Kodi mukudziwa za matenda a Varices a m'mimba? Tiyeni tikambirane za izi!

Kodi munamvapo za vuto lotchedwa gastric varices? Mwina munamvapo mawu awa pamene munapita kukaonana ndi dokotala chifukwa cha kupweteka m'mimba kapena vuto la kugaya chakudya. Likhoza kukhala vuto lalikulu, choncho ndikofunikira kudziwa bwino lomwe. Chifukwa chake, lero tikambirana za vuto ili lotchedwa `(Gastric Varices)` m'njira yosavuta, kuti mumvetse.

Kodi matenda a m'mimba otchedwa Varices ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, Mitsempha ya m'mimba ndi mitsempha yamagazi yotupa komanso yokulirakulira m'mimba mwanu. Imatha kuwoneka ngati mabaluni ang'onoang'ono. Ili ndi vuto lalikulu chifukwa ngati mitsempha yotupayi yaphulika, ingayambitse kutuluka magazi m'mimba mwanu chapamwamba komwe kungawononge moyo wanu.

Mwina munamvapo za mitsempha yotupa ya m'mimba, yomwe ndi mitsempha yotupa ya m'mimba. Matenda a m'mimba ndi matenda osowa kwambiri. Komabe, ngati mitsempha ya m'mimba yatuluka magazi, nthawi zambiri imakhala yoopsa kwambiri kuposa mitsempha ya m'mimba.

Taganizirani izi motere. Mimba mwanu muli mitsempha yaing'ono yamagazi yomwe imanyamula magazi. Kawirikawiri, magazi amadutsa m'mitsempha iyi popanda vuto lililonse. Komabe, nthawi zina kutsekeka kwakukulu kumachitika mumtsempha waukulu wamagazi womwe umanyamula magazi kupita ku chiwindi. Izi zitha kuchitika chifukwa cha matenda otchedwa cirrhosis, omwe amachititsa zipsera pachiwindi. Kenako, pamakhala "kutsekeka kwa magalimoto" kwakukulu pamitsempha yayikuluyo, zomwe zikutanthauza kuti kupanikizika mkati mwa mitsempha yamagazi kumawonjezeka. Chifukwa cha kupanikizika kumeneku, magazi amayamba kufunafuna njira zina zazing'ono, zazifupi, komanso zazifupi. Popeza mitsempha yaying'ono iyi (yotchedwa varices) m'makoma a m'mimba sinapangidwe kuti inyamule magazi ambiri chonchi, imatupa, imatupa, ndikutuluka. Vutoli limatchedwa gastric varices. Ngati kupanikizika kumeneku sikulamuliridwa, mitsempha yotupa iyi imatha kuphulika.

Kodi mitundu ikuluikulu ya matenda a m'mimba ndi iti?

Matenda a m'mimba amagawidwa makamaka potengera ngati akugwirizana ndi mimba yanu kapena ayi.

Mitsempha ya Varicose yokhudzana ndi esophagus

• Matenda a Gastroesophageal Varices a Mtundu 1 (GOV1): Mitundu iyi ya matenda a varices imayambira pafupi ndi mmero. Kenako imafalikira "mbali yakumtunda" (kupindika pang'ono) kwa mimba yanu. Ganizirani ngati msewu wa m'mbali womwe umayambira pamalo olumikizirana ndi mmero ndikuyenda kumanzere kwa mimba yanu. Uwu ndi mtundu wofala kwambiri.
• Matenda a Gastroesophageal Varices a Mtundu Wachiwiri (GOV2): Amayambanso pafupi ndi m'mero. Komabe, amafalikira m'mimba "yopindika kwambiri". Ngakhale amayamba pafupi ndi m'mero ​​monga kale, njira zam'mbali izi zimayenda mbali yakumanja ya m'mimba.

Mitsempha ya varicose yosagwirizana ndi m'mero

• Mtundu 1 wa Mimba Yopatukana (IGV1):Mtundu uwu wa mitsempha yotupa m'mimba umapezeka m'mimba mokha. Umapezeka pamwamba, mozungulira m'mimba (fundus).
• Mtundu Wachiwiri wa Mimba Yopatulidwa (IGV2): Mtundu uwu ukhoza kutupa kulikonse m'khoma la m'mimba, osati mu fundus yokha.

Kodi zizindikiro za matenda a varicose a m'mimba ndi ziti?

