Hepatopulmonary Syndrome
Pfupiso
Hepatopulmonary (hep-uh-toe-POOL-moe-nar-e) syndrome inokonzerwa nekuwedzera kweropa mutsinga dzemapapu, kunziwo kuwedzera, uye kuwanda. Iyi chirwere chinotapura mapapu evanhu vane chirwere chechiropa chakakura.
Kuchinja uku mumapapu kunoita kuti kuve kwakaoma kuti masero matsvuku eropa atange oksijeni. Zvadaro mapapu haakwanisi kutumira oksijeni yakakwana mumuviri. Izvi zvinoita kuti pave nehuwandu hushoma hweoksijeni mweropa, kunziwo hypoxemia.
Hazvisati zvazivikanwa kuti chirwere chechiropa chinobatanidzwa sei nechirwere chemapapu. Kusimudzwa kwechiropa (liver transplant) ndiyo chete mushonga wehepatopulmonary syndrome.
Zviratidzo
Kazhinji, hapana zviratidzo zve hepatopulmonary syndrome. Kana paine zviratidzo, zvinogona kusanganisira:
- Kushaya mweya kunowedzera kuipa kana wakagara kana wakamira, wozovandudzika kana uri kurara.
- Kugombama kwezvigunwe, umo magumo ezvigunwe anopararira uye anova akaomarara kupfuura kazhinji.
- Maturakisi eropa akaputsika pasi peganda, anonzi spider angioma.
- Ruvara rwebhuruu ruri pamiromo neganda muvanhu vachena. Muvanhu vatema nevanhu vane ganda rebhuruu, miromo kana rurimi zvinogona kutaridzika sechena chakajeka. Iyi shanduko yeruvara inonzi cyanosis.
Zvinokonzera
Hepatopulmonary syndrome inoitika kana ropa rinotakura ropa mumapapu nekumativi acho richikura, izvo zvinonziwo kuwedzera. Izvi zvinoita kuti oxygen ishome inofamba kubva mapapu ichienda muropa.
Chikonzero cheizvi hachizivikanwi. Uye hazvizivikanwi kuti nei vamwe vanhu vane chirwere chechiropa vachiwana hepatopulmonary syndrome nepo vamwe vasingawani.
Kuongorora
Kuongororwa uku kunogona kubatsira kuona kana uine hepatopulmonary syndrome:
- Gasi re ropa reArterial. Mukuedzwa uku, ropa rinotorwa kubva paruvara kuti riyerere mazinga eoksijeni nekabhoni dhaioksaide uye kuenzana kwe pH.
- Kuonekwa kwechifuva. X-rays, CT scan kana echocardiogram imaging ine munyu mhinduro inopiwa kuburikidza ne tsinga, inonzi saline contrast study, inogona kubatsira kubvisa mamwe mamiriro ezwi kana mapapu.
- Pulse oximetry. Mu pulse oximetry, sensor yakabatanidzwa kumuromo kana nzeve inoshandisa chiedza kuona kuti oxygen yakawanda sei iri muropa.
Kurapa
Kupihwa oksijeni, kunonzi supplemental oxygen therapy, ndiyo mushonga mukuru wekushaya mweya kunokonzerwa nekushomeka kweoksijeni mumuviri. Kusimudzirwa kwechiropa (liver transplant) ndiyo mushonga chete wehepatopulmonary syndrome.