Cor pulmonale: he aha ia, kumu a me ka mālama ʻana

Anter

• Nā kumu nui
• Nā ʻōuli o cor pulmonale
• Pehea e hana ai i ka lāʻau

Kūlike ʻo Cor pulmonale i kahi hoʻololi o ka ventricle ʻākau ma muli o ka maʻi māmā. ʻO ka ventricle ʻākau kahi ʻōnaehana o ka ʻōnaehana cardiovascular kuleana no ka lawe ʻana i ke koko mai ka puʻuwai i nā akemāmā, a ma muli o nā maʻi pulmonary, ʻo ka maʻi Chronic Obstructive Pulmonary Disease (COPD), hiki ke hana i nā hanana a, no laila, nā loli hana. E aʻo pehea e ʻike ai a mālama ai iā COPD.

Hiki ke hoʻokaʻawale ʻia ʻo Cor pulmonale ma ke ʻano he huʻi a mau paha:

• ʻOi aku ʻo Cor pulmonale: hiki ke kumu ʻia ma muli o ka pulmonary embolism a i ʻole ka ʻeha e hopena ʻia ana mai ka ea ʻana o ka mīkini a maʻalahi hoʻi e hoʻi hou;
• Maʻi pulmonale Cor: kumu ʻia ia e COPD, akā hiki ke kumu ʻia i ka nalowale ʻana o kaʻiʻo māmā ma muli o ke kaha ʻana, fibrosis pulmonary, nā maʻi e pili ana i nā mākala hanu a ma muli paha o ka embolism pulmonary mau.

Hoʻokumu ʻia ka hōʻailona ma muli o nā ʻōuli a me nā keʻena hoʻokolohua a me nā hōʻike kiʻi, e like me ka echocardiography, kahi e ʻike ʻia ai nā ʻōnaehana puʻuwai i ka manawa maoli, a ma ia hihia e ʻike ʻia ai ka loli ʻana o ke ʻano o ka ventricle ʻākau.

Nā kumu nui

I ke alo o nā maʻi pulmonary, hele ke koko ma o nā uaua pulmonary a me nā aʻa me ka paʻakikī, e hōʻike ana i ke kiʻekiʻe o ka pulmonary, kahi e hoʻonui ai i nā hale naʻau, ʻo ia hoʻi ka ventricle ʻākau.

Pulmonary hypertension a, a no laila, cor pulmonale hiki ke kumu ʻia e:

• Maʻi maʻi pulmonary ākea;
• Embolism pulmonary;
• ʻO Cystic fibrosis;
• Scleroderma;
• Pulmonary emphysema;
• Ka lawa ʻole o ka cardiac

Eia kekahi, ʻo nā loli i ka vascularity a me ka nui o ka viscosity koko hiki ke hopena i ka hypertension pulmonary. E aʻo hou e pili ana i ka hanu pulmonary.

Nā ʻōuli o cor pulmonale

I ka mua, cor asymonomat ka asy, akā naʻe e ala aʻe nā hōʻailona kikoʻī ʻole, e like me:

• Luhi nui loa;
• Cyanosis;
• Cough me phlegm a i ʻole ke koko;
• Ka paʻakikī a i ʻole ke kani ʻana i ka hanu ʻana;
• ʻEha o ka umauma;
• ʻO ka pehu ʻana o nā lālā lalo;
• Hoʻonui ākea;
• ʻO ka dilation o nā veins jugular, ʻo ia nā veins i loaʻa i ka ʻāʻī;
• Nā maka melemele.

Hana ʻia ke kuhi ma o ka loiloi ʻana i nā ʻōuli a me nā hoʻokolohua e like me nā hoʻokolohua laboratory, e like me ka gas gas arterial a me ka helu o ke koko, no ka laʻana, electrocardiogram a me echocardiogram, i hana ʻia e loiloi i nā hanana o ka puʻuwai i ka manawa maoli, a hiki ke ʻike ʻia. ma o kēia nānā ʻana i ka hoʻololi o ka ventricle kūpono. Hoʻomaopopo pehea e hana ai ka echocardiogram.

Hoʻohui ʻia, kauoha ʻia paha nā hoʻokolohua ʻē aʻe e hōʻoia i ka hōʻoia, e like me ka tomography umauma, biopsy lung a me ka angiotomography o nā uaua pulmonary. E ʻike i ke ʻano o ka angiotomography.

Pehea e hana ai i ka lāʻau

Hana ʻia ka mālama ʻana i cor pulmonale e like me ka maʻi o ka maʻi e pili pū ana, a koi pinepine ʻia e hoʻomaikaʻi i ka oxygenation, hoʻoliʻiliʻi i ka paʻa ʻana o ka wai, kaohi ʻana i ka maʻi pulmonary a hoʻomaikaʻi i ka hana ventricular pono.

Paipai ʻia paha e ka mea waena e hoʻohana i nā lāʻau e hoʻomaikaʻi ai i ka holo a hoʻemi i ke kaomi i loko o ka māmā, e like me nā antihypertensives a me nā anticoagulants, e laʻa me. I nā hihia ʻoi aku ka paʻakikī, akā, pono paha kahi transplant puʻuwai a i ʻole māmā e hoʻonā i ka cor pulmonale.