinzeki wakho.

Ezinye izindlela zokwelashwa zingafaka:

• Abanciphisi begazi ukunciphisa ubungozi bamahlule egazi
• Imithi yokuphatha izimpawu zokwehluleka kwenhliziyo
• Ukwelashwa kwe-oxygen ekhaya
• Ukufakelwa kwamaphaphu noma kwenhliziyo namaphaphu, uma umuthi ungasebenzi

Izeluleko ezibalulekile okufanele uzilandele:

• Gwema imisebenzi ekhandlayo nokuphakamisa okunzima.
• Gwema ukuya ezindaweni eziphakeme kakhulu.
• Thola umuthi wokugomela umkhuhlane waminyaka yonke, kanye neminye imigomo, njengomuthi wokugomela i-pneumonia.
• Uma ubhema, yeka.
• Nciphisa ukuthi udla usawoti ongakanani. Umhlinzeki wakho futhi angakucela ukuthi ukhawulele ukuthi uphuza okungakanani uketshezi phakathi nosuku.
• Sebenzisa i-oxygen uma umhlinzeki wakho ekusho.
• Abesifazane akufanele bakhulelwe.

Ukwenza kahle kangakanani kuya ngesizathu se-cor pulmonale yakho.

Njengoba ukugula kwakho kuba kubi kakhulu, kuzodingeka wenze izinguquko ekhaya lakho ukuze ukwazi ukuphatha kahle ngangokunokwenzeka. Uzodinga nosizo endlini yakho.

ICor pulmonale ingaholela ku:

• Ukuphefumula okusongela ukuphila
• Ukwanda oketshezi okukhulu emzimbeni wakho
• Ukushaqeka
• Ukufa

Shayela umhlinzeki wakho uma uphefumula kanzima noma ubuhlungu besifuba.

Ungabhemi. Ukubhema kudala isifo samaphaphu, esingaholela ku-cor pulmonale.

Ukwehluleka kwenhliziyo emaceleni angakwesokudla; Isifo senhliziyo sePulmonary

• Isifo esingapheliyo sokuvimbela kwamaphaphu - abadala - ukukhipha

• I-Sarcoid, isigaba IV - i-x-ray yesifuba
• Acute vs. izimo ezingalapheki
• Cor pulmonale
• Uhlelo lokuphefumula

UBarnett CF, uDe Marco T. Umfutho wegazi ophezulu ngenxa yesifo samaphaphu. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 59.

IBhatt SP, iDransfield MT. Izifo ezingapheli zamaphaphu nesifo senhliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 86.