Unoziva nezvePulmonary Hypertension here? Ngatikurukurei nezvazvo!

Wakambonzwa nezvechirwere chinowedzera kumanikidzwa kwemapapu here? Izvi zvakasiyana zvishoma neBP yakakwira yatinowanzo taura nezvayo. Vanachiremba vanodana izvi kuti 'Pulmonary Hypertension' (PH) , kana kuti BP yakakwira mumapapu. Zvichitaurwa zviri nyore, apa ndipo apo BP, kana BP, iri mukati metsinga dzinotakura ropa risina oxygen kubva pamoyo wako kuenda kumapapu ako (tinodaidza kuti 'pulmonary arteries'), inowedzera zvisina kufanira. Ichi chirwere chakakomba, nekuti chine simba guru pamoyo nemapapu edu.

Sei Pulmonary Hypertension (PH) iri nengozi kudaro? Chii chinoitika kumuviri wedu?

Funga nezvezvinoitika kana kumanikidzwa kuri mukati metsinga dzinotakura ropa kuenda kumapapu kwakawedzera. Sezvinoita kana pombi yemvura yakavharwa, zvichiita kuti zviomere mvura kuyerera, tsinga idzi dzinova dzakatetepa, dzimwe nguva dzichikora. Zvadaro, moyo unofanirwa kushanda nesimba kupomba ropa kuenda kumapapu. Rutivi rwerudyi rwemoyo ('right ventricle') kunyanya runonzwa kumanikidzwa uku zvakanyanya. Nekufamba kwenguva, moyo unotanga kushaya simba sezvo uchiramba uchishanda nesimba. Dambudziko iri rinogonawo kukonzera matambudziko akasiyana-siyana mumuviri. Semuenzaniso:

• Kuderera kwe hemoglobin muropa (` Anemia` ).
• Kurova kwemwoyo kusina kurongeka (`Arrhythmias`).
• Kugwamba kweropa mutsinga dzemapapu .
• Muunganidzwa wemvura yakakomberedza mwoyo (` Pericardial effusion` ).

Kana mukadzi ane pamuviri akasangana nechirwere ichi, chinogona kuva nengozi kuna amai nemwana. Kana chikasarapwa, chirwere ichi chinogona kukonzera kutadza kushanda kwemoyo ('kukundikana kwemoyo kurudyi') uye chinogona kutokonzera njodzi kuhupenyu. Saka, zvakakosha zvikuru kuongorora chirwere ichi pakutanga uye kutanga kurapwa .

Ndedzipi mhando huru dzePulmonary Hypertension (PH)?

Sangano reWorld Health Organization (WHO) rakakamura chirwere ichi che'Pulmonary Hypertension' (PH) muzvikamu zvishanu zvikuru zvichienderana nezvikonzero zvinochikonzera. Ngationei kuti chii. 1. Chikamu 1: PH inokonzerwa ne'Pulmonary Arterial Hypertension (PAH). Muizvi, mitsipa yeropa inotakura ropa kuenda kumapapu ('pulmonary arteries') inova mitete, yakakora, kana kuoma. Izvi zvinogona kuva nezvikonzero zvakasiyana-siyana. Zvimwe zvirwere, kunyangwe mimwe mishonga, zvinogona kukanganisa izvi. 2. Chikamu 2: PH inokonzerwa nematambudziko nerutivi rwekuruboshwe rwemoyo. Rutivi rwekuruboshwe rwemoyo wedu ndirwo runopomba ropa kuenda kumuviri wese. Saka, kana paine dambudziko nerutivi rwekuruboshwe rwemoyo, rinokanganisa divi rekurudyi nehurongwa hunotakura ropa kuenda kumapapu. Ropa harifambi zvakanaka uye rinovharika, uye kumanikidzwa mutsinga dzemapapu kunowedzera. 3. Chikamu 3: PH inokonzerwa nechirwere chemapapu kana kushaikwa kweoxygen ('hypoxia').Zvimwe zvirwere zvemapapu zvinoita kuti tsinga dzeropa dziri mumapapu dzitete. Izvi zvinoita kuti kuyerera kweropa kuvharike, uye kumanikidzwa kukwire. 4. Chikamu 4: PH inokonzerwa nekuvharika kwemapapu. Kuvhara ropa mumapapu kana mavanga anobva mazviri zvinovhara kuyerera kweropa. Izvi zvinoisa simba rakawanda kurudyi rwemoyo, zvichiwedzera kumanikidzwa kweropa mumapapu. 5. Chikamu 5: PH inokonzerwa nezvimwe zvirwere. Iyi PH inogona kuitika kune zvimwe zvirwere, zvakaita semamwe matambudziko eropa uye metabolic disorders. Zvisinei, hazvisati zvanyatsojeka kuti zvirwere izvi zvinokonzera sei PH.

