Kubuda ropa Esophageal Varices

Zvemukati

• Ndezvipi zviratidzo zvekubuda ropa esophageal varices?
• Chii chinokonzera kubuda ropa esophageal varices?
• Ndezvipi zvinokonzeresa zvekubuda ropa esophageal varices?
• Kuongorora kubuda ropa esophageal varices
• Kurapa kubuda ropa esophageal varices
• Kudzora portal hypertension
• Mushure mekubuda ropa kwatanga
• Marefu-marefu maonero kune vanhu vane kubuda ropa esophageal varices
• Ko esophageal varices ingadzivirirwa sei?

Chii chinonzi kubuda ropa esophageal varices?

Kubuda ropa esophageal varices kunoitika kana kuzvimba tsinga (varices) mune yako yepasi esophagus kuputika uye kubuda ropa.

Iyo esophagus ndiyo tsandanyama chubhu inobatanidza muromo wako nedumbu rako. Tsinga dziri mudumbu rako repazasi padumbu dumbu dzinogona kuzvimba kana kuyerera kweropa kuchiropa kwadzikira. Izvi zvinogona kunge zvichikonzerwa nemavanga enyama kana kuvhara ropa mukati meropa.

Kana chiropa cheropa chichiyerera chakadzivirirwa, ropa rinowedzera mune mimwe mitsipa yeropa padhuze, kusanganisira neayo ari muzasi ezophagus. Zvisinei, tsinga idzi idiki zvikuru, uye hadzikwanise kutakura huwandu hweropa. Ivo vanowedzera uye kuzvimba semhedzisiro yekuwedzera kweropa kuyerera.

Tsinga dzakazvimba dzinozivikanwa se esophageal varices.

Esophageal varices inogona kubuda ropa uye pakupedzisira kuputika. Izvi zvinogona kutungamira mukubuda ropa zvakanyanya uye nekutyisidzira hupenyu, kusanganisira kufa. Kana izvi zvikaitika, inyaya yekurapa. Fonera 911 kana enda kune yepedyo emergency kamuri ipapo kana iwe uchiratidza zviratidzo zvekubuda ropa esophageal varices.

Ndezvipi zviratidzo zvekubuda ropa esophageal varices?

Esophageal varices haigone kukonzera zviratidzo kunze kwekunge dzave kuputika. Kana izvi zvikaitika, unogona kusangana:

• hematemesis (ropa mumarutsi ako)
• kurwadziwa nemudumbu
• musoro wakareruka kana kurasikirwa kwekuziva
• melena (zvituru zvitema)
• zvituru zvine ropa (mune zvakakomba zviitiko)
• kuvhunduka (yakanyanya kuderera BP yeropa nekuda kwekurasikirwa neropa kunogona kutungamira kukuvara kwakawanda kwemitezo)

Fonera 911 kana enda kune yepedyo kamuri yekukurumidzira kana iwe ukawana chero ezviratidzo zviri pamusoro.

Chii chinokonzera kubuda ropa esophageal varices?

Iyo portal vein inoendesa ropa kubva kunhengo dzinoverengeka mudumbu remudumbu kuenda muchiropa. Esophageal varices mhedzisiro yakanangana neakakwira BP muropa rechipata. Aya mamiriro anonzi portal hypertension. Iyo inokonzeresa ropa kuti riumbike mumidziyo yeropa iri padyo, kusanganisira neiya ari mune yako esophagus. Tsinga dzinotanga kuwedzera uye kuzvimba nekuda kwekuwedzera kweropa kuyerera.

Cirrhosis ndiyo inonyanya kukonzeresa portal hypertension. Cirrhosis kuora kwakakomba kwechiropa kunowanzo kukura nekuda kwekunwa doro zvakanyanya kana hutachiona hwakakomba, senge hepatitis. Chimwe chinokonzeresa kukoshesesa kweiyo portal ndeye portal vein thrombosis, mamiriro anoitika kana ropa rovhara mukati meiyo portal vein.

Mune zvimwe zviitiko, chikonzero cheiyo portal hypertension hachizivikanwe. Izvi zvinonzi idiopathic portal hypertension.

Ndezvipi zvinokonzeresa zvekubuda ropa esophageal varices?

Esophageal varices anowanzoita kubuda ropa kana iwe uine:

• hombe esophageal varices
• matsvuku matsvuku pane esophageal varices sekuonekwa pane yakavhenekerwa mudumbu chiyero (endoscopy)
• portal hypertension
• zvakanyanya cirrhosis
• hutachiona hutachiona
• kunyanya kushandisa doro
• kurutsa zvakanyanya
• kuvimbiswa
• kukosora kwakanyanya

Taura nachiremba wako nezve njodzi yako yekukudziridza esophageal varices, kunyanya kana uine nhoroondo yemhuri yechiropa chirwere.

