Ntshav txhaws hauv cov hlab ntsha hauv siab (Portal Vein Thrombosis): Cia peb tham txog qhov no!

Muaj tej yam kab mob uas tshwm sim ntsiag to hauv lub cev yam tsis muaj tsos mob dab tsi li. Ib qho mob zoo li no yog ntshav txhaws hauv cov hlab ntsha portal ntawm lub siab, lossis hauv kev kho mob, ib qho mob hu ua "Portal Vein Thrombosis" . Qhov no tuaj yeem loj me ntsis, yog li cia peb tham txog nws kom meej me ntsis, puas yog?

Qhov no hu ua portal vein thrombosis (`(Portal Vein Thrombosis)`) yog dab tsi?

Hais yooj yim xwb, koj lub siab muaj ib txoj hlab ntshav loj uas coj ntshav mus rau koj lub siab los ntawm lwm yam kabmob hauv koj lub plab (xws li koj lub plab thiab cov hnyuv). Qhov no hu ua txoj hlab ntshav portal . Thaum cov ntshav txhaws (thrombus) tsim nyob rau hauv txoj hlab ntshav portal, hauv cov ceg uas ceg mus rau hauv lub siab, lossis hauv ib qho ntawm lwm cov hlab ntshav uas muab ntshav rau nws (xws li txoj hlab ntshav superior mesenteric thiab txoj hlab ntshav splenic), nws nqaim lossis thaiv tag nrho cov hlab ntshav, uas hu ua txoj hlab ntshav portal thrombosis, lossis PVT.

Qhov no yog ib qho mob hnyav heev. Tab sis feem ntau nws tsis qhia cov tsos mob thaum xub thawj. Yog li, koj yuav tsis paub tias koj muaj hom ntshav txhaws no. Nws yuav pom tau thaum lub sijhawm kuaj lwm yam, lossis nws tsuas yog pom tom qab muaj teeb meem xws li portal hypertension (siab ntxiv hauv cov leeg ntawm lub siab). Cov teeb meem no tuaj yeem ua rau tuag taus yog tias tsis kho kom zoo. Tshwj xeeb tshaj yog tias koj muaj cov tsos mob xws li ntuav ntshav lossis tso ntshav hauv koj cov quav, nws yog qhov hnyav thiab koj yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Cov neeg uas muaj kab mob siab fibrosis, tshwj xeeb tshaj yog cirrhosis, muaj feem yuav mob portal vein thrombosis ntau dua. Cov neeg uas muaj lwm yam mob xws li ntshav txhaws, kuj muaj feem yuav mob ntau dua. Yog li ntawd, yog tias koj muaj ib qho ntawm cov yam no, nws yog ib qho tseem ceeb uas yuav tsum nrog kws kho mob tham, mus kuaj mob, thiab kuaj mob thiab kho sai li sai tau.

Puas muaj hom kab mob portal vein thrombosis (PVT)?

Yog, cov kws kho mob faib qhov "Portal Vein Thrombosis" no ua ob hom loj, nyob ntawm tus neeg uas muaj nws:

• Kab mob Cirrhotic Portal Vein Thrombosis (PVT) yog hom kab mob thrombosis uas tshwm sim ntau tshaj plaws nrog rau kab mob cirrhosis . Qhov no yog ib qho mob uas cov ntshav txhaws tsim nyob rau hauv cov leeg ntshav portal rau cov neeg uas muaj kab mob cirrhosis.
• Mob Ntshav Hauv Cov Hlab Ntxwm Uas Tsis Yog Mob Cirrhotic (PVT): Qhov no yog cov ntshav txhaws uas tsim nyob rau hauv ib tus neeg uas tsis muaj mob cirrhosis.

