Ukuvinjelwa kwe-hepatic vein (Budd-Chiari)

Ukuvinjelwa kwe-hepatic vein ukuvinjelwa komthambo we-hepatic, ohambisa igazi kude nesibindi.

Ukuvinjelwa kwemithambo ye-hepatic kuvimbela igazi ukuba lingaphumi esibindini libuyele enhliziyweni. Lokhu kuvinjelwa kungadala ukulimala kwesibindi. Ukuvinjelwa kwalo mthambo kungabangelwa isimila noma ukukhula kokucindezela esikebheni, noma ngeqhwa elisemkhunjini (hepatic vein thrombosis).

Imvamisa, kubangelwa yizimo ezenza amahlule egazi akwazi ukwenzeka, kufaka phakathi:

• Ukukhula okungajwayelekile kwamaseli emnkantsheni wethambo (izifo ze-myeloproliferative)
• Umdlavuza
• Izifo ezingapheli zokuvuvukala noma ezizimele
• Izifo
• Izinkinga ezizuzwe njengefa (zofuzo) noma ezitholwe ngokujiya kwegazi
• Izindlela zokuvimbela inzalo ngomlomo
• Ukukhulelwa

Ukuvinjelwa komthambo we-hepatic kuyimbangela ejwayelekile kakhulu ye-Budd-Chiari syndrome.

Izimpawu zifaka:

• Ukuvuvukala kwesisu noma ukuzelula ngenxa yoketshezi esiswini
• Ubuhlungu esiswini sangakwesokudla
• Kuhlanza igazi
• Ukuphuzi kwesikhumba (i-jaundice)

Esinye sezibonakaliso ukuvuvukala kwesisu kusuka ku-fluid buildup (ascites). Isibindi sivame ukuvuvukala futhi sithambe.

Izivivinyo zifaka:

• I-CT scan noma i-MRI yesisu
• I-Doppler ultrasound yemithambo yesibindi
• I-biopsy yesibindi
• Ukuhlolwa kokusebenza kwesibindi
• I-Ultrasound yesibindi

Ukwelashwa kuyahlukahluka, kuya ngesizathu sokuvinjelwa.

Umhlinzeki wakho wezokunakekelwa kwempilo angancoma le mithi elandelayo:

• Ama-thinner egazi (ama-anticoagulants)
• Izidakamizwa zokuqothula (ukwelashwa kwe-thrombolytic)
• Imithi yokwelapha isifo sesibindi, kufaka phakathi i-ascites

Ukuhlinzwa kunganconywa. Lokhu kungabandakanya:

• Ukubekwa kwe-Angioplasty nokuqina
• I-Transjugular intrahepatic portosystemic shunt (AMACEBISO)
• Ukuhlinzwa kwe-venous shunt
• Ukufakelwa kwesibindi

Ukuvinjelwa kwe-hepatic vein kungakhula kakhulu futhi kuholele ekuhlulekeni kwesibindi nokuhluleka kwesibindi. Lokhu kungasongela impilo.

Shayela umhlinzeki wakho uma:

• Unezimpawu zokuvinjelwa kwemithambo ye-hepatic
• Ulashelwa lesi simo futhi uba nezimpawu ezintsha

IBudd-Chiari syndrome; Isifo se-hepatic veno-occlusive

• Uhlelo lokugaya ukudla
• Izitho zohlelo lokugaya ukudla
• Ukwakheka kwegazi
• Amahlule egazi

IKahi CJ. Izifo ze-Vascular zomgudu wamathumbu. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 134.

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.