Dhiig-qoyan (Pulmonary hypertension) waa xaalad taasoo cadaadiska dhiigga ku jira gudaha halbowlaha sambabadu uu aad u sarreeyo.
Dareeraha sambabada waa guntanka dhiigga ee weyn kaas oo dhiiga ka qaadaya unugyada saxda ah ee wadnaha ee sanbabada, halkaas oo ay soo saarto oksijiin. Arooriyaha sambabada ayaa caadi ahaan ah xidid dhiig oo hooseeya, oo leh cadaadis dhiig oo dhexdhexaad ah inta u dhaxaysa 8 iyo 20 mmHH nasasho.
Haddii cadaadiska dhiigga ee celceliska celceliska dhiigga sambabada uu korodhmo ka badan 25 mmHg, hypertension pulmonary ayaa la sheegay inuu joogo.
Dhiig-xoojinta sambabada ayaa marwalba ah xaalad caafimaad oo halis ah, haddii ay noqoto mid daran waxay noqon kartaa mid aad u jahawareersan iyo xitaa nolosha khatar ku ah. Daaweynta ugu wanaagsan waa muhiim. Sidaa darteed haddii aad qabto hypertension sambabada, waa inaad ku jirtaa daryeelka caafimaad ee khabiirka ah iyo / ama sambaboolaha (takhasuska cudurrada sambabada).
Astaamaha
Dhiig-baxa sambabada ah ayaa badanaa keena calaamado, laakiin cadaadiska ka yimaada halbowlaha sambabaha, korodhka neefsiga, daciifnimada, lakulanka, iyo daalku waa caadi. Haddii xaaladu noqoto mid daran, laabta laabta, bararka daran (barar), iyo isku kalsoonaanta (suuxdinta ama luminta miyirka) ayaa dhici karta.
Sababaha
Dhibaatooyin caafimaad oo dhowr ah ayaa keeni kara dhiig-karka, oo ay ku jiraan xanuunada wadnaha, cudurada sanbabada, daroogooyinka, iyo cudurrada unugyada.
Ciladeynta
Haddii dhakhtarkaagu u maleynayo inaad qabto hypertension sambabada oo ku saleysan taariikhdaada caafimaad ama baaritaanka jireed, isaga ama iyada ayaa sida caadiga ah dalban doona daraasad echocardiogram . Echocardiogram wuxuu ku siin karaa qiyaasta wanaagsan ee cadaadiska gudaha arooriyaha sambabada, waxaana sidoo kale laga yaabaa inuu caawiyo inuu soo ogaado sababaha hoosta ee hypertension.
Haddii ekokardiogramgu uu muujiyo hypertension sambabada laakiin uusan caddayn sababta, waxaa lagama maarmaan u ah hawlgal caafimaad oo dheeraad ah. Xaalado caafimaad oo badan ayaa soo saari kara hypertension sambabada, sidaas awgeed shaqeyntan waxaa ku jiri kara noocyo badan oo baaritaano ah, taas oo ku xidhan sababaha (yada) dhakhtarkaagu uu shaki ka qabo. Si taxadar leh u eegida sabab gaar ah waa mid aad u muhiim ah, hase yeeshe, sababtoo ah daaweynta fiicnaanta ee hypertension waxay ku saleysan tahay xanuunka caafimaadka ee hoosta ka ah.
Saadaasha
Sidee bukaanka qaba hypertension-ku wuxuu ku xiran yahay dhowr arrimood, oo ay ku jiraan inta sare ee cadaadiska dhiigga sanbabada ee dhiiga, taasoo sabab u ah dhiig-baxa sambabada, iyo da'da iyo xaaladda caafimaad ee bukaanka.
Hase yeeshee, xaaladaha oo dhan, dhiig-karka ayaa salka u ah xaalad aad u daran. Marka uu noqdo hypertension sambabada oo aad u daran si uu u bilaabo soo saarista calaamadaha, dhimashadu waxay dhacdaa muddo seddex ilaa shan sano ah iyada oo aan la daweynin.
Daaweynta
Daaweynta ugu fiican ee kudka-diiqda sambabada waxay ku xiran tahay sababaha hoose iyo heerka darnaanta. Xaaladaha badankood, hore ayaa loo bilaabay daaweynta, si ka fiican.
Ereyga
Dhiig-xoojinta sambabada ayaa had iyo jeer ah xaalad caafimaad oo walwal leh oo badanaaba leh natiijo aad u xun.
Haddii aad qabto hypertension sambabada, waa muhiim in dhakhtarkaagu si firfircoon u shaqeeyo si loo ogaado sababta dhabta ah ee dhabta ah, ka dibna u samee daweyn ku haboon sida ugu dhaqsaha badan.
Ilaha:
Badesch, DB, Champion, HC, Sanchez, MA, iyo al. Ciladeynta iyo qiimeynta qanjirka 'hipertension arterial'. J Am Coll Cardiol 2009; 54: S55.
Rich, S. Qiimaha daaweynta la ogolaaday ee loogu talagalay hypertension sanbabada sambabada. Am Heart J 2007; 153: 889.