Pulmonary hypertension: zviratidzo, zvinokonzera, kurapa

Pulmonary hypertension ndiro zita rinowanzoitwa neboka rezvirwere rinoratidzwa nekuwedzera kunowedzera mumapurmonary vascular resistance kunotungamirira kurudyi kwe ventricular uye, zvichiguma, kufa kusati kwasvika. Ichi chirwere chekutanga chakaonekwa muna 1891 naDr. Ernst von Romberg, uye muna 1973 pamusangano we WHO, kuedza kwakaitwa kuisa mutachiona weupemenia. Chokutanga, kupemha kwepermetheni yakapatsanurwa kuva yekutanga uye yechipiri. Kunyanya kuwedzera kwehuwandu hwehutachiona hwakaparadzana kuve kuparadzana, arterial, reticular uye thromboembolic mafomu. Gare gare, muna 1998, pamusangano wechipiri wakaitwa muEvian-les-Bains, yakakurudzirwa kuisa mishonga yeupemenia yepamusoro pamagariro ekuratidzira. Maererano nehuwandu hwemazuva ano, kune marudzi mashanu echirwere ichi: venous, arterial, thromboembolic, hypoxic uye yakavhenganiswa.

Kubudirira kwepermonary hypertension kunokonzerwa nekupeta zvishoma nezvishoma kwemwenje yemidziyo miduku uye miduku yemapinmoni. Mugumisiro wekutsvaira uku ndiko kugadzirisa kwakakwana kwemidziyo yeropa, kuwedzerwa kuwedzera mumidziyo yemapapu, kupinza kwemakamuri emwoyo kunowedzera . Kuwedzera kwehutano hwepulmonary ndeyeboka rezvirwere zvakasiyana-siyana, uye ruzivo pamusoro pavo runogara ruchizadza.

Pulmonary hypertension: zviratidzo.

Varwere vanonyunyuta pamusoro pokushayiwa simba, kuwedzera kuneta, kupera kwekufema, kurwadziwa kunokonzera uye kusagadzikana muhafu yakasara yebhokisi, kupera simba, uye kuzvimba kwemakumbo. Zviratidzo zvinogona kusiyana zvakasimba uye zvinoenderana nekuoma kwechirwere. Kune machina mana anoshandiswa mashoma emapurmonary hypertension. Iboka rine kirasi yekutanga yepimpempa yeupemeniti inosanganisira varwere vane dambudziko nekushanda nesimba kwakasimba; Kukirasi yechipiri yehutano hwepamusoro varwere vanonzwa vanowanzozorora, asi kunyange nemitoro inononoka ivo vane kupera kwekufema, kushaya simba, kurwadziwa kwepfupa uye chirwere. Varwere vane kirasi yechitatu yepemonta yeupemhasi vanoziva zviratidzo zviri pamusoro apa kunyange nekunetseka kwemhuri. Kirasi yechina yepemonta yehutachiona yakarongedzwa nevarwere vasingakwanisi kurwisa zvishoma zvishoma muviri, uye kunyange murugare vanotambura neutera uye dyspnea.

Nzvimbo inokosha pakati pezvikonzero zvinokonzerwa nepemmonary hypertension ndiyo yakasiyana-siyana yakasiyana-siyana yemapapu chirwere-chronic chronic bronchitis, inowanikwa mune 90% yevanhu vanoputa. Mukuwedzera, chirwere chepachimona chepfungwa ndechimwe chinetso chinowanzoitika mumoyo wekushungurudzika kwemaviri mukati mevarwere vane urombo hwemwoyo kutambura nehutachiona hwehutori uye zvirwere zvinopisa zvemyocardium. Uyezve, chirwere ichi chinowanzokwanika kune varwere vane zvirwere zvakasiyana-siyana zve autoimmune pathologies, zvakadai se rheumatoid arthritis, lupus erythematosus uye scleroderma.

Pulmonary hypertension: kurapa uye kudzivirira.

Kurapa kwechirwere chakadai chakadai sepermonary hypertension ndechimwe chezvinhu zvakaoma zvikuru zvevechiremba nevarapi. Pari zvino, nhamba dzinoverengeka dzezvivako zvekurapa uye tsvakurudzo yehutachiona ichi zvakasikwa munyika yose. Kurapa kwechirwere ichi kunosanganisira zvinangwa zvinopedzisira zvichiita kuti kuderedza kuwedzera kwechirwere chechirwere chacho. Izvi zvinosanganisira: kudzivirira kubata pamuviri, kurwisa zvirwere zvepneumococcal uye fenza, kugadziriswa kugadziriswa, kutsigirwa kwepfungwa uye zvekuita basa.

Chinangwa chikuru mukurapa kwepermonary hypertension ndechokubvisa chikonzero chekuitika kwaro, pamwe nekuderedza kushanda kweropa mumapirmita arteri, kudzivirira kuumbwa kweropa. Nzira yekurapa inosanganisira:

- kugamuchirwa kwevasodilator, kushanda kunonoka pamusana unotapira mutsara wemidziyo. Izvi zvinosanganisira prazosin, hydralazine uye nifedipine;

- kugamuchirwa kwemagadzirirwo-anticoagulants echinhu chisina kujeka, icho chaanoita chinogadzirisa kuderedzwa kwemazizi eropa - acetylsalicylic acid, dipyridamoleal, etc;

- inhalation ye oksijeni panguva ye hypoxia uye yakaoma dyspnea;

- kutora diuretics.

Mumatambudziko akaoma, kushandiswa kwemwoyo uye mapapu kunoshandiswa.