Konke Okufanele Ukwazi Nge-Portal Hypertension

-Delile

• Iqiniso elisheshayo
• Izimpawu
• Izimbangela
• Izici zobungozi
• Ukuxilongwa
• Ukwelashwa
• Izinkinga
• Umbono
• Amathiphu okuvimbela
• I-Q & A: I-portal hypertension ngaphandle kwe-cirrhosis
• Q:
• A:

Ukubuka konke

I-portal vein ithwala igazi lisuka esiswini sakho, amanyikwe, nezinye izitho zokugaya ziye esibindini sakho. Ihlukile kweminye imithambo, ehambisa igazi lonke enhliziyweni yakho.

Isibindi sidlala indima ebalulekile ekusakazeni kwegazi lakho. Ihlunga ubuthi nokunye ukungcola okubekwe izitho zokugaya ukudla egazini lakho. Lapho umfutho wegazi ku-portal vein uphakeme kakhulu, une-portal hypertension.

Umfutho wegazi ophezulu we-portal ungaba sibi impela, noma ngabe kuyelapheka uma kutholakala ngesikhathi. Akulula ngaso sonke isikhathi ukuxilonga, noma kunjalo. Imvamisa, uxwayiswa ngesimo lapho uqala ukuthola izimpawu.

Iqiniso elisheshayo

Imithambo yegazi ithwala igazi elinomoya-mpilo lisuka enhliziyweni yakho liye ezingalweni zakho, emisipheni, nakwezinye izicubu. Imithambo ibuyisela igazi enhliziyweni yakho, ngaphandle kwe-portal vein, ehambisa igazi esibindini sakho.

Izimpawu

Ukopha emathunjini ngokuvamile kuyisibonakaliso sokuqala se-portal hypertension. Izitokisi ezimnyama, ezilindile kungaba uphawu lokopha emathunjini. Ungase futhi ubone igazi ezitokisini zakho.

Esinye isibonakaliso ama-ascites, okuyisakhi soketshezi esiswini sakho. Ungaqaphela ukuthi isisu sakho siyakhula ngenxa yama-ascites. Isimo singabangela nezinsika, ukuqunjelwa, nokuphefumula okuncane.

Futhi, ukukhohlwa noma ukudideka kungaba umphumela wenkinga yokujikeleza okuhlobene nesibindi sakho.

Izimbangela

Imbangela enkulu yomfutho wegazi ophezulu wengosi yi-cirrhosis. Lesi yisibazi sesibindi. Kungaba khona ngenxa yezimo eziningana ezifana ne-hepatitis (isifo sokuvuvukala) noma ukusetshenziswa kabi kotshwala.

Izifo ezizimele zesibindi ezifana ne-autoimmune hepatitis, i-primary sclerosing cholangitis, kanye ne-primary biliary cholangitis nazo ziyizimbangela ze-cirrhosis kanye ne-portal hypertension.

Noma nini lapho kulimala isibindi sakho, sizama ukuziphilisa. Lokhu kubangela ukwakheka kwezicubu ezibomvu. Isibazi esiningi senza kube nzima isibindi sakho ukwenza umsebenzi waso.

Ezinye izimbangela ze-cirrhosis zifaka:

• isifo sesibindi esingenawo utshwala
• ukwakheka kwensimbi emzimbeni wakho
• i-cystic fibrosis
• amapayipi e-bile angakhuli kahle
• izifo zesibindi
• ukusabela emithini ethile, njenge-methotrexate

I-Cirrhosis ingadala ukuthi izindonga zangaphakathi ezibushelelezi zomthambo we-portal zingalingani. Lokhu kungakhuphula ukumelana nokugeleza kwegazi. Ngenxa yalokhu, umfutho wegazi ku-portal vein uyanda.

Ukuqina kwegazi nakho kungakha emthanjeni we-portal. Lokhu kungakhuphula ingcindezi yokugeleza kwegazi ngokumelene nezindonga zomthambo wegazi.

Izici zobungozi

Abantu abasengozini ekhulayo ye-cirrhosis basengozini eyengeziwe ye-portal hypertension. Uma unomlando omude wokusebenzisa kabi utshwala, ubhekana nengozi enkulu yokuqina kwesibindi. Usengozini enkulu yokuba nesifo sokusha kwesibindi kohlobo uma okunye kwalokhu okulandelayo kusebenza kuwe:

• Usebenzisa izinaliti ukujova izidakamizwa.
• Uthole ama-tattoo noma ukubhoboza ezimweni ezingcolile.
• Usebenza endaweni lapho kungenzeka ukuthi waxhumana khona nezinaliti ezinegciwane noma igazi elinegciwane.
• Wampontshelwa igazi ngaphambi kuka-1992.
• Umama wakho wayene-hepatitis.
• Unocansi olungaphephile nabalingani abaningi.

Ukuxilongwa

Umfutho wegazi ophezulu we-portal kunzima ukuwuthola uma izimpawu zingabonakali. Ukuhlolwa okufana ne-doppler ultrasound kuyasiza. I-ultrasound ingadalula isimo se-portal vein nokuthi igazi ligeleza kanjani ngayo. Uma i-ultrasound ingabonakali, ukuskena kwe-CT kungasiza.

Enye indlela yokuhlola esetshenziswa kabanzi ukulinganisa ukuqina kwesibindi sakho nezicubu ezizungezile. I-Elastography ilinganisa ukuthi izicubu ziphendula kanjani lapho zicindezelwa noma zahlolwa. Ukunwebeka okungafanele kusikisela ukuba khona kwezifo.