Ndiani anonyanya kubatwa nechirwere ichi chinonzi `Pulmonary Hypertension` (PH)?

Pulmonary Hypertension (PH) inogona kubata vanhu vakuru vezera ripi zvaro. Vanhu vane chirwere chemwoyo kana mapapu vari panjodzi huru yekuchibata. Chinogonawo kuitika kune vanhu vane mamwe matambudziko. Semuenzaniso:

• Vanhu vanosvika zana muzana (100%) vane chirwere chakakomba che mitral valve.
• Vanhu vanosvika 65% vane chirwere chevharuvhu yeaorta (chimwe chirwere chevharuvhu yemoyo).
• Vanhu vanosvika 30% vane `Scleroderma` (chirwere chekuoma kweganda nenyama dzinobatana ).
• Vanhu vanosvika 20% - 40% vane chirwere chesickle cell .
• Munhu mumwe chete pavanhu mazana maviri anobatwa neHIV .

Kazhinji kacho inobata vanhu vakuru. Zvisinei, kashoma, vacheche vachangoberekwa vanogonawo kuva nechirwere ichi (`Persistent Pulmonary Hypertension of the Newborn - PPHN`). Kana izvi zvikaitika, mwana achafanirwa kurapwa mukamuri revanorwara zvakanyanya. Pasi rose, zvinofungidzirwa kuti munhu mumwe chete pavanhu vakuru gumi vane makore anopfuura makumi matanhatu nemashanu ane chirwere ichi chePH. Izvi zvinoreva kuti chingave chakajairika kupfuura zvatinofunga.

Ndezvipi zviratidzo zvekutanga zvePulmonary Hypertension (PH)?

Kazhinji chiratidzo chekutanga kupererwa nemhepo, kana kufemera . Unogona kusangana nekupererwa nemhepo uku panguva yemabasa ezuva nezuva, akadai sekukwira masitepisi, kutakura zvekudya, kana kurovedza muviri. Ungasava nezviratidzo pakutanga. Kana zviratidzo zvikaonekwa, zvinogona kunge zvisina kusimba. Zvisinei, nekufamba kwenguva, zviratidzo izvi zvinogona kuwedzera kuipa uye zvichiita kuti zviomere kuita mabasa ako ezuva nezuva.

Ndezvipi zviratidzo zvinoonekwa kana chirwere chichikura?

Sezvo pH ichiwedzera, unogona kushaya mweya kunyangwe wakangomira. Izvi zvinogona kuperekedzwa nezviratidzo zvakaita se:

• Miromo yebhuruu kana ganda.
• Kurwadziwa kwechipfuva kana kusimba.
• Kunzwa dzungu kana kupera simba.
• Kunzwa kuneta nguva dzese (`Kuneta `).
• Chikafu hachina kunaka.
• Kurwadziwa mudumbu rekumusoro kurudyi.
• Kunzwa sekuti moyo wako uri kurova nekukurumidza.
• Kuzvimba kwezvitsitsinho, makumbo, kana dumbu (`Edema`).

Zviratidzo izvi zvinoita kuti zviome zvikuru kurovedza muviri uye kuita mabasa ezuva nezuva.

Pane matanho ePulmonary Hypertension (PH) here?

Ehe, World Health Organization (WHO) yakaona matanho mana makuru ePH. Aya anonzi "makirasi ekushanda." Izvi zvinotsanangurwa nezviratidzo zvaunoona uye kuti unogona kuita mabasa ako ezuva nezuva zvakadii. Sezvo chirwere ichi chichienderera mberi, zviratidzo zvinowedzera kuoneka uye zvinokanganisa hupenyu hwako hwezuva nezuva.