Nthawi zambiri, matenda a varicose a m'mimba samayambitsa zizindikiro zilizonse. Komabe, vutoli limayamba akaphulika ndikuyamba kutuluka magazi. Kenako, zizindikiro zazikulu zimatha kuwonekera mwadzidzidzi. Nthawi zina, mutha kuwona zizindikiro monga:

• Kusanza magazi ofiira akuda.
• Chimbudzi chakuda, chokhazikika (izi zimachitika chifukwa cha kusakanikirana kwa magazi ndi asidi m'mimba, kusandutsa chimbudzi kukhala chakuda)
• Nthawi zina pamakhala magazi ofiira akuda mu ndowe.
• Kumva chizungulire.
• Kugunda kwa mtima.
• Mungataye chikumbumtima.
• Kutsika mwadzidzidzi kwa kuthamanga kwa magazi.
• Kusanza ndi kusanza.
• Kuyamba kudabwa.
• Kumva kufooka ndi kusowa moyo.

Ngati muli ndi zizindikiro izi, ndikofunikira kupeza upangiri wa dokotala nthawi yomweyo, chifukwa izi zitha kukhala zadzidzidzi.

Kodi zifukwa zazikulu za matenda a varices a m'mimba ndi ziti?

Chifukwa chachikulu cha matenda a varice a m'mimba ndi matenda a chiwindi otchedwa `(Cirrhosis). Mu cirrhosis, maselo a chiwindi amawonongeka ndipo amalowetsedwa m'malo mwake ndi minofu ya zipsera. Zipsera izi zimalepheretsa kuyenda kwa magazi kudzera m'chiwindi. Chifukwa cha kutsekeka kumeneku, kuthamanga kwa magazi mu `(Portal Vein),` komwe ndi mtsempha waukulu womwe umabweretsa magazi ku chiwindi, kumawonjezeka kwambiri. Vutoli limatchedwa `(Portal Hypertension) .` Pamene kuthamanga kwa magazi kukukwera motere, magazi amabwerera m'mbuyo ndikuyesera kudutsa m'mitsempha ina yaying'ono. Popeza mitsempha yomwe ili m'khoma la m'mimba nayonso ndi mitsempha yaying'ono, singathe kupirira kuthamanga kumeneku ndikutupa ndikutupa.

Kuwonjezera pa cirrhosis, palinso zifukwa zina zomwe zingayambitse matenda oopsa a portal ndi kubweretsa matenda a m'mimba:

• Kutsekeka kwa magazi mu mtsempha wa m'mimba kapena mtsempha wa splenic: Izi, monga cirrhosis, zimalepheretsa kuyenda kwa magazi.
• Matenda a Parasitic: Chitsanzo ndi matenda a parasitic otchedwa Schistosomiasis. Izi zimapezeka m'madera ena a Africa, South America, Caribbean, Middle East, ndi East Asia. Matendawa amatha kuwononga chiwindi ndi ndulu ndikuyambitsa Portal Hypertension.
• Zina zomwe zimayambitsa matenda ena kupatula matenda a chiwindi: Nthawi zina, matenda a chiwindi otchedwa portal hypertension ndi gastric varices amatha kuchitika popanda matenda a chiwindi otchedwa cirrhosis. Chitsanzo ndi matenda otchedwa Budd-Chiari syndrome, omwe ndi kutsekeka kwa mitsempha yomwe imanyamula magazi kuchokera m'chiwindi.

Kodi mavuto omwe angakhalepo chifukwa cha matenda a varices a m'mimba ndi ati?

Vuto loopsa kwambiri la matenda a varice m'mimba ndi kutuluka magazi . Mitsempha yamagazi yotupa iyi yomwe ili m'mimba ndi yofewa kwambiri. Kupanikizika kukakwera, imatha kuphulika mosavuta. Ngati izi zitachitika, magazi ambiri amatha kutuluka mwadzidzidzi m'thupi, zomwe zingakhale zoopsa ngakhale moyo. Kutuluka magazi kuchokera ku matenda a varice m'mimba ndi vuto lachipatala.

Kawirikawiri, matenda a m'mimba osachiritsidwa angayambitse mavuto ena, monga:

• Kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa ayoni: Pang'onopang'ono, pakapita nthawi, magazi akachepa, kuchuluka kwa ayoni m'thupi kumachepa, zomwe zimapangitsa kuti pakhale zizindikiro monga kutopa ndi kufiira.
• Matenda a chiwindi: Izi zimachitika pamene chiwindi sichigwira ntchito bwino, zomwe zimapangitsa kuti poizoni azisonkhana m'magazi ndikukhudza ubongo. Izi zingayambitse matenda monga kulephera kukumbukira ndi kusokonezeka.

