Matenda opatsirana mwa veno

Matenda a m'mapapo mwanga (PVOD) ndimatenda osowa kwambiri. Zimayambitsa kuthamanga kwa magazi m'mitsempha yam'mapapo (pulmonary hypertension).

Nthawi zambiri, chifukwa cha PVOD sichikudziwika. Kuthamanga kwa magazi kumachitika m'mitsempha yama pulmonary. Mitsempha yamapapu iyi yolumikizidwa mwachindunji kumanja kwa mtima.

Vutoli limatha kukhala logwirizana ndi matenda a virus. Zitha kuchitika ngati zovuta zamatenda ena monga lupus, kapena kupatsira mafuta m'mafupa.

Matendawa amapezeka kwambiri pakati pa ana komanso achinyamata. Matendawa akukulirakulira, amayambitsa:

• Mitsempha yamafupa yochepetsedwa
• Mitsempha yamagazi imathamanga
• Kuchulukana ndi kutupa kwa mapapo

Zomwe zingakhale pachiwopsezo cha PVOD ndi izi:

• Mbiri yakubanja kwa vutoli
• Kusuta
• Kuwonetsedwa pazinthu monga trichlorethylene kapena chemotherapy mankhwala
• Systemic sclerosis (vuto la khungu lokhazikika)

Zizindikiro zimatha kuphatikizira izi:

• Kupuma pang'ono
• Chifuwa chowuma
• Kutopa poyeserera
• Kukomoka
• Kutsokomola magazi
• Kuvuta kupuma mutagona pansi

Wothandizira zaumoyo adzakufunsani ndikufunsani za mbiri yanu yamankhwala ndi zomwe mukudziwa.

Mayeso atha kuwulula:

• Kuwonjezeka kupanikizika m'mitsempha ya m'khosi
• Kalabu yazala
• Mtundu wabuluu wakhungu chifukwa chosowa mpweya (cyanosis)
• Kutupa m'miyendo

Wothandizira anu amatha kumva mawu osazolowereka akamamvera pachifuwa ndi m'mapapu ndi stethoscope.

Mayesero otsatirawa akhoza kuchitika:

• Mitsempha yamagazi yamagazi
• Magazi oximetry
• X-ray pachifuwa
• Chifuwa CT
• Catheterization yamtima
• Kuyesa kwa mapapo
• Zojambulajambula
• Chifuwa chamapapo

Pakadali pano palibe mankhwala odziwika othandiza. Komabe, mankhwala otsatirawa atha kuthandiza anthu ena:

• Mankhwala omwe amakulitsa mitsempha yamagazi (vasodilators)
• Mankhwala omwe amayang'anira chitetezo cha mthupi (monga azathioprine kapena steroids)

Kuika m'mapapo kungafunike.

Zotsatira zake nthawi zambiri zimakhala zochepa kwambiri mwa makanda, ndikumapulumuka kwamasabata ochepa chabe. Kupulumuka mwa akulu atha kukhala miyezi mpaka zaka zochepa.

Zovuta za PVOD zitha kuphatikiza:

• Kuvuta kupuma komwe kumakulirakulira, kuphatikiza usiku (kupumula kwa tulo)
• Matenda oopsa
• Kulephera kwa mtima kumanja (cor pulmonale)

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za matendawa.

Matenda opatsirana a vaso

• Dongosolo kupuma

Chin K, Channick RN. Matenda oopsa. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi.Philadelphia, PA: Elsevier Saunders; 2016: chap 58.

Churg A, Wright JL. Matenda oopsa. Mu: Leslie KO, Wick MR, olemba., Eds. Njira Zothandiza M'mapapo mwanga: Njira Yodziwira. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 12.

Mclaughlin VV, Humbert M. Pulmonary matenda oopsa. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 85.