Mitsempha ya Varicose m'mimba: zomwe zili, zomwe zimayambitsa ndi chithandizo

Zamkati

• Momwe mungadziwire
• Gulu la mitundu
• Zomwe zimayambitsa matenda am'mimba
• Momwe mankhwalawa amachitikira

Mitsempha ya Varicose m'mimba imakhazikika komanso mitsempha yamagazi yomwe imapangidwa pakhoma lachiwalo ichi, ndipo imatha kukhala yayikulu, ikakula, imatha kuphulika ndikupangitsa magazi kutuluka kwambiri.

Mitsempha ya varicose imatha kupangika m'mimba chifukwa chakuchulukirachulukira kwa magazi m'mitsempha yotseguka, mtsempha wofunikira womwe umatulutsa magazi kuchokera m'mimba, womwe ungachitike pazifukwa zosiyanasiyana, monga matenda a chiwindi, chiwindi, chiwindi, mwachitsanzo, portal vein thrombosis. Kumvetsetsa bwino zomwe zili komanso zomwe zingayambitse matenda oopsa kwambiri.

Nthawi zambiri, zotupa m'mimba zimachitika pambuyo kapena molumikizana ndi mitsempha ya varicose m'mero, komanso m'matumbo. Mankhwala amitsempha yama varicose amawonetsedwa popewa ndikuletsa kutuluka kwa magazi, ndipo atha kuchitidwa ndi mankhwala oletsa beta kapena maopareshoni, monga sclerotherapy, cyanoacrylate kapena zotanuka zotsekemera, mwachitsanzo.

Momwe mungadziwire

Mitsempha ya gastric varicose itha kuyambitsa zizindikilo zilizonse, ndipo imatha kudziwika poyesedwa pomwe matenda oopsa a portal akukayikiridwa, chifukwa cha chiwindi cha chiwindi, mwachitsanzo. Ma esophageal varices ndiofala kwambiri, komabe, mitsempha ya varicose m'mimba imatha kupanga 20% yamilandu, makamaka pomwe kuwonjezeka kwa kupanikizika kwazitseko zam'mimba kumakhala kovuta kwambiri.

Kuphatikiza apo, ziwalo zam'mimba sizimatha kuphulika poyerekeza ndi zam'mimba, komabe, zimayambitsa magazi omwe ndi ovuta komanso ovuta kuwongolera. Zizindikiro zina zomwe zimawonetsa kutuluka magazi m'mitsempha ya varicose ndi:

• Malo akuda ndi fungo loipa;
• Kusanza ndi magazi;
• Khungu, chizungulire ndi kugundana.

Gulu la mitundu

Mayeso akulu oti apeze mitsempha ya varicose ndi endoscopy ya m'mimba, doppler ultrasound ndi tomography. Amatha kukhala m'malo osiyanasiyana m'mimba, kutengedwa ngati:

1. Ndi kupitiliza kwa maophageophageal varices, kupitilira masentimita angapo pansi pa kusintha kwa esophagogastric, kudzera kupindika pang'ono kwa m'mimba, chinthu chofala kwambiri;
2. Amawonjezeranso matenda am'mimba, koma kulowera kuchipatala;
3. Awa ndi magawo am'mimba am'mimba, omwe amakhala pansi pamimba;
4. Amakhalanso m'mimba mwaokha, omwe amatha kuwonekera kulikonse m'mimba.

Mavitamini a m'mimba amawerengedwa kuti ndi ocheperako akamayesa kupitirira 3 mm m'mimba mwake, pakati pomwe ali pakati pa 3 ndi 5 mm kapena yayikulu akamayeza kuposa 5 mm m'mimba mwake. Kukula kwa mitsempha ya varicose, kumawopsa kwambiri kutuluka magazi.

Zomwe zimayambitsa matenda am'mimba

Mitsempha ya varicose m'mimba imapangidwa ndi kukakamizidwa kowonjezereka pamitsempha ya pakhomo, ndipo zifukwa zazikulu ndi izi:

• Matenda a chiwindi;
• Matenda a chiwindi;
• Matenda;
• Ma portal kapena splenic vein thrombosis;
• Matenda a Budd-Chiari. Pezani momwe matendawa alili komanso momwe zimachitikira;
• Zolakwika pamitsempha yakunyumba kapena m'malo otsika vena cava.

Mitsempha ya varicose m'mimba amathanso kuyambitsidwa ndi matenda amtima otchedwa constrictive pericarditis, momwe minofu yam'mimba imakhalira mozungulira mtima, ndipo zimapangitsa kuti zikhale zovuta kugwira ntchito. Dziwani zambiri za momwe zimakhalira komanso zotsatira za matendawa.

Momwe mankhwalawa amachitikira

Ngati mitsempha ya varicose ndi yaying'ono kapena ngati dokotala azindikira kuti pali chiwopsezo chochepa chakutuluka magazi, palibe chifukwa chothandizira mankhwala am'mimba, koma kuwunika kwawo pafupipafupi.

Komabe, nthawi zina, adotolo amalimbikitsa chithandizo chopewa kutuluka magazi, makamaka ngati atayeza mulingo wopitilira 10 mm kapena pali chiwopsezo chachikulu chotuluka magazi, chomwe chingachitike ndi mankhwala oletsa beta, omwe amachepetsa magazi mwamphamvu kuyenda, monga Propranolol, kapena kugwiritsa ntchito Cyanoacrylate, mtundu wa guluu womwe umachotsa chombocho.

Mavitamini a m'mimba akamatuluka magazi, chithandizo chitha kuphatikizira endoscopy ya sclerotherapy, cyanoacrylate jekeseni kapena kuyika ma bandeji otsekemera, zotengera kapena akasupe, mwachitsanzo.

Kuphatikiza pakuletsa kutuluka kwa magazi, popeza ili vuto lalikulu, adotolo ayenera kutenga njira zina zotetezera moyo wa wodwalayo, monga kuchotsa madzi amadzimadzi ndi seramu mumtsempha, kupanga magazi, ngati kuli kofunikira, kapena kugwiritsa ntchito maantibayotiki kupewa matenda am'mimba ., wamba mwa odwala chiwindi cha chiwindi. Onaninso zina zomwe zimayambitsa kutuluka magazi m'mimba ndi zoyenera kuchita.