Di liva na wan pan di impɔtant pat dɛn na wi bɔdi. Bɔt sɔm tɛm, we di liva pwɛl, dat kin mek wi gɛt siriɔs prɔblɛm dɛn insay di bɔdi we wi nɔ kin notis. Wan pan dɛn prɔblɛm dɛn de na di prɛshɔn we de go ɔp na di vein dɛn we de briŋ blɔd na di liva. Dis ay prɛshɔn kin ivin mek pɔsin blɔd we denja. Tide wi de tɔk bɔt wan spɛshal ɔpreshɔn we go ɛp fɔ sev pipul dɛn layf na dɛn kayn tin ya. Dat na di Distal Splenorenal Shunt, ɔ DSRS ɔpreshɔn fɔ shɔt tɛm.
Wetin na dis ‘Pɔtal Haypatɛyshɔn’?
Lɛ wi tɔk dis simpul wan. Imajin se di men wata paip na yu os dɔn blok. Wetin kin apin da tɛm de? Di wata kin stɔp na wan ples, di prɛshɔn kin go ɔp, ɛn sɔntɛnde i kin bigin fɔ lik kɔmɔt na ɔda say dɛn. Na di sem tin kin apin na wi bɔdi.
Afta we di it we wi de it dɔn digest, di blɔd we dɔn tek dɛn tin dɛn de kin kɛr go na di liva tru wan big blɔd vesel we dɛn kɔl di pɔtal vein . if di liva dεn dכn pwεl sכm we (fכ egzampl, bikoz fכ wan kכndyushכn lεk sirosis), di bכdi nכ kin fכ fכlכ izi wan tru dis pכtal vein. I tan lɛk se wata paip de stɔp.
we di bכdi nכ fכ fכlכ dis we, di prεshכn we de insay di pכtal vein de inkrεs pasmak. Wi kin kɔl dis ‘Pɔtal Haypatɛnshɔn’ .
Bikɔs ɔf dis ay prɛshɔn, di blɔd kin bigin fɔ fɛn ɔda rod dɛn. Bɔku tɛm dɛn nyu blɔd vesel ya (wi kin kɔl dɛn varices ) kin fɔm na di bɛlɛ ɔ di εsophagus. Dis na vein dεm we rili wik, we gεt tin wכl. We di prɛshɔn go ɔp mɔ, dɛn kin swel, bɔs, ɛn bigin fɔ blɔd. Dis na denja sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan.
So wetin dis DSRS ɔpreshɔn de du?
DSRS ɔpreshɔn na, fɔ tɔk am simpul wan, nyu ‘baypas’ fɔ di blɔd we dɔn blok. Dis ɔpreshɔn kin min fɔ pul sɔm blɔd kɔmɔt na di ay prɛshɔn pɔtal vein sistɛm ɛn ridayrɛkt am to wan say we gɛt smɔl prɛshɔn.
Na dis na aw fɔ du dis:
di dɔktɔ we de du di ɔpreshɔn kin tek tɛm separet di splɛn vein frɔm di pɔtal vein, we de ɔnda ay prɛshɔn. afta dat, di vein de kכnekt to di rεnal vein na yu lεft kidni. di rεnal vein na lכw prεshכn, we de sכkכt fayn fayn wan.
Fɔ tɔk am simpul wan, i tan lɛk se yu pul sɔm motoka dɛn na rod we bɔku pipul dɛn kin pas ɛn yu kin kɛr dɛn go na rod we nɔ gɛt bɔku pipul dɛn. dis de ridyus di prεshכn na di pכtal vein, we kin εp fכ kכntrכl di risk fכ blכd we denja.
Ustɛm i nid fɔ du ɔpreshɔn pan DSRS?
Afta yu dɔktɔ dɔn du difrɛn tɛst dɛn, i kin tɛl yu fɔ du dis ɔpreshɔn if di vayrɔs we de na yu ɛsophagus ɔ yu bɛlɛ dɔn swel ɔ blɔd de kɔmɔt. Apat frɔm dat, dis ɔpreshɔn kin ɛp bak fɔ kɔntrol ɔda kɔmplikeshɔn dɛn we di pɔtal haypatɛnshɔn kin kam wit.
| Kɔmplikɛshɔn | Simpul ɛksplen |
|---|---|
| Blɔd we de kɔmɔt wit vɔmit ɔ stɔl | I kin bi we di wik blɔd vesel dɛn we de brok (varices). |
| Fluid we de gɛda na di bɛlɛ (Ascites) . | Fluid we de lik frכm di bכdi vεsul dεm go insay di bכdi kכva bikoz fכ di hכy prεshכn. I kin fil lɛk se di bɛlɛ dɔn ful-ɔp. |
| Leg we de swel (Edima) . | di leg dεm εn di fut dεm de swεla bikoz fכ di chenj dεm na di bכdi in bכdi bכlεns. |
| Di splin we dɔn big (Hypersplenism) . | di splin kin big bikɔs di blɔd kin klɔt. |
| Kidni we nɔ de wok fayn ɛn we i nɔ de mɛmba fayn | Ɔda siriɔs kɔmplikeshɔn dɛn we kin apin bikɔs di liva nɔ de wok fayn. |
Wetin na di difrɛns bitwin DSRS ɛn ɔda kayn shunt?
difrεn kayn shunt dεm de we dεn kin yuz fכ ridyus di prεshכn na di pכtal vein. Di men gol fɔ ɔl dɛn tin ya na fɔ kɔntrol di blɔd we de kɔmɔt.
