Tiri kutaura nezve portal hypertension here?

Wakambonzwa nezvechirwere ichi chinonzi `(Portal Hypertension)` here? Ungawana zita racho richishamisa uye rakaoma kunzwisisa. Asi ichi chirwere chinogona kuitika muchiropa chedu, chinoda kungwarira, uye chinogona kunge chakakomba. Ngatitaurei nezvazvo nhasi nenzira yaunogona kunzwisisa, sekunge mumwe munhu ari pedyo newe ari kukutsanangurira, zvakanaka here?

Chii chinonzi portal BP?

Zvichitaurwa zviri nyore, "Portal Hypertension" zvinoreva kana BP iri mutsinga huru yeropa ('portal vein') yakabatana nechiropa chako uye nehurongwa hwetsinga diki ('portal venous system') dzinobva pairi dzichikwira kupfuura mwero wenguva dzose. Fungidzira kuti pane tsinga huru mudumbu mako inounganidza ropa rakasviba kubva munhengo dzakadai sedumbu rako, ura, pancreas, uye spleen yoriendesa kuchiropa chako. Ndizvo zvatinodaidza kuti `portal vein` kana kuti portal vein. Hurongwa hunoumbwa netsinga diki dzakawanda dzakabatana netsinga huru iyi hunonzi `portal venous system`` kana kuti portal venous system.

Chiropa chedu inhengo inokosha zvikuru. Chiropa ndicho chinochenesa ropa rakaunganidzwa, chinoparadzanisa zvinovaka muviri zvinodiwa, uye chinoridzosera kumoyo kuti riparadzirwe mumuviri wese.

Zvino, kana nekuda kwechimwe chikonzero ropa richiyerera richienda kuchiropa kuburikidza neiyi `(portal vein)` rakavharika, kana kuti kana rwendo irworwo rwuchinonoka, kumanikidzwa kwetsinga dzose dzeropa kunowedzera zvishoma nezvishoma. Kungofanana nepanenge paine pombi yemvura yakavharwa pakati, kumanikidzwa kwemvura iri mukati mepombi kunowedzera. Ndizvo zvatinodaidza kuti `(Portal Hypertension)` kana kumanikidzwa kwacho kuchiwedzera.

Ipapo muviri wedu unoedza kubata nekumanikidzwa uku kwakawedzera. Saka, unotanga kutumira ropa kune dzimwe tsinga, dzinowanzova diki, uko ropa shoma rinoyerera, sekunge riri kupfuura mugwagwa mukuru wakavharwa. Asi kana ropa iroro rakawedzerwa rikapinda, tsinga diki idzodzo hadzigone kuribata nekutambanudza, kukura, uye madziro adzo anogona kushaiwa simba. Dzimwe nguva tsinga idzi dzisina simba dzinogona 'kuburitsa' mvura mudumbu, kana kuti tsinga dzinogona kuputika nekubuda ropa kamwe kamwe. Ichi ndicho chinhu chine njodzi zvikuru.

Ndiani ane mukana mukuru wekuva ne "Portal Hypertension"?

Munyika dzekuMadokero, chikonzero chikuru chechirwere ichi chinowanzova chirwere chinonzi cirrhosis yechiropa. Cirrhosis chirwere apo chiropa chinokuvara nekufamba kwenguva, uye masero echiropa ane hutano anotsiviwa nenyama yemavanga (nyama yakaoma, ine fibrous). Mavanga aya anokonzera kuvharika kukuru kweropa richiyerera nechiropa richipfuura nemutsinga wepasuo. Zvakafanana nedombo rinovhara mugwagwa.

Mune dzimwe nzvimbo dzepasi, semuenzaniso mune dzimwe nyika dzemuAfrica neAsia, zvinowanzoitikawo nekuda kwehutachiona hunonzi ``schistosomiasis.`` Hutachiona uhwu hunokuvadza mitsipa yeropa iri muchiropa. Sekureva kweWorld Health Organization, vanhu vanopfuura mamiriyoni mazana maviri nemakumi matatu pasi rose vane hutachiona uhwu.

