Zvese Zvaunofanirwa Kuziva Nezve Portal Hypertension

Zvemukati

• Fast chokwadi
• Zviratidzo
• Zvinokonzera
• Njodzi zvinhu
• Kuongorora
• Kurapa
• Matambudziko
• Outlook
• Matipi ekudzivirira
• Q & A: Portal hypertension isina cirrhosis
• Mubvunzo:
• A:

Mhedziso

Iyo portal vein inotakura ropa kubva mudumbu rako, rwatata, uye dzimwe nhengo dzekugaya kuchiropa chako. Zvinosiyana nedzimwe tsinga, idzo dzese dzinoendesa ropa kumoyo wako.

Chiropa chinoita basa rakakosha mukutenderera kwako. Iyo inosvina kunze kwehupfu uye imwe tsvina nyaya iyo nhengo dzekugaya dzakaisa muropa rako. Kana iko kudzvanywa kweropa mukati meiyo portal vein kwakanyanya, iwe une portal hypertension.

Portal hypertension inogona kuve yakakomba, kunyangwe ichirapika kana ikaonekwa munguva. Hazvisi nyore nguva dzose kuongorora, zvakadaro. Kazhinji, iwe unonyeverwa nezve mamiriro acho paunotanga kuona zviratidzo.

Fast chokwadi

Tsinga dzinotakura okisijeni-yakazara ropa kubva pamoyo wako kuenda kunhengo dzako, mhasuru, uye zvimwe zvinyama. Midzi inodzosera ropa kumoyo wako, kunze kweiyo portal vein, inotakura ropa kuchiropa chako.

Zviratidzo

Kubuda ropa mudumbu kazhinji chiratidzo chekutanga cheiyo portal hypertension. Dema, zvigaro zvekumhara zvinogona kuve chiratidzo chekubuda ropa mudumbu. Iwe unogona zvakare kunyatsoona ropa muzvituru zvako.

Chimwe chiratidzo is ascites, chinova chivakwa chemvura mukati medumbu rako. Unogona kuona kuti dumbu rako riri kukura nekuda kwema ascites. Mamiriro acho anogona kukonzera kukakavara, kuputika, uye kufema kwekufema.

Zvakare, kuve unokanganwa kana kuvhiringidzika kunogona kuve mugumisiro wedambudziko rekupararira rine chekuita nechiropa chako.

Zvinokonzera

Chikonzero chikuru cheiyo portal hypertension cirrhosis. Uku kucheka kwechiropa. Inogona kukonzerwa nemamiriro akati wandei akadai sehepatitis (chirwere chinoputika) kana kushandisa doro zvisina kufanira.

Zvirwere zvekuzvidzivirira zvechiropa senge autoimmune hepatitis, yekutanga sclerosing cholangitis, uye yekutanga biliary cholangitis zvakare ndizvo zvikonzero zvecirrhosis uye portal hypertension.

Chero nguva iyo chiropa chako chinokuvadzwa, icho chinoedza kuzviporesa pachayo. Izvi zvinokonzeresa kuti vanga riumbike Kuwandisa kwakanyanya kunoita kuti zviomere chiropa chako kuti chiite basa racho.

Zvimwe cirrhosis zvinokonzera zvinosanganisira:

• isina-doro doro mafuta chiropa chirwere
• iron inovaka mumuviri wako
• cystic fibrosis
• zvisina kuvandudzwa bile ducts
• chirwere chechiropa
• kugadzirisa kune imwe mishonga, yakadai se methotrexate

Cirrhosis inogona kukonzera iyo inowanzo kutsetseka mukati memadziro eiyo portal vein kuti ive isina kujairika. Izvi zvinogona kuwedzera kupokana neropa kuyerera. Nekuda kweizvozvo, kumanikidza kweropa mugedhi revhidhi kunowedzera.

Ropa rekuvhara ropa rinogona zvakare kuumba mukati meiyo portal vein. Izvi zvinogona kuwedzera kumanikidza kweropa kuyerera kumadziro emudziyo weropa.

Njodzi zvinhu

Vanhu vari panjodzi yekuwedzera kwechirrhosis vari panjodzi yekuwedzera kweiyo portal hypertension. Kana iwe uine nhoroondo refu yekudhakwa, iwe unotarisana nenjodzi yakakwira yechirrhosis. Iwe uri panjodzi yakakwira yehepatitis kana chero cheizvi zvinotevera zvinoshanda kwauri:

• Unoshandisa tsono kubaya zvinodhaka.
• Iwe wakagamuchira matatoo kana kuboora munzvimbo dzisina hutsanana.
• Iwe unoshanda munzvimbo yaungangodaro wakambove nekubata nesero dzakatapukirwa kana ropa rine hutachiona.
• Wakawedzerwa ropa pamberi pa1992.
• Amai vako vaiva nehepatitis.
• Iwe unoita bonde zvisina dziviriro nevanowirirana vakawanda.

Kuongorora

Portal hypertension yakaoma kuongorora kana zviratidzo zvisiri pachena. Screenings senge doppler ultrasound inobatsira. Iyo ultrasound inogona kuburitsa mamiriro eiyo portal vein uye nekuyerera kweropa kuburikidza nayo. Kana iyo ultrasound isingazivikanwe, CT scan inogona kubatsira.

