Hepatic ischemia

Hepatic ischemia mamiriro ezvinhu apo chiropa hachiwane ropa kana oxygen yakakwana. Izvi zvinokonzera kukuvara kumasero eropa.

Kuderera kweropa kubva chero mamiriro ezvinhu kunogona kutungamira kune hepatic ischemia. Aya mamiriro anogona kusanganisira:

• Abnormal moyo mutinhimira
• Kupera mvura mumuviri
• Kutadza kwemoyo
• Utachiona, kunyanya sepsis
• Kubuda ropa kwakanyanya

Zvimwe zvikonzero zvinogona kusanganisira:

• Ropa rinovhara mune huru arteri kuchiropa (hepatic artery) mushure mekuisirwa chiropa
• Kuzvimba kwemitsipa yeropa, zvichitungamira kudzikira kweropa kuyerera (vasculitis)
• Kunopisa
• Kupisa kwekupisa
• Kuva nedambudziko renhare yesero

Munhu wacho anogona kunge akachinja mamiriro epfungwa nekuda kwekuderedzwa kweropa kuyerera kuenda kuuropi. Zvimwe zviratidzo zvinogona kusanganisira:

• Kupererwa nechido
• Kunzwa kusagadzikana kwakawanda
• Jaundice

Kukuvara kwemasero echiropa kazhinji hakukonzere zviratidzo kudzamara kuchikanganisa kushanda kwechiropa.

Ropa rinovhara mukati mutsinga huru yechiropa inogona kukonzera kurwadziwa kwemudumbu.

Iyi bvunzo inotevera ichaitwa:

• Kuongororwa kweropa kutarisa chiropa chinoshanda (AST uye ALT). Aya kuverenga anogona kuve akakwirira kwazvo neischemia.
• Doppler ultrasound yemidziyo yeropa yechiropa.

Kurapa kunoenderana nechikonzero. Kuderera kweropa uye kugwamba kweropa kunofanirwa kurapwa ipapo ipapo.

Vanhu vanowanzo kupora kana chirwere chinokonzera hepatic ischemia chingarapwa. Rufu kubva mukutadza kwechiropa nekuda kwehepatic ischemia ishoma kwazvo.

Kukundikana kwechiropa hakuwanzoitika, asi kuuraya kunonetsa.

Bata wako mupi wezvehutano ipapo kana iwe uchiramba uchishaya simba kana zviratidzo zvekuvhunduka kana kupera mvura.

Kurumidza kurapa izvo zvinokonzera kukwira kweropa kunogona kudzivirira hepatic ischemia.

Ischemic hepatitis; Shock chiropa

• Chiropa cheropa

Anstee QM, Jones DEJ. Hepatology. Mune: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Misimboti yaDavidson uye Maitiro Ekurapa. 23rd ed. Philadelphia, PA: Elsevier; 2018: chitsiko 22.

Korenblat KM, Berk PD. Svika kune murwere ane jaundice kana isina kujairika yechiropa bvunzo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 138.

Nery FG, Valla DC. Zvirwere zvevascular zvechiropa. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chits. 85.