Mamiriro ezvinhu aya akakomba zvakadini?

Matambudziko anokonzerwa ne `(Portal Hypertension)` dzimwe nguva anogona kuisa hupenyu panjodzi., kunyanya kubuda ropa mukati memuviri. Havasi vese vanowana matambudziko aya, asi njodzi inowedzera sezvo kumanikidzwa kuri mutsinga dzeropa kuchiwedzera. Kumanikidzwa kwacho kwakanyanya, mikana yekuti mitsipa yeropa ikure, ishaye simba, uye ibude.

Kutaura zvazviri, chirwere cheBP chinokwira muropa (portal hypertension) nematambudziko acho ndizvo zvinonyanya kukonzera kugara muchipatara uye, mune dzimwe nguva, rufu rwevanhu vane chirwere chechiropa chinonzi cirrhosis.

Ndezvipi zviratidzo zvikuru zvishanu zve `(Portal Hypertension)`?

Dambudziko rimwe chete neizvi nderekuti, kazhinji, panogona kunge pasina zviratidzo zvekunze kusvika paitika matambudziko. Funga kuti vanhu vanosvika 90% vane chirwere checirrhosis vane portal hypertension inokura mumiviri yavo vasati varatidza zviratidzo. Uyewo, vanenge 40% vanogona kunge vatova netsinga dzakakura dzinonzi varices, pasina yambiro.

Zviratidzo zvekutanga zvinoonekwa zvinowanzoenderana netsinga itsva, dzakakura, dziri kubuda ropa, uye dziri kubuda ropa. Izvi ndeizvi:

• Kurutsa ropa (pamwe kunyange ruvara rwakaita serwakakuyiwa nekofi).
• Ropa riri mutsvina (kazhinji dema rakasviba, tarry, kana dzimwe nguva dzvuku).
• Dumbu rinokura kamwe kamwe uye rinonzwa kuguta, pamwe chete nekuwedzera uremu nekukurumidza. (Izvi zvinokonzerwa nekuzara kwedumbu nemvura).
• Kuzvimba kwemakumbo, kunyanya zvitsitsinho (edema) .
• Kunzwa kuvhiringidzika zvishoma, kurasikirwa nepfungwa, dzimwe nguva kukanganwa kuti ndiwe ani uye kuti uri kupi (kuvhiringidzika kwepfungwa) .

Ndezvipi zvinetso zvinogona kuitika nekuda kwe `(Portal Hypertension)`?

Dambudziko iri rinogona kukonzera matambudziko akasiyana-siyana. Ngatizvitarisei chimwe nechimwe:

• ``Ascites``: `` Ascites`` kuunganidzwa kwemvura yakaita semvura mudumbu kubva mutsinga dzakakura, dzisina simba, iyo inodonhera mudumbu (``peritoneal cavity``). Izvi zvinogona kukonzera kuti dumbu rizvimbe uye rinzwe rakazvimba, uye zvinogona kukonzera kurasikirwa nechido chekudya uye kuoma kwekugaya. Mune zvimwe zviitiko zvakakomba, mvura iyi inogonawo kufamba ichienda kuchipfuva, zvichiita kuti zviome kufema. Inowedzerawo njodzi yekuva nehutachiona mudumbu (``peritonitis``).

• Kubuda ropa mudumbu: Mitsipa yakakura mudumbu (mudumbu, mudumbu, muura) (varices) inogona kuputika nekubuda ropa. Inonyanya kuwanikwa ndeyemitsipa yegurokuro . Idzi ndidzo mitsipa iri pedyo neganda uye ine madziro matete, saka dzinogona kuputika zviri nyore. Mitsipa iri mudumbu inogonawo kuzvimba (izvi zvinonzi portal hypertension gastropathy) uye, muzviitiko zvakakomba, inogona kubuda ropa. Kana kubuda ropa uku kukaramba kuripo , anemia , kana kushaikwa kweropa mumuviri, kunogona kuitika.

