Kune zvakawanda zvinokonzera kupemha kwepermonta . Kana iwe une pulmonary hypertension, danho rekutanga rinokosha pakusarudza pamusoro pekurapa kwakanakisisa ndiko kuziva chikonzero chinokonzera mamiriro ako. Zvichida, izvi ndechokuti kubata nechisimba chikonzero chinokonzera, mumatambudziko mazhinji, nzira yakanakisisa yekudzivirira kana kuderedza kufambira mberi kwepemonta yeupemha.
Munguva pfupi yapfuura, World Health Organization (WHO) yakaronga zvikonzero zvinokonzerwa nehutachiona hwepachimona mumapoka mashanu (Groups I kupitia V). Kunyange zvazvo izvi zvitsva zvirongwa zvichinyanya kukoshesa, zvinonyatsojeka kune varwere vari kurarama nemamiriro ezvinhu aya kuti vafunge sokunge ine zvikamu zviviri chete: chikamu chepamusoro uye chechipiri mapepa ekudzvinyiriridza.
- Heino ye WHO WHO classification for pulmonary hypertension , kana iwe uchida kuverenga pamusoro payo zvakadzama.
Primary Pulmonary Hypertension
Primary pulmonary hypertension - inonziwo idiopathic mishonga yepamusoro-soro - zvinoreva kuti hapana chikonzero chinogona kuonekwa nokuda kwechiitiko. Primary primary pulmonary hypertension is rare (in 1 or 2 people out of a million), uye inowanzoitika kune vakadzi kupfuura varume. Iko zvino inofungidzirwa kuti dzakawanda zviitiko zvepakutanga zvirwere zvepachimani zvinokonzerwa neine genetic defect.
Kurapa kwepermonary hypertension zvakanyanya kunotsigira pakurapa chinokonzera chikonzero, saka vanachiremba havafaniri kugadzirisa kuongororwa kwepamusoro yepemenicular hypertension kusvikira mhando dzose dzepachipiri yemapupa yechirwere yakanyanya kubudiswa kunze.
Secondary pulmonary hypertension
Izwi rokuti "secondary" chirwere chepachimani chepfungwa rinongoreva kuti kupemha kwepachimona kwakakonzerwa nechimwe chikonzero chekurapa kwechirwere.
Kana iwe une pulmonary hypertension, zvakakosha kuti usiye dombo risina kubviswa mukuedza kuziva chikonzero chinokonzera.
Zvirwere zvinogona kubudisa mishonga yeupemenia zvinosanganisira kushungurudzika kwemwoyo, matambudziko emapapu, zvirwere zvinokonzerwa nemaronda, zvinodhaka, uye kuputika kwemamwe marapirwo.
Kushushikana kwekemikari kunogona kuita kuti pulmonary hypertension inosanganisira:
- Cardiomyopathy
- Diastolic dysfunction
- Mitral stenosis kana mitral regurgitation
- Aortic stenosis kana kuti aortic kudzoka
- Constrictive pericarditis
- Congenital chirwere chemoyo
Mhando mbiri dzechirwere chepfungwa chinokanganisa, kunyanya, dzinogona kupona kuziva kusvika iwe uchisvika pakukura uye unotanga kuratidza zviratidzo zvepemonta yeupupuriro. Izvi ndizvo zvinokonzerwa neatrial septal uye ventricular septal defect.
Matambudziko anokonzerwa nemaperembudzi anogona kukonzera chirwere chepachimona chepfungwa chinosanganisira:
- Chirwere chekudzivirira chirwere chepachimona (COPD)
- Interstitial lung disease
- Kurara kuputika
- Chronic pulmonary embolus
Zvirwere zvinokonzerwa nehutachiona zvinogona kukonzera chirwere chepachimona chepfungwa chinosanganisira:
Zvinodhaka zvinogona kukonzera pulmonary hypertension dzinosanganisira:
- Chido chinodzvinyirira zvinodhaka fenfluramine, dexfenfluramine, uye diethylpropion
- Amphetamines, methamphetamines, uye cocaine
Zvimwe zvirwere zvinogona kukonzera chirwere chepachimona chepfungwa chinosanganisira:
- HIV / AIDS
- Schistosomiasis
- Mhando dzakasiyana dzezvirwere zvechiropa
- Chronic hemolytic anemia
Summary
Kune zvikonzero zvakawanda zvepermonary hypertension, izvo zvinogona kuita kuti chikonzero chinokonzera chive chakaoma. Kunyange zvakadaro, nokuti kurapwa kunonyanya kugadziriswa pachikonzero chinokonzera, kana iwe une pulmonary hypertension zvakakosha zvikuru kutora chero matanho angave akadikanwa kuti uwane chinokonzera chikonzero chako.
Sources:
Galie, N, Hoeper, MM, Humbert, M, et al. Mirayiridzo yekuongororwa uye kurapwa kwepermonary hypertension. Eur Respir J 2009; 34: 1219.