Yu liva na wan ɔgan we rili impɔtant na wi bɔdi. Bɔt bikɔs ɔf sɔm sik dɛn , mɔ we di liva dɔn pwɛl , di prɛshɔn na di blɔd vesel dɛn we gɛt kɔnekshɔn to am kin go ɔp pasmak. Dis kin mek yu gɛt prɔblɛm dɛn lɛk we yu vɔmit blɔd wantɛm wantɛm. Tide wi de tɔk bɔt wan spɛshal ɔpreshɔn we dɛn kin du fɔ sev pipul dɛn layf pan dɛn kayn tin ya. Dɛn kɔl dis DSRS ɔpreshɔn.
Wetin na Distal Splenorenal Shunt (DSRS)?
Fɔ tɔk am simpul wan, Distal Splenorenal Shunt (DSRS ) na ɔpreshɔn we de mek yu nɔ gɛt prɛshɔn na yu pɔtal vein. Naw yu kin de wɔnda wetin na di pɔtal vein. di pכtal vein na di men bכdi we de kכri bכdi frכm di dijestiv trakt ( bεlε , intestin, εtk) to di liva.
Sɔm mɛrɛsin kin mek di prɛshɔn na dis vein go ɔp tumɔs. Wi kɔl am Pɔtal Haypatɛnshɔn . Di dɔktɔ dɛn we de du ɔpreshɔn kin yuz dis DSRS fɔ kɔntrol di blɔd we de kɔmɔt ɛn ɔda prɔblɛm dɛn we dis ay prɛshɔn kin kam wit.
Di impɔtant tin na dat DSRS ɔpreshɔn nɔ go ebul fɔ mɛn di ɔndalayn kɔz fɔ Pɔtal Haypatɛnshɔn. Bɔt, e kin ɛp fɔ kɔntrol di denja sayn dɛm wae kin kam. Afta dis ɔpreshɔn, yu go nid fɔ kɔntinyu fɔ du tɛst ɛn fala yu dɔktɔ fɔ wach yu kɔndishɔn.
Fɔs, lɛ wi ɔndastand wetin na Pɔtal Haypatɛyshɔn?
Pɔtal Haypatɛyshɔn, lɛk aw wi bin dɔn tɔk, na ay blɔd prɛshɔn na di pɔtal vein. Di men tin we kin mek dis apin na we di liva kin pwɛl. Fɔ ɛgzampul, wan sik lɛk sirosis kin mek di liva stif, ɛn dis kin mek blɔd nɔ go pas am.
Imajin wetin go apin if wata paip blok na di midul. Di prɛshɔn we de insay di paip de go ɔp, ɛn di wata de tray fɔ kɔmɔt na ɔda say dɛn, nɔto so? semweso, we bכdi nכ kin pas tru di liva, di prεshכn na di pכtal vein de go כp.
Bikɔs ɔf dis ay prɛshɔn, blɔd kin bigin fɔ fɛn ɔda we fɔ flɔ. Dɛn nyu blɔd vesel ya we gɛt wik wɔl na dɛn wi kɔl ‘varices’ . Dɛn tin ya kin apin mɔ na yu εsophagus ɛn bɛlɛ.
As di prɛshɔn de go ɔp, dɛn vayrɔs ya kin swel, dɛn wɔl dɛn kin tan ɛn wik. Dɛn kin lik wata insay di bɛlɛ (dɛn kɔl dis ascites ), ɛn di tin we denja pas ɔl na dat dɛn kin bɔs ɛn bigin fɔ blɔd. Dis na mɛdikal imejensi.
Wetin kin rili apin we dɛn de du ɔpreshɔn pan DSRS?
DSRS ɔpreshɔn de wok bay we i de chenj di blɔd we pasmak na di pɔtal vein ɛn ridyus in prɛshɔn. Dis tan lɛk fɔ bil nyu baypas rod fɔ mek bɔku bɔku trafik nɔ de na siti.
We dɛn de du dis ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn go du dɛn tin ya:
1. di spεlin vein na yu splin de separet frכm di pכtal vein.
2. afta dat di spεlin vein we dεn separet de kכnekt to di rεnal vein na yu lεft kidni.
bay we dεn mek nyu rod fכ blכd fכ fכlכ dis we, di prεshכn we de na di pכtal vein de rεdכks, di swεla na di vεris dεm de rεdכks, εn dεn mek di כpεrayshכn fכ mek sכh se di liva kכntinyu fכ gεt di bכdi we i nid.
Udat nid fɔ gɛt DSRS ɔpreshɔn?
