I-portal hypertension: kuyini, izimpawu nokwelashwa
-Delile
- Izimpawu eziyinhloko
- Ungakuqinisekisa kanjani ukuxilongwa
- Yini ebangela i-portal hypertension
- Yelashwa kanjani
Umfutho wegazi ophakeme ukwanda kwengcindezi ohlelweni lwe-vein oluthatha igazi kusuka ezithweni zesisu liye esibindini, okungaholela ezinkingeni ezinjenge-esophageal varices, hemorrhage, spleen enated and ascites, equkethe ukuvuvukala kwesisu.
Imvamisa, lolu hlobo lomfutho wegazi ophezulu lwenzeka lapho sekuvele kukhona ukulimala noma isifo esibindini, njenge-cirrhosis noma i-schistosomiasis, isibonelo, ngakho-ke, kuvame kakhulu ezigulini zesibindi.
Ukwehlisa ingcindezi ezitsheni zesibindi kuyadingeka ukwelashwa nokuzama ukwelapha inkinga yesibindi, kepha-ke, uma lokhu kungenzeki, udokotela anganikeza imishanguzo yokulawula ingcindezi futhi, ezimweni ezinzima kakhulu, kungenzeka ukweluleka ukuhlinzwa, isibonelo.
Izimpawu eziyinhloko
Akunakwenzeka ngaso sonke isikhathi ukukhomba izimpawu esimweni se-portal hypertension, noma kunjalo, abantu abanesifo sesibindi esingaholela ku-cirrhosis basengozini enkulu yokuthola lesi simo.
Ezimweni lapho kungenzeka khona ukukhomba noma yiluphi uphawu lwe-portal hypertension, izimpawu ezivame kakhulu zifaka:
- Isisu esivuvukile;
- Ama-esophageal varices;
- Ukuhlanza ngegazi;
- Izitokisi ezimnyama kakhulu ne-fetid;
- Zivuvukele izinyawo nemilenze;
- Ama-hemorrhoids.
Ezimweni ezinzima kakhulu, kungenzeka ukudideka kwengqondo nokuquleka, okubangelwa ukufika kobuthi ebuchosheni. Kepha le nkinga ingenzeka noma kunini lapho kunesifo esibi sesibindi, ngoba isitho asisakwazi ukuhlunga igazi ngokufanele, futhi asidingi ukuhlobana kuphela nomfutho wegazi ophezulu wengosi.
Kuyinsakavukela kubantu abane-portal hypertension ukuzwa i-jaundice, okuyilapho isikhumba namehlo eba phuzi, kepha lolu phawu luvela njengokulandela kwesifo esibindini.
Ungakuqinisekisa kanjani ukuxilongwa
Ezimweni eziningi, i-hepatologist ingakhomba icala lomfutho wegazi ophakeme lapho umuntu enomlando wesifo sesibindi nezimpawu ezifana nesisu esivuvukile, imithambo evulekile kanye nama-hemorrhoids, isibonelo.
Kodwa-ke, ukuhlolwa okuningana kwelabhorethri, okufana ne-endoscopy, i-ultrasound noma ukuhlolwa kwegazi, kungadingeka futhi ukuqinisekisa ukuxilongwa, ikakhulukazi uma kungekho zimpawu ezisobala ze-portal hypertension.
Yini ebangela i-portal hypertension
Ukuphakama komfutho wegazi ophakeme kuvela lapho kunesithiyo ekujikelezeni kwegazi emithanjeni yesibindi. Ngenxa yalesi sizathu, imbangela ejwayelekile kunazo zonke i-cirrhosis, isimo lapho kuvela khona izibazi ezicutshini zesibindi, okungavimbeli ukusebenza kwesitho kuphela, kepha nokujikeleza kwegazi.
Kodwa-ke, kunezinye izimbangela ezingavamile kakhulu, njenge:
- I-thrombosis emithanjeni noma emithanjeni yesibindi;
- ISchistosomiasis;
- I-hepatic fibrosis.
Ngaphezu kwalokho, izinguquko zenhliziyo ezivimbela ukujikeleza kwegazi okujwayelekile ngemuva kwesibindi kungadala nomfutho wegazi ophezulu. Kulezi zimo, izinkinga ezivame kakhulu ukwehluleka kwenhliziyo okulungile, i-pericarditis ebophelelayo noma i-Budd-Chiari syndrome.
Yelashwa kanjani
Amacala amaningi we-portal hypertension awanalo ikhambi, ngoba futhi akunakwenzeka ukwelapha lesi sifo. Kodwa-ke, kungenzeka ukulawula izimpawu nokuvimbela ukubonakala kwezinkinga. Ngalokhu, izinhlobo eziyinhloko zokwelashwa ezisetshenzisiwe zifaka:
- Izixazululo Zokucindezela Kwegazi Eliphezulu, njenge-nadolol noma i-propranolol: banciphisa ingcindezi emithanjeni yegazi, ngakho-ke, banciphisa ubungozi bokuqhekeka kwama-esophageal varices noma ama-hemorrhoids;
- Amakhambi we-laxative, ikakhulukazi i-lactulose: okusiza ukuqeda i-ammonia nobuthi obuningi obunqwabelana emzimbeni, okusiza ekulweni nokudideka;
- Ukwelashwa kwe-Endoscopic: isetshenziswa kakhulu ekwelapheni ama-esophageal varices kanye nokuwavimbela ekuqhekekeni.
- Ukuhlinzwa: kungenziwa ukuphambukisa ukujikeleza kwegazi lesibindi futhi, ngaleyo ndlela, kunciphise ingcindezi ohlelweni lwe-portal, noma kungenjalo, ukwenza ukufakelwa kwesibindi, ngokwesibonelo.
Ngaphezu kwalokho, ukuvinjelwa usawoti kanye nokusetshenziswa kwe-diuretics, njenge-furosemide, kunconywa ukulawula ama-ascites nokuvimbela izinkinga zezinso.
Kubalulekile futhi ukuthi umuntu one-portal hypertension abe nokunakekelwa nsuku zonke ukulawula izifo zesibindi nokuvimbela ukwanda komfutho wegazi ophezulu nezinye izinkinga. Ngakho-ke, kunconywa ukuthi ugweme ukusetshenziswa kweziphuzo ezidakayo nokubheja ekudleni okunamafutha aphansi. Bona okuningi mayelana nokuthi yini okufanele uyinakekele lapho unesifo sesibindi.