Ngaba wakha wajonga esipilini waza waphawula ukuba imithambo yakho ibonakala ngokucacileyo esiswini sakho, ingakumbi ecaleni kwesisu sakho? Ngamanye amaxesha oku kunokuba yinto eyoyikisayo ukuyibona. Yintoni kanye kanye le? Ngaba le yinto yokoyika? Namhlanje sithetha ngale meko, eyaziwa kwisayensi yezonyango njenge-'Caput Medusae'. Esi asisosifo, kodwa sisilumkiso esibaluleke kakhulu esisinika ingxaki enkulu emzimbeni.
Yintoni le 'Caput Medusae'?
Ngamafutshane, iCaput Medusae kuxa imithambo yegazi engaphantsi kolusu lwesisu sakho idumba, ikhula, kwaye ikhukhumala. Amaxesha amaninzi, le mithambo ibonakala ngathi ikhukhumala macala onke, njengokukhanya kwelanga okuvela embindini wesisu sakho.
Eli gama lingaqhelekanga livela kwiintsomi zamaGrike. Libonisa umfazi ogama lingu 'Medusa', onentloko eneenyoka endaweni yeenwele. Indlela imithambo esasazeka ngayo entanyeni yakhe ibonakala ngathi ziinyoka eziphuma entlokweni kaMedusa, yiyo loo nto oogqirha belibiza ngokuba yi 'Caput Medusae', oko kuthetha 'intloko kaMedusa'. Abanye balibiza ngokuba 'luphawu lomthi wesundu'.
Eyona nto ibalulekileyo kukuba ukubonakala kwemithambo ngolu hlobo kuthetha ukuba kukho ukuphazamiseka kwendlela igazi elihamba ngayo emzimbeni. Ngoko ke, akulunganga ukungayinaki le nto njengengxaki yolusu nje.
Kutheni oku kusenzeka? Masiqonde oku ngomzekelo.
Khawuthelekelele ukuba indlela enkulu eya eColombo ivalwe ziimoto ezininzi. Zenza ntoni ke ngoko izithuthi? Zizama ukufika apho ziya khona ngokukhawuleza ngokuthatha iindlela ezisecaleni, iindlela ezincinci zegrabile. Kodwa ezi ndlela ezisecaleni azakhelwanga ukumelana neemoto ezininzi. Ngenxa yoko, ezo ndlela ziyaxineka kwaye zizale ngokukhawuleza.
Inkqubo yemithambo yegazi emzimbeni wethu iyafana. Xa umthambo omkhulu wegazi esiswini (i-portal vein okanye i-inferior vena cava) uvalekile ngesizathu esithile, igazi alikwazi ukuhamba kuwo. Oku kubizwa ngokuba kukuthintelwa .
Emva koko umzimba uzama ukuthumela eli gazi livaliweyo ngemithambo emincinci efana 'neendlela ezisecaleni'. Le mithambo mincinci yileyo ingaphantsi kolusu lwesisu sethu. Xa igazi elininzi lidlula ngequbuliso kule mithambo mincinci, ibhityileyo, ayikwazi ukumelana nalo kwaye iyadumba, ivuvukale, ize ibonakale emehlweni ethu. Yiloo nto siyibiza ngokuba yiCaput Medusae. Kwizonyango, le ndlela eyongezelelweyo ibizwa ngokuba yi-collateral circulation .
Ziziphi izizathu eziphambili zeCaput Medusae?
Zimbini izizathu eziphambili ezibangela le meko. Zombini zinzulu, ngoko ke kubalulekile ukuzazi ezi zinto.
| Unobangela | Ingcaciso elula |
|---|---|
| Uxinzelelo lwegazi oluphezulu lwePortal | Le yeyona nto ixhaphakileyo. Umthambo wegazi ophambili odlula esibindini sethu ubizwa ngokuba yi-'portal vein'. Oku kubangelwa luxinzelelo lwegazi oluphezulu kulo mthambo. Oku kubangelwa yi -cirrhosis yesibindi . Xa isibindi sigula, siqina, kwaye sinamanxeba, igazi alikwazi ukuhamba ngokulula kuso. |
| Isifo seVena Cava esiphantsi | Lo ngumthambo oyintloko othwala igazi ukusuka kwinxalenye esezantsi yomzimba wethu ukuya entliziyweni. Lo mthambo unokuvaleka kukuvaleka kwegazi, ithumba, okanye imeko yokuzalwa efana ne -Budd-Chiari syndrome . |
Ziziphi ezinye iimpawu ezinokuhamba noku?
I-Caput Medusae luphawu olunye nje lwesifo esinzulu esingaphantsi. Ngoko ke, unokufumana ezinye iimpawu ngaxeshanye.
