Isibindi sakho sisitho esibaluleke kakhulu emzimbeni wethu. Kodwa ngenxa yezifo ezithile, ingakumbi xa isibindi sonakele , uxinzelelo kwimithambo yegazi edibene naso lunokunyuka kakhulu. Oku kunokukhokelela kwiimeko eziyingozi ezifana nokuhlanza igazi ngequbuliso. Namhlanje sithetha ngotyando olukhethekileyo olwenziwayo ukusindisa ubomi kwiimeko ezinjalo. Oku kubizwa ngokuba lutyando lwe-DSRS.
Yintoni iDistal Splenorenal Shunt (DSRS)?
Ngamafutshane, i-Distal Splenorenal Shunt (DSRS ) yinkqubo yotyando ekhulula uxinzelelo kwi-portal vein yakho. Ngoku usenokuba uzibuza ukuba yintoni i-portal vein. I-portal vein yimithambo yegazi ephambili ethwala igazi ukusuka kwindlela yokugaya ukutya ( esiswini , emathunjini, njl.njl.) ukuya esibindini.
Ezinye iimeko zonyango zibangela ukuba uxinzelelo olukule vein lunyuke kakhulu. Silubiza ngokuba yiPortal Hypertension . Oogqirha basebenzisa le nkqubo ye-DSRS ukulawula ukopha kunye nezinye iingxaki ezibangelwa lolu xinzelelo luphezulu.
Into ebalulekileyo kukuba utyando lwe-DSRS alunakunyanga unobangela we-Portal Hypertension. Nangona kunjalo, lunokunceda ekulawuleni iimpawu eziyingozi ezivelayo. Emva kolu tyando, kuya kufuneka uqhubeke novavanyo kunye nokulandela ugqirha wakho ukuze ajonge imeko yakho.
Okokuqala, masiqonde ukuba yintoni iPortal Hypertension?
Uxinzelelo lwegazi oluphezulu kwi-portal vein, njengoko besitshilo ngaphambili, luxinzelelo lwegazi oluphezulu kwi-portal vein. Eyona nto ibangela oku kukonakala kwesibindi. Umzekelo, imeko efana ne -cirrhosis inokubangela ukuba isibindi siqine, nto leyo ethintela ukuhamba kwegazi kuso.
Khawucinge ngento eyenzekayo xa umbhobho wamanzi uvalekile phakathi. Uxinzelelo olungaphakathi kombhobho luyanda, aze amanzi azame ukuphuma kwezinye iindawo, akunjalo? Ngokufanayo, xa igazi lingadluli esibindini, uxinzelelo olukwi-portal vein luyanda.
Ngenxa yolu xinzelelo luphezulu, igazi liqala ukufumana ezinye iindlela zokuhamba. Le mithambo yegazi emitsha, eneendonga ezibuthathaka yileyo siyibiza ngokuba yi-'varices' . Le mithambo yegazi ikhula kakhulu kumphunga wakho nasesiswini.
Njengoko uxinzelelo lusanda, la mathambo avuvukala, iindonga zawo zibhityile kwaye zibe buthathaka. Anokuvuza ulwelo esiswini (oku kubizwa ngokuba yi-ascites ), kwaye eyona nto iyingozi kukuba anokuqhuma aze aqale ukopha. Le yingxamiseko yezonyango.
Kwenzeka ntoni kanye kanye ngexesha lotyando lwe-DSRS?
Utyando lwe-DSRS lusebenza ngokuguqula ukuhamba kwegazi okugqithisileyo kwi-portal vein kunye nokunciphisa uxinzelelo lwayo. Oku kufana nokwakha indlela entsha edlulayo ukuze kuncitshiswe izithuthi ezininzi kwisixeko.
Ngexesha lotyando, ugqirha uza kwenza oku kulandelayo:
1. Umthambo we-spleen we-spleen yakho wahlulwe kumthambo we-portal.
2. Emva koko umthambo we-splenic owahlulweyo uqhagamshelwe kumthambo wezintso wezintso zakho zasekhohlo.
Ngokudala indlela entsha yokuba igazi lihambe ngale ndlela, uxinzelelo kwi-portal vein luyancitshiswa, ukudumba kwee-varices kuyancitshiswa, kwaye utyando lwenzelwe ukuqinisekisa ukuba isibindi siyaqhubeka nokufumana igazi esilifunayo.
Ngubani ofuna utyando lwe-DSRS?
