Qhov sib txawv tseem ceeb ntawm PH thiab PAH yog PH yog ib lo lus dav dav siv los piav txog cov ntshav siab hauv lub ntsws vim yog vim li cas, thaum PAH yog ib qho mob ntev uas ua rau cov phab ntsa ntawm cov hlab ntsha ntawm lub ntsws. ua kom nruj thiab nruj, uas thaum kawg ua rau ntshav siab.
Pulmonary hypertension (PH) yog ntshav siab nyob rau hauv lub voj ntawm cov hlab ntsha txuas lub plawv thiab lub ntsws. Qhov system no nqa cov ntshav oxygenated los ntawm lub ntsws mus rau lub plawv. Thaum rov qab los, lub kaw lus no nqa cov ntshav siv los yog oxygen-depleted rov qab mus rau lub ntsws. Pulmonary hypertension muaj ntau yam ua rau, xws li pulmonary arterial hypertension (PAH), kab mob plawv sab laug, hypoxia, thiab lwm yam kab mob xws li hematologic disorders, systematic disorders, metabolic disorders, thiab qog nqaij hlav. PH thiab PAH yog ob nqe lus uas siv los piav txog ntshav siab.
PH (Pulmonary Hypertension) yog dab tsi ?
Pulmonary hypertension (PH) yog ib lo lus dav dav siv los piav txog cov ntshav siab hauv lub ntsws los ntawm ib qho laj thawj xws li pulmonary arterial hypertension (PAH), kab mob plawv sab laug, hypoxia, lwm yam kab mob xws li hematologic disorders, systematic disorders. (sarcoidosis), kab mob metabolic, noob caj noob ces, tshuaj thiab co toxins, kab mob siab, HIV, kab mob sib txuas (scleroderma), lossis qog nqaij hlav. Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Ntiaj Teb thawj zaug txhais qhov kev faib tawm ntawm pulmonary hypertension hauv xyoo 1973, thiab qhov kev faib tawm no tau hloov kho ntau xyoo.
Daim duab 01: PH
Cov tsos mob tshwm sim ntawm pulmonary hypertension yog ua tsis taus pa luv, mob hauv siab, sib tw lub plawv dhia, hnov lub taub hau thaum lub cev ua ub ua no, tsaus muag, thiab o ntawm pob taws. Ntxiv mus, tus mob no tuaj yeem kuaj tau los ntawm lub hauv siab X-ray, CT-scan, MRI, kev kuaj mob ntsws, polysomnogram, lub ntsws ua pa / perfusion scan, ntshav kuaj, electrocardiogram, thiab catheterization ntawm lub plawv sab xis. Tsis tas li ntawd, cov kev xaiv kho mob rau cov mob no yuav suav nrog kev kho mob, kev sim tshuaj kho mob, kev hloov lub ntsws, pulmonary thromboendarterectomy, thiab kev hloov pauv kev ua neej.
PAH (Pulmonary Arterial Hypertension) yog dab tsi?
PAH (pulmonary arterial hypertension) yog ib qho mob ntev uas ua rau cov phab ntsa ntawm cov hlab ntsha ntawm lub ntsws kom nruj thiab nruj, uas thaum kawg ua rau ntshav siab. Nws yog ib qho ntawm cov laj thawj tseem ceeb ntawm pulmonary hypertension. Tus mob no tuaj yeem tshwm sim los ntawm idiopathic, noob caj noob ces, lossis lwm yam kab mob xws li mob plawv tsis ua haujlwm, ntshav txhaws hauv lub ntsws, kab mob siab, siv tshuaj tsis raug cai, HIV, lupus, scleroderma, lub plawv tsis ua haujlwm ntawm tus neeg mob yug los., mob ntsws xws li emphysema, thiab pw tsaug zog apnea.
Figure 02: PAH
Cov tsos mob muaj xws li ua tsis taus pa luv, qaug zog, dhau mus, o ntawm pob taws thiab ob txhais ceg, kiv taub hau, qaug zog, qaug zog, hnoos, cyanosis, mob siab thiab lub plawv. Kev kuaj mob tuaj yeem ua los ntawm keeb kwm kev kho mob, echocardiogram, CT scan, ventilation-perfusion scan, electrocardiogram, hauv siab X-ray, thiab kuaj kev tawm dag zog. Tsis tas li ntawd, cov qauv kev kho mob rau PAH suav nrog cov tshuaj xws li prostaglandins, endothelin receptor antagonists, phosphodiesterase type 5 inhibitors, lwm yam tshuaj xws li riociguat, selexipag, thiab kev txhawb nqa kev kho (anticoagulants, diuretics, thiab oxygen).
Qhov Zoo sib xws ntawm PH thiab PAH yog dab tsi?
- PH thiab PAH yog ob nqe lus uas siv los piav txog ntshav siab.
- PAH yog ib qho tseem ceeb ntawm PH.
- Ob leeg yuav muaj caj ces.
- Lawv tuaj yeem pom cov tsos mob zoo sib xws.
- Lawv kho tau los ntawm kev siv tshuaj thiab kev txhawb nqa.
Qhov txawv ntawm PH thiab PAH yog dab tsi?
PH (pulmonary hypertension) yog ib lo lus dav dav siv los piav txog cov ntshav siab hauv lub ntsws vim yog vim li cas, thaum PAH (pulmonary arterial hypertension) yog ib qho mob ntev uas ua rau cov phab ntsa ntawm cov hlab ntsha ntawm lub ntsws. kom nruj thiab nruj, nws thiaj li ua rau ntshav siab. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm PH thiab PAH. Tsis tas li ntawd, PH tuaj yeem tshwm sim los ntawm pulmonary arterial hypertension (PAH), kab mob plawv sab laug, hypoxia, lwm yam kab mob xws li hematologic disorders, systematic disorders (sarcoidosis), metabolic ntshawv siab, noob caj noob ces, tshuaj thiab co toxins, kab mob siab, HIV, connective cov ntaub so ntswg. kab mob (scleroderma) thiab qog nqaij hlav. Ntawm qhov tod tes, PAH tuaj yeem tshwm sim los ntawm idiopathic, noob caj noob ces, lossis lwm yam kab mob xws li mob plawv tsis ua haujlwm, ntshav txhaws hauv lub ntsws, kab mob siab, siv tshuaj tsis raug cai, HIV, lupus, scleroderma, lub plawv tsis ua haujlwm. Tus neeg mob yug los nrog, mob ntsws xws li emphysema thiab pw tsaug zog apnea.
Cov ntawv qhia hauv qab no nthuav tawm qhov sib txawv ntawm PH thiab PAH hauv daim ntawv teev npe rau ib sab ntawm kev sib piv.
Summary – PH vs PAH
PH thiab PAH yog ob nqe lus uas siv los piav txog ntshav siab. PH yog ib lo lus dav dav siv los piav txog cov ntshav siab hauv lub ntsws los ntawm ib qho laj thawj, thaum PAH yog ib qho mob ntev uas ua rau cov phab ntsa ntawm cov hlab ntsha ntawm lub ntsws kom nruj thiab nruj, uas thaum kawg ua rau ntshav siab. Yog li, qhov no yog qhov txawv ntawm PH thiab PAH.
