Ngaba uyazi kakuhle ukuba zeziphi ezi veins zesibindi ezisesibindini sakho? Masithethe!

Sonke sinezinto ezimangalisayo ezenzekayo emizimbeni yethu, akunjalo? Ezinye izinto esingazicingiyo imihla ngemihla, kodwa asinakuphila ngaphandle kwazo. Kwakhona, inkqubo yemithambo yegazi eyenza umsebenzi obaluleke kakhulu emizimbeni yethu ibizwa ngokuba yimithambo yesibindi. Ngamafutshane, ezi luhlobo lwemithambo yegazi ethwala igazi esibindini sethu. Ngaba singathetha ngale nto ngokweenkcukacha?

Zithini imithambo yesibindi? Iphi?

Kulungile, cinga ngale ndlela. Isibindi sakho sisitho esimangalisayo. Senza umsebenzi omninzi. Ngoko ke, emva kokuba umsebenzi ongaphakathi kwesibindi ugqityiwe, igazi elicociweyo, kodwa elingenaoksijini kufuneka libuyiselwe entliziyweni. Sibiza imithambo yesibindi, iqela lemithambo enceda kuloo msebenzi.

Lo mthambo uqhagamshelwe ngqo kwi-Inferior Vena Cava (IVC), umthambo omkhulu oqokelela igazi kwinxalenye esezantsi yomzimba wethu uze ulithwale uliyise entliziyweni. Emva koko igazi lidlula kule IVC liye kwigumbi eliphezulu kwicala lasekunene lentliziyo, i-atrium yasekunene.

Kukho iintlobo ezintathu eziphambili zemithambo yesibindi:

• Umthambo wesibindi wasekunene
• Umthambo wesibindi wasekhohlo
• Umthambo wesibindi ophakathi

Le mithambo ifumaneka ngaphakathi kwesibindi sakho. Ihamba kwiilobe ezisibhozo zesibindi kwaye inceda ekuphawuleni imida yamacandelo amane amakhulu esibindi. Oogqirha babiza la macandelo mane njenge-front yasekunene, i-posterior yasekunene, i-left central, kunye ne-left side. Ngaphakathi kwesibindi, le mithambo yesibindi ifumana igazi kwimithambo ephakathi. Le mithambo ephakathi yimithambo emincinci eqokelela igazi kwi-capillaries ezincinci kulo lonke isibindi.

Imithambo yesibindi iphuma ngasemva kwesibindi ize idibane ngqo kwi-inferior vena cava (IVC). Oku kudibana kufutshane nomqolo, ngaphantsi nje kwe-diaphragm. Ngokwesiqhelo, umthambo wesibindi wasekunene udibana ne-IVC yodwa, ngelixa imithambo yesibindi ephakathi neyasekhohlo idibana ukuze yenze isiqu esiqhelekileyo kwaye idibane ne-IVC. Nangona kunjalo, oku akufani kuye wonke umntu, kwaye kunokubakho umahluko othile.

Yintoni umsebenzi wale mithambo?

Ngamafutshane, imithambo yesibindi yinxalenye ebaluleke kakhulu kwinkqubo yethu yokujikeleza kwegazi. Umsebenzi wayo ophambili kukuqokelela igazi elingenaoksijini esibindini lize lilithuthe liye kwi-vena cava engaphantsi (IVC). Eli gazi lihamba ngentliziyo liye emiphungeni, apho lifakwa khona ioksijini, lize liphinde limpompelwe entliziyweni kuwo wonke umzimba. Ngoko ke, ungabona ukuba le nkqubo yemithambo ibaluleke kangakanani, akunjalo?

Imithambo yesibindi ifana nenkqubo yemibhobho ethwala amanzi asetyenzisiweyo esibindini ize iwabuyisele emzimbeni ukuze ahlanjululwe.

Ngaba imithambo yesibindi yomntu wonke iyafana? Okanye ngaba kukho umahluko?

Le yinyani enomdla kakhulu. Ayingomntu wonke onemithambo yesibindi enesakhiwo esifanayo.Kusenokubakho utshintsho oluncinci kuzo, kodwa azibangeli monakalo. Nangona kunjalo, kubaluleke kakhulu ukuba oogqirha baqaphele olu tshintsho, ingakumbi kwiinkqubo zotyando ezifana nokufakelwa kwesibindi okanye ukususwa kwesibindi.

Zeziphi ezi nguqu zinokwenzeka? Makhe sijonge ezimbalwa:

• Umthambo wesibindi ongaphantsi kwesandla sasekunene oncedisayo: Ukongeza kwimithambo emithathu ephambili yesibindi, omnye umthambo unokujoyina i-IVC kwinqanaba eliphantsi.
• Imithambo emibini yesibindi yasekunene: Le mithambo mibini inokwenza isiqu esiqhelekileyo ngaphambi kokujoyina i-`(IVC)`, okanye ingadibana yodwa.
• Ukuqhekeka ngokukhawuleza komthambo wesibindi wasekunene: Xa umthambo wesibindi wasekunene sele uza kujoyina i-(IVC), umthambo omncinci wesebe usenokujoyina.
• Imithambo yesibindi ephakathi neyasekhohlo idibana ngokwahlukeneyo kwi-`(IVC)`: Kunokwenzeka ukuba le mithambo mibini ihlangane ngokwahlukeneyo kwi-`(IVC)` ngaphandle kokwenza isiqu esiqhelekileyo.

Uyabona, akunjalo? Utshintsho oluncinci olufana nolu luqhelekile.

Ububanzi bomthambo wesibindi buhlala bumalunga neemilimitha ezili-15.

Ziziphi izifo ezichaphazela imithambo yesibindi?

Ngelishwa, le mithambo yesibindi inokuba nezifo ezithile. Enye yezona zibalulekileyo kwezi yimeko ebizwa ngokuba yiBudd-Chiari Syndrome .

Ngamafutshane, oku kwenzeka xa amahlwili egazi eyenzeka kwimithambo yesibindi. La mahlwili egazi anciphisa imithambo, okanye angayivimba ngokupheleleyo. Kwenzeka ntoni ke ngoko? Igazi liyama ngaphakathi kwesibindi. Oku kuxinana kukwachaphazela nenkqubo yemithambo yegazi ejikeleze isibindi.

Ezinye zeengxaki ezinokubakho ngenxa yeBudd-Chiari Syndrome zezi:

• Uxinzelelo lwegazi oluphezulu kwi-portal: Uxinzelelo oluphezulu kwi-portal vein ethwala igazi ukuya esibindini.
• IiVarices ze-Esophageal: Ukudumba kunye nomngcipheko wokuqhekeka kwemithambo kwi-esophagus.
• Ukuqokelelana kolwelo esiswini (ii-Ascites)
• I-Cirrhosis yesibindi: ukuqina kunye nokusebenza okunciphileyo kwesibindi.

Zingaba zeziphi ezi mpawu?

Iimpawu zeBudd-Chiari Syndrome kunye neengxaki ezinxulumene nayo zinokwahluka kumntu nomntu, kodwa nazi ezinye zeempawu eziqhelekileyo:

• Ukuphalaza igazi ngendle.
• Iingxaki zokugaya ukutya ezifana ne-anorexia, ukudumba, kunye nokuqhina.
• Ukudinwa rhoqo kunye nobuthathaka.
• Intlungu esiswini esingaphezulu.
• Ukudumba kwesisu kunye nokutyeba ngokukhawuleza.
• Ubunzima bokuphefumla.
• Ukudumba kwemilenze okanye amaqatha (i-Edema).
• Ukuhlanza igazi.

Ukuba unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza.

Oogqirha bayixilonga njani imeko efana nale?

Ugqirha uza kulandela amanyathelo aliqela ukuze abone ukuba kukho ingxaki na kule mithambo yesibindi.

1. Uvavanyo lomzimba: Okokuqala, uza kuhlolwa.

2. Uvavanyo lwegazi: Uvavanyo lwegazi lwenziwa ukujonga ukusebenza kwesibindi.

3. Ezinye iimvavanyo: Ukongeza, olunye okanye ngaphezulu kwezi vavanyo lunokwenziwa:

• Uvavanyo lwe-ultrasound scan `(Ultrasound)`.
• Uvavanyo lwe-CT scan (i-Computed Tomography - i-CT scan).
• Uvavanyo lwe-MRI scan (Magnetic Resonance Imaging - MRI).
• Ukuthatha iqhekeza elincinci lesibindi ukuze lihlolwe (iLiver Biopsy).

Ugqirha wenza uxilongo oluchanekileyo ngokusekelwe kulwazi olufunyenwe kwezi mvavanyo.

Wenza ntoni njengonyango?

Iindlela zonyango zixhomekeke kwimeko yakho kunye nobunzima bayo. Unyango lwe-Thrombolytic ludla ngokunikezelwa ukunyibilikisa amahlwili egazi. Kukwakho neendlela ezahlukeneyo zokubuyisela ukuhamba kwegazi. Ugqirha wakho uza kuxoxa nawe ngendlela yonyango ekulungeleyo.