Olu tyando lunokucetyiswa ukuba ugqirha wakho ufumanise ukuba imithambo yakho yomqala okanye yesisu (varices) ikhulisiwe okanye iyopha. Inokuba sisisombululo kwezinye iingxaki ezibangelwa yiPortal Hypertension.
Itheyibhile engasezantsi ingakuchaza ngakumbi oku.
| Uphawu/imeko | Ingcaciso elula |
|---|---|
| Ukopha igazi ngenxa yokuhlanza okanye isitulo | Olu luphawu oluphambili lokuqhuma kwemithambo ye-varicose. |
| Ukopha kwamathumbu | Le meko ingasentla ichazwa ngenye indlela. |
| Ii-Ascites | Ulwelo oluphuma kwimithambo yegazi luye kwisisu ngenxa yoxinzelelo oluphezulu. |
| Ukudumba kwemilenze neenyawo (i-Edema) | Ingabangelwa kukutshintsha kwebhalansi yolwelo lomzimba. |
| I-spleen ekhulisiweyo (i-Hypersplenism) | I-spleen iyakhula ngenxa yokwanda kwegazi elingena kuyo. |
| Ukungasebenzi kakuhle kwezintso | Ukungasebenzi kakuhle kwesibindi kunokuchaphazela nezintso. |
| Ukuphazamiseka Okuncinci Kwengqondo | Iityhefu ekufuneka zisuswe esibindini ziyaqokelelana egazini kwaye zichaphazele ingqondo. |
Yintoni umahluko phakathi kwe-DSRS kunye nezinye iindlela zonyango ze-shunt?
Injongo eqhelekileyo yazo zonke iindlela zonyango lwe-shunt kwi-portal hypertension kukunciphisa uxinzelelo kwi-portal vein nokulawula ukopha. Nangona kunjalo, kukho umahluko kwindlela ezenziwa ngayo ezi zinto.
- I-Transjugular Intrahepatic Portosystemic Shunt (TIPS): Le ayisiyonkqubo yotyando. Ibandakanya ukufaka ityhubhu efana ne-catheter ngemithambo entanyeni kunye nokudala unxibelelwano phakathi komthambo we-portal kunye nomthambo wesibindi ngaphakathi kwesibindi. Le nkqubo ye-TIPS ixhaphake kakhulu kune-DSRS kule mihla.
- I-proximal splenorenal shunt: Le ikwayindlela yotyando. Nangona kunjalo, inokufuna ukuba kususwe i-spleen ngokwayo.
- I-spontaneous splenorenal shunt (SSRS): Le ayisiyonkqubo yotyando. Lunxibelelwano oludalwa ngumzimba ngokwendalo xa isifo sesibindi sinzima kakhulu. Oku kubonisa ukuba isifo sihambele phambili kakhulu.
Yintoni onokuyilindela ngaphambi kotyando?
Ugqirha wakho uza kuqala akubuze ngembali yakho yezonyango aze akuhlole. Emva koko, uza kwenza uvavanyo oluninzi ukuze aqinisekise impilo yakho ngokubanzi, ukusebenza kwesibindi, kunye nobunzima be-portal hypertension yakho.
Olu vavanyo lungabandakanya:
- Uvavanyo lwegazi
- Uvavanyo lokusebenza kwesibindi
- I-X-reyi yesifuba
- I-ECG (i-Electrocardiogram)
- I-Angiogram - Olu luvavanyo olukhethekileyo olujonga imeko yemithambo yegazi.
- I-endoscopy ephezulu - ukuvavanywa kwangaphakathi kwe-esophagus kunye nesisu kusetyenziswa ityhubhu enekhamera
Iqela lakho lezonyango liza kukunika imiyalelo ecacileyo ngaphambi kotyando.
- Ngawaphi amayeza ekufuneka amiswe ngaphambi kotyando?
- Zeziphi izinto ekufuneka ndiziphathe xa ndifika esibhedlele?
- Ixesha elichanekileyo lokuyeka ukutya nokusela ngaphambi kotyando.
Buza ugqirha nayiphi na imibuzo okanye izinto ezikuxhalabisayo malunga noku uze umcele acaciselwe kakuhle. Musa ukufihlwa nto.
Kwenzeka ntoni ngexesha lotyando?
Utyando lwe-DSRS ludla ngokuthatha malunga neeyure ezine . Okokuqala, unikwa i-anesthesia jikelele. Oku kuthetha ukuba awuziva ntlungu kwaye ulele ngokupheleleyo.