Kev nkag siab txog qhov kev faib tawm no yog qhov tseem ceeb rau kev npaj kev kho mob. Piv txwv li, cov kws kho mob txiav txim siab txog kev kho mob raws li seb koj puas muaj mob cirrhosis. Kev muaj mob cirrhosis ua rau koj muaj feem yuav muaj teeb meem, uas tuaj yeem cuam tshuam rau koj qhov kev kwv yees. Txawm li cas los xij, cov kws kho mob pheej kawm ntxiv txog ob hom kab mob portal vein thrombosis thiab yuav ua li cas kom txo qis cov teeb meem. Yog li nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob txog koj cov kev xaiv kho mob thiab yam koj tuaj yeem cia siab.

Tus mob no feem ntau tshwm sim li cas?

Kab mob Portal Vein Thrombosis tsis tshua muaj rau cov neeg uas tsis muaj kab mob siab. Txawm li cas los xij, qee pawg neeg, tshwj xeeb tshaj yog cov neeg uas muaj kab mob cirrhosis, muaj feem yuav mob ntau dua. Kwv yees li ib ntawm plaub tus neeg uas muaj kab mob cirrhosis yuav mob PVT. Qhov no yog vim cov nqaij caws pliav hauv lub siab ua rau cov ntshav ntws qeeb. Thaum cov ntshav ntws qeeb, cov ntshav txhaws yuav tshwm sim ntau dua.

Tej yam teeb meem uas yuav tshwm sim ntawm portal vein thrombosis (PVT) yog dab tsi?

Cov teeb meem no yuav txawv nyob ntawm seb cov ntshav txhaws nyob qhov twg thiab lwm yam mob uas koj muaj. Qee qhov teeb meem uas yuav tshwm sim muaj xws li:

• Cov hlab ntsha varices hauv esophageal (o ntawm cov leeg ntshav hauv txoj hlab pas)
• Kev Ntshav Los Ntawm Txoj Hnyuv (GI)
• Kev puas tsuaj rau cov hnyuv vim yog cov ntshav tsis txaus ('(Mesenteric Ischemia)')
• Kev nce siab hauv cov leeg ntawm lub siab ('(Portal Hypertension)')
• Splenomegaly (lub qog ntawm lub qhov zis loj dua)

Cov tsos mob ntawm cov hlab ntsha portal thrombosis (PVT) yog dab tsi?

Muaj coob tus neeg tsis muaj tsos mob dab tsi li. Cov kws kho mob feem ntau kuaj mob los ntawm kev kuaj duab uas ua rau lwm yam laj thawj.

Txawm li cas los xij, yog tias muaj teeb meem tshwm sim, cov tsos mob yuav tshwm sim. Cov tsos mob no suav nrog:

• Ntshe ntshav.
• Ntshav hauv cov quav (dub los yog liab).
• Mob plab, flatulence.
• O ntawm ob txhais ceg thiab pob luj taws (`(Edema)`).
• Mob plab, ceg tawv.

Dab tsi ua rau cov ntshav txhaws hauv cov hlab ntsha portal no?

Cov kws kho mob hu qhov no ua mob 'multifactorial' . Qhov no txhais tau tias feem ntau nws yog los ntawm kev sib xyaw ua ke ntawm ob lossis ntau yam.

Muaj peb yam tseem ceeb uas ua rau muaj cov ntshav txhaws hauv koj lub "Portal Vein":

• Muaj lub xeev hypercoagulable (`(Hypercoagulable State)`). Qhov no txhais tau tias koj cov ntshav txhaws sai dua li ib tus neeg ib txwm.
• Cov ntshav ntws qeeb qeeb los ntawm lub siab.
• Kev puas tsuaj rau phab ntsa sab hauv (endothelium) ntawm cov hlab ntsha portal.

Cov yam ua rau muaj tus mob no yog dab tsi?