• `Kuwedzera kweropa`:Kana ropa richiyerera muropa rikaderedzwa, ropa rinozvimba neropa rakawanda uye rinokura tsinga itsva dzeropa kuti dzikwane ropa iri rakawedzerwa. Tsvina yakakura inova nesimba rakawandisa uye inotanga kubvisa masero akakosha kubva muropa remuviri (semuenzaniso, maplatelet , anobatsira kuumbwa kweropa, uye masero machena eropa , akakosha pakudzivirira muviri). Izvi zvinogona kukonzera kudzikira kweropa (kubuda ropa zviri nyore), uye kushaya simba kwemuviri (kurwara zviri nyore).

• Okisijeni shoma muropa: Mune vamwe vanhu, "Portal Hypertension" iyi inoita kuti tsinga dzeropa mumapapu dzive dzakafara zvisingawanzoitiki. Ipapo mapapu haakwanise kuendesa okisijeni zvakanaka kuropa. Izvi zvinoguma nekudzikira kwemazinga eokisijeni muropa ``(hypoxemia)`` . Chirwere ichi chinonziwo ``(hepatopulmonary syndrome)`` .

• Kukundikana kweitsvo: Mitsipa yeropa yakakurisa inokonzerwa nekuwedzera kweropa mumuviri inogona kutetepa mitsipa yeropa kune dzimwe nzvimbo mumuviri (kunyanya iyo inopa ropa kuitsvo). Kana izvi zvikaitika muitsvo, ropa rinoenda kuitsvo rinoderera, zvichikonzera kutadza kushanda kweitsvo . Ichi idambudziko risingawanzoitiki asi rakakomba, rinozivikanwawo sehepatorenal syndrome .

• Kukanganisika kwepfungwa zvishoma: Sezvo miviri yedu ichiedza kugadzirisa chirwere cheBP, inogadzira mitsipa mitsva yeropa (shunt) inopfuura nechiropa. Asi kana ropa richipinda muchiropa roenda zvakananga muropa, chepfu dzinofanira kucheneswa nechiropa hadzisi kucheneswa. Chepfu idzi dzinozoungana muropa uye dzinokanganisa mashandiro europi zvishoma nezvishoma. Unogona kuona zviratidzo zvenguva pfupi zvakaita sekuvhiringidzika, kutaura kusina kunyatsojeka, uye kurasikirwa nepfungwa. Izvi zvinonzi hepatic encephalopathy .

Ndezvipi zvikonzero zvikuru zvePortal Hypertension?

Sezvatakambotaura kare, pane zvikonzero zvikuru zvishoma:

• Kurwara kwechiropa: Ichi ndicho chikonzero chinonyanya kuitika. Kurwara kwechiropa kazhinji idanho rekupedzisira rechirwere chechiropa kwenguva refu. Chinowanzo kukonzerwa nehutachiona hwakadai sehepatitis C, hepatitis inokonzerwa nedoro , uye chirwere chechiropa chine mafuta chisiri doro . Mavanga aya anovhara kufamba kweropa muchiropa.

• `Magranuloma echiropa`:Magranulomas muunganidzwa wemasero anokonzera kuzvimba anoitika nezvirwere zvakasiyana-siyana (semuenzaniso, schistosomiasis) nezvirwere zvinokonzera kuzvimba. Akafanana nemabundu madiki uye anogona kuvharira portal venous system. Anowanzova ndiwo anotungamira kukura kwe fibrosis yechiropa.