Uma ukuphuma kwegazi emathunjini kwenzeke, kungenzeka uhlolwe i-endoscopic. Lokhu kufaka ukusetshenziswa kwensimbi ezacile, eguquguqukayo enekhamera ngakolunye uhlangothi evumela udokotela wakho ukuthi abone izitho zangaphakathi.

Ingcindezi yegazi le-portal vein inganqunywa ngokufaka ipayipi eline-monitor yegazi emthanjeni wesibindi sakho bese uthatha isilinganiso.

Ukwelashwa

Izinguquko zokuphila ezinjengalezi zingasiza ekwelapheni umfutho wegazi ophezulu wengosi:

• ukuthuthukisa indlela odla ngayo
• ukugwema ukuphuza utshwala
• ukuzivocavoca umzimba njalo
• ukuyeka ukubhema uma ubhema

Imithi efana ne-beta-blockers nayo ibalulekile ukusiza ukunciphisa umfutho wegazi lakho nokuxegisa imithambo yegazi. Eminye imithi, efana nepropranolol ne-isosorbide, ingasiza ukwehlisa ingcindezi emthanjeni we-portal, futhi. Banganciphisa nengozi yokopha okuningi kwangaphakathi.

Uma uhlangabezana nama-ascites, udokotela wakho angahle anikeze umchamo wokusiza ukunciphisa amazinga oketshezi emzimbeni wakho. I-Sodium kufanele futhi ivinjelwe kanzima ukusiza ukunciphisa ukugcinwa koketshezi.

Ukwelashwa okubizwa nge-sclerotherapy noma i-banding kusebenzisa isisombululo esingasiza ekunqandeni ukopha emithanjeni yegazi yesibindi sakho. Ukubopha ibhande kufaka ukubekwa kwamabhande erabha ukuvimba ukugeleza kwegazi okungenampilo emithanjeni ekhulisiwe, eyaziwa njenge-varices noma i-varicose veins, ohlelweni lwakho lokugaya ukudla.

Olunye ukwelashwa okwandayo kubizwa ngokuthi yi-nonsurgical transjugular intrahepatic portal-systemic shunt (TIPSS). Lokhu kwelashwa kusiza ukulawula ukopha okukhulu. Kwakha izindlela ezintsha zokugeleza kwegazi lisuka emthanjeni we-portal liye kweminye imithambo yegazi.

Izinkinga

Enye yezinkinga ezivame kakhulu ezihambisana nomfutho wegazi ophezulu we-portal yi-portal hypertensive gastropathy. Isimo sithinta ulwelwesi lwamafinyila esiswini sakho futhi sandise imithambo yegazi.

Izindlela ezakhiwe phakathi kwemithambo yegazi ku-TIPSS zingavalwa. Lokhu kungaholela ekuphumeni kwegazi okuqhubekayo. Uma izinkinga zesibindi ziqhubeka, ungaba nezinkinga ezengeziwe zokuqonda.

Umbono

Awukwazi ukuguqula umonakalo obangelwe yi-cirrhosis, kodwa ungalapha i-portal hypertension. Kungathatha inhlanganisela yendlela yokuphila enempilo, imithi, kanye nokungenelela. Ama-ultrasound alandelayo azodingeka ukuqapha impilo yesibindi sakho kanye nemiphumela yenqubo ye-TIPSS.

Kuzoba kuwe ukuthi ugweme utshwala futhi uphile impilo enempilo uma une-portal hypertension. Uzodinga futhi ukulandela imiyalo kadokotela wakho. Lokhu kwenzelwa imithi nokuqokwa kokulandelwa.

Amathiphu okuvimbela

Phuza utshwala ngokulinganisela, uma kunjalo. Futhi uthathe izinyathelo zokugwema i-hepatitis. Khuluma nodokotela wakho ngemigomo yokugomela i-hepatitis nokuthi kufanele ube nayo yini. Ungase futhi ufune ukuhlolwa i-hepatitis uma useqenjini elisengozini.

Umfutho wegazi ophezulu we-portal ubangelwa ukuncipha kwempilo yesibindi, kepha ungakwazi ukugwema lesi sifo esiyinselele semithambo ngokukhetha indlela yokuphila enempilo.

I-Q & A: I-portal hypertension ngaphandle kwe-cirrhosis

Q:

Ungakwazi yini ukuhlakulela i-portal hypertension ngaphandle kwe-cirrhosis?

Isiguli esingaziwa

A:

Kungenzeka, nakuba kungavamile. Umfutho wegazi ophezulu we-portal ngaphandle kwe-cirrhosis ubizwa nge-idiopathic non-cirrhotic portal hypertension (INCPH). Kunezigaba ezinhlanu ezibanzi zezimbangela ze-INCPH: ukuphazamiseka komzimba, izifo ezingalapheki, ukuvezwa ubuthi noma imishanguzo ethile, ukuphazamiseka kofuzo, kanye nezimo ze-prothrombotic. Eziningi zalezi zigaba zingashintsha ukujiya okujwayelekile futhi zenze amahlule amancane akheke, okuholele ku-INCPH. Abantu abane-INCPH bavame ukuba nombono ongcono ngoba banesibindi esivame ukusebenza.

UCarissa Stephens, umhlengikazi we-ICU wezingane Izimpendulo zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.