Zvinokonzera esophageal varices, zviratidzo uye kurapwa

Zvemukati

• Zvinokonzera esophageal varices
• Zviratidzo zvikuru
• Maitiro ekusimbisa kuongororwa
• Kurapa nzira
• 1. Mishonga
• 2. Endoscopy
• 3. Kuvhiya
• Chikafu cheesophageal varices

Esophageal varices inoitika kana tsinga dzeropa dziri mudumbu, inova iyo chubhu inobatanidza muromo nedumbu, ikave yakanyanyisa uye inogona kukonzera kubuda ropa kuburikidza nemuromo. Aya varicose veins anokura nekuda kwekuwedzera kumanikidza mune yakakosha tsinga yechiropa, inonzi portal vein, uye inogona kuoneka nekuda kwezvirwere zvakaita sechiropa cirrhosis kana thrombosis muchiropa, semuenzaniso.

Zviratidzo zve esophageal varices zvinowanzoonekwa kana tsinga dzeropa dziri mudumbu, izvo zvinogona kukonzera kurutsa neropa uye zvitema zvituru. Nekudaro, kunyangwe kana vasati vatambura ne esophageal varices, vanhu vane chiropa cirrhosis uye zvimwe zvinetso zvechiropa vane zviratidzo nezviratidzo zvakaita sedumbu rakazvimba, kufema kwekufema kana kuzvimba kwakanyanya kwemakumbo.

Kuongororwa kwesophageal varices kunosimbiswa kuburikidza nemiedzo yekufungidzira, senge yepamusoro gastrointestinal endoscopy, uye kurapwa kunoratidzwa nae gastroenterologist kunoenderana nekukura kwechirwere, nekushandiswa kwemushonga, kuvhiyiwa kana kuisirwa chiropa mumatambudziko akaomesesa ari kuratidzwa kazhinji ..

Zvinokonzera esophageal varices

Esophageal varices inoonekwa kana paine kutadziswa kweropa kuyerera kuchiropa, ichiwedzera kumanikidza muiyo huru mutsinga yenhengo ino, inozivikanwa seye portal vein. Uku kuwedzera kwekumanikidza kunoita kuti tsinga dzesophageal dziwedzerwe nekuda kwekuunganidzwa kweropa, izvo zvinogona kukonzera kubuda ropa.

Aya mamiriro anogona kukonzerwa nematambudziko akatiwandei echiropa, akadai semafuta akawandisa, kuwandisa uye kuramba uchinwa doro, hepatitis C kana hepatitis B, chinova chirwere chinokonzerwa nemavhairasi uye chinogona kutapuriranwa nehukama hwepedyo husina kudzivirirwa kana kuburikidza nekushandisa zvakashatiswa. tsono kana mashizha. Hezvino zvekuita kudzivirira hepatitis B.

Zviratidzo zvikuru

Esophageal varices inoonekwa kana tsinga dzeropa dziri mudumbu, izvo zvinogona kutungamira pakuonekwa kwe:

• Kusvipa neropa;
• Dema kana nhema zvituru;
• Dzungu;
• Pale uye yero ganda;
• Kufema;
• Kushaya simba.

Mune zviitiko zvakakomba, kana kubuda ropa kubva mumuromo kuri kwakanyanya, munhu anogona kurasikirwa nehana nekuda kwekurasikirwa neropa, uye nekudaro, zvakafanira kufonera iyo SAMU ambulensi panhare 192.

Nekudaro, kunyangwe kana munhu asati aine esophageal varices, anogona kunge aine zvimwe zviratidzo nezviratidzo zvezvinetso zvechiropa izvo zvinokonzeresa esophageal varices, senge dumbu rakazvimba, kufema kwekufema kana kuzvimba kwakanyanya kwemakumbo.