• Kugwamba kweropa (Thrombosis): Kana ropa rikagwamba (thrombosis) rikaitika chero kupi zvako mu portal venous system, rinogona kuvharira kufamba kweropa kuenda kuchiropa, kuburikidza nechiropa, kana kubuda muchiropa. Izvi zvinogona kukonzera zvakawanda, kusanganisira mamwe matambudziko eropa anogarwa nhaka.

Unoziva sei kana uine `(Portal Hypertension)`?

Kuti uzive zvechokwadi kana izvi zviri izvo, unofanirwa kuyera kumanikidzwa kuri mutsinga dzechiropa. Izvi zvinosanganisira kuisa chubhu diki (catheter) mutsinga. Zvisinei, iyi bvunzo yakaoma uye yakaoma, uye kazhinji haiitwe nyore, uye havasi vese vanoida.

Nerombo rakanaka, vanachiremba vanogona kuongorora chirwere ichi (Portal Hypertension) zvichibva pazviratidzo zvekiriniki. Kureva kuti, zvaunotaura nezvavanoona pavanokuongorora. Kuongororwa kweropa nekuongorora kunogona kusimbisa fungidziro iyi.

Ndezvipi zviratidzo zvingafungirwa nachiremba kuti ane chirwere chePortal Hypertension?

• Mitsipa yakakura (varices) (kunyanya kana ikaonekwa panguva ye endoscopy).
• Chiropa chakakura (kungave pakubata pameso kana pakuongorora).
• Uchapupu hweropa richipfuura nemudumbu.
• Kuva nemvura mudumbu (ascites).
• Zviratidzo zvekudzikira zvishoma kwekushanda kweuropi (sezvambotaurwa, zviratidzo zve `hepatic encephalopathy`).
• Kana kuongororwa kweropa kuchiratidza kuti huwandu hwemamwe marudzi emasero muropa (semuenzaniso maplatelet, masero machena eropa) hwakaderera.
• Zviratidzo zvinosanganisira mavanga ari nyore uye kubuda ropa rakawanda.

Ndedzipi bvunzo dzinoitwa kusimbisa chirwere ichi?

• Kuongororwa kweropa: Kuongororwa kweropa kunogona kukuudza zvakawanda nezvezviri kuitika munhengo dzako dzemuviri, kunyanya chiropa chako neitsvo. Panel yakazara yemetabolism inogona kutarisa chero matambudziko neitsvo dzako nechiropa. Kuongororwa kweropa rose (CBC) kunogona kutarisa chero spleen inoshanda zvakanyanya iri kubvisa masero machena eropa kana maplatelet akawanda. Inogonawo kutarisa mamwe matambudziko eropa anogona kukonzera hypertension ye portal, kana anemia inokonzerwa nekubuda ropa mukati.

• Kuongororwa kwemifananidzo: Kuongororwa kweUltrasound uye CT scans zvinogona kubatsira kuona kana cirrhosis iripo, ascites iripo, nhengo dzakadai sespleen dzakakura, portal venous system yakakura, uye mitsipa mitsva inoumbwa. Doppler ultrasound inonyanya kubatsira.Munhu anogona kutora mifananidzo yeropa richiyerera mukati metsinga. Izvi zvinogona kuona zvakajeka kuvharika kweropa, uye kana tsinga dzacho dzakafara zvisina kujairika kana kuti dzakatetepa.

• Endoscopy: Kana uine zviratidzo zvekubuda ropa kubva mudumbu rako (ropa mumarutsi ako, ropa mutsvina yako), chiremba wako angangoda kuita endoscopy. Endoscopy yepamusoro inosanganisira kuisa chubhu refu, yakatetepa (endoscope) ine kamera kuburikidza nemuromo wako kuti iongorore gumbo rako, dumbu, uye chikamu chekutanga cheura hwako hudiki (duodenum). Chiremba achatsvaga tsinga dzakakura dzinonzi varices, dzingave dziri kubuda ropa, uye kana paine nzvimbo dziri pedyo dzekubuda ropa. Chinhu chakanakisa ndechekuti kana ukaona kubuda ropa, vanogona kazhinji kuisa zvishandiso zvakakosha kuburikidza ne endoscope kuti vamise kubuda ropa.

