Ukuqina Kwegazi Emaphaphweni Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ukuqina kwegazi emaphaphweni kwenzeka lapho ukucindezeleka kwegazi emaphaphweni akho kuphakama kakhulu. Cabanga ngakho njengentliziyo yakho esebenza nzima kakhulu kunokuba kufanele ukuze iphonse igazi ngezinsimbi emaphaphweni akho.

Lesi simo sithinta i-arteries ezithwala igazi livela enhliziyweni yakho liye emaphaphweni akho. Uma lezi zinsimbi ziqina, zivalekile, noma zonakele, inhliziyo yakho kufanele isebenze ngokweqile ukuze iphonse igazi ngazo. Ngokuhamba kwesikhathi, lo mthwalo owengeziwe ungayincipha inhliziyo yakho futhi uholele ezingxakini ezinkulu uma ungaphathwa.

Ukuqina Kwegazi Emaphaphweni Yini?

Ukuqina kwegazi emaphaphweni kukucindezeleka kwegazi okuphezulu ngokukhethekile kuma-arteries emaphaphweni akho. Ama-pulmonary arteries akho yizinsimbi zegazi ezithwala igazi elingenayo i-oksijini livela enhliziyweni yakho liye emaphaphweni ukuze lithole i-oksijini.

Emaphaphweni aphilile, lezi arteries zinezinhlangothi ezinqabile, ezithambile eziyenza igazi ligele ngokulula. Uma une-pulmonary hypertension, lezi zinhlangothi zezinsimbi ziqina, ziqine, noma ziqine. Lokhu kudala ubungqabavu obuphatha inhliziyo yakho ukuba iphonse ngamandla ukuze nje ihambise igazi ngamaphaphu akho.

Lesi simo siqondaniswa lapho ukucindezeleka kuma-pulmonary arteries akho kuphakama ngaphezu kwe-20 mmHg ekuphumuleni. Lokhu kungase kuzwakale kusebenza ngokutekhniki, kodwa okubalulekile ukuthi lokhu kuphakama kokucindezeleka kubekela ingcindezi engozi ngakwesokudla senhliziyo yakho, ehambisa igazi liye emaphaphweni akho.

Ziyini Izimpawu Zokuqina Kwegazi Emaphaphweni?

Izimpawu zokuqala zokuqina kwegazi emaphaphweni zingaba zingebonakali futhi zivame ukukwenza uzizwe nje sengathi awusebenzi kahle. Ungase uqaphele ukuphefumula ngokunzima ngesikhathi semisebenzi eyake yaba lula, njengokukhuphuka izitebhisi noma ukuhamba ngokushesha.

Nazi izimpawu ezivamile ongazihlangabezana nazo:

• Ukuthukuthela komoya, ikakhulukazi ngesikhathi somsebenzi womzimba
• Ukukhathala nobuthakathaka obungapheli ngisho noma ukhuluphuke
• Ubuhlungu noma ukucindezela esifubeni, ikakhulukazi ngesikhathi sokuzivocavoca
• Ukushushumbisa noma ukungajwayelekile kwenhliziyo
• Ukukhungatheka noma ukulahlekelwa yikwazi
• Ukukhula kwamagxolo, imilenze, noma isisu
• Umbala oluhlaza okwesibhakabhaka ezindebeni noma ezinzwini

Njengoba isimo siqhubeka, ungase uqaphele lezi zikhalazo zenzeka ngisho nalapho ukhuluphuke. Abanye abantu nabo baye bahlushwa yikukhotha okuqhubekayo noma bazizwe sengathi abakwazi ukuthola umoya lapho belele phansi.

Ezimweni eziphambili, ungase uthuthukise ukukhula esiswini sakho noma uqaphele ukuthi imisebenzi yakho evamile iba nzima ngokwanda. Into ebalulekile okumele uyikhumbule ukuthi lezi zikhalazo zithuthuka kancane kancane, ngakho-ke ungase ungaqapheli ukuthi amazinga akho wemisebenzi wehle kangakanani ngokuhamba kwesikhathi.

