Hepatopulmonary Syndrome

Indwara ya Hepatopulmonary (hep-uh-toe-POOL-moe-nar-e) iterwa no kwaguka kw'imijyana y'amaraso mu muhogo, bikunze kwitwa kwaguka, no kwiyongera kw'umubare wabyo. Iyi ndwara igaragara mu muhogo w'abantu bafite indwara ikomeye y'umwijima.

Izi mpinduka mu muhogo zituma bigoye ku mitsi itukura gufata umwuka. Hanyuma umwuka udashobora koherezwa bihagije mu mubiri. Ibi bituma umwuka mu maraso uba muke, ibi bikaba bizwi nka hypoxemia.

Uburyo indwara y'umwijima ifitanye isano n'iyi ndwara y'umwuka ntibiramenyekana. Kubaga umwijima (liver transplant) ni bwo buryo bwonyine bwo gukira indwara ya hepatopulmonary syndrome.

Akenshi, nta bimenyetso bya hepatopulmonary syndrome bibaho. Niba hari ibimenyetso, bishobora kuba birimo:

• Guhumeka nabi bikabije iyo wicaye cyangwa uhagaze, bikagenda neza iyo uri kuryamye.
• Imisumari y'intoki ikaba yagutse, aho amaherezo y'intoki akaba yagutse kandi akaba ameze nk'umuringa kurusha uko bisanzwe.
• Imikaya y'amaraso yamenetse munsi y'uruhu, bizwi nka spider angioma.
• Ibara ry'ubururu ku minwa no ku ruhu mu bantu b'abazungu. Mu bantu b'Abirabura n'Abahinde, iminwa cyangwa ururimi bishobora kugaragara nk'ibyijimye. Iyo mpinduka y'ibara yitwa cyanosis.

Hepatopulmonary syndrome iterwa no kwaguka kw'imijyana y'amaraso iri mu muhogo no hafi yawo, ibi kandi bikaba bizwi nko kwaguka. Ibi bigira ingaruka ku bwinshi bw'umwuka utemba uva mu muhogo ujya mu maraso.

Icyateye ibi ntikirasobanuka. Kandi ntibiramenyekana impamvu bamwe mu barwaye indwara z'umwijima barwara hepatopulmonary syndrome abandi ntibayirware.

Ibizamini ibi bishobora gufasha kumenya niba ufite syndrome ya hepatopulmonary:

• Gases z'amaraso yo mu mitsi. Muri iki kizami, amaraso afatwa mu mutsi kugira ngo hapimaze urwego rw'oxygène na gaz carbonique ndetse n'uburinganire bwa pH.
• Amashusho y'ibituro. X-rays, CT scan cyangwa amashusho ya echocardiogram akoresheje umunyu utangwa mu mutsi, bizwi nka saline contrast study, bishobora gufasha gukuraho izindi ndwara z'umutima cyangwa iz'ibitutu.
• Pulse oximetry. Muri pulse oximetry, capteur ihambiriwe ku kiganza cyangwa ku gutwi ikoresha umucyo kugira ngo ibone ubwinshi bwa oxygène mu maraso.