Cor pulmonale: ihe ọ bụ, ihe kpatara ya na ọgwụgwọ ya

Ndinaya

• Isi ihe kpatara ya
• Mgbaàmà nke cor pulmonale
• Otu esi eme ọgwụgwọ ahụ

Cor pulmonale kwekọrọ na ngbanwe nke oghere aka nri n'ihi ọrịa akpa ume. Akụkụ aka nri bụ usoro nke sistemu obi na-ahụ maka ibufe ọbara site na obi gaa na ngụgụ na nke, n'ihi ọrịa ọrịa akpa ume, ọkachasị Chronic Obstructive Pulmonary Disease (COPD), nwere ike ịmalite usoro na, n'ihi ya, mgbanwe ọrụ. Mụta otu esi amata ma gwọọ COPD.

Enwere ike ịkọwa Cor pulmonale dị ka nnukwu ma ọ bụ ala ala:

• Cor pulmonale nnukwu: enwere ike ibute ya n'ihi akpa ume ma ọ bụ mmerụ ahụ nke sitere na ventilashị n'ibu ma ọ na-adịkarị mfe ịgbanwe;
• Cor pulmonale adịghị ala ala: ọ bụ COPD na-ebutekarị ya, mana ọ nwekwara ike ịbụ n'ihi ọnwụ nke ngụgụ anụ ahụ n'ihi ịwa ahụ, pulmonary fibrosis, nsogbu metụtara akwara iku ume ma ọ bụ n'ihi ụbụrụ na-adịghị ala ala.

A na-eme nchoputa ahụ na-adabere na mgbaàmà na ụlọ nyocha na nyocha eserese, dị ka echocardiography, bụ nke a na-ahụ ihe owuwu obi na oge, ebe a na-ahụ mgbanwe mgbanwe nhazi nke oghere aka nri.

Isi ihe kpatara ya

Na ọnụnọ nke ọrịa akpa ume, ọbara na-esi na veins nke pulmonary na akwara na-esiri ike, na-egosipụta ọbara mgbali elu nke pulmonary, nke na-eme ka akụkụ obi, karịsịa akụkụ aka nri aka, buru ibu.

Ọbara na-arịa ọbara ọbara na-arụ ọrụ na, n'ihi ya, enwere ike ịkpata cor pulmonale site na:

• Ọrịa akpa ume na-adịghị ala ala;
• Mkpụrụ obi akpa ume;
• Ọrịa Cystic;
• Scleroderma;
• Pulmonary emphysema;
• Enweghị obi

Tụkwasị na nke a, mgbanwe nke vaskụla na ụba viscosity ọbara nwere ike ime ka ọbara mgbali elu. Mụtakwuo banyere akpa ume ọbara.

Mgbaàmà nke cor pulmonale

Na mbu, cor pulmonale bu ihe onymptomatic, agbanyeghi ihe mgbaàmà ndi putara ihe puru ibilite, dika:

• Oké ike ọgwụgwụ;
• Cyanosis;
• Kwara na phlegm ma ọ bụ ọbara;
• Ihe isi ike ma ọ bụ iku ume mgbe ị na-eku ume;
• Obi mgbu;
• Mgbapu nke aka na ụkwụ;
• Imeju imeju;
• Dilation nke veins jugular, nke bụ veins dị n'olu;
• Anya edo edo.

A na-achọpụta nchoputa site na nyocha nke mgbaàmà na nyocha dị ka nyocha ụlọ nyocha, dị ka ọbara ọbara na ọnụọgụ ọbara, dịka ọmụmaatụ, electrocardiogram na echocardiogram, nke a na-eme iji nyochaa akụkụ nke obi n'oge, ma enwere ike ịghọta site na nke a na-enyocha mgbanwe na aka nri ventricle. Ghọta otu echocardiogram si eme.

Na mgbakwunye, enwere ike ịnye iwu nyocha ndị ọzọ iji gosipụta nchoputa ahụ, dị ka tomography chest, lungpsy biopsy na angiotomography of the pulmonary veins. Hụ ihe angiotomography bụ maka.

Otu esi eme ọgwụgwọ ahụ

A na-eme ọgwụgwọ nke cor pulmonale dịka ọrịa ngụgụ metụtara, ọ na-atụkarị aro iji meziwanye ikuku oxygenation, belata njigide mmiri, na-achịkwa ọrịa akpa ume ma melite ọrụ ventricular ziri ezi.

Onye na-ajụ ihe nwere ike ịkwado ya iji ọgwụ ndị na-eme ka mgbasawanye na-erugharị ma belata nrụgide n'ime akpa ume, dịka antihypertensives na anticoagulants, dịka ọmụmaatụ. N'okwu ndị siri ike karị, agbanyeghị, ntụgharị obi ma ọ bụ ngụgụ nwere ike ịdị mkpa iji dozie cor pulmonale.