Imiphi Imikhakha Ye-Pulmonary Hypertension?

Odokotela bahlukanisa i-pulmonary hypertension amaqembu amahlanu amakhulu ngokusekelwe kulokho okubangela ukucindezela okuphezulu emaphashini akho. Ukuqonda uhlobo lwakho oluthile kusiza iqembu lakho lezokwelapha ukukhetha indlela yokwelapha ephumelela kakhulu.

Iqembu 1, elibizwa nge-pulmonary arterial hypertension, kwenzeka lapho imithambo emincane emaphashini akho yonakele noma ivinjelwe ngezizathu ezingaqondakali ngaso sonke isikhathi. Lokhu kungadluliselwa ezizukulwaneni, kubangelwe imithi ethile, noma kuhlotshaniswe nezimo ezinjenge-scleroderma noma i-HIV.

Iqembu 2 lithuthukiswa ngenxa yezinkinga ngecala elingakwesobunxele lenhliziyo yakho, njengokwehluleka kwenhliziyo noma isifo se-valve. Uma inhliziyo yakho engakwesobunxele ingapompi kahle, igazi libuyela emaphashini akho, lidala ukucindezela okuphezulu.

Iqembu 3 liphuma ezifweni zephunga ezinjenge-chronic obstructive pulmonary disease (COPD), i-pulmonary fibrosis, noma i-sleep apnea. Lezi zimo zilimaza ilung tissue futhi zunciphisa amazinga oksijini, okuholela ekucindezeleni okuphezulu emithanjeni yephunga.

Iqembu le-4 liyenzeka lapho igazi liqina emaphashini akho lingachithi kahle, lenze ukuthi kube khona ukuphahlazeka okuhlala njalo. Lokhu kubizwa ngokuthi i-chronic thromboembolic pulmonary hypertension, futhi ingenye yezinhlobo ezimbalwa ezingase zikhululwe ngokuthi kwenziwe ukuhlinzwa.

Iqembu le-5 lihlanganisa izimo ezihambisana nezinye izimo ezinjengokungasebenzi kahle kwegazi, isifo sezinso, noma izifo ezithile zokuguqulwa komzimba. Lezi zimele izimbangela ezingavamile kodwa ezibalulekile ezidinga izindlela zokwelapha ezikhethekile.

Yini ebangela i-Pulmonary Hypertension?

I-Pulmonary hypertension ingathuthuka ngenxa yezinkinga eziningi ezihlukahlukene eziyisisekelo, futhi ngezinye izikhathi odokotela abakwazi ukubona imbangela ethile. Isimo ngokuyisisekelo siyenzeka lapho kukhona okuthile okuthinta ukugeleza kwegazi okujwayelekile ngamaphashi akho.

Nazi izigaba ezinkulu zezimbangela udokotela wakho azocubungula:

• Izinkinga zenhliziyo ezinjengokwehluleka kwenhliziyo eya kwesobunxele, isifo se-mitral valve, noma iziphambeko zenhliziyo ezingokuzalwa
• Izifo zamaphashi ezinjenge-COPD, i-pulmonary fibrosis, noma i-sleep apnea eqinile
• Ukuqina kwegazi emaphashini okungachithi ngokuphelele
• Izifo zokuziphatha komzimba ezinjenge-scleroderma, i-lupus, noma i-rheumatoid arthritis
• Ukuguqulwa kwe-genetic okuhanjiswa emindenini
• Imithi ethile efana nezinciphiseka isifiso sokudla noma imithi ethile yokuqeda umdlavuza
• Ukutheleleka okunjenge-HIV noma i-schistosomiasis
• Isifo sesibindi noma i-portal hypertension
• Ukuphazamiseka kwegazi okunjenge-sickle cell disease

Ngezinye izikhathi i-pulmonary hypertension ithuthuka ngaphandle kokuthi kube khona okubangela okubonakalayo, okuyikho odokotela abakubiza ngokuthi i-idiopathic pulmonary arterial hypertension. Kwezinye izimo, izinto eziningi zingase zifake isandla ekuthuthukeni kwesimo ngokuhamba kwesikhathi.

