Cor pulmonale

Cor pulmonale yanayi ne da ke haifar da gefen dama na zuciya ya gaza. Hawan jini na dogon lokaci a jijiyoyin huhu da kuma gefen zuciya na dama na zuciya na iya haifar da huhun jini.

Ana kiran hawan jini a jijiyoyin huhu hauhawar jini na huhu. Shine sanadin mafi yawan huɗu.

A cikin mutanen da ke da hauhawar jini na huhu, canje-canje a cikin ƙananan jijiyoyin jini a cikin huhu na iya haifar da ƙarin hauhawar jini a gefen dama na zuciya. Wannan ya sa ya zama da wahala ga zuciya ga harba jini zuwa huhu. Idan wannan matsin lamba ya ci gaba, yana sanya damuwa a gefen dama na zuciya. Wannan damuwa na iya haifar da huhu.

Yanayin huhu wanda ke haifar da ƙarancin iskar oxygen a cikin jini tsawon lokaci kuma na iya haifar da huhu na huhu. Wasu daga cikin waɗannan sune:

• Cututtukan da ke cutar da huhu, kamar scleroderma
• Ciwon cututtukan huhu na ƙarshe (COPD)
• Cutar jini a cikin huhu
• Cystic fibrosis (CF)
• Mai tsananin bronchiectasis
  
• Raunin ƙwayar huhu (cutar huhu ta tsakiya)
• Curunƙwasa mai karkatarwa na ɓangaren kashin baya (kyphoscoliosis)
• Mutuwar bacci mai illa, wanda ke haifar da dakatarwa cikin numfashi saboda kumburin iska
• Idiopathic (babu takamaiman dalili) matse (ƙuntata) na jijiyoyin jini na huhu

Breatharancin numfashi ko sauƙin kai yayin aiki galibi alama ce ta farko ta huhun jiki. Hakanan zaka iya samun bugun zuciya da sauri kuma ka ji kamar zuciyarka tana bugawa.

Yawancin lokaci, bayyanar cututtuka na faruwa tare da aiki mai sauƙi ko ma yayin da kuke hutawa. Kwayar cutar da zaka iya samu sune:

• Sume suma yayin aiki
• Rashin jin daɗi na kirji, yawanci a gaban kirji
• Ciwon kirji
• Kumburin kafafu ko idon sawun
• Alamomin cututtukan huhu, kamar hawan kuzari ko tari ko samar da maniyyi
• Bluish lebe da yatsunsu (cyanosis)

Mai ba da lafiyarku zai yi gwajin jiki kuma ya yi tambaya game da alamunku. Jarabawar na iya samun:

• Girman ruwa a cikin cikin ku
• Mutuwar zuciya mara kyau
• Fata ta Bluish
• Kumburin hanta
• Kumburin jijiyoyin wuya, wanda alama ce ta matsi sosai a bangaren dama na zuciya
• Kumburin gwiwa

Waɗannan gwaje-gwajen na iya taimakawa wajen gano ƙwayar cuta da kuma abin da ke haifar da ita:

• Gwajin gwajin jini
• Gwajin jini don bincika wani abin da ake kira peptide na ƙwaƙwalwar ƙwaƙwalwar ajiya (BNP)
• Kirjin x-ray
• CT scan na kirji, tare da ko ba tare da allura na wani bambanci ruwa (fenti)
• Echocardiogram
• ECG
• Binciken huhu (da wuya ake yi)
• Gwajin iskar oxygen ta hanyar duba iskar gas (ABG)
• Gwajin aikin huhu (huhu)
• Dama zuciya catheterization
• Samun iska da turare na huhu (V / Q scan)
• Gwaje-gwaje don cututtukan huhu na autoimmune

Manufar magani ita ce sarrafa alamun. Yana da mahimmanci don magance matsalolin likita waɗanda ke haifar da hauhawar jini na huhu, saboda suna iya haifar da cutar huhu.

Yawancin zaɓuɓɓukan magani suna nan. Gabaɗaya, musabbabin motsin zuciyarku zai yanke shawarar wane magani kuka samu.

Idan mai ba ka magani ya rubuta magunguna, za ka iya shan su ta baki (na baka), karba su ta jijiya (ta jijiyoyin wuya ko ta IV), ko kuma shaka su (inha). Za a sa ido sosai a yayin kulawa don lura da illoli da kuma ganin yadda maganin yake aiki a gare ku. Kada ka daina shan magungunan ka ba tare da fara magana da mai baka ba.

Sauran jiyya na iya haɗawa da:

• Magungunan rage jini don rage haxin jini
• Magunguna don sarrafa alamun rashin cin nasara zuciya
• Maganin Oxygen a gida
• Kwayar huhu ko zuciya-huhu, idan magani bai yi aiki ba

Mahimman shawarwari don bi:

• Guji ɗawainiya da ɗaukar nauyi.
• Guji yin tafiya zuwa wurare masu tsayi.
• A samu allurar rigakafin mura a kowace shekara, da sauran alluran, kamar su rigakafin cutar Nimoniya.
• Idan ka sha taba, to ka tsaya.
• Iyakance yawan gishirin da kuke ci. Mai ba ku sabis na iya tambayar ku ku taƙaita yawan ruwan da kuke sha a rana.
• Yi amfani da oxygen idan mai ba da sabis ya tsara.
• Mata kada suyi ciki.

Yadda za ku yi sosai ya dogara da dalilin huhun jikinku.

Yayinda cutar ku ta tsananta, kuna buƙatar yin canje-canje a gidan ku don ku sami damar gudanar da yadda ya kamata. Hakanan zaku buƙaci taimako a kusa da gidanku.

Cor pulmonale na iya haifar da:

• Rashin numfashi mai barazanar rai
• Fluidaruwa mai ƙarfi a cikin jikinka
• Shock
• Mutuwa

Kirawo mai ba ka sabis idan kuna da ƙarancin numfashi ko ciwon kirji.

Kar a sha taba. Shan taba yana haifar da cutar huhu, wanda ke haifar da cutar huhu.

Dama-gefen zuciya rashin cin nasara; Ciwon zuciya na huhu

• Ciwon huhu na huɗu na rashin ƙarfi - manya - fitarwa

• Sarcoid, mataki na IV - x-ray kirji
• M vs. yanayi na yau da kullun
• Cor pulmonale
• Tsarin numfashi

Barnett CF, De Marco T. Ciwan hawan jini saboda cutar huhu. A cikin: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Littafin rubutu na Murray da Nadel na Magungunan numfashi. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 59.

Bhatt SP, Dransfield MT. Cutar cututtukan huhu na kullum da cututtukan zuciya. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 86.