Ngaba uyayazi i-Pulmonary Hypertension? Makhe sithethe ngayo!

Ngaba wakha weva ngesifo apho uxinzelelo lwemiphunga lunyuka? Oku kwahlukile kancinci kuxinzelelo lwegazi oluphezulu esidla ngokuthetha ngalo. Oogqirha babiza oku ngokuthi 'yiPulmonary Hypertension' (PH) , okanye uxinzelelo lwegazi oluphezulu emiphungeni. Ngamafutshane, oku kuxa uxinzelelo lwegazi, okanye uxinzelelo, ngaphakathi kwemithambo ethwala igazi elingenaoksijini ukusuka entliziyweni yakho ukuya emiphungeni yakho (esiyibiza ngokuba yi'pulmonary arteries'), lunyuka ngokungeyomfuneko. Le yimeko embi kakhulu, kuba inempembelelo enkulu entliziyweni nakwimiphunga yethu.

Kutheni i-Pulmonary Hypertension (PH) iyingozi kangaka? Kwenzeka ntoni emzimbeni wethu?

Cinga ngento eyenzekayo xa uxinzelelo olungaphakathi kwimithambo ethwala igazi ukuya emiphungeni lusanda. Kanye njengokuba umbhobho wamanzi uvaliwe, kwenza kube nzima ukuba amanzi ahambe, le mithambo iba mxinwa, ngamanye amaxesha ibe lukhuni. Emva koko, intliziyo kufuneka isebenze nzima ukupompa igazi ukuya emiphungeni. Icala lasekunene lentliziyo ('i-ventricle yasekunene') ngokukodwa liziva olu xinzelelo kakhulu. Ekuhambeni kwexesha, intliziyo iqala ukuba buthathaka njengoko iqhubeka isebenza nzima. Le meko inokubangela iingxaki ezahlukeneyo emzimbeni. Umzekelo:

• Ukwehla kwe -hemoglobin egazini (` Anemia` ).
• Ukubetha kwentliziyo okungaqhelekanga (`Arrhythmias`).
• Amahlwili egazi kwimithambo yemiphunga .
• Ingqokelela yolwelo olujikeleze intliziyo (` Pericardial effusion` ).

Ukuba umfazi okhulelweyo unesi sifo, sinokuba yingozi kumama nakumntwana. Ukuba asinyangwa, esi sifo sinokukhokelela ekusileleni kwentliziyo okuqhubekayo ('ukusilela kwentliziyo kwicala lasekunene') kwaye sinokubeka ubomi esichengeni. Kungoko ke, kubaluleke kakhulu ukufumanisa esi sifo kwasekuqaleni kwaye uqale unyango .

Ziziphi iintlobo eziphambili ze-Pulmonary Hypertension (PH)?

I-World Health Organisation (WHO) yahlule le meko ye-'Pulmonary Hypertension' (PH) kwiindidi ezintlanu eziphambili ngokwezizathu ezibangela oku. Masibone ukuba zeziphi. 1. Udidi 1: I-PH ebangelwa yi-'Pulmonary Arterial Hypertension (PAH). Kule nto, imithambo yegazi ethwala igazi emiphungeni ('pulmonary arteries') iyancitshiswa, ityebe, okanye iqine. Oku kunokuba nezizathu ezahlukeneyo. Ezinye iimeko zonyango, kwanezinye amayeza, zinokuchaphazela oku. 2. Udidi 2: I-PH ebangelwa ziingxaki kwicala lasekhohlo lentliziyo. Icala lasekhohlo lentliziyo yethu lelo limpompa igazi emzimbeni wonke. Ngoko ke, ukuba kukho ingxaki kwicala lasekhohlo lentliziyo, ichaphazela icala lasekunene kunye nenkqubo ethwala igazi emiphungeni. Igazi alihambi kakuhle kwaye liyavaleka, kwaye uxinzelelo kwimithambo yemiphunga luyanda. 3. Udidi 3: I-PH ebangelwa sisifo semiphunga okanye ukunqongophala kweoksijini ('hypoxia').Ezinye izifo zemiphunga zibangela ukuba imithambo yegazi emiphungeni inciphe. Oku kubangela ukuba ukuhamba kwegazi kuthintelwe, kwaye uxinzelelo lunyuke. 4. Udidi 4: I-PH ebangelwa kukuvalwa kwemiphunga. Ukuqhekeka kwegazi emiphungeni okanye amanxeba avela kuzo kuthintela ukuhamba kwegazi. Oku kubeka uxinzelelo olungakumbi kwicala lasekunene lentliziyo, kwandisa uxinzelelo lwegazi emiphungeni. 5. Udidi 5: I-PH ebangelwa zezinye izifo. Le meko ye-PH inokwenzeka nakwezinye izifo, ezifana nezinye izifo zegazi kunye neengxaki ze-metabolic. Nangona kunjalo, akukacaci kakuhle ukuba ezi zifo zibangela njani i-PH.

