Cor pulmonale

Cor pulmonale yog ib qho mob uas ua rau sab xis ntawm lub plawv tsis tuaj. Lub sij hawm ntev ntshav siab hauv cov hlab ntsha ntawm lub ntsws thiab txoj hlab ntsws txoj hlab plawv tuaj yeem ua rau lub ntsws txhaws.

Ntshav siab hauv cov hlab ntsha ntawm lub ntsws yog hu ua pulmonary hypertension. Nws yog qhov feem ntau ua rau kev mob ntsws pulmonale.

Hauv cov neeg uas muaj ntshav siab, hloov pauv ntshav me me hauv lub ntsws yuav ua rau muaj ntshav nce ntxiv hauv sab xis ntawm lub plawv. Qhov no ua rau nws nyuaj rau lub plawv los nqus ntshav mus rau hauv lub ntsws. Yog tias qhov kev kub siab no tseem txuas ntxiv, nws tso txoj hlab ntog rau sab xis ntawm lub siab. Txoj kev ua txhaum no tuaj yeem ua rau mob ntsws pulmonale.

Lub ntsws mob uas ua rau cov ntshav oxygen tsis txaus nyob hauv cov ntshav ntev ntev kuj tseem tuaj yeem ua rau mob ntsws pulmonale. Ib txhia ntawm cov no yog:

• Cov kab mob autoimmune uas ua rau mob ntsws, xws li scleroderma
• Mob Hlwb Mob Hlwb Ntev (COPD)
• Mob ntshav txhaws hauv cov ntsws
• Mob leeg (CF)
• Mob ntsws hauv lub ntsws
  
• Scarring ntawm lub ntsws cov ntaub so ntswg (interstitial ntsws kab mob)
• Kev loj hlob hnyav ntawm lub sab qaum ntawm cov nqaj qaum (kyphoscoliosis)
• Obstructive pw tsaug zog apnea, uas ua rau nres ua pa vim hais tias ntawm cov hlab pa o
• Idiopathic (tsis muaj meej meej tseem ceeb) zawm (sib txuam) ntawm cov hlab ntsha ntawm lub ntsws

Ua pa luv lossis mob taub hau me ntsis thaum ua haujlwm yog feem ntau thawj cov tsos mob ntawm tus kabmob pulmonale. Koj kuj tseem yuav muaj lub plawv dhia ceev thiab xav tias koj lub siab dhia.

Sij hawm ntev mus, cov tsos mob tshwm sim nrog qhov sib dua me ntsis lossis txawm tias thaum koj so. Cov tsos mob uas koj yuav muaj yog:

• Tsaus muag tsis zoo thaum lub sijhawm ua si
• Lub hauv siab tsis xis nyob, feem ntau yog nyob sab xub ntiag ntawm lub hauv siab
• Kev mob hauv siab
• Kev o ntawm ob txhais taw lossis pob taws
• Cov tsos mob ntawm lub ntsws mob ntsws, xws li hawb pob lossis hnoos lossis hnoos qeev
• Diav daim di ncauj thiab ntiv tes (cyanosis)

Koj tus kws kho mob yuav kuaj ib ce thiab nug txog koj cov tsos mob. Qhov kev kuaj mob yuav pom:

• Kev haus dej hauv koj lub plab
• Suab txawv txav
• Bluish ntawm daim tawv nqaij
• Mob siab o
• Kev o ntawm lub caj dab leeg, uas yog qhov taw qhia ntawm qhov siab hauv sab xis ntawm lub siab
• Pob luj taws o

Cov kev kuaj no tuaj yeem pab txheeb xyuas cov kab mob ntsws thiab tseem ua rau nws:

• Ntshav tshuaj tiv thaiv kab mob
• Kev kuaj ntshav los ntsuas cov khoom hu ua natriuretic peptide (BNP)
• Kev ntsuas hluav taws xob xoo
• CT scan ntawm lub hauv siab, nrog lossis tsis txhaj tshuaj ntawm cov kua tsis sib thooj (zas xim)
• Echocardiogram
• ECG
• Lub ntsws me (tsis tshua muaj ua)
• Kev ntsuas cov ntshav oxygen los ntawm kev kuaj cov roj ntsha arterial (ABG)
• Kev kuaj mob ntsws ntsws (ntsws) ua haujlwm
• Lub plawv catheterization zoo
• Qhov cua thiab cov tshuaj tsw qab ntawm lub ntsws (V / Q scan)
• Kev kuaj mob rau tus kab mob ntsws autoimmune

Lub hom phiaj ntawm kev kho mob yog tswj hwm tus mob. Nws yog ib qho tseem ceeb rau kev kho mob kho mob uas ua rau mob ntshav txhaws, vim hais tias lawv tuaj yeem ua rau mob ntsws ntsig.

