Kulephera Kwambiri Pamtima Mtima Wophatikizidwa ndi Wopambana COPD
Cor pulmonale ndi vuto la matenda osokoneza bongo (COPD) ndi emphysema . Nthaŵi zina amatchedwa kulakwitsa pamtima .
Cor pulmona imayamba chifukwa cha kuwonjezeka kwa kuthamanga kwa magazi mu chotengera, chomwe chimatchedwa mitsempha ya pulmonary, yomwe imanyamula magazi kuchokera pamtima kupita kumapapu. Kuwonjezeka kwa magazi kumabweretsa kukulitsa komanso kulephereka kwa mbali yoyenera ya mtima.
Muzochitika zachilendo, mbali ya kumanzere ya mtima imayambitsa kupopera magazi ku thupi lonse ndipo imafuna kuthamanga kwakukulu. Mbali yoyenera, mosiyana, imatenga gawo la kupopera magazi kudzera m'mapapu ndipo kumafuna kuthamanga kwambiri.
Komabe, ngati vuto limabweretsa mavuto owonjezereka m'mitsempha ndi kumbali yowongoka kwa mtima, timatchula kuti monga pulmonary hypertension . Mawu akuti pulmonary amatanthauza mwachindunji mapapu.
Zimayambitsa
Matenda alionse omwe amachititsa kuti magazi azipweteka kwambiri amatha kuyambitsa mavuto omwe amapezeka pamtima. Mpweya wabwino umapopera magazi kupita m'mapapo; Atrium yoyenera imalandira magazi kuchokera mumtima. Pamene zipinda ziwirizi zikulephera kapena satha kugwira ntchito motsutsana ndi zovuta zosayembekezereka m'mapapu, vutoli limatchedwa cor pulmonale.
Ngakhale kuti COPD ndi chifukwa chofala cha cor pulmonale, zifukwa zina zimaphatikizapo cystic fibrosis, kupuma kwa mpweya, scleroderma wamapapu, kutsekedwa m'mapapo, kapena kuwonongeka kwa mapapo.
Zizindikiro
Zizindikirozo zimagwirizana kwambiri ndi matenda a m'mapapu omwe amatha kukhalapo.
- mpweya wochepa ( dyspnea )
- kupuma ndi kukokera
- kutupa kwa mapazi ndi / kapena mabotolo
- ululu wamphongo
- bluish tinge ku khungu lanu, msomali, malomo, kapena chingamu ( cyanosis )
- Mitsempha ya m'khosi imatchulidwa
- Kulephera kulekerera zolimbitsa thupi
Kuchulukanso kwa magazi ndi cor pulmone kungayambitse kusungunuka kwamadzimadzi komwe kungayambitse dyspnea, mantha, komanso imfa.
Kudziwa
Kafukufuku woyamba wa cor pulmonale nthawi zambiri amapanga ofesi ya dokotala. Kuyezetsa thupi kumatengera chiwombankhanga cha mtima, kusungunuka kwa madzi, kapena kutulutsa mitsempha ya mitsempha yowopsa kwambiri.
Kuyezetsa magazi kudzachitanso kuti muyang'ane, mwa zina, amino acid opangidwa mu mtima wotchedwa. Ngati mipingo ya BNP ili pamwamba, imasonyeza kuti mtima ukugwedezeka ndipo, pochitika milandu yovuta, ukhoza kukhala chizindikiro choyamba cha mtima wosalimba.
Pofuna kupereka chitsimikizo chotsimikizirika, adokotala akhoza kuchita zotsatirazi:
- echocardiogram, yomwe imagwiritsa ntchito mafunde akuwoneka kuti aganizire mtima
- chifuwa x-ray
- pulogalamu ya computerized tomography (CT) ya chifuwa
- magetsi opha magazi
- mitsempha yothandizira mchere (kuika kathete mu mitsempha ya pulmonary kuti ayang'ane kufooka kwa mtima
- Kujambula mpweya wabwino (kugwiritsa ntchito zipangizo za radioactive kuyendera mpweya ndi magazi kutuluka m'mapapo)
Chithandizo
Chithandizo cha cor pulmonale chimagwiritsidwa ntchito pochiza matenda ovuta. Pankhani ya COPD ndi matenda ena a mapapo, zosankhazi zingakhalepo:
- mpweya wa oxygen kuwonjezera mlingo wa mpweya m'magazi
- calcium channel blockers zomwe zimathandiza kuti kashiamu asalowe m'maselo a mtima ndi makoma a magazi, motero kutsika kwa magazi
- antiticoagulants (ochepa magazi) omwe amadziwika kuti amachepetsa kufa kwa anthu omwe ali ndi matenda a m'magazi
- mwina kupuma kwa mtima kapena mapapo m'matenda apamwamba kwambiri
Kuchiza ndi mpweya, mankhwala, ndi / kapena opaleshoni kungachititse kuti zizindikiro zikhale bwino, mphamvu zowonjezereka, ndipo nthawi zambiri zimakhala ndi nthawi yayitali.
Popeza kuti COPD ndizoyambitsa matenda a cor pulmonale, kusiya kusuta kungathandize kuchepetsa kukula kwa COPD ndipo kungalepheretse kuti corpmone isagwire.
> Chitsime:
> National Library of Medicine: Ma Institutes of Health. "Cor pulmonale." Bethesda, Maryland; zasinthidwa pa January 30, 2016.