Kodi mukumva ngati mapapu anu ali ndi kupanikizika kwambiri? Tiyeni tikambirane za matenda oopsa a Chronic Thromboembolic Pulmonary Hypertension (CTEPH)!

Kodi nthawi zina mumamva kupuma pang'ono, kapena kumva zachilendo pachifuwa panu? Zingakhale kuti kuthamanga kwa magazi mkati mwa mitsempha yamagazi m'mapapo anu kuli kokwera pang'ono. Uwu ndi matenda apadera otchedwa `(Chronic Thromboembolic Pulmonary Hypertension)` kapena `(CTEPH)`. Musadandaule, tikambirana izi mosavuta, mwanjira yomwe mungamvetse.

Kodi ichi ndi chiyani `(CTEPH)`? Tiyeni timvetse bwino!

Mwachidule, CTEPH ndi kuwonjezeka kwachilendo kwa kuthamanga kwa magazi mkati mwa mitsempha yaying'ono yamagazi m'mapapo. Zili ngati kuthamanga kwa magazi mkati mwa chitoliro cha madzi. Koma chifukwa chachikulu cha izi ndikuti mudali ndi magazi oundana m'mapapo anu kale (timatcha izi kuti Pulmonary Embolism) ndipo magazi oundanawo sasungunuka bwino . Pamenepo ndi pomwe kuthamanga kumeneku kumawonjezeka.

Ndani amene ali ndi mwayi waukulu wopeza CTEPH?

Izi ndizofunikira kwambiri. CTEPH imapezeka mwa anthu omwe ali ndi mbiri ya pulmonary embolism . Ngati muli ndi kuthamanga kwa magazi m'mapapo mwanu koma mulibe magazi okwanira, mwina si CTEPH, koma vuto lina. Chifukwa chake ndikofunikira kumvetsetsa kusiyana kumeneku.

Kodi vutoli ndi lofala bwanji?

CTEPH kwenikweni ndi vuto losowa kwambiri. Mwachitsanzo, m'dziko ngati United States, milandu yatsopano pafupifupi 5,000 yokha imanenedwa chaka chilichonse. Komabe, popeza nthawi zina matendawa sapezeka bwino, chiwerengerochi chikhoza kukhala chokwera kwambiri. Chifukwa chake, ndikofunikira kwambiri kudziwa zizindikiro.

Kodi CTEPH ingakhudze bwanji thanzi lanu?

Pamene kupanikizika m'mapapu anu kukukwera, makamaka pankhani ya CTEPH, mbali yakumanja ya mtima wanu imamva kupanikizika kwambiri . Tangoganizirani, mtima wanu uyenera kugwira ntchito molimbika kuti upompe magazi kupita kumapapu anu. Chomwe chimachitika ndichakuti magazi ena omwe alibe mpweya wabwino amakakamira mumtima mwanu ndipo amatenga nthawi yayitali kuti afike kumapapu anu. Izi zingayambitse thupi lanu kukhala ndi mpweya wochepa. Uwu ndi vuto lalikulu, sichoncho?

N’chifukwa chiyani `(CTEPH)` imeneyi imayamba? Kodi zimayambitsa chiyani?

Chifukwa chachikulu cha izi ndichakuti magazi oundana omwe amapangika m'mitsempha yaying'ono yamagazi m'mapapo sasungunuka bwino. Izi zikachitika , minofu yonga zipsera imapangika pamalo omwe magazi amaundana. Zipsera izi zimapangitsa kuti mitsempha yamagazi ipapatize, ngati chitoliro chamadzi chitsekeke. Pamene kuchepa kumeneku kukuwonjezeka, kuthamanga kwa magazi kumawonjezekanso.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a CTEPH?

