Sonke siyazi ukuba isibindi lelona lungu likhulu emzimbeni wethu. Isibindi sisebenza njengomzi-mveliso omkhulu ngaphakathi emzimbeni wethu. Kanye njengokuba izinto eziluhlaza zifika kule mveliso, negazi liza esibindini, kwaye emva kokuba umsebenzi walo ugqityiwe, liyaphuma. Ngoko ke, kukho inkqubo ekhethekileyo yemithambo yegazi ngaphakathi kwesibindi ethatha igazi elicociweyo, elondliwe, neligqityiweyo libuyele entliziyweni yethu. Loo nkqubo yemithambo yileyo siyibiza ngokuba yi-'Hepatic Veins'. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, zithini ezi veins zesibindi?
Khawuthelekelele isibindi sakho njengesihluzo esikhulu samanzi. Igazi eliphuma kwamanye amalungu esiswini sethu licocwa ngesi sihluzo. Inkqubo enkulu yombhobho iyadingeka ukuthumela amanzi acociweyo kwitanki ephambili. Ngokufanayo, igazi elicociweyo sisihluzo sesibindi lithunyelwa entliziyweni ukuze lipompelwe emzimbeni wonke yimithambo yesibindi .
Le mithambo idibana ne-Inferior Vena Cava (IVC), enye yezona mithambo zikhulu emzimbeni wethu. Le IVC iqokelela lonke igazi elingenaoksijini kwinxalenye esezantsi yomzimba wethu ize ilithwale liye kwi-atrium ekunene yentliziyo.
Ngokwesiqhelo, sinemithambo emithathu ephambili yesibindi.
- Umthambo wesibindi wasekunene
- Umthambo wesibindi wasekhohlo
- Umthambo wesibindi ophakathi
Le mithambo mitsathu ibaluleke kakhulu kwinkqubo yethu yokujikeleza kwegazi. Kuba ithwala igazi elingenaoksijini kodwa elicociweyo lisuka esibindini liye entliziyweni. Emva koko elo gazi liya emiphungeni, lithathe ioksijini, lize libuyele entliziyweni ukuze lijikeleze umzimba wonke.
Ziphi ezi veins? Zithini iimilo zazo?
Le mithambo yesibindi ifumaneka ngaphakathi kwesibindi . Njengamasebe omthi, le mithambo isasazeka kulo lonke isibindi. Xa oogqirha besahlula isibindi sibe ngamacandelo, basebenzisa le mithambo njengemida. Kukho uthungelwano olubizwa ngokuba yi-'central veins' oluqokelela igazi kwi-capillaries ezintle kakhulu ngaphakathi kwesibindi. Igazi elivela kuloo mithambo iphakathi liqokelelwa kule mithambo mikhulu yesibindi.
Lo mthambo, ophuma ngasemva kwesibindi, udibana ngqo ne-'inferior vena cava' (IVC) ebesithethe ngayo ngaphambili. Oko kukuthi, ukufutshane nomqolo wethu, ngaphantsi nje kwe-diaphragm.
Uninzi lwexesha, umthambo wesibindi wasekunene uqhagamshela kwi-IVC yodwa. Nangona kunjalo, imithambo yesibindi yasekhohlo nephakathi iyadibana ukuze yenze isiqu esincinci esiqhelekileyo esiqhagamshela kwi-IVC.
Kodwa oku akufani kuye wonke umntu. Abanye abantu banokuba notshintsho oluncinci kwindlela ezifumaneka ngayo ezi veins. Asikuko isifo okanye isizathu sokuxhalaba. Kuqhelekile. Nangona kunjalo, xa besenza utyando olukhulu njengokufakelwa kwesibindi, oogqirha botyando baxhalaba ngakumbi ngezi nguqu.
Ziziphi iinguqu abanye abantu abanokuzibona?
Oku kungenxa yolwazi lwakho kuphela. Akukho monakalo ekubeni notshintsho olunjalo.
| Utshintsho | Kalula nje... |
|---|---|
| I-accessory ye-inferior right hepatic vein | Ukongeza kwimithambo emithathu ephambili, omnye umthambo omncinci kwicala lasekunene lesibindi uqhagamshela ngqo kwi-IVC. |
| Imithambo emibini yesibindi yasekunene | Abanye abantu banokuba nemithambo emibini yesibindi yasekunene. Le mibini inokudibana ize ingene kwi-IVC, okanye ihlangane yodwa. |
| Ukukhula kwamasebe okuqala emthanjeni wesibindi sasekunene | Njengoko umthambo wesibindi wasekunene sele uza kujoyina i-IVC, omnye umthambo omncinci wesebe uyajoyina. |
| Ukutsalwa kwamanzi ngokuzimeleyo kwemithambo yesibindi ephakathi neyasekhohlo | Imithambo ephakathi neyasekhohlo ayidibani, kodwa idibanela kwi-IVC ngokwahlukeneyo. |
Ziziphi izifo ezichaphazela imithambo yesibindi?
