Hepatic ischemia

Hepatic ischemia ndimkhalidwe womwe chiwindi sichipeza magazi okwanira kapena mpweya wokwanira. Izi zimavulaza maselo a chiwindi.

Kuthamanga kwa magazi kuchokera pachikhalidwe chilichonse kumatha kubweretsa ku hepatic ischemia. Izi zitha kuphatikizira:

• Nyimbo zosadziwika bwino zamtima
• Kutaya madzi m'thupi
• Mtima kulephera
• Matenda, makamaka sepsis
• Kutaya magazi kwambiri

Zina mwazinthu zitha kuphatikiza:

• Magazi amatsekemera mumitsempha yayikulu kupita ku chiwindi (mtsempha wamagazi) pambuyo pobzala chiwindi
• Kutupa kwa mitsempha yamagazi, komwe kumapangitsa kuchepa kwa magazi (vasculitis)
• Kutentha
• Kutentha kwamatenda
• Kukhala ndi vuto la khungu la zenga

Munthuyo atha kusintha malingaliro chifukwa chakuchepa kwamagazi kupita kuubongo. Zizindikiro zina zitha kuphatikiza:

• Kutaya njala
• Kumva kusapeza bwino
• Jaundice

Kuwonongeka kwa maselo a chiwindi nthawi zambiri sikumayambitsa zizindikiro mpaka kukhudza chiwindi.

Kuundana kwa magazi mumitsempha yayikulu ya chiwindi kumatha kupweteka m'mimba.

Mayesero otsatirawa adzachitika:

• Kuyezetsa magazi kuti muwone momwe chiwindi chimagwirira ntchito (AST ndi ALT). Kuwerenga uku kumatha kukhala kwakukulu kwambiri ndi ischemia.
• Doppler ultrasound ya mitsempha ya chiwindi.

Chithandizo chimadalira chifukwa. Kuthamanga kwa magazi ndi magazi kuundana ayenera kuchiritsidwa nthawi yomweyo.

Anthu nthawi zambiri amachira ngati matenda omwe amayambitsa hepatic ischemia atha kuchiritsidwa. Imfa chifukwa cholephera chiwindi chifukwa cha hepatic ischemia ndiyosowa kwambiri.

Kulephera kwa chiwindi ndizovuta, koma zowopsa.

Lumikizanani ndi omwe akukuthandizani nthawi yomweyo ngati muli ndi zofooka kapena zizindikiro zakusokonekera kapena kuchepa kwa madzi m'thupi.

Kuchiza mwachangu zomwe zimayambitsa kuthamanga kwa magazi kumatha kuteteza ischemia ya hepatic.

Ischemic matenda a chiwindi; Chiwopsezo cha chiwindi

• Magazi a chiwindi

Anstee QM, Jones DEJ. Matenda a chiwindi. Mu: Ralston SH, ID ya Penman, Strachan MWJ, Hobson RP, olemba. Mfundo ndi Zochita za Mankhwala a Davidson. Wachitatu. Philadelphia, PA: Elsevier; 2018: mutu 22.

Korenblat KM, Berk PD. Yandikirani kwa wodwala yemwe ali ndi jaundice kapena mayeso osadziwika a chiwindi. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 138.

Nery FG, Valla DC. Matenda a m'chiwindi. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: mutu 85.