Ngaba iingxaki zemiphunga nazo zichaphazela icala lasekunene lentliziyo yakho? (Cor Pulmonale / Right-Sided Heart Failure) Makhe sithethe ngale nto!

Ngaba ngamanye amaxesha uziva uphelelwa ngumphefumlo, okanye uziva into engaqhelekanga esifubeni sakho? Mhlawumbi awucingi nokucinga ngayo, ingxaki yemiphunga yakho ingayichaphazela nentliziyo yakho. Yiloo nto siza kuthetha ngayo namhlanje. Oku kubizwa ngokuba yi-'Cor Pulmonale' okanye 'Right-Side Heart Failure'. Ungakhathazeki, siza kuthetha ngale nto ngokulula.

Yintoni i-'Cor Pulmonale'?

Ngamafutshane, i-'Cor Pulmonale' yimeko ekwimiphunga yakho ebangela ukuba icala lasekunene lentliziyo yakho, i-ventricle yasekunene , likhule kwaye lingakwazi ukusebenza kakuhle, nto leyo eyenza intliziyo yakho ibe buthathaka kancinci kancinci. Olu luhlobo 'lokusilela kwentliziyo kwicala lasekunene' .

Ngoku, khangela, oku kuqhele ukwenzeka. I-ventricle yasekunene yentliziyo yakho ipompa igazi liye emiphungeni ukuze ithathe ioksijini. Eli gazi lihamba ngemithambo yegazi ebizwa ngokuba yi-pulmonary artery . Nangona kunjalo, ngenxa yezifo ezithile zemiphunga, uxinzelelo lwegazi ngaphakathi kwale mithambo yemiphunga luyanda kakhulu. Kufana nombhobho wamanzi ovalekileyo. Emva koko i-ventricle yasekunene kufuneka isebenze nzima ukupompa igazi liye emiphungeni.

Khawuthelekelele, uzama ukuvula ucango lwemoto ngemini enomoya. Kufuneka usebenzise amandla amaninzi ukutyhala ucango emoyeni, akunjalo? Yiloo nto eyenzekayo kwi-ventricle yasekunene. Umthambo we-pulmonary, odla ngokuba noxinzelelo oluphantsi, kufuneka upompe igazi ngokuchasene noxinzelelo oluphezulu. Njengoko uqhubeka usebenza nzima ngolu hlobo, i-ventricle yasekunene iyakhula kancinci kancinci, izihlunu zayo ziya zibuthathaka, kwaye ekugqibeleni ayikwazi ukusebenza kakuhle. Yiloo nto siyibiza ngokuba yi-'Cor Pulmonale'. Uyaqonda?

Ngaba kukho iintlobo eziphambili ze-'Cor Pulmonale'?

Ewe, kukho iintlobo ezimbini eziphambili ze-'Cor Pulmonale':

• I-'Cor Pulmonale' ekhawulezileyo ('Acute Cor Pulmonale'): Le yimeko yexesha elifutshane, eyenzeka ngequbuliso. Umzekelo, inokubangelwa yinto efana nokuqhekeka kwegazi emiphungeni ('Pulmonary Embolism').
• I-Chronic Cor Pulmonale: Olu lolona hlobo luqhelekileyo. Lukhula kancinci kancinci ixesha elide ngenxa yesifo semiphunga.

Ixhaphake kangakanani i-'Cor Pulmonale'?

Ngokwezibalo ezivela kumazwe afana ne-United States, kuthiwa phakathi kwe-6% kunye ne-7% yezifo zentliziyo zibangelwa yi-'Cor Pulmonale'. Kufuneka sikhathazeke ngale meko kwilizwe lethu.

Zithini iimpawu ze-'Cor Pulmonale'?

Kwinqanaba lokuqala, usenokungabi nazimpawu. Nangona kunjalo, iimpawu ziya kuqala ukubonakala njengoko imeko iqhubeka. Khumbula, ezi mpawu zongezwa kwiimpawu zesifo semiphunga esabangela iCor Pulmonale.