• Kirasi 1: Hapana zviratidzo.
• Kirasi yechipiri: Hapana zviratidzo pakuzorora, asi kusagadzikana kana kurwadziwa panguva yemabasa enguva dzose, akadai sekuita mabasa epamba kana kukwira masitepisi.
• Kirasi 3: Ungangonzwa zvakanaka kana wakangogara pasi. Asi zvakaoma kuita mabasa enguva dzose iye zvino. Waneta zvakanyanya uye une stress.
• Kirasi 4: Zviratidzo zvinoonekwa kunyangwe wakamira. Zviratidzo zvinotowedzera kuipa kana uchiedza kuita chero chiito chemazuva ese.

Ndezvipi zvinokonzera chirwere cheBP yemapapu (PH)?

Kune zvikonzero zvakawanda zvakasiyana-siyana zvePH. Zvinoenderana nerudzi rwePH yaunayo. Zvirwere zvakasiyana-siyana, mamiriro ehutano, uye kunyange zvinhu zvakatikomberedza (chepfu, mimwe mishonga) zvinogona kukonzera izvi.

Chikamu 1: Zvinokonzera `Pulmonary Arterial Hypertension (PAH)`

• Chirwere chemwoyo chekuzvarwa nacho .
• Mimwe mishonga yekuderedza uremu (semuenzaniso, mushonga we "fen-phen," unogona kukonzera PAH kunyangwe mushure memakore ekushandiswa).
• Kuchinja kwemajini .
• `Zvirwere zvekuchengetedza glycogen`.
• Kutapukirwa neHIV.
• Chirwere chechiropa .
• Chirwere cheLupus.
• Kukwira kweropa mutsinga dzemudumbu (kuwedzera kwesimba mutsinga dzinoenda kuchiropa).
• Zvirwere zvisingawanzoitiki zvetsinga dzemapapu zvakaita se 'Pulmonary capillary hemangiomatosis' uye 'Pulmonary veno-occlusive disease'.
• Schistosomiasis (chirwere chinokonzerwa netupukanana).
• Chirwere cheScleroderma.
• Kushandisa mishonga yakaita se'Methamphetamine'.

Vamwe vanhu vanogona kuwana PAH pasina chikonzero chiri pachena. Izvi zvinonzi `idiopathic`.

Chikamu 2: Zvinokonzera PH zvinokonzerwa nezvirwere zverutivi rweruboshwe rwemoyo

Chirwere chemwoyo ndicho chikonzero chinowanzo kukonzera PH. Nekuti mativi ekuruboshwe nerudyi emoyo anoshanda pamwe chete, dambudziko riri kuruboshwe rinokanganisawo divi rekurudyi.

• Chirwere chevharuvhu yeaorta: Iri idambudziko nevharuvhu iri pakati pekamuri guru rekupomba remoyo ('left ventricle') neaorta (tsinga huru yeropa mumuviri).
• Kukundikana kwemoyo kuruboshwe : Rutivi rwekuruboshwe rwemoyo harukwanise kupomba ropa nemazvo.
• Kukura kwemadziro eventricle yekuruboshwe (kuruboshwe) : Izvi zvinoita kuti zviomere mwoyo kupomba ropa zvinobudirira.
• Chirwere cheMitral valve : Dambudziko revharuvhu rinobvumira ropa kuyerera kubva kuruboshwe kuenda kuruboshwe rwemoyo.

Chikamu 3: Zvinokonzera PH inokonzerwa nechirwere chemapapu kana kushaikwa kweoxygen (`hypoxia`)

• Chirwere chemapapu chinogara kwenguva refu (COPD) : Izvi zvinosanganisira zvirwere zvakaita sebronchitis ne emphysema. Izvi zvinoita kuti zviome kufema.
• Chirwere chepakati pemapapu : Mavanga (fibrosis) anoitika munyama yemapapu.
• Kusashanda zvakanaka kwekufema panguva yekurara : Izvi zvinoita kuti nzira yekufema ivharwe nguva nenguva panguva yekurara, zvichideredza huwandu hweokisijeni hunogamuchirwa nemuviri.

Chikamu 4: Zvinokonzera PH nekuda kwekuvharika kwemapapu

Izvi zvinonyanya kukonzerwa nechirwere chinonzi `Chronic Thromboembolic Pulmonary Hypertension (CTEPH) .` Apa ndipo panoumbwa mavanga eropa uye mavanga mutsinga dzemapapu. Dzimwe nguva, chirwere ichi chinogona kukonzerwa nemavanga anokonzerwa ne `pulmonary embolism` (ropa rinogwamba mumapapu).