Dɛn kin se yu fɔ du dis ɔpreshɔn if yu dɔktɔ si se yu εsophageal ɔ gastric veins (varices) dɔn big ɔ blɔd de kɔmɔt. I kin bi sɔlv bak fɔ ɔda kɔmplikeshɔn dɛn we Pɔtal Haypatɛnshɔn kin kam wit.
Di tebul we de dɔŋ ya kin ɛksplen dis mɔ.
| Simptom/kɔndishɔn | Simpul ɛksplen |
|---|---|
| Blɔd we de kɔmɔt wit vɔmit ɔ stɔl | Dis na di men sayn we de sho se di vayrɔs vein dɛn de bɔs. |
| Blɔd we de kɔmɔt na di bɛlɛ | Dɛn ɛksplen di tin we wi dɔn tɔk bɔt ɔp ɔda we. |
| Asayt we de mek pɔsin gɛt sik | Fluid we de lik frכm di bכdi vεsul dεm go insay di bכdi kכva bikoz fכ di hכy prεshכn. |
| Swel na di leg ɛn fut (Edima) . | I kin bi bikɔs di wata we de na di bɔdi de chenj. |
| Di splin we dɔn big (Hypersplenism) . | di splin de big bikoz di bכdi we de fכlכ insay am de bכku. |
| Kidni we nɔ de wok fayn | If di liva nɔ wok fayn, dat kin afɛkt di kidni dɛn bak. |
| Mild Kɔgnitiv Impayrmɛnt | Pɔyzin we dɛn fɔ pul na di liva kin gɛda na di blɔd ɛn afɛkt di bren. |
Wetin na di difrɛns bitwin DSRS ɛn ɔda shunt tritmɛnt dɛn?
di kכmכn gol fכ כl di shunt tritmεnt fכ di pכtal haypatεnshכn na fכ ridyus di prεshכn na di pכtal vein εn kכntrכl di bכdi we de bכn. Bɔt, difrɛns de pan aw dɛn kin du dɛn tin ya.
- Transjugular Intrahepatic Portosystemic Shunt (TIPS): Dis nɔto ɔspitul we dɛn kin du. i involv fכ put wan tכb we lεk kateshכn tru wan vein na di nεk εn fכ mek kכnεkshכn bitwin di pכtal vein εn di εpatik vein insay di liva. Dis TIPS prosidur na mɔ kɔmɔn pas DSRS dɛn tɛm ya.
- Proksimal splenorenal shunt: Dis na ɔspitul prosidur bak. Bɔt i kin nid fɔ pul di splin insɛf.
- Spontaneous splenorenal shunt (SSRS): Dis nɔto ɔspitul we dɛn kin du. Na kɔnekshɔn we di bɔdi kin mek bay insɛf we di liva sik rili bad. Dis de sho se di sik dɔn rili go bifo.
Wetin fɔ ɛkspɛkt bifo dɛn du di ɔpreshɔn?
Yu dɔktɔ go aks yu fɔs bɔt yu mɛdikal istri ɛn chɛk yu. Dɔn, dɛn go du sɔm tɛst fɔ no yu jenɛral wɛlbɔdi, di we aw yu liva de wok, ɛn aw yu pɔtal haypatɛyshɔn siriɔs.
Dɛn tɛst ya kin bi:
- Blɔd tɛst dɛn
- Test fɔ di wok we di liva de du
- X-ray na di chɛst
- ECG (Ilɛktrokardiogram) .
- Angiogram - Dis na spɛshal tɛst we de luk aw di blɔd vesel dɛn de.
- כp εndoskopi - fכ egzamin di insay pat pan di εsophagus εn di bεlε we dεn de yuz tכb wit kεmεra
Yu mɛdikal tim go gi yu klia instrɔkshɔn bifo dɛn du di ɔpreshɔn.
- Us mɛrɛsin dɛn fɔ stɔp bifo dɛn du di ɔpreshɔn?
- Us tin dɛn a fɔ kam wit we a kam na ɔspitul?
- Di rayt tɛm fɔ stɔp fɔ it ɛn drink bifo dɛn du di ɔpreshɔn.
Aks di dɔktɔ ɛni kwɛstyɔn ɔ tin we de mɔna yu bɔt dis ɛn mek dɛn ɛksplen am gud gud wan. Nɔ kip ɛnitin fɔ yusɛf.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Bɔku tɛm di ɔpreshɔn we dɛn kin du wit DSRS kin tek lɛk 4 awa so . Fɔs, dɛn kin gi yu jenɛral anestezi. Dis min se yu nɔ de fil ɛni pen ɛn yu de slip ɔl.
Dɔn di ɔspitul tim, lɛk aw wi bin dɔn tɔk bɔt:
1. di spεlin vein de separet frכm di pכtal vein.
