Kuthamanga kwa magazi m'mapapo mwanga: Chiyembekezo cha Moyo ndi Chiyembekezo

Zamkati

• Chiyembekezo chokhala ndi moyo kwa anthu omwe ali ndi PAH
• Kugwira ntchito kwa PAH
• Gulu 1
• Gulu 2
• Gulu 3
• Gulu 4
• Mapulogalamu okonzanso mtima
• Momwe mungagwirire ntchito ndi PAH
• Kusamalira ndi kuchepetsa nkhawa kwa PAH
• Moyo ndi PAH

Kuthamanga kwa magazi m'mapapo (PAH) ndi mtundu wochepa kwambiri wa kuthamanga kwa magazi komwe kumakhudza mbali yakumanja ya mtima wanu ndi mitsempha yomwe imapereka magazi m'mapapu anu. Mitsempha imeneyi imatchedwa mitsempha ya m'mapapo.

PAH imachitika pamene mitsempha yanu yam'mapapo imakhwima kapena kukulira kulimba ndikuchepetsa mkati momwe magazi amayenda. Izi zimapangitsa kuti magazi aziyenda movutikira.

Pachifukwa ichi, mtima wanu uyenera kugwira ntchito molimbika kukankhira magazi m'mitsempha yanu yam'mapapo. Mofananamo, mitsempha imeneyi siyimanyamula magazi okwanira m'mapapu anu kaamba ka mpweya wokwanira.

Izi zikachitika, thupi lanu silingapeze mpweya womwe umafunikira. Zotsatira zake, umatopa mosavuta.

Zizindikiro zina zitha kuphatikiza:

• kupuma movutikira
• kupweteka pachifuwa kapena kupanikizika
• kugunda kwa mtima
• chizungulire
• kukomoka
• kutupa m'manja ndi m'miyendo
• kuthamanga kwachangu

Chiyembekezo chokhala ndi moyo kwa anthu omwe ali ndi PAH

Kafukufuku wopangidwa ndi Registry to Requate Early and Long-term PAH Disease Management (REVEAL) adapeza kuti omwe akuchita nawo kafukufukuyu ndi PAH anali ndi zotsatirazi:

• 85% pa chaka chimodzi
• 68% pazaka zitatu
• 57% pazaka 5

Ndikofunika kuzindikira kuti mitengo yopulumuka siili konsekonse. Ziwerengero zamtunduwu sizinganeneratu zotsatira zanu.

Maganizo a aliyense ndi osiyana ndipo amatha kusiyanasiyana, kutengera mtundu wa PAH womwe muli nawo, zikhalidwe zina, komanso kusankha mankhwala.

Ngakhale PAH ilibe mankhwala pano, imatha kuchiritsidwa. Chithandizo chimatha kuthetsa zizindikilo ndipo chingachedwetse kukula kwa vutoli.

Kuti alandire chithandizo choyenera, anthu omwe ali ndi PAH nthawi zambiri amatumizidwa kuchipatala chapadera kuti akawunikire ndikuwongolera.

Nthawi zina, kumuika m'mapapo kumatha kuchitidwa ngati njira yothandizira. Ngakhale kuti izi sizikuthandizani kusintha malingaliro anu, kumuika m'mapapo kumatha kukhala kopindulitsa kwa PAH komwe sikukuyankha mitundu ina yamankhwala.

Kugwira ntchito kwa PAH

Ngati muli ndi PAH, dokotala wanu angagwiritse ntchito njira yoyenera kuti adziwe kuti ndinu "ogwira ntchito". Izi zimauza dokotala wanu zambiri za kuuma kwa PAH.

Kupita patsogolo kwa PAH kudagawika. Nambala yomwe yapatsidwa ku PAH yanu imafotokoza momwe mumakwanitsira kugwira ntchito tsiku ndi tsiku komanso kuchuluka kwa matendawa tsiku ndi tsiku.

Gulu 1

Mkalasi iyi, PAH sichimachepetsa zochitika zanu zachizolowezi. Ngati mumachita masewera olimbitsa thupi, simukukhala ndi zizindikilo za PAH.

Gulu 2

Mkalasi yachiwiri, PAH imangokhudza zovuta zanu zokha. Simukumana ndi zizindikiro za PAH kupumula. Koma zomwe mumachita zolimbitsa thupi zimatha kuyambitsa zizindikilo mwachangu, kuphatikiza kupuma komanso kupweteka pachifuwa.

Gulu 3

Magulu awiri omaliza ogwira ntchito akuwonetsa kuti PAH ikukula pang'onopang'ono.

Pakadali pano, simukukhala ndi vuto lililonse mukamapuma. Koma sizitenga zolimbitsa thupi zambiri kuti ziyambitse zizindikiro komanso kupsinjika kwakuthupi.

