Ciwon Hepatopulmonary: menene shi, cututtuka da magani

Wadatacce

• Menene alamun
• Abin da ke haifar da cututtukan hepatopulmonary
• Yadda ake ganewar asali
• Menene maganin

Ciwon cututtukan Hepatopulmonary yana tattare da yaduwar jijiyoyi da jijiyoyin huhu waɗanda ke faruwa a cikin mutane masu cutar hawan jini a cikin tashar hanta. Saboda fadada jijiyoyin huhu, bugun zuciya yana ƙaruwa yana haifar da jinin da ake tsomawa cikin jiki don rashin isashshen oxygen.

Maganin wannan ciwo ya ƙunshi maganin oxygen, raguwa a cikin matsi na jijiya na ƙofa kuma, a cikin mawuyacin yanayi, dasa hanta.

Menene alamun

Alamomin da zasu iya faruwa ga mutane masu wannan ciwo sune ƙarancin numfashi lokacin tsayawa ko zaune. Bugu da kari, galibin mutanen da ke fama da cutar ciwon hanta suma suna da alamun cutar hanta mai ciwuwa, wacce za ta iya bambanta, ya danganta da matsalar da ke haifar da ita.

Abin da ke haifar da cututtukan hepatopulmonary

A karkashin yanayi na yau da kullun, endothelin 1 da hanta ya samar yana da aikin daidaita sautin jijiya na huhu kuma lokacin da ya danganta ga masu karɓa da ke cikin ƙwayar tsoka mai santsi, endothelin 1 yana samar da vasoconstriction. Koyaya, lokacin da yake ɗaure ga masu karɓar rashi da ke cikin endothelium na jijiyoyin jini, yana samar da vasodilation saboda kira na nitric oxide. Sabili da haka, endothelin 1 yana daidaita tasirinsa na vasoconstrictor da vasodilator kuma yana taimakawa wajen kiyaye iska na huhu a cikin sigogi na yau da kullun.

Koyaya, lokacin da lalacewar hanta ya faru, endothelin ya kai ga huhu na huhu kuma ya yi hulɗa tare da endothelium na jijiyoyin huhu, inganta haɓaka vasodilation na huhu. Bugu da kari, a cikin cirrhosis akwai karuwa a matakan matakan necrosis factor alpha, wanda ke taimakawa ga tarawar macrophages a cikin lumen na jijiyoyin huhu wanda ke motsa samar da sinadarin nitric, kuma yana haifar da vasodilation na huhu, yana hana iskar oxygen duk da jini da aka buga. zuwa huhu.

Yadda ake ganewar asali

Binciken ya kunshi kimantawa na likita da gwaje-gwaje kamar su echocardiography mai banbanci, nukiliyar huhun nukiliya, gwajin aikin huhu.

Bugu da kari, likita na iya auna adadin oxygen a cikin jini ta hanyar sinadarin oximetry. Duba menene tsarin sihiri kuma yadda ake auna shi.

Menene maganin

Babban maganin cututtukan hepatopulmonary shine gudanar da iskar oxygen don taimakawa ƙarancin numfashi, duk da haka tsawon lokaci buƙatar ƙarin oxygen na iya ƙaruwa.

A halin yanzu, babu wani tsoma bakin magani da aka nuna don canzawa da haɓaka haɓakar oxygenation. Don haka, dasawar hanta shine kawai ingantaccen hanyar warkewa don magance wannan matsalar.