Ingxaki ephambili neyona inzima echaphazela le mithambo yiBudd -Chiari syndrome .
Ngamafutshane, oku kuthetha ukuba amahlwili egazi akhiwa ngaphakathi kwimithambo yesibindi, evala imithambo.. Khawuthelekelele ukuba xa iqhekeza lodaka libhajwe kumbhobho wamanzi, indlela yamanzi iyavalwa, aze amanzi azalise umva wombhobho. Ngendlela efanayo, xa igazi liqhekeka kumthambo wesibindi, lonke igazi elifanele ukuba liphume esibindini liyabhajwe kwindawo enye, kwaye uxinzelelo ngaphakathi kwesibindi luyanda kakhulu. Le yimeko eyingozi kakhulu.
Xa igazi livaleleka esibindini ngale ndlela, linokubangela ezinye iingxaki ezininzi.
- Uxinzelelo lwegazi oluphezulu kwi-portal: Uxinzelelo olugqithisileyo kumthambo oyintloko oluthwala igazi ukuya esibindini (i-portal vein).
- Ii-Esophageal Varices: Imithambo ekwi-esophagus (gullet) inokudumba, ivuvuke, kwaye yophe.
- Ii-Ascites: Isisu sizaliswa lulwelo olufana namanzi, kwaye isisu siqala ukwanda.
- Isifo sokudumba kwesibindi: Ukonakala kwexesha elide kwesibindi kubangela ukuba iiseli zesibindi zife kwaye zithatyathelw’ indawo zizicubu ezine-fibrous, nto leyo ebangela ukuba isibindi singaphumeleli kancinci kancinci.
Iimpawu ezinokwenzeka kule meko
Usenokuba uzibuza ukuba umzimba wakho ungaziva njani ukuba kwenzeka into efana nale. Nazi ezinye iimpawu ekufuneka uzilumkele.
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Intlungu yesisu esingaphezulu | Intlungu ebuhlungu inokwenzeka ngenxa yokudumba kwesibindi kunye noxinzelelo oluphezulu ngaphakathi. |
| Ukudumba kunye nokunyuka kobunzima ngokukhawuleza | I-Ascites inokubangela ukuba isisu sibonakale sidumbile kwaye ibangele ukutyeba ngequbuliso kwiintsuku ezimbalwa. |
| Ukudumba kwemilenze okanye amaqatha (i-Edema) | Imilenze inokudumba ngenxa yokujikeleza okungafanelekanga kolwelo lomzimba. |
| Ukuhlanza igazi okanye ukuphalaza igazi esitulweni | Le yimeko embi kakhulu. Umthambo oqhekekileyo kumqala ungabangela ukuhlanza igazi kunye nendle emnyama. Ukuba oku kuyenzeka, kufuneka uye kwigumbi likaxakeka lesibhedlele (ETU) ngokukhawuleza. |
| Ukulahlekelwa ngumdla, ukudinwa, ubuthathaka | Ngenxa yokusebenza kwesibindi okungasebenzi kakuhle, umzimba usenokungafumani amandla afunekayo kwaye usenokuziva udiniwe rhoqo. |
Indlela yokuxilonga esi sifo?
Xa uxelela ugqirha wakho ngezi mpawu, uza kukuhlola aze akuthumelele iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.
- Uvavanyo lwegazi: Olu vavanyo lunokubonelela ngolwazi olubalulekileyo malunga nokusebenza kwesibindi.
- Iskeni ye-ultrasound: Oku kunokubona ngokucacileyo ukuhamba kwegazi ngaphakathi kwemithambo yesibindi kunye nokuba kukho na amahlwili egazi.
- I-CT scan (i-Computed Tomography - i-CT scan): Oku kunokuvelisa imifanekiso eneenkcukacha zesibindi kunye nemithambo yegazi.
- I-MRI Scan (I-Magnetic Resonance Imaging - i-MRI): Oku kunokuvelisa imifanekiso ecacileyo yesibindi kunye nemithambo yegazi.
- Uvavanyo lwesibindi: Kwezinye iimeko, kuthathwa iqhekeza elincinci lesibindi kusetyenziswa inaliti encinci kakhulu ukujonga ubungakanani bomonakalo wesibindi.
Ziziphi iindlela zonyango zezi?
Iindlela zonyango ziyahluka ukusuka kwisigulana ukuya kwisigulana. Injongo ephambili kukunyibilikisa ihlwili legazi emthanjeni kunye nokubuyisela ukuhamba kwegazi.