Ukuphila emazingeni aphezulu isikhathi eside kungase futhi kufake isandla ekuthuthukeni kwe-pulmonary hypertension kwabanye abantu. Ngaphezu kwalokho, ukusebenzisa izidakamizwa ezingamthetho ezinjenge-cocaine noma i-methamphetamines kungalimaza imithambo yegazi yamaphashi futhi kuholele kulesi simo.

Nini okufanele ubheke udokotela nge-Pulmonary Hypertension?

Kufanele uxhumane nodokotela wakho uma ubhekene nokuntuleka okungapheli komoya okuya kubi ngokuhamba kwesikhathi, ikakhulukazi uma kuvimba imisebenzi yakho yansuku zonke. Ungalindi uma uhlushwa ubuhlungu esifubeni, ukuhlanza, noma ukukhula ezinyaweni okungapheli ngokuphumula.

Hlela isikhathi sokuvakashela kungakapheli izinsuku ezimbalwa uma uqaphela ukuthi uqala ukuphelelwa umoya ngezinto ezazilula kuwe. Qaphela uma udinga ukuphumula kaningi ngesikhathi semisebenzi efana nokuhamba, ukukhuphuka izitebhisi, noma ukwenza imisebenzi yasekhaya.

Funani usizo lwezokwelapha ngokushesha uma ubhekene nobuhlungu obukhulu esifubeni, ukuphelelwa umoya okukhulu ngokuzuma, noma uma uhlanza. Lokhu kungaba izimpawu zengxaki enzima edinga ukwelashwa okusheshayo.

Shaya ucingo nodokotela wakho uma uthola umbala oluhlaza okwesibhakabhaka ezindebeni noma ezinzwini zakho, okubonisa ukuthi igazi lakho alithwali oksijini eyanele. Ukushona kwenhliziyo okusheshayo noma okungajwayelekile okungapheli ngokuphumula yisizathu esinye sokuthola ukunakekelwa kwezokwelapha ngokushesha.

Iyini Izingozi Zokuthola I-Pulmonary Hypertension?

Izinto eziningi zingandisa amathuba akho okuthola i-pulmonary hypertension, nakuba ukuba nezingozi akusho ukuthi uzoyithola ngokuqinisekile le meko. Ukuqonda lokhu kungakusiza wena nodokotela wakho ukuba niqaphele izimpawu zokuqala.

Ubudala bakho nobulili bakho kudlala indima ebalulekile engozini. Le meko ivame kakhulu kubantu abadala kuno-65, futhi abesifazane banamathuba amancane okuthola izinhlobo ezithile ze-pulmonary hypertension kunamadoda.

Nawa ama-risk factors abalulekile okufanele uwaqaphele:

• Umlando womndeni wokucindezeleka kwezinyo noma izinkinga zokugandeka kwegazi
• Izifo zenhliziyo ezinjengokungapheleli kwemvelo kwenhliziyo noma ukwehluleka kwenhliziyo eya kwesobunxele
• Izimo zephunga ezinjenge-COPD, i-pulmonary fibrosis, noma i-sleep apnea
• Izifo zokuziphatha komzimba ezinjenge-scleroderma noma i-lupus
• Isifo se-liver noma i-portal hypertension
• Ukutheleleka yi-HIV
• Umlando wegazi eliphethwe emaphaphweni
• Ukusetshenziswa kwemithi ethile noma izidakamizwa ezingemthetho
• Ukuphila emazingeni aphezulu isikhathi eside

Ukukhuluphala kungandisa nezingozi zakho, ikakhulu uma une-sleep apnea. Ngaphezu kwalokho, uma uke waba ne-pulmonary embolism (igazi eliphethwe emaphaphweni) esikhathini esidlule, ukhona engozini enkulu yokuthuthukisa uhlobo oluqhubekayo lokucindezeleka kwezinyo.