Iimpawu eziphambili ezinokubonwa zezi:

• Ubunzima bokuphefumla:Akupheleli nje xa udiniwe kancinci, kodwa ngamanye amaxesha nokuba umile nje, unokuziva ngathi uphelelwe ngumphefumlo.
• Imithambo yentamo evuvukileyo: Oku kunokubonakala ngakumbi xa ulele phantsi intloko yakho iphakanyisiwe kancinci.
• Ukudumba kwemilenze okanye isisu: Amaqatha neenyawo zinokudumba. Ngamanye amaxesha isisu sinokudumba ngokungathi sigcwele amanzi.
• Ukuziva udiniwe kakhulu (`Ukudinwa`): Usenokuziva udiniwe kwaye udiniwe kangangokuba awukwazi kwenza nto.
• Intlungu yesifuba: Abanye abantu banokuba nentlungu okanye ukuqina kwesifuba.
• Iziqendu zokuquleka: Nangona zingaqhelekanga, abanye abantu banokuquleka baze bawe.

Zithini izizathu ze-'Cor Pulmonale'?

Eyona nto ibangela i-'Cor Pulmonale' zizifo ezahlukeneyo zemiphunga ezibangela uxinzelelo lwegazi oluphezulu emiphungeni (`Pulmonary Hypertension`). Oko kukuthi, le meko inokubangelwa nasiphi na isifo semiphunga esongeza uxinzelelo ngaphakathi kwemithambo yegazi yemiphunga.

Nazi ezinye zezizathu eziphambili:

• I-COPD (`Isifo Esingapheliyo Sokuthinteleka Kwemiphunga`): Le yeyona nto ibangela i-`Chronic Cor Pulmonale`. I-COPD, ngokufutshane, sisifo apho imiphunga yonakala ngokuhamba kwexesha kwaye kancinci kancinci iba nzima ukuphefumla. Ihlala ibonakala kubantu abatshayayo.
• I-Pulmonary Embolism: Ihlwili legazi elenzeka kwimithambo yegazi emiphungeni. Oku kubangela ukuminyana kwentliziyo ngequbuliso.
• Utyando okanye iingozi zokususwa kwezicubu zemiphunga: Ukuba inxalenye yomphunga kufuneka isuswe ngenxa yotyando okanye ingozi.
• Umonakalo obangelwa kukungena komoya ngoomatshini: Ngamanye amaxesha izigulane ezikwiyunithi yokhathalelo oluphezulu zinokuhlangabezana nezi meko.
• I-Scleroderma: Isifo esibangela ukuqina kolusu kunye nezicubu ezidityanisiweyo.
• I-Cystic Fibrosis: Isifo semfuza esibangela ukuba i-mucus yomzimba ibe nkulu.
• Iingxaki zemithambo-luvo ezichaphazela ukuphefumla: Ubunzima bokuphefumla ngenxa yezifo ezenza izihlunu zibe buthathaka.
• Ukuvaleka kwemithambo emiphungeni.
• I-Pulmonary Fibrosis: Ukuvaleka kwemiphunga.
• I-Obstructive Sleep Apnea: Abantu abaninzi abarhonayo banokuba nale ngxaki. Xa ungaphefumli kakuhle, uxinzelelo olukwimiphunga yakho luyanda.
• I-Kyphosis: Ukugoba komqolo okubangela ukuba imiphunga ingakhuli kakuhle.

Ziziphi izinto ezibangela umngcipheko we-'Cor Pulmonale'?

Kukho izinto ezininzi ezibangela umngcipheko wale meko:

• Ukusetyenziswa kwecuba (ezifana nokutshaya, ukuhlafuna i-betel nut): Le yeyona nto ibangela umngcipheko.
• Ukuphefumla umoya onomsi nongcolisiweyo: Ungcoliseko lokusingqongileyo nalo lunempembelelo.
• Ukuba nezifo zemiphunga ezibangela uxinzelelo lwegazi oluphezulu emaphaphu.

Ziziphi iingxaki ezinokubakho ze-'Cor Pulmonale'?

Ukuba imeko ethi `Cor Pulmonale` ayinyangwanga kakuhle, iingxaki ezinkulu zinokubakho. Oku kuthetha ukuba amathuba okuba nezinye izifo aphezulu.

