Varicose mutsinga mudumbu: zvavari, zvinokonzera uye kurapwa

Zvemukati

• Ungaziva sei
• Kupatsanurwa kwemhando
• Chii chinokonzera gastric varices
• Kurapwa kunoitwa sei

Varicose mutsinga mudumbu yakawedzeredzwa uye inokanganisa tsinga dzeropa dzinoumba pamadziro enhengo iyi, uye dzinogona kuve dzakakomba, sezvo dzichikura, dziri panjodzi yekutyoka uye dzinokonzera kubuda ropa kwakanyanya.

Aya varicose veins anogona kuumbika mudumbu nekuda kwekuwedzera kusagadzikana kweropa kuyerera mukati mechipenga vein, mutsinga wakakosha unoburitsa ropa kubva mudumbu nhengo, iro rinogona kumuka nekuda kwezvikonzero zvakasiyana, senge chisingaperi hepatitis, cirrhosis yechiropa, schistosomiasis kana portal vein thrombosis, semuenzaniso. Zvirinani nzwisisa kuti chii uye chii chinogona kukonzera portal hypertension.

Kazhinji, gastric varices inoonekwa mumashure kana pamwe pamwe nevaricose mutsinga mudumbu, pamwe nerekure. Kurapa kweaya varicose mutsinga kunoratidzwa zvese kudzivirira uye kumisa kubuda kweropa, uye kunogona kuitwa nemabeta-anovharira zvinodhaka kana nzira dzekuvhiya, senge sclerotherapy, cyanoacrylate kana elastic ligator, semuenzaniso.

Ungaziva sei

Gastric varicose veins inogona kusakonzera chero zviratidzo, uye inogona kuzivikanwa mumayedzo kana portal hypertension ichifungidzirwa, nekuda kwechirrhosis yechiropa, semuenzaniso. Esophageal varices ndiyo yakajairika, zvisinei, varicose mutsinga mudumbu inogona kuumba mune makumi maviri muzana ezviitiko, kunyanya kana kuwedzera kwekumanikidza mu portal vein kunova kwakanyanya.

Uye zvakare, gastric varices haigone kuputika ichienzaniswa neye esophageal, zvisinei, ivo vanokonzera kubuda ropa kwakanyanya uye kwakaoma kudzora. Zvimwe zvezviratidzo zvinoratidza kubuda ropa kubva muvaricose mutsinga ndezvi:

• Zvitema zvakasviba zvine hwema hwakaipa;
• Kusvipa neropa;
• Paleness, dzungu uye palpitations.

Kupatsanurwa kwemhando

Miedzo mikuru yekuongorora varicose mutsinga ndeyekugaya endoscopy, doppler ultrasound uye tomography. Ivo vanogona kuve munzvimbo dzakasiyana mudumbu, vachiiswa muchikwata se:

1. Iwo kuenderera kwesophageal varices, inotambanudza mashoma masendimita pazasi pekuchinja kwesophagogastric, kuburikidza nekukombama kudiki kwedumbu, chinonyanya kuve chiripo;
2. Iwo zvakare kuwedzera kweesophageal varices, asi kune yegastric fundus;
3. Aya ndiwo akasarudzika gastric varices, iri pazasi pemudumbu;
4. Iwo zvakare akasarudzika gastric varices, ayo anogona kuoneka chero kumwe kunhu mudumbu.

Gastric varices inoonekwa sediki kana ichiyera isingasviki 3 mm dhayamita, yepakati kana iri pakati pe3 ne5 mm kana hombe kana ichiyera inopfuura 5 mm dhayamita. Iyo yakakura kukura kweiyo varicose veins, iyo yakanyanya njodzi yekubuda ropa.

Chii chinokonzera gastric varices

Varicose mutsinga mudumbu inoumbwa nekuwedzera kumanikidza muiyo portal vein, uye zvikonzero zvikuru ndezvi:

• Chisingaperi hepatitis;
• Hepatical cirrhosis;
• Schistosomiasis;
• Portal kana splenic vein thrombosis;
• Budd-Chiari chirwere. Tsvaga kuti chirwere ichi chakaita sei uye kuti zvinoitika sei;
• Kukanganisika muiyo portal vein kana mune yakaderera vena cava.

Varicose mutsinga mudumbu inogona zvakare kukonzerwa nechirwere chemwoyo chinonzi constrictive pericarditis, mune iyo tambo ine turu inokura yakatenderedza moyo, uye inoita kuti zvive zvakaoma kushanda. Dzidza zvakawanda nezve kukura kwayo uye mhedzisiro yechirwere ichi.

Kurapwa kunoitwa sei

Kana iyo varicose mutsinga iri diki kana kana chiremba vakaona kuti pane njodzi yakadzika yekubuda ropa, hapana chikonzero chekurapa gastric varices, chete kwavo kungo tarisa.

Nekudaro, chiremba anogona, mune dzimwe nguva, kukurudzira kurapwa kwekudzivirira kubuda ropa, kunyanya kana vachiyera anopfuura gumi mm muhupamhi kana paine njodzi huru yekubuda ropa, izvo zvinogona kuitwa nemabeta-anovharira zvinodhaka, izvo zvinoderedza simba reropa kuyerera, kwakadai sePropranolol, kana kuiswa kweCyanoacrylate, rudzi rweglue unobvisa mudziyo.

Kana gastric varices iripo ichibuda ropa, kurapwa kunogona kusanganisira endoscopy ye sclerotherapy, cyanoacrylate jekiseni kana kuiswa kweelastic bandeji, clip kana zvitubu, semuenzaniso.

Pamusoro pekumisa kubuda kweropa, sezvo ichi chiri chinhu chakakomba, chiremba anofanira kutora matanho ekuchengetedza hupenyu hwemurwere, sekutsiva zvinwiwa neserum mutsinga, kuwedzerwa ropa, kana zvichidikanwa, kana kushandisa mishonga inorwisa mabhakitiriya kudzivirira hutachiona hwemudumbu. ., yakajairika kune varwere vane cirrhosis yechiropa. Uyezve tarisa zvimwe zvikonzero zvekubuda ropa mudumbu uye zvekuita.