Hepatic vein kuvharirwa (Budd-Chiari)

Hepatic vein kuvharirwa kuvhara kwe hepatic vein, iyo inotakura ropa kure nechiropa.

Hepatic vein kuvharirwa kunodzivirira ropa kubva mukuyerera kubva muchiropa uye kudzokera kumoyo. Kuvharika uku kunogona kukonzera kukuvara kwechiropa. Kuvharika kwetsinga iyi kunogona kukonzerwa nebundu kana kukura kumanikidza pamudziyo, kana nehembe mumudziyo (hepatic vein thrombosis).

Kazhinji kazhinji, zvinokonzereswa nemamiriro ezvinhu anoita kuti kugwamba kweropa kuwedzere kuumbika, kusanganisira:

• Kukura kusingawanzo kwemasero mumapfupa emapfupa (myeloproliferative kusagadzikana)
• Gomarara
• Zvirwere zvisingaperi zvekuzvimba kana autoimmune
• Zvirwere
• Yakagara nhaka (nhaka) kana matambudziko akawanikwa nekugwamba kweropa
• Mishonga yekudzivirira
• Kubata pamuviri

Hepatic vein blockage ndicho chinonyanya kukonzera Budd-Chiari syndrome.

Zviratidzo zvinosanganisira:

• Kuzvimba kwepamuviri kana kutambanuka nekuda kwemvura iri mudumbu
• Marwadzo mudumbu repamusoro repamusoro
• Kusvipa ropa
• Kupenya kweganda (jaundice)

Chimwe chezviratidzo iko kuzvimba kwedumbu kubva ku fluid buildup (ascites). Chiropa chinowanzozvimba uye nyoro.

Miedzo inosanganisira:

• CT scan kana MRI yedumbu
• Doppler ultrasound yechiropa tsinga
• Chiropa biopsy
• Chiropa basa bvunzo
• Ultrasound yechiropa

Kurapa kunosiyana, zvinoenderana nechikonzero chekuvhara.

Mubatsiri wako wehutano anogona kukurudzira mishonga inotevera:

• Ropa rakapfava (anticoagulants)
• Clot-busting zvinodhaka (thrombolytic kurapwa)
• Mishonga yekurapa chirwere chechiropa, kusanganisira ascites

Kuvhiya kunogona kukurudzirwa. Izvi zvinogona kusanganisira:

• Angioplasty uye stent kuiswa
• Transjugular intrahepatic portosystemic shunt (MAZANO)
• Venous shunt kuvhiya
• Chiropa chinotamisa

Hepatic vein kuvharirwa kunogona kuwedzera uye kutungamira kune cirrhosis uye kutadza kwechiropa. Izvi zvinogona kutyisidzira hupenyu.

Fonera mupiki wako kana:

• Iwe une zviratidzo zvehepatic vein kuvharirwa
• Iwe uri kurapwa kweichi chiitiko uye iwe unovandudza zviratidzo zvitsva

Budd-Chiari chirwere; Hepatic veno-occlusive chirwere

• Kugaya chirongwa
• Digestive system nhengo
• Ropa kugadzirwa
• Ropa rinovhara

Kahi CJ. Zvirwere zvevascular zvemudumbu. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 134.

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.