• Izingqisho zentliziyo ezingaqhelekanga.
• Ukusilela kwentliziyo ekunene.
• Ukwehla kwamanqanaba eoksijini emzimbeni (`Hypoxia`).
• Ukulahlekelwa rhoqo yingqondo.
• Isifo sezintso.
• Isifo sesibindi.
• Ngelishwa, nokufa kunokwenzeka.

Ngoko ke, imeko ethi `Cor Pulmonale` ayifanele ithathwe lula. Ukuba uneempawu, kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza.

Ungayiqonda njani i-'Cor Pulmonale'?

Xa usiya kugqirha, uza kukubuza ngeempawu zakho aze akuhlole. Angaphulaphula isifuba sakho nge-stethoscope aze eve izandi zentliziyo ezingaqhelekanga. Emva koko uza kuyalela iimvavanyo ezininzi ukuqinisekisa ukuxilongwa kwe-'Cor Pulmonale'.

Zithini iimvavanyo zokuxilonga?

• I-Echocardiogram: Oku kufana ne-ultrasound scan yentliziyo. Ingabonisa ukuba amagumbi entliziyo makhulu kangakanani, ukuba iindonga zentliziyo zinobukhulu kangakanani, kunye nokuba intliziyo ipompa igazi kakuhle kangakanani. Ingabonisa nokuba i-ventricle yasekunene ikhulisiwe na.
• I-X-reyi yesifuba: Oku kunokunika umbono ocacileyo wemeko yemiphunga kunye nobukhulu bentliziyo.
• I-Electrocardiogram (ECG): Oku kuvavanya ukusebenza kombane kwentliziyo. Ukuba i-ventricle yasekunene ikhulisiwe, utshintsho lunokubonwa kwi-ECG.
• Imifanekiso yamayeza enyukliya: Oku kunokubonelela ngolwazi oluthile malunga nokuhamba kwegazi entliziyweni nasemiphungeni.
• I-CT Angiogram: Oku kubaluleke kakhulu ukujonga ukuba igazi alinamahlwili na kwimithambo yegazi yemiphunga (i-Pulmonary Embolism).
• I-MRI yentliziyo: Umfanekiso ocacileyo wesakhiwo kunye nomsebenzi wentliziyo unokufunyanwa.
• I-VQ scan: Uvavanyo olujonga ulwalamano phakathi komoya nokuhamba kwegazi emiphungeni.
• Ukufakwa kwe-catheter yentliziyo yasekunene: Olu luvavanyo oluntsonkothileyo kancinci. Ityhubhu encinci (i-catheter) idluliselwa ngemithambo yegazi iye kwicala lasekunene lentliziyo kwaye uxinzelelo apho luyalinganiswa. Oku kunceda ekuqinisekiseni ukuba une-hypertension yemiphunga kunye nokuba inzima kangakanani.

Iphathwa njani i-'Cor Pulmonale'?

Eyona nto iphambili kunyango lwe-'Cor Pulmonale' kukunyanga isifo semiphunga esibangele esi sifo.Kuba, kuphela xa loo ngxaki isonjululwe kuqala apho impembelelo entliziyweni ingancitshiswa khona.

Iinjongo eziphambili zonyango zezi:

• Ukubonelela ngeoksijini efunekayo kwizicubu zomzimba wakho.
• Ukunceda i-ventricle efanelekileyo yentliziyo yakho isebenze ngcono.
• Ukuthintela ukuxinana okungeyomfuneko kwemithambo yegazi emiphungeni kunye nokuvumela igazi ukuba lihambe lula.

Kubaluleke kakhulu ukuqala unyango kwangethuba ngaphambi kokuba kwenzeke umonakalo ongunaphakade entliziyweni.

Ngawaphi amayeza okanye unyango oluthile olusetyenziswayo?

