Pulmonary veno-occlusive ọrịa

Pulmonary veno-occlusive ọrịa (PVOD) bụ ọrịa na-adịghị ahụkebe. Ọ na - ebute ọbara mgbali elu na akwara ume (akpa ume).

N'ọtụtụ oge, ihe kpatara PVOD amaghị. Ọbara mgbali elu dị na akwara akpa ume. Akụkụ ume ume ndị a na-ejikọ aka n'akụkụ aka nri nke obi.

Ọnọdụ a nwere ike ibute ọrịa metụtara nje. O nwere ike ibute dị ka mgbagwoju anya nke ọrịa ụfọdụ dị ka lupus, ma ọ bụ ụmị ọkpụkpụ.

Ọrịa a na-ahụkarị ụmụaka na ndị okenye. Ka ọrịa ahụ na-akawanye njọ, ọ na-akpata:

• Warara akpa ume veins
• Ọbara akpa ume ọbara mgbali elu
• Mkpọchi na ọzịza nke ngụgụ

Ihe ndị nwere ike ibute PVOD gụnyere:

• Akụkọ banyere ezinụlọ banyere ọnọdụ ahụ
• Okingụ sịga
• Ngosipụta dị ka ọgwụ trichlorethylene ma ọ bụ ọgwụ chemotherapy
• Sistem sclerosis (ọrịa autoimmune akpụkpọ)

Mgbaàmà nwere ike ịgụnye nke ọ bụla n'ime ihe ndị a:

• Iku ume ọkụ ọkụ
• Akọrọ ụkwara
• Ike ọgwụgwụ na mgbasi
• Da mba
• Cokwara ume ọbara
• Nsogbu iku ume ka ị na-edina ala

Onye nlekọta ahụike ga-enyocha gị wee jụọ maka akụkọ gbasara ahụike gị na mgbaàmà ya.

Ule ahụ nwere ike ikpughe:

• Mụbara nrụgide na akwara olu
• Mkpịsị aka
• Bluish coloration nke anụ ahụ n'ihi enweghị oxygen (cyanosis)
• Ọzịza na ụkwụ

Onye na-enye gị nwere ike ịnụ ụda obi mgbe ọ na-ege stethoscope na-ege ntị n'obi na ngụgụ.

Enwere ike ịme ule ndị a:

• Ọbara ọbara ọbara
• Ọbara ọbara
• Igbe x-ray
• Igbe CT
• Cardiac catheterization
• Ume ọrụ ule
• Ihe omumu
• Mkpụrụ obi biopsy

Enweghi ọgwụgwọ ọgwụgwọ mara mma ugbu a. Agbanyeghị, ọgwụ ndị a nwere ike inyere ụfọdụ ndị aka:

• Ọgwụ na-agbasawanye akwara ọbara (vasodilators)
• Ọgwụ ndị na-achịkwa usoro mmeghachi ahụ (dịka azathioprine ma ọ bụ steroid)

Enwere ike imegharị ume.

Nsonaazụ na-abụkarị ogbenye na ụmụ aka, yana ọnụọgụ ndụ nke naanị izu ole na ole. Lanahụ ndị okenye nwere ike ịbụ ọnwa ole na ole.

Nsogbu nke PVOD nwere ike ịgụnye:

• Nsogbu iku ume nke na-akawanye njọ, gụnyere n'abalị (ụra ụra)
• Ọbara mgbali elu
• Right-kwadoro obi ọdịda (cor pulmonale)

Kpọọ onye na-eweta gị ma ọ bụrụ na ị nwere mgbaàmà nke nsogbu a.

Ọrịa akpa ume vaso-occlusive

• Usoro iku ume

Chin K, Channick RN. Ọbara akpa ume. Na: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Akwụkwọ ọgụgụ Murray na Nadel nke Medicine Respiratory. Nke isii.Philadelphia, PA: Elsevier Saunders; 2016: isi 58.

Churg A, Wright JL. Ọbara akpa ume. Na: Leslie KO, Wick MR, eds. Uru Pulmonary Pathology: Usoro nyocha. Nke atọ ed. Philadelphia, PA: Elsevier; 2018: isi 12.

Mclaughlin VV, Humbert M. Pulmonary ọbara mgbali elu. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 85.