ICaput Medusae

-Delile

• Ziyini izimpawu?
• Kubangelwa yini?
• Kutholakala kanjani?
• Ilashwa kanjani?
• Uyini umbono?

Yini i-caput medusae?

ICaput medusae, kwesinye isikhathi ebizwa ngokuthi uphawu lwesundu, ibhekisa ekuveleni kwenethiwekhi yemithambo engenabuhlungu, evuvukile ezungeze inkinobho yakho yesisu. Yize kungesona isifo, kuwuphawu lwesimo esingaphansi, imvamisa isifo sesibindi.

Ngenxa yamasu angcono okuthola isifo sesibindi ezigabeni zaso zakuqala, i-caput medusae manje isiyivelakancane.

Ziyini izimpawu?

Uphawu oluyinhloko lwe-caput medusae inethiwekhi yemithambo emikhulu, ebonakalayo ezungeze isisu. Uma ukude, kungabukeka njengokulimala okumnyama noma okuluhlaza okwesibhakabhaka.

Ezinye izimpawu ezingahamba nazo zihlanganisa:

• imilenze evuvukele
• ubende obukhulisiwe
• amabele amakhulu emadodeni

Uma unesifo sesibindi esithuthukile, ungahle ubone izimpawu ezilandelayo:

• ukuvuvukala kwesisu
• i-jaundice
• ukuguquka kwemizwelo
• ukudideka
• ukopha ngokweqile
• isicabucabu angioma

Kubangelwa yini?

ICaput medusae cishe njalo ibangelwa yi-portal hypertension. Lokhu kubhekisela ekucindezelweni okuphezulu emgodini wakho we-portal. I-portal vein ithwala igazi liye esibindini sakho lisuka emathunjini akho, inyongo, amanyikwe, nobende. Isibindi sicubungula izakhi ezisegazini bese sithumela igazi liye enhliziyweni.

ICaput medusae imvamisa ihlobene nesifo sesibindi, esigcina sibangele isibazi sesibindi, noma i-cirrhosis. Lesi sibazi senza kube nzima ukuba igazi ligeleze emithanjeni yesibindi sakho, okuholele ekulondolozweni kwegazi emthanjeni wakho we-portal. Igazi elandayo emgodini wakho we-portal liholela ekushayweni komfutho wegazi ophezulu.

Njengoba kungenakwezinye izindawo ongaya kuzo, elinye igazi lizama ukugeleza ngemithambo eseduze ezungeze inkinobho yesisu, ebizwa ngemithambo ye-periumbilical. Lokhu kukhiqiza iphethini yemithambo yegazi ekhulisiwe eyaziwa njenge-caput medusae.

Ezinye izimbangela zesifo sesibindi ezizoholela ekushayweni komfutho wegazi ophezulu we-portal zifaka:

• hemochromatosis
• i-alpha 1-antitrypsin ukuntula
• i-hepatitis B
• i-hepatitis C engapheli
• isifo sesibindi esihlobene notshwala
• isifo sesibindi esinamafutha

Ezimweni ezingavamile, ukuvinjelwa kwe-vena cava yakho engaphansi, umthambo omkhulu othwala igazi lisuka emilenzeni yakho ne-torso ephansi uye enhliziyweni yakho, nakho kungadala umfutho wegazi ophezulu wengosi.

Kutholakala kanjani?

I-Caput medusae ivame ukubonakala kalula, ngakho-ke udokotela wakho cishe uzogxila ekunqumeni ukuthi kungenxa yesifo sesibindi noma ukuvinjelwa kwe-vena cava yakho engaphansi.

Ukuhlolwa kwe-CT noma i-ultrasound kungakhombisa ukuqondiswa kokugeleza kwegazi esiswini sakho. Lokhu kuzosiza udokotela wakho anciphise imbangela. Uma igazi elisemithanjeni ekhulisiwe lihambela emilenzeni yakho, kungenzeka kungenxa yesifo sokuqina kwesibindi. Uma igelezela enhliziyweni yakho, ukuvinjelwa kungenzeka kakhulu.

Ilashwa kanjani?

Ngenkathi i-caput medusae uqobo lwayo ingadingi ukwelashwa, izimo ezingaphansi kwayo ezibangela ukwenze.

ICaput medusae imvamisa iyisibonakaliso se-cirrhosis esithuthuke kakhulu, esidinga ukwelashwa ngokushesha. Ngokuya ngobukhulu, lokhu kungafaka:

• ukufaka i-shunt, ithuluzi elincane elivula umthambo we-portal ukunciphisa umfutho wegazi ophezulu wengosi
• imithi
• ukufakelwa kwesibindi

Uma i-caput medusa ingenxa yokuvinjelwa kwe-vena cava yakho engaphansi, cishe uzodinga ukuhlinzwa okuphuthumayo ukulungisa ukuvinjelwa nokuvimbela ezinye izinkinga.

Uyini umbono?

Ngenxa yezindlela ezithuthukisiwe zokuthola isifo sesibindi, i-caput medusae ayivamile. Kodwa uma ucabanga ukuthi ukhombisa izimpawu ze-caput medusae, xhumana nodokotela wakho ngokushesha okukhulu. Cishe njalo uphawu lwento edinga ukwelashwa ngokushesha.