Kukho iindlela ezahlukeneyo zonyango lwe-'Cor Pulmonale':

• Unyango lweoksijini: Ukuba amanqanaba eoksijini emzimbeni aphantsi, ioksijini inikwa ngetyhubhu efakwe empumlweni okanye ngemaski yomlomo.
• IiBronchodilators: La mayeza andisa indlela yomoya emiphungeni, nto leyo eyenza kube lula ukuphefumla. Asetyenziselwa ukunyanga izifo ezifana ne-asthma kunye ne-COPD.
• IiCorticosteroids: La mayeza anceda ekunciphiseni ukudumba kwimiphunga.
• I-Diuretics (iipilisi zamanzi): La mayeza anceda ekususeni ulwelo olugqithisileyo emzimbeni ngomchamo. Asetyenziselwa ukunyanga izifo ezifana nokudumba kwemilenze kunye nokudumba.
• Ii-Anticoagulants (izinto zokunciphisa igazi): La mayeza anikwa ukuthintela ukwakheka kwamahlwili egazi okanye ukunyibilikisa amahlwili akhoyo. La mayeza abalulekile kwiimeko ezifana ne-Pulmonary Embolism.
• Ukuvuselelwa kwentliziyo: Inkqubo equka umthambo, imfundo, kunye neengcebiso. Oku kunceda ukuphucula impilo yentliziyo.
• Utyando lwe-Embolectomy: Kwimeko ye-pulmonary embolism, ngamanye amaxesha kufuneka utyando ukuze kususwe ihlwili elikhulu legazi eliye lahlala emphungeni.
• Ii-vasodilators zemiphunga: La ngamayeza akhethekileyo anceda ukulawula uxinzelelo lwegazi oluphezulu lwemiphunga ngokwandisa imithambo yegazi emiphungeni.
• Ukufakelwa kwemithambo yemiphunga okanye intliziyo nemiphunga: Kuqwalaselwa kwiimeko ezinzima kakhulu apho kungekho nyango lusebenzayo.

Ngaba kukho naziphi na iingxaki okanye iziphumo ebezingalindelekanga zonyango?

Njengakweminye imithi, kukho iziphumo ebezingalindelekanga okanye iingxaki ezinokubakho ngexesha lonyango lwe-'Cor Pulmonale'. Amayeza owanikwayo aya kwahluka ngokuxhomekeke kunyango olufumanayo. Ugqirha wakho uza kukuchazela oku. Ukuba ubona into engaqhelekanga, kufuneka uxelele ugqirha wakho ngoko nangoko.

Luhlobo luni lobomi umntu ono-'Cor Pulmonale' anokululindela?

Enyanisweni, abantu abaninzi abane-'Cor Pulmonale' basenokuphila ubomi obuphantsi kancinci. Kuba izinto ezifana nokuphefumla kancinci kunye nokudinwa zinokwenza kube nzima ukwenza imisebenzi yemihla ngemihla. Nokuba sele kunyangwa, iimpawu zinokuphinda zibuye.

Ihlala ixesha elingakanani i-'Cor Pulmonale'?

I-Cor Pulmonale idla ngokuba yimeko yexesha elide. Nangona kunjalo, i-cor pulmonale ebukhali, ebangelwa kukonakala okuvela kwi-ventilator okanye imeko engxamisekileyo efana ne-pulmonary embolism, inokuba yesikhashana, oko kuthetha ukuba inokunyangeka xa unobangela unyangiwe.

Iyintoni imbono ye-'Cor Pulmonale'?

Imbonakalo (okanye i-prognosis) yomntu one-cor pulmonale ixhomekeke kwisifo semiphunga esisisiseko. Oko kukuthi, ukuba isifo semiphunga sokuqala sibi kangakanani kwaye sinyangwa kakuhle kangakanani.

Umzekelo, ukuba i-COPD ibangela i-'Cor Pulmonale', imeko ayibi ntle kakhulu ukuba isifo semiphunga asilawulwa kakuhle. Ngokwezibalo, yi-30% kuphela yabantu abafumana i-'Cor Pulmonale' ngenxa ye-COPD abaya kuphila eminye iminyaka emihlanu. Ke ngoko, kubalulekile ukunyanga isifo sokuqala ngokufanelekileyo.

Ngaba i-'Cor Pulmonale' ingathintelwa?

Ewe, ngokuphepha izifo zemiphunga ezibangela i-'Cor Pulmonale', ungathintela ne-'Cor Pulmonale'. Unganciphisa umngcipheko wakho ngoku:

• Ziphephe ngokupheleleyo iimveliso zecuba kunye neecuba. Akulunganga nokuba kwindawo apho abanye abantu batshaya khona.
• Kuphephe ukungcoliswa komoya. Hlala kwiindawo ezinomoya ococekileyo kangangoko unako.
• Ziphephe izinto ezibangela uxinzelelo lwegazi oluphezulu emaphaphu.
• Ukuba unengxaki yemiphunga, yifumane ngokukhawuleza nangendlela efanelekileyo. Sela amayeza akho kanye njengoko ugqirha wakho ekuxelele, kwaye ulandele imiyalelo yakhe.

Ndingazinyamekela njani?

Ukuba une-'Cor Pulmonale', kubaluleke kakhulu ukuba uzikhathalele.

• Sela amayeza anikwe ngugqirha ngqo nangexesha elifanelekileyo. Ungaphoswa nalusuku olunye.
• Gcina onke amadinga okulandela emva konyango lwakho. Musa ukoyika ukubuza imibuzo ukuba unayo.
• Ukuba usebenzisa iimveliso zecuba, yeka ngoku. Cela uncedo kugqirha wakho.
• Ukuzilolonga. Kodwa, buza ugqirha wakho ukuba zeziphi imithambo efanelekileyo kuwe kwaye kufuneka uyenze ixesha elingakanani.
• Fumana imijovo enokuthintela umkhuhlane okanye ezinye izifo ezichaphazela imiphunga.

Ngaba kukho izinto ongenakukwazi ukuzitya okanye ukuzisela xa usebenzisa i-'Cor Pulmonale'?

Ugqirha wakho angafuna ukuba unciphise ityuwa kunye nolwelo oluselayo (njengamanzi, iti, ikofu, kunye nejusi yeziqhamo). Oku kungenxa yokuba ityuwa kunye nolwelo oluninzi lunokubangela ukuba umzimba wakho ugcine amanzi kwaye wonyuse ukudumba. Ngoko ke, landela imiyalelo kagqirha wakho ngokuchanekileyo.

Ndifanele ndimbone nini ugqirha wam?

Ukuba ukhe wangeniswa esibhedlele ngenxa ye-'Cor Pulmonale', kuya kufuneka ubone i-'Cardiologist' kunye ne-'Pulmonologist'. Basenokukucela ukuba ubuye emva kweveki okanye ezimbini. Ukuba kukho utshintsho kwiimpawu zakho, umzekelo, ukuba unengxaki yokuphefumla, ukudumba kwemilenze yakho, okanye iintlungu zesifuba, bona ugqirha ngoko nangoko.

Ndingayibuza yiphi imibuzo ugqirha wam?

Buza ugqirha wakho nayiphi na imibuzo okanye iinkxalabo onokuba nazo malunga ne-'Cor Pulmonale'. Umzekelo:

• Yintoni ebangela ukuba ndibe ne-'Cor Pulmonale'?
• Loluphi unyango olungcono kum?
• Injani imeko yam?
• Ndingawenza umthambo ongakanani kwaye luhlobo luni lomthambo?
• Ngaba kukho amaqela enkxaso anceda abantu abakwimeko enjalo?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-'Cor Pulmonale' sisifo semiphunga apho i-ventricle yasekunene yentliziyo ikhula kwaye ibe buthathaka. Kuqhelekile ukuba uzive ulusizi kwaye uphoxekile xa unemeko eyenza kube nzima ukwenza imisebenzi yemihla ngemihla. Ngamaxesha anjalo, ungathandabuzi ukucela uncedo kusapho nakubahlobo.

Ugqirha wakho uza kukuchazela iindlela zonyango ezifanelekileyo kuwe. Ukuba kukho into ongayiqondiyo malunga ne-'Cor Pulmonale', ungoyiki ukubuza. Ngokuchongwa kwangoko, unyango olufanelekileyo, kunye notshintsho kwindlela ophila ngayo, ungaphila ubomi obuhle xa unesifo esinjalo. Iindlela ezilungileyo zokuthintela i-'Cor Pulmonale' kukuyeka ukutshaya ngokupheleleyo kunye nokufumana unyango kwangoko lwezifo zemiphunga.

I- Cor Pulmonale, Ukusilela kwentliziyo kwicala lasekunene, Isifo semiphunga, Isifo sentliziyo, Ubunzima bokuphefumla, i-COPD, Uxinzelelo lwegazi lwemiphunga, Uxinzelelo lwegazi lwemiphunga