Chirwere chepemonta chirwere chekufa kwechikamu chemapapu emapapu chinokonzerwa nokupererwa kweropa rayo, kazhinji nekuda kwekuvhara mumidziyo yeropa inopa mapapu emapapu.
Zviratidzo zvePulmonary Infarction
Zviratidzo zvepirmato infarction zvinogona kunge zvakasiyana. Kazhinji maperembudzi anoputika anowanikwa nehemoptysis (kukwira kweropa), fivha, dyspnea (kukurumidza kufema), uye / kana pleuriy -marwadzo akafanana (marwadzo emapfupa munzvimbo yechipfuti paanenge achifema).
Mune zvimwe zviitiko, zvisinei, chirwere cheplummine chinokonzera pasina zviratidzo. Muzvokwadi, chirwere chekare chemapurmoni chinowanzoonekwa sechinhu chisingaoneki chichiwana apo dhizha kana masero inowanikwa pamutemo wechivako x-ray.
Zvinokonzera Pulmonary Infarction
Pakave kure, chikonzero chinowanzovhiringidza chepammonary infarction is pulmonary embolism (ropa rinoputira kumapapu). Zvisinei, dzimwe mimwe mishonga inorapa inogona kukonzera chirwere chemapemonti, kusanganisira kenza, zvirwere zvekudzivirira muviri zvakadai se lupus , zvirwere zvakasiyana-siyana, sickle cell sezvirwere , infiltrative mapapu emapapu akadai seamyloidosis , kana kuti kuumbwa kwemweya kana zvimwe zvinhu kubva mune catheter inopisa.
Chero chero chinokonzera, maperembudzi anoparadzaniswa haawanzovi, nokuti mapundu emapapu ane zvinhu zvitatu zvinokonzera oksijeni: mishonga yemapurmoni, mishonga inouraya (arteri inopa bruchichial muti), uye alveoli ivo (air bags mumapapu).
Izvi zvinoreva kuti zvipembenene zvepermonary zvinowanzoonekwa kuvanhu vane zvipembenene zvepapu zvirwere, zvakadai sechirwere chinoparadza chirwere chemapapu .
Kurapa kwePulmonary Infarction
Kurapa kwepermonary infarction kunosanganisira kutarisira kutsigira uye kutungamirirwa kwemamiriro ezvinhu.
Kutsigira kunotsigira kunosanganisira kuchengetedza ropa rakakwana mumhepo nekupa oksijeni uye kurwadza kunorwadza kuita kuti kufema kuve nyore. Kana ropa rakakwana oxygen risingagoni kuchengetedzwa nekubudisa okisijeni neanal cannula kana kutarisana nemasikiti, murwere angave achida kuiswa mukati uye kuiswa pavheti.
Zvimwe kurapwa zvinoenderana nekufungidzirwa kwechikonzero chinokonzera. Kushatirwa kwechisimba kunofanira kuiswa kwe sickle cell nhamo kana utachiona kana zvikonzero izvi zvichiita sezviri nyore. Mushonga unofanirwa kuendeswa (kana zvichibvira) kune chero chirwere chipi nechipi chinokonzera dambudziko, uye nzira dzokurapa dzinoda kuongororwa kana kenza ndicho chikonzero.
Zvisinei, muhuwandu hwemakwenzi, mapirmaria anoparadzaniswa anokonzerwa neplmonary embolus. Mune zviitiko izvi, kurapwa kunosanganisira, mune zvekuchengetedza kunotsigira, chigadzirwa cheanticoagulant mishonga, kazhinji ne heparin inopisa, inoteverwa mumazuva mashomanana nemuromo anticoagulant.
Zvisinei, mumamiriro ezvinhu apo mapurmonary embolus isimba uye inoita kunge iri kubudisa hukuru hwemapummonti, kana kunyanya kana ropa richiyerera kumapapu zvakanyanyisa zvokuti hutachiona hwemwoyo hunodonha, zvinogona kudiwa kuti utungamirire fibrinolytic ("clot-busting ") Zvinodhaka kuedza kusunungura chivharo chinodzivisa kuteura ropa.
Iyo ngozi yakawanda inoshandiswa pakushandisa mishonga yakadai, mumamiriro ezvinhu aya, inopererwa nehuwandu hwekufa kwekufa kana jira rinoramba riripo.
Uye kana mamiriro acho akaoma zvakakwana, zvingave zvakakosha kuedza nzira yekuvhiya kubvisa kubvisa kwekuvhara.
> Sources:
> Parambil JG, CD Savic, Tazelaar HD, et al. Zvinokonzera uye Kuendesa Zvikamu zvePulmonary Infarctions mumatambudziko 43 Anozivikanwa Nokugadzirwa Kwemapfupa Anopera. Chest 2005 Apr; 127 (4): 1178-83.
> Kucher N, Goldhaber SZ. Kutungamirirwa kweMassive Pulmonary Embolism. Circulation 2005; 112: e28.
> Kabrhel C, Jaff MR, Channick RN, et al. Bhuku rinonzi Multidisciplinary Pulmonary Embolism Response Team. Chest 2013; 144: 1738.