Muaj ntau yam mob uas ua rau koj muaj feem yuav ntshav txhaws thiab ntshav ntws qeeb hauv lub siab. Qee yam ntawm cov yam ua rau muaj kev pheej hmoo no suav nrog:

• Cov qog nqaij hlav hauv plab.
• Kab mob Antiphospholipid (`(Antiphospholipid Syndrome)`).
• Tsis muaj peev xwm tiv thaiv kab mob ntshav (`(Tsis muaj peev xwm tiv thaiv kab mob ntshav)`).
• Kab mob siab ('(Cirrhosis)').
• Factor V Leiden (`(Factor V Leiden)`) - Qhov no yog ib qho mob caj ces uas cuam tshuam rau cov ntshav txhaws.
• Kab mob hauv plab (piv txwv li, pancreatitis).
• Cov kab mob Myeloproliferative neoplasms (`(Myeloproliferative Neoplasms)`) - Cov no yog cov kab mob uas cuam tshuam nrog cov pob txha.
• Mob ntshav siab portal loj heev.
• Cev xeeb tub.
• Kev Tsis Txaus Protein C (`(Kev Tsis Txaus Protein C)`).
• Tsis txaus Protein S (`(Protein S Deficiency)`).
• Kev hloov pauv ntawm cov noob caj noob ces Prothrombin (`(Kev Hloov Pauv ntawm Cov Noob caj noob ces Prothrombin)`).

Ntxiv rau, qee qhov kev phais mob plab (piv txwv li, splenectomy) kuj tseem tuaj yeem ua rau phab ntsa sab hauv ntawm cov hlab ntsha puas tsuaj, ua rau muaj kev pheej hmoo no ntau ntxiv.

Yuav kuaj mob li cas yog tias muaj cov hlab ntsha hauv lub portal vein thrombosis (PVT)?

Cov kws kho mob yuav kuaj mob no los ntawm kev kuaj lub cev tag nrho thiab ntau yam kev kuaj mob. Lawv kuj tseem yuav nug txog koj keeb kwm kev kho mob kom paub seb koj puas muaj tej yam uas ua rau koj muaj mob "Portal Vein Thrombosis".

Yuav ua li cas thiaj kuaj tau qhov no?

Koj tus kws kho mob yuav xaj kom kuaj mob zoo li no los kuaj mob "Portal Vein Thrombosis" thiab nrhiav seb puas muaj teeb meem dab tsi:

• Kev thaij duab CT (`(Kev thaij duab Computed Tomography (CT) Scan)`).
• Kev kuaj mob ultrasound Doppler (`(Doppler Ultrasound)`). Qhov no siv tau los saib seb cov ntshav ntws li cas hauv cov hlab ntsha thiab seb puas muaj cov ntshav txhaws.
• Kev ntsuam xyuas kev ua haujlwm ntawm daim siab (`(Kev Ntsuam Xyuas Kev Ua Haujlwm ntawm Daim Siab)`).
• Kev Siv Tshuab Xam MRI (Magnetic Resonance Imaging (MRI))

Koj txoj kev npaj kho mob yuav raug txiav txim siab raws li cov txiaj ntsig ntawm cov kev kuaj no.

Cov kws kho mob kho cov kab mob portal vein thrombosis (PVT) li cas?

Cov kws kho mob txiav txim siab txog kev kho mob rau txhua tus neeg mob ib tus zuj zus. Ntawd yog, lawv kho qhov kev kho mob kom haum rau koj qhov xav tau. Muaj ntau yam uas cuam tshuam rau qhov no:

• Qhov twg cov ntshav txhaws nyob.
• Qhov ua rau cov ntshav txhaws.
• Lwm yam mob uas koj muaj (piv txwv li, mob cirrhosis).
• Seb puas muaj teeb meem.
• Koj cov keeb kwm kho mob tag nrho.