Chikamu 5: Zvikonzero zvePH zvinokonzerwa nezvimwe zvirwere

PH inogona kukonzerwa nezvimwe zvirwere zvakawanda, uye masayendisiti haasati anyatsonzwisisa kuti zvinoitika sei.

• Chirwere cheGaucher (chirwere chemetabolic).
• Chirwere cheitsvo.
• Langerhans cell histiocytosis (chirwere chinokonzera mavanga nemamota mumapapu evanhu vakuru).
• Sarcoidosis (chirwere chekuzvimba, chinowanzo kanganisa mapapu nema lymph nodes).
• Chirwere chethyroid.
• Mamota : Mamota, angave ekenza kana kuti asina njodzi, anogona kukonzera kumanikidzwa kwetsinga dzemapapu.

Pulmonary Hypertension (PH) inoonekwa sei ?

Chiremba wako achakuongorora uye, kana zvichidikanwa, achakuitira bvunzo dzakawanda kuti aone kana une PH. Kutanga, chiremba wako achaita bvunzo yemuviri . Ikoko,

• Vanobvunza nezvenhoroondo yehutano hwako nezviratidzo zvako.
• Tarisa kana mutsipa wemutsipa wakavharika (izvi zvinogona kuva chiratidzo chekukundikana kwemoyo kurudyi).
• Kuti uone saizi yechiropa, bata divi rekumusoro rekurudyi redumbu.
• Mwoyo nemapapu zvinoteererwa ne stethoscope.
• Tarisa dumbu, zvitsitsinho, nemakumbo kuti hazvina kuzvimba here (edema).
• Kumanikidzwa kweropa kunoyerwa.
• Chiyero che pulse oximeter chinoyera huwandu hwe oxygen muropa.

Zviratidzo zvePH zvinogona kuoma kuona nekuti zvakafanana nezvezvimwe zvirwere. Saka, mushure mekuongororwa kwemuviri, chiremba wako anogona kuita mimwe miedzo. Unogona zvakare kutumirwa kuna chiremba wemapapu (pulmonologist) kana chiremba wemwoyo (cardiologist).

Ndezvipi zviedzo zvinoshandiswa kuongorora PH?

• Kuisa catheter mumoyo wekurudyi: Inonziwo catheterization yeropa remumapapu, izvi zvinoyera kumanikidzwa mutsinga dzemapapu uye huwandu hweropa rinogona kupombwa nemoyo paminiti. Iyi ndiyo bvunzo huru yekusimbisa PH.
• Doppler echocardiogram: Uku kuskena uchishandisa mafungu eruzha. Kunogona kuratidza mashandiro ari kuita ventricle yekurudyi yemoyo uye kuti ropa rinoyerera sei kuburikidza nemavharuvhu. Izvi zvinobvumira chiremba kuverenga kumanikidzwa kwetsinga dzeropa dzemumapapu.
• Kuongororwa kweropa: Izvi zvinoongorora zvinhu zvakaita sekushanda kwenhengo dzemuviri, huwandu hwemahormone, uye hutachiona. Izvi zvinosanganisira bvunzo dzakadai se "Complete metabolic panel" uye "complete blood count."
• Kuongororwa kweCT yechipfuva: Kuongororwa kweropa rakagwamba uye mamwe matambudziko emapapu.
• X-ray yechipfuva: Izvi zvinogona kushandiswa kuona kana divi rekurudyi remoyo kana tsinga dzemapapu dzakakura kupfuura zvakajairika.
• Kuongororwa kwehope (`Polysomnogram - PSG`): Kuongororwa kwehusiku hwese kuti uone kana uine `sleep apnea`.
• Kuongororwa kwemapapu ekufema/kubuda ropa (VQ): Kunoongorora ropa rakagwamba mumapapu.

Chiremba wako anogonawo kuita bvunzo yekufamba kwemaminitsi matanhatu . Izvi zvinoyera kuti kurovedza muviri kwaunogona kutsungirira kwakadii uye kuti oxygen yakawanda sei iri muropa rako panguva yekurovedza muviri. Izvi zvinogona kukupa pfungwa yekuti PH yako iri nyore here kana kuti yakanyanya.

Ndezvipi zvinoitwa pakurapa chirwere cheBP (Pulmonary Hypertension) (PH)?

