Wakambozvitarisa mugirazi here ukaona kuti mitsipa yako inoonekwa zvakajeka padumbu rako, kunyanya pedyo nedumbu rako? Dzimwe nguva izvi zvinogona kutyisa kuona. Chii chaizvo ichi? Izvi zvinofanirwa kutyiwa here? Nhasi tiri kutaura nezvechirwere ichi, chinozivikanwa mune zvesainzi yekurapa se'Caput Medusae'. Ichi hachisi chirwere, asi yambiro inokosha zvikuru inotipa nezvedambudziko rakakura riri mukati memuviri.
Chii chinonzi 'Caput Medusae' iyi?
Zvichitaurwa zviri nyore, Caput Medusae inguva apo mitsipa yeropa iri pasi peganda redumbu rako inozvimba, kukura, uye kuzvimba. Kazhinji, mitsipa iyi inoita seinobuda kumativi ese, sechiedza chezuva chinopenya kubva pakati pedumbu rako.
Zita iri risinganzwisisike rinobva mungano dzechiGiriki. Rinoratidza mukadzi anonzi 'Medusa', ane musoro une nyoka panzvimbo pebvudzi. Mafambiro anoita mitsipa mumutsipa make anoita senyoka dzinobuda mumusoro waMedusa, ndosaka vanachiremba vakaritumidza kuti 'Caput Medusae', zvinoreva kuti 'musoro waMedusa'. Vamwe vanoridaidzawo kuti 'chiratidzo chemuti wemuchindwe'.
Chinhu chakakosha ndechekuti kutaridzika kwetsinga dzakadai kunoreva kuti pane kukanganiswa kweropa mumuviri. Saka, hazvina kunaka kuregeredza izvi sedambudziko reganda chete.
Sei izvi zvichiitika? Ngatinzwisise izvi nemuenzaniso.
Fungidzira kuti mugwagwa mukuru unoenda kuColombo wakavharwa nemota dzakawanda. Mota dzinoita sei ipapo? Dzinoedza kusvika kwadziri kuenda nekukurumidza nekushandisa migwagwa yedivi, migwagwa midiki yejecha. Asi migwagwa iyi yedivi haina kuvakwa kuti ikwanise kutakura mota dzakawanda. Saka, migwagwa iyoyo inokurumidza kuvharika uye kuzadzwa.
Sisitimu yeropa mumuviri wedu yakafanana. Kana tsinga huru yeropa iri mudumbu (portal vein kana inferior vena cava) ikavharika nekuda kwechimwe chikonzero, ropa harigone kufamba nepakati payo. Izvi zvinonzi kuvharika .
Ipapo muviri unoedza kutumira ropa iri rakavharika kuburikidza nedzimwe tsinga diki dzakaita se 'migwagwa yepadivi'. Idzi tsinga diki ndidzo dziri pasi peganda redumbu redu. Kana ropa rakawanda rikangoerekana rapfuura nemutsinga diki idzi, dzakatetepa, hadzigoni kuribata uye dzinozvimba, dzinozvimba, uye dzinoonekwa nemaziso edu. Ndizvo zvatinodaidza kuti Caput Medusae. Mukurapa, nzira iyi yekuwedzera inonzi collateral circulation .
Ndezvipi zvikonzero zvikuru zveCaput Medusae?
Pane zvikonzero zviviri zvikuru zveizvi. Zvese zvakakomba, saka zvakakosha kuziva izvi.
| Chikonzero | Tsananguro Iri Nyore |
|---|---|
| Kukwira Kweropa Kwepasuo | Ichi ndicho chikonzero chinowanzoitika. Mutsinga mukuru weropa unopfuura nemuchiropa chedu unonzi 'portal vein'. Izvi zvinokonzerwa nekukwira kweropa mutsinga iyi. Izvi zvinowanzokonzerwa necirrhosis yechiropa . Kana chiropa chikarwara, chakaoma, uye chave nemavanga, ropa harigone kufamba nepakati pacho zviri nyore. |
| Chirwere cheInferior Vena Cava | Iyi ndiyo tsinga huru inotakura ropa kubva pasi pemuviri wedu kuenda kumoyo. Tsinga iyi inogona kuvharika neropa rakagwamba, bundu, kana chirwere chekuzvarwa nacho chakadai seBudd-Chiari syndrome . |
Ndezvipi zvimwe zviratidzo zvinogona kuperekedzwa neizvi?
Caput Medusae chiratidzo chimwe chete chechirwere chikuru chiripo. Saka, unogona kusangana nezvimwe zviratidzo panguva imwe chete.
