Kodi tikulankhula za kuthamanga kwa magazi kwa portal?

Kodi munamvapo za vuto ili lotchedwa `(Portal Hypertension)`? Mungaone dzinali kukhala lachilendo komanso lovuta kulimvetsa. Koma ili ndi vuto lomwe lingachitike m'chiwindi mwathu, limafuna kusamala, ndipo lingakhale lalikulu. Tiyeni tikambirane za izi lero mosavuta, m'njira yomwe mungamvetse, ngati kuti winawake wapafupi nanu akukufotokozerani, chabwino?

Kodi kuthamanga kwa magazi kwa portal ndi chiyani?

Mwachidule, "Portal Hypertension" ndi pamene kuthamanga kwa magazi mu mtsempha waukulu wamagazi ('portal vein') wolumikizidwa ku chiwindi chanu ndi dongosolo la mitsempha yaying'ono ('portal venous system') yomwe imafalikira kuchokera pamenepo imakwera kuposa mulingo wabwinobwino. Tangoganizani kuti pali mtsempha waukulu m'mimba mwanu womwe umasonkhanitsa magazi odetsedwa kuchokera ku ziwalo monga m'mimba mwanu, matumbo, kapamba, ndi ndulu ndikuubweretsa ku chiwindi chanu. Ndicho chimene timachitcha "portal vein" kapena mtsempha wa portal. Dongosolo lopangidwa ndi mitsempha yaying'ono yambiri yolumikizidwa ku mtsempha waukuluwu limatchedwa "portal venous system" kapena dongosolo la portal venous.

Chiwindi chathu ndi chiwalo chofunikira kwambiri. Ndi chiwindi chomwe chimatsuka magazi osonkhanitsidwa, chimalekanitsa zakudya zofunika, ndikuzitumiza kumtima kuti zigawike m'thupi lonse.

Tsopano, ngati pazifukwa zina magazi opita ku chiwindi kudzera mu `(mtsempha wa portal)` watsekedwa, kapena ngati ulendowo uli pang'onopang'ono, kuthamanga kwa magazi m'mitsempha yonse kumawonjezeka pang'onopang'ono. Monga momwe chitoliro chamadzi chimatsekeredwa pakati, kuthamanga kwa madzi mkati mwa chitoliro kumawonjezeka. Ndicho chimene timachitcha `(Kuthamanga kwa Magazi kwa Portal)` pamene kuthamanga kwa magazi kukukwera.

Kenako thupi lathu limayesetsa kuthana ndi kupanikizika kumeneku. Choncho, limayamba kutumiza magazi ku mitsempha ina, nthawi zambiri yaying'ono, komwe magazi amachepa, ngati kuti likudutsa msewu waukulu wotsekedwa. Koma magazi owonjezerawo akalowa, mitsempha yaying'onoyo singathe kuigwira ndikutambasula, kukula, ndipo makoma awo amatha kufooka kwambiri. Nthawi zina mitsempha yofookayi imatha 'kutulutsa' madzi m'mimba, kapena mitsempha imatha kuphulika ndikutuluka magazi mwadzidzidzi. Ichi ndi chinthu choopsa kwambiri.

Ndani amene ali ndi mwayi waukulu wopeza "Portal Hypertension"?

M'mayiko akumadzulo, chifukwa chachikulu cha vutoli nthawi zambiri chimakhala matenda otchedwa cirrhosis of the liver. Cirrhosis ndi vuto lomwe chiwindi chimawonongeka pakapita nthawi, ndipo maselo a chiwindi abwino amalowedwa m'malo ndi minofu yolimba (minofu yolimba, yokhala ndi ulusi). Zilondazi zimayambitsa kutsekeka kwakukulu kwa magazi kudzera m'chiwindi kudzera mu mtsempha wa portal. Zili ngati mwala wotseka msewu.

M'madera ena padziko lapansi, mwachitsanzo m'maiko ena aku Africa ndi Asia, matendawa amapezekanso chifukwa cha matenda opatsirana otchedwa ``schistosomiasis``. Tizilombo toyambitsa matendawa timawononga mitsempha yamagazi m'chiwindi. Malinga ndi bungwe la World Health Organization, anthu opitilira 230 miliyoni padziko lonse lapansi ali ndi matendawa.

