Wakamboerekana warutsa ropa here? Kana kuti tsvina yako yakangoerekana yaita dema uye yanamira here? Izvi zvinhu zvinotyisa uye zvinoshungurudza kunzwa, handiti? Asi izvi ndizvo zviratidzo zvikuru zvechirwere chine njodzi chatiri kutaura nezvacho nhasi chinonzi 'Bleeding Varices'. Ichi hachisi chinhu chekurerutsa, sezvo chinogona kutoisa hupenyu panjodzi. Saka ngatitsvagei zvakawanda nezveizvi nhasi.
Zvichitaurwa zviri nyore, chii chinonzi 'varices'?
Mitsipa yeropa yakazvimba uye yakakura mugurokuro redu kana mudumbu. Fungidzira makumbo evamwe vanhu ane mitsipa yebhuruu yakakombama, handiti? Izvi zvakafanana. Asi izvi zvinoitika mukati memiviri yedu, mudumbu.
Mitsipa iyi yakazvimba, kana kuti mitsipa yakakuvara, kazhinji hairatidzi zviratidzo kusvika yaputika yotanga kubuda ropa. Vanhu vazhinji havatombozivi kuti vanazvo. Asi dambudziko rinotanga kana mitsipa iyi yaputika, yobva yatanga kubuda ropa. Ndipo panotanga kuva dambudziko guru rekurapa.
Ndezvipi zviratidzo zvine njodzi zvekubuda ropa mutsinga dzakakuvara?
Kana munhu aine Bleeding Varices, inofanira kuonekwa nekukasika. Nekuti sekondi yega yega inokosha. Nyatsoteerera zviratidzo zviri pazasi.
| Chiratidzo | Izvi zvinorevei? |
|---|---|
| Kurutsa ropa | Tsinga yakazvimba ndiyo chiratidzo chakajeka chekuti yaputika. |
| Zvituru zvitema, zvinononoka, zvinonamira | Ropa rakapfuura nepachikamu chepamusoro chedumbu rinogayiwa uye rinoburitswa nenzira iyi. |
| Dzungu rakanyanya uye kunzwa kupera simba | Kuderera kweBP nekuda kwekubuda kweropa rakawanda mumuviri. |
| Kuwedzera kwekurova kwemoyo | Moyo unotanga kushanda nekukurumidza kuti utsive kurasikirwa kweropa mumuviri. |
| Kushamisika | Ichi chirwere chakakomba zvikuru. Kubuda ropa rakawanda kunoita kuti nhengo dzemuviri dzisawane ropa rakakwana. |
Kana uine zviratidzo izvi, usagare kumba kwenguva pfupi. Enda kuchipatara kuEmergency Department (ETU) nekukasika. Kana kubuda ropa kukasadzorwa nekukurumidza, munhu anogona kutofa.
Kunyangwe kubuda ropa kukamira, matambudziko akakomba akadai sepneumonia, sepsis, uye kutadza kushanda kwechiropa neitsvo zvinogona kuitika.
Sei mitsipa iyi ichibuda ropa? Chii chinokonzera izvi?
Chikonzero chikuru cheizvi chirwere chinonzi 'Portal Hypertension' . Zvino tarisai, tsinga huru yeropa inotakura ropa kubva mudumbu redu kuenda kuchiropa inonzi 'Portal Vein'. 'Portal Hypertension' inguva apo BP iri mukati metsinga iyi inowedzera zvakanyanya nekuda kwechimwe chikonzero.
Zvakanaka, saka sei kumanikidzwa uku kuri kuwedzera?
Chikonzero chikuru cheizvi ichirwere chechiropa chinonzi cirrhosis, zvinoreva kuti chiropa chinova nemavanga uye chakaoma sedombo. Mukurapa tinochidaidza kuti 'Cirrhosis' .
- Kune avo vanonwa doro zvakanyanya.
- Vanhu vane hutachiona hwenguva refu hwakadai seHepatitis B naC.
- Kurwara kwechiropa kunogona kuitika kune vamwe vanhu vane chirwere chechiropa chine mafuta akawanda.
Fungidzira zvinoitika kana paine mota dzakawanda mumugwagwa mukuru? Mota dzinoedza kufamba nemigwagwa yedivi, migwagwa midiki yejecha, handiti? Ndizvo zvinoitikawo pano. Kana zvakaoma kuti ropa (mota) ripinde nemuchiropa (mugwagwa mukuru), ropa iroro rinoedza kupfuura nemutsinga diki, dzakapfava (migwagwa yedivi) mugurokuro nemudumbu.
