Te toto toto tiketike o te tomokanga: Ngā mea e hiahia ana koe kia mōhio

E mōhio ana tātou katoa ki te toto toto tiketike, arā, te "pēhanga." Engari kua rongo kē koe i tētahi āhuatanga e piki ake ai te pēhanga i roto i tētahi oko toto motuhake i roto i tō tātou ate? I roto i te rongoā, ka kiia tēnei ko te 'Portal Hypertension.' Ahakoa he ahua uaua te ingoa, he āhuatanga tēnei ka pā kino ki te hauora o tō tātou ate. Nō reira, kaua e manukanuka, i tēnei rā ka kōrerohia tēnei mea kia tino māmā, kia mārama ai koe.

He aha tonu te Portal Hypertension?

Hei mārama ki tēnei, me titiro tuatahi tātou ki tētahi mea whakamiharo e tupu ana i roto i ō tātou tinana. Ko ngā toto katoa e whai kiko ana i ngā matūkai mai i tō puku, i ō whekau, me tō whēkau ka kohia ka haere ki te ate mā roto i tētahi uaua nui. Ko tēnei uaua matua e kiia ana ko te "uaua tomokanga". Hei whakamārama, koinei te puna toto matua ki te ate.

Whakaarohia inaianei he "pūngao nui" kei roto i tēnei uaua matua, arā, i roto i te ate. Mēnā ka pakaru tetahi mea i roto i te ate, ā, ka āraia ngā oko toto iti i roto, kāore e taea te rere tika o te toto e tomo mai ana. Ka ahatia i muri mai? Ka tino piki te toto i roto i taua uaua matua me ētahi atu uaua e hono ana ki reira. Koinei te mea e kiia nei e tātou ko te Portal Hypertension .

Ina piki ake tēnei pēhanga, ka ngana te toto ki te rere mā roto i ētahi atu uaua iti ake, ngoikore ake. Kātahi ka pupuhi aua uaua (ina koa ko ērā i roto i te korokoro me te puku), ka rite ki te poihau, ā, ka ngawari te pakū me te toto. Ka kiia ēnei uaua pupuhi he uaua varicose . Koinei te raruraru tino morearea o tēnei mate.

He aha ngā take mō tēnei āhuatanga?

Ko te tino take o te Portal Hypertension ko te cirrhosis o te ate . He māmā noa iho, ko te cirrhosis he āhuatanga e pakaru tonu ai te ate mō tētahi take, ā, ka pakari te ate nā ngā koha e puta mai ana i te wā e ora ana ngā patunga. Pērā i te koha e puta mai ana i runga i tō tātou kiri i te wā e ora ana te patunga. Ka āraihia e tēnei kiko koha te rere o te toto i roto i te ate.

He maha ngā take matua ka pakaru ai te ate:

• Te inu nui rawa o te waipiro.
• Ngā mate urutā pēnei i te Hepatitis B me te C.
• Te mate ate momona.

Haunga tēnei, ka puta pea tēnei mate i ngā toto totoka i roto i te uaua portal, ētahi mate pirinoa (hei tauira, Schistosomiasis), me ētahi atu take onge. I ētahi wā, kāore e kitea he take motuhake.

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He aha ngā tohu o te toto toto tiketike Portal?

I te nuinga o te wā, kāore he tohu motuhake i ngā wāhanga tōmua o tēnei mate. Ka puta noa ngā tohu ina puta ngā raruraru i kōrerotia e tātou. Mena kua kī atu te tākuta he mate ate tōu, he mea tino nui kia mōhio koe ki ēnei tohu.

Kia maumahara, ki te ruaki toto koe, ki te pango rānei ō tūtae, he āhuatanga ohorere tēnā. Me haere tonu koe ki te Tari Ohorere (ETU) o te hōhipera tata.

He aha ngā maimoatanga?

Engari, kāore e taea te whakaora katoa i te pūtake o te Portal Hypertension. Nō reira, ko te whāinga matua o te maimoatanga he ārai me te whakahaere i ngā raruraru, inā koa te toto mai i ngā varices.

1. Whakaora Endoscopic

Koinei te tuatahi e whakamahia ana hei rongoā mō ngā uaua varicose.

• Te here: Ka whakauruhia he endoscope, he ngongo me te kāmera, mā te waha, kātahi ka whakatakotoria he here rapa iti ki te taha o te uaua toto, hei kati i te uaua.
• Te whakaora i te kiriuhi:Ko te tikanga o tēnei ko te werohanga i tētahi otinga toto totoka ki roto i te uaua.

2. Ngā rongoā

• Ngā aukati-beta: Ka whakaitihia e ngā rongoā pēnei i te Propranolol te pēhanga i roto i te pūnaha uaua tomokanga me te whakaiti i te tūponotanga o te toto.
• Ngā rongoā whakaheke toto: Mena kua kī te puku i te wai (ascites), ka hoatu ēnei rongoā hei tango i te wai nui mai i te tinana.
• Lactulose: Ka āwhina tēnei rongoā ki te whakahaere i te mate pukupuku roro.

3. Ngā huringa āhua noho

He wāhanga tino nui tēnei.

• Kati rawa te inu waipiro.
• Kaua e tango i ngā rongoā mamae, i ētahi atu rongoā, i ngā tī otaota rānei, me te kore e kōrero tuatahi ki tō tākuta. Tērā pea ka pā kino ētahi rongoā ki te ate.
• Whakaitihia te kai tote (konutai). Kai i runga i ngā tohutohu a tō tākuta.
• Mena he pōhēhē tō hinengaro, ka tonoa pea koe kia whakawhāiti i ngā kai whai pūmua.

Ētahi atu maimoatanga motuhake

Ki te kore e taea e ngā maimoatanga o runga ake nei te whakahaere i te toto, te pupuhi rānei o te puku, ka huri pea ngā tākuta ki ngā maimoatanga uaua ake. Ka mahi ēnei mā te whakaiti i te pēhanga i roto i te pūnaha uaua tomokanga.

• TIPS (Transjugular Intrahepatic Portosystemic Shunt): Ehara tēnei i te pokanga. I roto i tēnei, ka whakauruhia he ngongo iti (stent) mā roto i te ate i raro i te arataki a te hihi-X, ka hangaia he ara hou i waenganui i te uaua portal me tētahi atu uaua e puta ana i te ate. Ka huri tēnei i te rere o te toto, ā, ka whakaiti i te pēhanga i roto i ngā uaua. Neke atu i te 90% te angitu o tēnei maimoatanga.
• DSRS (Distal Splenorenal Shunt): He pokanga tēnei. I tēnei, ka honoa te uaua splenic ki te uaua o te whatukuhu maui. Ka whakaitihia hoki te pēhanga me te whakahaere i te rere o te toto. Heoi, kāore tēnei e whakamahia whānuitia ana i ēnei rā.
• Te Whakatō Ate: Koinei pea te otinga anake mō ngā tūroro e pāngia ana e te mate ate kua tata ki te mutunga.

I muri i ēnei maimoatanga, he mea tino nui kia whai tika koe i ngā tohutohu a te tākuta me ngā wā tirotiro whai muri . Mā ngā matawai me ngā whakamātautau toto e mahia ana i taua wā ka āwhina i te whakatau i te angitu o te maimoatanga.