Kodi vutoli ndi lalikulu bwanji?

Mavuto omwe amabwera chifukwa cha `(Portal Hypertension)` nthawi zina amatha kukhala oopsa., makamaka kutuluka magazi mkati mwa thupi. Si aliyense amene amakumana ndi mavuto amenewa, koma chiopsezo chimawonjezeka pamene kuthamanga kwa magazi m'mitsempha kumawonjezeka. Kuthamanga kwa magazi kukakwera, m'pamenenso mitsempha imakula, kufooka, komanso kuphulika.

Ndipotu, matenda oopsa a portal ndi mavuto ake ndi omwe amachititsa kuti anthu ambiri agonekedwe m'chipatala, ndipo nthawi zina, amafa chifukwa cha matenda a chiwindi.

Kodi zizindikiro zazikulu 5 za `(Portal Hypertension)` ndi ziti?

Vuto limodzi ndi izi ndilakuti, nthawi zambiri, sipangakhale zizindikiro zakunja mpaka mavuto atabuka. Taganizirani kuti pafupifupi 90% ya anthu omwe ali ndi matenda a cirrhosis amakhala ndi vuto la kuthamanga kwa magazi m'thupi lawo asanawonetse zizindikiro. Komanso, pafupifupi 40% akhoza kukhala kale ndi mitsempha yotupa yotchedwa varices, popanda chenjezo lililonse.

Zizindikiro zoyamba zomwe zimawonekera nthawi zambiri zimakhala zokhudzana ndi mitsempha yatsopano, yokulirapo, yotuluka madzi, komanso yotuluka magazi.

• Kusanza magazi (mwina ngakhale mtundu wofanana ndi wa khofi).
• Magazi mu ndowe (nthawi zambiri wakuda wakuda, tarry, kapena nthawi zina wofiira).
• Mimba imakula mwadzidzidzi ndipo imamva kukhuta, pamodzi ndi kunenepa mofulumira. (Izi zimachitika chifukwa cha kudzaza mimba ndi madzi).
• Kutupa kwa miyendo, makamaka akakolo (edema) .
• Kumva kusokonezeka pang'ono, kutaya chidziwitso, nthawi zina kuiwala kuti ndinu ndani komanso komwe muli (kusokonezeka maganizo) .

Kodi ndi mavuto ati omwe angayambitse `(Portal Hypertension)`?

Vutoli lingayambitse mavuto osiyanasiyana. Tiyeni tiwone limodzi ndi limodzi:

• ``Ascites``: `` Ascites`` ndi kusonkhana kwa madzi ngati madzi m'mimba kuchokera ku mitsempha yokulirapo komanso yofooka, yomwe imatuluka m'mimba (``peritoneal cavity``). Izi zingayambitse mimba kutupa ndikumva kutupa, ndipo zingayambitse kusowa chilakolako cha chakudya komanso kuvutika kugaya chakudya. Nthawi zina, madzi awa amathanso kukwera pachifuwa, zomwe zimapangitsa kuti zikhale zovuta kupuma. Zimawonjezeranso chiopsezo chokhala ndi matenda m'mimba (``peritonitis``).

• Kutuluka magazi m'mimba: Mitsempha yokulira m'mimba (m'mero, m'mimba, m'matumbo) (ma varice) imatha kuphulika ndikutuluka magazi. Yodziwika kwambiri mwa izi ndi ma varice a m'mero . Iyi ndi mitsempha yomwe ili pafupi ndi khungu ndipo ili ndi makoma opyapyala kwambiri, kotero imatha kuphulika mosavuta. Mitsempha yomwe ili m'makoma a m'mimba imathanso kutupa (izi zimatchedwa portal hypertensive gastropathy) ndipo, pazochitika zazikulu, imatha kutuluka magazi. Ngati kutuluka magazi kumeneku kupitirira , kuchepa magazi m'thupi , kapena kusowa kwa magazi m'thupi, kungachitike.

