Kuwedzera kwehutachiona hwepulmonary-yakagadziriswa ropa mukati mepatronary artery-ihwo hutachiona hunokonzera zvikonzero zvakawanda. Kune vanachiremba, kunzwisisa chinokonzerwa nemapiritsi ehutachiona hwepachimure inotora matanho ekutanga pakugadzirisa nezvehutano hwakanaka.
Kurondedzera Pulmonary Hypertension
Sezvo zvikonzero zvinokonzerwa nepermonary hypertension zvakasiyana-siyana, zvinobatsira kuzviisa muzvikamu zvakasiyana.
Mukuedza kuenzanisa kusarudzwa kwepemonta yehutachiona-kuitira kuti kana vanachiremba nevatsvakurudzi vakurukura zvikonzero zvakasiyana-siyana zvavachange vachitaura mutauro mumwechete-World Health Organization (WHO) yakabudisa hurongwa hutsva hwekugadzirisa hunova hwekupedzisira.
Izvi zvisati zvaitika, hutachiona hwehutachiona hwaiwanzoparadzaniswa muzvikamu zviviri zvakadzika: primary kana idiopathic (umo pasina chikonzero chinogona kuonekwa), uye chechipiri (mune izvo zvikonzero zvinowanikwa zvakawanikwa). Zvisinei, dzakawanda zvemhando dzechipiri chepachimona chepachimona dzakagadziriswa kuti izvi zvisiri nyore zvekugadzirisa zvikava zvisina kukwana.
WHO Classification of Pulmonary Hypertension
Iyo itsva WHO inoshandiswa kuedza kuve yakanyatsojeka pamusoro pemagadzirirwo emakemikari eupemenia, uye kutarisirwa kwekutarisira kurapwa. Icho chinhu chakakosha chekugadzirisa maitiro kune nyanzvi pamusoro pemapemetheni yerupemha, asi kune varwere uye kune vamwe vanachiremba zvinogona kuonekwa kunge zvisingambovhiringidzi.
Izvi zvinonyanya kukosha nokuti iyi itsva maitiro ehurumende haisi yakanyatsorongeka zvakarongeka maererano nekugadzirisa kwechikonzero chinokonzera chirwere cheupemenia , asi, zvinoratidzika sechinhu chisingaiti.
IWIV classification system inoparadzanisa mishonga yeupemenia muzvikamu zvishanu:
- Boka 1: Bhuku iri rinosanganisira kushungurudzika umo chirwere chepachimona chepachimona chinosanganiswa nechakaipa mumatavi mashoma emapurmita arterio, arterioles. Mhando dzinoverengeka dzemakemikari eupemetheni dziri muboka reChitatu 1, kusanganisira idiopathic mishonga yepamusoro yeupemha, uye kupemha kwehutachiona nekuda kwemhando dzakasiyana siyana dzehutachiona hwakaita seHIV , zvinokonzera matambudziko zvakadai se scleroderma , zvinokonzera fenfluramine, amphetamines uye cocaine; uye mamwe marudzi ehutachiona hwemwoyo.
- Boka repiri: Bhuku iri rinosanganisira chirwere chepfungwa chakakonzerwa nehosha yakasara yemwoyo yakadai sehutachiona, diastolic dysfunction , mitral stenosis , mitral regurgitation , aortic stenosis , uye aortic kudzoka zvakare .
- Boka rechitatu: Boka iri rinosanganisira kupemha kwepemonta yepamusoro nekuda kwematambudziko emapapu, zvakadai sechirwere obstructive chirwere chemapapu.
- Boka rechina: Boka iri rinosanganisira kupemha kwepemonta yepamusoro pamusana pemapummoni embolus (ropa maziso anoenda kumapapu) kana kupora kwemapapu (ropa rinoputika mumapapu).
- Girasi 5: Boka iri rinosanganisira kupora mishonga yepamusoro nemhaka yezvimwe zvinokonzera zvinokonzera, izvo zvisingakodzeri mune mamwe mana mana.
Summary
I WHO classification of pulmonary hypertension inobatsira kune vanyori vanobata nguva nenguva nevarwere vane pulmonary hypertension. Asi iyo yakaoma yakaenzana yehurongwa nehutano husinganzwisisiki (naizvozvo inofanirwa kuve yepamusoro pane "yakarongedzwa"). Kana iwe une pulmonary hypertension, haufaniri kunetseka pamusoro pehutano hwehutano. Chinhu chakakosha kwauri hachisi iwe unoita kuti chirwere chako chepachimhesi chinoratidzirwa, asi pane kudaro, kuti chiremba wako anoita chero zvakakosha kuti aone chikonzero chaicho chemamiriro ako kuitira kuti kurapwa kwako kuve kwakagadzirirwa zvakakodzera.
> Sources:
> Simonneau G, Gatzoulis MA, Adatia I, et al. Updated Clinical Classification of Pulmonary Hypertension. J Am Coll Cardiol 2013; 62: D34.