Ngubani ochaphazeleka kakhulu yile meko `i-Pulmonary Hypertension` (PH)?

Uxinzelelo lwegazi oluphezulu lwemiphunga (PH) lunokuchaphazela abantu abadala bayo nayiphi na iminyaka. Abantu abanesifo sentliziyo okanye semiphunga basengozini enkulu yokuba naso. Lunokuxhaphaka ngakumbi nakubantu abanezinye iimeko. Umzekelo:

• Phantse i-100% yabantu abanesifo esibi se-mitral valve.
• Malunga nama-65% abantu abanesifo se-aortic valve (esinye isifo se-heart valve).
• Malunga nama-30% abantu abane-'Scleroderma' (isifo sokuqina kolusu kunye nezicubu ezinxibelelanayo ).
• Malunga nama-20% - 40% abantu abanesifo se-sickle cell .
• Malunga nomntu omnye kwabangama-200 osulelwe yi -HIV .

Idla ngokuchaphazela abantu abadala. Nangona kunjalo, kunqabile kakhulu ukuba iintsana ezisandul’ ukuzalwa zikwazi ukuba nale meko (`Persistent Pulmonary Hypertension of the Newborn - PPHN`). Ukuba oku kuyenzeka, umntwana kuya kufuneka anyangwe kwigumbi lokhathalelo oluphezulu. Kwihlabathi liphela, kuqikelelwa ukuba malunga nomntu omnye kwabalishumi abadala abangaphezu kweminyaka engama-65 ubudala unale meko ye-PH. Oku kuthetha ukuba isenokuba yinto eqhelekileyo kunokuba sicinga.

Ziziphi iimpawu zokuqala ze-Pulmonary Hypertension (PH)?

Amaxesha amaninzi uphawu lokuqala kukuba nokuphelelwa ngumoya, okanye ukuphefumla kancinci . Usenokufumana olu hlobo lokuphelelwa ngumoya xa usenza imisebenzi yemihla ngemihla, njengokunyuka izinyuko, ukuphatha ukutya, okanye ukuzilolonga. Usenokungabi nazimpawu ekuqaleni. Xa iimpawu zibonakala, zisenokuba zincinci kakhulu. Nangona kunjalo, ngokuhamba kwexesha, ezi mpawu zinokuba nzima ngakumbi kwaye zenze kube nzima ukwenza imisebenzi yakho yesiqhelo.

Ziziphi iimpawu ezibonakala njengoko isifo siqhubeka?

Njengoko inqanaba le-pH lisanda, usenokuba nokuphelelwa ngumphefumlo nokuba umile nje. Oku kunokukhatshwa ziimpawu ezifana nezi:

• Imilebe okanye ulusu oluluhlaza okwesibhakabhaka.
• Intlungu yesifuba okanye ukuxinana.
• Ukuziva unesizungu okanye utyhafile.
• Ndiziva ndidiniwe ngalo lonke ixesha (`Ukudinwa `).
• Ukutya akunancasa.
• Intlungu kwicala eliphezulu lasekunene lesisu.
• Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza.
• Ukudumba kwamaqatha, imilenze, okanye isisu (`Edema`).

