Chirongwa chemapurmoni chinokonzerwa kana chero chinhu chipi zvacho chekune imwe nyika chinogara uye chichidzivirira utachiona hwemapurmeni kana imwe yematavi awo. Kazhinji kacho, zvinyorwa zvekune dzimwe nyika inopa ropa rinowedzera, asi dzimwe nguva (kazhinji) mamwe mamiriro ezvinhu angave akakanganisa.
Kubatana kwepulmonary chirwere chinowanzoshandiswa mune zvehutano. Inowanzobereka chirwere chakakomba uye rufu uye inowanzoita vanenge 100 000 vakafa gore negore muUnited States chete.
Zvisinei, inobatanidza nehuwandu hwehupenyu hwehutano hunenge huri mukati mako.
Kazhinji Cause
Nechikonzero chinowanzovhiringidza chepammonary embolus is deep vein thrombosis . Kana thrombus (ropa clot) yakaumbwa mumvura yakawanda inoputika (embolizes), inofamba nenzira yakarurama yemwoyo , uye inogaramo mumapurmonary circulation, inova mapurmonary embolus.
Chirongwa chepulmonary uye chirwere chepfungwa chinopindirana zvakanyatsobatanidzwa pamwe chete, kuti, kana chiremba akacherechedza kana kuti akangoshuva chimwe chezviitiko izvi, iye achangobva kutsvaga humwe uchapupu hwokuti imwe mamiriro ezvinhu aripo zvakare.
Zvinokonzera Zvinokonzera
Kazhinji, mimwe mitemo kunze kwepakadzika yepinein thrombosis inogona kukonzera chirwere cheplmmum chinogona kukonzera chirwere chinorwara kana rufu. Izvi zvimwe zvinosanganisira:
- Fat embolism. Mafuta ekumbumbumadza anogona kuitika kana mafuta ane hutachiona akanganisa kana kuti akabatwa, zvichiita kuti zvikamu zvemafuta mashoma zvipinde mumasaisai, apo vanogona kugara mumapurmonary circulation. Chikonzero chinonyanya kukanganisa mafuta embolism kuputika kwemapanga kana mapfupa marefu, ane marora ane mazana akawanda emafuta.
- Air embolism. Kana mhepo inopinda inopararira inogona kuvhara arteriyamu arteri kana imwe yeropa. Kupindira kwemhepo kunokonzerwa nemhando ipi zvayo yekuvhiya, mechanical ventilation, kana mumarudzi akasiyana anokwira nokukurumidza.
- Amniotic fluid embolism. Kazhinji, amniotic fluid inogona kupinda mumharapakati panguva yakaoma yekubereka uye inobereka pimpumu embolism yakaoma. Ichi chiitiko, nerufaro kazhinji zvisingawanzozivikanwi, zvinotyisa zvikuru upenyu.
- Tumor embolism. Kana kenza yemasere inopinda mumakwikwi akawanda muzana inogona kuvhara midziyo yemapinmoni. Izvi zvinokonzerwa nekenza kazhinji zvinowanzoonekwa kune vanhu vane chinenge chinopedzisira-chirwere chirwere.
Risk Factors
Nemhaka yekuti mishonga inoputika inenge nguva dzose inokonzerwa nehupamhi yehuputi hwehupenzi, zvinokonzerwa nematambudziko emamiriro maviri aya zvakafanana zvakafanana.
Izvi zvinosanganisira njodzi dzinoenderana nemararamiro evanhu, kusanganisira:
- Kwete kuwana maitiro okuita zvakakwana. Kuva netsika kunowedzera kukuvadza kweveousous, izvo zvinoita kuti ropa rive rakagadzirwa mumakumbo makuru.
- Kuva kunyanyisa. Kutakura uwandu hwakawandisa kunokurudzira kuisa ropa mukati memawere emumucheto wakadzika.
- Kusvuta. Kusvuta kunokonzera kuputira mumidziyo yeropa, izvo zvinogona kutungamirira pakuputika kwakanyanya. Kutaura zvazviri, kusvuta inonyanya kuisa njodzi inokonzerwa nekusava neropa rekuvhara ropa.
Mukuwedzera kune izvi zvisingaperi, mararamiro anokonzerwa nemararamiro ehupenyu, kune mamwe mamiriro ezvinhu anogona kukura zvikuru mungozi yemunhu weplmm embolus. Zvimwe zvezvipingamupinyi izvi ndezvenguva pfupi kana zvisizvo mumamiriro ezvinhu; zvimwe zvinogadzira chimwe chisingagumi, kwenguva yakareba pangozi yeplmm embolus:
- Kuvhiya kwemazuva ano, kuporesa, kana kushungurudzika kunotungamirira kukurasikirwa kwakanyanya.
- Rwendo rurefu runotungamirira pakugara kwenguva refu.
- Kutambudza kunokonzera kukanganisa kwemuviri kunogona kutungamirira kuvhara ropa.
- Kuberekwa.
- Mishonga, kunyanya kuzvidzora mapiritsi, hormone replacement therapy , testosterone supplement , tamoxifen , uye anti-depressants.
- Chirwere chisingaperi chechiropa.
- Chirwere chisingaperi chepfungwa.
- Inokosha cardiovascular disease, kunyanya mwoyo kusagadzikana .
- Kuva nechirwere chakadzika chepinse kana kuti mapurmonary embolus munguva yakapfuura.
- Zvimwe zvizvarwa zvinogona kuita kuti ropa risakanganiswa (rakagadzirirwa kuvhara).
Chero ani zvake ane imwe yemamiriro ezvinhu aya anofanira kuita zvose zvaanokwanisa kuderedza zvinhu zvinopisa pasi pekudzivirira kwavo kuderedza dambudziko ravo rekudzivirira hutachiona hwemapfupa uye humuviri hwemapapu.
Kuwana zvakawanda zvekudzidzira uye kuchengetedza uremu mukutonga zvakakosha; kusvuta kunotyisa.
> Sources:
> Alotaibi GS, Wu C, Senthilselvan A, McMurtry MS. Nzvimbo dzeMitemo yekuitika uye Kufa kweChirwere Chinoshamisa Thromboembolism: Chidzidzo cheBAB-VTE-Based Based. Am J Med 2016; 129: 879.e19.
> Søgaard KK, Schmidt M, Pedersen L, et al. Kufa Kwegore Kwemakore 30 Pashure pekuuya kweTromboembolism: Chidzidzo cheVanhu-Based Based Cohort. Circulation 2014; 130: 829.doi: 10.1161 / CIRCULATIONAHA.114.009107.
> Chiremba Mukuru Wekuita Kushanda Kuita Kudzivirira Mvura Yakadzika Thrombosis Uye Pulmonary Embolism. United States Dhipatimendi Rezvoutano neHuman Services, 2008.