Ngaba wakha wahlanza igazi ngequbuliso? Okanye ngaba isitulo sakho sajika saba mnyama kakhulu saza sanamathela? Ezi zizinto ezoyikisayo nezibangela uvalo, akunjalo? Kodwa ezi zezona mpawu ziphambili zeso simo siyingozi kakhulu esithetha ngaso namhlanje esibizwa ngokuba yi-'Bleeding Varices'. Le asiyonto ifanele ithathwe lula, kuba inokuba yingozi nakubomi. Ngoko ke masifumane okungakumbi ngale nto namhlanje.
Kalula nje, zithini 'ii-varices'?
Imithambo yegazi evuvukileyo nekhululeyo esiswini okanye emqaleni wethu. Khawuthelekelele imilenze yabanye abantu enemithambo eluhlaza okwesibhakabhaka, ejijekileyo, akunjalo? Oku kufana noko. Kodwa oku kwenzeka ngaphakathi emizimbeni yethu, kwindlela yokugaya ukutya.
Le mithambo idumbileyo, okanye imithambo evuvukileyo, ayibonakalisi zimpawu de iqhume ize iqale ukopha. Abantu abaninzi abazi nokuba banazo. Kodwa ingxaki iqala xa le mithambo iqhuma, iqhuma, ize iqale ukopha. Kulapho ke iba yingxamiseko enkulu yezonyango.
Ziziphi iimpawu eziyingozi zemithambo yegazi eyophayo?
Xa umntu ene-Bleeding Varices, kufuneka ibonwe ngoko nangoko. Kuba umzuzwana ngamnye ubalulekile. Nika ingqalelo kwiimpawu ezingezantsi.
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Ukuhlanza igazi | Umthambo ovuvukileyo luphawu olucacileyo lokuba uqhumile. |
| Izitulo ezimnyama, ezihlala ixesha elide, ezinamathelayo | Igazi elidlule kwinxalenye ephezulu yomgudu wokugaya liyagaywa kwaye likhutshwe ngale ndlela. |
| Isiyezi esigqithisileyo kunye nokuziva utyhafile | Ukwehla koxinzelelo lwegazi ngenxa yokulahleka kwegazi elininzi emzimbeni. |
| Ukunyuka kwesantya sentliziyo | Intliziyo iqala ukusebenza ngokukhawuleza ukuze ihlawulele ukulahleka kwegazi emzimbeni. |
| Umothuko | Le yimeko embi kakhulu. Ukopha kakhulu kubangela ukuba amalungu omzimba angafumani igazi elaneleyo. |
Ukuba unale mpawu, ungahlali ekhaya umzuzwana. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko. Ukuba ukopha akulawuleki ngokukhawuleza, umntu unokufa.
Nokuba ukopha kuyeka, iingxaki ezinkulu ezifana ne-pneumonia, i-sepsis, kunye nokungasebenzi kakuhle kwesibindi nezintso zinokwenzeka.
Kutheni le nto le mithambo ivuvukalayo ikhula ize yophe igazi? Yintoni unobangela wayo?
Isizathu esiphambili sale meko yimeko ebizwa ngokuba yi -'Portal Hypertension' . Ngoku khangela, umthambo wegazi oyintloko othwala igazi ukusuka kwinkqubo yethu yokugaya ukutya ukuya esibindini ubizwa ngokuba yi-'Portal Vein'. 'I-Portal Hypertension' kuxa uxinzelelo lwegazi ngaphakathi kulo mthambo lunyuka kakhulu ngenxa yesizathu esithile.
Kulungile, kutheni ke olu xinzelelo lusanda?
Eyona nto ixhaphakileyo yile ngxaki yesibindi, nto leyo ethetha ukuba isibindi siba namanxeba size sibe lukhuni njengelitye. Ngokwezonyango oku sikubiza ngokuba yi-'Cirrhosis' .
- Kwabo basela utywala kakhulu.
- Abantu abaneentsholongwane ezihlala ixesha elide ezifana neHepatitis B kunye neC.
- I-cirrhosis inokwenzeka kwabanye abantu abanesifo sesibindi esinamafutha.
Khawucinge ngento eyenzekayo xa kukho ingxinano yezithuthi kwindlela enkulu? Izithuthi zizama ukuhamba ngeendlela ezisecaleni, iindlela ezincinci zegrabile, akunjalo? Yiloo nto eyenzekayo nalapha. Xa kunzima ukuba igazi (izithuthi) lidlule esibindini (indlela ephambili), elo gazi lizama ukuhamba ngemithambo emincinci, ethambileyo (iindlela ezisecaleni) emqaleni nasesiswini.
