Pulmonary hypertension

Pulmonary hypertension yakakwira BP muropa mutsinga dzemapapu. Inoita kurudyi kwemoyo kushanda zvakanyanya kupfuura zvakajairwa.

Rutivi rwerudyi rwemwoyo rwunopomba ropa kuburikidza nemapapu, kwarunotora oxygen. Ropa rinodzokera kuruboshwe rwemoyo, uko kunosvinirwa kune imwe muviri wese.

Kana tsinga diki (tsinga dzeropa) dzemapapu dzadzikira, haigone kutakura ropa rakawandisa. Kana izvi zvikaitika, kumanikidza kunowedzera. Izvi zvinonzi pulmonary hypertension.

Moyo unoda kushanda zvakanyanya kumanikidza ropa kubudikidza nemidziyo kurwisa kumanikidza uku. Nekufamba kwenguva, izvi zvinokonzeresa kurudyi kwemoyo kukura. Aya mamiriro anonzi kurudyi-sided moyo kutadza, kana cor pulmonale.

Pulmonary hypertension inogona kukonzerwa ne:

• Autoimmune hosha dzinokanganisa mapapu, senge scleroderma uye rheumatoid arthritis
• Kuremara kwekuzvarwa kwemoyo
• Ropa rinovhara mumapapu (pulmonary embolism)
• Kutadza kwemoyo
• Chirwere chevharuvhu yemoyo
• Mukondombera
• O oxygen yakadzika muropa kwenguva yakareba (isingagumi)
• Chirwere chemapapu, chakadai seCOPD kana pulmonary fibrosis kana chero imwe chirwere chakakomba chemapapu
• Mishonga (semuenzaniso, mamwe madhayeti edhayeti)
• Kurambidza kufema kufema

Muzviitiko zvisingawanzoitika, chikonzero cheplmonary hypertension hachizivikanwe. Muchiitiko ichi, mamiriro acho anonzi idiopathic pulmonary arterial hypertension (IPAH). Idiopathic zvinoreva kuti chikonzero chechirwere hachizivikanwe. IPAH inobata vakadzi vakawanda kupfuura varume.

Kana pulmonary hypertension ichikonzerwa nemushonga unozivikanwa kana mamiriro ehutano, inonzi secondary pulmonary hypertension.

Kupfupika kwemweya wekufema kana hura hwakareruka panguva yechiitiko kazhinji chiratidzo chekutanga. Kutsanya kwemoyo kurovera (palpitations) kunogona kunge kuripo. Nekufamba kwenguva, zviratidzo zvinoitika neyakareruka chiitiko kana kunyangwe pazororo.

Zvimwe zviratidzo zvinosanganisira:

• Ankle uye gumbo kuzvimba
• Ruvara rweBluish rwemiromo kana ganda (cyanosis)
• Kurwadziwa pachifuva kana kumanikidzwa, kazhinji pamberi pebhokisi
• Dzungu kana kupera simba
• Kuneta
• Kuwedzera kukura kwedumbu
• Kushaya simba

Vanhu vane pulmonary hypertension vanowanzove nezviratidzo zvinouya nekuenda. Vanotaura mazuva akanaka uye mazuva akaipa.

Anokuchengetedza hutano achaita bvunzo dzepanyama uye obvunza nezve zviratidzo zvako. Bvunzo dzinogona kuwana:

• Mwoyo usina kujairika unonzwika
• Kunzwa kurova pamusoro pebhonzo
• Moyo kugunun'una kurudyi kwemoyo
• Makuru-kupfuura-akajairwa tsinga mumutsipa
• Kuzvimba kwegumbo
• Chiropa uye spleen kuzvimba
• Kazhinji kufema kunonzwika kana pulmonary hypertension iri idiopathic kana nekuda kwechirwere chepfungwa chepamuviri
• Kufema kusingaite kunonzwika kana pulmonary hypertension ichibva kune zvimwe zvirwere zvemapapu
  

Mumatanho ekutanga echirwere, bvunzo dzinogona kuve dzakajairika kana dzinenge dzakajairika. Mamiriro acho anogona kutora mwedzi yakati kuti kuti aongorore. Chirwere uye zvimwe zvirwere zvinogona kukonzera zviratidzo zvakafanana uye zvinofanirwa kubviswa kunze.

Miedzo inogona kurairwa inosanganisira:

• Kuongororwa kweropa
• Catheterization yemwoyo
• Chest x-ray
• CT scan yechifuva
• Echocardiogram
• ECG
• Lung basa bvunzo
• Nyukireya mapapu scan
• Pulmonary arteriogram
• 6-miniti kufamba bvunzo
• Kurara kudzidza
• Kuyedza kutarisa kune autoimmune matambudziko

Iko hakuna mushonga weplmonary hypertension. Chinangwa chekurapa ndechekudzora zviratidzo uye kudzivirira kuwanda kwemapapu kukuvara. Izvo zvakakosha kurapa kusagadzikana kwekurapa kunokonzera pulmonary hypertension, sekudzivirira kutadza kufema kwekurara, mamiriro emapapu, uye matambudziko emagetsi evhavha.

Mazhinji masarudzo ekurapa epemmonary arterial hypertension aripo. Kana iwe ukapihwa mishonga, inogona kutorwa nemuromo (muromo), inogamuchirwa kuburikidza netsinga (intravenous, kana IV), kana kufemerwa mukati (inhaled).

Wako mupi achasarudza kuti ndeupi mushonga wakanakira iwe. Iwe unozotariswa zvakanyanya panguva yekurapwa kuti utarise mhedzisiro uye kuti uone kuti uri kupindura sei kumushonga. Usarege kutora mishonga yako usingataure nemupi wako.

Mimwe mishonga inogona kusanganisira:

• Ropa rakapfava kudzikisa njodzi yeropa, kunyanya kana uine IPAH
• Oxygen kurapa kumba
• Lung, kana mune zvimwe zviitiko, moyo-wemapapu kuisa, kana mishonga ikasashanda

Mamwe matipi akakosha ekutevera:

• Dzivisa kubata pamuviri
• Dzivisa zviito zvinorema zvemuviri nekusimudza
• Dzivisa kuenda kunzvimbo dzakakwirira
• Wana mushonga wegore rose wefuruwenza, pamwe nemamwe majekiseni akadai semushonga wemabayo
• Rega kusvuta

Unonyatsoita sei zvinoenderana nezvakakonzera mamiriro acho. Mishonga yeIPAH inogona kubatsira kudzora chirwere.

Sezvo hurwere hunowedzera, iwe uchafanirwa kuita shanduko mumba mako kuti ikubatsire iwe kutenderera pamba.

Fonera mupiki wako kana:

• Iwe unotanga kukura nekufema kwekufema kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchishanda
• Kufema kwekufema kunowedzera
• Unovandudza kurwadziwa kwepfupa
• Unovandudza zvimwe zviratidzo

Pulmonary arterial hypertension; Sporadic primary pulmonary hypertension; Yakajairika yekutanga pulmonary hypertension; Idiopathic pulmonary arterial hypertension; Primary pulmonary hypertension; PPH; Sekondari pulmonary hypertension; Cor pulmonale - pulmonary hypertension

• Kufuridzira system
• Primary pulmonary hypertension
• Moyo-mapapu kuisirwa - akateedzana

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.

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.