• `Kuchuluka kwa shuga m'magazi`:Pamene magazi akuyenda m'ndulu achepa, ndulu imakula ndi magazi ambiri ndipo imapanga mitsempha yatsopano yamagazi kuti igwirizane ndi magazi owonjezerawa. ndulu yokulirapo imakhala yogwira ntchito kwambiri ndipo imayamba kuchotsa maselo ofunikira kwambiri m'magazi a thupi (monga ma platelet , omwe amathandiza magazi kuundana, ndi maselo oyera amagazi , omwe ndi ofunikira pa chitetezo chamthupi). Izi zingayambitse kuchepa kwa magazi kuundana (kutuluka magazi mosavuta), komanso kufooka kwa chitetezo chamthupi (kudwala mosavuta).

• Mpweya wochepa m'magazi: Mwa anthu ena, "Portal Hypertension" iyi imapangitsa kuti mitsempha yamagazi m'mapapo ikhale yayikulu kwambiri. Kenako mapapo sangathe kusamutsa mpweya bwino kupita ku magazi. Zotsatira zake zimakhala kuti mpweya wochepa m'magazi ndi ``(hypoxemia)`` . Matendawa amatchedwanso ``(hepatopulmonary syndrome)``` .

• Kulephera kwa impso: Mitsempha yamagazi yotambasuka yomwe imayamba chifukwa cha kuthamanga kwa magazi m'thupi imatha kuchepetsa mitsempha yamagazi kwina kulikonse m'thupi (makamaka yomwe imapereka magazi ku impso). Ngati izi zitachitika mu impso, magazi opita ku impso amachepa, zomwe zimapangitsa kuti impso zilephere kugwira ntchito . Imeneyi ndi vuto losowa koma lalikulu kwambiri, lomwe limadziwikanso kuti hepatorenal syndrome .

• Kulephera kuzindikira pang'ono: Pamene matupi athu akuyesera kuzolowera kuthamanga kwa magazi kwa portal, amapanga mitsempha yatsopano yamagazi (shunt) yomwe imadutsa chiwindi. Koma magazi akadutsa chiwindi ndikulowa mwachindunji m'magazi, poizoni yemwe chiwindi chiyenera kuyeretsa sakutsukidwa. Kenako poizoniyu amasonkhana m'magazi ndipo pang'onopang'ono amakhudza magwiridwe antchito a ubongo. Mutha kukhala ndi zizindikiro zakanthawi monga kusokonezeka, kulankhula movutikira, komanso kutaya chidziwitso. Izi zimatchedwa hepatic encephalopathy .

Kodi zifukwa zazikulu za Portal Hypertension ndi ziti?

Monga tanenera kale, pali zifukwa zazikulu zingapo:

• Matenda a chiwindi: Ichi ndi chomwe chimayambitsa matenda a chiwindi nthawi zambiri. Matenda a chiwindi nthawi zambiri amakhala gawo lomaliza la matenda a chiwindi kwa nthawi yayitali. Amayambitsidwa kwambiri ndi matenda opatsirana ndi mavairasi monga matenda a chiwindi a chiwindi a mtundu wa C, matenda a chiwindi oyambitsidwa ndi mowa , komanso matenda a chiwindi amafuta osamwa mowa . Minofu iyi imaletsa kuyenda kwa magazi m'chiwindi.

• `Ma granuloma a chiwindi`:Ma granuloma ndi magulu a maselo otupa omwe amapezeka ndi matenda osiyanasiyana (monga schistosomiasis) ndi matenda otupa. Amafanana ndi zotupa zazing'ono ndipo amatha kutseka njira ya mitsempha ya m'mimba. Nthawi zambiri amakhala chiyambi cha kukula kwa fibrosis ya chiwindi.

• Magazi amaundana (Thrombosis): Ngati magazi amaundana (thrombosis) apangika kulikonse mu portal venous system, amatha kuletsa kuyenda kwa magazi kupita ku chiwindi, kudzera m'chiwindi, kapena kutuluka m'chiwindi. Izi zitha kukhala ndi zifukwa zambiri, kuphatikizapo matenda ena a magazi obadwa nawo.

Kodi mungadziwe bwanji ngati muli ndi `(Portal Hypertension)`?