Pali zinthu zina zomwe zingayambitse kufalikira kwa `(CTEPH). Tiyeni tiwone zomwe zili:

• Kukhala ndi mtundu wina wa magazi kupatula mtundu wa O.
• Kukhala ndi matenda m'mafupa (Osteomyelitis).
• Mitundu ina ya khansa.
• Matenda a m'mimba osatha, mwachitsanzo, matenda monga `(Matenda Otupa a M'mimba)`.
• Kukhala mkazi. (Akazi ali ndi mwayi wochuluka wopeza vutoli kuposa amuna.)
• Matenda a minofu ya mtima chifukwa cha pacemaker.
• Inu kapena wina m'banja mwanu muli ndi mbiri ya matenda otsekeka magazi, monga Antiphospholipid Syndrome.
• Atachotsa kale ndulu (Splenectomy).
• Kutenga mankhwala obwezeretsa mahomoni a chithokomiro.

Sizinthu zonsezi zomwe zimakhudza aliyense, koma zadziwika kuti ndi zinthu zomwe zimayambitsa chiopsezo.

Kodi zizindikiro za `(CTEPH)` ndi ziti?

Munthu amene ali ndi CTEPH angakumane ndi zizindikiro monga:

• Kumva kupweteka pachifuwa kapena kukanikizidwa .
• Kutsokomola magazi (izi sizichitika kawirikawiri).
• Kusintha kwa mtundu wa buluu kwa zala ndi zala za m'manja (Cyanosis).
• Kumva chizungulire .
• Kusamvana.
• Kumva kutopa kwambiri (`Kutopa`) .
• Tikamva ngati chifuwa chanu chikugunda, timatcha izi kuti "Heart Palpitations".
• Kuvuta kupuma , makamaka pochita chinachake kapena poyenda.
• Kutupa kwa miyendo, komwe kumachitika chifukwa cha kuchulukana kwa madzi m'thupi (edema).

Musaganize kuti muli ndi CTEPH chifukwa chakuti muli ndi chimodzi kapena ziwiri mwa zizindikirozi. Koma ngati zizindikirozi zikupitirira, ndi bwino kupita kwa dokotala.

Kodi matendawa `(CTEPH)` amawapeza bwanji?

Mukapita kwa dokotala, angachite kaye mayeso ena kuti aone ngati ali ndi CTEPH, monga:

• Kuyesa komwe kumayang'ana momwe mpweya umayendera komanso momwe magazi amayendera m'mapapo (`(Lung ventilation-perfusion scan - V/Q scan)`).
• "Pulmonary Angiogram" ndi mayeso omwe amafufuza magazi kuundana kapena kuchepa kwa mitsempha yamagazi ya m'mapapo.
• Mayeso a Ntchito ya M'mapapo.
• Kujambula kwa mtima kwa Transthoracic Echocardiogram (TTE) kuli ngati kujambula mtima kwa ultrasound.

Pambuyo pa mayeso oyamba awa, mayeso ena angafunike kuti atsimikizire kupezeka kwa CTEPH ndikuwona kuopsa kwake. Izi zingaphatikizepo:

• Kuyeza kwa mtima wa Right Heart Catheterization ndi njira yoyezera kuthamanga kwa magazi poika chubu chaching'ono mbali yakumanja ya mtima.
• Yesani mitsempha ya m'mapapo pogwiritsa ntchito njira zamakono zojambulira zithunzi monga CT Pulmonary Angiography (CTPA) kapena Digital Subtraction Angiography.
• Kujambula kwa MRI.
• "Mayeso Olimbitsa Thupi Olimbitsa Thupi" omwe amawunika momwe mtima umagwirira ntchito panthawi yochita masewera olimbitsa thupi.

Mayeso awa ndi omwe amalola madokotala kudziwa ngati muli ndi CTEPH komanso kuti muli ndi vuto la matenda a shuga.

Kodi mankhwala a `(CTEPH)` ndi ati?

Chithandizo cha CTEPH nthawi zambiri chimaphatikizapo opaleshoni kapena njira yofanana. Pali njira ziwiri zazikulu:

1. Kuchotsa Magazi Otuluka M'mapapo : Iyi ndi njira yotseguka yochitira opaleshoni. Mu njira imeneyi, magazi oundana akale ndi minofu ya zipsera zomwe zimamatira m'mitsempha ya mapapo zimachotsedwa opaleshoni. Izi zimachitika pofuna kubwezeretsa kuyenda kwa magazi m'mapapo.

