Chilichonse Chimene Muyenera Kudziwa Zokhudza Matenda Oopsa a Portal

Zamkati

• Zachangu
• Zizindikiro
• Zoyambitsa
• Zowopsa
• Matendawa
• Chithandizo
• Zovuta
• Chiwonetsero
• Malangizo popewa
• Q & A: Matenda oopsa a Portal opanda cirrhosis
• Funso:
• Yankho:

Chidule

Mitsempha yotsegula imatenga magazi kuchokera m'mimba mwanu, kapamba, ndi ziwalo zina zam'mimba kupita pachiwindi. Zimasiyana ndimitsempha ina, yomwe yonse imafikitsa magazi pamtima pako.

Chiwindi chimagwira ntchito yofunikira pakufalitsa kwanu. Imasefa poizoni ndi zinyalala zina zomwe ziwalo zam'mimba zimayika m'magazi anu. Kuthamanga kwa magazi m'mitsempha yazitseko ndikokwera kwambiri, mumakhala ndi matenda oopsa kwambiri.

Matenda oopsa a Portal atha kukhala owopsa, ngakhale amatha kuchiritsidwa ngati atapezeka munthawi yake. Sizovuta nthawi zonse kuzindikira, komabe. Nthawi zambiri, mumachenjezedwa za vutoli mukayamba kukhala ndi zizindikilo.

Zachangu

Mitsempha imanyamula magazi olemera okosijeni kuchokera mumtima mwanu kupita kumalimba anu, minofu, ndi minofu ina. Mitsempha imabweretsanso magazi kumtima kwanu, kupatula mtsempha wapa portal, womwe umanyamula magazi kupita ku chiwindi.

Zizindikiro

Kutuluka m'mimba nthawi zambiri kumakhala chizindikiro choyamba cha matenda oopsa kwambiri. Mdima wakuda, pogona ukhoza kukhala chizindikiro cha kutuluka m'mimba. Muthanso kuwona magazi m'mipando yanu.

Chizindikiro china ndi ascites, omwe ndi madzi ambiri m'mimba mwanu. Mutha kuzindikira kuti mimba yanu ikukula chifukwa cha ma ascites. Vutoli limayambitsanso kukokana, kuphulika, komanso kupuma movutikira.

Komanso, kuiwala kapena kusokonezeka kungakhale chifukwa cha vuto loyenda lomwe limakhudzana ndi chiwindi.

Zoyambitsa

Chifukwa chachikulu cha matenda oopsa a zipata ndi matenda enaake. Uku ndikutupa kwa chiwindi. Zitha kubwera chifukwa cha zinthu zingapo monga hepatitis (matenda otupa) kapena kumwa mowa mopitirira muyeso.

Matenda osokoneza bongo a chiwindi monga autoimmune hepatitis, primary sclerosing cholangitis, ndi primary biliary cholangitis nawonso amayambitsa matenda a cirrhosis ndi portal hypertension.

Nthawi iliyonse chiwindi chanu chikavulazidwa, chimayesera kudzichiritsa chokha. Izi zimayambitsa zilonda zofiira. Kuchepetsa kwambiri kumapangitsa kuti chiwindi chanu chizigwira ntchito yake.

Zina zomwe zimayambitsa matendawa zimaphatikizapo:

• matenda osakwanira mafuta a chiwindi
• chitsulo chambiri mthupi lanu
• cystic fibrosis
• madontho osalala a bile
• matenda a chiwindi
• kuyankha mankhwala ena, monga methotrexate

Cirrhosis imatha kupangitsa kuti makoma amkati mosalala a mtsempha azisowa. Izi zitha kuwonjezera kukana magazi. Chotsatira chake, kuthamanga kwa magazi m'mitsempha ya pakhomo kumawonjezeka.

Magazi amatha kupangika m'mitsempha yapanyumba. Izi zitha kukulitsa kuthamanga kwa magazi motsutsana ndi makoma amitsempha yamagazi.

Zowopsa

Anthu omwe ali pachiwopsezo chowopsa cha matenda a chiwindi ali pachiwopsezo chowonjezeka cha matenda oopsa a zipata. Ngati mwakhala mukugwiritsa ntchito mowa mopitirira muyeso, mumakhala pachiwopsezo chachikulu chodwala matenda enaake. Muli pachiwopsezo chachikulu chotenga chiwindi ngati chilichonse mwa izi chikukukhudzani:

• Mumagwiritsa ntchito singano pobayira mankhwala.
• Munalandira ma tattoo kapena kuboola m'malo opanda ukhondo.
• Mumagwira ntchito pamalo omwe mwina mudakumanapo ndi singano zomwe zili ndi kachilombo kapena magazi omwe ali ndi kachilomboka.
• Munalandira magazi asanafike 1992.
• Amayi anu anali ndi matenda a chiwindi.
• Mumagonana mosadziteteza ndi anthu angapo ogonana nawo.

Matendawa

Matenda oopsa a Portal ndi ovuta kuzindikira ngati zizindikiro sizikuwonekera. Kujambula monga doppler ultrasound kumathandiza. Ultrasound imatha kuwulula momwe mtsemphawo ulili komanso momwe magazi akuyendera. Ngati ultrasound siyikudziwika, CT scan ingakhale yothandiza.

Njira ina yowunikira yomwe ikugwiritsidwa ntchito kwambiri ndi muyeso wa kufutukuka kwa chiwindi ndi minofu yoyandikana nayo. Elastography imayesa momwe minofu imayankhira ikakankhidwa kapena kufufuzidwa. Kutanuka kosavomerezeka kukuwonetsa kupezeka kwa matenda.

Ngati kutuluka magazi m'mimba kwachitika, mwina mudzayesedwa endoscopic. Izi zimaphatikizapo kugwiritsa ntchito kachipangizo koonda, kosasunthika komwe kali ndi kamera kumapeto kwake komwe kumalola dokotala wanu kuwona ziwalo zamkati.

Kuthamanga kwamitsempha yama portal kumatha kutsimikiziridwa mwa kuyika catheter yokhala ndi pulogalamu yowunika magazi mumitsempha m'chiwindi chanu ndikuyeza.

Chithandizo

Kusintha kwa moyo monga izi kungathandize kuthana ndi matenda oopsa a portal:

• kukonza zakudya zanu
• kupewa kumwa mowa
• kuchita masewera olimbitsa thupi pafupipafupi
• kusiya kusuta ngati mumasuta

Mankhwala monga beta-blockers ndiofunikanso kuthandiza kuchepetsa kuthamanga kwa magazi ndi kupumula mitsempha yanu. Mankhwala ena, monga propranolol ndi isosorbide, amathanso kuthandizira kuchepetsa kupsinjika kwazitseko zapakhomo. Amathanso kuchepetsa ngozi yakutuluka magazi mkati.

Ngati mukukumana ndi ascites, dokotala wanu akhoza kukupatsani diuretic kuti muchepetse kuchuluka kwa madzi m'thupi lanu. Sodium ayeneranso kuletsedwa kwambiri kuti achepetse kusungidwa kwamadzimadzi.

Chithandizo chotchedwa sclerotherapy kapena banding chimagwiritsa ntchito yankho lomwe lingathandize kuti magazi asiye kutuluka m'mitsempha ya chiwindi. Kukhazikitsa mabande kumaphatikizapo kukhazikitsidwa kwa matayala a mphira kuti aletse magazi kuyenda mopanda thanzi kupita m'mitsempha yowonjezera, yotchedwa varices kapena varicose veins, m'thupi lanu.

Mankhwala ena odziwika kwambiri amatchedwa nonsurgical transjugular intrahepatic portal-systemic shunt (TIPSS). Mankhwalawa amathandiza kuchepetsa magazi. Zimapanga njira zatsopano zakutuluka magazi kuchokera mumitsempha yamitsempha kupita mumitsempha ina yamagazi.

Zovuta

Chimodzi mwazovuta zodziwika bwino zomwe zimakhudzana ndi portal hypertension ndi portal hypertensive gastropathy. Vutoli limakhudza mamina am'mimba ndikukulitsa mitsempha yamagazi.

Njira zopangidwa pakati pamitsempha yamagazi mu TIPSS zitha kutsekedwa. Izi zingayambitse magazi ambiri. Ngati mavuto a chiwindi akupitilira, mutha kukhala ndi mavuto ena ozindikira.

Chiwonetsero

Simungathe kusintha kuwonongeka komwe kumayambitsidwa ndi matenda a chiwindi, koma mutha kuchiza matenda oopsa a portal. Zingatenge kuphatikiza moyo wathanzi, mankhwala, ndi kulowererapo. Kutsata ma ultrasound ndikofunikira kuwunika thanzi la chiwindi chanu komanso zotsatira za njira ya TIPSS.

Zikhala kwa inu kuti mupewe mowa ndikukhala moyo wathanzi ngati muli ndi matenda oopsa. Muyeneranso kutsatira malangizo a dokotala wanu. Izi zimapita kukalandira mankhwala ndikutsatira.

Malangizo popewa

Imwani mowa pang'ono, ngati mungamwe. Ndipo chitani njira zopewera matenda a chiwindi. Lankhulani ndi dokotala wanu za katemera wa hepatitis komanso ngati muyenera kukhala nawo. Mwinanso mungafune kuyezetsa matenda a chiwindi ngati muli m'gulu lomwe lili pachiwopsezo.

Matenda oopsa am'thupi amayamba chifukwa cha kuchepa kwa chiwindi, koma mutha kupewa matenda ovutawa kudzera pakusankha moyo wathanzi.

Q & A: Matenda oopsa a Portal opanda cirrhosis

Funso:

Kodi mungayambe kudwala matenda oopsa kwambiri osadwala matenda enaake?

Wosadziwika wodwala

Yankho:

Ndizotheka, ngakhale ndizochepa. Matenda oopsa omwe alibe matenda enaake amatchedwa idiopathic non-cirrhotic portal hypertension (INCPH). Pali mitundu isanu yayikulu yazomwe zimayambitsa INCPH: zovuta zamatenda amthupi, matenda opatsirana, kupezeka kwa poizoni kapena mankhwala ena, zovuta zamatenda, ndi ma prothrombotic. Zambiri mwazigawozi zimatha kusintha kutsekemera mwachizolowezi ndikupangitsa kuundana kwakapangidwe kakang'ono, komwe kumabweretsa INCPH. Anthu omwe ali ndi INCPH nthawi zambiri amakhala ndi chiyembekezo chifukwa amakhala ndi chiwindi chomwe chimagwira bwino ntchito.

Carissa Stephens, namwino wa ICU namwinoMayankho akuyimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.