Kuti mudziwe ngati izi zili choncho, muyenera kuyeza kuthamanga kwa magazi m'mitsempha ya chiwindi. Izi zimaphatikizapo kulowetsa chubu chaching'ono (catheter) mumtsempha. Komabe, iyi ndi mayeso ovuta komanso ovuta, ndipo nthawi zambiri si ophweka, ndipo si aliyense amene amafunikira.

Mwamwayi, madokotala amatha kuzindikira vutoli (Portal Hypertension) kutengera zizindikiro ndi zizindikiro zachipatala. Izi zikutanthauza zomwe mumanena komanso zomwe amawona akamakuyesani. Kujambula ndi kuyezetsa magazi kungatsimikizire kukayikira kumeneku.

Kodi ndi zizindikiro ziti zomwe dokotala angaganize kuti ali ndi vuto la kuthamanga kwa magazi kwa portal?

• Mitsempha yokulirapo (varices) (makamaka ngati ikuwoneka panthawi ya endoscopy).
• Kutupa kwa ndulu (kaya pa palpation kapena pa scan).
• Umboni wa magazi omwe amadutsa m'mimba.
• Kukhala ndi madzi m'mimba (ascites).
• Zizindikiro za kuchepa pang'ono kwa ntchito ya ubongo (monga tafotokozera kale, zizindikiro za `hepatic encephalopathy`).
• Ngati mayeso a magazi akusonyeza kuti chiwerengero cha mitundu ina ya maselo m'magazi (monga ma platelet, maselo oyera amagazi) ndi chochepa.
• Zizindikiro zake ndi monga kuvulala kosavuta komanso kutuluka magazi ambiri.

Ndi mayeso ati omwe amachitidwa kuti atsimikizire vutoli?

• Kuyezetsa magazi: Kuyezetsa magazi kungakuuzeni zambiri za zomwe zikuchitika m'ziwalo zanu, makamaka chiwindi ndi impso zanu. Katswiri wofufuza momwe thupi limagwirira ntchito angayang'ane mavuto aliwonse omwe ali ndi impso ndi chiwindi chanu. Kuyezetsa magazi konse (CBC) kungayang'ane ngati pali ndulu yogwira ntchito mopitirira muyeso yomwe ikuchotsa maselo oyera ambiri amagazi kapena ma platelet. Kungayang'anenso matenda enaake amagazi omwe angayambitse kuthamanga kwa magazi, kapena kuchepa kwa magazi komwe kumachitika chifukwa cha kutuluka magazi mkati mwa thupi.

• Mayeso ojambulira: Kujambula pogwiritsa ntchito ultrasound ndi CT scans kungathandize kudziwa ngati pali cirrhosis, ascites, ziwalo monga ndulu zakula, njira ya portal venous yakula, ndipo mitsempha yatsopano yapangidwa. Doppler ultrasound ndi yothandiza kwambiri.Munthu akhoza kujambula zithunzi za magazi akuyenda mkati mwa mitsempha. Zingathe kuzindikira bwino kutsekeka kwa magazi, komanso ngati mitsemphayo ndi yayikulu kwambiri kapena yopapatiza.

• Endoscopy: Ngati muli ndi zizindikiro za kutuluka magazi m'mimba mwanu (magazi m'kusanza kwanu, magazi m'chimbudzi chanu), dokotala wanu mwina angafunike kuchita endoscopy. Endoscopy yapamwamba imaphatikizapo kuyika chubu chachitali, chopyapyala (endoscope) chokhala ndi kamera kudzera pakamwa panu kuti chiwone m'mero, m'mimba, ndi gawo loyamba la matumbo anu ang'onoang'ono (duodenum). Dokotala adzafufuza mitsempha yokulira yotchedwa varices, kaya ikutuluka magazi, komanso ngati pali malo ena otuluka magazi pafupi. Gawo labwino kwambiri ndilakuti ngati muwona kutuluka magazi, nthawi zambiri amatha kuyika zida zapadera kudzera mu endoscope kuti aletse kutuluka magazi.

Kodi mankhwala a `(Portal Hypertension)` ndi ati?

