Izimbangela ze-varices esophageal varices, izimpawu kanye nokwelashwa

-Delile

• Izimbangela ze-varices esophageal varices
• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Izinketho zokwelashwa
• 1. Amakhambi
• 2. I-Endoscopy
• 3. Ukuhlinzwa
• Ukudla kwama-varices esophageal

Ama-esophageal varices enzeka lapho imithambo yegazi esophahleni, okuyishubhu exhumanisa umlomo nesisu, iba banzi kakhulu futhi ingadala ukopha ngomlomo. Le mithambo ye-varicose ikhula ngenxa yengcindezi eyengeziwe emthanjeni omkhulu wesibindi, obizwa nge-portal vein, futhi ingavela ngenxa yezifo ezinjenge-cirrhosis yesibindi noma i-thrombosis esibindi.

Izimpawu ze-varices esophageal zivame ukuvela lapho imithambo yegazi ekuqhekekeni komphimbo, engaholela ekuhlanzweni ngegazi nangaphansi kwendle. Kodwa-ke, noma ngabe bengakahlushwa yi-esophageal varices, abantu abane-cirrhosis yesibindi nezinye izinkinga zesibindi banezibonakaliso nezimpawu ezifana nesisu esivuvukele, ukuphefumula okuncane noma ukuvuvukala kwemilenze ngokweqile.

Ukuxilongwa kwe-varices esophageal kuqinisekiswa ngokuhlolwa kwe-imaging, njenge-endoscopy ephezulu yamathumbu, kanti ukwelashwa okukhonjiswe ngudokotela wamathumbu kuncike ebucayi besifo, kusetshenziswa umuthi, ukuhlinzwa noma ukufakelwa kwesibindi ezimweni ezimbi kakhulu ezikhonjiswa ngokujwayelekile .

Izimbangela ze-varices esophageal varices

Ama-esophageal varices avela lapho kunokuphazamiseka kokugeleza kwegazi kuye esibindini, okwandisa ingcindezi emthanjeni omkhulu walesi sitho, owaziwa ngokuthi i-portal vein. Lokhu kwanda kwengcindezi kubangela ukuba imithambo yegazi ivuleke ngenxa yokuqongelelwa kwegazi, okungadala ukopha.

Lesi simo singadalwa yizinkinga eziningana zesibindi, njengamafutha amaningi, ukusetshenziswa ngokweqile nokuqhubekayo kotshwala, i-hepatitis C noma i-hepatitis B, okuyisifo esidalwa amagciwane futhi esingadluliselwa ngokuxhumana okungaphephile noma ngokusetshenziswa okungcolisiwe izinaliti noma izindwani. Nakhu okufanele ukwenze ukuvimbela i-hepatitis B.

Izimpawu eziyinhloko

Ama-varopha esophageal avela lapho imithambo yegazi ekuqhekekeni komphetho, engaholela ekubonakaleni kwe:

• Ukuhlanza ngegazi;
• Indle emnyama noma emnyama;
• Isiyezi;
• Isikhumba esiphaphathekile nesiphuzi;
• Ukuhefuzela;
• Ubuthakathaka.

Ezimweni ezinzima kakhulu, lapho ukuphuma kwegazi emlonyeni kukhulu kakhulu, umuntu angahle alahlekelwe ukwazi ngenxa yokopha, ngakho-ke, kuyadingeka ukuthi ushayele i-ambulensi ye-SAMU ocingweni 192.

Kodwa-ke, noma ngabe umuntu engakabi nazimpawu zokuqunjelwa kokuqokwa, angaba nezinye izimpawu nezimpawu zezinkinga zesibindi ezidala imithambo yegazi, njengesisu esivuvukele, ukuphefumula okuncane noma ukuvuvukala kwemilenze ngokweqile.

Ungakuqinisekisa kanjani ukuxilongwa

Shintsha isiphakamiso

Ukuxilongwa kwama-esophageal varices kufanele kwenziwe ngudokotela ojwayelekile noma i-gastroenterologist, lapho ukuhlolwa kwegazi, okufana nokubalwa kwegazi, ukuhlolwa kokusebenza kwesibindi kanye ne-coagulogram, kungenziwa ukubheka isikhathi esithathayo ukuze umzimba umise ukopha. Bona ukuthi i-coagulogram yenzelwe nokuthi yenziwa kanjani.

