Zomwe zimayambitsa matenda am'mimba, zizindikiro ndi chithandizo

Zamkati

• Zomwe zimayambitsa matenda am'mimba
• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Njira zothandizira
• 1. Zithandizo
• 2. Endoscopy
• 3. Opaleshoni
• Chakudya chazitsulo zam'mimba

Mitsempha yotchedwa Esophageal varices imachitika pamene mitsempha ya m'mimba, yomwe ndi chubu chomwe chimalumikiza mkamwa ndi m'mimba, imachuluka kwambiri ndipo imatha kuyambitsa magazi pakamwa. Mitsempha ya varicose imayamba chifukwa chakuchulukirachulukira mumitsempha yayikulu ya chiwindi, yotchedwa portal vein, ndipo imatha kuwoneka chifukwa cha matenda monga chiwindi cirrhosis kapena thrombosis m'chiwindi, mwachitsanzo.

Zizindikiro zam'mimba zimakhazikika nthawi zambiri mitsempha yamagazi ikaphulika, yomwe imatha kubweretsa kusanza ndi magazi ndi mipando yakuda. Komabe, ngakhale atakhala kuti alibe matenda am'mimba, anthu omwe ali ndi vuto la chiwindi komanso mavuto ena a chiwindi amakhala ndi zizindikilo monga kutupa kwa mimba, kupuma movutikira kapena kutupa kwambiri kwa miyendo.

Kuzindikira kwa matenda am'mimba kumatsimikizika kudzera pakuyesa kujambula, monga chapamwamba m'mimba, ndipo chithandizo chotsimikizika ndi gastroenterologist chimadalira kukula kwa matendawa, kugwiritsa ntchito mankhwala, opareshoni kapena kumuika chiwindi m'malo ovuta kwambiri omwe akuwonetsedwa ..

Zomwe zimayambitsa matenda am'mimba

Mitsempha yotchedwa Esophageal varices imawoneka ngati magazi amalephera kupita m'chiwindi, kukulitsa kupanikizika mumitsempha yayikulu ya chiwalo ichi, chotchedwa portal vein. Kuwonjezeka kwa kupsinjika kumeneku kumayambitsa mitsempha yotupa yam'mimba chifukwa chakuchulukana kwa magazi, komwe kumatha kuyambitsa magazi.

Vutoli limatha kuyambitsidwa ndi mavuto angapo a chiwindi, monga mafuta owonjezera, kumwa mopitilira muyeso, mowa wa chiwindi C kapena hepatitis B, omwe ndi matenda oyambitsidwa ndi mavairasi omwe amatha kupatsirana chifukwa chokhudzana kwambiri osagwiritsa ntchito mankhwala osokoneza bongo singano kapena masamba. Nazi zomwe mungachite kuti muteteze matenda a chiwindi a hepatitis B.

Zizindikiro zazikulu

Mitsempha yotchedwa Esophageal varices imawonekera pamene mitsempha yamagazi imatuluka, yomwe ingapangitse kuti:

• Kusanza ndi magazi;
• Mipando yakuda kapena yakuda;
• Chizungulire;
• Wotumbululuka ndi wachikasu khungu;
• Kulira;
• Kufooka.

Zikakhala zovuta kwambiri, magazi akamatuluka mkamwa kwambiri, munthuyo amatha kutaya chidziwitso chifukwa chakutaya magazi, chifukwa chake, ndikofunikira kuyimbira ambulansi ya SAMU pafoni 192.

Komabe, ngakhale ngati munthu sanakhalebe ndi vutoli, atha kukhala ndi zizindikilo zina zamavuto amchiwindi omwe amayambitsa zotupa zam'mimba, monga mimba yotupa, kupuma movutikira kapena kutupa kwambiri kwa miyendo.

Momwe mungatsimikizire matendawa

Sinthani lingaliro

Matenda a esophageal varices ayenera kupangidwa ndi dokotala kapena gastroenterologist, momwe kuyezetsa magazi, monga kuwerengetsa magazi, kuyesa kwa chiwindi ndi coagulogram, kumatha kuchitidwa kuti muwone nthawi yomwe thupi limaletsa magazi. Onani zomwe coagulogram ndi momwe zimachitikira.

