Isibindi sesinye sezitho ezibalulekileyo emzimbeni wethu. Kodwa ngamanye amaxesha, ukonakala kwesibindi kunokubangela iingxaki ezinkulu emzimbeni esingaziboniyo. Enye yeengxaki ezinjalo kukwanda koxinzelelo kwimithambo yegazi ehambisa igazi esibindini. Olu xinzelelo luphezulu lunokubangela ukopha okuyingozi. Namhlanje sithetha ngotyando olukhethekileyo olunokunceda ukusindisa ubomi kwiimeko ezinjalo. Olu lutyando lweDistal Splenorenal Shunt, okanye utyando lweDSRS ngamafutshane.
Yintoni le 'Portal Hypertension'?
Masiyibeke ngokulula le nto. Khawucinge ukuba umbhobho wamanzi ophambili endlwini yakho uvaliwe. Kwenzeka ntoni emva koko? Amanzi anamathela kwindawo enye, uxinzelelo luyanda, kwaye ngamanye amaxesha aqala ukuvuza kwezinye iindawo. Kwenzeka into efanayo nasemizimbeni yethu.
Emva kokuba ukutya esikutyayo kugayiwe, igazi elifunxe ezo zondlo lithwalwa liye esibindini ngomthambo omkhulu wegazi obizwa ngokuba yi-portal vein . Ukuba isibindi sonakele ngandlela thile (umzekelo, ngenxa yesifo sesibindi), igazi alikwazi ukuhamba lula ngomthambo we-portal. Kufana nombhobho wamanzi obambekayo.
Xa ukuhamba kwegazi kuthintelwe ngale ndlela, uxinzelelo olungaphakathi kwi-portal vein luyanda kakhulu. Oku sikubiza ngokuba yi -'Portal Hypertension' .
Ngenxa yolu xinzelelo luphezulu, igazi liqala ukufumana ezinye iindlela. Le mithambo yegazi mitsha (esiyibiza ngokuba yi -varices ) idla ngokwakheka esiswini okanye emqaleni. Le yimithambo ebuthathaka kakhulu, eneendonga ezincinci. Xa uxinzelelo lusanda ngakumbi, luyadumba, luqhume, luze luqale ukopha. Le yimeko eyingozi efuna unyango olungxamisekileyo.
Ngoko ke olu tyando lwe-DSRS lwenza ntoni?
Utyando lwe-DSRS, ukuba luchazwe ngokulula, yindlela entsha 'yokudlula' ukuhamba kwegazi okuvaliweyo. Olu tyando lubandakanya ukuphambukisa igazi elithile kwinkqubo yemithambo yegazi yoxinzelelo oluphezulu kunye nokulithumela kwindawo enoxinzelelo oluphantsi.
Nantsi indlela yokwenza oku:
Ugqirha wotyando uyahlula ngononophelo umthambo we-splenic kumthambo we-portal, ophantsi koxinzelelo oluphezulu. Emva koko, umthambo uqhagamshelwe kumthambo wezintso okwizintso zakho zasekhohlo. Umthambo wezintso ngumthambo onoxinzelelo oluphantsi, ojikelezileyo kakuhle.
Ngamafutshane, kufana nokususa ezinye izithuthi kwindlela exakekileyo uze uzithumele kwindlela engaxinenanga kangako. Oku kunciphisa uxinzelelo kwi-portal vein, nto leyo enokunceda ukulawula umngcipheko wokopha okuyingozi.
Lufuneka nini utyando lwe-DSRS?
Emva kokuba ugqirha wakho egqibile uvavanyo olwahlukeneyo, angacebisa olu tyando ukuba imithambo evuvukileyo kwi-esophagus okanye esiswini sakho idumbile okanye iyopha. Ukongeza, olu tyando lunokunceda ekulawuleni ezinye iingxaki ezibangelwa yi-portal hypertension.
| Ingxaki | Ingcaciso elula |
|---|---|
| Ukopha igazi ngenxa yokuhlanza okanye isitulo | Ingabangelwa kukuqhekeka kwemithambo yegazi ebuthathaka (varices). |
| Ukuqokelelana kolwelo esiswini (ii-Ascites) | Ulwelo oluphuma kwimithambo yegazi lusiya kwisisu ngenxa yoxinzelelo oluphezulu. Kuvakala ngathi isisu sigcwele. |
| Ukudumba kwemilenze (i-Edema) | Ukudumba kwemilenze neenyawo ngenxa yotshintsho kwibhalansi yolwelo lomzimba. |
| I-spleen ekhulisiweyo (i-Hypersplenism) | I-spleen iyakhula ngenxa yokuqhekeka kwegazi. |
| Ukungasebenzi kakuhle kwezintso kunye nokulahlekelwa yinkumbulo | Ezinye iingxaki ezinkulu ezinokubakho ngenxa yokusebenza kakubi kwesibindi. |
Yintoni umahluko phakathi kwe-DSRS nezinye iintlobo ze-shunts?