Cov kev xaiv kho mob yuav muaj xws li:

• Cov Tshuaj Tiv Thaiv Kev Ntshav Ntshav: Cov tshuaj no pab tiv thaiv kom cov ntshav tsis txhob loj hlob thiab tiv thaiv cov ntshav tshiab kom tsis txhob tsim. Txawm li cas los xij, vim tias cov neeg uas muaj kab mob cirrhosis muaj feem yuav ntshav sab hauv ntau dua, cov kws kho mob siv cov tshuaj no nrog kev ceev faj heev.
• Kev Kho Mob Thrombolytic:Yog tias cov tshuaj anticoagulants ib leeg tsis txaus, qhov kev kho mob no tuaj yeem muab ua kua dej muab rau hauv cov leeg ntshav (IV) lossis los ntawm ib lub raj me me (catheter) kom yaj cov ntshav txhaws. Cov kws kho mob kuj tseem siv tau txoj kev no yog tias koj txoj hnyuv tsis tau txais ntshav txaus.
• Transjugular Intrahepatic Portosystemic Shunt (TIPS): Qhov no kuj yog ib txoj kev kho mob uas siv ib lub catheter me me. Nws yog siv los tswj cov teeb meem ntawm cov hlab ntsha portal thrombosis, tshwj xeeb tshaj yog GI los ntshav. Nws cuam tshuam nrog kev tsim ib lub qhov av hla koj lub siab thiab txuas koj cov hlab ntsha portal rau ib txoj hlab ntsha loj hauv koj lub siab. Txoj kev tshiab no tso cai rau cov ntshav los ntawm koj cov hnyuv hla lub siab. Qhov no txo ​​qhov siab hauv cov hlab ntsha hauv koj lub siab, txo qhov kev pheej hmoo ntawm kev los ntshav. Txawm li cas los xij, txij li thaum koj lub siab feem ntau lim cov tshuaj lom los ntawm koj cov ntshav, cov ntshav tsis tau lim tam sim no tab tom ncig hauv koj lub cev. Yog li, ib qho kev pheej hmoo ntawm kev kho mob no yog tias cov tshuaj lom tuaj yeem mus rau lub hlwb thiab cuam tshuam rau kev ua haujlwm ntawm lub hlwb (`(Hepatic Encephalopathy)`).

Nws yog ib qho tseem ceeb heev uas yuav tsum tham txog qhov zoo thiab qhov tsis zoo ntawm cov kev kho mob no nrog koj tus kws kho mob kom nkag siab txog lawv cov txiaj ntsig thiab qhov tsis zoo nyob ntawm koj tus mob.

Qhov xwm txheej no yuav zoo li cas?

Koj tus kws kho mob yog tus neeg zoo tshaj plaws los nug txog qhov kev kwv yees ntawm koj tus mob. Nws yuav qhia koj seb yuav tsum xav li cas raws li koj tus mob. Lub sijhawm ntawm kev ciaj sia thiab lub neej ntev ntawm portal vein thrombosis tuaj yeem sib txawv nyob ntawm:

• Qhov ua rau cov ntshav txhaws.
• Txawm koj muaj '(Cirrhosis)' los tsis muaj.
• Lwm yam mob uas koj muaj.
• Cov teeb meem uas tshwm sim.
• Qhov mob ntawm koj lub siab.

Feem ntau, kev kuaj mob thiab kev kho mob thaum ntxov tuaj yeem ua rau koj muaj feem rov zoo dua.

Puas tiv thaiv tau tus kab mob portal vein thrombosis (PVT)?

Cov ntshav txhaws, suav nrog cov ntshav hauv cov hlab ntsha portal, yeej tsis tuaj yeem tiv thaiv tau tas li. Txawm li cas los xij, muaj qee yam uas koj tuaj yeem ua tau los txo koj qhov kev pheej hmoo:

• Mus kuaj mob txhua xyoo, thiab mus kuaj txhua zaus uas koj tus kws kho mob hais kom ua. Piv txwv li, yog tias koj muaj mob cirrhosis thaum ntxov, kev kuaj pom thaum ntxov yuav pab tiv thaiv tau PVT.
• Ua haujlwm nrog koj tus kws kho mob kom tswj tau tej yam mob uas koj muaj. Piv txwv li, yog tias koj muaj ib yam mob zoo li ntshav qab zib ('(Diabetes Mellitus)'), tswj nws kom zoo.
• Noj tag nrho koj cov tshuaj raws li tau qhia, thaum lub sijhawm raug.
• Yog koj muaj cov tsos mob tshiab, lossis yog koj cov tsos mob hloov pauv, qhia rau koj tus kws kho mob tam sim ntawd.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Nco ntsoov mus kuaj mob txhua xyoo. Yog tias koj muaj cov tsos mob tshiab uas tsis paub meej, mus ntsib koj tus kws kho mob ua ntej.