Mitsipa midiki iyi haigone kushivirira ropa rakawanda kudai uye kumanikidzwa kwakawanda kudai. Mugumisiro wacho ndewekuti mitsipa iyi inokura semabharumu, madziro ayo anotetepa, uye pakupedzisira inoputika nekubuda ropa kunyangwe nekuda kwekukakavara kudiki.
Ndeipi mishonga yekurapa chirwere ichi chine njodzi?
Chekutanga, kana vapinda muchipatara, chinangwa chekutanga chevanachiremba ndechekumisa kubuda kweropa uye kugadzirisa hupenyu hwemurwere. Izvi zvinogona kusanganisira kuvabatanidza nemuchina wekufema kudzivirira ropa kupinda mumapapu, uye kuvapa mishonga inorwisa mabhakitiriya kudzivirira chepfu muropa.Inofanirawo kupihwa.
Kana kubuda ropa kwangodzorwa, pane nzira dzakasiyana dzekudzivirira kubuda ropa zvakare uye kurapa mitsipa yakakuvara.
| Nzira yekurapa | Zvakatsanangurwa zviri nyore |
|---|---|
| Kusunga | Chiremba wezvekudya anoshandisa endoscope kupinda mugurokuro uye kuisa tambo diki dzerabha dzakatenderedza tsinga dzakazvimba. Izvi zvinomisa kufamba kweropa uye zvinoita kuti tsinga dzife. |
| Kurapa neSclerotherapy | Panzvimbo pekuisa mabhandi erabha, mushonga wakakosha unovhara tsinga dzakazvimba unopinzwa kuburikidza ne endoscope. |
| MATIPI (Transjugular Intrahepatic Portosystemic Shunt) | Iyi inzira yekuongorora neX-ray. Catheter inopinzwa netsinga iri mumutsipa uye 'stent' (chubhu diki) inopinzwa pakati pechiropa. Izvi zvinobatanidza tsinga yeportal ine pressure yakakwira netsinga yakajairika, zvichideredza pressure. |
| DSRS (Distal Splenorenal Shunt) | Uku kuvhiyiwa kunosanganisira kubatanidza tsinga yespleen netsinga yeitsvo yekuruboshwe kuderedza kumanikidzwa patsinga dzakakuvara uye kudzora kubuda ropa. |
| Kuisirwa Chiropa | Kana chiropa chisina kushanda zvakanaka zvachose uye chirwere chacho chiri padanho rekupedzisira (chirwere chechiropa chekupedzisira), iyi ndiyo mhinduro yakanakisisa. |
Mamiriro ezvinhu aya anogona kudzivirirwa here?
Ehe zvinogoneka. Nzira yakanakisisa yekudzivirira izvi ndeyekurapa zvakanaka chinokonzera chirwere chechiropa.Kana chirwere chechiropa chikaonekwa nekukurumidza uye kurapwa kwacho kukatanga, kukura kwetsinga idzi dzeropa kunogona kudzivirirwa zvakanyanya.
- Dzivisa doro zvachose. Ichi ndicho chikonzero chikuru chechirwere checirrhosis.
- Wana kurapwa kwakakodzera kweHepatitis B neC.
- Dzora chiropa chine mafuta akawanda kuburikidza nekudya zvine hutano uye kurovedza muviri.
Uyewo, mimwe mishonga, yakaita se beta-blockers yechirwere chemwoyo, inogona kubatsira kuderedza njodzi yekubuda ropa nekuderedza kumanikidzwa kweropa mutsinga yemutsinga. Zvakakosha kukurukura zvese izvi nachiremba wako uye kutevedzera mirairo yavo nokungwarira.
Mharidzo Yekuenda Nayo Kumba
- Mavhairasi itsinga dzakazvimba dziri mugurokuro kana mudumbu. Kazhinji hadziratidzi zviratidzo kusvika dzabuda ropa.
- Kurutsa ropa uye kubuda tsvina yetsvina, kurara kwetsvina ndizvo zviratidzo zvakakomba. Kana ukaona izvi, enda kuchipatara cheEmergency Department (ETU) nekukasika.
- Chikonzero chikuru cheizvi chirwere chinonzi Portal Hypertension, chinokonzerwa nechirwere chechiropa (kunyanya cirrhosis).
- Kudzivisa kunwa doro zvakanyanya uye kurapa chirwere chechiropa nemazvo kunogona kuderedza njodzi yechirwere ichi.
- Kana uine chirwere chechiropa, gara uchibvunza chiremba wako uye tevera mishonga nemabvunzo akanyorwa nemazvo.
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