Chiropa chako inhengo inokosha kwazvo mumuviri wedu. Asi nekuda kwezvimwe zvirwere , kunyanya kana chiropa chakakuvara , kumanikidzwa kwetsinga dzeropa dzakabatana nacho kunogona kuwedzera zvakanyanya. Izvi zvinogona kutungamira mumamiriro ezvinhu ane njodzi senge kurutsa ropa kamwe kamwe. Nhasi tiri kutaura nezvekuvhiyiwa kwakakosha kunoitwa kuponesa hupenyu muzviitiko zvakadaro. Uku kunonzi kuvhiyiwa kweDSRS.
Chii chinonzi Distal Splenorenal Shunt (DSRS)?
Zvichitaurwa zviri nyore, Distal Splenorenal Shunt (DSRS ) inzira yekuvhiya inoderedza kumanikidzwa kwetsinga yemutsinga wako wepamusana. Iye zvino ungave uchishamisika kuti tsinga yemutsinga chii. Mutsinga wemutsinga ndiwo tsinga huru yeropa inotakura ropa kubva mudumbu ( mudumbu , ura, nezvimwewo) kuenda kuchiropa.
Mamwe matambudziko ehutano anoita kuti kumanikidzwa kweropa mutsinga iyi kuwedzere zvakanyanya. Tinozvidaidza kuti Portal Hypertension . Vanachiremba vanovhiya vanoshandisa nzira iyi yeDSRS kudzora kubuda ropa nezvimwe zvinetso zvinokonzerwa nekumanikidzwa kwakanyanya uku.
Chinhu chakakosha ndechekuti kuvhiyiwa kweDSRS hakugone kurapa chinokonzera chirwere chePortal Hypertension. Zvisinei, kunogona kubatsira kudzora zviratidzo zvine njodzi zvinomuka. Mushure mekuvhiyiwa uku, uchafanirwa kuramba uchiongororwa uye kuteverwa nachiremba wako kuti utarise mamiriro ako.
Kutanga, ngatinzwisisei kuti chii chinonzi Portal Hypertension?
Kukwira kweropa muropa rePortal, sezvatakambotaura, iBP yakakwira mutsinga yeportal. Chikonzero chikuru cheizvi kukuvara kwechiropa. Semuenzaniso, chirwere chakadai secirrhosis chinogona kukonzera kuoma kwechiropa, zvichitadzisa kufamba kweropa kuburikidza nacho.
Fungidzira zvinoitika kana pombi yemvura ikavharika pakati. Kumanikidzwa kuri mukati mepombi kunowedzera, uye mvura ichiedza kubuda kubva kune dzimwe nzvimbo, handiti? Saizvozvowo, kana ropa risingakwanise kupfuura nemuchiropa, kumanikidzwa kuri mutsinga yemusuwo kunowedzera.
Nekuda kwekumanikidzwa kwakanyanya uku, ropa rinotanga kutsvaga dzimwe nzira dzekuyerera nadzo. Mitsipa yeropa mitsva iyi isina simba ndiyo yatinodaidza kuti 'varices' . Idzi dzinonyanya kuumbwa mugurokuro nemudumbu.
Sezvo kumanikidzwa kuchiwedzera, mavhairasi aya anozvimba, madziro awo anotetepa uye anoshaya simba. Anogona kudonhedza mvura mudumbu (izvi zvinonzi ascites ), uye chinhu chine njodzi ndechekuti anogona kuputika otanga kubuda ropa. Iyi idambudziko rehutano.
Chii chaizvo chinoitika panguva yekuvhiyiwa kweDSRS?
Kuvhiya kweDSRS kunoshanda nekubvisa ropa rakawanda mutsinga yemusuwo wepamusuwo uye kuderedza kumanikidzwa kwayo. Izvi zvakafanana nekuvaka mugwagwa mutsva wepamusuwo wepamusuwo kuti uderedze kufamba kwakawanda muguta.
Munguva yekuvhiyiwa uku, chiremba achaita zvinotevera:
1. Tsinga ye splenic ye spleen yako yakaparadzaniswa netsinga ye portal.
2. Zvadaro tsinga yesplenic yakaparadzaniswa inosanganiswa netsinga yeitsvo yako yekuruboshwe.
Nekugadzira nzira itsva yekuti ropa rifambe nenzira iyi, kumanikidzwa kwemutsinga wepazasi kunoderedzwa, kuzvimba kwevarices kunoderedzwa, uye kuvhiyiwa kwacho kwakagadzirirwa kuona kuti chiropa chinoramba chichiwana ropa rachinoda.
