Pulmonary veno-inosangana chirwere

Pulmonary veno-occlusive chirwere (PVOD) chirwere chisingawanzoitika. Inotungamira kukwirisa kweropa mumapapu etsinga (pulmonary hypertension).

Muzviitiko zvakawanda, chikonzero chePVOD hachizivikanwe. Iko kuwedzera kweropa kunowanikwa mumapuroni emagetsi. Iyi tsinga dzemapapu dzakabatana zvakananga kudivi rerudyi remoyo.

Mamiriro acho anogona kunge akaenzana nehutachiona hwehutachiona. Izvo zvinogona kuitika sekumanikidza kwezvimwe zvirwere zvakaita se lupus, kana bone marrow kuisirwa.

Dambudziko iri rakajairika pakati pevana nevakuru vechidiki. Sezvo chirwere ichi chiri kuwedzera kuipa, chinokonzera:

• Yakadzikira mapuroni tsinga
• Pulmonary arteri hypertension
• Kuzvinyima nekuzvimba kwemapapu

Zvinogona kuitika njodzi zvePVOD zvinosanganisira:

• Nhoroondo yemhuri yemamiriro acho
• Kusvuta
• Kuratidzirwa kuzvinhu zvakaita trichlorethylene kana chemotherapy mishonga
• Systemic sclerosis (autoimmune ganda kusagadzikana)

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kufema kwekufema
• Kuoma kukosora
• Kuneta pakuedza
• Kufenda
• Kukosora ropa
• Zvakaoma kufema paunenge wakarara zvakati

Anokuchengetedza hutano achakuongorora obvunza nezve nhoroondo yako yezvokurapa nezviratidzo.

Bvunzo dzinogona kuratidza:

• Kuwedzera kumanikidzwa mumutsipa mutsipa
• Kubvarura kweminwe
• Bluish coloration yeganda nekuda kwekushayikwa kwe oxygen (cyanosis)
• Kuzvimba mumakumbo

Wako mupi anogona kunzwa asina kujairika moyo kurira kana uchiteerera chipfuva nemapapu ne stethoscope.

Iyi bvunzo inotevera inogona kuitwa:

• Arterial eropa magasi
• Ropa oximetry
• Chest x-ray
• Chest CT
• Catheterization yemwoyo
• Lung basa bvunzo
• Echocardiogram
• Lung biopsy

Parizvino hapana kurapwa kunozivikanwa kunoshanda. Zvisinei, mishonga inotevera inogona kubatsira kune vamwe vanhu:

• Mishonga inowedzera mitsipa yeropa (vasodilators)
• Mishonga inodzora immune system kupindura (senge azathioprine kana steroids)

Kuiswa kwemapapu kunogona kudikanwa.

Mhedzisiro yacho inowanzo kuve yakashata kwazvo muvacheche, ine mwero wekupona kwemavhiki mashoma chete. Kupona muvakuru kunogona kunge kuri mwedzi kusvika kumakore mashoma.

Zvinetso zvePVOD zvinogona kusanganisira:

• Kuoma kufema kunowedzera, kusanganisira husiku (kurara kufema kwemweya)
• Pulmonary hypertension
• Kurudyi-sided moyo kutadza (cor pulmonale)

Fonera mupiki wako kana iwe uine zviratidzo zvechirwere ichi.

Pulmonary vaso-inowoneka chirwere

• Kufuridzira system

Chin K, Channick RN. Pulmonary hypertension. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed.Philadelphia, PA: Elsevier Saunders; 2016: chits. 58.

Churg A, Wright JL. Pulmonary hypertension. Mune: Leslie KO, Wick MR, eds. Inoshanda Pulmonary Pathology: Nzira Yekuziva. 3rd ed. Philadelphia, PA: Elsevier; 2018: chits.

Mclaughlin VV, Humbert M. Pulmonary hypertension. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chits. 85.