Kaya Portal Hypertension ingachiritsidwe kwathunthu kapena ayi zimatengera chomwe chimayambitsa. Mwachitsanzo, ngati matenda kapena magazi kuundana ndiye chifukwa chake, dokotala wanu akhoza kuchiza chomwe chimayambitsa ndi mankhwala, ndipo Portal Hypertension yanu idzayamba pang'onopang'ono, ndipo nthawi zina imatha kwathunthu.

Komabe, ngati pali zipsera zambiri m'chiwindi, monga cirrhosis, nthawi zambiri sizimatha. Izi zikutanthauza kuti zipsera sizimatha. Chifukwa chake, kuthamanga kwa magazi m'chiwindi kungapitirire. Nthawi zambiri, chithandizo chimayang'ana kuwongolera zovuta zoopsa za kuthamanga kwa magazi m'chiwindi ndikuchepetsa kuwonongeka komwe kumayambitsa. Madokotala choyamba amayesa kuwongolera matenda oopsa (monga kutuluka magazi) kenako nkupita ku njira zothetsera mavuto kwa nthawi yayitali.

Chithandizo choyamba choletsa kutuluka magazi m'mimba:

• Chithandizo cha Endoscopic: Dokotala amachiritsa kutuluka magazi mwadzidzidzi kudzera mu endoscopy. Njira zimenezi zikuphatikizapo sclerotherapy (kubaya mankhwala apadera m'mitsempha yotuluka magazi kuti ichepetse ndikuletsa kutuluka magazi) ndi kumanga bandeji ( kumangirira mitsempha yotuluka magazi ndi timizere tating'onoting'ono ta rabara kuti magazi asiye kutuluka).
• Mankhwala: Dokotala wanu angakupatseni mankhwala, kaya pamodzi ndi kapena padera pa chithandizo cha endoscopic, kuti muchepetse kuthamanga kwa magazi m'mitsempha yanu yotupa ndikuchepetsa chiopsezo chotuluka magazi kachiwiri. Mankhwala otchedwa beta-blockers angathandize kuchepetsa kuthamanga kwa magazi m'mitsempha, pomwe vasoconstrictors angathandize kuchepetsa kukula kwa mitsempha ndikuchepetsa kutuluka magazi.

Chithandizo choyamba cha mavuto ena:

• Ngati pali `(hepatopulmonary syndrome)` (kusowa kwa mpweya m'magazi), mpweya umaperekedwa `(chithandizo cha mpweya)` .
• Kutsegula m'mimba ngati pali matenda a hepatorenal (kulephera kwa impso).
• Ngati muli ndi vuto la chiwindi (mavuto okhudza kugwira ntchito kwa ubongo), pali mankhwala omwe angakuthandizeni.
• Paracentesis ndi kuchotsa madzi ochulukirapo m'mimba chifukwa cha ascites (madzimadzi omwe amasonkhana m'mimba) ndipo chitsanzo cha madziwo chimatengedwa kuti chiwone ngati pali peritonitis (matenda a m'mimba).

Chithandizo chachiwiri (ngati kutuluka magazi kapena mavuto ena akupitirira):

Nthawi zina, ngati kutuluka magazi sikungathe kuimitsidwa kapena mavuto ena akapitirira, madokotala amagwiritsa ntchito njira yachiwiri. Njira ziwiri zazikulu ndi opaleshoni ya ``shunt``. Izi zimagwiritsidwa ntchito kusintha njira yoyendera magazi mu ``portal venous system`` ndikuchepetsa kuthamanga kwa magazi.

• Transjugular intrahepatic portosystemic shunt (MFUNDO): Iyi ndi njira yopanda opaleshoni. Pogwiritsa ntchito zithunzi za X-ray, katswiri wa radiology amaika stent (chubu chaching'ono cha mesh) mkati mwa chiwindi chanu. Amagwiritsa ntchito singano kupanga ngalande kudzera m'chiwindi ndikulumikiza mtsempha wa portal mwachindunji ku mtsempha womwe uli m'chiwindi (mtsempha wa chiwindi). Izi zimathandiza kuti magazi ayende kudzera m'ngalande, kuchepetsa kuthamanga kwa magazi. Stent imayikidwa kuti ngalandeyo ikhale yotseguka. Iyi ndi njira yothandiza kwambiri, koma pakapita nthawi, stent imatha kutsekedwa, ndipo mungafunike kukonzedwanso (njira yobwerezabwereza).

