Cor pulmonale: ndichiyani, chimayambitsa ndi chithandizo

Zamkati

• Zoyambitsa zazikulu
• Zizindikiro za cor pulmonale
• Momwe mankhwalawa amachitikira

Cor pulmonale ikufanana ndi kusintha kwa mpweya wabwino chifukwa cha matenda am'mapapo. Vuto loyenera ndi dongosolo la mtima lomwe limayendetsa magazi kuchokera pamtima kupita m'mapapu ndipo, chifukwa cha matenda am'mapapo, makamaka Matenda Ophwanya Matenda Osiyanasiyana (COPD), amatha kusintha kapangidwe kake, motero, kusintha kwa magwiridwe antchito. Phunzirani momwe mungazindikire ndikuchiza COPD.

Cor pulmonale amatha kutchulidwa kuti ndi ovuta kapena osatha:

• Cor pulmonale pachimake: itha kuyambitsidwa chifukwa chamapapu am'mimbamo kapena kuvulala komwe kumadza chifukwa chamakina opumira ndipo nthawi zambiri amasinthidwa;
• Cor pulmonale wosatha: imayambitsidwa ndi COPD, koma itha kukhalanso chifukwa cha kutayika kwa mapapo chifukwa chakuchita opareshoni, pulmonary fibrosis, zovuta zokhudzana ndi kupuma kwamisempha kapena chifukwa chamapapu oyambira.

Matendawa amapangidwa kutengera zisonyezo ndi mayeso a labotale ndi zojambula, monga echocardiography, momwe mawonekedwe amtima amawonedwera munthawi yeniyeni, momwe zimasinthira kusintha kwa mpweya wabwino kumawonekera.

Zoyambitsa zazikulu

Pamaso pa matenda am'mapapo, magazi amadutsa m'mitsempha yam'mapapo ndi mitsempha movutikira, ndikuwonetsa kuthamanga kwa magazi m'mapapo, komwe kumapangitsa kuti ziwalo zamtima, makamaka ventricle yoyenera, zizithiridwa.

Kuthamanga kwa m'mapapo ndipo, chifukwa chake, cor pulmonale imatha kuyambitsidwa ndi:

• Matenda osokoneza bongo;
• Embolism m'mapapo mwanga;
• Enaake fibrosis;
• Scleroderma;
• Emphysema wamapapo;
• Kulephera kwamtima

Kuphatikiza apo, kusintha kwamitsempha yamagazi komanso kukhuthala kwamagazi kumatha kubweretsa kuthamanga kwa magazi m'mapapo. Dziwani zambiri za matenda oopsa am'mapapo mwanga.

Zizindikiro za cor pulmonale

Poyamba, cor pulmonale imakhala yopanda tanthauzo, komabe zizindikilo zosadziwika bwino zimatha kuchitika, monga:

• Kutopa kwambiri;
• Chisokonezo;
• Chifuwa ndi phlegm kapena magazi;
• Zovuta kapena kupuma popuma;
• Kupweteka pachifuwa;
• Kutupa kwa miyendo yakumunsi;
• Kukulitsa chiwindi;
• Kuthira kwa mitsempha yopindika, yomwe ndi mitsempha yomwe ili m'khosi;
• Maso achikaso.

Kuzindikiraku kumachitika pofufuza za mayeso ndi mayeso monga kuyezetsa labotale, monga magazi wamagazi ochepa komanso kuchuluka kwa magazi, mwachitsanzo, electrocardiogram ndi echocardiogram, zomwe zimachitika kuti ziwunike momwe mtima ulili munthawi yeniyeni, ndipo amatha kuzindikira kudzera mu izi kuwunika kusintha kwa ventricle yoyenera. Mvetsetsani momwe echocardiogram yachitidwira.

Kuphatikiza apo, mayeso ena atha kulamulidwa kuti atsimikizire matendawa, monga chifuwa cha tomography, biopsy yamapapu ndi angiotomography yamitsempha yam'mapapo. Onani zomwe angiotomography ili.

Momwe mankhwalawa amachitikira

Chithandizo cha cor pulmonale chimachitika molingana ndi matenda am'mapapo, ndipo nthawi zambiri amalimbikitsidwa kukonza mpweya wabwino, kuchepetsa kusungika kwamadzimadzi, kuwongolera matenda am'mapapo komanso kukonza magwiridwe antchito oyenera a ventricular.

Zitha kulimbikitsidwa ndi sing'anga kuti mugwiritse ntchito mankhwala omwe amachititsa kuti magazi aziyenda bwino komanso amachepetsa kupsinjika m'mapapu, monga antihypertensives ndi anticoagulants, mwachitsanzo. Pazovuta kwambiri, komabe, kukhazikitsa mtima kapena mapapo kungakhale kofunikira kuti athetse cor pulmonale.