I-endoscopy engenhla emathunjini yisivivinyo esisetshenziselwa ukuqinisekisa ukuxilongwa kwe-varices esophageal futhi kwenziwa ngokwethulwa kweshubhu elincanyana, eliguquguqukayo elinekhamera encane enamathiselwe ukuze ukwazi ukubuka udonga lwesisu nesisu bese ubona umsuka ukopha, ngaleyo ndlela kunikeze ukuxilongwa futhi kungasetshenziswa njengokwelashwa.

Izinketho zokwelashwa

Uhlobo lwezokwelapha olusetshenziselwa imithambo ye-varicose emgodini luxhomeke ebucayi benkinga yesibindi nosayizi wale mithambo ye-varicose:

1. Amakhambi

Izindlela ezisetshenziswa kakhulu zama-esophageal varices zifaka:

• Amakhambi we-beta-blocking, njengepropranolol noma i-nadolol, eyehlisa izinga lokushaya kwenhliziyo futhi, ngenxa yalokho, yehlise ingcindezi ngaphakathi kwemithambo ye-varicose;
• Amakhambi we-Splenic vasodilator, njenge-vasopressin noma i-somatostatin, eyehlisa kakhulu ingcindezi ngaphakathi kwemithambo ye-varicose, ngakho-ke isetshenziswa kakhulu ezimeni zokopha.

La makhambi asetshenziselwa ukunciphisa ubungozi noma ukunciphisa ukopha emithanjeni emikhulu ye-varicose futhi, ngakho-ke, ayilaphi i-varices esophageal varices. Ngakho-ke, udokotela futhi angancoma ezinye izindlela zokwelashwa ezizosetshenziswa kanye namakhambi.

2. I-Endoscopy

I-Endoscopy yama-varices esophageal, ngaphezu kokusiza ekuxilongweni, iphinde isebenze ekuthuthukiseni ukunwetshwa kwemithambo ye-esophageal, ngokubeka ibhandishi elinwebekayo elizungeze imithambo ye-varicose ukuvala igazi kuleyo ndawo nokunciphisa ingozi yokopha okukhulu.

3. Ukuhlinzwa

Ukuhlinzwa kwemithambo ye-varicose ku-esophagus, ebizwa shunti-hepatic, isetshenziswa kakhulu ezimweni ezinzima kakhulu, lapho kungenakwenzeka khona ukulawula ingcindezi ngaphakathi kwemithambo ye-varicose kuphela ngemithi, futhi ingakhonjiswa futhi lapho ukopha emgodini kungalawulwa ngemithi nange-endoscopy .

Ukudla kwama-varices esophageal

Ukudla kwama-varices esophageal kumele kube namafutha amancane futhi kube namaprotheni agayeka kalula, njengezinhlanzi, inyama emhlophe noma imifino, ngokwesibonelo, ukwenza lula ukwelashwa kwenkinga yesibindi. Bona okunye ukudla ekudleni okuboniswe ngezinkinga zesibindi.

Ngaphezu kwalokho, ngenxa yobukhona bemithambo ye-varicose, kubalulekile ukunakekela ngokudla okufana nalokhu:

• Nikeza okuncamelayo ekudleni kwamakhekhe, njengama-porridges, purees noma amavithamini, isibonelo;
• Hlafuna ukudla ngamanani amancane ngesikhathi;
• Gwema ukudla okunzima kakhulu, omile noma omile, njengamakhukhi, izithelo ezomisiwe noma ukhukhunathi;
• Ungadli ukudla okushisa kakhulu, uyivumele ipholile cishe imizuzu engu-5, ngaphambi kokudla.

Lezi zixwayiso ezihambisana nokunciphisa ukusetshenziswa kweziphuzo ezidakayo zibalulekile ukuvimbela ukulimala noma ukuqhekeka kwemithambo ye-varicose, ngakho-ke, kusiza ukunciphisa ingozi yokopha.