Kodi mungazindikire bwanji matenda a varicose m'mimba?

Endoscopy ndi mayeso ena ojambulira zithunzi amagwiritsidwa ntchito makamaka pozindikira matenda a mitsempha ya m'mimba. Mayesowa angaphatikizepo:

• Upper Endoscopy: Iyi ndiyo njira yabwino komanso yofunika kwambiri yodziwira matenda a varice ya m'mimba. Izi zimaphatikizapo kuyika chubu chopyapyala komanso chosinthasintha chokhala ndi kamera pakhosi panu ndikuyang'ana makoma amkati mwa mmero ndi m'mimba mwanu. Dokotala amatha kuwona ngati pali varice iliyonse, ndi kukula kwake, mtundu wake, ndi malo ake.
• Kujambula kwa CT m'mimba: Izi zingapereke zithunzi zatsatanetsatane za chiwindi chanu, ndulu, ndi mitsempha yamagazi m'mimba mwanu. Ngakhale sizingathe kuwona mwachindunji mitsempha yotupa, zimatha kuzindikira zizindikiro zokhudzana ndi vuto la "Portal Hypertension." Izi zikutanthauza kuti mungakhale pachiwopsezo chachikulu chokhala ndi mitsempha yotupa.
• Doppler Ultrasound: Kuyeza kumeneku kumagwiritsa ntchito mafunde a phokoso kuti aone momwe magazi amayendera m'mitsempha yanu ya m'mimba ndi mitsempha ina yamagazi m'mimba mwanu. Ngati pali zolakwika pa kayendedwe ka magazi, izi zitha kusonyeza vuto lotchedwa portal hypertension.

Kodi mitsempha ya varicose m'mimba imachiritsidwa bwanji?

Chithandizo cha matenda a varice a m'mimba chimadalira ngati matenda a varice aphulika ndipo akutuluka magazi, kapena sanaphulikebe.

Chithandizo cha matenda a varicose a m'mimba osasweka

Cholinga chachikulu ndikuletsa kutuluka magazi. Dokotala wanu angakupatseni mankhwala enaake, monga osasankha beta-blockers . Mankhwalawa amachepetsa kuthamanga kwa magazi mu mtsempha wa portal, kuchepetsa chiopsezo cha kuphulika kwa mitsempha ya varicose.

Dokotala wanu angakupatseninso njira zina zochizira matenda a endoscopic, zomwe zingatseke mwachindunji mitsempha ya varicose kapena kuipangitsa kuti ichepe.

• Endoscopic Varicose Ligation (EVL): Mu njirayi, dokotala amagwiritsa ntchito endoscope kuyika timizere tating'onoting'ono ta rabara mozungulira mitsempha yotupa ya varicose. Izi zimaletsa magazi kuyenda kupita ku mitsempha yotupa ndipo zimapangitsa kuti pang'onopang'ono ichepetse.
• Jakisoni wa Cyanoacrylate wa Endoscopic: Mu njira iyi, dokotala amabaya chinthu chapadera chonga guluu mu mitsempha ya varicose. Izi zimatseka mitsempha kuchokera mkati ndikuletsa kutuluka kwa magazi.

Chithandizo cha matenda a m'mimba omwe amatuluka magazi

Ichi ndi vuto lachipatala. Kutuluka magazi kuyenera kuyimitsidwa nthawi yomweyo ndipo mavuto aliwonse omwe angabuke ayenera kupewedwa. Njira zochiritsira zikuphatikizapo:

• Kugonekedwa m'chipatala ndi Kuikidwa Magazi: Mwina mudzasungidwa m'chipinda chosamalira odwala kwambiri (ICU) ndikuyang'aniridwa mosamala pamene mukulandira magazi kuti mubwezeretse magazi omwe atayika.
• Chithandizo cha Endoscopic: Kupatula kugwiritsidwa ntchito pa mitsempha ya varicose yosasweka, chithandizo cha endoscopic monga `(EVL)` kapena `(Cyanoacrylate Injection)` chimagwiritsidwanso ntchito poletsa kutuluka kwa magazi.
• Mankhwala: Mankhwala monga Vasopressin kapena Octreotide angathandize kuchepetsa kutuluka kwa magazi mwa kuchepetsa kuyenda kwa magazi kupita ku mitsempha ya varicose.
• Njira zina zowongolera kupanikizika:
• Baluni Tamponade: Mu izi, baluni yapadera imayikidwa mu mmero mwanu ndipo imatuluka mpweya, zomwe zimapangitsa kuti magazi azituluka mwachangu. Iyi ndi njira yakanthawi yomwe imagwiritsidwa ntchito poletsa kutuluka magazi.
• Kutsegula m'mimba mwa chiberekero pogwiritsa ntchito njira ya Transjugular Intrahepatic Portosystemic Shunt (MABWINO): Njirayi ndi yovuta pang'ono. Imafuna kupanga njira yatsopano, yaifupi yoti magazi aziyenda kudzera m'chiwindi. Izi zimathandiza kuti magazi aziyenda mwachindunji kuchokera ku mtsempha wa portal kupita ku mtsempha waukulu m'chiwindi. Izi zimathandiza kuti magazi adutse kutsekeka, kuchepetsa kuthamanga kwa magazi m'mitsempha ya portal. Izi zimachepetsanso kuthamanga kwa magazi m'mitsempha ya varicose, zomwe zimathandiza kuchepetsa kutuluka kwa magazi.

Kodi munthu amene ali ndi matenda a m'mimba amakhala ndi moyo wautali bwanji?

Kupulumuka kwa munthu amene ali ndi matenda a m'mimba kumadalira zinthu zingapo:

• Kaya akutuluka magazi: Kutuluka magazi kuchokera ku matenda a varice a m'mimba ndi vuto lalikulu, lomwe limachepetsa kwambiri nthawi yoti munthu akhale ndi moyo.
• Kuopsa kwa matenda a chiwindi: Nthawi zambiri sizili bwino kwa anthu omwe ali ndi matenda oopsa a chiwindi.
• Kupambana kwa chithandizo:Ngati matendawa apezeka msanga ndikuchiritsidwa bwino, nthawi yoyembekezera moyo imatha kuwonjezeka kwambiri.

Ngati muli ndi nkhawa kapena kukayikira za matenda a varicose a m'mimba kapena zoopsa zake, ndi bwino kulankhula ndi dokotala. Mwanjira imeneyi, mutha kupeza chithunzi cholondola cha momwe zinthu zilili.

Kodi matenda a m'mimba angapewedwe?

Zingakhale zovuta kupewa matenda a varice a m'mimba. Komabe, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chanu, makamaka ngati muli ndi vuto la matenda lomwe limayambitsa kuthamanga kwa magazi m'mimba. Nazi zina zomwe mungachite:

Lamulirani vuto lanu lachipatala lomwe likukuvutitsani.

Ngati muli ndi matenda monga `(Cirrhosis)` kapena `(Schistosomiasis)`, ndikofunikira kutsatira dongosolo la chithandizo lomwe dokotala wanu wakupatsani kuti muchepetse matendawa.

Mankhwala

Ngati muli kale ndi mitsempha yotupa, mankhwala monga beta-blockers angathandize kuchepetsa chiopsezo cha kutuluka magazi kuchokera m'mitsempha. Komabe, mankhwala awa sangalepheretse kupanga mitsempha yatsopano yotupa.

Kusintha kwa moyo

Mukhoza kuchita izi kuti muchepetse chiopsezo chanu chokhala ndi matenda a varicose m'mimba:

• Pewani mowa: Mowa ndi womwe umayambitsa kuwonongeka kwa chiwindi. Ukhozanso kukulitsa vuto la kuthamanga kwa magazi m'mapapo.
• Idyani zakudya zopatsa thanzi: Zakudya zopatsa thanzi zokhala ndi ndiwo zamasamba, zipatso, nyemba, ndi tirigu wonse (monga zakudya za ku Mediterranean) ndi zabwino kwambiri pa thanzi la chiwindi chanu.
• Chepetsani kumwa mchere: Kudya mchere wambiri kungapangitse kuti madzi asamalowe m'thupi komanso kukulitsa vuto la kuthamanga kwa magazi m'thupi.
• Khalani ndi kulemera koyenera: Kulemera kwambiri kumaikanso mphamvu yowonjezera pachiwindi.
• Katemera: Madokotala amalimbikitsa kuti katemera wa Hepatitis A ndi Hepatitis B apewedwe. Izi zimathandiza kuteteza chiwindi.

Ngati muli ndi zinthu zomwe zingakupangitseni kukhala ndi matenda a varice m'mimba, ndikofunikira kulankhula ndi dokotala wanu ndikupeza mayeso nthawi zonse, monga endoscopy, omwe angathandize kuzindikira varice msanga. Kuzindikira msanga kumathandiza kuti mupeze chithandizo msanga ndipo kungapewe mavuto aakulu, monga kutuluka magazi.

Ndiyenera kupita liti kwa dokotala wanga?

Ngati mukuganiza kuti muli ndi matenda a varicose m'mimba, makamaka ngati muli ndi zizindikiro zomwe zingasonyeze kutuluka magazi, musachedwe kupita kwa dokotala. Funsani upangiri wa dokotala pazochitika izi:

• Ngati mwapezeka ndi matenda omwe amawonjezera chiopsezo chanu cha matenda oopsa a portal, monga cirrhosis kapena schistosomiasis: Funsani dokotala wanu ngati muyenera kuchitidwa endoscopy kuti muzindikire mitsempha ya varicose msanga.
• Ngati muli ndi zizindikiro za kutuluka magazi kuchokera m'mimba mwanu: kusanza magazi, kutuluka magazi m'chimbudzi chanu, kapena kutuluka ndowe zakuda, zochedwa.
• Ngati muli ndi ululu wosadziwika bwino m'mimba kapena kudzimbidwa: Ichi chikhoza kukhala chizindikiro cha `(Ascites)` (madzimadzi akuchulukana m'mimba), chomwe chimagwirizana ndi `(Portal Hypertension)`.
• Ngati muli ndi zizindikiro za `(Portal Hypertension Encephalopathy)`: Izi zikutanthauza kusokonezeka, kugona tulo, kuvutika kuyang'ana kwambiri, komanso mwina kukomoka.

Kuzindikira msanga ndi kuchiza matenda a varicose m'mimba ndikofunikira kwambiri kuti mupewe mavuto aakulu, monga kutuluka magazi. Ngati muli ndi mafunso, nkhawa, kapena kukayikira pankhaniyi, musazengereze kulankhula ndi dokotala. Iye adzafufuza vuto lanu ndikukupatsani njira yoyenera yochitira.

Kodi ndiyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Pangozi (ETU) liti?

Ngati muli ndi zizindikiro zoti matenda a m'mimba mwanu aphulika, pitani kuchipatala chapafupi (ETU) nthawi yomweyo. Kutuluka magazi kuchokera ku matenda a m'mimba n'koopsa kwambiri ndipo kumafuna chithandizo chamankhwala mwamsanga.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mungathe kufunsa dokotala wanu mafunso monga awa:

• Kodi n’chiyani chimandipangitsa kukhala ndi matenda a varices m’mimba?
• Kodi njira zochiritsira matenda a varices a m'mimba ndi ziti?
• Kodi zoopsa ndi zotsatirapo zake za chithandizo ndi ziti?
• Kodi ndingatani kuti ndipewe kutuluka magazi m'mitsempha yanga yotupa?
• Ndi kusintha kotani kwa moyo komwe ndingachite kuti ndiwonjezere thanzi langa la chiwindi?
• Kodi ndiyenera kuyang'anira kangati mitsempha yanga ya varicose?
• Kodi chiyembekezo cha nthawi yayitali kwa munthu amene ali ndi vuto la m'mimba ndi chiyani?

Pomaliza, uthenga wopita nawo kunyumba

Matenda a varice a m'mimba akhoza kukhala chinthu choopsa kumva. Komabe, ndi chithandizo choyenera chamankhwala komanso kuzindikirika msanga, anthu ambiri omwe ali ndi vutoli amatha kukhala ndi moyo wathunthu komanso wokangalika. Chofunika kwambiri ndikuzindikira msanga. Mwatenga kale gawo lofunikali powerenga nkhaniyi. Pali mankhwala othandiza pa vutoli, ndipo dokotala wanu angagwire nanu ntchito kuti apange dongosolo labwino kwambiri loyang'anira matenda anu a varice ndikuchepetsa chiopsezo chanu chotuluka magazi.

Kumbukirani, simuli nokha paulendowu. Ndi chithandizo chamankhwala chokhazikika, mutha kuwongolera vutoli ndikukhala ndi chidaliro pa thanzi lanu. Musachite mantha, dziwani, ndikupeza chithandizo choyenera. Mukatero nanunso mutha kukhala ndi thanzi labwino!

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