Muaj ntau hom kev kho mob. Feem ntau, qhov ua rau koj lub plawv mob ntsws yuav txiav txim siab seb koj tau txais kev kho mob twg.

Yog tias koj tus kws kho mob tau sau tshuaj, koj noj tau ntawm qhov ncauj (ntawm qhov ncauj), txais lawv ntawm txoj leeg ntshav (leeg ntshav los yog IV), lossis nqus tau pa hauv (nqus pa). Koj yuav tau saib xyuas zoo thaum kho mob kom saib xyuas qhov tshwm sim thiab saib seb cov tshuaj ua haujlwm zoo rau koj npaum li cas. Tsis txhob tsum tsis noj koj cov tshuaj yam tsis tau tham ua ntej nrog koj tus kws kho mob.

Lwm yam kev kho mob suav nrog:

• Ua kom ntshav nyias txhawm rau kom txo qhov kev pheej hmoo ntawm cov ntshav txhaws
• Cov tshuaj kho mob rau kev tswj hwm lub plawv tsis ua haujlwm
• Kev kho cov pa oxygen hauv tsev
• Lub ntsws lossis lub plawv hloov mus mob ntsws, yog cov tshuaj tsis ua haujlwm

Cov lus qhia tseem ceeb kom ua raws:

• Zam kev ua si hnyav thiab tshem tawm hnyav.
• Zam kev taug kev mus rau qhov chaw siab.
• Txhaj tshuaj tiv thaiv kev mob ua npaws txhua xyoo, thiab lwm yam tshuaj tiv thaiv, xws li koob tshuaj txhaj tiv thaiv mob ntsws.
• Yog koj haus luam yeeb, tsum.
• Txwv txiav koj noj ntsev ntau npaum li cas. Koj tus kws khomob yuav hais kom koj tsis txhob haus dej ntau npaum li cas hauv ib hnub.
• Siv oxygen yog tias koj tus kws kho mob tau sau tshuaj rau.
• Cov poj niam yuav tsum tsis txhob muaj menyuam.

Koj ua tau zoo npaum li cas yog nyob ntawm qhov ua rau koj mob ntsws pulmonale.

Thaum koj tus mob muaj mob loj tuaj, koj yuav tsum hloov kho koj lub tsev kom koj paub tswj koj tus mob. Koj tseem yuav xav tau kev pab nyob ib puag ncig koj lub tsev.

Cor pulmonale tuaj yeem ua rau:

• Neeg muaj txoj sia siav ua pa
• Cov kua dej ua pa hnyav hauv koj lub cev
• Poob Siab
• Kev Tuag

Hu rau koj tus kws kho mob yog tias koj muaj txog siav lossis mob hauv siab.

Tsis txhob haus luam yeeb. Kev haus luam yeeb ua rau mob ntsws, uas tuaj yeem ua rau mob ntsws txhaws.

Txoj cai lub plawv dhia; Mob ntsws plawv

• Lub ntsws muaj mob ntsws tsis txawj zoo - cov neeg laus - paug

• Sarcoid, theem IV - xoo hluav taws xob hauv siab
• Mob thiab mob tsis ntev
• Cor pulmonale
• Kev ua pa system

Barnett CF, De Marco T. Mob ntsws txhaws ntswg vim yog mob ntsws. Hauv: Broaddus VC, Mason RJ, Ernst JD, li al, eds. Murray thiab Nadel Cov Ntawv Phau Ntawv Qhia Txog Cov PaCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 59.

Bhatt SP, Dransfield MT. Mob ntsws ntev thiab mob plawv. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 86.