Yog tias koj muaj ib lossis ntau yam uas ua rau koj muaj feem yuav mob "(Portal Vein Thrombosis), nws yog ib lub tswv yim zoo rau koj nrog koj tus kws kho mob tham txog qhov no. Nws yuav nug koj txog koj tus kheej qib kev pheej hmoo thiab koj ua tau dab tsi los txo qhov ntawd.

Kuv yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) thaum twg?

Ib qho teeb meem ntawm cov hlab ntsha portal thrombosis yog kev los ntshav hauv plab hnyuv (GI). Cov tsos mob feem ntau tshwm sim sai sai thiab tuaj yeem hnyav heev. Yog tias koj muaj ib qho ntawm cov tsos mob no, mus rau tsev kho mob lossis hu 911 tam sim ntawd:

• Yog koj kiv taub hau los yog tsaus muag (syncope).
• Yog koj muaj cov quav dub los yog liab, los yog koj ntuav ntshav.
• Yog tias lub plawv dhia ceev.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Nov yog qee cov lus nug los pab koj kawm paub ntxiv txog koj qhov teeb meem:

• Vim li cas kuv thiaj tau cov ntshav txhaws no?
• Txoj kev npaj kho mob zoo tshaj plaws rau kuv yog dab tsi?
• Kuv puas yuav tsum tau noj tshuaj dab tsi? Yog tias yog, noj ntev npaum li cas?
• Cov txiaj ntsig thiab qhov tsis zoo ntawm cov kev kho mob yog dab tsi?
• Kuv yuav tsum tau tos dab tsi thaum kuv rov zoo?
• Kuv qhov kev kwv yees mus sij hawm ntev (`(Prognosis)`) yog dab tsi?

Kev nrhiav pom tias koj muaj cov ntshav txhaws tuaj yeem ua rau ntshai heev. Hauv qhov xwm txheej zoo li "Portal Vein Thrombosis", koj yuav xav tsis thoob tias yuav muaj teeb meem dab tsi tshwm sim thiab lawv yuav loj npaum li cas. Sau koj cov lus nug thiab qhia rau koj tus kws kho mob. Kawm txhua yam koj xav paub txog koj tus mob thiab cov kev kho mob. Ua ke nrog koj tus kws kho mob, koj tuaj yeem nrhiav txoj hauv kev kom rov zoo.

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li, kom luv luv qhov peb tau tham txog, Portal Vein Thrombosis, yog cov ntshav txhaws uas thaiv cov hlab ntsha tseem ceeb uas nqa cov ntshav mus rau lub siab.

Txawm hais tias feem ntau nws tsis qhia cov tsos mob thaum xub thawj, qhov no tuaj yeem yog ib qho mob hnyav, tshwj xeeb tshaj yog rau cov neeg uas muaj cirrhosis.

Yog koj ntuav ntshav los yog muaj ntshav hauv koj cov quav, nrhiav kev pab kho mob tam sim ntawd.

Yog tias koj muaj tej yam uas ua rau koj muaj feem yuav mob, nws yog ib qho tseem ceeb uas koj yuav tsum nrog koj tus kws kho mob tham txog tej yam no thiab mus kuaj mob kom paub tseeb. Kev kuaj mob thaum ntxov thiab kev kho mob yog qhov zoo tshaj plaws. Ua raws li koj tus kws kho mob cov lus qhia kom zoo, thiab tsis txhob ntshai nug cov lus nug yog tias koj muaj tej yam no. Nyob kom noj qab nyob zoo!

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