Ezinye izimo ezingavamile ze-genetic zingakwenza ube sengozini yokucindezeleka kwezinyo. Uma unomlando womndeni wesimo, ukwelulekwa nge-genetic kungasiza ekuqondeni ingozi yakho nokuxoxa ngezinketho zokuhlola.

Ziyini Izinhlanganisela Ezingaba khona Zokucindezeleka Kwezinyo?

Ukucindezeleka kwezinyo kungabangela izinhlanganisela ezinkulu uma kungalawulwa kahle, kodwa ukuqonda lezi zinto ezingaba khona kukusiza ukusebenzisana neqembu lakho lezokwelapha ukuze uzivimbele. Ukukhathazeka okukhulu kakhulu yingcindezi lesi simo esiyibeka enhliziyweni yakho.

Ukwehluleka kwenhliziyo kwesokudla yiyona nhlanganisela ebucayi ongayibhekana nayo. Lokhu kwenzeka lapho uhlangothi lwesokudla lenhliziyo yakho luya buthakathaka kakhulu ukupompa igazi ngokuphumelelayo ngamaphunga akho. Ungase uqaphele ukwanda kokukhuluphala ezinyaweni zakho, esiswini, noma eduze ne-liver yakho.

Nawa ama-complications aphambili angathuthuka:

• Ukwehluleka kwesisu sokunene ngokwakheka kwamanzi ezinyaweni, esiswini, noma etsheni
• Izindlela ezingavamile zezingqondo ezingaba yingozi eyingozi
• Iziqubu zegazi emathanjeni e-pulmonary
• Ukuphuza igazi emaphashini, okungabangela ukukhokha igazi
• Ukumisa okungazelelwe kwenhliziyo ezimweni ezinkulu
• Ukuqina okukhulu komoya okuvimba yonke imisebenzi
• Iziqephu zokuphelelwa amandla ezandisa ingozi yokulimaza

Abanye abantu baphuthuma futhi izinkinga ezihlobene nemithi esetshenziswa ekwelapheni i-pulmonary hypertension. Lezi zingafaka ukucindezela kwegazi okuphansi, izinkinga zokuphuza igazi, noma ukushintsha kwemisebenzi yethemba, kungakho ukulandelela njalo kubalulekile.

Izindaba ezinhle ukuthi ngokwelashwa okuqondile nokubhekwa, eziningi zalezi zinkinga zingavikeleka noma ziphathwe kahle. Ukutholakala kwangaphambi kwesikhathi nokuphathwa kuthuthukisa kakhulu amathuba akho okuqeda izinkinga ezinkulu.

Ukuvimbela i-Pulmonary Hypertension Kungenzeka Kanjani?

Nakuba ungakwazi ukuvimbela zonke izinhlobo ze-pulmonary hypertension, ikakhulukazi lezo ezihambisana nezici ze-genetic, kunezinyathelo ezibalulekile ongazithatha ukuze unciphise ingozi yakho. Gxila ekugcineni impilo enhle yenhliziyo nemiphunga ekuphileni kwakho konke.

Ukuphatha izimo eziyisisekelo kuyinye yezindlela ezibaluleke kakhulu zokuvimbela. Uma une-heart disease, isifo samiphunga, noma izimo ze-autoimmune, ukusebenzisana eduze nodokotela wakho ukuze ugcine lezi zinto zilawulwa kahle kungasiza ukuvimbela i-pulmonary hypertension ekuthuthukiseni.

Nawa amasu abalulekile okuvimbela ongawasebenzisa:

• Ungabhemi, futhi gwema ukubhema okwesibili
• Gcina isisindo esinempilo ngokudla okulinganisekile nokuzivocavoca njalo
• Welapha i-sleep apnea uma unayo
• Lawula izimo zenhliziyo ezifana nokucindezeleka kwegazi eliphezulu noma ukuhluleka kwenhliziyo
• Lawula izifo zokuziphatha ngokwelashwa okufanele
• Gwema izidakamizwa ezingamthetho, ikakhulukazi izisusa
• Qaphela izidakamizwa zokucindezela ukulangazelela nokunciphisa isisindo
• Thola ukwelashwa okusheshayo kwezifo zephunga

Uma uhlela ukuhlala phezulu, xoxa nodokotela wakho kuqala, ikakhulukazi uma unezimo zenhliziyo noma zephunga. Abanye abantu banesizathu sokuba nomphumela omkhulu kunabanye ngenxa yokuguquka kwezinga lokuphakama.

Ukuhlolwa okujwayelekile kubalulekile uma unezingozi ze-pulmonary hypertension. Udokotela wakho angaqapha umsebenzi wenhliziyo nemiphunga yakho futhi abone noma yikuphi ukuguquka ngokushesha lapho ukwelashwa kuphumelela kakhulu.

I-Pulmonary Hypertension Ihlonishwa Kanjani?

Ukuhlonishwa kwe-pulmonary hypertension kudinga ukuhlolwa okuningi ngoba izimpawu zingafana nezimo eziningi zenhliziyo nemiphunga. Udokotela wakho uzoqala ngokuhlolwa komzimba okuphelele nokuxoxisana okuningiliziwe ngezimpawu zakho nembali yakho yezokwelapha.

Inqubo yokuhlola ivame ukuqala nge-echocardiogram, esebenzisa amaza omsindo ukwenza izithombe zenhliziyo yakho. Lo mviwo ungabonisa uma ihlangothi lamanye lenhliziyo yakho likhulu noma lisebenza kanzima kunokujwayelekile, okubonisa ukucindezeleka okuphezulu emithanjeni yephunga.

Udokotela wakho cishe uzoyala ukuhlolwa okwengeziwe ukuze aqinisekise ukuxilongwa:

• Ukuhlolwa kwe-catheter yomlomo wecala lokunene ukuze kulinganiswe ngokuqondile ukucindezela emithanjeni yakho yepulmonary
• I-CT scan yesifuba sakho ukuze kubhekwe izicubu zegazi noma izifo zephunga
• Ukuhlolwa kokusebenza kwephunga ukuze kuhlolwe ukuthi amaphaphu akho asebenza kahle kangakanani
• Izivivinyo zegazi ukuze kuhlolwe izifo ze-autoimmune noma ama-genetic markers
• Ukuhlolwa kokubhadula imizuzu emihlanu ukuze kulinganiswe ikhono lakho lokwenza umsebenzi
• I-scan ye-ventilation-perfusion ukuze kubhekwe izicubu zegazi
• Ucwaningo lobuthongo uma kukhona ukungabaza nge-sleep apnea

Ukuhlolwa kwe-catheter yomlomo wecala lokunene kubhekwa njengendlela engcono kakhulu yokuxilonga. Phakathi nalesi senzo, ithyube elincane lifakwa ngomthambo futhi liqondiswa enhliziyweni yakho ukuze kulinganiswe ngokuqondile ukucindezela emithanjeni yakho yepulmonary.

Uma i-pulmonary hypertension isiqinisekiswe, udokotela wakho uzosebenza ukuze aqonde ukuthi yiluphi uhlobo olulokhu. Lokhu kuvame ukubandakanya ukuhlolwa okwengeziwe ukuze kubhekwe izimbangela eziyisisekelo njengezifo zenhliziyo, izifo zephunga, noma izimo ze-autoimmune.

Iyini Ukwelashwa kwe-Pulmonary Hypertension?

