Muzvirwere zvehutano muhutano hwemapfupa, mwoyo unowanzobatwa. Nhengo dzakarurama dzomuviri, kunyanya atrium uye mhepo, inowedzera nekuwedzera muhukuru, zvichikonzera matambudziko akasiyana-siyana. Ichi chirwere, chisingagumi chemapaponari mwoyo (CHS), chinotungamirira kusakanganiswa kusingagadziriswi kwehemodynamics (ropa rinoputika nemidziyo), kupfuurira kunopfurikidza kusakatika.
Ndeipi iyo inonyanya kukonzera chirwere chemwoyo chinogara chisingaperi?
Chimiro chorwere chiri mubvunzo chiri kukura nekufamba kwenguva. Chinhu chikuru chinoita kuti chiitike, chirwere chisingaperi chisingaoneki chepemmonary. Zvisinei, zvikonzero zvechirwere zvinogona kuva zvimwe zvinetso zvemuviri wekupemha:
- pneumosclerosis;
- emphysema yemapapu;
- chronic bronchitis;
- bronchial asthma.
Mukuwedzera kune hutachiona hwemapapu uye bronchi, inorondedzerwa hutachiona inopesana nechekupedzisira kwezvinetso zvinotevera:
- recurrent vascular embolism;
- iyo yakakosha yepemmonary hypertension;
- kunonamatira mumunyengetero wechipupuriro;
- kuendesa kushanda kubvisa mapapu kana nzvimbo yayo;
- arteritis;
- kuneta;
- kududzirwa kwebhokisi;
- zvipembenene zvepona.
Zviratidzo uye Kuongororwa Kwepanguva Inonzi Pulmonary Heart
Nzira isina njere yechirwere inokonzera kusavapo kwezviratidzo zvakaratidzwa pamatanho ekutanga ekugadzirwa kwayo. Kurwiswa kwekukamwa kwakanyanya kunowedzera kuwedzera, kune kuwedzera kwekuneta kwenyama kunyange nemitoro.
Kune murwere ane moyo usingaperi wemapinimari, dyspnoea unhu, hunokurudzirwa munzvimbo yakatarisa, panguva yekushanda kwebasa rakaoma, kuputika kwemweya wakachena. Rinotiwo:
- kutsvaga munzvimbo yepamusoro epigastric region;
- kurwadziwa mumoyo;
- kurira kwemitsipa pamutsipa;
- kugona;
- arrhythmias;
- hypertension;
- kudonha kwekushisa kwemuviri kunyange muhupo hwekuvhiringidza zvirongwa;
- kukura kwechironda chekurwa;
- kukura kwechiropa kukura;
- misoro uye chizoro;
- kusafarira;
- ruzha mumusoro;
- kuderera kwehuwandu hwemuti wakabudiswa zuva nezuva.
Kuongororwa kweClS kwakaoma, electrocardiography inoitwa kuti igadzirise chirwere ichi, kuongororwa kwemashoko uye kuongororwa kunoitwa kunoitwa.
Kurapa kwechirwere chemaperembudzi chisingaperi
Kurapa kwechirwere ichi chinorondedzerwa chinangwa chekubvisa zvirwere zvemapapu zvinokonzera CLS, pamwe nekudzivirira kwekudzoka kwavo uye nekuvandudzwa kwekushaya kuputika.
Maitiro makuru ekurapa:
- oxygen therapy;
- ropaletting;
- kuporesa gymnastics;
- hyperbaric oxygenation ;
- massage;
- shandisai therapy.
Kurapa zvinodhaka kunorayirwa
- diuretics;
- bronchodilators;
- mucolytics;
- glucocorticoids;
- kuporesa vanaleptics;
- nitrates;
- antiggregants nevamwe.