Imithambo ye-Varicose esiswini: iyini, izimbangela kanye nokwelashwa

-Delile

• Ungayibona kanjani
• Ukuhlukaniswa kwezinhlobo
• Yini ebangela i-varices yesisu
• Yelashwa kanjani

Imithambo ye-Varicose esiswini iyaxebuka nemithambo yegazi ehlasimulisayo eyakha odongeni lwalesi sitho, futhi ingaba yimbi, njengoba ikhula, isengozini yokuqhuma futhi ibangele ukopha okukhulu.

Le mithambo ye-varicose ingakha esiswini ngenxa yokwenyuka kokumelana nokugeleza kwegazi emthanjeni we-portal, umthambo obalulekile okhipha igazi elivela ezithweni zesisu, elingavela ngezizathu ezahlukahlukene, njenge-hepatitis engalapheki, isifo sokuqina kwesibindi, i-schistosomiasis noma i-portal vein thrombosis, isibonelo. Ukuqonda kangcono ukuthi yini nokuthi yini engadala umfutho wegazi ophezulu wengosi.

Ngokuvamile, ama-varices esiswini avela ngemuva noma ngokuhlangana nemithambo ye-varicose esophahleni, kanye naku-rectum. Ukwelashwa kwale mithambo ye-varicose kuboniswa kokubili ukuvimbela nokumisa ukopha, futhi kungenziwa ngemithi evimba i-beta noma izinqubo zokuhlinzwa, njenge-sclerotherapy, i-cyanoacrylate noma i-elastic ligators, ngokwesibonelo.

Ungayibona kanjani

Imithambo ye-gastric varicose kungenzeka ingabangeli zimpawu, futhi ingabonakala ekuhlolweni lapho kusolwa khona i-portal hypertension, ngenxa yesibindi sesibindi, ngokwesibonelo. Ama-esophageal varices yiwona avame kakhulu, kepha-ke, imithambo ye-varicose esiswini ingaba ngama-20% wamacala, ikakhulukazi lapho ukwanda kwengcindezi ku-portal vein kuba nzima kakhulu.

Ngaphezu kwalokho, ama-varices esiswini mancane amathuba okuthi aqhekeke uma kuqhathaniswa nawokuqunjelwa kokuqina, kepha, abangela ukopha okunzima kakhulu futhi okunzima ukuwalawula. Ezinye zezimpawu ezibonisa ukopha emithanjeni ye-varicose yilezi:

• Izitulo ezimnyama ezinephunga elibi;
• Ukuhlanza ngegazi;
• Ukuphaphatheka, isiyezi nokushaya ngamandla.

Ukuhlukaniswa kwezinhlobo

Ukuhlolwa okuyinhloko okutholakala ngemithambo ye-varicose yi-endoscopy yokugaya ukudla, i-doppler ultrasound ne-tomography. Zingaba sezindaweni ezahlukahlukene esiswini, zihlukaniswe njenge:

1. Kukuqhubeka kwama-varices we-esophageal, enweba amasentimitha ambalwa ngaphansi kokushintshwa kwesophage, ngokugoba okuncane kwesisu, okuyisona esivame kakhulu;
2. Futhi kunwetshiwe kwama-varices esophageal, kepha maqondana ne-gastric fundus;
3. Lawa ama-varices esiswini angawodwa, atholakala ezansi kwesisu;
4. Futhi zingama-varices esiswini angahlukanisiwe, angavela kwenye indawo esiswini.

Ama-varices we-gastric athathwa njengamancani lokha nakalinganiselwa ngaphasi kwamamilimitha ama-3 ububanzi, aphakathi nendawo lapho aphakathi kuka-3 no-5 mm namkha amakhulu lokha nangaba ngaphezu kwama-5 mm ububanzi. Uma kukhula usayizi wemithambo ye-varicose, iba nkulu kakhulu ingozi yokopha.

Yini ebangela i-varices yesisu

Imithambo ye-Varicose esiswini yakhiwa yingcindezi eyandayo emthanjeni we-portal, futhi izizathu eziyinhloko yilezi:

• I-hepatitis engapheli;
• Isifo sokuqina kwesibindi;
• ISchistosomiasis;
• I-portal noma i-splenic vein thrombosis;
• Isifo sikaBudd-Chiari. Thola ukuthi sinjani lesi sifo nokuthi kwenzeka kanjani;
• Ukukhubazeka emthanjeni we-portal noma ku-vena cava engaphansi.

Imithambo ye-Varicose esiswini nayo ingabangelwa yisifo senhliziyo esibizwa ngokuthi yi-constrictive pericarditis, lapho izicubu zemicu zikhula zizungeze inhliziyo, futhi kwenze kube nzima ukusebenza. Funda kabanzi mayelana nokuthi sikhula kanjani kanye nemiphumela yalesi sifo.

Yelashwa kanjani

Uma imithambo ye-varicose incane noma uma udokotela ethola ukuthi kunengozi ephansi yokopha, asikho isidingo sokwelashwa kwama-varices esiswini, kuphela ukuqapha kwawo okujwayelekile.

Kodwa-ke, kwezinye izimo, udokotela angancoma ukwelashwa ukuvimbela ukuphuma kwegazi, ikakhulukazi uma bekala ngaphezu kuka-10 mm ububanzi noma kunengozi enkulu yokopha, okungenziwa ngemithi evimba i-beta, eyehlisa amandla egazi ukugeleza, njengePropranolol, noma ukusetshenziswa kweCyanoacrylate, uhlobo lweglu olususa umkhumbi.

Uma ama-varices esiswini etholakala opha, ukwelashwa kungafaka i-endoscopy ye-sclerotherapy, umjovo we-cyanoacrylate noma ukubekwa kwamabhandeshi okunwebeka, isibonelo, noma iziphethu.

Ngaphezu kokumisa ukopha, njengoba lesi kuyisimo esibi, udokotela kufanele athathe izinyathelo ezithile zokuvikela impilo yesiguli, njengokufaka okunye uketshezi nge-serum emthanjeni, ukufaka igazi, uma kunesidingo, noma ukusebenzisa ama-antibiotic ukuvikela izifo zesisu ., Okuvamile ezigulini ezinesibindi sokuqina kwesibindi. Bheka nezinye izimbangela zokopha esiswini nokuthi wenzeni.