Kurapwa kwePH kunoenderana nerudzi rwePH yaunayo pamwe chete nedzimwe zvirwere zvako. Chikwata chako chekurapa chichagadzira hurongwa hwekurapa hwakakunakira. Parizvino, kune mhando mbiri chete dzePH dzinogona kurapwa zvakananga:

• "Kuwedzera kweBP yetsinga dzemapapu (PAH)"
• ``Kuwedzera kweBP yemapapu kusingapere (CTEPH)``

Mamwe marudzi ePH anorapwa nekutarisa mamiriro ehutano anokonzera iwo. Kurapa kwePulmonary Arterial Hypertension (PAH):

• Mishonga inovhara calcium channel: Mishonga iyi inobatsira kuderedza BP mutsinga dzemapapu nemuviri wese.
• Mishonga inobvisa mvura mumuviri ("mapiritsi emvura"): Inobatsira kubvisa mvura yakawandisa mumuviri.
• Kurapa neokisijeni: Izvi zvingadikanwa kana pasina okisijeni yakakwana muropa.
• Mishonga yekuderedza ropa mumapupa:Mishonga iyi inozorodza tsinga dzemapapu uye inodzivhura zviri nani. Izvi zvinovandudza kufamba kweropa uye zvinoderedza basa remoyo.

Kurapa kwe `CTEPH`:

• Mishonga inodzivirira ropa kuungana (anticoagulants).
• Balloon atrial septostomy (BAS): Kunyangwe izvi zvichiwanzoitirwa vacheche vane matambudziko emwoyo akakomba, zvinoshandiswawo kusimbisa vanhu vakuru vane PH kusvika vawana mushonga wekubvisa mapapu.
• Balloon pulmonary angioplasty (BPA): Iyi inzira inoshandisa catheter kuwedzera tsinga dzemapapu. Inoitirwa vanhu vasingakwanise kuvhiyiwa zvakanyanya.
• Mushonga: Mushonga unonzi `Soluble guanylate cyclase stimulator (SGCS)` unogona kubatsira kudzora kufambira mberi kwechirwere.
• Kuvhiyiwa kwemapapu (PEA): Uku kuvhiyiwa. Kunobvisa ropa rakagwamba mumapapu. Iyi ndiyo nzira chete yekurapa PH zvachose. Zvisinei, inogona kuitwa chete kune vanhu vane CTEPH.

PH inokonzerwa nechirwere chemwoyo kana mapapu inorapwa nekudzora chirwere chiripo, saka zvirongwa zvekurapa zvinogona kusiyana zvakanyanya kubva pamunhu kusvika pamunhu.

Yeuka, unofanira kutaura nachiremba wako wosarudza kuti ndeipi nzira yekurapa yakakunakira.

Vamwe vanhu vane PH yakanyanya vangangoda kuisirwa mapapu senzira yekupedzisira.

Nzira yekurapa mishonga yePulmonary Hypertension (PH)?

Ungave uchitora mishonga yakawanda yePH nedzimwe zvirwere. Zvinogona kuoma kurangarira zvese izvi uye kuzviita nemazvo. Heano mamwe matipi:

• Ziva mazita emishonga yose yaunotora uye mashandiro ayo. Nyora runyoro uye gara uinarwo.
• Inwa mushonga wako panguva imwe chete zuva nezuva. Kana ukarasikirwa nedosi, usatore madosi maviri kuti udzorere mari yacho. Fonera chiremba wako umubvunze zvekuita.
• Usatore mishonga inotengwa nechiremba usina kubvunza chiremba wako. Mimwe mishonga yedzihwa, yekukosora, uye fivha, pamwe chete neinorerutsa marwadzo, zvinogona kukonzera matambudziko kuvanhu vane chirwere chemwoyo.
• Usatore mushonga upi zvawo wakanyorwa kuti hauna kukodzera vanhu vane BP yakakwira.
• Usarega kutora chero mushonga kana kuchinja mwero wemushonga usina kutaura nachiremba wako.
• Dzivisa kushandisa mishonga yemishonga uye tii dzemishonga. Izvi zvinogona kukanganisa mimwe mishonga yauri kutora.

Chii chiri kutarisira munhu ane Pulmonary Hypertension (PH)?

Izvi zvinosiyana kubva pamunhu kuenda kumunhu. Zvinoenderana ne:

• Chikonzero chePH.
• Kukurumidza kwakawanikwa chirwere ichi.
• Kuoma kwezviratidzo.
• Zvimwe zvirwere zvinosangana nazvo.

