Matenda a hepatopulmonary: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zake ndi ziti
• Zomwe zimayambitsa matenda a hepatopulmonary syndrome
• Momwe matendawa amapangidwira
• Chithandizo chake ndi chiyani

Matenda a Hepatopulmonary amadziwika ndi kuchepa kwa mitsempha ndi mitsempha ya m'mapapo yomwe imapezeka mwa anthu omwe ali ndi kuthamanga kwa magazi pamitsempha ya chiwindi. Chifukwa chakukula kwa mitsempha ya m'mapapu, kugunda kwa mtima kumawonjezeka ndikupangitsa magazi omwe amaponyedwa mthupi kuti asakhale ndi mpweya wokwanira.

Chithandizo cha matendawa chimapangidwa ndi mankhwala a oxygen, kuchepa kwa kuthamanga kwa zotsekera zapakhomo ndipo, pamavuto oopsa, kusamutsa chiwindi.

Zizindikiro zake ndi ziti

Zizindikiro zomwe zimatha kupezeka mwa anthu omwe ali ndi matendawa ndi kupuma movutikira akaimirira kapena atakhala. Kuphatikiza apo, anthu ambiri omwe ali ndi matenda a hepatopulmonary syndrome amakhalanso ndi zisonyezo zamatenda amtenda a chiwindi, omwe amatha kusiyanasiyana, kutengera vuto lomwe limayambitsa.

Zomwe zimayambitsa matenda a hepatopulmonary syndrome

Pazinthu zabwinobwino, endothelin 1 yopangidwa ndi chiwindi imagwira ntchito yoyang'anira mawonekedwe am'mapapo am'mimba ndipo ikagwirizana ndi zolandilira zomwe zimakhala mumisempha yosalala, endothelin 1 imatulutsa vasoconstriction. Komabe, ikamangirira zolandilira zomwe zili m'mapapo am'mapapo endothelium, zimatulutsa kuphulika chifukwa cha kaphatikizidwe ka nitric oxide. Chifukwa chake, endothelin 1 imayesa mphamvu yake ya vasoconstrictor ndi vasodilator ndipo imathandizira kukhalabe ndi mpweya wabwino m'mapapo mwake.

Komabe, kuwonongeka kwa chiwindi kumachitika, endothelin imafika m'mapapo ndikuyenda mosakanikirana ndi pulmonary vascular endothelium, kulimbikitsa kupindika kwa m'mapapo mwanga. Komanso, mu matenda enaake pali kuchuluka kwa chotupa necrosis chinthu alpha, amene amathandiza kuti kudzikundikira macrophages mu lumen wa zotengera m'mapapo mwanga kuti yotithandiza kupanga nitric okusayidi, komanso zimayambitsa vasodilation m'mapapo mwanga, kulepheretsa oxygenation onse magazi opopedwa.kupita kumapapu.

Momwe matendawa amapangidwira

Matendawa amapangidwa ndikuwunika kwamankhwala ndi mayeso monga kusiyanitsa zithunzi, mapiritsi a nyukiliya, kuyesa ntchito yamapapo.

Kuphatikiza apo, adokotala amathanso kuyeza kuchuluka kwa mpweya m'magazi kudzera mu oximetry. Onani zomwe oximetry ndi momwe amayeza.

Chithandizo chake ndi chiyani

Chithandizo chachikulu cha hepatopulmonary syndrome ndikuwongolera mpweya wowonjezera kuti muchepetse kupuma pang'ono, komabe pakapita nthawi kufunika kowonjezerako kwa oxygen kumatha kuwonjezeka.

Pakadali pano, palibe chithandizo chamankhwala chomwe chawonetsedwa kuti chasintha kwambiri ndikusintha mpweya wabwino. Chifukwa chake, kuziyika chiwindi ndiye njira yokhayo yothandiza yothanirana ndi vutoli.