Kutsekeka kwa mitsempha ya hepatic (Budd-Chiari)

Kutsekeka kwamitsempha ya hepatic ndikutchinga kwa mitsempha ya chiwindi, yomwe imanyamula magazi kuchokera pachiwindi.

Kutsekeka kwamitsempha ya hepatic kumalepheretsa magazi kutuluka m'chiwindi ndikubwerera kumtima. Kutsekeka kumeneku kumatha kuwononga chiwindi. Kutsekeka kwamitsempha iyi kumatha kuyambitsidwa ndi chotupa kapena kukula komwe kumapanikizira chotengera, kapena chotsekeretsa chotengera (hepatic vein thrombosis).

Nthawi zambiri, zimayamba chifukwa cha mikhalidwe yomwe imapangitsa kuti magazi aziundana kwambiri, kuphatikiza:

• Kukula kosazolowereka kwama cell m'mafupa (matenda a myeloproliferative)
• Khansa
• Matenda osachiritsika otupa kapena omwe amadzichotsera okha
• Matenda
• Choloŵa (cholowa) kapena mavuto obwera chifukwa chotseka magazi
• Njira zolera zapakamwa
• Mimba

Kutsekeka kwamitsempha ya hepatic ndiye komwe kumayambitsa matenda a Budd-Chiari.

Zizindikiro zake ndi izi:

• Kutupa m'mimba kapena kutambasula chifukwa chamadzi m'mimba
• Ululu pamimba yakumanja yakumanja
• Kusanza magazi
• Chikasu cha khungu (jaundice)

Chimodzi mwazizindikiro ndi kutupa kwa m'mimba kuchokera kumadzimadzi (ascites). Chiwindi chimakhala chotupa komanso chofewa.

Mayeso ndi awa:

• CT scan kapena MRI yamimba
• Doppler ultrasound ya mitsempha ya chiwindi
• Chiwindi
• Kuyesa kwa chiwindi
• Ultrasound pachiwindi

Chithandizo chimasiyanasiyana, kutengera chifukwa cha kutsekeka.

Wothandizira zaumoyo wanu angakulimbikitseni mankhwala awa:

• Opaka magazi (anticoagulants)
• Mankhwala osokoneza bongo (chithandizo cha thrombolytic)
• Mankhwala ochizira matenda a chiwindi, kuphatikizapo ascites

Kuchita opaleshoni kungalimbikitsidwe. Izi zitha kuphatikiza:

• Kukhazikitsidwa kwa Angioplasty ndi stent
• Transjugular intrahepatic portosystemic shunt (MALANGIZO)
• Opaleshoni ya venous shunt
• Kuika chiwindi

Kutsekeka kwa mitsempha ya hepatic kumatha kukulirakulira ndipo kumayambitsa matenda a chiwindi ndi chiwindi. Izi zitha kupha moyo.

Itanani omwe akukuthandizani ngati:

• Muli ndi zizindikiro za kutsekeka kwa mitsempha ya hepatic
• Mukuchiritsidwa matendawa ndikupanga zizindikilo zatsopano

Matenda a Budd-Chiari; Matenda opatsirana amtundu wa hepatic

• Dongosolo m'mimba
• Zakudya zam'mimba ziwalo
• Mapangidwe a magazi
• Kuundana kwamagazi

Kahi CJ. Matenda a m'mimba a mundawo m'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 134.

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.