2. Tek da vein de kכnekt am to di rεnal vein na di lεft kidni.
Wetin a fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ lɛk wan wik ɔ tɛn dez . Insay dis tɛm, di mɛdikal tim go tek kia ɔf yu gud gud wan.
- Dɛn kin put kateta fɔ sɔm tɛm fɔ mek di wata kɔmɔt na di wata.
- dεn kin put wan nasogastric tכb tru di nos fכ lεk 24 awa fכ pul di briz εn wata we de kכmכt na di bεlε.
- Dɛn go put IV na wan vein na yu nɛk fɔ gi yu mɛrɛsin ɛn wata.
- Dɛn go gi yu wan pen pɔmp we yu kin gi yusɛf fɔ kɔntrol di pen.
Lɛk wan wik afta di ɔpreshɔn, yu go gɛt ɔda angiogram fɔ chɛk if di shunt de wok fayn fayn wan. We yu ebul fɔ it ɛn drink, dɛn go gi yu wata fɔs, dɔn dɛn go gi yu sɔlid. Bifo yu go na os, wan dɔktɔ we sabi bɔt it go mit wit yu fɔ tɔk bɔt aw fɔ it we fayn fɔ yu. Bɔku tɛm, dɛn kin advays fɔ it tin dɛn we nɔ gɛt bɔku sɔl ɛn we nɔ gɛt bɔku fat .
Ɛni risk de fɔ dis ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de, bɔt bɔku tɛm, DSRS na wan we we rili sef ɛn we kin wok fayn.
Di risk fɔ blɔd bak kin bɔku insay di fɔs mɔnt afta dɛn dɔn du di ɔpreshɔn. Bɔt nɔ wɔri. Yu mɛdikal tim go ɛp yu fɔ kɔntrol dis risk ɛn kip yu no bɔt am gud gud wan.
Wetin yu fɔ du we yu dɔn wɛl afta yu dɔn go na os?
I rili impɔtant fɔ fala di instrɔkshɔn dɛn we yu dɔktɔ ɛn pɔsin we sabi bɔt it gi yu fayn fayn wan fɔ mek yu wɛl kwik kwik wan. Aks yu dɔktɔ ustɛm yu kin bigin fɔ du tin dɛn we nɔmal ɛn ɛksesaiz bak.
Yu go nid fɔ du blɔd tɛst ɔltɛm fɔ chɛk aw yu liva de wok. Nɔ ɛva mis yu fɔlɔp apɔntinmɛnt dɛn. Yu dɔktɔ go kɔntinyu fɔ wach yu sik ɛn gi yu di advays we yu nid fɔ gɛt wɛlbɔdi.
Wetin na di sayn dɛm wae kin mek yu nid fɔ go to dɔktɔ kwik kwik wan?
If yu gɛt ɛni wan pan dɛn sik ya, dat kin bi sayn fɔ se yu gɛt siriɔs sik. So , go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɔ kɔl di 1990 ambulans savis.
- Kɔf
- I nɔ kin izi fɔ yu fɔ blo
- Fɔ mek pɔsin spɛl
- Fiva
- Chɛst de pen
- Swet pas aw i kin swet
Na nɔmal tin fɔ fil fɔ fred ɛn wɔri we yu kam fɔ no se yu gɛt wan sik lɛk Pɔtal Haypatɛyshɔn. Bɔt yu dɔktɔ go sidɔm wit yu, wach yu sik dɛn, ɛn ɛp yu fɔ kɔntrol dɛn. If nid de, ɔpreshɔn lɛk DSRS kin ɛp fɔ kɔntrol yu risk fɔ blɔd ɛn ɛp yu fɔ liv bɛtɛ layf.
Mɛsej we dɛn kin kɛr go na os
- DSRS na ɔpreshɔn we dɛn kin du fɔ ridyus di ay prɛshɔn na di pɔtal vein.
- Di men gol fɔ dis na fɔ kɔntrol di denja kɔmplikeshɔn dɛm lɛk di blɔd we de kɔmɔt frɔm Pɔtal Haypatɛnshɔn.
- Dis ɔpreshɔn nɔ de mɛn di sik na di liva, bɔt i kin ɛp fɔ kɔntrol di sik dɛn we de sho se i sik bad bad wan.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn afta dɛn dɔn du di ɔpreshɔn, mɔ fɔ it ɛn fɔ go na klinik dɛn di rayt tɛm.
- If yu gɛt sɔm sayn dɛn lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu chɛst de pen, ɔ yu de swet pasmak, go to dɔktɔ wantɛm wantɛm.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt