Ischemia ye-hepatic

I-hepatic ischemia yisimo lapho isibindi singatholi igazi elanele noma umoya-mpilo. Lokhu kubangela ukulimala kwamangqamuzana wesibindi.

Umfutho wegazi ophansi kunoma yisiphi isimo ungaholela ku-hepatic ischemia. Izimo ezinjalo zingafaka:

• Isigqi senhliziyo esingajwayelekile
• Ukuphela kwamanzi emzimbeni
• Ukwehluleka kwenhliziyo
• Ukutheleleka, ikakhulukazi i-sepsis
• Ukopha kakhulu

Ezinye izimbangela zingafaka:

• Amahlule egazi emthanjeni omkhulu oya esibindini (umthambo we-hepatic) ngemuva kokufakelwa kwesibindi
• Ukuvuvukala kwemithambo yegazi, okuholela ekwehliseni ukugeleza kwegazi (vasculitis)
• Kushe
• Ukushaywa ukushisa
• Ukuba nenkinga yeseli yesikela

Umuntu kungenzeka ukuthi ushintshe isimo sengqondo ngenxa yokwehla kwegazi eliya ebuchosheni. Ezinye izimpawu zingafaka:

• Ukuphelelwa isifiso sokudla
• Ukuzwa ukungakhululeki okuvamile
• I-jaundice

Ukulimala kwamaseli wesibindi imvamisa akubangeli zimpawu kuze kube kuthinta ukusebenza kwesibindi.

Amahlule egazi emthanjeni omkhulu wesibindi angadala ubuhlungu besisu.

Ukuhlolwa okulandelayo kuzokwenziwa:

• Ukuhlolwa kwegazi ukuhlola ukusebenza kwesibindi (AST ne-ALT). Lokhu kufundwa kungaphakama kakhulu nge-ischemia.
• I-Doppler ultrasound yemithambo yegazi yesibindi.

Ukwelashwa kuya ngesizathu. Umfutho wegazi ophansi kanye namahlule egazi kufanele welashwe ngokushesha.

Abantu ngokuvamile bayalulama uma ukugula okubangela i-hepatic ischemia kungalashwa. Ukufa ngokuhluleka kwesibindi ngenxa ye-hepatic ischemia akuvamile.

Ukwehluleka kwesibindi kuyinkinga engajwayelekile, kodwa ebulalayo.

Xhumana nomhlinzeki wakho wezempilo ngokushesha uma unobuthakathaka obuqhubekayo noma izimpawu zokushaqeka noma zokuphelelwa amandla.

Ukwelapha ngokushesha izimbangela zengcindezi yegazi ephansi kungavimbela i-hepatic ischemia.

I-Ischemic hepatitis; Isibindi sokushaqeka

• Ukunikezwa kwegazi lesibindi

I-Anstee QM, uJones DEJ. I-hepatology. Ku: Ralston SH, ID Penman, Strachan MWJ, Hobson RP, eds. Izimiso zikaDavidson kanye Nokuzijwayeza Kwezokwelapha. Umhla ka-23. IPhiladelphia, PA: Elsevier; 2018: isahluko 22.

I-Korenblat KM, iBerk PD. Sondela esigulini nge-jaundice noma ngokuhlolwa kwesibindi okungavamile. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 138.

UNery FG, iValla DC. Izifo ze-Vascular zesibindi. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 85.