Ndezvipi zvinorapwa zve `(Portal Hypertension)`?

Kuti chirwere chePortal Hypertension chingarapwa zvachose here kana kuti kwete zvinoenderana nechikonzero chacho. Semuenzaniso, kana chirwere kana ropa rakagwamba chiri icho chinokonzera, chiremba wako anogona kukwanisa kurapa chikonzero chacho nemishonga, uye chirwere chako chePortal Hypertension chichavandudzika zvishoma nezvishoma, uye dzimwe nguva chinotopera zvachose.

Zvisinei, kana paine mavanga akawanda pachiropa, akadai secirrhosis, kazhinji haaperi. Izvi zvinoreva kuti mavanga haaperi. Nokudaro, hypertension ye portal inogona kuramba iripo. Kazhinji, kurapwa kwakanangana nekudzora matambudziko ane njodzi e portal hypertension uye kuderedza kukuvara kwaanokonzera. Vanachiremba vanotanga vaedza kudzora mamiriro akaipisisa (semuenzaniso kubuda ropa) vozoenderera mberi nemhinduro dzenguva refu.

Kurapa kwekutanga kumisa kubuda ropa mudumbu:

• Kurapa neEndoscopic: Chiremba anorapa kubuda ropa kamwe kamwe kuburikidza ne endoscopy. Nzira idzi dzinosanganisira sclerotherapy (kubaya mushonga wakakosha mutsinga dzinobuda ropa kuti dziite kuti dziderere uye dzidzore kubuda ropa) uye kusunga bhandeji ( kusunga tsinga dzinobuda ropa nemabhandi madiki erabha kuti ropa risabude).
• Mishonga: Chiremba wako anogona kukupa mishonga, pamwe chete ne endoscopic therapy kana kuti yakasiyana, yekuderedza kumanikidzwa kwetsinga dzako dziri kurwadza uye kuderedza njodzi yekubuda ropa zvakare. Mishonga inonzi beta-blockers inogona kubatsira kuderedza kumanikidzwa kwe portal, nepo vasoconstrictors inogona kubatsira kuderedza kukudzikira kwetsinga uye kuderedza kubuda ropa.

Kurapa kwekutanga kwemamwe matambudziko:

• Kana paine `(hepatopulmonary syndrome)` (kushomeka kweokisijeni muropa), okisijeni inopihwa `(Oxygen therapy)` .
• Dialysis kana paine hepatorenal syndrome (kutadza kweitsvo).
• Kana uine dambudziko rekushanda kweuropi (hepatic encephalopathy), kune mishonga inogona kubatsira.
• Paracentesis kubviswa kwemvura yakawandisa mudumbu nekuda kweascites (kuungana kwemvura mudumbu) uye muenzaniso wemvura iyoyo unotorwa kuti utariswe kana paine peritonitis (hutachiona hwedumbu).

Kurapwa kwechipiri (kana kubuda ropa kana mamwe matambudziko akaramba aripo):

Dzimwe nguva, kana kubuda ropa kusingagone kumisa kana mamwe matambudziko akaramba aripo, vanachiremba vanoshandisa nzira yechipiri yekurapa. Nzira mbiri huru ndedzekuvhiya kwe "shunt". Idzi dzinoshandiswa kushandura nzira yekufamba kweropa mu "portal venous system" uye kuderedza kumanikidzwa kweropa.

