Ngaba sithetha nge-portal hypertension?

Ngaba wakha weva ngale meko ibizwa ngokuba yi-`(Portal Hypertension)`? Usenokuyifumana ingaqhelekanga kwaye kunzima ukuyiqonda le gama. Kodwa le yimeko enokwenzeka esibindini sethu, ifuna unonophelo oluthile, kwaye ingaba nzulu. Makhe sithethe ngale nto namhlanje ngokulula, ngendlela onokuyiqonda, ngokungathi umntu osondeleyo kuwe uyakuchazela, kulungile?

Yintoni i-portal hypertension?

Ngamafutshane, "i-Portal Hypertension" kuxa uxinzelelo lwegazi olukwimithambo yegazi ephambili ('i-portal vein') luqhagamshelwe kwisibindi sakho kunye nenkqubo yemithambo emincinci ('i-portal venous system') ephuma kuyo inyuka ngaphezu kwenqanaba eliqhelekileyo. Khawuthelekelele ukuba kukho umthambo omkhulu esiswini sakho oqokelela igazi elingcolileyo kwizitho ezifana nesisu sakho, amathumbu, i-pancreas, kunye ne-spleen uze ulizise esibindini sakho. Yiloo nto siyibiza ngokuba yi-"portal vein" okanye i-portal vein. Inkqubo eyenziwe yimithambo emininzi emincinci eqhagamshelwe kule mthambo ibizwa ngokuba yi-"portal venous system" okanye i-portal venous system.

Isibindi sethu sisitho esibaluleke kakhulu. Sisibindi esicoca igazi eliqokelelweyo, sahlule izondlo ezifunekayo, size silibuyisele entliziyweni ukuze lisasazwe emzimbeni wonke.

Ngoku, ukuba ngesizathu esithile ukuhamba kwegazi esibindini ngale `(portal vein)` kuvaliwe, okanye ukuba olo hambo lucotha, uxinzelelo olukuloo nkqubo yonke yemithambo yegazi luyanda kancinci kancinci. Kanye njengokuba umbhobho wamanzi uvaliwe embindini, uxinzelelo lwamanzi ngaphakathi kombhobho luyanda. Yiloo nto siyibiza ngokuba yi`(Portal Hypertension)` xa uxinzelelo lusanda.

Emva koko umzimba wethu uzama ukumelana nolu xinzelelo luphezulu. Ngoko ke, uqala ukuthumela igazi kwezinye imithambo, ngokuqhelekileyo emincinci, apho igazi lihamba kancinci, ngokungathi lidlula indlela enkulu evaliweyo. Kodwa xa elo gazi longezelelweyo lingena, loo mithambo mincinci ayikwazi ukuyiphatha kwaye yoluleke, ibe mikhulu, kwaye iindonga zayo zinokuba buthathaka kakhulu. Ngamanye amaxesha le mithambo ibuthathaka inokuvuza ulwelo esiswini, okanye imithambo ingaqhuma ize yophe ngequbuliso. Le yeyona nto iyingozi kakhulu.

Ngubani onokuthi abe nesifo se-"Portal Hypertension"?

Kumazwe aseNtshona, unobangela oyintloko wale meko udla ngokuba sisifo esibizwa ngokuba yi-cirrhosis of the liver. I-Cirrhosis yimeko apho isibindi sonakala ngokuhamba kwexesha, kwaye iiseli zesibindi ezisempilweni zithathelwa indawo yizicubu ezibomvu (izicubu eziqinileyo, ezinemicu). Olu qhekeko lubangela ukuvaleka okukhulu kokuhamba kwegazi esibindini ngemithambo yesango. Kufana nelitye elivale indlela.

Kwezinye iindawo zehlabathi, umzekelo kwamanye amazwe aseAfrika naseAsia, kuqhelekile ngenxa yosulelo olubangelwa yiparasite olubizwa ngokuba yi-"schistosomiasis." Esi parasite sonakalisa imithambo yegazi esibindini. Ngokutsho kwe-World Health Organisation, abantu abangaphezu kwezigidi ezingama-230 kwihlabathi liphela banalo olu sulelo.

