Kodi munayamba mwasanza magazi mwadzidzidzi? Kapena kodi chopondapo chanu chinasanduka chakuda kwambiri komanso chomata? Izi ndi zinthu zoopsa komanso zochititsa mantha kumva, sichoncho? Koma izi ndi zizindikiro zazikulu za matenda oopsa omwe tikukamba lero otchedwa 'Bleeding Varices'. Izi sizinthu zopepuka, chifukwa zitha kupha anthu. Tiyeni tidziwe zambiri za izi lero.
Mwachidule, kodi 'varices' ndi chiyani?
Mitsempha ya varicose ndi yotupa komanso yokulirapo m'mimba mwathu. Tangoganizirani miyendo ya anthu ena yokhala ndi mitsempha yabuluu, yopindika, sichoncho? Izi ndi zina zotero. Koma izi zimachitika mkati mwa matupi athu, m'mimba.
Mitsempha yotupa iyi, kapena mitsempha yotupa, nthawi zambiri siionetsa zizindikiro zilizonse mpaka itaphulika ndikuyamba kutuluka magazi. Anthu ambiri sadziwa ngakhale kuti ali nayo. Koma vuto limayamba pamene mitsempha iyi yaphulika, kuphulika, ndikuyamba kutuluka magazi. Pamenepo ndi pamene pamakhala vuto lalikulu lachipatala.
Kodi zizindikiro zoopsa za kutuluka magazi m'mitsempha ya varicose ndi ziti?
Munthu akakhala ndi Bleeding Varices, ayenera kuzindikirika nthawi yomweyo. Chifukwa sekondi iliyonse imawerengedwa. Yang'anirani kwambiri zizindikiro zomwe zili pansipa.
| Chizindikiro | Kodi izi zikutanthauza chiyani? |
|---|---|
| Kusanza magazi | Mtsempha wotupa ndi chizindikiro choonekeratu kuti waphulika. |
| Chidendene chakuda, chokhazikika, chomata | Magazi omwe adutsa pamwamba pa thirakiti la m'mimba amagayidwa ndi kutulutsidwa m'thupi mwanjira imeneyi. |
| Chizungulire kwambiri komanso kukomoka | Kutsika kwa kuthamanga kwa magazi chifukwa cha magazi ambiri omwe amatuluka m'thupi. |
| Kuwonjezeka kwa kugunda kwa mtima | Mtima umayamba kugwira ntchito mwachangu kuti ulimbitse kutayika kwa magazi m'thupi. |
| Kudabwa | Vutoli ndi lalikulu kwambiri. Kutuluka magazi ambiri kumapangitsa kuti ziwalo za thupi zisalandire magazi okwanira. |
Ngati muli ndi zizindikiro izi, musakhale panyumba kwa kanthawi. Pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala nthawi yomweyo. Ngati kutuluka magazi sikungatheke mwachangu, munthu akhoza kufa.
Ngakhale magazi atasiya kutuluka, mavuto aakulu monga chibayo, sepsis, komanso kulephera kwa chiwindi ndi impso kungachitike.
N’chifukwa chiyani mitsempha yotupa imapanga magazi ambiri? Kodi chifukwa chake ndi chiyani?
Chifukwa chachikulu cha izi ndi matenda otchedwa 'Portal Hypertension' . Tsopano taonani, mtsempha waukulu wamagazi womwe umanyamula magazi kuchokera m'thupi lathu kupita ku chiwindi umatchedwa 'Portal Vein'. 'Portal Hypertension' ndi pamene kuthamanga kwa magazi mkati mwa mtsempha uwu kumawonjezeka kwambiri chifukwa cha zifukwa zina.
Chabwino, nanga n’chifukwa chiyani kupanikizika kumeneku kukuwonjezeka?
Choyambitsa chachikulu cha izi ndi matenda a chiwindi otchedwa cirrhosis, zomwe zikutanthauza kuti chiwindi chimakhala ndi zipsera komanso cholimba ngati mwala. Malinga ndi madokotala, izi timazitcha kuti 'Cirrhosis' .
- Kwa iwo omwe amamwa mowa mopitirira muyeso.
- Anthu omwe ali ndi matenda opatsirana kwa nthawi yayitali monga Hepatitis B ndi C.
- Matenda a cirrhosis amatha kuchitika mwa anthu ena omwe ali ndi matenda a chiwindi chamafuta.
Tangoganizirani zomwe zimachitika pakakhala magalimoto ambiri pamsewu waukulu? Magalimoto amayesa kuyenda m'misewu ya m'mbali, misewu yaying'ono ya miyala, eti? Ndicho chomwe chimachitikanso pano. Pamene magazi (magalimoto) akuvuta kudutsa m'chiwindi (msewu waukulu), magazi amenewo amayesa kudutsa m'mitsempha yaying'ono, yofewa (misewu ya m'mbali) m'mero ndi m'mimba.
Mitsempha yaying'ono iyi singathe kupirira magazi ambiri chonchi komanso kupanikizika kochuluka chonchi. Zotsatira zake n'zakuti mitsempha imatupa ngati mabaluni, makoma ake amakhala ochepa, ndipo pamapeto pake imaphulika ndi kutuluka magazi ngakhale pang'ono chabe.
Kodi mankhwala otani a vuto loopsali ndi ati?
Choyamba, akalowa m'chipatala, cholinga choyamba cha madokotala ndi kuletsa kutuluka magazi ndikukhazikitsa moyo wa wodwalayo. Izi zingaphatikizepo kuwalumikiza ku makina opumira kuti magazi asalowe m'mapapo, ndikuwapatsa maantibayotiki kuti apewe poizoni m'magazi.Iyeneranso kuperekedwa.
Kutuluka magazi kukatha, pali njira zosiyanasiyana zopewera kutulukanso magazi komanso kuchiza mitsempha ya varicose.
| Njira yochizira | Kufotokoza mwachidule |
|---|---|
| Kumanga | Dokotala wa matenda a m'mimba amagwiritsa ntchito endoscope kuti alowe m'mero ndikuyika timizere tating'onoting'ono ta rabara mozungulira mitsempha yotupa. Izi zimaletsa kuyenda kwa magazi ndikupangitsa kuti mitsempha ife. |
| Chithandizo cha sclerotherapy | M'malo moyika mipiringidzo ya rabara, njira yapadera yotsekereza mitsempha yotupa imabayidwa kudzera mu endoscope. |
| MABWINO (Transjugular Intrahepatic Portosystemic Shunt) | Iyi ndi njira yodziwira matenda pogwiritsa ntchito x-ray. Catheter imayikidwa kudzera m'mitsempha ya m'khosi ndipo 'stent' (chubu chaching'ono) imayikidwa pakati pa chiwindi. Izi zimalumikiza mtsempha wa portal wopanikizika kwambiri ndi mtsempha wabwinobwino, zomwe zimachepetsa kuthamanga kwa magazi. |
| DSRS (Distal Splenorenal Shunt) | Iyi ndi njira yochitira opaleshoni yomwe imaphatikizapo kulumikiza mtsempha wa ndulu ndi mtsempha wa impso yakumanzere kuti muchepetse kupanikizika pa mitsempha ya varicose ndikuletsa kutuluka magazi. |
| Kusamutsa Chiwindi | Ngati chiwindi chikulephera kugwira ntchito ndipo matendawa ali m'magawo omaliza (matenda a chiwindi omwe amafika kumapeto), iyi ndiye njira yabwino kwambiri yothetsera vutoli. |
Kodi vutoli lingapewedwe?
Inde n'zotheka. Njira yabwino yopewera izi ndi kuchiza bwino chomwe chimayambitsa matenda a chiwindi.Ngati matenda a chiwindi apezeka msanga ndipo chithandizo chayamba, kukula kwa mitsempha ya varicose iyi kumatha kupewedwa kwambiri.
- Pewani kumwa mowa kotheratu. Ichi ndiye chifukwa chachikulu cha matenda a chiwindi.
- Pezani chithandizo choyenera cha matenda a chiwindi a chiwindi B ndi C.
- Lamulirani chiwindi chonenepa pogwiritsa ntchito zakudya zabwino komanso masewera olimbitsa thupi.
Komanso, mankhwala ena, monga beta-blockers a matenda a mtima, angathandize kuchepetsa chiopsezo cha kutuluka magazi mwa kuchepetsa kuthamanga kwa magazi mu mtsempha wa portal. Ndikofunikira kukambirana zonsezi ndi dokotala wanu ndikutsatira malangizo awo mosamala.
Uthenga Wopita Nawo Kunyumba
- Matenda a varice ndi mitsempha yotupa ya m'mero kapena m'mimba. Nthawi zambiri sasonyeza zizindikiro mpaka ataphulika ndi kutuluka magazi.
- Kusanza magazi ndi kutuluka maliseche akuda, ndi zizindikiro zazikulu kwambiri. Ngati muwona izi, pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) kuchipatala nthawi yomweyo.
- Chifukwa chachikulu cha izi ndi vuto lotchedwa Portal Hypertension, lomwe limayamba chifukwa cha matenda a chiwindi (makamaka cirrhosis).
- Kupewa kumwa mowa mopitirira muyeso komanso kuchiza matenda a chiwindi moyenera kungachepetse chiopsezo cha vutoli.
- Ngati muli ndi matenda a chiwindi, nthawi zonse funsani dokotala wanu ndipo tsatirani bwino malangizo ndi mayeso omwe mwapatsidwa.
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