Yakareba splenorenal shunt

A distal splenorenal shunt (DSRS) rudzi rwekuvhiya kunoitwa kudzikisira kumwe kumanikidza muvharo rechipata. Iyo portal vein inotakura ropa kubva kunhengo dzako dzekugaya kuenda kuchiropa chako.

Munguva yeDSRS, tsinga kubva pasipeni yako inobviswa pamusuwo wepasuo. Tsinga yacho inosungirirwa mutsinga kune itsvo yako yekuruboshwe. Izvi zvinobatsira kudzikisa kuyerera kweropa kuburikidza neiyo portal vein.

Iyo portal vein inounza ropa kubva mumatumbu, spleen, pancreas, uye nduru kune chiropa. Kana kuyerera kweropa kukavharwa, kumanikidza kuri mutsinga iyi kunova kwakanyanya. Izvi zvinonzi portal hypertension. Inowanzoitika nekuda kwekukuvara kwechiropa kunokonzerwa ne:

• Doro shandisa
• Chirwere chetachiona hepatitis
• Ropa rinovhara
• Zvimwe zvinetso zvekuzvarwa nazvo
• Chekutanga biliary cirrhosis (chiropa chekushaiwa kunokonzerwa neakavharwa bile ducts)

Kana ropa risingakwanise kuyerera zvakajairika kuburikidza neiyo portal vein, zvinotora imwe nzira. Nekuda kweizvozvo, kuzvimba tsinga dzeropa dzinonzi varices fomu. Vanokudziridza madziro matete ayo anogona kutyora uye kubuda ropa.

Iwe unogona kuve nekuvhiyiwa uku kana kufungidzira bvunzo senge endoscopy kana x-rays inoratidza kuti une ropa rinobuda ropa. Kuvhiyiwa kweDSRS kunoderedza kumanikidza kune varices uye kunobatsira kudzora kubuda kweropa.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Allergic reaction kumishonga kana matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, kana hutachiona

Ngozi dzekuvhiya uku dzinosanganisira:

• Kuvaka kwemvura mudumbu (ascites)
• Dzokorora kubuda ropa kubva kune varices
• Encephalopathy (kurasikirwa kwehuropi basa nekuti chiropa hachikwanise kubvisa chepfu kubva muropa)

Usati wavhiyiwa, unogona kunge uine bvunzo:

• Angiogram (kutarisa mukati memidzi yeropa)
• Kuongororwa kweropa
• Endoscopy

Ipa mupi wako wehutano runyorwa rweyese mishonga yaunotora inosanganisira yekunyorera uye nepamusoro-pe-iyo, mishonga, uye zvinowedzera. Bvunza kuti ndeapi aunoda kurega kutora usati wavhiyiwa, uye ndeapi aunofanira kutora mangwanani ekuvhiyiwa.

Wako mupi anotsanangudza maitiro uye anokuudza iwe nguva yekurega kudya uye kunwa usati wavhiyiwa.

Tarisira kugara mazuva manomwe kusvika gumi muchipatara mushure mekuvhiyiwa kuti uwanezve.

Paunomuka mushure mekuvhiyiwa uchave uine:

• Chubhu mutsinga yako (IV) inozotakura zvinoyerera nemushonga muropa rako
• Catheter iri mudundira rako kubvisa weti
• Iyo NG chubhu (nasogastric) iyo inopinda nemumhino dzako mudumbu rako kubvisa gasi uye zvinwiwa
• Pombi ine bhatani iwe unogona kudzvanya kana iwe uchida mushonga wemarwadzo

Sekukwanisa kwako kudya nekunwa, iwe uchazopihwa zvinwiwa uye chikafu.

Unogona kuve nemuyedzo wekufungidzira kuti uone kana shunt iri kushanda.

Iwe unogona kusangana nenyanzvi yezvokudya, uye dzidza kudya kudya kwakaderera-mafuta, kwakaderera-munyu.

Mushure mekuvhiyiwa kweDSRS, kubuda ropa kunodzorwa muvanhu vazhinji vane portal hypertension. Njodzi yepamusoro yekubuda ropa zvakare iri mumwedzi wekutanga mushure mekuvhiyiwa.

DSRS; Yakapararira splenorenal shunt maitiro; Renal - splenic venous shunt; Warren shunt; Cirrhosis - distal splenorenal; Kukundikana kwechiropa - distal splenorenal; Portal vein kumanikidza - distal splenorenal shunt

Dudeja V, Fong Y. Chiropa. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 53.

Mavhiki SR, Ottmann SE, Orloff MS. Portal hypertension: basa rekusimudzira maitiro. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 387-389.