Tose tinoziva nezveBP yakakwira, kana kuti "pressure." Asi wakambonzwa here nezvedambudziko apo kumanikidzwa mutsinga yeropa yakakosha muchiropa chedu kunowedzera? Mukurapa, tinodana izvi kuti 'Portal Hypertension.' Kunyangwe zita racho rakaoma zvishoma, iri idambudziko rinogona kukanganisa zvakanyanya hutano hwechiropa chedu. Saka musazvidya mwoyo, nhasi tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Chii chinonzi Portal Hypertension?
Kuti tinzwisise izvi, ngatitangei tatarisa chinhu chinoshamisa chinoitika mumiviri yedu. Ropa rese rine zvinovaka muviri kubva mudumbu mako, muura, uye muspleen rinoungana roenda kuchiropa kuburikidza netsinga imwe huru. Iyi tsinga huru inonzi "tsinga yemusuwo." Kutaura chokwadi, iyi ndiyo ropa guru rinoenda kuchiropa.
Zvino fungidzira kuti pane "kuvharika kwemotokari" kukuru pane imwe nzvimbo mutsinga huru iyi, ndiko kuti, mukati mechiropa. Kana chimwe chinhu chakakuvara muchiropa uye tsinga diki dzeropa dziri mukati macho dzikavharika, ropa rinopinda harigone kufamba zvakanaka. Chii chinoitika ipapo? Kumanikidzwa kweropa mutsinga huru iyoyo yeportal nedzimwe tsinga dzakabatana nayo kunowedzera zvakanyanya. Ndizvo zvatinodaidza kuti Portal Hypertension .
Kana kumanikidzwa uku kwawedzera, ropa rinoedza kuyerera nepakati pemimwe mitsipa midiki, isina simba. Ipapo mitsipa iyoyo (kunyanya iri mugurokuro nemudumbu) inozvimba, inova sebharumu, uye inogona kuputika nekubuda ropa zviri nyore. Tinoidaidza kuti mitsipa iyi yakazvimba mitsipa ine varicose . Ichi ndicho chinetso chine njodzi zvikuru chechirwere ichi.
Ndezvipi zvikonzero zvemamiriro ezvinhu aya?
Chikonzero chikuru uye chinowanzo konzera chirwere chePortal Hypertension chirwere chechiropa chinonzi cirrhosis . Zvichitaurwa zviri nyore, cirrhosis chirwere apo chiropa chinogara chichikuvara nekuda kwechimwe chikonzero uye chiropa chinooma nekuda kwemavanga anoumbwa sezvo maronda achipora. Sezvinoita vanga rinoumbwa paganda redu kana ronda rapora. Iri ganda rinovhara kufamba kweropa muchiropa.
Pane zvikonzero zvikuru zvakawanda zvinoita kuti chiropa chikwanise kukuvara:
- Kunwa doro zvakanyanya.
- Zvirwere zvemavhairasi zvakaita seHepatitis B neC.
- Chirwere cheChiropa Chine Mafuta.
Kunze kweizvi, chirwere ichi chinogonawo kukonzerwa nekugwamba kweropa mutsinga yemusana, zvimwe zvirwere zvinokonzerwa nezvipembenene (semuenzaniso Schistosomiasis), nezvimwe zvikonzero zvisingawanzoitiki. Dzimwe nguva, hapana chikonzero chaicho chingawanikwa.
Ndezvipi zviratidzo zvePortal Hypertension?
Kazhinji, hapana zviratidzo zvakananga pakutanga kwechirwere ichi. Zviratidzo zvinongoonekwa chete kana matambudziko atakurukura aitika. Kana chiremba akakuudza kuti une chirwere chechiropa, zvakakosha kuti uzive zviratidzo izvi.
| Chiratidzo/dambudziko | Izvi zvinorevei? |
|---|---|
| Kubuda ropa mudumbu | Kurutsa ropa, kubuda tsvina nhema, kubuda tsvina yakarara, kana kubuda ropa netsvina. Izvi zvinokonzerwa nekuputika kwetsinga dzakazvimba (varices). Izvi zvinokonzeresa emergency. |
| MaAscites | Dumbu rinozvimba nekuda kwekuungana kwemvura mudumbu. Vamwe vanhu vanodanawo izvi kuti "mahodaraya". |
| Kuvhiringidzika kwepfungwa (Encephalopathy) | Kusashanda zvakanaka kwechiropa kunoita kuti chepfu dziri muropa dzifambe dzichienda kuuropi, zvichikonzera kuvhiringidzika, kukanganwa, hope, uye kuchinja maitiro. |
| Kuderera kwemasero eropa | Kuderera kwemaplatelet, ayo anobatsira kuumba ropa, kunogona kukonzera mavanga ari nyore kana kudzikira kwemasero machena eropa, ayo anorwisa hutachiona. |
Yeuka, kana ukarutsa ropa kana kuti uine tsvina nhema, idambudziko. Unofanira kuenda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
Ndezvipi zviri kurapwa?
