Kuchepetsa matenda opatsirana kwa magazi-kunayambitsa kuthamanga kwa magazi mkati mwa mitsempha ya pulmonary-ndi vuto lalikulu limene limayambitsa zambiri. Kwa madokotala, kumvetsa chifukwa chake munthu amayamba kuthamanga kwambiri ndi matenda oopsa kwambiri.
Kuyeza Kuthamanga Kwambiri kwa Pulmonary
Chifukwa chomwe zimayambitsa matenda a m'magazi ndi osiyanasiyana, zimathandiza kuzigawa m'magulu osiyanasiyana.
Poyesera kuika ndondomeko ya chiwopsezo cha m'magazi-kuti madokotala ndi ochita kafukufuku akambirane zomwe zimayambitsa chilankhulo chomwecho - World Health Organization (WHO) yatulutsa dongosolo latsopano lachigawo lomwe lakhala lokhazikika.
Zisanayambe dongosolo latsopanoli, chiwopsezo cha m'magazi chimagawidwa m'magulu awiri okha: choyamba kapena chodziwika bwino (chomwe palibe chifukwa chachikulu chomwe chingadziwike), ndi chachiwiri (chomwe chimayambitsa chifukwa). Komabe, mitundu yambiri yapachilombo yapamwamba yapoponopeni yadziwika kuti dongosolo losavuta la magawo linasintha.
Kachilombo ka WHO ka Pulmonary Hypertension
Ndondomeko yatsopano ya WHO imayesetsa kumveketsa bwino za momwe magazi amapangidwira, komanso kuyankhidwa kwa mankhwala. Ndi njira yabwino yopangira akatswiri pa matenda a m'magazi, koma odwala ndi madokotala ena akhoza kuwoneka wosokoneza.
Izi ndi zoona makamaka chifukwa dongosolo latsopanoli silikonzedweratu molingana ndi zomwe zimayambitsa matenda a m'magazi , komabe, zimawoneka ngati zosasintha.
Gawo la WHO limagaŵira kupatsirana kwapachipatala m'magulu asanu:
- Gulu 1: Gululi limaphatikizapo vuto lomwe chimfine cha m'magazi chimagwirizanitsa ndi zovuta m'magulu ang'onoang'ono a mitsempha ya pulmonoles. Mitundu yambiri ya mfupa ya m'magazi imakhala m'gulu la Gulu 1, kuphatikizapo matenda oopsa a m'magazi, ndi kupatsirana kwapachipatala chifukwa cha mitundu yosiyanasiyana ya matenda monga HIV , matenda omwe amatenga matenda monga scleroderma , poizoni monga fenfluramine, amphetamines ndi cocaine; ndi mitundu ina ya matenda opatsirana mtima.
- Gulu 2: Gululi limaphatikizapo kupatsirana kwapachipatala komwe kumayambitsa matenda a mtima monga kumbali, matenda a diastolic , mitral stenosis , mitral regurgitation , aortic stenosis , ndi aortic .
- Gulu 3: Gululi limaphatikizapo kuthamanga kwa magazi chifukwa cha matenda a mapapu, monga matenda osapuwala a m'mapapo.
- Gulu 4: Gululi limaphatikizapo kuthamanga kwa mthupi chifukwa cha kupuma kwa magazi (magazi omwe amapita kumapapo) kapena pulmonary thrombosis (magazi omwe amapanga m'mapapo).
- Gulu lachisanu: Gululi limaphatikizapo kuthamanga kwa magazi chifukwa cha zifukwa zina zosiyana, zomwe sizikugwirizana ndi magulu anayi ena.
Chidule
Gulu la WHO la matenda opatsirana ndi mpweya ndi lothandiza kwa akatswiri omwe amachitira kawirikawiri ndi odwala omwe ali ndi matenda oopsa a pulmonary. Koma ndi dongosolo lovuta kumagwirizana ndi lingaliro lochepa (choncho liyenera kuloweza pamtima osati "kulingalira"). Ngati muli ndi matenda oopsa kwambiri, simuyenera kudandaula za dongosolo la magawo. Chinthu chofunika kwambiri kwa inu si momwe matenda anu opatsirana amagazi amatchulidwira, koma kuti dokotala wanu achite chilichonse chofunikira kuti adziwe chifukwa chake cha matenda anu kuti chithandizo chanu chikhale choyenera.
> Zotsatira:
> Simonneau G, Gatzoulis MA, Adatia I, ndi al. Kusinthidwa Kachilombo ka Kachilombo ka Pulmonary Hypertension. J ndi Coll Cardiol 2013; 62: D34.