Emva koko iqela lotyando, njengoko besitshilo ngaphambili:
1. Umthambo we-splenic wahlulwe kumthambo we-portal.
2. Thabatha loo mthambo uwudibanise nomthambo wezintso wezintso zasekhohlo.
Yintoni endimele ndiyilindele emva kotyando?
Emva kotyando, kuya kufuneka uhlale esibhedlele kangangeveki okanye iintsuku ezilishumi . Ngeli xesha, iqela lezonyango liza kukunyamekela kakuhle.
- Kufakwa i-catheter yexeshana ukuze kukhutshwe umchamo.
- Ityhubhu ye-nasogastric ifakwa ngempumlo kangangeeyure ezingama-24 ukuze kususwe umoya kunye nolwelo esiswini.
- I-IV iza kufakwa emthanjeni entanyeni yakho ukuze ikunike amayeza kunye nolwelo.
- Uza kunikwa ipompo yentlungu oza kuyiphakela ngokwakho ukulawula intlungu.
Emva kweveki emva kotyando, uza kuphinda uhlolwe i-angiogram ukuze ujonge ukuba i-shunt isebenza kakuhle na. Xa sele ukwazi ukutya nokusela, uza kunikwa ulwelo kuqala, uze emva koko unikwe izinto eziqinileyo. Ngaphambi kokuba ugoduke, ingcali yokutya iza kudibana nawe ukuze ixoxe ngokutya okufanelekileyo kuwe. Ukutya okunetyuwa encinci, okunamafutha aphantsi kuyacetyiswa rhoqo .
Ngaba kukho naziphi na iingozi kolu tyando?
Njengalo naluphi na utyando, kukho iingozi ezithile, kodwa i-DSRS ngokubanzi yinkqubo ekhuselekileyo nephumelelayo.
Umngcipheko wokopha kwakhona uphezulu kwinyanga yokuqala emva kotyando. Kodwa ungakhathazeki. Iqela lakho lezonyango liza kukunceda ulawule lo mngcipheko kwaye likugcine unolwazi olupheleleyo ngalo.
Yintoni omele uyenze ngexesha lokuchacha kwakho emva kokubuyela ekhaya?
Kubaluleke kakhulu ukulandela imiyalelo enikwe ngugqirha wakho kunye nengcali yesondlo ngononophelo ukuze uphile ngokukhawuleza. Buza ugqirha wakho ukuba ungaqhubeka nini nemisebenzi eqhelekileyo kunye nokuzilolonga.
Kuya kufuneka uhlolwe igazi rhoqo ukuze ujonge ukuba isibindi sakho sisebenza njani. Ungaze uphoswe ziintlanganiso zakho zokulandelela. Ugqirha wakho uza kuqhubeka ekujonga imeko yakho aze akunike iingcebiso ozidingayo ukuze uhlale usempilweni.
Ziziphi iimpawu ezifuna unyango olukhawulezileyo?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo, oko kungaba luphawu lwemeko embi kakhulu. Ngoko ke , yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko okanye utsalele umnxeba inkonzo ye-ambulensi ka-1990.
- Ukukhwehlela
- Ubunzima bokuphefumla
- Ukuphosa isipelingi
- Ifiva
- Iintlungu zesifuba
- Ukubila ngaphezu kwesiqhelo
Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa ufumanisa ukuba unesifo esifana ne-Portal Hypertension. Kodwa ugqirha wakho uza kuhlala nawe phantsi, ajonge iimpawu zakho, aze akuncede uzilawule. Ukuba kuyimfuneko, utyando olufana ne-DSRS lunokukunceda ukulawula umngcipheko wakho wokopha kwaye lukuncede uphile ubomi obungcono.
Umyalezo Wokuya Ekhaya
- I-DSRS lutyando olwenziwa ukunciphisa uxinzelelo oluphezulu kumthambo wesango.
- Injongo ephambili yoku kukulawula iingxaki ezinobungozi ezifana nokopha okubangelwa yiPortal Hypertension.
- Olu tyando alunyangi isifo sesibindi, kodwa lunokunceda kakhulu ekulawuleni iimpawu.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha emva kotyando, ingakumbi ukutya okutyiwayo kunye nokuya kwiikliniki ngexesha.
- Ukuba ufumana iimpawu ezinje ngobunzima bokuphefumla, iintlungu zesifuba, okanye ukubila kakhulu, funa ingcebiso kagqirha ngoko nangoko.
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