Ezi mpawu zenza kube nzima kakhulu ukuzilolonga nokwenza imisebenzi yemihla ngemihla.

Ngaba kukho amanqanaba e-Pulmonary Hypertension (PH)?

Ewe, i-World Health Organisation (WHO) ichonge amanqanaba amane aphambili e-PH. La abizwa ngokuba "ziiklasi ezisebenzayo." La amiselwa ziimpawu ozifumanayo kunye nokuba ungenza kangakanani imisebenzi yakho yemihla ngemihla. Njengoko isifo siqhubeka, iimpawu ziya zibonakala ngakumbi kwaye ziphazamisane nobomi bakho bemihla ngemihla.

• Iklasi 1: Akukho zimpawu.
• Iklasi yesi-2: Akukho zimpawu xa uphumle, kodwa kukho ukungakhululeki okanye iintlungu ezithile ngexesha lemisebenzi eqhelekileyo, njengokwenza imisebenzi yasekhaya okanye ukunyuka izinyuko.
• Iklasi yesi-3: Usenokuziva uphilile xa uhleli nje. Kodwa kunzima kakhulu ukwenza imisebenzi eqhelekileyo ngoku. Udiniwe kakhulu kwaye uxinezelekile.
• Iklasi yesi-4: Iimpawu ziyabonakala nokuba umile nje. Iimpawu ziba mandundu xa uzama ukwenza nawuphi na umsebenzi oqhelekileyo.

Zithini izizathu ze-Pulmonary Hypertension (PH)?

Zininzi izizathu ezahlukeneyo ze-PH. Kuxhomekeke kuhlobo lwe-PH onayo. Izifo ezahlukeneyo, iimeko zempilo ezisisiseko, kwaneemeko zokusingqongileyo (iityhefu, amayeza athile) zinokubangelwa yiyo.

Udidi 1: Izizathu ze-`Pulmonary Arterial Hypertension (PAH)`

• Isifo sentliziyo esizalwa naso .
• Amanye amayeza okunciphisa umzimba (umz., iyeza elithi "fen-phen," elinokubangela i-PAH kwanasemva kweminyaka emininzi lisetyenziswa).
• Utshintsho lwemfuza .
• `Izifo zokugcina iGlycogen`.
• Usulelo lwe-HIV.
• Isifo sesibindi .
• Isifo seLupus.
• Uxinzelelo lwegazi oluphezulu lwe-portal (uxinzelelo olongezelelekileyo kwimithambo ekhokelela esibindini).
• Izifo ezingaqhelekanga zemithambo yemiphunga ezifana ne-'Pulmonary capillary hemangiomatosis' kunye ne-'Pulmonary veno-occlusive disease'.
• I-Schistosomiasis (isifo esibangelwa yiparasite).
• Isifo seScleroderma.
• Ukusetyenziswa kweziyobisi ezifana ne-'Methamphetamine'.

Abanye abantu banokuba ne-PAH ngaphandle kwesizathu esicacileyo. Oku kubizwa ngokuba yi-'idiopathic'.

Udidi 2: Izizathu ze-PH ezibangelwa kukuphazamiseka kwecala lasekhohlo lentliziyo

Isifo sentliziyo sisifo esiqhelekileyo esibangela i-PH. Ngenxa yokuba amacala asekhohlo nasekunene entliziyo asebenza kunye, ingxaki kwicala lasekhohlo iya kuchaphazela necala lasekunene.

• Isifo se-aortic valve: Le yingxaki yevalvu ephakathi kwegumbi eliphambili lokumpompa lentliziyo (i-'left ventricle') kunye ne-aorta (umthambo wegazi omkhulu emzimbeni).
• Ukusilela kwentliziyo kwicala lasekhohlo : Icala lasekhohlo lentliziyo alikwazi ukupompa igazi ngokufanelekileyo.
• I-hypertrophy ye-ventricular yasekhohlo (ukuqina kweendonga ze-ventricle yasekhohlo) : Oku kwenza kube nzima kwintliziyo ukupompa igazi ngokufanelekileyo.
• Isifo sevalvu yeMitral : Ingxaki yevalvu evumela igazi ukuba liphume kwi-atrium yasekhohlo liye kwi-ventricle yasekhohlo yentliziyo.