Imwe nzira yekuvheneka iyo iri kunyanyo shandiswa chiyero chekusimba kwechiropa chako uye nyama dzakatenderedza. Elastography inoyera mapindurirwo anoitwa tishu kana rasundidzirwa kana kuongororwa. Kusimba kwekusimba kunoratidza kuvepo kwechirwere.

Kana kubuda kwemudumbu kwakaitika, ungangozoongororwa endoscopic. Izvi zvinosanganisira kushandiswa kwechinhu chakaonda, chinoshanduka chine kamera pane kumucheto kunobvumira chiremba wako kuti aone nhengo dzemukati.

Portal vein yeropa inogona kumisikidzwa nekuisa catheter yakagadzirirwa kuwedzerwa kweropa kupinda mutsinga iri muchiropa chako uye kutora chiyero.

Kurapa

Mararamiro ehupenyu akadai seaya anogona kubatsira kubata portal hypertension:

• kuvandudza kudya kwako
• kudzivisa kunwa doro
• kurovedza muviri nguva dzose
• kurega kusvuta kana uchisvuta

Mishonga yakadai se beta-blockers zvakare yakakosha kubatsira kubatsira kudzikisa kweropa rako uye kuzorodza tsinga dzako dzeropa. Mimwe mishonga, yakadai sepropranolol uye isosorbide, inogona kubatsira kudzikisa kumanikidza muvharo rechipata, futi. Vanogona zvakare kudzikisa njodzi yekubuda kweropa mukati.

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchisangana ne ascites, chiremba wako anogona kunyorera diuretic kuti ibatsire kudzikisa huwandu hwemvura mumuviri wako. Sodium inofanirawo kuvharirwa zvakanyanya kubatsira kudzikisa kuchengetedza kwemvura.

Mushonga unonzi sclerotherapy kana banding unoshandisa mhinduro inogona kubatsira kumisa kubuda kweropa mumidziyo yeropa yechiropa chako. Kubhenda kunosanganisira kuiswa kwemabhandi erubhabha kunovharisa kusafamba kweropa kuyerera mutsinga dzakakurisa, dzinozivikanwa sevarices kana varicose veins, mune yako digestive system.

Kumwe kurapa kuri kuwedzera kukurumbira kunonzi nonsurgical transjugular intrahepatic portal-systemic shunt (TIPSS). Iyi kurapa inobatsira kudzora kubuda kweropa kwakanyanya. Iyo inogadzira nzira nyowani dzekuti ropa riyerere kubva kune yechipenga vein kuenda kune imwe mitsipa yeropa.

Matambudziko

Imwe yematambudziko akajairika anosanganiswa neiyo portal hypertension is portal hypertensive gastropathy. Mamiriro acho anokanganisa mucus membrane yedumbu rako uye inowedzera mitsipa yeropa.

Nzira dzakagadzirwa pakati pemitsipa yeropa muTIPSS dzinogona kuvharika. Izvi zvinogona kutungamira mukuwedzera kubuda ropa. Kana matambudziko echiropa akaenderera, iwe unogona kunge uine mamwe matambudziko ekuziva futi.

Outlook

Iwe haugone kudzoreredza kukuvara kunokonzerwa necirrhosis, asi iwe unogona kubata portal hypertension. Zvinogona kutora musanganiswa wemararamiro ane hutano, mishonga, uye kupindira. Kutevera-kumusoro macasound kuchadikanwa kuti utarise hutano hwechiropa chako uye nemhedzisiro yeTIPSS maitiro.

Zvichava kwauri iwe kunwa doro uye kurarama hupenyu hune hutano kana iwe uine portal hypertension. Iwe zvakare unozofanirwa kuteedzera kuraira kwechiremba wako. Izvi zvinoenda kumishonga uye yekutevera-kugadzwa.

Matipi ekudzivirira

Inwa doro zvine mwero, kana zvachose. Uye tora matanho ekudzivirira hepatitis. Taura nachiremba wako nezvezvirwere zvekuzvimba chiropa uye kana uchifanira kuva nazvo. Iwe unogona zvakare kuda kuongororwa hepatitis kana iwe uri muboka rine njodzi.

Portal hypertension inokonzerwa nekuderera kwehutano hwechiropa, asi iwe unogona kukwanisa kudzivirira ichi chinonetsa chirwere chevascular kuburikidza nesarudzo dzakanaka dzehupenyu.

Q & A: Portal hypertension isina cirrhosis

Mubvunzo:

Unogona here kukura portal hypertension isina cirrhosis?

A:

Zvinogoneka, kunyange zvisingawanzoitiki. Portal hypertension isina cirrhosis inonzi idiopathic isiri-cirrhotic portal hypertension (INCPH). Kune zvikamu zvishanu zvakakura zvezvikonzero zveINCPH: immune immune, kutapukirwa noutachiona, kusvibiswa kune chepfu kana mimwe mishonga, kusanganisa kwemajini, uye mamiriro eprothrombotic. Zvizhinji zvezvikamu izvi zvinogona kuchinja zvakajairika kuvhara uye kukonzeresa madiki kuumbika, zvichitungamira kuINCPH. Vanhu vane INCPH vanowanzove nemaonero ari nani nekuti vane chiropa chinowanzo shanda.