Le mithambo mincinci ayikwazi ukumelana negazi elingaka kunye noxinzelelo olungaka. Isiphumo kukuba imithambo idumba njengeebhaluni, iindonga zayo ziba ncinci, kwaye ekugqibeleni iqhume kwaye yophe ngenxa yento encinci ecaphukisayo.
Ziziphi iindlela zonyango zale meko iyingozi?
Okokuqala, xa bengeniswa esibhedlele, injongo yokuqala yoogqirha kukuyeka ukopha nokomeleza ubomi besigulana. Oku kungabandakanya ukubadibanisa nomatshini wokuphefumla ukuthintela igazi ukuba lingangeni emiphungeni, nokubanika amayeza okubulala iintsholongwane ukuthintela ukutyhefwa ligazi.Kufuneka inikwe.
Xa ukopha sele kulawulwe, kukho iindlela ezahlukeneyo zokuthintela ukopha kwakhona kunye nokunyanga imithambo yegazi ephukileyo.
| Indlela yonyango | Icacisiwe ngokulula |
|---|---|
| Ukubopha | Ingcali yezifo zesisu isebenzisa i-endoscope ukungena kwi-esophagus ize ibeke iibhanti zerabha ezincinci zijikeleze imithambo evuvukileyo. Oku kuyayekisa ukuhamba kwegazi kwaye kubangela ukuba imithambo ife. |
| Unyango lweSclerotherapy | Endaweni yokubeka iibhanti zerabha, isisombululo esikhethekileyo esivala imithambo evuvukileyo sifakwa nge-endoscope. |
| IINGCEBISO (iTransjugular Intrahepatic Portosystemic Shunt) | Le yinkqubo ye-radiology. I-catheter ifakwa ngomthambo osentanyeni kwaye 'i-stent' (ityhubhu encinci) ifakwe embindini wesibindi. Oku kudibanisa umthambo we-portal oxinezelekileyo nomthambo oqhelekileyo, kunciphisa uxinzelelo. |
| I-DSRS (i-Distal Splenorenal Shunt) | Le yindlela yotyando equka ukudibanisa umthambo wespleen nomthambo wezintso zasekhohlo ukunciphisa uxinzelelo kwimithambo evalekileyo nokulawula ukopha. |
| Ukufakelwa kwesibindi | Ukuba isibindi asisebenzi kakuhle ngokupheleleyo kwaye isifo sikwinqanaba lokugqibela (isifo sesibindi esikwinqanaba lokugqibela), esi sesona sisombululo silungileyo. |
Ngaba le meko ingathintelwa?
Kakade ke kunokwenzeka. Eyona ndlela ingcono yokuthintela oku kukuphatha ngokufanelekileyo unobangela oyintloko, isifo sesibindi.Ukuba isifo sesibindi sifunyenwe kwangethuba kwaye unyango luqala, uphuhliso lwale mithambo ye-varicose lunokuthintelwa kakhulu.
- Ziphephe ngokupheleleyo utywala. Le yeyona nto ibangela isifo sesibindi.
- Fumana unyango olufanelekileyo lweHepatitis B kunye ne-C.
- Lawula isibindi esinamafutha ngokutya okunempilo nokuzilolonga.
Kwakhona, amanye amayeza, anjenge -beta-blockers yesifo sentliziyo, anokunceda ukunciphisa umngcipheko wokopha ngokunciphisa uxinzelelo kwi-portal vein. Kubalulekile ukuxoxa ngayo yonke le nto nogqirha wakho kwaye ulandele imiyalelo yakhe ngononophelo.
Umyalezo Wokuya Ekhaya
- IiVarices zimithambo evuvukileyo emphinjeni okanye esiswini. Zidla ngokungabonisi zimpawu de ziqhume zize zophe igazi.
- Ukuhlanza igazi kunye nokuphuma umnyama, indle engapheliyo zezona mpawu zibalulekileyo. Ukuba uzibona ezi, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
- Isizathu esiphambili soku yimeko ebizwa ngokuba yiPortal Hypertension, ebangelwa sisifo sesibindi (ingakumbi i-cirrhosis).
- Ukuphepha ukusela utywala kakhulu nokunyanga isifo sesibindi ngendlela efanelekileyo kunokunciphisa umngcipheko wale meko.
- Ukuba unesifo sesibindi, soloko uqhagamshelana nogqirha wakho kwaye ulandele unyango oluchaziweyo kunye novavanyo ngokuchanekileyo.
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