Ukuphathwa kwe-pulmonary hypertension kugxila ekunciphiseni ukuqhubeka kwesifo, ukuphatha izimpawu, nokwenza impilo yakho ibe ngcono. Uhlelo oluthile lokwelashwa luxhomeke ekutheni uhlobo luni lwe-pulmonary hypertension olulokhu nokuthi yini eyibangelayo.

Uma isimo esiyisisekelo sibangela i-pulmonary hypertension yakho, ukwelapha leso simo kuyinto yokuqala. Isibonelo, uma ukwehluleka kwenhliziyo kuyimbangela, ukuphatha ukwehluleka kwenhliziyo ngokuphumelelayo kungasiza ekunciphiseni ukucindezela emithanjeni yakho yephunga.

Nge-pulmonary arterial hypertension, izidakamizwa ezithile zingasiza:

• Abaphikisi be-endothelin receptor ukuze basize ekuphumuleni imithambo yegazi
• I-phosphodiesterase-5 inhibitors ukuthuthukisa ukugeleza kwegazi
• I-prostacyclin analogs ukuze banwebe imithambo yepulmonary
• Abaphikisi be-calcium channel kubantu abakhethiwe
• I-diuretics ukuze kunciphisiwe ukwakheka kwamanzi
• Izidakamizwa zokuncipha kwegazi ukuvimbela izicubu
• Ukwelashwa nge-oksijini uma amazinga e-oksijini egazi ephansi

Abanye abantu bayazuza ekwelapheni okuhlanganisiwe, lapho imithi eminingi isebenza ndawonye ukuze ihlinzeke ngemiphumela emihle kunemithi eyodwa kuphela. Udokotela wakho uzoqala ngemithi eyodwa futhi angengeze ezinye kuye ngokuthi uyaphendula kanjani.

Ngokuphathelene nokuqina kwe-thromboembolic pulmonary hypertension okubangelwa ama-blood clots, ukuhlinzwa okuthiwa yi-pulmonary thromboendarterectomy kungaba yindlela. Le nqubo ngezinye izikhathi ingalapha lolu hlobo oluthile lwe-pulmonary hypertension ngokususa izinto eziqine.

Ezimweni ezinzima lapho imithi ingasebenzi khona, ukufakelwa kwesisu kungacatshangelwa. Lokhu kuvame ukugcinelwa abantu abasebancane abanesifo esiphambili abaphilile ngokwanele ukuze benze ukuhlinzwa okukhulu.

Indlela Yokwelapha Ekhaya Ngesikhathi Se-Pulmonary Hypertension?

Ukuphatha i-pulmonary hypertension ekhaya kuhilela ukwenza izinguquko zendlela yokuphila ezisekela ukwelashwa kwakho futhi kukusize uzizwe ukhulu. Umgomo ukunciphisa ukucindezela enhliziyweni yakho ngenkathi ugcina imisebenzi eminingi ngangokunokwenzeka.

Qala ngokuvivinya umzimba okuthambile, okuvamile njengoba kuvunyelwe udokotela wakho. Ukuhamba kuvame ukuba yilokho okungcono kakhulu, futhi ungakwazi ukwandisa kancane ibanga lakho nesivinini njengoba isimo sakho sivumela. Lalela umzimba wakho bese uphumule uma udinga.

Nawa amasu abalulekile wokuphatha ekhaya:

• Thatha yonke imithi ngqo njengoba kulotshiwe, ngisho noma uzizwa ukhulu
• Qapha isisindo sakho nsuku zonke bese ubika ukwanda okungazelelwe kudoctor wakho
• Landela ukudla okune-sodium ephansi ukuze unciphise ukugcinwa kwamanzi
• Hlala usesikhathini ngokugoma, ikakhulukazi izithombe ze-flu ne-pneumonia
• Gwema imisebenzi ebangela ukuphefumula okunzima kakhulu
• Sebenzisa i-oksijini engeziwe uma kulotshiwe udokotela wakho
• Gwema ukukhulelwa, njengoba kungaba yingozi ngalesi simo
• Ungayi ezindaweni eziphakeme ngaphandle kokuvunyelwa kwemithi

Gcina irekhodi lezimpawu zakho encwadini noma kuhlelo lokusebenza lwe-smartphone. Qaphela amazinga wakho kwamandla, ukuphefumula okunzima, nanoma yikuphi ukuvuvukala. Ulwazi olufana nalolu lusiza udokotela wakho ukulungisa uhlelo lwakho lokwelashwa njengoba kudingeka.