Zviratidzo zvinowanzoonekwa
- Kuzvimba kwemakumbo netsoka (Edema)
- Kuzvimba kwakanyanya kwedumbu, mvura inozadza dumbu (ascites)
- Marwadzo emudumbu
- Chiropa chakakura, chinogona kunzwikwa pasi pembabvu kurutivi rwerudyi
Zviratidzo zvakasiyana-siyana zvichienderana nechikonzero
Zviratidzo izvi zvichabatsira chiremba wako kuti azive chikonzero chacho.
- Kana zvichikonzerwa nechirwere chechiropa:
- Kutsvuka kweganda nemaziso (Jaundice)
- Kukwenya kwakanyanya kweganda
- Weti yakasviba (senge tii)
- Zvituru zvakachenuruka (zvakaita sevhu)
- Spider angiomas (tsinga dzeropa dzvuku dzinoita sedandemutande redandemutande) pachipfuva nepamuviri wepamusoro
- Kana zvichikonzerwa nekugwamba kweropa (Deep Vein Thrombosis - DVT):
- Kuzvimba kamwe kamwe munzvimbo imwe yemuviri (semuenzaniso, gumbo)
- Nzvimbo yacho inotsvuka kana kusviba uye inonzwa ichidziya kana ikabatwa
Chiremba anowana sei chikonzero chaicho?
Zvakakosha kuona chiremba kana wangoona chiratidzo ichi. Chiremba achatanga akuongorora uye anyatsoteerera zviratidzo zvako. Zvadaro, vacharaira bvunzo dzinoverengeka kuti vaone chikonzero chaicho.
Bvunzo huru inoshandiswa pakuita izvi ndeye ultrasound scan yedumbu . Izvi zvinokubatsira kuona nhengo dzemuviri netsinga dzeropa dziri mukati medumbu.
Kunyanya, scan iyi inotarisa divi rekuyerera kweropa mutsinga dzinorwadza.
- Kana ropa richiyerera nemakumbo , zvingangove chirwere chinonzi Portal Hypertension, chinokonzerwa nechirwere chechiropa chinonzi cirrhosis .
- Kana ropa rikayerera richikwira kumoyo , zvinogona kunge zvichikonzerwa nekuvharika kwe inferior vena cava .
Chinhu ichi chiri nyore chinoita kuti chiremba anzwisise chikonzero chechirwere ichi.
Ndezvipi zvinorapwa izvi?
Chinhu chakakosha ndechekuti kurapwa uku hakungorapi chete ganda rinoonekwa reCaput Medusae, asiwo chirwere chiripo . Kana chikonzero chacho chikarapwa, mitsipa iyi inogonawo kudzikira nekufamba kwenguva.
- Kana chikonzero chacho chichibviswa: Semuenzaniso, kana chiri chipingamupinyi chinogona kubviswa, senge ropa rakagwamba, chinangwa chekutanga chevanachiremba ndechekubvisa chipingamupinyi ichocho.
- Kana chikonzero chiri chirwere chisingaperi: Kana chiri chirwere chisingaperi chakadai sechirwere chechiropa, mishonga chaiyo inopiwa kudzora chirwere ichi uye kudzora matambudziko acho.
Mune zvimwe zviitiko, kana chirwere cheBP chichikonzera kuti tsinga dziri mudumbu dzizvimbe uye dzibude ropa, nzira dzakakosha dzinoshandiswa kuderedza BP.
- MATIPI (Transjugular Intrahepatic Portosystemic Shunt): Izvi zvinosanganisira kuisa chubhu diki nepachiropa uchitungamirirwa neX-ray kuti pave ne shunt pakati petsinga yemusuwo netsinga imwe muchiropa. Izvi zvinogadzira nzira itsva yekuti ropa rakavharika rifambe, zvichideredza kumanikidzwa kweropa.
- DSRS (Distal Splenorenal Shunt): Iyi inzira yekuvhiya apo tsinga ye splenic inobviswa muchiropa yobatanidzwa netsinga yeitsvo yekuruboshwe. Izvi zvinoderedzawo kumanikidzwa kweropa.
Mharidzo Yekuenda Nayo Kumba
- Kana ukaona mitsipa yakafutunuka yakakomberedza dumbu rako, inogona kunge iri Caput Medusae. Ndapota usazviregeredza.
- Ichi hachisi chirwere, asi chiratidzo cheimwe chirwere chakakomba mumuviri (kazhinji chirwere chechiropa).
- Zvakakosha kuona chiremba wemhuri yako nekukasika kana ukaona chiratidzo ichi. Kana chikonzero chikaonekwa nekukurumidza, kurapwa kwacho kunobudirira zvikuru.
- Kana chirwere chiripo chikasarapwa nemazvo, matambudziko anotyisidzira hupenyu akadai sekutadza kwechiropa kana kutadza kweitsvo anogona kuitika.
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