Iimpawu eziqhelekileyo
- Ukudumba kwemilenze neenyawo (i-Edema)
- Ukudumba okukhulu kwesisu, ulwelo oluzalisa isisu (ascites)
- Isisu esibuhlungu
- Isibindi esikhulu, esivakala kakuhle phantsi kweembambo kwicala lasekunene
Iimpawu ezithile ziyahluka ngokuxhomekeke kwisizathu
Ezi mpawu ziya kunceda ugqirha wakho ukuba aqonde unobangela.
- Ukuba kungenxa yesifo sesibindi:
- Ukutyheli kolusu namehlo (i-Jaundice)
- Ukurhawuzelela okugqithisileyo kwesikhumba
- Umchamo omnyama (njengeti)
- Izihlalo ezimthubi (ezinombala wodongwe)
- I-spider angiomas (imithambo yegazi ebomvu efana ne-spider webs) esifubeni nakumphezulu womzimba
- Ukuba kungenxa yokuqhekeka kwegazi (iDeep Vein Thrombosis - DVT):
- Ukudumba ngequbuliso kwindawo enye yomzimba (umz., umlenze)
- Indawo iba bomvu okanye ibe mnyama kwaye ivakale ifudumele xa uyichukumisa
Ugqirha ufumana njani unobangela ochanekileyo?
Kubalulekile ukubona ugqirha kwangoko nje ukuba uqaphela olu phawu. Ugqirha uza kuqala akuhlole aze amamele ngononophelo iimpawu zakho. Emva koko, baya kuyalela iimvavanyo ezininzi ukuze bafumane unobangela ochanekileyo.
Uvavanyo oluphambili olusetyenziswa koku kukuhlolwa kwesisu nge-ultrasound . Oku kukuvumela ukuba ubone amalungu omzimba kunye nemithambo yegazi ngaphakathi esiswini.
Ngokukodwa, olu vavanyo lujonga indlela igazi elihamba ngayo kwimithambo ebuhlungu.
- Ukuba igazi lihamba ngeenyawo , kusenokwenzeka ukuba yimeko ebizwa ngokuba yiPortal Hypertension, ebangelwa yi -cirrhosis yesibindi .
- Ukuba igazi lihamba liye phezulu entliziyweni , kusenokwenzeka ukuba kungenxa yokuvaleka kwe -vena cava engaphantsi .
Le nto ilula ivumela ugqirha ukuba afumane umbono olungileyo wesizathu sesifo.
Zithini iindlela zonyango zoku?
Into ebalulekileyo kukuba olu nyango alupheleli nje ekunyangeni uphawu olubonakalayo lwesikhumba lweCaput Medusae, kodwa lunyanga imeko esisiseko . Xa unobangela unyangwa, le mithambo yemithambo ye-varicose inokuncipha ngokuhamba kwexesha.
- Ukuba unobangela uyasuswa: Umzekelo, ukuba sisithintelo esinokususwa, esifana nokuqhekeka kwegazi, injongo yokuqala yoogqirha kukususa eso sithintelo.
- Ukuba unobangela sisifo esingapheliyo: Ukuba sisifo esingapheliyo esifana ne-cirrhosis yesibindi, unyango oluthile lunikwa ukulawula isifo nokulawula iingxaki zaso.
Kwezinye iimeko, ukuba i-portal hypertension ibangela ukuba imithambo kwindlela yokugaya ukutya idumbe kwaye yophe igazi, kusetyenziswa iindlela ezikhethekileyo zokunciphisa uxinzelelo lwegazi.
- IINGCEBISO (iTransjugular Intrahepatic Portosystemic Shunt): Oku kuquka ukufaka umbhobho omncinci esibindini phantsi kwesikhokelo se-X-ray ukuze kudalwe i-shunt phakathi komthambo wesango kunye nomnye umthambo esibindini. Oku kudala indlela entsha yokuba igazi elivalekileyo lihambe, nto leyo enciphisa uxinzelelo.
- I-DSRS (Distal Splenorenal Shunt): Le yinkqubo yotyando apho umthambo we-splenic ususwa esibindini uze uqhagamshelwe kumthambo wezintso zasekhohlo. Oku kunciphisa uxinzelelo.
Umyalezo Wokuya Ekhaya
- Ukuba ubona imithambo evuvukileyo ejikeleze isinqe sakho, isenokuba yiCaput Medusae. Nceda ungakutyesheli oku.
- Esi asisosifo, kodwa luphawu lwesinye isifo esinzima emzimbeni (idla ngokuba sisifo sesibindi).
- Kubaluleke kakhulu ukubona ugqirha wosapho lwakho ngokukhawuleza ukuba ubona olu phawu. Okukhona unobangela ubonakala ngokukhawuleza, kokukhona unyango luya kuba nempumelelo.
- Ukuba isifo esisisiseko asinyangwa kakuhle, iingxaki ezisongela ubomi ezifana nokungasebenzi kakuhle kwesibindi okanye ukungasebenzi kakuhle kwezintso zinokwenzeka.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment