Kwiinkqubo zentsholongwane kwinkqubo yokuphefumula, intliziyo ihlala ichaphazelekayo. Iindawo ezifanelekileyo zequmrhu, ngakumbi i-atrium kunye ne-ventricle, ukwandisa nokwandisa ubungakanani, kubangela iingxaki ezahlukeneyo. Esi sifo, intliziyo engapheliyo ye-pulmonary heart (CHS), ibangela ukuphulwa okungenakuphikiswa kwe-hemodynamics (ukuphuma kwegazi kwimikhumbi), ukuhluleka kokujikeleza kwegazi.
Yiyiphi imbangela eqhelekileyo yezifo ezingapheliyo zesifo senhliziyo?
Ifom yesifo esikulo mbuzo sikhula emva kwexesha. Into ephambili eyayikhuphayo, isifo esiyingozi esingapheliyo. Nangona kunjalo, izibangela zesifo zingabanye ukuphazamiseka kwenkqubo yokuphefumula:
- pneumosclerosis;
- emphysema yemiphunga;
- i-bronchitis engapheliyo;
- i-asthma ye-bronchial.
Ukongeza kwi-pathologies yemiphunga kunye ne-bronchi, i-pathology echazwayo ivela kwimvelaphi yeengxaki ezilandelayo:
- ukuphindaphindiza kweesetyhula;
- uhlobo oluphambili lwe-pulmonary blood pressure;
- ukubambelela kwisigxina sobunzima;
- ukudlulisela umsebenzi ukususa umphunga okanye indawo yayo;
- arteritis;
- ukunyanya;
- ukuguquka kwesifuba;
- izilonda zomgudu.
Iimpawu kunye nokuxilongwa kweNtsholongwane yePulmonary Heart
Inkambo elukhuni yesifo idala ukungabikho kwempawu ezibonakaliswe kumanyathelo okuqala okuphuhliso. Ukuhlaselwa kwe-palpitation enyantya kuya kuba yanda rhoqo, kukho ukhathala okwenyuka komzimba kunye nemithwalo elula.
Kwimeko yesigulane esinenhliziyo engapheliyo, i-dyspnoea iyimpawu, ephakanyiswa kwisimo esifanelekileyo, ngexesha lokusebenza komsebenzi olula, ukuvuthwa komoya opholileyo. Kwakhona kuphawulwe:
- ukutsaliswa kwiphondo yesiguqu esiphezulu;
- intlungu entliziyweni;
- ukuvuvukala kweemvini entanyeni;
- kulala;
- i-arrhythmias;
- xi nzelelo;
- ukunciphisa izinga lokushisa lomzimba phambi kwenkqubo yokuvutha;
- phuhliso lwesilonda sesisu;
- ubukhulu besibindi;
- intloko kunye nesisu;
- ukungakhathaleli;
- ingxolo entloko;
- kuncipha kwixabiso lomchamo okhishwe ngosuku.
Ukuxilongwa kwe-CLS kuyinkimbinkimbi, i-electrocardiography eyenziwa ukuqinisekisa esi sifo, ukuhlolwa kwe-radiographic kunye neemvavanyo zokusebenza.
Unyango lwentliziyo engapheliyo
Ulwaphulo lwezifo oluchazwe lujoliswe ekupheliseni izifo zemiphunga ezivusa i-CLS, kunye nokuthintela ukuphindaphinda nokuphuhliswa kokuphefumula.
Amanyathelo aphezulu angonyango:
- yonyango lonyango;
- ukutshatyalaliswa kwegazi;
- gymnastics yokuphefumula;
- i-hyperbaric oxygenation ;
- ukusilisa;
- ukusebenzisa unyango.
Ukunyangwa kweziyobisi kumiselwe
- diuretics;
- bronchodilators;
- mucolytics;
- glucocorticoids;
- i-analeptics yokuphefumula;
- nitrate;
- izigulane kunye nabanye.