Cor pulmonale

Cor pulmonale ndichikhalidwe chomwe chimapangitsa mbali yakumanja yamtima kulephera. Kuthamanga kwa magazi kwakanthawi yayitali m'mitsempha ya m'mapapo ndi ventricle yolondola yamtima kumatha kubweretsa ku cor pulmonale.

Kuthamanga kwa magazi m'mitsempha ya m'mapapo kumatchedwa kuthamanga kwa magazi m'mapapo. Ndiye chifukwa chofala kwambiri cha cor pulmonale.

Mwa anthu omwe ali ndi matenda oopsa am'mapapo mwanga, kusintha kwa mitsempha yaying'ono yam'mapapo kumatha kuwonjezera kuthamanga kwa magazi kumanja kwamtima. Izi zimapangitsa kuti zikhale zovuta pamtima kupopera magazi kumapapu. Kupanikizaku kukapitilira, kumayika kumanja kumanja kwa mtima. Kupsyinjika kumeneko kumatha kuyambitsa cor pulmonale.

Mavuto am'mimba omwe amachititsa kuti magazi azikhala ndi magazi ochepa nthawi yayitali amathanso kuyambitsa cor pulmonale. Zina mwa izi ndi izi:

• Imitsani matenda omwe amawononga mapapo, monga scleroderma
• Matenda osokoneza bongo (COPD)
• Magazi okhazikika m'mapapu
• Cystic fibrosis (CF)
• Kwambiri bronchiectasis
  
• Kuphulika kwa minofu ya m'mapapo (matenda am'mapapo amkati)
• Kutembenuka kwakukulu kwa kumtunda kwa msana (kyphoscoliosis)
• Kulepheretsa kugona tulo, komwe kumapangitsa kuti munthu asapume chifukwa chotupa panja
• Idiopathic (palibe chifukwa chenicheni) kumangika (kupindika) kwa mitsempha yam'mapapu

Kupuma pang'ono kapena kupepuka panthawi yogwira ntchito nthawi zambiri chimakhala chizindikiro choyamba cha cor pulmonale. Muthanso kukhala ndi kugunda kwamtima ndikumva ngati mtima wanu ukugunda.

Popita nthawi, zizindikilo zimachitika ndikucheperako kapena ngakhale mutapuma. Zizindikiro zomwe mungakhale nazo ndi izi:

• Kukomoka pamachitidwe
• Kusapeza bwino pachifuwa, nthawi zambiri kutsogolo kwa chifuwa
• Kupweteka pachifuwa
• Kutupa kwa mapazi kapena akakolo
• Zizindikiro zamatenda am'mapapo, monga kupumira kapena kutsokomola kapena kupanga phlegm
• Milomo yabuluu ndi zala (cyanosis)

Wothandizira zaumoyo wanu adzakuyesani ndikufunsani za matenda anu. Mayeso atha kupeza:

• Kutulutsa kwamadzi m'mimba mwanu
• Mtima wosazolowereka umamveka
• Khungu labuluu
• Kutupa chiwindi
• Kutupa kwa mitsempha ya khosi, chomwe ndi chizindikiro cha kuthamanga kwambiri kumanja kwa mtima
• Kutupa kwa bondo

Mayeserowa atha kuthandizira kuzindikira cor pulmonale komanso chifukwa chake:

• Mayeso a antibody wamagazi
• Kuyezetsa magazi kuti mufufuze chinthu chotchedwa ubongo natriuretic peptide (BNP)
• X-ray pachifuwa
• Kujambula kwa CT pachifuwa, kapena popanda jekeseni wamadzimadzi osiyana (utoto)
• Zojambulajambula
• ECG
• Lung biopsy (osachita kawirikawiri)
• Kuyeza kwa mpweya wa magazi poyang'ana magazi ochepa (ABG)
• Mayeso a ntchito ya m'mapapo mwanga (mapapo)
• Catheterization yamtima wamanja
• Kutulutsa mpweya ndi kupopera m'mapapu (V / Q scan)
• Kuyesedwa kwa matenda am'mapapo osadziwika

Cholinga cha chithandizo ndikuwongolera zizindikilo. Ndikofunikira kuthana ndi zovuta zamankhwala zomwe zimayambitsa matenda oopsa am'mapapo, chifukwa zimatha kubweretsa ku cor pulmonale.

Njira zambiri zamankhwala zilipo. Mwambiri, chifukwa cha cor pulmonale wanu amakuuzani chithandizo chomwe mungalandire.

Ngati wothandizira wanu atakupatsani mankhwala, mutha kuwamwa pakamwa (pakamwa), kuwalandira kudzera mumitsempha (intravenous kapena IV), kapena kuwapumira (opumira). Mudzawunikidwa mozama mukamalandira chithandizo kuti muwone zovuta zake ndikuwona momwe mankhwalawo amakuthandizirani. Osasiya kumwa mankhwala anu musanalankhule ndi omwe akukuthandizani.

Mankhwala ena atha kukhala:

• Kuchepetsa magazi kuti muchepetse magazi
• Mankhwala othandizira kuthetsa kulephera kwa mtima
• Thandizo la oxygen kunyumba
• Kuika mapapu kapena mtima ndi mapapo, ngati mankhwala sakugwira ntchito

Malangizo ofunikira kutsatira:

• Pewani ntchito zovuta komanso kunyamula katundu.
• Pewani kupita kumalo okwera.
• Pezani katemera wa chimfine chaka chilichonse, komanso katemera wina, monga katemera wa chibayo.
• Ngati mumasuta, siyani.
• Chepetsani mchere womwe mumadya. Wothandizira anu amathanso kukupemphani kuti muchepetse kuchuluka kwa madzi omwe mumamwa masana.
• Gwiritsani ntchito mpweya ngati wothandizira wanu atakupatsani.
• Amayi sayenera kutenga pakati.

Mumachita bwino bwanji zimadalira chifukwa cha cor pulmonale yanu.

Matenda anu akamakulirakulirabe, muyenera kusintha nyumba yanu kuti muzitha kusamalira bwino momwe mungathere. Mufunikanso thandizo kuzungulira nyumba yanu.

Cor pulmonale itha kubweretsa ku:

• Kupuma koopseza moyo
• Kuchuluka kwamadzimadzi mthupi lanu
• Chodabwitsa
• Imfa

Itanani omwe akukuthandizani ngati mukupuma movutikira kapena kupweteka pachifuwa.

Osasuta. Kusuta kumayambitsa matenda am'mapapo, omwe amatha kuyambitsa cor pulmonale.

Kulephera kwa mtima kumanja; Matenda amtima wam'mapapo

• Matenda osokoneza bongo - akulu - amatulutsa

• Sarcoid, gawo IV - x-ray pachifuwa
• Zovuta komanso zosatha
• Cor pulmonale
• Dongosolo kupuma

Barnett CF, De Marco T. Matenda oopsa chifukwa cha matenda am'mapapo. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 59.

Bhatt SP, Dransfield MT. Matenda am'mapapo ndi matenda amtima. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 86.