Zvinosuwisa kuti chikonzero chikuru chePortal Hypertension hachigone kurapwa zvachose nguva dzose. Nokudaro, chinangwa chikuru chekurapa ndechekudzivirira nekugadzirisa matambudziko, kunyanya kubuda ropa kubva muvarices.
1. Kurapa kweEndoscopic
Iyi ndiyo yekutanga inoshandiswa kurapa mitsipa yevaricose.
- Kusunga: Endoscope, chubhu ine kamera, inopinzwa nemuromo uye bhandi diki rerabha rinoiswa rakatenderedza tsinga yeropa, richivhara tsinga.
- Kurapa neSclerotherapy:Izvi zvinosanganisira kubaya jekiseni remvura rinovhara ropa mutsinga.
2. Mishonga
- Beta-blockers: Mishonga yakaita sePropranolol inoderedza kumanikidzwa kweropa mu portal vein system uye inoderedza njodzi yekubuda ropa.
- Mishonga yeDiuretics: Kana dumbu rakazara nemvura (ascites), mishonga iyi inopihwa kubvisa mvura yakawandisa mumuviri.
- Lactulose: Mushonga uyu unobatsira kudzora encephalopathy.
3. Kuchinja kwemararamiro
Ichi chikamu chakakosha zvikuru.
- Rega kunwa doro zvachose.
- Usatore mishonga inonyaradza marwadzo, mimwe mishonga, kana tii dzemiti usati watanga wabvunza chiremba wako. Mimwe mishonga inogona kukuvadza chiropa.
- Deredza munyu (sodium) waunodya. Idya zvinoenderana nemirairo yachiremba wako.
- Kana uine dambudziko repfungwa, ungakumbirwa kuti uderedze kudya zvine mapuroteni akawanda.
Mamwe marapirwo chaiwo
Kana marapirwo ari pamusoro apa akatadza kudzora kubuda ropa kana kuzvimba kwedumbu, vanachiremba vanogona kushandisa marapirwo akaomarara. Aya anoshanda nekuderedza kumanikidzwa mu portal vein system.
- MAZANO (Transjugular Intrahepatic Portosystemic Shunt): Uku hakusi kuvhiyiwa. Mukuita izvi, chubhu diki (stent) inopinzwa nechiropa ichitungamirirwa neX-ray, zvichigadzira nzira itsva pakati petsinga yemusuwo neimwe tsinga inobuda muchiropa. Izvi zvinoshandura kufamba kweropa uye zvinoderedza kumanikidzwa mutsinga. Uku kurapa kunobudirira ne90%.
- DSRS (Distal Splenorenal Shunt): Uku kuvhiyiwa. Mukuita izvi, tsinga yesplenic yakabatana netsinga yeitsvo yekuruboshwe. Izvi zvinoderedzawo kumanikidzwa uye zvinodzora kufamba kweropa. Zvisinei, izvi hazvichashandiswi zvakanyanya.
- Kuisirwa Chiropa: Iyi ingangove ndiyo mhinduro chete kune varwere vane chirwere chechiropa chekupedzisira.
Mushure mekurapwa kwakadaro, zvakakosha kuti hutano hwako hutevedzere mirairo yachiremba uye nguva yekutevera zvakanyatsonaka . Kuongororwa kweropa nekuongororwa kweropa kunoitwa panguva iyoyo kunogona kubatsira kuona kubudirira kwekurapwa.
Mharidzo Yekuenda Nayo Kumba
- Kukwira kweBP yemusana (Portal Hypertension) kunokonzerwa nekuwedzera kweBP mutsinga dzeropa dzechiropa. Chikonzero chikuru cheizvi chirwere chinonzi cirrhosis.
- Kana uine zviratidzo zvakaita sekurutsa ropa, kubuda tsvina nhema, kana dumbu rakazvimba, usazviregeredza. Enda kuna chiremba wako nekukasika.
- Chinangwa chikuru chekurapa ndechekudzora matambudziko ane njodzi akadai sekubuda ropa.
- Zvakakosha zvikuru kurega doro zvachose, kunwa mishonga sezvakarairwa nachiremba wako, uye kutevedzera kudya kushoma.
- Usatya chirwere ichi uye tambura wega. Taura pachena nachiremba wako uye uwane kurapwa kwakakodzera uye mazano.
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