Izilwane ezinoboya ngokuvamile zinempilo enhle; noma kunjalo, kwesinye isikhathi bangagula. Esinye sezifo abangaphathwa yiso umfutho wegazi ophakeme wamaphaphu, okuyisifo esithinta inethiwekhi yemithambo yamaphaphu.
Yize kungavamile kakhulu, kubalulekile ukwazi konke mayelana nomfutho wegazi ophezulu wamaphaphu emakati ukuze sazi okufanele sikwenze uma kwenzeka umngane wethu ehlushwa yikho.
Kuyini lokhu?
Umfutho wegazi ophezulu wamaphaphu yisifo esithinta izicubu zamaphaphu nokusebenza kwezakhiwo zenhliziyo. Ngenxa yalokho, izicubu zomzimba ziyalimala njengoba zingatholi inani le-oxygen abayidingayo.
Kumele kucatshangwe ukuthi amaphaphu we-felines anenethiwekhi yemithambo yegazi ephezulu, kepha ingaphansi kwengcindezi ephansi nokumelana nayo. Ngalesi sizathu, ngokungeziwe, ukwakheka kwenhliziyo kuyakwazi ukumelana nengcindezi ephezulu kunenethiwekhi yemithambo nemithambo emaphashini.
Yiziphi izimpawu?
Izimpawu zePulmonary Hypertension Emakati yilezi ezilandelayo:
- Uhlala ekhathele
- Ukukhwehlela, okungase kuhambisane negazi
- Ukuphefumula
- Ukomisa
- Amaphaphu angajwayelekile
- Ukuhlelwa kwenhliziyo
- Ukuphelelwa isifiso sokudla
- Ukwehla kwesisindo
- Ukubekezelelana kokuzivocavoca umzimba
- Ukuquleka noma i-syncope
Ziyini izimbangela?
Emakati yisifo esikhula ngokujwayelekile sisuka kwesinye, okuyikho okubizwa nge-secondary pulmonary hypertension. Noma kunjalo, ingabonakala futhi "kungazelelwe", kubhekwe njenge-idiopathic. Ake sibone ukuthi yiziphi izimbangela zokunye nokunye:
- Umfutho wegazi ophezulu wamaphaphu:
- Ihlotshaniswa ne-thromboembolism ye-pulmonary, ebonakala ngokwakhiwa kwamahlule - i-thrombi- ezitsheni zamaphaphu, ikakhulukazi emithanjeni yamaphaphu nasoceleni lwenhliziyo.
- Kubangelwa ukuguqulwa kwe-atrium engakwesokunxele senhliziyo: lapho kufanele imelane nengcindezi ephezulu futhi engapheli, amanzi emithanjeni yamaphaphu ayaphazamiseka.
- Kususelwa ezifweni zokuphefumula: njenge-pneumonia, i-pulmonary fibrosis noma isifo se-tracheobronchial esivimbelayo.
- Okuhlobene ne-hypercirculation ye-pulmonary: imithambo ye-pulmonary kumele imelane nomfutho wegazi ophakeme.
- Idiopathic noma i-primary pulmonary hypertension: ukuguga nokukhuluphala yizinto eziyingozi, ngoba izakhiwo zemithambo yenhliziyo namaphaphu ziyaguga.
Kutholakala kanjani?
Uma ikati lethu linezinye zezimpawu ezibalulwe ngenhla, kufanele silise kudokotela wezilwane ngokushesha. Lapho sebekhona, bazokwenza i- ukuhlolwa komzimba, i-x-ray yesifuba, nokuhlaziywa (igazi, umchamo, indle) ukuthola ukuthi uqhuba kanjani. Ngaphezu kwalokho, uma kukhona ukusola komfutho wegazi ophezulu wamaphaphu, a I-Doppler echocardiography.
Iyini ukwelashwa?
Ukwelashwa kuzoya ngesizathu, kepha kuzokhethwa ngokujwayelekile lawula izidakamizwa ngesenzo esivimbelayo ku-vasconstriction yamaphaphu, nezinye eziqinisa izitsha zamaphaphu. Uma kwenzeka ene-thrombi, uzophinde anikezwe ama-anticoagulants, noma uzokhetha ukulamula uma enesifo sokuzalwa esikhubazekile senhliziyo esinokuphambuka.
Kungavinjelwa?
Hhayi u-100%, kepha yebo ungenza ezinye izinto:
- Mnike ukudla okusezingeni (ngaphandle kokusanhlamvu noma okwenziwe ngemikhiqizo).
- Mnike yonke imigomo ephoqelekile.
- Yibulale izikelemu ukuze ingabi namazeze, imikhaza noma ezinye izimuncagazi.
- Dlala naye nsuku zonke, ukuze ajabule kodwa futhi nokuzivocavoca umzimba.
Ubucabangani ngalesi sihloko?