Udidi 3: Izizathu ze-PH ezibangelwa sisifo semiphunga okanye ukunqongophala kweoksijini (`hypoxia`)

• Isifo semiphunga esingapheliyo (i-COPD) : Oku kuquka izifo ezifana ne-bronchitis engapheliyo kunye ne-emphysema. Ezi zifo zenza kube nzima ukuphefumla.
• Isifo semiphunga esingaphakathi kwesisu : Ukuvaleka kwamanxeba (i-fibrosis) kwenzeka kwizicubu zemiphunga.
• I-Obstructive sleep apnea : Oku kubangela ukuba indlela yomoya ivalwe ngamaxesha athile ngexesha lokulala, nto leyo enciphisa ubungakanani beoksijini efunyanwa ngumzimba.

Udidi 4: Izizathu ze-PH ezibangelwa kukuxinana kwemiphunga

Oku kubangelwa kakhulu yimeko ebizwa ngokuba yi -`Chronic Thromboembolic Pulmonary Hypertension (CTEPH) .` Oku kuxa kwakheka amahlwili egazi kunye nezicubu ezibomvu kwimithambo yemiphunga. Ngamanye amaxesha, le meko inokubangelwa zizilonda ezibangelwa yi-`pulmonary embolism` (ihlwili legazi elinamathelayo emiphungeni).

Udidi 5: Izizathu ze-PH ezibangelwa zezinye izifo

I-PH inokubangelwa zizifo ezininzi, kwaye izazinzulu azikayiqondi ngokupheleleyo indlela eyenzeka ngayo.

• Isifo seGaucher (isifo se-metabolic).
• Isifo sezintso.
• I-Langerhans cell histiocytosis (isifo esibangela amanxeba kunye neethumba emiphungeni yabantu abadala).
• I-Sarcoidosis (imeko yokudumba, edla ngokuchaphazela imiphunga kunye nee-lymph nodes).
• Isifo se-thyroid.
• Iithumba : Iithumba, nokuba zinomhlaza okanye azinabungozi, zinokubangela uxinzelelo kwimithambo emiphungeni.

Ifunyanwa njani i-Pulmonary Hypertension (PH)?

Ugqirha wakho uza kukuhlola aze, ukuba kuyimfuneko, enze iimvavanyo ezininzi ukuze aqinisekise ukuba unayo na i-PH. Okokuqala, ugqirha wakho uza kwenza uvavanyo lomzimba . Apho,

• Bakubuza ngembali yakho yempilo kunye neempawu zakho.
• Jonga ukuba imithambo yegazi ayivulekanga na (oku kungaba luphawu lokusilela kwentliziyo kwicala lasekunene).
• Ukujonga ubungakanani besibindi, ziva icala eliphezulu lasekunene lesisu.
• Intliziyo kunye nemiphunga ziphulaphulwa nge-stethoscope.
• Jonga isisu, amaqatha, kunye nemilenze ukuba azidumbanga na (ukudumba).
• Uxinzelelo lwegazi luyalinganiswa.
• I-pulse oximeter ilinganisa inqanaba le-oksijini egazini.

Iimpawu ze-PH zinokuba nzima ukuzifumanisa kuba zifana nezezinye iimeko. Ke ngoko, emva kovavanyo lomzimba, ugqirha wakho unokwenza uvavanyo olongezelelweyo. Ungathunyelwa kwingcali yemiphunga (ingcali yemiphunga) okanye kwingcali yentliziyo (ingcali yentliziyo).

Zeziphi iimvavanyo ezisetyenziselwa ukufumanisa i-PH?