Ndiani anoda kuvhiyiwa kweDSRS?
Kuvhiyiwa uku kunogona kukurudzirwa kana chiremba wako akaona kuti tsinga dzako dzepahuro kana dzemudumbu (varices) dzakakura kana kuti dzakabuda ropa. Izvi zvinogonawo kuva mhinduro kune mamwe matambudziko anokonzerwa nePortal Hypertension.
Tafura iri pazasi inogona kutsanangura izvi zvakanyanya.
| Chiratidzo/mamiriro ezvinhu | Tsananguro iri nyore |
|---|---|
| Kubuda ropa nekurutsa kana tsvina | Ichi chiratidzo chikuru chekuputika kwetsinga dzevaricose. |
| Kubuda ropa mudumbu | Mamiriro ezvinhu ari pamusoro apa anotsanangurwa neimwe nzira. |
| MaAscites | Mvura inobuda kubva mutsinga dzeropa ichienda mudumbu nekuda kwekumanikidzwa kwakanyanya. |
| Kuzvimba kwemakumbo netsoka (Edema) | Zvinogona kukonzerwa nekuchinja kwehuwandu hwemvura mumuviri. |
| Chidende chakakura (Hypersplenism) | Chiropa chinokura nekuda kwekuwedzera kweropa rinoyerera mariri. |
| Kukundikana kweitsvo | Kusashanda zvakanaka kwechiropa kunogonawo kukanganisa itsvo. |
| Kukanganisika Kwepfungwa Kudiki | Chepfu dzinofanira kubviswa muchiropa dzinoungana muropa dzokanganisa uropi. |
Ndeupi musiyano uripo pakati peDSRS nedzimwe nzira dzekurapa shunt?
Chinangwa chakajairika chekurapa kweshunt kwechirwere cheBP cheportal ndechekuderedza kumanikidzwa kweropa mutsinga yeportal uye kudzora kubuda ropa. Zvisinei, pane misiyano mumaitiro aya.
- Transjugular Intrahepatic Portosystemic Shunt (MATIP): Iyi haisi nzira yekuvhiya. Inosanganisira kuisa chubhu yakaita secatheter kuburikidza netsinga iri mumutsipa uye kugadzira kubatana pakati petsinga yemusana netsinga yemusana iri mukati mechiropa. Maitiro aya eTIPS akajairika kupfuura DSRS mazuva ano.
- Proximal splenorenal shunt: Iyi inzira yekuvhiya zvakare. Zvisinei, zvingada kubviswa kwepleen pachayo.
- Kuvhiyiwa kweSplenorenal Shunt (SSRS): Uku hakusi kuvhiyiwa. Ikubatana kunoita muviri kana chirwere chechiropa chakanyanya kuipa. Izvi zvinoratidza kuti chirwere chacho chakura zvakanyanya.
Chii chekutarisira usati wavhiyiwa?
Chiremba wako achatanga nekukubvunza nezvenhoroondo yako yezvekurapa uye achakuongorora. Zvadaro, achaita bvunzo dzinoverengeka kuti aone hutano hwako, mashandiro echiropa, uye kuoma kweropa rako repanzvimbo.
Miedzo iyi inogona kusanganisira:
- Kuongororwa kweropa
- Kuongororwa kwebasa rechiropa
- X-ray yechipfuva
- ECG (Electrocardiogram)
- Angiogram - Iyi bvunzo yakakosha inotarisa mamiriro etsinga dzeropa.
- Endoscopy yepamusoro - kuongorora mukati megurokuro nedumbu uchishandisa chubhu ine kamera
Chikwata chenyu chezvekurapa chichakupai mirayiridzo yakajeka musati mavhiyiwa.
- Mishonga ipi inofanira kumira usati wavhiyiwa?
- Zvinhu zvipi zvandinofanira kuuya nazvo pandinouya kuchipatara?
- Nguva chaiyo yekurega kudya nekunwa usati wavhiyiwa.
Bvunza chiremba chero mibvunzo kana zvinokunetsa nezvenyaya iyi wobva wanyatsotsanangura. Usavanza chero chinhu kwauri.
Chii chinoitika panguva yekuvhiyiwa?
Kuvhiyiwa kweDSRS kunowanzo tora maawa mana . Kutanga, unopihwa anesthesia yakajairika. Izvi zvinoreva kuti haunzwi kurwadziwa uye wakarara zvachose.