Pamimba m'mimba endoscopy ndiye mayeso omwe amagwiritsidwa ntchito kutsimikizira kuti matenda am'matumbo amapezeka ndipo amachitika poyambitsa chubu locheperako, losasunthika lokhala ndi kamera yaying'ono kuti athe kuwona khoma la pakhosi ndi m'mimba ndikuwona komwe Kutuluka magazi, motero kumamupatsanso matenda ndipo atha kugwiritsidwanso ntchito ngati chithandizo.

Njira zothandizira

Mtundu wa mankhwala omwe amagwiritsidwa ntchito m'mitsempha ya varicose pam'mero ​​umadalira kukula kwa vuto la chiwindi komanso kukula kwa mitsempha iyi:

1. Zithandizo

Mankhwala omwe amagwiritsidwa ntchito kwambiri pamavuto am'mimba ndi awa:

• Zothetsera Beta, monga propranolol kapena nadolol, omwe amachepetsa kugunda kwa mtima ndipo, chifukwa chake, amachepetsa kupsinjika mkati mwa mitsempha ya varicose;
• Mankhwala a Splenic vasodilator, monga vasopressin kapena somatostatin, yomwe imachepetsa kwambiri kuthamanga mkati mwa mitsempha ya varicose, motero imagwiritsidwa ntchito kwambiri pakakhala kukha magazi.

Mankhwalawa amagwiritsidwa ntchito pochepetsa chiopsezo kapena kuchepetsa kutuluka kwa magazi m'mitsempha yayikulu ya varicose, chifukwa chake, sichiritsa ma esophageal varices. Chifukwa chake, adotolo amathanso kulangiza njira zina zamankhwala zomwe zingagwiritsidwe ntchito limodzi ndi mankhwala.

2. Endoscopy

Endoscopy for esophageal varices, kuphatikiza pakuthandizira matendawa, imathandizanso kukulitsa kutukusira kwa mitsempha yotupa, poika bandeji yotanuka pamitsempha ya varicose kuti itse magazi pamalowo ndikuchepetsa chiopsezo chotaya magazi ambiri.

3. Opaleshoni

Kuchita opaleshoni yamitsempha ya varicose pamero, yotchedwa osadandaulahepatic, imagwiritsidwa ntchito makamaka pamavuto ovuta kwambiri, momwe sizingatheke kuwongolera kupsinjika mkati mwa mitsempha ya varicose kokha ndi mankhwala, ndipo imatha kuwonetsedwanso ngati kutuluka kwa magazi m'mimba sikulamuliridwa ndi mankhwala komanso endoscopy .

Chakudya chazitsulo zam'mimba

Chakudya cha maophageophageal ayenera kukhala ndi mafuta ochepa komanso okhala ndi mapuloteni osavuta kugaya, monga nsomba, nyama yoyera kapena ndiwo zamasamba, mwachitsanzo, kuti athetse vuto la chiwindi. Onani zakudya zina pazakudya zomwe zikuwonetsedwa pamavuto a chiwindi.

Kuphatikiza apo, chifukwa cha kupezeka kwa mitsempha ya varicose, ndikofunikira kusamalira ndi chakudya monga:

• Perekani zokonda zakudya za pasty, monga porridges, purees kapena mavitamini, mwachitsanzo;
• Tafuna chakudya pang'ono panthawi;
• Pewani zakudya zolimba kwambiri, zouma kapena zouma, monga makeke, zipatso zouma kapena kokonati;
• Osadya chakudya chotentha kwambiri, Kuzisiya kuti zizizire pafupifupi mphindi 5, asanadye.

Zisamaliro izi zokhudzana ndikuchepetsa kumwa zakumwa zoledzeretsa ndizofunikira popewa kuvulala kapena kutuluka kwa mitsempha ya varicose, motero, kumathandiza kuchepetsa ngozi yotuluka magazi.