I-Cor pulmonale: yini, izimbangela kanye nokwelashwa

-Delile

• Izimbangela eziyinhloko
• Izimpawu ze-cor pulmonale
• Yelashwa kanjani

ICor pulmonale ifana nokuguqulwa kwe-ventricle efanele ngenxa yesifo samaphaphu. I-ventricle elungile yisakhiwo esisohlelweni lwezinhliziyo olubhekele ukuhambisa igazi lisuke enhliziyweni liye emaphashini futhi okuthi, ngenxa yezifo zamaphaphu, ikakhulukazi Izifo Ezingapheli Zokuvimbela Amaphaphu (COPD), lingabhekana nezinguquko ezakhiwayo futhi, ngenxa yalokho,. Funda ukuthi ungabona kanjani futhi welaphe i-COPD.

I-Cor pulmonale ingahlukaniswa njenge-acute noma engapheli:

• Cor pulmonale oyingozi: kungadalwa ngenxa ye-pulmonary embolism noma ukulimala okubangelwa ukuphefumula kwemishini futhi kuvame ukubuyiselwa emuva kalula;
• I-Cor pulmonale engapheli: kubangelwa ikakhulu yi-COPD, kepha futhi kungenxa yokulahleka kwezicubu zamaphaphu ngenxa yokuhlinzwa, i-pulmonary fibrosis, ukuphazamiseka okubandakanya imisipha yokuphefumula noma ngenxa ye-embolism engapheli yamaphaphu.

Ukuxilongwa kwenziwa ngokususelwa kwizimpawu kanye nezivivinyo zelabhorethri nezokucabanga, njenge-echocardiography, lapho izakhiwo zenhliziyo zibhekwa khona ngesikhathi sangempela, lapho kwenzeka khona ukuguqulwa kwesakhiwo se-ventricle efanele.

Izimbangela eziyinhloko

Lapho kukhona izifo zamaphaphu, igazi lidlula emithanjeni yamaphaphu nemithambo yegazi ngobunzima, okubeka umfutho wegazi ophakeme wamaphaphu, obangela ukuthi izakhiwo zenhliziyo, ikakhulukazi i-ventricle efanele, zigcwale ngokweqile.

Umfutho wegazi ophezulu we-pulmonary futhi, ngenxa yalokho, i-cor pulmonale ingabangelwa:

• Isifo samaphaphu esingapheliyo;
• I-embolism yamaphaphu;
• I-cystic fibrosis;
• I-Scleroderma;
• I-emphysema yamaphaphu;
• Ukungakwazi ukusebenza kwenhliziyo

Ngaphezu kwalokho, ukuguqulwa kwe-vascularity nokwanda kwe-viscosity yegazi kungabangela umfutho wegazi ophezulu we-pulmonary. Funda kabanzi mayelana nomfutho wegazi ophezulu wamaphaphu.

Izimpawu ze-cor pulmonale

Ekuqaleni, i-cor pulmonale ayi-asymptomatic, kepha izimpawu ezingacacisi zingavela, njenge:

• Ukukhathala okukhulu;
• I-cyanosis;
• Ukukhwehlela nge-phlegm noma ngegazi;
• Ubunzima noma ukuphefumula lapho uphefumula;
• Ubuhlungu besifuba;
• Ukuvuvukala kwezitho ezingezansi;
• Ukwandiswa kwesibindi;
• Ukuhlukaniswa kwemithambo yegazi, okuyimithambo etholakala entanyeni;
• Amehlo aphuzi.

Ukuxilongwa kwenziwa ngokuhlolwa kwezimpawu nokuhlolwa okufana nokuhlolwa kwelabhorethri, okufana negesi yegazi emithanjeni nokubalwa kwegazi, ngokwesibonelo, i-electrocardiogram kanye ne-echocardiogram, okwenziwa ukuhlola ukwakheka kwenhliziyo ngesikhathi sangempela, futhi kungabonakala ngalokhu kuhlola ushintsho ku-ventricle efanele. Qonda ukuthi i-echocardiogram yenziwa kanjani.

Ngaphezu kwalokho, ezinye izivivinyo zinga-odwa ukuze kuqinisekiswe ukuxilongwa, njenge-chest tomography, i-lung biopsy kanye ne-angiotomography yemithambo yamaphaphu. Bona ukuthi i-angiotomography yenzelwe ini.

Yelashwa kanjani

Ukwelashwa kwe-cor pulmonale kwenziwa ngokuya ngesifo samaphaphu esihambisanayo, futhi kuvame ukunconywa ukuthi kuthuthukiswe umoya-mpilo, kunciphise ukugcinwa koketshezi, ukulawula izifo zamaphaphu kanye nokwenza ngcono ukusebenza kahle kwe-ventricular.

Kunganconywa yi-medium ukusebenzisa imishanguzo ethuthukisa ukusabalalisa nokunciphisa ingcindezi ngaphakathi kwamaphaphu, njenge-antihypertensives kanye nama-anticoagulants, ngokwesibonelo. Ezimweni ezinzima kakhulu, noma kunjalo, ukufakelwa kwenhliziyo noma kwamaphaphu kungadingeka ukuxazulula i-cor pulmonale.