- Distal Splenorenal Shunt (DSRS): Dis na di ɔpreshɔn we wi de tɔk bɔt naw. Dis involv fɔ du opin ɔpreshɔn ɛn mek baypas yuz wan vein na di bɔdi.
- Transjugular Intrahεpatik Pכtosistεmik Shunt (TIPS):Dis difrɛn smɔl frɔm DSRS. I nɔ min se dɛn fɔ du big ɔpreshɔn. bifo dat, dεn de put wan tכn tכb lεk kateshכn tru wan vein na di nεk εn i de kכnekt di pכtal vein to di men vein we de kכmכt na di liva (hεpatik vein) frכm insay di liva. Dis na di we aw dɛn kin yuz mɔ naw.
Yu mɛdikal tim go disayd us we fɔ du am bɛtɛ fɔ yu.
Wetin fɔ ɛkspɛkt bifo dɛn du di ɔpreshɔn?
Bifo yu mek arenjmɛnt fɔ mek dɛn du yu ɔpreshɔn, yu dɔktɔ go tek yu kɔmplit mɛdikal istri ɛn du yu bɔdi ɛgzam. Dɛn kin ɔda bak fɔ du sɔm tɛst fɔ no aw yu ɔl gɛt wɛl bɔdi, aw yu liva de wok, ɛn aw yu pɔtal haypatɛyshɔn siriɔs.
Dis kin inklud:
- Blɔd tɛst dɛn
- Test fɔ di wok we di liva de du
- X-ray na di chɛst
- EKG tɛst we dɛn kin du
- Angiogram - fכ luk di kכndishכn fכ di bכdi vεsul dεm
- כp εndoskopi - fכ luk insay di εsophagus εn di bεlε
Di mɛdikal tim go gi yu klia instrɔkshɔn bɔt aw fɔ rɛdi fɔ ɔpreshɔn. Fɔ ɛgzampul, dɛn go tɛl yu us mɛrɛsin dɛn fɔ stɔp fɔ tek, wetin fɔ kam wit na ɔspitul, ɛn ustɛm fɔ stɔp fɔ it ɛn drink. Aks dɛm bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu dis tɛm.
Aw dɛn kin du di ɔpreshɔn?
Di DSRS ɔpreshɔn kin tek lɛk 4 awa so. Fɔs, dɛn kin put yu ɔnda jenɛral anestezi. So yu de slip ɔl di tɛm we dɛn de du di ɔpreshɔn ɛn yu nɔ de fil ɛni pen. Di ɔspitul tim, lɛk aw wi bin dɔn tɔk bɔt, kin tek tɛm pul di splɛn vein ɛn kɔnɛkt am to di rεnal vein.
Wetin kin apin afta 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 (NG tכb) fכ lεk 24 awa fכ pul di briz εn wata we de kכmכt na di bεlε.
- wan salin (IV) layn de kכnekt to wan vein na di nεk fכ gi mεdikeshכn εn 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 nyu shunt de wok fayn fayn wan. We yu ebul fɔ it, smɔl smɔl yu go kam fɔ no bɔt wata ɛn sɔlid tin dɛn. 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.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
Afta yu dɔn go na os, yu fɔ tek kia gud gud wan fɔ mek yu wɛl. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- 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 smɔl fred ɛn wɔri fɔ du dis kayn ɔpreshɔn. Bɔt mɛmba se DSRS na wan we we rili fayn fɔ protɛkt yusɛf frɔm di denja kɔmplikeshɔn dɛn we pɔsin kin gɛt we i gɛt pɔtal haypatɛyshɔn.
Mɛsej we dɛn kin kɛr go na os
- DSRS na ɔpreshɔn we de trit pɔtal haypatɛnshɔn, we na wan kɔmplikeshɔn fɔ di liva sik.
- Dɛn kin yuz dis mɔ fɔ kɔntrol di blɔd we kin mek pɔsin in layf de pan denja.
- Dis na big big ɔpreshɔn, ɛn yu go gɛt fɔ de na ɔspitul fɔ sɔm dez afta dat.
- I rili impɔtant fɔ fala di dɔktɔ ɛn di pɔsin we sabi bɔt it fɔ mek i wɛl kwik kwik wan afta dɛn dɔn du di ɔpreshɔn.
- If ɛni imejensi simptom kam, go to dɔktɔ ɛn nɔ de te.
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