Izimpawu zePulmonary Arterial Hypertension

-Delile

• Ukubambezeleka kwezimpawu
• Ukubona izimpawu zokuqala
• Ukuphelelwa umoya
• Ukukhathala nesiyezi
• Ukuvuvukala ezithweni
• Izindebe eziluhlaza okwesibhakabhaka
• Ukushaya kwenhliziyo okungajwayelekile kanye nobuhlungu besifuba
• Izimpawu ezahlukahlukene zabantu abahlukile
• Khuluma nodokotela wakho

Umfutho wegazi ophezulu wegazi

I-pulmonary arterial hypertension (PAH) iyindlela engajwayelekile yomfutho wegazi ophakeme. Kwenzeka emithanjeni yamaphaphu, egeleza isuke enhliziyweni yakho nakuwo wonke amaphaphu akho.

Imithambo evinjelwe futhi encishisiwe ivimbela inhliziyo yakho ekumpompeni igazi elanele. Lapho ukuqina kwenzeka, inhliziyo izodinga ukusebenza kanzima ukukhokhela. Lokhu kudala ukuthi umfutho wegazi emithanjeni yamaphaphu nasenhliziyweni ukhuphuke kakhulu.

Njengoba isimo siba sibi futhi ingcindezi iba nkulu, ungaqala ukuthola izimpawu nezimpawu ezahlukahlukene.

Ukubambezeleka kwezimpawu

Kungathatha izinyanga, ngisho neminyaka, ngaphambi kokuba iminyango nokuncipha emithanjeni kube nzima ngokwanele ukuthi ingcindezi ebonakalayo iqale ukwakha. Ngaleso sizathu, i-PAH ingaqhubekela phambili iminyaka eminingana ngaphambi kokuba izimpawu zibonakale.

Izimpawu ze-PAH nazo azibonwa ngokushesha njengoba zibangelwa yi-PAH. Ngamanye amagama, eziningi zezimpawu zivamile kwezinye izimo. Okubi kakhulu, ungabaxosha kalula, njengoba bekhula beba bucayi kancane kancane, kunokuba basheshe. Lokhu kwenza ukuxilongwa okufanele kube nzima kakhulu.

Ukubona izimpawu zokuqala

Izimpawu zokuqala ze-PAH, ikakhulukazi ukuphefumula nokukhathala, kungakwenza ucabange ukuthi uphelelwe umumo. Ngemuva kwakho konke, akuyona into engavamile ukuphuma emoyeni ngemuva kokukhuphuka izitebhisi eziningana, noma ngabe usebenza ngokomzimba nsuku zonke. Ngaleso sizathu, abantu abaningi abazinaki izimpawu ze-PAH futhi bavumele isifo siqhubeke ngaphandle kokwelashwa. Lokhu kwenza isimo sibe sibi kakhulu futhi sibe yingozi.

Ukuphelelwa umoya

Esinye sezimpawu zokuqala ze-PAH ongasibona ukuphefumula okuncane.Imithambo yegazi nemithambo yegazi engenisa igazi ngamaphaphu kwenza ukuphefumula kube lula. Inqubo yokukhipha umoya ikusiza ukuletha ngokushesha umoya ocebile we-oksijeni futhi uxoshe umoya ophelile we-oxygen. I-PAH ingenza lowo mkhuba obhalwe kahle ube nzima ngokwengeziwe, uze usebenze kanzima. Imisebenzi okwake kwaba lula - ukukhuphuka izitebhisi, ukuhamba ngezitebhisi, ukuhlanza indlu - ingaba nzima kakhulu futhi ikushiye uphefumula ngokushesha.

Ukukhathala nesiyezi

Lapho amaphaphu akho engakwazi ukuthola igazi elanele ukuthi lisebenze kahle, lokho kusho ukuthi umzimba wakho nobuchopho bakho abutholi i-oxygen eyanele. Umzimba wakho udinga i-oxygen ukwenza yonke imisebenzi yawo. Ngaphandle kwayo, awukwazi ukuqhubeka nenqubo yakho ejwayelekile. Imilenze yakho izokhathala ngokushesha okukhulu ngemuva kokuhamba. Ukucubungula kwakho ubuchopho nokucabanga kwakho kuzobonakala kuhamba kancane, kusebenza kanzima. Ngokuvamile, uzozizwa ukhathele ngaphambili futhi kalula.

Ukuntuleka komoya-mpilo ebuchosheni nakho kwandisa ingozi yokuba nesiyezi noma ukuquleka (i-syncope).

Ukuvuvukala ezithweni

I-PAH ingadala ukuvuvukala, noma i-edema, emaqakaleni, emilenzeni nasezinyaweni. Ukuvuvukala kwenzeka lapho izinso zakho zingakwazi ukukhipha imfucuza emzimbeni wakho. Ukugcinwa koketshezi kuya ngokuya kukhula uma unayo i-PAH.

Izindebe eziluhlaza okwesibhakabhaka

Inhliziyo yakho ipompa amaseli abomvu ane-oxygen emzimbeni wakho ukusiza ukuphehla yonke imisebenzi nemisebenzi oyidingayo. Lapho inani le-oxygen kumaseli akho abomvu linganele ngenxa ye-PAH, izitho zomzimba wakho azikwazi ukuthola i-oxygen eziyidingayo. Izinga eliphansi le-oxygen esikhumbeni nasezindebeni zakho kungadala umbala oluhlaza okwesibhakabhaka. Lesi simo sibizwa ngokuthi i-cyanosis.

Ukushaya kwenhliziyo okungajwayelekile kanye nobuhlungu besifuba

Ingcindezi eyandisiwe enhliziyweni yenza izicubu zenhliziyo zisebenze kanzima kunalokho okufanele. Ngokuhamba kwesikhathi, le misipha iba buthakathaka. Inhliziyo ebuthakathaka ayikwazi ukushaya futhi noma njalo njengakuqala. Ekugcineni, lokhu kungadala ukushaya kwenhliziyo okungahambi kahle, ukushaya kwenhliziyo, noma ukushaya kwenhliziyo.

Ukwanda kwengcindezi yegazi enhliziyweni nasemithanjeni yegazi kungadala ubuhlungu besifuba noma ingcindezi. Inhliziyo esebenza ngokweqile ingadala nobuhlungu besifuba noma ingcindezi yesifuba.

Izimpawu ezahlukahlukene zabantu abahlukile

Umuntu ngamunye ophethe i-PAH uzohlangabezana nezimpawu ezahlukahlukene zezimpawu. Ubukhulu bezimpawu buzokwehluka futhi kumuntu nomuntu. Uhambo lomuntu oyedwa lokuba ne-PAH nokwelapha ngeke ngempela lusize komunye umuntu ngoba indlela ene-PAH kanye nezinketho zokwelashwa zenzelwe umuntu ngamunye.

Kodwa-ke, ungathola ukwesekwa kwabanye abane-PAH, ufunde kokuhlangenwe nakho kwabo, futhi ulolonge indlela yakho yokuphatha i-PAH ngokufanele. Funda kabanzi ngemithi esetshenziselwa ukwelapha i-PAH.

Khuluma nodokotela wakho

Udokotela wakho angakusiza ukuthi ubone imbangela yezimpawu zakho.

Udokotela wakho uzokucela ukuthi uvivinye uchungechunge ukuze ususe ezinye zezinto ezingamanga ezibalulwe ngenhla. Kungenzeka uqale ngokuhlolwa ngokomzimba, i-X-ray yesifuba, ukuhlolwa kwegazi, i-electrocardiogram (ECG), ne-echocardiogram. Uma besola i-PAH, kuzonikezwa olunye uchungechunge lwezivivinyo ukuze kutholakale kahle isimo.

Ungalindi uma uhlangabezana nezimpawu ze-PAH. Uma ulinda isikhathi eside, lezi zimpawu zingaba zimbi kakhulu. Ekugcineni, i-PAH ingakukhawulela ekwenzeni yonke imisebenzi yomzimba. Izimpawu ezengeziwe ziba nokwenzeka kakhulu njengoba lesi sifo siqhubeka.

Uma uhlangabezana nanoma yiziphi zalezi zimpawu noma usola ukuthi une-PAH, yenza isikhathi sokubonana nodokotela wakho. Ngokubambisana, ningakhomba futhi niphathe - lolu hlobo olungavamile lomfutho wegazi ophezulu.