• Transjugular intrahepatic portosystemic shunt (MAZANO): Iyi inzira isiri yekuvhiya. Vachishandisa mifananidzo yeX-ray, chiremba we radiologist anoisa stent (chubhu diki ine mesh) mukati mechiropa chako. Vanoshandisa tsono kugadzira mugero unopinda muchiropa uye vanobatanidza mugero we portal zvakananga kune tsinga iri muchiropa (tsinga ye hepatic). Izvi zvinobvumira ropa kuyerera nemugero, zvichideredza kumanikidzwa. Stent inoiswa kuti mugero urambe wakavhurika. Iyi inzira inoshanda zvikuru, asi nekufamba kwenguva, stent inogona kuvharika, uye ungangoda kugadziriswa zvakare (nzira inodzokororwa).

• Distal splenorenal shunt (DSRS): Iyi inzira yekuvhiya. Kune vamwe vanhu, inogona kunge iri sarudzo iri nani pane TIPS. Zvisinei, unofanirwa kuva nehutano hwakanaka kuti uvhiyiwe uye upore. Zvisinei, inogona kushanda zvakanyanya mukudzivirira chirwere kwenguva refu. Maitiro aya anosanganisira kubvisa tsinga yako ye splenic kubva muchiropa chako uye kuibatanidza netsinga yekuruboshwe yeitsvo. Izvi zvinoderedza kuyerera kweropa nekumanikidzwa kwechiropa netsvina.

Chekupedzisira, kune avo vane chirwere chechiropa chakanyanya chisingagone kudzorwa nemamwe marapirwo, vanogona kufunga nezvekuisirwa chiropa .

Rudzii rwekutarisirwa kwekutevera kwandichada?

Mushure mekurapwa kwese uku , zvakakosha kuti urambe uri pasi pekutarisirwa nachiremba. Unofanira kungwarira mamiriro ako ezvinhu. Uchafanirwa kuona chiremba wako nguva nenguva kwegore rekutanga mushure mekurapwa kuti uone kana kurapwa kuchiri kushanda uye kana paine matambudziko matsva amuka. Mushure meizvozvo, uchafanirwa kuona chiremba wako kanenge kaviri pagore kuti uongororwe chiropa uye uongororwe ropa kuti uone mashandiro echiropa chako. Izvi zvakafanana nekuita kuti mota igadziriswe, unofanira kuramba uchiitarisira.

Chii chandingatarisira nemamiriro ezvinhu aya?

Kufanotaura kwako nezvechirwere ichi uye kupora kwako zvinoenderana nekuti BP yako yepakati petsinga yakakura sei, kana uine varices dzinobuda ropa, uye kana uine zvimwe zvinetso.Kutaura zvazviri, njodzi yekufa kubva pakubuda ropa kekutanga inogona kusvika pa40%. Kana ukabuda ropa zvakare mushure mekurapwa, njodzi yekufa kubva pakubuda ropa kunotevera inenge iri pedyo ne30%. Njodzi yacho yakakura kana cirrhosis yako yakanyanya. Zvisinei, kana chirwere chechiropa chichiri kutarisirwa mumatanho ekutanga, uye kurapwa kuchiitwa nekukurumidza, njodzi yacho inogona kuderedzwa.

Ndingadzivirira sei `(Portal Hypertension)`?

Nzira yakanakisisa yekudzivirira chirwere ichi che "Portal Hypertension" ndeyekuedza kumisa kukura kwechirwere chechiropa kwenguva refu kana zvichibvira. Haugone kudzora zvese zvinokonzera, asi zvimwe zvezvikonzero zvinowanzoonekwa zvinogona kudzorwa kana zvikaonekwa nekukurumidza.

• Chirwere chechiropa chinokonzerwa nekushandisa doro, kana chirwere chechiropa chinokonzerwa nechirwere chekugaya chikafu (semuenzaniso, chirwere chechiropa chine mafuta chisiri doro), chinogona kugadziriswa nekudya uye kuchinja mararamiro ane hutano (sekurovedza muviri).
• Hepatitis C inorapika zvachose nemishonga mitsva inorwisa mavhairasi. Saka, zvakakosha kuti uongororwe hepatitis C kanenge kamwe chete muhupenyu hwako.

