Pulmonary edema

Pulmonary edema ndeye isina kujairika anovaka emvura mumapapu. Uku kuvaka kwemvura kunotungamira mukufema kwemweya.

Pulmonary edema inowanzo kukonzerwa ne congestive moyo kutadza. Kana moyo usingakwanise kupomba zvakanaka, ropa rinogona kudzoka mutsinga dzinotora ropa mumapapu.

Sezvo kumanikidza kuri mumidziyo yeropa uku kuchikwira, mvura inosundidzirwa munzvimbo dzemhepo (alveoli) mumapapu. Urume uhu hunoderedza kufamba kwakajairwa kweoksijeni kuburikidza nemapapu. Zvinhu zviviri izvi zvinobatana zvichikonzera kufema kwekufema.

Kuvhiringidzika kwemoyo kukundikana kunotungamira kune pulmonary edema kunogona kukonzerwa ne:

• Kurwadziwa kwemoyo, kana chero chirwere chemoyo chinoshayisa simba kana kuomesa mhasuru yemwoyo (cardiomyopathy)
• Kudonha kana kutetepa moyo mavharuvhu (mitral kana aortic mavharuvhu)
• Kamwe kamwe, kukwirira kweropa (hypertension)

Pulmonary edema inogona zvakare kukonzerwa ne:

• Mimwe mishonga
• Kukwirira kwakakwirira
• Itsvo kutadza
• Tsinga dzakadzikira dzinounza ropa kuitsvo
• Kukanganiswa kwemapapu kunokonzerwa nemweya une chepfu kana hutachiona hwakanyanya
• Kukuvara kukuru

Zviratidzo zvemapapu edema zvinogona kusanganisira:

• Kukosora ropa kana kufashaira kweropa
• Kunetseka kufema kana wakarara pasi (orthopnea)
• Kunzwa "mweya nzara" kana "kunyura" (Iyi kunzwa inonzi "paroxysmal nocturnal dyspnea" kana ichikonzera kuti umuke 1 kusvika 2 maawa mushure mekurara uye uchinetseka kubata mweya wako.)
• Kugunun'una, kugunun'una, kana kurira kurira nekufema
• Zvinetso kutaura muzvizere mitsara nekuda kwekufema kwekufema

Zvimwe zviratidzo zvinogona kusanganisira:

• Kushushikana kana kusagadzikana
• Kuderera padanho rekusvinura
• Gumbo kana dumbu kuzvimba
• Ganda rakachenuruka
• Kudikitira (zvakanyanyisa)

Anopa hutano anoita bvunzo dzepanyama dzakakwana.

Iye mupi anoteerera kumapapu ako nemoyo neiyo stethoscope kuti utarise:

• Mwoyo usina kujairika unonzwika
• Makatsemuka mumapapu ako, anonzi rales
• Kuwedzera kwemoyo moyo (tachycardia)
• Kukurumidza kufema (tachypnea)

Zvimwe zvinhu zvinogona kuoneka panguva yebvunzo zvinosanganisira:

• Gumbo kana dumbu kuzvimba
• Kusagadzikana kwemutsipa wako mutsinga (izvo zvinogona kuratidza kuti kune zvakawandisa mvura mumuviri wako)
• Pale kana bhuruu reganda ganda (pallor kana cyanosis)

Bvunzo dzinogona kuitika dzinosanganisira:

• Ropa makemikari
• Ropa okisijeni mazinga (oximetry kana arterial ropa magasi)
• Chest x-ray
• Yakazara kuverenga ropa (CBC)
• Echocardiogram (Ultrasound yemoyo) kuti uone kana paine matambudziko neshungu yemoyo
• Electrocardiogram (ECG) kutsvaga zviratidzo zvekurwadziwa kwemoyo kana matambudziko nemoyo mutinhimira

Pulmonary edema inowanzorapwa mukamuri rekukurumidzira kana muchipatara. Ungangoda kuve mune yevanonyanya kutarisirwa unit (ICU).

• Okisijeni inopihwa kuburikidza nechiso kumeso kana zvidiki zvepurasitiki machubhu anoiswa mumhino.
• Chubhu yekufema inogona kuiswa mumhepo (trachea) kuitira kuti ugone kubatanidzwa nemuchina wekufema (ventilator) kana usingakwanise kufema zvakanaka wega.

Chikonzero cheedema chinofanira kuzivikanwa nekurapwa nekukurumidza. Semuenzaniso, kana chirwere chemwoyo chakakonzera mamiriro acho, chinofanira kurapwa ipapo ipapo.

Mishonga inogona kushandiswa inosanganisira:

• Diuretics inobvisa huwandu hwemvura kubva mumuviri
• Mishonga inosimbisa mhasuru yemwoyo, inodzora kurova kwemoyo, kana kubvisa kumanikidza pamoyo
• Mimwe mishonga kana kutadza kwemoyo haisi iyo chikonzero chemapapu edema

Maonero anoenderana nechikonzero. Mamiriro acho anogona kuve nani nekukurumidza kana zvishoma nezvishoma. Vamwe vanhu vangangoda kushandisa muchina wekufema kwenguva yakareba. Kana ikasarapwa, mamiriro aya anogona kutyisidzira hupenyu.

Enda kuimba yekukurumidzira kana kufonera 911 kana iyo yemuno emergency nhamba kana uine matambudziko ekufema.

Tora mishonga yako yese sekurairwa kana iwe uine chirwere chinogona kutungamira kune pulmonary edema kana kushaya simba mhasuru yemwoyo.

Kuteedzera kudya kunovaka muviri kwakaderera mumunyu nemafuta, uye kudzora zvimwe zvinenjodzi kunogona kudzora njodzi yekukura nemamiriro aya.

Kusangana kwemapapu; Mvura yemapapu; Kusanganiswa kwepulmonary; Mwoyo kutadza - pulmonary edema

• Mapapu
• Kufuridzira system

Felker GM, Teerlink JR. Kuongororwa uye manejimendi yeakanyanya moyo kutadza. 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: chitsiko 24.

Matthay MA, Murray JF. Pulmonary edema. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 62.

Rogers JG, O'Connor CM. Kundikana kwemoyo: pathophysiology uye kuongororwa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 52.