Yenza isisekelo sokwesekwa ngomndeni nabangane abaqonda isimo sakho. Unganqikazi ukucela usizo emisebenzini ebeyingobungane, futhi cabanga ngokujoyina iqembu lokusekela abantu abane-pulmonary hypertension.

Kufanele Uzilungiselele Kanjani Ukuya Kulodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza uqinisekise ukuthi uthola inzuzo enkulu kusuka ezikhathini zakho nodokotela wakho. Yiza unezinto ezicacile zezimpawu zakho, imibuzo, nanoma yiziphi izinguquko ozibonile kusukela ekuhambeleni kwakho kokugcina.

Bhala izimpawu zakho ngaphambi kwe-aphoyintimenti, kufaka phakathi ukuthi zenzeka nini, isikhathi eside zingakanani, nokuthi yini ezenza zibe ngcono noma zimbi. Yiba eqotho ngendlela izimpawu zakho ezithinta ngayo imisebenzi yakho yansuku zonke kanye nokunambitheka kokuphila.

Letha lezi zinto ezibalulekile e-aphoyintimenti yakho:

• Uhlu oluphelele lwazo zonke izidakamizwa, izongezelelo, kanye nezinani
• Ukulinganisa kwesisindo samuva nanoma yiziphi izindlela ozibonile
• Uhlu lwemibuzo noma ukukhathazeka ofuna ukukuxoxa ngakho
• Ulwazi mayelana nanoma yiziphi izimpawu ezintsha noma izinguquko
• Amarekhodi avela kwabanye odokotela noma imiphumela yokuvivinya yamuva
• Amakhadi yomshuwalense kanye nokuhlonza
• Ilungu lomndeni noma umngane wokusekela nokusiza ukukhumbula ulwazi

Lungisa imibuzo ethile mayelana nehlolo lakho lokwelashwa, imiphumela emibi yemithi, ukulinganiselwa kwemisebenzi, kanye nokuthi yiziphi izimpawu okufanele zikukhuthaze ukuba ucingo ehhovisi. Buza ngokuqagela kwakho nokuthi yini ongayilindela ezinyangeni ezizayo.

Ungakhohlwa ukuxoxa ngezinkinga eziqondile njengokulinganiselwa komsebenzi, ukumisa uhambo, noma ukuhlela umndeni. Udokotela wakho udinga ukwazi ngazo zonke izici zokuphila kwakho ezingase zithinteke yisimo sakho.

Iyini I-Takeaway Key Mayelana ne-Pulmonary Hypertension?

Ukuqina kwezitho zokuphefumula yisimo esinzima esidinga ukunakekelwa okqhubekayo kwezokwelapha, kodwa ngokwelashwa okufanele, abantu abaningi baphila impilo egcwele beqondisa izimpawu zabo. Ukuxilongwa kwasekuqaleni nokuphathwa kwenza umehluko omkhulu emiphumeleni.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi lesi simo singaphathwa ngeqembu elifanele lezokwelapha nendlela yokwelapha. Nakuba kungashintsha ezinye izici zokuphila kwakho kwansuku zonke, usengabamba iqhaza emisebenzini eminingi oyithandayo ngenhlelo efanele nezinqapha.

Ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo, ukuthatha imithi njengoba kulotshiwe, nokwenza ukulungiswa okufanele kokuphila kwakho kuyizindlela zakho ezinhle kakhulu zokuphatha lesi simo. Ukuqapha okuqhubekayo kusiza ekutholeni noma yiziphi izinguquko kwasekuqaleni ukuze ukwelashwa kulungiswe njengoba kudingeka.

Ungangabazi ukuxhumana neqembu lakho lezokwelapha noma nini lapho unemibuzo noma ukukhathazeka. Bakhona ukuze bakusekele kulolu hambo bakusize ugcine ikhwalithi engcono kakhulu yokuphila.

Imibuzo Evame Ukubuzwa Mayelana Nokuphakama Kwezitho Zokuphefumula

Ingakwelashwa yini ukuqina kwezitho zokuphefumula?

Izinhlobo eziningi zokuqina kwezitho zokuphefumula azikwazi ukwelashwa, kodwa zingaphathwa kahle ngokwelashwa okufanele. Noma kunjalo, ukuqina kwezitho zokuphefumula okuqhubekayo okuyimiphumela yezicucu zegazi kungakwelashwa nge-opereysheni. Inhloso yokwelapha ngokuvamile iwukunciphisa intuthuko, uqondisa izimpawu, nokuthuthukisa ikhwalithi yokuphila kunokufinyelela ekuphulukiseni okuphelele.

Ubude kangakanani ongaphila ngokuqina kwezitho zokuphefumula?

Isikhathi sokuphila ngokuqina kwezitho zokuphefumula sihluka kakhulu kuye ngohlobo, ubukhulu, nokuthi uphendula kangcono kanjani ekwelapheni. Abantu abaningi baphila iminyaka noma ngisho nemashumi eminyaka ngokunakekelwa okufanele kwezokwelapha. Ukuxilongwa kwasekuqaleni nokuphathwa kuthuthukisa kakhulu imiphumela, futhi ukwelashwa okusha kuqhubeka nokukhulisa isikhathi sokuphila kwabantu abanesimo.

Ingabe ukuqina kwezitho zokuphefumula kuyafa?

Ezinye izinhlobo ze-pulmonary hypertension zingadluliselwa ezizukulwaneni, kodwa iningi lamacala aliyona ifa. Cishe amaphesenti angu-10-15 abantu abane-pulmonary arterial hypertension banesici se-genetic esingadluliselwa kubantwana babo. Uma unomlando womndeni wesimo, ukwelulekwa nge-genetic kungakusiza ukuqonda ingozi yakho nokuxoxa ngezinketho zokuhlola.

Ungazivocavoca yini uma une-pulmonary hypertension?

Yebo, iningi labantu abane-pulmonary hypertension lingakwazi futhi kufanele livocovoke, kodwa uhlobo nobukhulu kufanele kufanelekele isimo sakho. Imisebenzi emnene njengokuhamba, ukuqhubela ibhayisikili okukhanya, noma ukubhukuda kuvame ukunconywa. Udokotela wakho angakusiza ukuba wenze uhlelo lokuzivocavoca oluvikelekile oluthuthukisa ukufaneleka kwakho ngaphandle kokubeka umthwalo omkhulu enhliziyweni nasemaphaphwini akho.

Yikuphi ukudla okufanele ukugweme nge-pulmonary hypertension?

Gxila ekulinganisweni kokungenisa i-sodium ukuze unciphise ukugcinwa kwamanzi nokukhula. Gwema ukudla okucutshunguliwe, usoso olupakishiwe, inyama yase-deli, kanye nokudla kwendawo yokudlela okuvame ukuba nesihlanu esiningi. Khipha futhi ukusetshenziswa kotshwala bese ugwema i-grapefruit uma uthatha imithi ethile, njengoba ingaphazamisa indlela umzimba wakho uqapha ngayo imithi ethile ye-pulmonary hypertension. Udokotela wakho noma isazi sokudla singakunikeza isiqondiso esithile sokudla esisekelwe emithini yakho nasesimweni sakho sonke sempilo.