• Ukufakwa kwe-catheter yentliziyo yasekunene: Oku kukwabizwa ngokuba yi-pulmonary artery catheterization, oku kulinganisa uxinzelelo kwimithambo yemiphunga kunye nobungakanani begazi intliziyo enokulipompa ngomzuzu. Olu lolona vavanyo luphambili lokuqinisekisa i-PH.
• I-Doppler echocardiogram: Olu luvavanyo olusebenzisa amaza esandi. Lungabonisa indlela esebenza ngayo i-ventricle yasekunene yentliziyo kunye nendlela igazi elihamba ngayo kwiivalvu. Oku kuvumela ugqirha ukuba abale uxinzelelo lwe-systolic pulmonary artery.
• Uvavanyo lwegazi: Olu lujonga izinto ezifana nokusebenza kwezitho zomzimba, amanqanaba eehomoni, kunye nosulelo. Ezi ziquka uvavanyo olufana ne-"Complete metabolic panel" kunye ne-"complete blood count."
• I-CT scan yesifuba: Ijonga amahlwili egazi kunye nezinye iingxaki zemiphunga.
• I-X-ray yesifuba: Oku kungasetyenziselwa ukubona ukuba icala lasekunene lentliziyo okanye imithambo yemiphunga inkulu na kunesiqhelo.
• Uvavanyo lokulala (`Polysomnogram - PSG`): Uvavanyo lwasebusuku ukuze kubonwe ukuba unayo na i-`sleep apnea`.
• Iskeni yokungenisa umoya/yokugalela igazi emaphaphu (VQ): Ijonga ukuba igazi alinamahlwili emiphungeni.

Ugqirha wakho unokwenza uvavanyo lokuhamba ngeenyawo lwemizuzu emithandathu . Oku kuya kulinganisa ukuba ungakanani umthambo onokuwunyamezela kunye nokuba ingakanani ioksijini egazini lakho ngexesha lomthambo. Oku kunokukunika umbono wokuba i-PH yakho incinci okanye inzima.

Ziziphi iindlela zonyango lwe-Pulmonary Hypertension (PH)?

Unyango lwe-PH luxhomekeke kuhlobo lwe-PH onayo kunye nezinye iimeko zakho zempilo. Iqela lakho lezonyango liza kuyila isicwangciso sonyango esikulungeleyo. Okwangoku, zimbini kuphela iintlobo ze-PH ezinokunyangeka ngokuthe ngqo:

• ``Uxinzelelo lwegazi oluphezulu lwemithambo yegazi yemiphunga (PAH)''
• ``I-Chronic Thromboembolic Pulmonary Hypertension (CTEPH)''

Ezinye iintlobo ze-PH zinyangwa ngokulawula iimeko zonyango ezibangela ezo ngxaki. Unyango lwe-`Pulmonary Arterial Hypertension (PAH):

• Izithinteli zeCalcium channel: La mayeza anceda ekunciphiseni uxinzelelo lwegazi kwimithambo yemiphunga nakumzimba wonke.
• I-Diuretics ("iipilisi zamanzi"): Inceda ekususeni ulwelo olugqithisileyo emzimbeni.
• Unyango lweoksijini: Oku kunokuba yimfuneko ukuba akukho oksijini yaneleyo egazini.
• Ii-vasodilators zemiphunga:La mayeza aphumza imithambo yemiphunga aze ayivule ngcono. Oku kuphucula ukuhamba kwegazi kwaye kunciphisa umthwalo womsebenzi entliziyweni.

Unyango lwe-`CTEPH`:

• Ii-Anticoagulants (amayeza athintela ukujiya kwegazi).
• I-Balloon atrial septostomy (BAS): Nangona oku kudla ngokwenziwa kwiintsana ezineziphene ezinzulu zentliziyo, ikwasetyenziselwa ukuzinzisa abantu abadala abane-PH de kufunyanwe ukufakelwa imiphunga.
• I-Balloon pulmonary angioplasty (BPA): Le yinkqubo esebenzisa i-catheter ukwandisa imithambo yemiphunga. Yenzelwa abantu abangakwaziyo ukwenza utyando olukhulu.
• Amayeza: Iyeza elibizwa ngokuba yi-`Soluble guanylate cyclase stimulator (SGCS)` linokunceda ukulawula ukuqhubela phambili kwesi sifo.
• Utyando lwe-pulmonary endarterectomy (PEA): Olu lutyando. Lususa amahlwili egazi emiphungeni. Okwangoku le yindlela ekuphela kwayo yokunyanga ngokupheleleyo i-PH. Nangona kunjalo, lunokwenziwa kuphela kubantu abane-CTEPH.

I-PH ebangelwa sisifo sentliziyo okanye semiphunga inyangwa ngokulawula isifo esisisiseko, ngoko ke izicwangciso zonyango zinokuhluka kakhulu kumntu nomntu.

Khumbula, kufuneka uthethe nogqirha wakho uze ugqibe ukuba loluphi unyango olulungele wena.

Abanye abantu abane-PH enzima banokufuna ukufakelwa imiphunga njengenyathelo lokugqibela.

Indlela yokulawula amayeza e-Pulmonary Hypertension (PH)?

Usenokuba usela amayeza amaninzi e-PH kunye nezinye izifo. Kunokuba nzima ukukhumbula konke oku kwaye ukwenze ngokufanelekileyo. Nazi iingcebiso ezimbalwa:

• Yazi amagama onke amayeza owasebenzisayo nendlela asebenza ngayo. Yenza uluhlu kwaye uhlale ulugcina kuwe.
• Sela amayeza akho ngexesha elifanayo yonke imihla. Ukuba uphoswe yidosi, musa ukuthatha iidosi ezimbini ukuze uhlawule. Fowunela ugqirha wakho umbuze ukuba wenze ntoni.
• Musa ukuthatha amayeza athengiswa ngaphandle kwemvume kagqirha ngaphandle kokubonisana nogqirha wakho. Amanye amayeza omkhuhlane, ukukhwehlela, kunye nomkhuhlane, kunye neyeza zokunciphisa iintlungu, zinokubangela iingxaki kubantu abanesifo sentliziyo.
• Musa ukuthatha naluphi na unyango olubhalwe ukuba alufanelekanga kubantu abane-high blood pressure.
• Musa ukuyeka ukuthatha naliphi na iyeza okanye utshintshe umthamo ngaphandle kokuthetha nogqirha wakho.
• Kuphephe ukusebenzisa izongezo zemifuno kunye neti zemifuno. Zisenokudibana namanye amayeza owasebenzisayo.

Injani imbono yomntu one-Pulmonary Hypertension (PH)?

Oku kuyahluka kumntu nomntu. Kuxhomekeke koku kulandelayo:

• Unobangela we-PH.
• Indlela esi sifo esafunyaniswa ngayo ngokukhawuleza.
• Ubunzima beempawu.
• Ezinye izifo ezihambisanayo.

Iintlobo ezininzi ze-PH azinakuphiliswa ngokupheleleyo. Oogqirha banika amayeza okunciphisa iimpawu, ukuphucula umgangatho wobomi, nokulawula ukuqhubela phambili kwesi sifo. Nangona kunjalo, abanye abantu abane-CTEPH banokunyangwa ngotyando. Ukuba ayinyangwa, i-Pulmonary Hypertension (PH) inokukhokelela ekusileleni kwentliziyo kwicala lasekunene kwaye ekugqibeleni ibulale. Ke ngoko, ukufumana unyango olufanelekileyo kunokukunceda uphile ixesha elide kwaye ugcine umgangatho wobomi ulungile.

Zeziphi izinto ezibangela umngcipheko wokuba ne-Pulmonary Hypertension (PH)?

• Ukuvezwa kwi-asbestos.
• Ukuba nembali yosapho yokuba neehlwili zegazi.
• Ukuba nelungu losapho elinoxinzelelo lwegazi oluphezulu (PH).
• Ukuhlala kwiindawo eziphakamileyo ngaphezu kolwandle.
• Ukutshaya nokusetyenziswa kweemveliso zecuba.
• Amanye amayeza asetyenziselwa ukunciphisa umzimba (umz. "fen-phen" - `dexfenfluramine` kunye ne`phentermine`).
• Amanye amayeza omhlaza kunye nokudakumba.
• Ukusetyenziswa kweziyobisi.