Maitiro ekusimbisa kuongororwa

Chinja Zano

Kuongororwa kweesophageal varices kunofanirwa kuitwa nachiremba kana gastroenterologist, uko kuongororwa kweropa, senge kuwanda kweropa, kuyerwa kwechiropa uye coagulogram, kunogona kuitwa kutarisa nguva inotora kuti muviri umise kubuda ropa. Ona kuti chii chinonzi coagulogram uye kuti zvinoitwa sei.

Kumusoro mudumbu endoscopy ndiyo bvunzo inoshandiswa kusimbisa kuongororwa kwesophageal varices uye kunoitwa kuburikidza nekuunzwa kwechitetetete, inochinjika chubhu ine kamera diki yakasungirirwa kuitira kuti zvikwanisike kuona madziro egurokuro nedumbu uye nekuona kwakatangira kubuda ropa, nekudaro kuchipa kuongororwa uye kunogona kushandiswa sekurapa.

Kurapa nzira

Mhando yekurapa inoshandiswa kune varicose mutsinga mukati mehomba kunoenderana nekuomarara kwedambudziko rechiropa uye saizi yeaya varicose mutsinga:

1. Mishonga

Mishonga yakanyanya kushandiswa ye esophageal varices inosanganisira:

• Beta-ichivharira mishonga, senge propranolol kana nadolol, iyo inoderedza kurova kwemoyo uye, nekudaro, ichideredza kumanikidza mukati mevicic veins;
• Splenic vasodilator mishonga, sevasopressin kana somatostatin, iyo inoderedza zvakanyanya kumanikidza mukati mevaricose veins, uye nekudaro inoshandiswa zvakanyanya mumamiriro ekubuda ropa.

Iyi mishonga inoshandiswa kudzikisa njodzi kana kubvisa kubuda kweropa mumitsipa mikuru uye nekudaro hairape esophageal varices. Nekudaro, chiremba anogona zvakare kukurudzira dzimwe nzira dzekurapa dzinogona kushandiswa pamwe chete nemishonga.

2. Endoscopy

Endoscopy ye esophageal varices, mukuwedzera pakubatsira mukuongororwa, inoshandawo kunatsiridza kuwedzerwa kwemitsipa yekuzvimba, nekuisa bhanhire rakamonereka kutenderedza varicose mitsetse kuvhara ropa panzvimbo uye nekuderedza njodzi yekubuda ropa kukuru.

3. Kuvhiya

Kuvhiya kwevaricose mutsinga mudumbu, inonzi shunthepatic, inoshandiswa kunyanya mumatambudziko akaipisisa, umo zvisingaite kudzora kumanikidza mukati mevaricose mutsinga chete nemushonga, uye inogona zvakare kuratidzwa apo kubuda kweropa mudumbu kusingadzorwe nemishonga uye ne endoscopy .

Chikafu cheesophageal varices

Chikafu cheesophageal varices chinofanira kunge chakaderera mumafuta uye nemapuroteni ari nyore kugaya, senge hove, chena nyama kana miriwo, semuenzaniso, kufambisa kurapwa kwechinetso chechiropa. Ona zvimwe zvekudya mukudya zvinoratidzwa kune matambudziko echiropa.

Uye zvakare, nekuda kwekuvapo kwevaricose mutsinga, zvakakosha kuti utarisire nechikafu chakadai se:

• Ipa zvaunofarira zvekudya zvepasty, semaporridges, purees kana mavitamini, semuenzaniso;
• Tsenga chikafu mune zvishoma zvishoma panguva;
• Dzivisa chikafu chakaomarara, yakaoma kana yakaoma, senge makuki, michero yakaomeswa kana coconut;
• Usadya chikafu chinopisa zvakanyanya, kuita kuti itonhorere pasi kwemaminitsi mashanu, usati wadya.

Izvi zvinodzivirira zvine chekuita nekudzora kushandiswa kwezvinwiwa zvinodhaka zvakakosha kudzivirira kukuvara kana kuputika kwemitsipa uye nekudaro zvinobatsira kudzikisa njodzi yekubuda ropa.