Mhando dzakawanda dzePH hadzigone kurapwa zvachose. Vanachiremba vanopa mishonga yekuderedza zviratidzo, kuvandudza hupenyu, uye kudzora kufambira mberi kwechirwere. Zvisinei, vamwe vanhu vane CTEPH vanogona kurapwa nekuvhiyiwa. Kana vakasarapwa, Pulmonary Hypertension (PH) inogona kutungamira kukundikana kwemoyo kurudyi uye pakupedzisira rufu. Nokudaro, kuwana kurapwa kwakakodzera kunogona kukubatsira kurarama kwenguva yakareba uye kuchengetedza hupenyu hwakanaka.

Ndezvipi zvinhu zvinowedzera njodzi yekubatwa nePulmonary Hypertension (PH)?

• Kusangana neasbestos.
• Kuva nenhoroondo yemhuri yekugwamba kweropa.
• Kuva nenhengo yemhuri ine Pulmonary Hypertension (PH).
• Kugara panzvimbo dzakakwirira pamusoro pegungwa.
• Kusvuta nekushandisa zvigadzirwa zvefodya.
• Mimwe mishonga inoshandiswa kuderedza uremu (semuenzaniso "fen-phen" - `dexfenfluramine` uye `phentermine`).
• Mimwe mishonga yekurapa kenza nekuora mwoyo.
• Kushandisa zvinodhaka.

Uyewo, vanhu vane zvirwere izvi vari panjodzi huru:

• Kugwamba kweropa mutsinga dzemapapu.
• Chirwere chekubatana kwetishu.
• 'Down syndrome'.
• Chirwere cheGaucher.
• Chirwere chemwoyo.
• 'HIV'.
• Chirwere chechiropa.
• Zvirwere zvemapapu.

Ko Pulmonary Hypertension (PH) inogona kudzivirirwa here?

PH haigoni kudzivirirwa nguva dzose. Zvimwe zvinhu zvinogona kukonzera njodzi hazvigone kudzorwa nesu. Kana uine zvinhu zvinokonzera njodzi, chiremba wako anogona kukurudzira mimwe miedzo yekutarisa mashandiro emwoyo nemapapu ako. Unogona kuderedza njodzi yako yePH nekuita zvese zvaunogona kudzivirira kana kudzora mamwe mamiriro ehutano.

• Ronga maekisesaizi. Bvunza chiremba wako kuti maekisesaizi api akachengeteka kwauri.
• Tevedzera kudya kunovaka muviri. Dzivisa kudya zvine munyu wakawanda, mafuta, shuga, uye zvekudya zvekugadzira.
• Rega kusvuta uye kushandisa fodya. Izvi ndizvo zvinhu zvikuru zvinokonzera chirwere chemwoyo nemapapu.
• Inwa mishonga yeBP nezvimwe zvirwere sezvakarairwa nachiremba wako.

Rudzii rwerubatsiro rwekutevera rwandinofanira kuwana?

Taura nachiremba wako nezvekuti ungagadzirisa sei uye utarise mamiriro ako ezvinhu. Chiremba wako achakuudza kana uchida kuuya kuzoongororwa nekuongororwa. Udza chiremba wako nekukasika kana ukaona zviratidzo zvitsva kana kana zviratidzo zvako zvikachinja. Zvakare, taura nachiremba wako nezve:

• Nzira dzekuronga mhuri uye kana pamuviri pakachengeteka. Kubata pamuviri kune njodzi kuvanhu vane PH.
• Gadzirai zvinhu zvekukurumidzira. Vanhu vane PH vanofanira kugara vaine zvimwe zvinhu neruzivo zviri pedyo nguva dzese.
• Kurovedza muviri.Bvunza kuti chii chakachengeteka kwauri, kuti ungashandisa sei maekisesaizi muhupenyu hwako hwezuva nezuva, uye kuti ndeapi maekisesaizi aunofanira kudzivisa.
• Mishonga yekudzivirira mwaka (yakadai sefuruu, pneumonia).
• Mapoka ekutsigirana kana kupa mazano. Unogona kusangana nemanzwiro akasiyana-siyana sezvaunojaira kurarama nePH.
• Zvirongwa zvekufamba. Ungangoda kutora matanho akakosha ekudzivirira kana uri kufamba nendege. Unofanirawo kungwarira paunenge uchifamba kunzvimbo dzakakwirira.

