Cor pulmonale

Cor pulmonale chiitiko chinokonzeresa kurudyi kwemoyo kutadza. Yenguva refu-kuwedzerwa kweropa mumitsipa yemapapu uye kurudyi ventricle yemoyo inogona kutungamira kune cor pulmonale.

Kuwedzera kweropa mumitsipa yemapapu kunodaidzwa kuti pulmonary hypertension. Ndicho chinonyanya kukonzera cor pulmonale.

Muvanhu vane pulmonary hypertension, shanduko mumidziyo midiki yeropa mukati memapapu inogona kutungamira kuwedzerwa kweropa kudivi rerudyi remoyo. Izvi zvinoita kuti zviomere moyo kupomba ropa kumapapu. Kana kudzvanyirira uku kukaramba kuchienderera, kunoisa kudzvinyirira kurudyi kwemoyo. Iko kushushikana kunogona kukonzera cor pulmonale.

Mamiriro ezvinhu emapapu anokonzera yakaderera ropa okisijeni mwero muropa kwenguva yakareba inogona zvakare kutungamira kune cor pulmonale. Mimwe yacho ndeiyi:

• Zvirwere zvekuzvimiririra zvinokuvadza mapapu, senge scleroderma
• Chirwere chisingaperi chinodzivirira pulmonary chirwere (COPD)
• Ropa risingaperi rinovhara mumapapu
• Cystic fibrosis (CF)
• Yakakomba bronchiectasis
  
• Kuputika kwemapapu emapapu (chirwere chepakati chemapapu)
• Yakakombama kukamurwa kwechikamu chepamusoro chemuzongoza (kyphoscoliosis)
• Anodzivirira kufema kufema, izvo zvinokonzeresa kumira mukufema nekuda kwekuputa kwemhepo
• Idiopathic (hapana chaicho chinokonzeresa) kuomesa (kudzora) kwemitsipa yeropa yemapapu

Kupfupika kwemweya wekufema kana hura hwakareruka panguva yechiitiko kazhinji chiratidzo chekutanga checor pulmonale. Iwe unogona zvakare kuve nekutsanya kwemwoyo uye kunzwa sekunge moyo wako uri kurova.

Nekufamba kwenguva, zviratidzo zvinoitika nekureruka chiitiko kana kunyangwe iwe uchizorora. Zviratidzo zvaungave uine ndeizvi:

• Kufenda zvitsinga panguva yechiitiko
• Chest kusagadzikana, kazhinji pamberi pebhokisi
• Kurwadziwa pachifuva
• Kuzvimba kwetsoka kana makumbo
• Zviratidzo zvekushushikana kwemapapu, sekufema kana kukosora kana kugadzirwa kwephlegm
• Miromo yeBluish neminwe (cyanosis)

Anokuchengetedza hutano achaita bvunzo dzepanyama uye obvunza nezve zviratidzo zvako. Bvunzo dzinogona kuwana:

• Mvura inovaka mudumbu rako
• Mwoyo usina kujairika unonzwika
• Bluish ganda
• Chiropa kuzvimba
• Kuzvimba kwemitsipa yemutsipa, chinova chiratidzo chekumanikidza kwakanyanya kurudyi kwemoyo
• Ankle kuzvimba

Iyi bvunzo inogona kubatsira kuongorora cor pulmonale pamwe nechikonzero chayo:

• Ropa antibody bvunzo
• Ropa bvunzo kutarisa chinhu chinonzi brain natriuretic peptide (BNP)
• Chest x-ray
• CT scan yechipfuva, iine kana isina jekiseni rekusiyanisa fluid (dhayi)
• Echocardiogram
• ECG
• Lung biopsy (kashoma kuitwa)
• Kuyerwa kweropa okisijeni nekutarisa arterial yeropa gasi (ABG)
• Pulmonary (mapapu) miedzo yebasa
• Right moyo catheterization
• Kufefetedza uye perfusion scan yemapapu (V / Q scan)
• Kuyedzwa kwe autoimmune lung chirwere

Chinangwa chekurapa ndechekudzora zviratidzo. Izvo zvakakosha kurapa matambudziko ekurapa anokonzera pulmonary hypertension, nekuti anogona kutungamira kune cor pulmonale.

Nzira dzakawanda dzokurapa dziripo. Pakati pese, chikonzero chekori yako pulmonale chinosarudza kurapwa kwaunowana.

Kana mupi wako akaraira mishonga, unogona kuitora nemuromo (muromo), kuigamuchira kuburikidza nemutsinga (intravenous kana IV), kana kufemera mukati (inhaled). Iwe unozotariswa zvakanyanya panguva yekurapwa kuti utarise mhedzisiro uye kuona kuti mushonga unoshanda sei kwauri. Usamborega kutora mishonga yako usati watanga kutaura nemupi wako.

Mimwe mishonga inogona kusanganisira:

• Ropa rakapfava kudzikisa njodzi yeropa
• Mishonga yekugadzirisa moyo kutadza zviratidzo
• Oxygen kurapa kumba
• Kuiswa kwemapapu kana kwemoyo-kwemapapu, kana mushonga ukasashanda

Matipi akakosha ekutevera:

• Dzivisa zviitiko zvinonetesa uye kusimudza zvinorema.
• Dzivisa kuenda kunzvimbo dzakakwirira.
• Wana mushonga wegore rose wefuruwenza, pamwe nemamwe majekiseni, sekudzivirira kwemabayo.
• Ukasvuta, mira.
• Ganhurira kuti munodya munyu wakadii. Wako mupi anogona zvakare kukubvunza iwe kudzora huwandu hwemvura yaunonwa mukati mezuva.
• Shandisa oksijeni kana mupi wako akaraira.
• Vakadzi havafanirwe kubata pamuviri.

Iwe kunyatsoita kwaunoita kunoenderana nechikonzero chekor pulmonale yako.

Sezvo hurwere hwako hunowedzera, iwe uchafanirwa kuita shanduko kumba kwako kuitira kuti iwe ugone kubata pamwe nepazvinogona. Iwe zvakare uchada rubatsiro kutenderedza imba yako.

Cor pulmonale inogona kutungamira ku:

• Hupenyu hunotyisidzira kupfupika kwekufema
• Yakakura fluid inovaka mumuviri wako
• Shock
• Rufu

Fonera mupi wako kana iwe uine kupfupika kwemweya wekufema kana chipfuva.

Usapute. Kusvuta kunokonzera chirwere chemapapu, icho chinogona kutungamira kune cor pulmonale.

Kurudyi-mativi emoyo kukundikana; Pulmonary chirwere chemoyo

• Chisingaperi obstructive pulmonary chirwere - vanhu vakuru - buditsa

• Sarcoid, danho IV - chest x-ray
• Yakanaka vs. chisingaperi mamiriro
• Cor pulmonale
• Kufuridzira system

Barnett CF, De Marco T. Pulmonary hypertension nekuda kwechirwere chemapapu. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 59.

Bhatt SP, Dransfield MT. Zvirwere zvemapapu zvisingaperi uye chirwere chemoyo. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 86.