Zvadaro chikwata chekuvhiya, sezvatakambokurukura:
1. Tsinga ye splenic yakaparadzaniswa netsinga ye portal.
2. Tora tsinga iyoyo woibatanidza netsinga yeitsvo yekuruboshwe.
Chii chandinofanira kutarisira mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, uchafanira kugara muchipatara kweinenge vhiki imwe kana mazuva gumi . Munguva iyi, timu yezvekurapa ichakutarisira zvakanaka.
- Katheta yenguva pfupi inoiswa kuti ibudise weti.
- Chubhu yemudumbu inoiswa nemumhino kwemaawa angangoita makumi maviri nemana kuti ibvise mweya nemvura mudumbu.
- Mutsinga wemutsinga uchaiswa mutsinga iri mumutsipa wako kuti upiwe mishonga nemvura.
- Uchapihwa pombi yekurwadziwa inopihwa wega kuti idzore marwadzo.
Vhiki imwe chete mushure mekuvhiyiwa, uchaongororwazve kuti shunt iri kushanda zvakanaka here. Kana wava kukwanisa kudya nekunwa, uchatanga wapihwa mvura, wozopiwa zvinhu zvakasimba. Usati waenda kumba, nyanzvi yezvekudya ichasangana newe kuti vakurukure nezvekudya kwakakunakira. Kudya kusina munyu mushoma uye kusina mafuta akawanda kunowanzo kurudzirwa.
Pane njodzi dziripo pakuvhiyiwa uku here?
Kufanana nekuvhiyiwa kupi zvako, kune dzimwe njodzi, asi DSRS inowanzova nzira yakachengeteka uye inobudirira.
Njodzi yekubuda ropa zvakare yakakwira mumwedzi wekutanga mushure mekuvhiyiwa. Asi musazvidya moyo. Chikwata chenyu chekurapa chichakubatsirai kudzora njodzi iyi uye kukuzivisai zvakawanda nezvazvo.
Chii chaunofanira kuita panguva yekupora kwako mushure mekuenda kumba?
Zvakakosha kutevedzera mirairo yakapihwa nachiremba wako uye nyanzvi yezvekudya kuti ukurumidze kupora. Bvunza chiremba wako kuti ungatangazve mabasa ako emazuva ese uye maekisesaizi riini.
Uchafanirwa kuongororwa ropa nguva nenguva kuti uone mashandiro echiropa chako. Usambofa wakapotsa nguva yako yekutevera. Chiremba wako acharamba achitarisa mamiriro ako ezvinhu uye achikupa mazano aunoda kuti urambe uine hutano hwakanaka.
Ndezvipi zviratidzo zvinoda kurapwa nekukurumidza?
Kana ukaona chimwe chezviratidzo zvinotevera, chinogona kunge chiri chiratidzo chechirwere chakakomba. Saka , enda kuchipatara cheEmergency Department (ETU) nekukasika kana kufonera amburenzi ye1990.
- Kukosora
- Kuoma kufema
- Kukanda chitsinga
- Kupindwa nechando
- Kurwadziwa kwechipfuva
- Kudikitira kupfuura zvakajairika
Zvakajairika kuti unzwe kutya uye kuzvidya mwoyo paunoziva kuti une chirwere chakadai sePortal Hypertension. Asi chiremba wako achagara newe pasi, otarisa zviratidzo zvako, uye okubatsira kuzvigadzirisa. Kana zvichidikanwa, kuvhiyiwa kwakafanana neDSRS kunogona kubatsira kudzora njodzi yako yekubuda ropa uye kukubatsira kurarama hupenyu huri nani.
Mharidzo Yekuenda Nayo Kumba
- DSRS kuvhiyiwa kunoitwa kuderedza kumanikidzwa kwakanyanya mutsinga yemusana.
- Chinangwa chikuru cheizvi ndechekudzora matambudziko ane njodzi akadai sekubuda ropa kunokonzerwa nePortal Hypertension.
- Kuvhiyiwa uku hakurapi chirwere chechiropa, asi kunogona kubatsira zvikuru kudzora zviratidzo.
- Zvakakosha zvikuru kutevedzera mirairo yachiremba mushure mekuvhiyiwa, kunyanya kudya uye kuenda kumakiriniki nenguva.
- Kana ukaona zviratidzo zvakaita sekuoma kufema, kurwadziwa pachipfuva, kana kudikitira zvakanyanya, tsvaga rubatsiro rwechiremba nekukasika.
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