2. ``(Pulmonary Balloon Angioplasty)``: Mu izi, baluni yaying'ono imalumikizidwa kumapeto kwa chubu chachitali (catheter), chomwe chimalowetsedwa mu mtsempha wamagazi wopapatiza m'mapapo. Baluniyo imadzazidwa kuti ikankhire minofu ya chilonda pambali, ndikukulitsanso mtsempha wamagazi.

Kusankha njira imodzi mwa njira ziwirizi kumadalira zinthu zambiri, monga momwe wodwalayo alili komanso komwe magazi ake ali.

Kodi pali njira zina zochiritsira?

Inde, anthu ena sangathe kuchitidwa opaleshoniyi. Kwa anthu amenewo, kapena kwa iwo omwe akupitirizabe kukhala ndi kupanikizika m'mapapo awo atachitidwa opaleshoni, piritsi lotchedwa `(Riociguat)` lingaperekedwe. Uwu ndi mankhwala operekedwa a kuthamanga kwa magazi m'mapapo. Izi zimathandiza kuchepetsa zizindikiro.

Kodi CTEPH ingapewedwe?

CTEPH ndi vuto la matenda ena ambiri. Zinthu zina zomwe sitingathe kuzilamulira. Koma chinthu chofunika kwambiri chomwe mungachite ndikusamalira mapapu anu bwino . Izi zikutanthauza kuti kusiya kusuta fodya ngati mukusuta fodya komanso kupewa kusuta fodya ndikofunikira kwambiri.

Kodi chiyembekezo cha odwala omwe ali ndi CTEPH ndi chotani?

Iyi ndi nkhani yabwino kwambiri! Kuchotsa opaleshoni ya m'mapapo ndi opaleshoni ya m'mapapo kungachiritse CTEPH kwathunthu . Anthu ambiri omwe amalandira chithandizochi amapeza zotsatira zabwino kwambiri.

Komabe, ngakhale kuti zotsatira zake ndi zabwino, odwala ena akhoza kukhala ndi vuto la maganizo, nkhawa, komanso kuvutika maganizo. Izi zitha kukhala zoona makamaka kwa iwo omwe sali oyenerera kulandira chithandizo chochiritsira chomwe chatchulidwa pamwambapa. Ngati mukukumana ndi vuto lililonse la maganizo, lankhulani ndi dokotala wanu. Angamvetsere nkhawa zanu ndikukupatsani chithandizo chomwe chingakuthandizeni kumva bwino.

Kodi ndi zinthu ziti zofunika kuzidziwa mukakhala ndi `(CTEPH)`?

• Mwina mungafunike kumwa mankhwala ochepetsa magazi kwa moyo wanu wonse .
• Ngati mukumwa mankhwala monga Warfarin, mungafunike kuchepetsa zakudya zina (monga soya ndi broccoli, zomwe zili ndi vitamini K wambiri). Funsani dokotala wanu za izi.
• Kuchita masewera olimbitsa thupi pang'ono , monga kuyenda, kungathandize anthu ambiri kupezanso mphamvu ndikukhala ndi thanzi labwino. Dokotala wanu angakulangizeninso pulogalamu yochita masewera olimbitsa thupi yoyang'aniridwa (kubwezeretsa mapapu).

Pomaliza, kumbukirani izi.

Matenda Oopsa a Thromboembolic Pulmonary Hypertension (CTEPH) ndi matenda osowa omwe kuthamanga kwa magazi m'mitsempha yamagazi m'mapapo kumawonjezeka, koma ndi matenda ochiritsika ngati atapezeka msanga ndikuchiritsidwa moyenera . Ngati muli ndi zizindikiro izi, musazengereze kufunafuna upangiri wa dokotala. Kumbukirani, ndi chithandizo choyenera, anthu ambiri amatha kuchira bwino. Choncho musachite mantha. Tsatirani malangizo a dokotala wanu mosamala, ndipo mudzatha kuchira mwachangu!

'CTEPH, Kuthamanga kwa Magazi M'mapapo, Kutsekeka kwa Magazi, Kuvuta Kupuma, Matenda a Mtima, Kutsekeka kwa Mapapo, Kuthamanga kwa Magazi M'mapapo