Ndingazvitarisira sei ini ndichirarama ne `(Portal Hypertension)`?

Rwendo urwu rungave rwakaoma, asi hausi wega.

• Gara uchitaurirana nechikwata chako chekurapa, kusanganisira vanachiremba vako nevakoti. Teerera nokungwarira uye tevera zvavanotaura.
• Enda kunoongororwa nenguva, tora mishonga yako sezvawaudzwa nachiremba, panguva yavanokuudza. Usapotsa zuva rimwe chete.
• Gara uchibvunza chiremba wako usati watora chero mushonga mutsva (ingava wechimwe chirwere kana vhitamini).
• Rega kunwa doro zvachose, kana kuti deredza doro zvakanyanya sezvinobvira. Ichi ndicho chimwe chezvinobatsira zvikuru pachiropa.
• Ungangoda kudya zvekudya zvisina sodium yakawanda , kunyanya kana uri kuzvimba. Kana kuti ungangoda kudya zvakakunakira. Zvakanaka kutsvaga mazano kubva kune nyanzvi yezvekudya.
• Ungave uine zvimwe zvirwere zvine chekuita nazvo (semuenzaniso chirwere cheshuga, cholesterol yakakwira). Batsira kudzora izvi nekuchinja kudya kwako uye mararamiro ako.

Nekuti chirwere ichi, chinonzi ``Portal Hypertension,'' chinokanganisa nhengo dzakawanda, kuchirapa kunogona kuita sekudzima moto uri kupfuta munzvimbo dzakasiyana. Ungashamisika, kutotya, kuziva kuti chirwere chechiropa chinogona kukanganisa tsinga dziri mudumbu mako, gurokuro, mapapu, neitsvo. Izvi zvinogona kukushamisa zvikuru, kunyanya kana usati wambova nezviratidzo zvechirwere chechiropa. Asi chinonyanya kukosha ndechekuti kana ukachiona nekukurumidza uye ukachirapwa nemazvo, uchava nemukana mukuru mukutonga ``Portal Hypertension,'' nematambudziko ayo. Saka usatya, uye kana uine kusava nechokwadi, ona chiremba kuti akupe mazano.

Mharidzo Yekupedzisira Yekuenda Kumba

Zvakanaka, kubva pane zvatakurukura, ndinovimba manzwisisa zviri nani `(Portal Hypertension)`. Heano zvinhu zvikuru zvekurangarira:

• Kukwira kweropa mutsinga dzeropa (portal hypertension) kunokonzerwa nekuwedzera kwekumanikidzwa kweropa mutsinga dzinobatana nechiropa. Izvi zvinogona kuva chirwere chakakomba .
• Chikonzero chikuru chirwere chechiropa chinonzi cirrhosis. Saka, kuchengetedza chiropa kwakakosha zvikuru.
• Kazhinji, zviratidzo zvingasaonekwa pakutanga. Saka, kana uine zvinhu zvinogona kukonzera njodzi (semuenzaniso, chirwere chechiropa chisingaperi, hepatitis), enda kunoongororwa nachiremba nguva nenguva.
• Kana ukaona zviratidzo zvakaita sekurutsa ropa, tsvina nhema, kana kuzvimba mudumbu , enda kuna chiremba nekukasika.
• Kune mishonga, asi zvakanaka kuiona nekukurumidza wotanga kurapwa.
• Tevedzera mirairo yachiremba wako nemazvo, tora mushonga wako nemazvo, uye chinja mararamiro ako.

Kana muine mimwe mibvunzo nezveizvi, musazeza kutaura nachiremba wenyu. Rambai muine hutano hwakanaka!

` Kukwira kweropa kwepamuviri, Chiropa, Kumanikidzwa kwetsinga dzepamuviri, Kubuda ropa, Kubuda ropa, Ascites, Chirwere cheChiropa, (Kubuda ropa), (Varices), (Ascites)