Ọrịa Hepatopulmonary: ihe ọ bụ, mgbaàmà na ọgwụgwọ

Ndinaya

• Kedu ihe mgbaàmà
• Kedu ihe kpatara ọrịa ọrịa hepatopulmonary
• Kedu ka esi eme nchoputa
• Gịnị bụ ọgwụgwọ

A na-eji ọrịa akwara na akwara nke ọnya ahụ mee ka ndị mmadụ nwee ọbara mgbali elu na akwara nke imeju. N'ihi ịba ụba akwara nke ngụgụ, ọnụọgụ obi na-abawanye na-eme ka ọbara a na-abanye n'ime ahụ ghara inwe oxygen zuru oke.

Ọgwụgwọ ọrịa a bụ ọgwụgwọ oxygen, mbelata nrụgide nke ụzọ ụgbọ mmiri na, n'ọnọdụ ndị ka njọ, ịmịnye umeji.

Kedu ihe mgbaàmà

Mgbaàmà ndị nwere ike ime na ndị nwere ọrịa a bụ mkpụmkpụ nke iku ume mgbe ha guzo ma ọ bụ ịnọdụ ala. Na mgbakwunye, imirikiti ndị nwere ọrịa hepatopulmonary nwekwara mgbaàmà nke ọrịa imeju na-adịghị ala ala, nke nwere ike ịdị iche, dabere na nsogbu na-akpata ya.

Kedu ihe kpatara ọrịa ọrịa hepatopulmonary

N'okpuru ọnọdụ nkịtị, endothelin 1 nke imeju mepụtara nwere ọrụ nke ịhazi ụda akwara nke pulmonary na mgbe ọ na-ejikọta ndị nabatara nke dị na anụ ahụ dị nro, endothelin 1 na-emepụta vasoconstriction. Otú ọ dị, mgbe ọ na-ejikọta ndị na-anabata ya nke dị na endothelium nke na-agba ume, ọ na-emepụta vasodilation n'ihi njikọ nke nitric oxide. Ya mere, endothelin 1 na-edozi mmetụta nke vasoconstrictor na vasodilator ma na-enyere aka ịnọgide na-enwe ume ikuku n'ime akụkụ nkịtị.

Otú ọ dị, mgbe imeju imeju na-eme, endothelin na-eruba nsụgharị nke pulmonary ma na-emekọrịta ihe na-emetụta ya na endothelium nke akwara, na-akwalite vasodilation nke pulmonary. Tụkwasị na nke ahụ, na cirrhosis enwere mmụba na ọkwa nke necrosis tumo alpha, nke na-eme ka nchịkọta nke macrophages na lumen nke arịa pulmonary nke na-akpali mmepụta nke nitric oxide, na-akpalitekwa akpa ume vasodilation, na-egbochi oxygenation niile ọbara ume. na ngụgụ.

Kedu ka esi eme nchoputa

Nchoputa a bu nyocha ogwu ahu na ule dika ihe omimi di iche iche, ihe omimi nke nuklia, nyocha nke omumu.

Na mgbakwunye, dọkịta ahụ nwekwara ike ịlele oke oxygen n'ime ọbara site na oximetry. Hụ ihe bụ oximetry na otu esi atụ ya.

Gịnị bụ ọgwụgwọ

Isi ọgwụgwọ maka ọrịa hepatopulmonary bụ nchịkwa nke oxygen na-agbakwunye iji belata mkpụmkpụ nke ume, agbanyeghị oge mkpa maka mgbakwunye oxygen nwere ike ịbawanye.

Ka ọ dị ugbu a, ọ nweghị ọgwụgwọ ọgwụ egosiputara iji gbanwee ma melite ikuku oxygenation. Ya mere, ịmịnye umeji bụ naanị usoro ọgwụgwọ dị irè maka mkpebi nke nsogbu a.