Yintoni esifanele siyenze ukuze sigcine imithambo yethu yesibindi isempilweni?

Bathi, “Ukuthintela kungcono kunokunyanga.” Ngoko ke, kukho izinto ezininzi esinokuzenza ukugcina kungekuphela nje imithambo yethu yesibindi, kodwa nayo yonke inkqubo yethu yemithambo yegazi isempilweni.

• Nciphisa utywala obusela kakhulu: Ukusela utywala ngokugqithisileyo kuyingozi kakhulu entliziyweni, kwimithambo yegazi nakwisibindi. Ukuba usela utywala, bunciphise bube buphakathi.
• Ziphephe iimveliso zecuba: Ukutshaya konakalisa imithambo yegazi kwaye yeyona nto iphambili ebangela isifo sentliziyo.
• Lawula ezinye iimeko zempilo: Ukuba unezinye iimeko zempilo, ezifana noxinzelelo lwegazi oluphezulu okanye isifo se-metabolic syndrome, thetha nogqirha wakho malunga nendlela yokulawula ezo meko. Ezinye iimeko zingonakalisa imithambo yegazi ngokuhamba kwexesha.
• Yitya ukutya okunempilo kwentliziyo: Ukutya kwaseMeditera ngokukodwa kufunyaniswe ukuba kunceda ekunciphiseni umngcipheko wesifo sentliziyo.
• Ukuzilolonga: Buza ugqirha wakho malunga nokuzilolonga okukhuselekileyo nokufanelekileyo kuwe. Ukushukuma komzimba wakho kuphucula ukujikeleza kwegazi.
• Yiya kuhlolwa impilo yakho rhoqo ngonyaka: Ugqirha uza kujonga iimpawu zakho ezibalulekileyo, aze, ukuba kuyimfuneko, enze olunye uvavanyo ukunceda ekufumaneni nasekunyangeni naziphi na iingxaki ngokukhawuleza.

Ngaba umthambo wesibindi kunye nomthambo wesango ziyafana?

Hayi, ezi zimbini azifani. Imithambo yeHepatic kunye neMithambo yePortal ziintlobo ezimbini zemithambo yegazi ezenza imisebenzi echaseneyo.

• I-Portal Vein: Ngamanye amaxesha ibizwa ngokuba yi-hepatic portal vein. Yile ntoUkuzisa igazi esibindini. Eli gazi livela kwizitho ezahlukeneyo esiswini. Oko kukuthi, lizisa igazi ekufuneka lidlule kwinkqubo yokuhlanjululwa kwesibindi.
• Imithambo yesibindi: Le ithwala igazi liphuma esibindini. Oko kukuthi, emva kokuba isusiwe ioksijini egazini, igazi elingenaoksijini lidlula kule mithambo liye kwi-vena cava engaphantsi (IVC), apho liya khona entliziyweni.

Ngamafutshane, i-portal vein ithwala "izinto eziluhlaza" ukuya esibindini, ngelixa imithambo yesibindi ithwala "imveliso egqityiweyo" (oko kukuthi, igazi elicociweyo).

Umthambo we-portal ungowenkqubo ye-portal venous. Luthungelwano lwemithambo ethwala igazi lisuka kwizitho ezisesiswini ukuya esibindini. Nangona kunjalo, imithambo yesibindi ayingowenkqubo.

Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Ngoko ke, ndiyathemba ukuba ngoku unolwazi oluhle ngemithambo yesibindi. Le yikhonkco elibaluleke kakhulu phakathi kwesibindi sethu nentliziyo. Le mithambo inceda ekuthwaleni igazi elicociweyo sisibindi, kodwa lineoksijini encinci, libuyele entliziyweni.

Ukuba unemibuzo okanye unenkxalabo malunga nempilo yesibindi sakho okanye imithambo yegazi edibanisa naso, nceda ubone ugqirha. Baya kukuvuyela ukukuxelela okungakumbi ngale nto kwaye bakunike iingcebiso malunga notshintsho lwendlela yokuphila onokulwenza ukuze ugcine inkqubo yakho yokujikeleza kwegazi isempilweni.

Ukuze sihlale sisempilweni, kubaluleke kakhulu ukuqaphela la malungu omzimba wethu mancinci kodwa abaluleke kakhulu, akunjalo?

Isibindi , Imithambo Yegazi, Imithambo Yesibindi, Ukuhamba Kwegazi, Isifo sikaBudd-Chiari, Imithambo Yesibindi