Kukho iintlobo ezahlukeneyo ze-shunts ezisetyenziselwa ukunciphisa uxinzelelo kwi-portal vein. Injongo ephambili yazo zonke ezi zinto kukulawula ukopha.
- I-Distal Splenorenal Shunt (DSRS): Olu lutyando esithetha ngalo ngoku. Oku kubandakanya ukwenza utyando oluvulekileyo kunye nokudala i-bypass kusetyenziswa umthambo emzimbeni.
- I-Transjugular Intrahepatic Portosystemic Shunt (IINGCEBISO):Oku kwahlukile kancinci kwi-DSRS. Akubandakanyi utyando olukhulu. Endaweni yoko, kufakwa ityhubhu encinci, njenge-catheter, ngomthambo osentanyeni kwaye iqhagamshela umthambo wesango kumthambo oyintloko oshiya isibindi (umthambo wesibindi) ngaphakathi kwesibindi. Le yeyona ndlela isetyenziswa kakhulu okwangoku.
Iqela lakho lezonyango liza kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
Yintoni onokuyilindela ngaphambi kotyando?
Ngaphambi kokuba ucwangcise utyando lwakho, ugqirha wakho uza kuthatha imbali yakho epheleleyo yezonyango aze enze uvavanyo lomzimba. Banokuyalela iimvavanyo ezininzi ukuze bavavanye impilo yakho iyonke, ukusebenza kwesibindi, kunye nobunzima be-portal hypertension yakho.
Oku kungabandakanya:
- Uvavanyo lwegazi
- Uvavanyo lokusebenza kwesibindi
- I-X-reyi yesifuba
- Uvavanyo lwe-EKG
- I-Angiogram - ukujonga imeko yemithambo yegazi
- I-endoscopy ephezulu - ukujonga ngaphakathi komphimbo kunye nesisu
Iqela lezonyango liza kukunika imiyalelo ecacileyo malunga nendlela yokulungiselela utyando. Umzekelo, baza kukuxelela ukuba zeziphi amayeza ekufuneka uyeke ukuwasela, izinto omawuzise esibhedlele, kunye nexesha lokuyeka ukutya nokusela. Babuze ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo ngeli xesha.
Lwenziwa njani utyando?
Utyando lwe-DSRS ludla ngokuthatha malunga neeyure ezine. Okokuqala, ufakwa phantsi kwe-anesthesia eqhelekileyo. Ngoko ke ulele kulo lonke utyando kwaye awuziva ntlungu. Iqela lotyando, njengoko besitshilo ngaphambili, lisusa ngononophelo umthambo we-splenic lize liwudibanise nomthambo wezintso.
Kwenzeka ntoni 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 (ityhubhu ye-NG) ifakwa malunga neeyure ezingama-24 ukususa umoya kunye nolwelo esiswini.
- Umgca we-saline (IV) uqhagamshelwe kumthambo osentanyeni ukuze unike amayeza kunye nolwelo.
- Uza kunikwa ipompo yentlungu oza kuyiphakela ngokwakho ukulawula intlungu.
Emva kweveki emva kotyando, uza kuphinda wenze i-angiogram ukuze ujonge ukuba i-shunt entsha isebenza kakuhle na. Xa ukwazi ukutya, uza kwaziswa kancinci kancinci kwizinto ezilulwelo neziqinileyo. Ngaphambi kokuba ugoduke, ingcali yesondlo iza kudibana nawe ukuze ixoxe ngokutya okufanelekileyo kuwe. Ukutya okunetyuwa encinci, okunamafutha aphantsi kuyacetyiswa rhoqo.
Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?
Emva kokuba ubuyele ekhaya, kufuneka ulumke kakhulu ukuba uphilile. Ukuba ufumanisa naziphi na iimpawu ezilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane nawe.
- Ukukhwehlela
- Ubunzima bokuphefumla
- Ukuphosa isipelingi
- Ifiva
- Iintlungu zesifuba
- Ukubila ngaphezu kwesiqhelo
Kuqhelekile ukuba novalo kwaye uxhalabele ukwenza olu hlobo lotyando. Kodwa khumbula, i-DSRS yindlela esebenzayo kakhulu yokuzikhusela kwiingxaki eziyingozi ze-portal hypertension.
Umyalezo Wokuya Ekhaya
- I-DSRS lutyando olunyanga uxinzelelo lwegazi oluphezulu lwe-portal, ingxaki yesifo sesibindi.
- Oku kusetyenziswa kakhulu ukulawula ukopha okunokuba yingozi ebomini.
- Olu lutyando olukhulu, kwaye kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva koko.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha kunye nengcali yesondlo ukuze uphile ngokukhawuleza emva kotyando.
- Ukuba kuvela naziphi na iimpawu ezingxamisekileyo, funa ingcebiso kagqirha ngokukhawuleza.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho