Kutulutsa magazi ma Esophageal Varices

Zamkati

• Kodi Zizindikiro Zotuluka M'magazi Am'magazi Ndi Zotani?
• Nchiyani chimayambitsa magazi otupa magazi?
• Kodi ndi zifukwa ziti zomwe zimayambitsa matenda am'magazi?
• Kuzindikira magazi am'magazi am'magazi
• Kuchiza magazi otuluka m'matumbo
• Kulamulira matenda oopsa a pakhomo
• Kutuluka magazi kwayamba
• Kuwonera kwakanthawi kwa anthu omwe ali ndi magazi otupa magazi
• Kodi mungapewe bwanji matendawa?

Kodi magazi osophageal varices ndi ati?

Magazi am'magazi am'magazi amayamba pamene mitsempha yotupa (varices) mummero mwanu mumatuluka ndikutuluka magazi.

M'mero ​​ndi chubu lamphamvu lomwe limalumikiza pakamwa pako ndi m'mimba. Mitsempha yam'munsi mwanu pafupi ndi m'mimba imatha kutupa magazi akamafika pachiwindi atachepa. Izi zikhoza kukhala chifukwa cha minofu yofiira kapena magazi mkati mwa chiwindi.

Magazi a chiwindi akatsekerezedwa, magazi amakhala m'mitsempha ina yapafupi, kuphatikiza yomwe ili kum'mero ​​kwanu. Komabe, mitsempha iyi ndi yaying'ono kwambiri, ndipo sangathe kunyamula magazi ambiri. Amachepetsa ndikutupa chifukwa chakuchuluka kwamwazi.

Mitsempha yotupa imadziwika kuti ma esophageal varices.

Matenda a Esophageal amatha kutulutsa magazi ndipo pamapeto pake amaphulika. Izi zitha kubweretsa kukha magazi kwambiri komanso zovuta zowononga moyo, kuphatikiza imfa. Izi zikachitika, ndizadzidzidzi zamankhwala. Itanani 911 kapena pitani kuchipatala chapafupi pomwepo ngati mukuwonetsa zizindikiro za magazi otupa magazi.

Kodi Zizindikiro Zotuluka M'magazi Am'magazi Ndi Zotani?

Mavitamini a Esophageal mwina sangayambitse matenda pokhapokha ataphulika. Izi zikachitika, mutha kukumana ndi izi:

• hematemesis (magazi m'masanzi anu)
• kupweteka m'mimba
• kupusa kapena kutaya chidziwitso
• melena (mipando yakuda)
• mipando yamagazi (pamavuto akulu)
• kugwedezeka (kuthamanga kwambiri kwa magazi chifukwa chakutaya magazi komwe kumatha kuwononga ziwalo zingapo)

Itanani 911 kapena pitani kuchipinda chapafupi pomwe mwakumana ndi izi.

Nchiyani chimayambitsa magazi otupa magazi?

Mitsempha yotumiza imatumiza magazi kuchokera ku ziwalo zingapo m'matumbo kupita m'chiwindi. Matenda a Esophageal amachokera mwachindunji chifukwa cha kuthamanga kwa magazi m'mitsempha yapanyumba. Matendawa amatchedwa portal hypertension. Zimayambitsa magazi kuti azikhala m'mitsempha yamagazi yapafupi, kuphatikiza yomwe ili m'mimba mwanu. Mitsempha imayamba kuchepa ndi kutupa chifukwa cha kuchuluka kwa magazi.

Cirrhosis ndiye chifukwa chofala kwambiri cha matendawa Cirrhosis ndikutupa koopsa kwa chiwindi komwe kumayamba chifukwa chakumwa mowa kwambiri kapena matenda opatsirana, monga matenda a chiwindi. China chomwe chingayambitse matenda oopsa kwambiri ndi portal vein thrombosis, zomwe zimachitika magazi akaundana mkati mwa mtsempha wama portal.

Nthawi zina, chifukwa cha matenda oopsa a portal sichidziwika. Izi zimatchedwa kuti idiopathic portal hypertension.

Kodi ndi zifukwa ziti zomwe zimayambitsa matenda am'magazi?

Mavitamini a Esophageal amatha kutuluka magazi ngati muli:

• zigawo zazikulu zam'matumbo
• zipsera zofiira pamiyeso yam'matumbo monga tawonera pamimba yoyaka (endoscopy)
• matenda oopsa
• matenda enaake owopsa
• matenda a bakiteriya
• kumwa mowa kwambiri
• kusanza kwambiri
• kudzimbidwa
• kutsokomola koopsa

Lankhulani ndi dokotala wanu za chiopsezo chanu chokhala ndi matenda opatsirana, makamaka ngati muli ndi mbiri ya matenda a chiwindi.