• Distal splenorenal shunt (DSRS): Iyi ndi njira yochitira opaleshoni. Kwa anthu ena, ikhoza kukhala njira yabwino kuposa TIPS. Komabe, muyenera kukhala ndi thanzi labwino kuti muthe kuchita opaleshoni ndikuchira. Komabe, ingakhale yothandiza kwambiri poletsa matendawa kwa nthawi yayitali. Njirayi imaphatikizapo kuchotsa mtsempha wanu wa splenic pachiwindi chanu ndikuulumikiza ku mtsempha wa impso yakumanzere. Izi zimachepetsa kuyenda kwa magazi ndi kuthamanga kwa magazi kupita ku chiwindi ndi ndulu.

Pomaliza, kwa iwo omwe ali ndi matenda aakulu a chiwindi omwe sangathe kuthetsedwa ndi mankhwala ena, angaganizidwe kuti awonjezere chiwindi .

Kodi ndi chithandizo chotani chomwe ndingafunike pambuyo pake?

Pambuyo pa chithandizo chonsechi , ndikofunikira kupitiriza kuyang'aniridwa ndi dokotala. Muyenera kusamala ndi vuto lanu. Muyenera kupita kwa dokotala wanu pafupipafupi chaka choyamba mutalandira chithandizo kuti muwone ngati chithandizocho chikugwirabe ntchito komanso ngati pali mavuto ena atsopano. Pambuyo pake, muyenera kupita kwa dokotala wanu osachepera kawiri pachaka kuti akapimidwe chiwindi ndi kuyezetsa magazi kuti awone momwe chiwindi chanu chikuyendera. Izi zili ngati kukonza galimoto, muyenera kupitiriza kuchisamalira.

Kodi ndingayembekezere chiyani ndi vutoli?

Kuyezetsa matenda anu ndi kuchira kwanu kudzadalira momwe kuthamanga kwa magazi kwanu kwa portal kulili koopsa, ngati muli ndi matenda a varicose otuluka magazi, komanso ngati muli ndi mavuto ena.Ndipotu, chiopsezo cha imfa chifukwa cha kutuluka magazi koyamba chikhoza kufika pa 40%. Ngati mutulukanso magazi mutalandira chithandizo, chiopsezo cha imfa chifukwa cha kutuluka magazi kotsatira chimakhala pafupi ndi 30%. Chiwopsezo chimakhala chachikulu ngati matenda anu a chiwindi ndi aakulu. Komabe, ngati matenda a chiwindi akadali otheka kuwathetsa pachiyambi chake, ndipo chithandizo chikuchitika mwachangu, chiopsezocho chikhoza kuchepetsedwa.

Kodi ndingapewe bwanji `(Portal Hypertension)`?

Njira yabwino yopewera ``(Portal Hypertension)`` iyi ndikuyesera kuletsa kukula kwa matenda a chiwindi kwa nthawi yayitali ngati n'kotheka. Simungathe kulamulira zonse zomwe zimayambitsa, koma zina mwazomwe zimayambitsa zimatha kuthetsedwa ngati zapezeka msanga.

• Matenda a chiwindi omwe amayamba chifukwa cha kumwa mowa, kapena matenda a chiwindi omwe amayamba chifukwa cha matenda a kagayidwe kachakudya m'thupi (monga matenda a chiwindi amafuta osamwa mowa), nthawi zambiri amatha kuchiritsidwa ndi zakudya komanso kusintha moyo wathanzi (monga kuchita masewera olimbitsa thupi).
• Matenda a chiwindi a mtundu wa C amatha kuchiritsidwa kwathunthu ndi mankhwala atsopano oletsa mavairasi. Chifukwa chake, ndikofunikira kwambiri kuyezetsa matenda a chiwindi a mtundu wa C kamodzi pa moyo wanu.

