Kuchulukanso kwa magazi ndi mkhalidwe umene magazi amachitiramo mkati mwa mitsempha yapamwamba kwambiri.
Mitsempha yamapiritsi ndilo chotengera chachikulu cha magazi chomwe chimanyamula magazi kuchokera ku ventricle ya mtima yoyenera mpaka kumapapo, kumene imatenga oksijeni. Mitsempha ya pulmona imakhala yotsika kwambiri ya magazi, yomwe imakhala ndi mphamvu ya magazi pakati pa 8 ndi 20 mmHg kupumula.
Ngati kupuma kwa magazi kumapiritsi kumapitirira 25 mmHg, kupanikizika kwa magazi kumatchedwa kukhalapo.
Kuchepetsa matenda oopsa kwambiri nthawi zonse ndi matenda aakulu, ndipo ngati akukhala aakulu akhoza kukhala osokoneza komanso ngakhale kuopseza moyo. Chithandizo chabwino ndi chofunikira. Choncho ngati muli ndi matenda oopsa, mumayenera kukhala pansi pa chisamaliro cha katswiri wa cardiologist ndi / kapena pulmonologist (katswiri wa matenda a m'mapapo).
Zizindikiro
Mankhwala ofooketsa kwambiri a m'magazi kaŵirikaŵiri samayambitsa zizindikiro, koma pamene zovuta za mitsempha yamakono zimakula, kupuma pang'ono, kufooka, kuthamanga, ndi kutopa kumakhala kofala. Ngati matendawa akuwopsa, kupweteka pachifuwa, kupweteka kwambiri kwa edema (kutupa), ndi syncope (kutaya kapena kutaya chidziwitso) zingachitike.
Zimayambitsa
Matenda angapo a zachipatala angapangitse kuthamanga kwa magazi, kuphatikizapo matenda a mtima, matenda a m'mapapo, mankhwala osokoneza bongo, ndi matenda omwe amagwiritsidwa ntchito.
Kudziwa
Ngati dokotala akuganiza kuti mutha kukhala ndi matenda opatsirana pogwiritsira ntchito mbiri yanu yachipatala kapena kuunika kwa thupi lanu, iyeyo adzayang'anira kafukufuku wa echocardiogram . Kapepala kameneka kakhoza kupereka chiwerengero chabwino cha kupanikizika mkati mwa mitsempha ya pulmonary, ndipo chingathandizenso kudziwa chomwe chimayambitsa vuto la kuthamanga kwa magazi.
Ngati echocardiogram imasonyeza kupweteka kwapopeni koma sichifotokozera chifukwa chake, ntchito yowonjezera ya mankhwala idzakhala yofunikira. Zambiri zamankhwala zingachititse kuti thupi lizizira kwambiri, kotero ntchitoyi ingakhale ndi mayesero osiyanasiyana osiyanasiyana, malinga ndi chifukwa chimene dokotala wanu angakayikire. Kuwoneka mwaukali pazifukwa zina ndizofunika kwambiri, komabe, chifukwa chithandizo chabwino kwambiri cha kupatsirana kwa magazi chimayambira pa matenda ochiza matenda.
Kuthamangitsani
Odwala omwe ali ndi matenda oopsa omwe amachititsa kuti thupi lizizira kwambiri, zimadalira zifukwa zingapo, kuphatikizapo momwe mapiritsi amagazi amathandizira kuthamanga kwa magazi, ndi chifukwa chachikulu chomwe chimayambitsa matenda a m'magazi, komanso msinkhu komanso matenda a wodwalayo.
Koma nthawi zonse, kupweteka kwapopeni kumakhala vuto lalikulu. Pomwe mpweya wamatenda umakhala wolimba kwambiri kuti uyambe kuonetsa zizindikiro, imfa imapezeka mkati mwa zaka zitatu kapena zisanu popanda mankhwala opweteka.
Kuchiza
Njira yabwino kwambiri yothandizira matenda a m'magazi kumadalira chifukwa chomwe chimayambitsa vutoli komanso kukula kwa chikhalidwecho. Nthawi zambiri, mankhwala amayamba kale, bwino.
Mawu Ochokera
Kuchepetsa matenda oopsa kwambiri nthawi zonse ndi matenda oopsa omwe nthawi zambiri amakhala ndi zotsatira zoipa kwambiri.
Ngati muli ndi mpweya wothamanga, ndikofunika kuti dokotala wanu azigwira ntchito molimba mtima kuti adziwe chifukwa chenichenicho chomwe chimayambitsa, ndikuyambitsa mankhwala oyenera mwamsanga.
Zotsatira:
Badesch, DB, Champion, HC, Sanchez, MA, et al. Kusanthula ndi kuunika kwa matenda oopsa kwambiri. J Am Coll Cardiol 2009; 54: S55.
Wolemera, S. Phindu la mankhwala ovomerezeka a pulmonary arterial hypertension. Amtima J 2007; 153: 889.