Ndezvipi zvandinofanira kuchinja pakudya?

Chiremba wako achakupa mazano chaiwo. Chinhu chimwe chakakosha kuderedza kudya kwako munyu (sodium). Izvi zvinoreva:

• Rega kuwedzera munyu patafura uye kushandisa "munyu wekurunga."
• Dzivisa nyama nehove dzakasvuta, dzakaiswa munyu, uye dzakabikwa mumagaba.
• Sarudza chikafu chakanyorwa kuti "low sodium" (munyu mushoma).
• Deredza kudya zvekudya zvinokurumidza uye zvekudya zvinotorwa kunze.

Dzimwe shanduko dzekudya:

• Idya zvekudya zvakawanda zvine fiber (zviyo, bran, michero, miriwo).
• Idya chikafu chine potassium yakawanda (mazambiringa akaomeswa, mabhanana, maranjisi).
• Idya zvekudya zvine magnesium yakawanda (nzungu, tofu, broccoli).
• Deredza kudya zvine shuga yakanatswa, mafuta akazara, uye cholesterol.

Ndinofanira kuona chiremba rini?

Taura nachiremba wako kana uine chero yemibvunzo iyi:

• Kurova kwemoyo nekukurumidza (kupfuura kurova kwemoyo 120 paminiti).
• Kana uine chirwere chekufema kana kuti chikosoro chiri kuwedzera.
• Kana uchigara uchinzwa dzungu kana kupera simba.
• Kurwadziwa pachipfuva kana kusagadzikana nekuita maekisesaizi.
• Kuneta zvakanyanya kana kutadza kuita mabasa akajairika.
• Kunzwa kuda kurutsa kana kushaya chido chekudya.
• Kusagadzikana kana kuvhiringidzika.
• Kana uine kufema kwakawanda, kunyanya paunomuka mangwanani.
• Kana paine kuzvimba kwakanyanya muzvitsitsinho, makumbo, kana dumbu.
• Kana uchinetseka kufema panguva yemabasa ako ezuva nezuva kana kutomira wakamira.
• Kuwedzera huremu (inenge kirogiramu imwe pazuva, kana anenge 2.5 kilogiramu pavhiki).

Ndinofanira kuenda kuchipatara panguva ipi (ER)?

Kana chimwe chinhu chakadai chikaitika, enda kuchipatara nekukurumidza, kana kufonera 1990:

• Kana kurova kwemoyo kuchikurumidza zvakanyanya (kurova kwe120-150 paminiti) uye kusingaderedze kumhanya.
• Kana ukarasikirwa nepfungwa wobva wapera simba.
• Kana uri kutora mishonga yemutsinga yakaita seprostacyclins uchishandisa catheter yeHickman, pane njodzi dzakadai sekutapukirwa nehutachiona, kufamba kwecatheter, kubuda kwemishonga, kubuda ropa, kana kutadza kushanda kwepombi yemutsinga.
• Kana kufema kushoma kusingaderedzi kunyangwe wakamira wakamira.
• Kana ukangoerekana wanzwa kurwadziwa kwakanyanya pachipfuva.
• Kana ukangoerekana wanzwa musoro wakanyanya.
• Kana ukangoerekana wava nekushaya simba kana kuti kusanzwa simba mumakumbo ako.

Pakupedzisira, meseji inonyanya kukosha

Kuonekwa uine Pulmonary Hypertension (PH) kunogona kuva chiitiko chinovhiringidza. Zvinotora nguva kuti unzwisise kuti chii, zviri kuitika mumuviri wako, uye kuti uchararama sei nazvo mune ramangwana. Taura nachiremba wako kuti uwane rutsigiro rwaunoda. Batanidza mhuri yako neshamwari mukuchinja kwemararamiro ako. Vaudze nezvechirwere chako. Uyewo, sezvaunojaira izvi, usambozeza kukumbira rubatsiro uye kuvimba nevamwe. Hausi wega. Unogona kugadzirisa chirwere ichi zvakanaka nemazano akakodzera ekurapa uye mafungiro akanaka. Pulmonary Hypertension, PH, Pulmonary Hypertension, Heart Disease, Lung Disease, Respiratory Disease, Respiratory Disease