Matenda oopsa a m'matumbo: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Zomwe zimayambitsa matenda oopsa a portal
• Momwe mankhwalawa amachitikira

Matenda oopsa kwambiri ndi kuwonjezeka kwa kupsinjika kwa mitsempha yomwe imatenga magazi kuchokera kumimba yam'mimba kupita pachiwindi, zomwe zimatha kubweretsa zovuta monga zotupa zam'mimba, kutaya magazi, nthenda yotambalala ndi ascites, yomwe imakhala ndi kutupa m'mimba.

Kawirikawiri, matenda oopsawa amapezeka pamene pali kuvulala kapena matenda m'chiwindi, monga matenda a cirrhosis kapena schistosomiasis, mwachitsanzo, motero, amapezeka kwambiri kwa odwala chiwindi.

Kuti muchepetse kupanikizika m'mitsempha ya chiwindi ndikofunikira kuchiza ndikuyesera kuchiza vuto la chiwindi, komabe, ngati izi sizingatheke, adokotala atha kupereka mankhwala kuti ayesetse kupanikizika ndipo, pakavuta kwambiri, atha kulangiza opaleshoni, mwachitsanzo.

Zizindikiro zazikulu

Sikuti nthawi zonse zimakhala zotheka kuzindikira zizindikilo za matenda oopsa a portal, komabe, anthu omwe ali ndi matenda a chiwindi omwe angayambitse matenda a chiwindi ali pachiwopsezo chachikulu chotenga vutoli.

Nthawi zomwe zingatheke kuzindikira chizindikiro chilichonse cha matenda oopsa a portal, zizindikiro zofala kwambiri zimaphatikizapo:

• Mimba yotupa;
• Zotupa za Esophageal;
• Kusanza ndi magazi;
• Mdima wakuda kwambiri ndi fetid;
• Kutupa mapazi ndi miyendo;
• Minyewa.

Pazovuta kwambiri, kusokonezeka kwamaganizidwe komanso kukomoka kumatha kuchitika, komwe kumadza chifukwa chakubwera kwa poizoni muubongo. Koma vutoli limatha kuchitika mulimonse momwe zingakhalire ndi matenda owopsa a chiwindi, popeza limba silingathe kusefa magazi moyenera, ndipo sichiyenera kungokhudzana ndi matenda oopsa a portal.

Zimakhalanso zachizoloŵezi kwa anthu omwe ali ndi matenda oopsa kwambiri pakhomo kuti azikhala ndi jaundice, pomwe khungu ndi maso zimasanduka zachikasu, koma chizindikirochi chikuwoneka ngati chotsatira cha matenda m'chiwindi.

Momwe mungatsimikizire matendawa

Nthawi zambiri, a hepatologist amatha kuzindikira vuto la kuthamanga kwa magazi pomwe munthu amakhala ndi mbiri ya matenda a chiwindi ndi zizindikilo monga kutupa m'mimba, mitsempha yotupa ndi zotupa, mwachitsanzo.

Komabe, mayesero angapo a labotale, monga endoscopy, ultrasound kapena kuyesa magazi, atha kukhala ofunikira kutsimikizira kuti ali ndi matendawa, makamaka ngati kulibe zizindikiro zowonekera za matenda oopsa a portal.

Zomwe zimayambitsa matenda oopsa a portal

Matenda oopsa amatuluka pakakhala cholepheretsa kufalikira kwa magazi m'mitsempha ya chiwindi. Pachifukwa ichi, chifukwa chofala kwambiri ndi matenda a chiwindi, vuto lomwe pamakhala zipsera m'chiwindi cha chiwindi, zomwe zimalepheretsa kugwira ntchito kwa chiwalo, komanso kufalikira kwa magazi.

Komabe, palinso zifukwa zina zochepa, monga:

• Thrombosis mu ndulu kapena chiwindi mitsempha;
• Matenda;
• Hepatic fibrosis.

Kuphatikiza apo, kusintha kwamtima komwe kumalepheretsa kuyendetsa magazi pambuyo pa chiwindi kungayambitsenso matenda oopsa. Pakadali pano, mavuto omwe amapezeka kwambiri ndi kulephera kwa mtima, kuponderezana kwa pericarditis kapena matenda a Budd-Chiari.

Momwe mankhwalawa amachitikira

Matenda ambiri a hypertension alibe mankhwala, chifukwa sizingatheke kuchiritsa matendawa. Komabe, ndizotheka kuwongolera zizindikirazo ndikuletsa kuwonekera kwa zovuta. Pachifukwa ichi, mitundu yayikulu yamankhwala omwe amagwiritsidwa ntchito ndi awa:

• Zithandizo Zothamanga Kwambiri, monga nadolol kapena propranolol: amachepetsa kupsyinjika m'mitsempha yamagazi, chifukwa chake, amachepetsa chiopsezo chotupa kwa zotupa zam'mimba kapena zotupa m'mimba;
• Mankhwala opatsirana mankhwala opha ululu, makamaka lactulose: zomwe zimathandiza kuthetsa amoniya wochuluka ndi poizoni zomwe zikupezeka mthupi, zomwe zimathandiza kuthana ndi chisokonezo;
• Mankhwala a Endoscopic: imagwiritsidwa ntchito makamaka pochiza matenda am'magazi komanso kupewa kuti asaphulike.
• Opaleshoni: zitha kuchitidwa kuti musinthe magazi ena m'chiwindi ndipo, motero, muchepetse kuthamanga kwa zipata, kapena ayi, kupanga chiwindi, mwachitsanzo.

Kuphatikiza apo, kuletsa mchere komanso kugwiritsa ntchito okodzetsa, monga furosemide, tikulimbikitsidwa kuwongolera ma ascites ndikupewa zovuta za impso.

Ndikofunikanso kuti munthu amene ali ndi matenda oopsa kwambiri azikhala ndi chisamaliro cha tsiku ndi tsiku kuti athetse matenda a chiwindi ndikupewa kuwonjezeka kwa matenda oopsa komanso zovuta zina. Chifukwa chake, tikulimbikitsidwa kuti tipewe kumwa zakumwa zoledzeretsa komanso kubetcherana pazakudya zamafuta ochepa. Onani zambiri zazomwe mungasamalire mukakhala ndi matenda a chiwindi.