Kuzindikira magazi am'magazi am'magazi

Kuti mupeze matenda am'mimba, dokotala wanu adzakuwunika ndikukufunsani za zomwe mukudwala. Angagwiritsenso ntchito mayesero amodzi kapena angapo kuti atsimikizire matendawa:

• Kuyezetsa magazi: Amagwiritsidwa ntchito poyesa kuchuluka kwa maselo amwazi ndi chiwindi ndi impso.
• Endoscopy: Munthawi imeneyi, kamera yaying'ono yoyatsidwa imayikidwa mkamwa ndikugwiritsidwa ntchito kuyang'ana pansi pamimba, m'mimba, komanso koyambirira kwa m'mimba. Amagwiritsidwa ntchito kuyang'anitsitsa mitsempha ndi ziwalo zolimbitsa. Itha kugwiritsidwanso ntchito kutenga zitsanzo zamatenda ndikuchiza magazi.
• Kujambula mayeso, monga CT ndi MRI scans: Izi zimagwiritsidwa ntchito kupenda ziwindi ndi m'mimba ndikuwunika momwe magazi amayendera mkati ndi mozungulira ziwalozi.

Kuchiza magazi otuluka m'matumbo

Cholinga chachikulu cha mankhwala ndikuteteza matenda opatsirana am'magazi kuti asaphulike komanso kutuluka magazi.

Kulamulira matenda oopsa a pakhomo

Kulamulira matenda oopsa kwambiri nthawi zambiri ndiye njira yoyamba yochepetsera magazi. Izi zitha kuchitika pogwiritsa ntchito mankhwala ndi mankhwala awa:

• Beta-blockers: Dokotala wanu akhoza kukupatsani mankhwala a beta-blocker, monga propranolol, kuti muchepetse kuthamanga kwa magazi.
• Endoscopic sclerotherapy: Pogwiritsa ntchito endoscope, dokotala wanu adzakupatsani mankhwala m'mitsempha yanu yotupa yomwe idzawachepetse.
• Endoscopic variceal ligation (banding): Dokotala wanu adzagwiritsa ntchito endoscope kuti amange mitsempha yotupa m'mimba mwanu ndi bandeti yotanuka kuti asatuluke magazi. Adzachotsa maguluwo patatha masiku angapo.

Mungafunike chithandizo chowonjezera ngati matenda anu am'mimba atuluka kale.

Kutuluka magazi kwayamba

Endoscopic variceal ligation ndi endoscopic sclerotherapy nthawi zambiri ndimankhwala othandizira kupewa. Komabe, dokotala wanu amathanso kuwagwiritsa ntchito ngati ma esophageal varices anu ayamba kutuluka magazi. Mankhwala otchedwa octreotide atha kugwiritsidwanso ntchito. Mankhwalawa amachepetsa kuthamanga m'mitsempha yotupa polimbitsa mitsempha yamagazi ndikuchepetsa magazi.

Njira ya Transjugular intrahepatic portosystemic shunt (MALANGIZO) ndi njira ina yothandizirayi yothetsera magazi omwe amapezeka m'magazi. Iyi ndi njira yomwe imagwiritsa ntchito X-ray kutsogolera kuyika kwa chida chomwe chimapanga kulumikizana kwatsopano pakati pamitsempha yamagazi iwiri m'chiwindi.

Tepu yaying'ono imagwiritsidwa ntchito kulumikiza mtsempha wama portal ndi mitsempha ya hepatic. Mitsempha yotupa imatumiza magazi kuchokera pachiwindi kupita kumtima. Kulumikizana kumeneku kumapangitsa kusunthika kwa magazi.

Njira zakutali za splenorenal shunt (DSRS) ndi njira ina yothandizira koma ndiyowopsa. Iyi ndi njira yochitira opaleshoni yomwe imalumikiza mitsempha yayikulu kuchokera ku ndulu kupita kumitsempha ya impso yakumanzere. Izi zimayang'anira kutuluka kwa magazi m'matumbo mwa anthu 90 mwa anthu 100 aliwonse.

Nthawi zambiri, kuika chiwindi kungakhale kofunikira.

Kuwonera kwakanthawi kwa anthu omwe ali ndi magazi otupa magazi

Magazi adzapitiliza kuchitika ngati vutoli silichiritsidwa mwachangu. Popanda chithandizo, magazi am'magazi am'magazi amatha kupha.

Mukalandira chithandizo cha magazi otupa magazi, muyenera kupita kukakumana ndi dokotala nthawi zonse kuti muwonetsetse kuti mankhwalawa achita bwino.

Kodi mungapewe bwanji matendawa?

Njira yabwino yopewera maophagealal varices ndikuwongolera chomwe chikuyambitsa. Ngati muli ndi matenda a chiwindi, ganizirani njira zotsatirazi zochepetsera chiopsezo chanu chokhala ndi vutoli:

• Idyani chakudya chopatsa thanzi chomwe chimakhala ndi mchere wochepa, mapuloteni owonda, mbewu zonse, zipatso, ndi ndiwo zamasamba.
• Siyani kumwa mowa.
• Pitirizani kulemera bwino.
• Chepetsani chiopsezo cha matenda a chiwindi pochita zogonana motetezeka. Musagawane singano kapena malezala, ndipo pewani kukhudzana ndi magazi ndi madzi ena amthupi a munthu amene ali ndi kachilomboka.

Ndikofunika kwambiri kutsatira ndondomeko yanu ya mankhwala ndikupita kuntchito pafupipafupi ndi dokotala ngati muli ndi vutoli. Itanani 911 kapena pitani kuchipatala nthawi yomweyo ngati mukukhulupirira kuti matenda anu am'mimba aphulika. Magazi am'magazi am'maso amawopseza moyo ndipo amatha kubweretsa zovuta zina.