Kodi ndimadzisamalira bwanji ndikakhala ndi `(Portal Hypertension)`?

Ulendo uwu ukhoza kukhala wovuta, koma simuli nokha.

• Lumikizanani ndi gulu lanu lachipatala, kuphatikizapo madokotala ndi anamwino anu. Mvetserani mosamala ndikutsatira zomwe akunena.
• Pitani kukayezetsa nthawi yake, imwani mankhwala anu monga momwe dokotala wanenera, panthawi yomwe akukuuzani. Musaphonye tsiku limodzi.
• Nthawi zonse funsani dokotala wanu musanamwe mankhwala atsopano (kaya a matenda ena kapena vitamini).
• Siyani kumwa mowa kotheratu, kapena chepetsani mowa momwe mungathere. Ichi ndi chimodzi mwa zinthu zabwino kwambiri pa chiwindi.
• Mungafunike kutsatira zakudya zopanda sodium wambiri , makamaka ngati mukumva kutupa m'mimba. Kapena mungafunike kutsatira ndondomeko ya zakudya yomwe yapangidwira inuyo. Ndi bwino kufunsa upangiri kwa katswiri wa zakudya.
• Mungakhale ndi matenda ena ofanana nawo (monga matenda a shuga, cholesterol yambiri). Thandizani kuwathetsa mwa kusintha zakudya ndi moyo wanu.

Chifukwa vutoli, lotchedwa ``Portal Hypertension,'' limakhudza ziwalo zambiri, kuchiza kumatha kumveka ngati kuzimitsa moto womwe ukuyaka m'malo osiyanasiyana. Mungadabwe, ngakhale kuchita mantha, kudziwa kuti matenda a chiwindi amatha kukhudza mitsempha ya m'mimba, mmero, mapapo, ndi impso. Izi zitha kukhala zodabwitsa kwambiri, makamaka ngati simunakhalepo ndi zizindikiro zilizonse za matenda a chiwindi. Koma chofunika kwambiri ndichakuti ngati mutazindikira msanga ndikulandira chithandizo choyenera, mudzakhala ndi mwayi waukulu wowongolera ``Portal Hypertension,'' ndi zovuta zake. Chifukwa chake musachite mantha, ndipo ngati muli ndi kukayikira kulikonse, pitani kwa dokotala kuti akupatseni upangiri.

Uthenga Womaliza Wopita Nawo Kunyumba

Chabwino, kuchokera pa zomwe takambiranazi, ndikukhulupirira kuti mwamvetsetsa bwino za `(Portal Hypertension)`. Nazi zinthu zazikulu zomwe muyenera kukumbukira:

• Kuthamanga kwa magazi m'mitsempha ya m'mimba (portal hypertension) ndi kuwonjezeka kwa kuthamanga kwa magazi m'mitsempha yomwe imalumikizana ndi chiwindi. Imeneyi ikhoza kukhala vuto lalikulu .
• Choyambitsa chachikulu ndi matenda a chiwindi otchedwa cirrhosis. Chifukwa chake, kuteteza chiwindi ndikofunikira kwambiri.
• Kawirikawiri, zizindikiro sizingawonekere pachiyambi. Chifukwa chake, ngati muli ndi zinthu zomwe zingakuike pachiwopsezo (monga matenda osatha a chiwindi, chiwindi), pitani kuchipatala nthawi zonse.
• Ngati mukumva zizindikiro monga kusanza magazi, ndowe zakuda, kapena kutupa m'mimba , pitani kwa dokotala nthawi yomweyo.
• Pali mankhwala, koma ndi bwino kuzindikira msanga ndikuyamba kulandira chithandizo.
• Tsatirani malangizo a dokotala wanu molondola, imwani mankhwala anu moyenera, ndipo sinthani moyo wanu moyenera.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kulankhula ndi dokotala wanu. Khalani ndi thanzi labwino!

Kuthamanga kwa magazi kwa portal , Chiwindi, Kupanikizika kwa mitsempha ya portal, Cirrhosis, Hematemesis, Ascites, Matenda a chiwindi, (Cirrhosis), (Varices), (Ascites)