Kuongorora kubuda ropa esophageal varices

Kuti uongorore esophageal varices, chiremba wako anozoongorora muviri uye akubvunze nezve zviratidzo zvako. Ivo vanogona zvakare kushandisa imwe kana yakawanda yeanotevera bvunzo kusimbisa kuongororwa:

• Kuongororwa kweropa: Izvi zvinoshandiswa kuongorora masero eropa uye chiropa uye itsvo basa.
• Endoscopy: Munguva iyi maitiro, diki yakavhenekerwa kamera chiyero chinoiswa mumuromo uye chinoshandiswa kutarisa pasi peziso, mudumbu, uye mukutanga kwemukati mudumbu. Iyo inoshandiswa kutarisisa zvakanyanya pamitsipa yakaomeswa uye nhengo. Inogona zvakare kushandiswa kutora zvinyama sampuli uye kurapa kubuda ropa.
• Kufungidzira bvunzo, senge CT neMRI scans: Izvi zvinoshandiswa kuongorora chiropa uye nhengo dzemudumbu uye kuongorora kuyerera kweropa mukati nekukomberedza nhengo idzi.

Kurapa kubuda ropa esophageal varices

Chinangwa chikuru chekurapa ndechekudzivirira esophageal varices kubva pakubvaruka nekubuda ropa.

Kudzora portal hypertension

Kudzora portal hypertension kazhinji danho rekutanga mukuderedza njodzi yekubuda ropa. Izvi zvinogona kuwanikwa kuburikidza nekushandisa kweanotevera ekurapa nemishonga:

• Beta-blockers: Chiremba wako anogona kupa beta-blocker mishonga, senge propranolol, kudzikisa yako BP.
• Endoscopic sclerotherapy: Uchishandisa endoscope, chiremba wako anozobaya mushonga muhapwa dzako dzakazvimba dzinozodzora.
• Endoscopic variceal ligation (banding): Chiremba wako anoshandisa endoscope kusunga tsinga dzakazvimba mudumbu rako nebhendi rakasununguka kuitira kuti vatadze kubuda ropa. Vanozobvisa mabhendi mushure memazuva mashoma.

Iwe ungangoda mamwe marapirwo kana ako esophageal varices akatoputika.

Mushure mekubuda ropa kwatanga

Endoscopic variceal ligation uye endoscopic sclerotherapy kazhinji kurapwa kwekudzivirira. Zvisinei, chiremba wako anogonawo kuvashandisa kana yako esophageal varices yatotanga kubuda ropa. Mushonga unonzi octreotide unogona kushandiswa zvakare. Mushonga uyu unodzikisa kumanikidza mutsinga dzakazvimba nekusimbisa tsinga dzeropa uye nekuderedza kuyerera kweropa.

Transjugular intrahepatic portosystemic shunt (MAZANO) maitiro ndeimwe nzira yekurapa inogona kuwanikwa yekudzoka kubuda ropa esophageal varices. Iyi ndiyo nzira inoshandisa X-ray kutungamira kuiswa kwechigadzirwa chinogadzira kubatana kutsva pakati pemidziyo miviri yeropa muchiropa chako.

Chubhu diki inoshandiswa kubatanidza iyo portal vein neiyo hepatic vein. Iyo hepatic vein inotakura ropa kubva pachiropa ichienda pamoyo. Uku kubatana kunogadzira shanduko yeropa kuyerera.

Distal splenorenal shunt nzira (DSRS) ndeimwe nzira yekurapa asi inowedzera kukuvadza. Iyi inzira yekuvhiya inobatanidza mutsinga mukuru kubva pasipeni kusvika kutsinga yetsvo yekuruboshwe. Izvi zvinodzora kubuda ropa kubva kune esophageal varices mu90 muzana yevanhu.

Muzviitiko zvisingawanzo, kuisirwa chiropa kunogona kudikanwa.

Marefu-marefu maonero kune vanhu vane kubuda ropa esophageal varices

Kubuda ropa kucharamba kuchiitika kana mamiriro acho asina kurapwa nekukasira. Pasina kurapwa, kubuda ropa esophageal varices kunogona kuuraya.

Mushure mekugamuchira kurapwa kwekubuda ropa esophageal varices, iwe unofanirwa kuenda kumisangano yekutevera pamwe nachiremba wako kuti uve nechokwadi chekuti kurapwa kwabudirira.

Ko esophageal varices ingadzivirirwa sei?

Nzira yakanakisa yekudzivirira esophageal varices kugadzirisa chiri kukonzera chikonzero. Kana iwe uine chirwere chechiropa, funga zvinotevera zvinotevera matanho ekudzivirira njodzi yako yekukura esophageal varices:

• Idya chikafu chine hutano chinonyanya kuve nemunyu wakaderera, wakaonda protein, zviyo zvese, michero, uye miriwo.
• Reka kunwa doro.
• Chengetedza huremu hune hutano.
• Deredza njodzi yako yehepatitis nekuita bonde rakachengeteka. Usagovane tsono kana reza, uye dzivisa kusangana neropa uye nezvimwe zvinwiwa zvemuviri zvemunhu ane hutachiona.

Izvo zvakakosha kuti unamatire nehurongwa hwako hwekurapa uye kuenda kumisangano yenguva dzose nachiremba wako kana uine esophageal varices. Fonera 911 kana enda kuchipatara nekukasira kana iwe uchitenda ako esophageal varices aputika. Kubuda ropa esophageal varices kuri kutyisidzira hupenyu uye kunogona kutungamira kumatambudziko akakomba.