Kwakhona, abantu abanezi meko basengozini enkulu:

• Ukuqhekeka kwegazi kwimithambo yemiphunga.
• Isifo sezicubu ezidityanisiweyo.
• `Isifo seDown`.
• Isifo seGaucher.
• Isifo sentliziyo.
• `Intsholongwane kaGawulayo`.
• Isifo sesibindi.
• Izifo zemiphunga.

Ngaba i-Pulmonary Hypertension (PH) ingathintelwa?

I-PH ayinakuthintelwa rhoqo. Ezinye izinto ezinobungozi zingaphaya kwamandla ethu. Ukuba unezinto ezinobungozi, ugqirha wakho unokucebisa uvavanyo oluthile lokujonga ukusebenza kwentliziyo yakho kunye nemiphunga. Unganciphisa umngcipheko wakho we-PH ngokwenza konke okusemandleni akho ukuthintela okanye ukulawula ezinye iimeko zonyango.

• Yenza isicwangciso sokuzilolonga. Buza ugqirha wakho ukuba zeziphi iindlela zokuzilolonga ezikhuselekileyo kuwe.
• Landela ukutya okunempilo kwentliziyo. Kuphephe ukutya okunetyuwa eninzi, ioyile, iswekile, kunye nokutya okwenziweyo.
• Yeka ukutshaya nokusebenzisa icuba. Ezi zezona zinto ziphambili ezibangela isifo sentliziyo nemiphunga.
• Sela amayeza oxinzelelo lwegazi nezinye izifo njengoko ugqirha wakho ekuyalele.

Luhlobo luni lonyango lokulandelela endifanele ndilufumane?

Thetha nogqirha wakho malunga nendlela yokulawula nokujonga imeko yakho. Ugqirha wakho uza kukuxelela xa kufuneka uze kuvavanyo nokuhlolwa. Xelela ugqirha wakho ngoko nangoko ukuba ubonakalisa naziphi na iimpawu ezintsha okanye ukuba iimpawu zakho ziyatshintsha. Kwakhona, thetha nogqirha wakho malunga noku:

• Iindlela zokucwangcisa usapho kunye nokuba ukukhulelwa kukhuselekile na. Ukukhulelwa kuyingozi kubantu abane-PH.
• Yakha isixhobo songxamiseko. Abantu abane-PH kufuneka bahlale benolwazi oluthile ngamaxesha onke.
• Ukuzilolonga.Buza ukuba yintoni ekhuselekileyo kuwe, indlela yokufaka umthambo kubomi bakho bemihla ngemihla, kunye nemithambo omawuyiphephe.
• Iigonyo zexesha elithile (ezifana nomkhuhlane, i-pneumonia).
• Amaqela enkxaso okanye iingcebiso. Unokufumana iimvakalelo ezahlukeneyo njengoko uqhelana nokuphila ne-PH.
• Izicwangciso zokuhamba. Kusenokufuneka uthathe amanyathelo okhuseleko akhethekileyo ukuba uhamba ngenqwelo-moya. Kufuneka ulumke xa uhamba kwiindawo eziphakamileyo.

Zeziphi iinguqu endimele ndizenze kwindlela yokutya?

Ugqirha wakho uza kukunika iingcebiso ezithile. Into ebalulekileyo kukunciphisa ukutya kwakho ityuwa (i-sodium). Oku kuthetha ukuba:

• Yeka ukongeza ityuwa etafileni kwaye usebenzise "ityuwa yokunonga."
• Ziphephe iinyama neentlanzi ezitshayiweyo, ezinetyuwa, nezifakwe ebhotileni.
• Khetha ukutya okubhalwe "i-low sodium" (ityuwa ephantsi).
• Nciphisa ukutya okukhawulezileyo nokutya okuya kuthathwa ngaphandle.

Ezinye iinguqu zokutya:

• Yitya ukutya okuninzi okunefayibha (iinkozo ezipheleleyo, i-bran, iziqhamo, imifuno).
• Yitya ukutya okutyebileyo kwi-potassium (iirasintyisi, iibhanana, iiorenji).
• Yitya ukutya okutyebileyo kwi-magnesium (iipinati, i-tofu, i-broccoli).
• Nciphisa ukutya okuneswekile ecociweyo, amafutha agcweleyo kunye ne-cholesterol.

Ndifanele ndimbone nini ugqirha?

Thetha nogqirha wakho ukuba unemibuzo ethile kule:

• Ukubetha kwentliziyo ngokukhawuleza (ngaphezulu kwe-120 beats ngomzuzu).
• Ukuba unentsholongwane yokuphefumla okanye ukukhwehlela okuya kusiba mandundu.
• Ukuba uhlala uziva unesizungu okanye utyhafile.
• Intlungu yesifuba okanye ukungakhululeki xa usenza umthambo.
• Ukudinwa kakhulu okanye ukungakwazi ukwenza imisebenzi eqhelekileyo.
• Isicaphucaphu okanye ukungabi namdla wokutya.
• Ukungazoli okanye ukudideka.
• Ukuba uphefumla kancinci, ingakumbi xa uvuka kusasa.
• Ukuba kukho ukudumba okwandileyo emaqatheni, emilenzeni, okanye esiswini.
• Ukuba unengxaki yokuphefumla ngexesha lemisebenzi yesiqhelo okanye nokuba umile nje ungashukumi.
• Ukunyuka kobunzima (malunga nekhilogram enye ngosuku, okanye malunga nekhilogram eziyi-2.5 ngeveki).

Ndingaya nini kwigumbi likaxakeka (ER)?

Ukuba kwenzeka into efana nale, yiya kwigumbi likaxakeka ngoko nangoko, okanye utsalele umnxeba ku-1990:

• Ukuba isantya sentliziyo sikhawuleza kakhulu (ii-beats ezili-120-150 ngomzuzu) kwaye asinciphisi isantya.
• Ukuba ulahlekelwa zingqondo uze uphelelwe lithemba.
• Ukuba uthatha amayeza e-intravenous afana ne-prostacyclins nge-catheter ye-Hickman, kukho iingozi ezifana nosulelo, ukuhamba kwe-catheter, ukuvuza kwamayeza, ukopha, okanye ukungasebenzi kakuhle kwepompo ye-IV.
• Ukuba ukuphefumla okuncinci akunciphanga nokuba umile nje.
• Ukuba ngequbuliso uva iintlungu eziqatha esifubeni.
• Ukuba ngequbuliso uqaqanjelwa yintloko kakhulu.
• Ukuba ngequbuliso ufumana ubuthathaka okanye ukungakhululeki kwamalungu akho.

Okokugqibela, umyalezo obaluleke kakhulu

Ukuxilongwa nge-Pulmonary Hypertension (PH) kunokuba ngamava adidayo. Kuthatha ixesha ukuqonda ukuba yintoni, kwenzeka ntoni emzimbeni wakho, kwaye uza kuphila njani nayo kwixesha elizayo. Thetha nogqirha wakho ukuze ufumane inkxaso oyifunayo. Bandakanya usapho lwakho kunye nabahlobo bakho kutshintsho lwendlela ophila ngayo. Bazise ngemeko yakho. Kwakhona, njengoko uqhelana nale meko intsha, ungaze unqikaze ukucela uncedo kwaye uthembele kwabanye. Awuwedwa. Ungayilawula kakuhle le meko ngeengcebiso zonyango ezifanelekileyo kunye nesimo sengqondo esihle. I-Pulmonary Hypertension, PH, I-Pulmonary Hypertension, Isifo sentliziyo, Isifo semiphunga, Ubunzima bokuphefumla, Isifo sokuphefumla