Gulu 4

Ngati muli ndi kalasi ya IV PAH, simungathe kuchita masewera olimbitsa thupi osakumana ndi zizindikilo zowopsa. Kupuma kumalimbikitsidwa, ngakhale kupumula. Mutha kutopa mosavuta. Kuchita masewera olimbitsa thupi pang'ono kumatha kukulitsa matenda anu.

Mapulogalamu okonzanso mtima

Ngati mwalandira matenda a PAH, ndikofunikira kuti mukhalebe otakataka momwe mungathere.

Komabe, ntchito yovuta imatha kuwononga thupi lanu. Kupeza njira yoyenera kukhalabe olimbikira ndi PAH kungakhale kovuta.

Dokotala wanu angakulimbikitseni magawo oyang'aniridwa okonzanso mtima kuti akuthandizeni kupeza bwino.

Ophunzitsidwa azaumoyo atha kukuthandizani kuti mupange pulogalamu yomwe imapereka masewera olimbitsa thupi osakukakamizani kupitirira zomwe thupi lanu lingakwanitse.

Momwe mungagwirire ntchito ndi PAH

Matenda a PAH amatanthauza kuti mudzakumana ndi zoletsa zina. Mwachitsanzo, anthu ambiri omwe ali ndi PAH sayenera kukweza chilichonse cholemetsa. Kukweza kwambiri kumatha kuwonjezera kuthamanga kwa magazi, komwe kumatha kupangitsa kuti zizindikilo ziziyenda bwino.

Njira zingapo zingakuthandizeni kuthana ndi matenda oopsa am'mapapo, kuphatikizapo PAH:

• Pitani kuchipatala chonse ndikufunseni upangiri ngati zisonyezo zatsopano zikuwonjezereka.
• Khalani ndi katemera woteteza chimfine ndi matenda a pneumococcal.
• Funsani za chithandizo cham'malingaliro ndi chikhalidwe kuti muthane ndi nkhawa komanso kukhumudwa.
• Chitani zochitika zoyang'aniridwa ndikukhalabe achangu momwe mungathere.
• Gwiritsani ntchito mpweya wowonjezera panthawi yamaulendo apandege kapena okwera kwambiri.
• Pewani anesthesia ndi ma epidurals, ngati zingatheke.
• Pewani malo otentha ndi ma sauna, omwe amatha kupsinjika m'mapapu kapena pamtima.
• Idyani chakudya chopatsa thanzi kuti mukhale ndi thanzi labwino.
• Pewani utsi. Mukasuta, lankhulani ndi dokotala wanu zakukhazikitsa dongosolo losiya.

Ngakhale zili zowona kuti magawo apamwamba a PAH atha kukulirakulira ndikuchita masewera olimbitsa thupi, kukhala ndi PAH sikukutanthauza kuti muyenera kupewa kuchita zonse. Dokotala wanu akhoza kukuthandizani kumvetsetsa zolephera zanu ndikupeza mayankho.

Ngati mukuganiza zokhala ndi pakati, kambiranani ndi dokotala poyamba. Mimba imatha kuwonjezera mavuto m'mapapu ndi mumtima.

Kusamalira ndi kuchepetsa nkhawa kwa PAH

Pamene PAH ikupita, moyo watsiku ndi tsiku umatha kukhala wovuta, mwina chifukwa cha kupweteka, kupuma movutikira, nkhawa zamtsogolo, kapena zina.

Njira zothandizira zitha kukuthandizani kuti mukhale ndi moyo wabwino panthawiyi.

Mwinanso mungafunike chithandizo chotsatira, kutengera matenda anu:

• okodzetsa vuto la yamitsempha yamagazi kulephera
• chithandizo cha kuchepa kwa magazi m'thupi, kusowa kwachitsulo, kapena zonse ziwiri
• kugwiritsa ntchito mankhwala ochokera m'kalasi la endothelin receptor antagonist (ERA), monga ambrisentan

Pamene PAH ikupita, kudzakhala koyenera kukambirana mapulani omaliza a moyo ndi okondedwa, osamalira odwala, komanso othandizira azaumoyo. Gulu lanu lazachipatala lingakuthandizeni kupanga pulani yomwe mukufuna.

Moyo ndi PAH

Kusintha kwa moyo, mankhwala, ndi maopaleshoni zingasinthe kukula kwa PAH.

Ngakhale mankhwala sangasinthe zizindikiro za PAH, mankhwala ambiri amatha kuwonjezera zaka m'moyo wanu.

Lankhulani ndi dokotala wanu za kulandira chithandizo choyenera cha PAH yanu. Atha kugwira nawo ntchito kuti achedwetse kupita patsogolo kwa PAH ndikukhalabe ndi moyo wabwino.