Kurongeka Kwemwoyo Wakagadzikana neCOPD
Cor pulmonale inobata chirwere chepachirwere chinokonzera kupora (COPD) uye emphysema . Iko dzimwe nguva kunonzi yakarurama- mwoyo mwoyo kusakundikana .
Corp pulmona inokonzerwa nekuwedzera kweropa remukati mumudziyo, unozivikanwa semapurmonary artery, iyo inotakura ropa kubva pamwoyo kusvika pamapapu. Kuwedzerwa kweropa kwepamusoro kunotungamirira pakuwedzera nekukundikana kunotevera kwekodzero yemoyo.
Pasi pemamiriro ehutano, rutivi rworuboshwe rwemwoyo runokonzerwa nekuputira ropa kumuviri wose uye zvinoda kukurira zvakanyanya. Rutivi rworudyi, zvakasiyana, runotora basa rekupempa ropa mumapapu uye inoda kuomeswa kwakanyanya.
Zvisinei, kana chiitiko chinotungamirira kuwedzera kukurudzika mumisungo uye kurudyi kwemoyo, tinotarisa kuti semapurmonary hypertension . Izwi rokuti pulmonary rinorondedzera zvakananga kumapapu.
Zvinokonzera
Chero mamiriro ezvinhu anotungamirira kumapemetari eupemhasiro anogona kuisa dambudziko pamhepo yakarurama uye atrium yemwoyo. Izvo ventricle yakarurama inoputira ropa kumapapu; iyo atrium yakanaka inogamuchira ropa inodzoka kubva pamwoyo. Apo dzimba idzi mbiri dzinokundikana kana dzisingakwanisi kushanda zvinopesana nezvinetso zvakashata zvakanyanya mumapapu, izvi zvinonzi cor pulmonale.
Kunyange zvazvo COPD iri chikonzero chinowanzokonzerwa ne cor pulmonale, zvimwe zvinokonzera zvinosanganisira cystic fibrosis, apnea yokurara, scleroderma yemapapu, kuvhara mumapapu, kana kuparadza kwemapapu.
Zviratidzo
Zviratidzo izvi zvinowanzoenderana nepapapu repapu uye rinogona kusanganisira:
- kupfupika kwefema ( dyspnea )
- kurira uye kugunzva
- kuzvirumbidza kwetsoka uye / kana maziso
- chest pain
- bluish tinge kune ganda rako, misodzi yevhiri, miromo, kana gums ( cyanosis )
- akatumidzwa mitsipa yemitsipa
- kusakwanisa kubvumira basa
Pulmonary hypertension and cor pulmonale zvinogona kutungamirira kukuchengetedza kwakanyanya kwemvura zvinogona kukonzera kutyisa dyspnea, kutyisidzira, uye kunyange rufu.
Kuziva
Kutanga kufungidzirwa kwekort pulmonale kunowanzoitwa hofisi yechiremba. Chirwere chemuviri chinowanzotora zvipfeko zvepfungwa zvisina kukodzera, kuchengetedza kwemvura, kana kuputika kwemitsipa yemutsipa inoratidza kurwara kwepemonta.
Kuongorora ropa kunogona kuitwawo kutarisa, pakati pezvimwe zvinhu, amino acid yakaitwa mumoyo unonzi. Kana maBNP ari akakwirira, inoratidza kuti mwoyo iri kusimbiswa uye, mumatambudziko akaoma, inogona kuva chiratidzo chekutanga chekushaya mwoyo.
Kuti apiwe tsanangudzo yekujekesa, chiremba anogonawo kuita zvinotevera:
- echocardiogram, iyo inoshandisa mafungu anonzwika kufungidzira mwoyo
- chifu x-ray
- computerized tomography (CT) scan yebhokisi
- arterial blood gases
- pulmonary artery catheterization (kuisa catheter mumapurmita arteri kuongorora kukanganisa kwemwoyo
- ventilation / perfusion scan (kushandiswa kwezvinhu zvakasvibiswa nemhepo inoshandiswa kuongorora mweya nekubuda ropa mukati memapapu)
Kurapa
Chirwere chekort pulmonale chinotarisa pakurapa chirwere chepfungwa. NezveCOPD nezvimwe zvirwere zvepapupa, zvisarudzo zvinogona kusanganisira:
- oxygen therapy kuti uwedzere huwandu hweokisijeni muropa remvura
- calcium channel blockers iyo inoita kuti calcium isapinda mumasero emwoyo uye neropa remadziro, zvichiita kuti ropa riwedzere
- anticoagulants (blood thinners) iyo inozivikanwa kuderedza kufa kune vanhu vane pulmonary hypertension
- zvichida mwoyo kana mapapu kuisa mumatambudziko akakwirira
Kurapa nemhepo yakakosha, mishonga, uye / kana kuvhiyiwa kunogona kuguma nekuvandudza kwezviratidzo, simba guru, uye kazhinji kacho kurarama kwenguva yakareba kwenguva.
Sezvo COPD iri chikonzero chinotungamirira che cor pulmonale, kurega kusvuta kunogona kubatsira kuderedza kufambira mberi kweCOPD uye kunogona kudzivirira cor pulmonale kusati yaitika.
> Kwakabva:
> US National Library yemishonga: National Institutes of Health. "Cor pulmonale." Bethesda, Maryland; yakarongedzwa naJanuary 30, 2016.