Ezinqubo zokuphefumula ohlelweni lokuphefumula, inhliziyo ivame ukuthinteka. Izingxenye ezifanele zelungu, ikakhulukazi i-atrium ne-ventricle, zanda futhi zanda ngobukhulu, okwenza kube nezinkinga ezihlukahlukene. Lesi sifo, inhliziyo engapheli (pulsary heart) (CHS), iholela ekuphukeni okungenakuguqulwa kwe-hemodynamics (ukugeleza kwegazi ezitsheni), ukwehluleka kokujikeleza kwegazi.
Iyiphi imbangela evamile kakhulu yesifo senhliziyo esingapheli?
Indlela yesifo esibuzwayo ikhula ngokuhamba kwesikhathi. Isici esiyinhloko esibangela, isifo esingenasifo se-pulmonary chronic obstructive. Noma kunjalo, izimbangela zesifo zingase zibe ezinye izifo zesimiso sokuphefumula:
- i-pneumosclerosis;
- emphysema yamaphaphu;
- i-bronchitis engapheli;
- i-asthma ye-bronchial.
Ngaphandle kwe-pathologies yamaphaphu ne-bronchi, i-pathology ehlongozwayo iqala ngokumelene nenkinga yalezi zinkinga ezilandelayo:
- ukuphindaphindiwe kwe-vascular frequency;
- uhlobo oluyinhloko lwe-pulmonary hypertension;
- ukunamathela emgodini wesikhala;
- ukudlulisela umsebenzi ukususa amaphaphu noma isayithi layo;
- i-arteritis;
- ukukhuluphala;
- ukuchithwa kwesifuba;
- izilonda zomgogodla.
Izimpawu Nokuqaphela I-Heart Pulmonary Heart
Inkambo enesizotha yesifo idala ukungabikho kwezibonakaliso ezivezwe ekuqaleni kwezinyathelo zokuthuthukiswa kwayo. Ukuhlaselwa kwe-palpitation okukhulu kancane kancane kuyaba njalo, kukhona ukukhathala okwenyuka ngokomzimba ngisho nemithwalo elula.
Ukuze isiguli esinenhliziyo engapheli, i-dyspnoea isici, esikhuliswa ngesimo esivamile, ngesikhathi sokusebenza komsebenzi olula, ukungena kwe-air cool. Kuphawulwe futhi:
- i-pulsation esifundeni se-epigastric engenhla;
- ubuhlungu enhliziyweni;
- ukuvuvukala kwemithanjeni entanyeni;
- ukulala;
- i-arrhythmias;
- i-hypertension;
- ukwehlisa izinga lokushisa komzimba ngisho nangaphambi kwezinqubo zokuvuvukala;
- ukuthuthukiswa kwesilonda sesisu;
- usayizi wesibindi ukwanda;
- ikhanda kanye nosizi;
- ukunganakwa;
- umsindo emakhanda;
- ukunciphisa inani lomchamo okhishwe ngosuku.
Ukuxilongwa kwe-CLS kuyinkimbinkimbi, i-electrocardiography yenziwa ukuqinisekisa ukuthi lesi sifo, ukuhlolwa kwe-radiographic kanye nokuhlolwa kokusebenza kwenziwa.
Ukwelashwa kwenhliziyo engavamile yamapulmonari
Ukwelashwa kwezifo ezichazwe kuhloswe ekuqedeni izifo zamaphaphu ezivusa i-CLS, kanye nokuvimbela ukuphindaphinda kwabo nokuthuthukiswa kokuhluleka kokuphefumula.
Izindlela zokwelapha eziyinhloko:
- ukwelapha oksijini;
- ukufaka igazi;
- Ukuzivocavoca okuphefumula;
- i-hyperbaric oxygenation ;
- ukusikhipha;
- sebenzisa imithi yokwelapha.
Ukwelashwa kwezidakamizwa kunqunywe
- i-diuretics;
- i-bronchodilators;
- i-mucolytics;
- i-glucocorticoids;
- analeptics yokuphefumula;
- i-nitrate;
- ama-antigregregants kanye nabanye.