Oku kungenziwa ngokunika amayeza okususa amahlwili egazi (unyango lwe-thrombolytic) okanye ngokuvula umthambo ngeenkqubo ezifana ne-angioplasty. Ugqirha wakho uza kukuchazela ukuba loluphi unyango olufanelekileyo kuwe, kuxhomekeke kwimeko yakho.
Ungayigcina njani imithambo yesibindi kunye nomzimba wonke uphilile?
Ezi zinto zinceda ukugcina kungekuphela nje imithambo yakho yesibindi, kodwa nentliziyo yakho yonke kunye nenkqubo yemithambo yegazi isempilweni.
| Kwenziwe ntoni | Kutheni oko kubalulekile? |
|---|---|
| Nciphisa utywala. | Ukusela utywala ngokugqithisileyo yenye yezona ntshaba zinkulu zesibindi. Kubangela umonakalo omkhulu kwisibindi, intliziyo, kunye nemithambo yegazi. |
| Kuphephe ukutshaya. | Ukutshaya konakalisa udonga lwemithambo yegazi kwaye kwandisa kakhulu umngcipheko wokuqhekeka kwegazi. |
| Lawula ezinye izifo | Ukuba uneemeko ezifana noxinzelelo lwegazi oluphezulu okanye isifo seswekile, zilawule ngokufanelekileyo, kungenjalo zingonakalisa imithambo yegazi yakho ngokuhamba kwexesha. |
| Yitya ukutya okunempilo kwentliziyo | Nciphisa ukutya okuneoyile eninzi, ityuwa, neswekile, kwaye yongeza izinto ezifana nemifuno, iziqhamo, imifuno, kunye neentlanzi ezicocekileyo ekutyeni kwakho. |
| Ukuzilolonga. | Ukwenza umthambo olula njengokuhamba ubuncinane imizuzu engama-30 ngosuku kuphucula ukujikeleza kwegazi emzimbeni wonke. |
| Yenza uvavanyo lwezonyango. | Bona ugqirha ubuncinane kanye ngonyaka ukuze ujonge impilo yakho. Ngale ndlela, ukuba kukho ingxaki, unokuyibona ngokukhawuleza. |
Into edida abantu abaninzi: Ngaba umthambo wesibindi kunye nomthambo wesango zizinto ezifanayo?
Hayi. Ezi ziintlobo ezimbini ezahlukeneyo zemithambo yegazi ezenza imisebenzi emibini echaseneyo.
Oku kufana 'nomnyango' kunye 'nokuphuma' kwendlela.
- I-Portal Vein: Le yindlela yokungena esibindini. I-portal vein ithwala igazi elinezondlo ezivela kwizitho ezifana namathumbu nesisu ukuya esibindini.
- Imithambo Yesibindi: Le yindlela ephuma esibindini. Igazi elicociweyo esibindini libuyiselwa entliziyweni ngemithambo yesibindi.
Jonga le theyibhile ukuze ufumane ingcaciso engakumbi.
| Umahluko | I-Portal Vein | Imithambo yeSinyithi |
|---|---|---|
| Umsebenzi | Ukuzisa igazi esibindini | Ukuhamba kwegazi kude nesibindi |
| Uhlobo lwegazi | Igazi elityebileyo kwizakhamzimba, kodwa elingacocwanga | Igazi licocwa sisibindi, kodwa liphantsi komoya-mpilo |
| Indawo oya kuyo | Isibindi | Intliziyo nge-inferior vena cava (IVC) |
Ngoko ke ngoku uyazi ukuba umthambo wesibindi likhonkco elibaluleke kakhulu phakathi kwesibindi nentliziyo. Ukugcina le mithambo isempilweni kubaluleke kakhulu kwimpilo yomzimba wakho wonke.
Umyalezo Wokuya Ekhaya
- Imithambo yegazi yesibindi yimithambo yegazi ephambili ethwala igazi elicociweyo esibindini sakho libuyele entliziyweni yakho.
- Eyona meko imbi kakhulu enxulunyaniswa nale meko kukwakheka kwamahlwili egazi ngaphakathi kwezi veins (i-Budd-Chiari syndrome).
- Lumka kakhulu kwiimpawu ezifana nentlungu eqatha esiswini esingaphezulu, ukudumba, ukudumba kwemilenze, kunye nokuhlanza igazi. Ukuba unayo nayiphi na kwezi, bona ugqirha wakho ngokukhawuleza.
- Ngokuphepha utywala, ukutshaya, nokulandela indlela yokuphila esempilweni, ungagcina kungekuphela nje le mithambo, kodwa nomzimba wakho wonke uphilile.
- Ukuba unamathandabuzo amancinci malunga nempilo yesibindi sakho, ungaze woyike ukuthetha ngokukhululekileyo ngayo nogqirha wakho.
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