Ibaluleke kangakanani le meko?

Iingxaki ezibangelwa yi-`(Portal Hypertension)` ngamanye amaxesha zinokuba yingozi ebomini., ingakumbi ukopha ngaphakathi. Asinguye wonke umntu ofumana ezi ngxaki, kodwa umngcipheko uyanda njengoko uxinzelelo kwinkqubo yemithambo yegazi lusanda. Okukhona uxinzelelo luphezulu, kokukhona amathuba okuba imithambo yegazi ikhule, ibe buthathaka, kwaye iqhume.

Enyanisweni, uxinzelelo lwegazi oluphezulu lwe-portal kunye neengxaki zalo zezona zinto ziphambili ezibangela ukuba abantu abane-cirrhosis yesibindi balale esibhedlele, kwaye kwezinye iimeko, ukufa kwabantu abane-cirrhosis yesibindi.

Ziziphi iimpawu ezi-5 eziphambili ze-`(Portal Hypertension)`?

Ingxaki enye ngale nto kukuba, kwiimeko ezininzi, kusenokungabikho zimpawu zangaphandle de kubekho iingxaki. Cinga ukuba malunga nama-90% abantu abane-cirrhosis bane-portal hypertension ekhula ngaphakathi emizimbeni yabo ngaphambi kokuba babonise iimpawu. Kwakhona, malunga nama-40% basenokuba sele benemithambo emikhulu ebizwa ngokuba yi-varices, ngaphandle kwesilumkiso.

Iimpawu zokuqala ezibonakala zihlala zinxulumene nemithambo emitsha, ekhulisiweyo, evuzayo, nephuma igazi. Nazi:

• Ukuhlanza igazi (mhlawumbi nokuba nombala ofana nowekofu).
• Igazi elikwisitulo (ngokuqhelekileyo limnyama mnyama, lihlala lilindile, okanye maxa wambi libomvu).
• Isisu siba sikhulu ngequbuliso size sivakale sigcwele, kunye nokutyeba ngokukhawuleza. (Oku kungenxa yokuzaliswa sisisu ngamanzi).
• Ukudumba kwemilenze, ingakumbi amaqatha (i-edema) .
• Ndiziva ndididekile kancinci, ndilahlekelwa zingqondo, ngamanye amaxesha ndilibale ukuba ungubani kwaye uphi (ukudideka kwengqondo) .

Ziziphi iingxaki ezinokubakho ze-`(Portal Hypertension)`?

Le meko ingakhokelela kwiingxaki ezahlukeneyo. Makhe sizijonge nganye nganye:

• ``Ascites``: `` Ascites`` kukuqokelelana kolwelo olufana namanzi esiswini oluvela kwimithambo ekhulisiweyo nebuthathaka, oluvuza lungene kwisisu (``peritoneal cavity``). Oku kunokubangela ukuba isisu sidumbe kwaye sizive sidumbile, kwaye kunokubangela ukungabi namdla wokutya kunye nobunzima bokugaya ukutya. Kwezinye iimeko ezinzima, olu lwelo lunokunyuka luye esifubeni, nto leyo eyenza kube nzima ukuphefumla. Kwakhona kwandisa umngcipheko wokufumana usulelo ngaphakathi esiswini (``peritonitis``).

• Ukopha kwamathumbu: Imithambo emikhulu kwindlela yokugaya ukutya (umphimbo, isisu, amathumbu) (ii-varice) inokuqhuma kwaye yophe. Eyona ixhaphakileyo kwezi zii-varice zomqala . Le yimithambo ekufutshane nolusu kwaye ineendonga ezincinci kakhulu, ngoko ke inokuqhuma lula. Imithambo esezindongeni zesisu nayo inokuvuvukala (oku kubizwa ngokuba yi-portal hypertensive gastropathy) kwaye, kwiimeko ezinzima, inokopha. Ukuba oku kukopha kuyaqhubeka , i-anemia , okanye ukungabikho kwegazi emzimbeni, kunokwenzeka.

• `I-Hypersplenism`:Xa ukuhamba kwegazi kwi-spleen kuncipha, i-spleen iyakhukhumala ngegazi elingakumbi kwaye ikhule imithambo yegazi emitsha ukuze ikwazi ukumelana negazi elongezelelweyo. I-spleen ekhulisiweyo iba negalelo elikhulu kwaye iqale ukususa iiseli ezibalulekileyo egazini lomzimba (umzekelo, ii-platelets , ezinceda ukujiya kwegazi, kunye neeseli ezimhlophe zegazi , ezibalulekileyo kumzimba). Oku kunokukhokelela ekunciphiseni ukujiya kwegazi (ukopha ngokulula), kunye nobuthathaka benkqubo yomzimba yokuzikhusela (kulula ukugula).

• Ioksijini ephantsi egazini: Kwabanye abantu, le "Portal Hypertension" ibangela ukuba imithambo yegazi emiphungeni ibe banzi ngendlela engaqhelekanga. Emva koko imiphunga ayikwazi ukuhambisa ioksijini ngokufanelekileyo egazini. Isiphumo kukuba amanqanaba eoksijini ephantsi egazini ``(hypoxemia)`` . Le meko ithile ikwabizwa ngokuba ``(hepatopulmonary syndrome)`` .

• Ukungasebenzi kakuhle kwezintso: Imithambo yegazi evulekileyo ebangelwa yi-portal hypertension inokuyinciphisa imithambo yegazi kwenye indawo emzimbeni (ingakumbi leyo ihambisa igazi kwizintso). Ukuba oku kwenzeka kwizintso, ukunikezelwa kwegazi kwizintso kuyancitshiswa, nto leyo ebangela ukungasebenzi kakuhle kwezintso . Le yingxaki engaqhelekanga kodwa inzima kakhulu, eyaziwa ngokuba yi -hepatorenal syndrome .

• Ukuphazamiseka okuncinci kwengqondo: Njengoko imizimba yethu izama ukuziqhelanisa noxinzelelo lwegazi oluphezulu, idala imithambo yegazi emitsha (ii-shunt) ezidlula isibindi. Kodwa xa igazi lidlula isibindi lize liye ngqo kwi-circulation, iityhefu ekufuneka zicocwe sisibindi azicocwa. Ezi tyhefu ke ziqokelelana egazini kwaye zichaphazele kancinci ukusebenza kwengqondo. Unokufumana iimpawu zexeshana ezifana nokudideka, ukuthetha okungacacanga, kunye nokulahlekelwa zingqondo. Oku kubizwa ngokuba yi -hepatic encephalopathy .

Ziziphi izizathu eziphambili zePortal Hypertension?

Njengoko besikhe sathetha ngaphambili, kukho izizathu ezimbalwa eziphambili:

• I-Cirrhosis yesibindi: Le yeyona nto ixhaphakileyo. I-Cirrhosis idla ngokuba linqanaba lokugqibela lesifo sesibindi esihlala ixesha elide. Ixhaphake kakhulu kusulelo lwentsholongwane olufana ne -hepatitis C yentsholongwane, i-hepatitis ebangelwa butywala , kunye nesifo sesibindi esinamafutha esinganxilisiyo . Esi silonda sithintela ukuhamba kwegazi esibindini.

• `Iigranuloma zesibindi`:Iigranuloma ziingqokelela zeeseli ezivuthayo ezenzeka kunye nezifo ezahlukeneyo (umz., i-schistosomiasis) kunye nezifo ezivuthayo. Zifana neethumba ezincinci kwaye zinokuvala inkqubo yemithambo yegazi. Zihlala zingunobangela wokukhula kamva kwe-fibrosis yesibindi.

• Amahlwili egazi (Thrombosis): Ukuba ihlwili legazi (thrombosis) lenzeka naphi na kwinkqubo yemithambo yegazi, linokuthintela ukuhamba kwegazi ukuya esibindini, ngesibindi, okanye ngaphandle kwesibindi. Oku kunokuba nezizathu ezininzi, kuquka ezinye zeengxaki zegazi ezizuzwe njengelifa.

Uyazi njani ukuba une-`(Portal Hypertension)`?

Ukuze uqiniseke ukuba oku kunjalo, kufuneka ulinganise uxinzelelo kwimithambo yesibindi. Oku kubandakanya ukufaka umbhobho omncinci (i-catheter) emthanjeni. Nangona kunjalo, olu luvavanyo olunzima nolunzima, kwaye aluqhele ukwenziwa lula, kwaye ayinguye wonke umntu oludingayo.

Ngethamsanqa, oogqirha banokuxilonga esi sifo (i-Portal Hypertension) ngokusekelwe kwiimpawu zeklinikhi. Oko kukuthi, into oyithethayo kunye nento abayibonayo xa bekuxilonga. Iiskeni kunye novavanyo lwegazi zinokuqinisekisa olu rhanelwa.

Ziziphi iimpawu ugqirha anokuthi azicingele ukuba zine-Portal Hypertension?

• Imithambo emikhulu (ii-varices) (ingakumbi xa ibonwa ngexesha le-endoscopy).
• Ispleen ekhulisiweyo (nokuba kukwi-palpation okanye kwi-scan).
• Ubungqina begazi elidlula kwindlela yokugaya ukutya.
• Ukuba nolwelo esiswini (i-ascites).
• Iimpawu zokuncipha kancinci kokusebenza kwengqondo (njengoko bekutshiwo ngaphambili, iimpawu ze-`hepatic encephalopathy`).
• Ukuba uvavanyo lwegazi lubonisa ukuba inani leentlobo ezithile zeeseli egazini (umz. iiplatelets, iiseli ezimhlophe zegazi) liphantsi.
• Iimpawu ziquka ukukrweleka okulula kunye nokopha kakhulu.

Zeziphi iimvavanyo ezenziwayo ukuqinisekisa le meko?

• Uvavanyo lwegazi: Uvavanyo lwegazi lunokukuxelela okuninzi malunga nokuba kwenzeka ntoni kumalungu akho omzimba, ingakumbi isibindi sakho kunye nezintso. Iphaneli epheleleyo ye-metabolic inokujonga naziphi na iingxaki ngezintso zakho kunye nesibindi. Uvavanyo olupheleleyo lwegazi (i-CBC) lunokujonga nayiphi na i-spleen esebenza kakhulu esusa iiseli ezimhlophe zegazi okanye iiplatelets ezininzi kakhulu. Lunokujonga neengxaki ezithile zegazi ezinokubangela uxinzelelo lwegazi oluphezulu, okanye i-anemia ebangelwa kukopha ngaphakathi.

• Uvavanyo lwemifanekiso: Ii-ultrasound scans kunye nee-CT scans zinokunceda ekuqinisekiseni ukuba kukho isifo sesibindi, kukho i-ascites, amalungu anjenge-spleen ayanda, inkqubo ye-portal venous iyanda, kwaye kwakheka imithambo emitsha. I-Doppler ultrasound iluncedo kakhulu.Umntu angathabatha imifanekiso yegazi elihamba ngaphakathi kwimithambo yegazi. Ingabona ngokucacileyo ukuvaleka kwendlela igazi elihamba ngayo, nokuba imithambo yegazi ibanzi okanye incinci ngendlela engaqhelekanga.

• I-Endoscopy: Ukuba uneempawu zokopha kwindlela yakho yokugaya ukutya (igazi emhlanzweni wakho, igazi elisesitulweni sakho), ugqirha wakho kuya kufuneka enze i-endoscopy. I-endoscopy ephezulu ibandakanya ukufaka ityhubhu ende, encinci (i-endoscope) enekhamera emlonyeni wakho ukuze ihlole umphimbo wakho, isisu, kunye nenxalenye yokuqala yamathumbu akho amancinci (i-duodenum). Ugqirha uya kukhangela imithambo emikhulu ebizwa ngokuba yi-varices, nokuba iyopha na, kwaye nokuba kukho iindawo zokopha ezikufutshane. Eyona nto ingcono kukuba ukuba ubona ukopha, banokufaka izixhobo ezikhethekileyo nge-endoscope ukuze bayeke ukopha.

Ziziphi iindlela zonyango ze-`(Portal Hypertension)`?

Ukuba iPortal Hypertension inganyangeka ngokupheleleyo okanye akunjalo kuxhomekeke kwisizathu esiyintloko. Umzekelo, ukuba usulelo okanye ihlwili legazi liyimbangela, ugqirha wakho unokukwazi ukunyanga imbangela eyintloko ngamayeza, kwaye iPortal Hypertension yakho iya kuphucuka kancinci kancinci, kwaye ngamanye amaxesha ide iphele ngokupheleleyo.

Nangona kunjalo, ukuba kukho amanxeba amaninzi esibindini, njenge-cirrhosis, adla ngokungaphezi. Oku kuthetha ukuba amanxeba awapheli. Ke ngoko, uxinzelelo lwegazi oluphezulu oluphezulu lunokuqhubeka. Kwiimeko ezininzi, unyango lujolise ekulawuleni iingxaki eziyingozi zoxinzelelo lwegazi oluphezulu nokunciphisa umonakalo eziwubangelayo. Oogqirha kuqala bazama ukulawula iimeko ezibukhali (umz. ukopha) baze emva koko baqhubekele kwizisombululo zexesha elide.

Unyango lokuqala lokuthintela ukopha kwindlela yokugaya ukutya:

• Unyango lwe-Endoscopic: Ugqirha unyanga ukopha ngequbuliso nge-endoscopy. Ezi ndlela ziquka i-sclerotherapy (ukufaka iyeza elikhethekileyo kwimithambo ekhupha igazi ukuze inciphe kwaye ilawule ukopha) kunye nokubopha ( ukubopha imithambo ekhupha igazi ngeebhendi zerabha ezincinci ukuze kumiswe ukopha).
• Amayeza: Ugqirha wakho unokukunika amayeza, nokuba adibene okanye ahlukene nonyango lwe-endoscopic, ukunciphisa uxinzelelo kwimithambo yakho evalekileyo kunye nokunciphisa umngcipheko wokopha kwakhona. Amayeza abizwa ngokuba yi -beta-blockers anokunceda ukunciphisa uxinzelelo lwe-portal, ngelixa i-vasoconstrictors inokunceda ukunciphisa imithambo ekhulisiweyo kunye nokunciphisa ukopha.

Unyango lokuqala kwezinye iingxaki:

• Ukuba kukho `(hepatopulmonary syndrome)` (ukunqongophala kweoksijini egazini), ioksijini inikwa `(Unyango lweoksijini)` .
• I-Dialysis ukuba kukho i-hepatorenal syndrome (ukungasebenzi kakuhle kwezintso).
• Ukuba une-hepatic encephalopathy (iingxaki zokusebenza kwengqondo), kukho amayeza anokunceda.
• I-Paracentesis kukususwa kolwelo olugqithisileyo esiswini ngenxa ye-ascites (ukuqokelelana kolwelo esiswini) kwaye kuthathwa isampuli yolo lwelo ukujonga ukuba kukho i-peritonitis (usulelo lwesisu).

Unyango lwesibini (ukuba ukopha okanye ezinye iingxaki ziyaqhubeka):

Ngamanye amaxesha, ukuba ukopha akukwazi ukumiswa okanye ezinye iingxaki ziyaqhubeka, oogqirha baya kuzama unyango lodidi lwesibini. Iindlela ezimbini eziphambili zezotyando "ze-shunt". Ezi zisetyenziselwa ukutshintsha indlela yokuhamba kwegazi "kwinkqubo yemithambo yegazi ye-portal" kunye nokunciphisa uxinzelelo.

• I-Transjugular intrahepatic portosystemic shunt (IINGCEBISO): Le yinkqubo engeyoyotyando. Esebenzisa imifanekiso ye-X-ray, ingcali ye-radiologist engenelelayo ibeka i-stent (ityhubhu encinci ye-mesh) ngaphakathi kwesibindi sakho. Basebenzisa inaliti ukwenza umngxuma odlula esibindini baze badibanise umthambo we-portal ngqo kumthambo osesibindini (umthambo wesibindi). Oku kuvumela igazi ukuba lihambe ngomngxuma, kunciphisa uxinzelelo. I-stent ibekwa ukuze igcine umngxuma uvulekile. Le yinkqubo esebenzayo kakhulu, kodwa ngokuhamba kwexesha, i-stent ingavaleka, kwaye unokufuna ukuba ilungiswe kwakhona (inkqubo ephindaphindwayo).

• I-Distal splenorenal shunt (DSRS): Le yinkqubo yotyando. Kwabanye abantu, inokuba lukhetho olungcono kune-TIPS. Nangona kunjalo, kufuneka ube sempilweni ngokwaneleyo ukuze udlule kwixesha lotyando kunye nexesha lokuchacha. Nangona kunjalo, inokuba luncedo ngakumbi ekulawuleni isifo kwixesha elide. Le nkqubo ibandakanya ukususa umthambo wakho we-splenic kwisibindi sakho kwaye uwudibanise nomthambo wezintso wasekhohlo. Oku kunciphisa ukuhamba kwegazi kunye noxinzelelo kwisibindi kunye ne-spleen.

Okokugqibela, kwabo banesifo sesibindi esinzima kakhulu esingenakulawulwa ngezinye iindlela zonyango, kusenokucingelwa ukuba bafakelwe esinye isibindi .

Luhlobo luni lonyango lokulandelela oluya kundifuna?

Emva kwazo zonke ezi ndlela zonyango , kubalulekile ukuqhubeka uphantsi kweliso likagqirha. Kufuneka uyiqaphele imeko yakho. Kuya kufuneka ubone ugqirha wakho rhoqo kunyaka wokuqala emva konyango ukuze ubone ukuba unyango lusasebenza na kwaye ukuba kukho naziphi na iingxaki ezintsha eziveleyo. Emva koko, kuya kufuneka ubone ugqirha wakho ubuncinane kabini ngonyaka ukuze kwenziwe uvavanyo lwesibindi kunye novavanyo lwegazi ukuze kuhlolwe ukusebenza kwesibindi sakho. Oku kufana nokuba nemoto elungisiweyo, kufuneka uqhubeke uyinyamekela.

Ndingalindela ntoni kule meko?

Ingqikelelo yakho kunye nokuchacha kuya kuxhomekeka ekubeni ingakanani na i-portal hypertension yakho, nokuba une-varices yokopha, kunye nokuba unezinye iingxaki.Enyanisweni, umngcipheko wokufa ngenxa yokopha okokuqala unokuba phezulu ukuya kuthi ga kwi-40%. Ukuba wopha kwakhona emva konyango, umngcipheko wokufa ngenxa yokopha okulandelayo usondele kwi-30%. Umngcipheko uphezulu ukuba isifo sakho sesibindi sibi kakhulu. Nangona kunjalo, ukuba isifo sesibindi sisalawuleka kumanqanaba aso okuqala, kwaye unyango lukhawulezileyo, umngcipheko ungancitshiswa.

Ndingayithintela njani `(i-Portal Hypertension)`?

Eyona ndlela ilungileyo yokuthintela le ``(i-Portal Hypertension)`` kukuzama ukunqanda ukuphuhliswa kwesifo sesibindi esihlala ixesha elide ukuba kunokwenzeka. Awunakulawula zonke izizathu, kodwa ezinye zezona zizathu ziqhelekileyo zinokulawulwa ukuba zifunyenwe kwangethuba.

• Isifo sesibindi esibangelwa kukusetyenziswa kotywala, okanye isifo sesibindi esibangelwa sisifo se-metabolic (umz., isifo sesibindi esinamafutha esingenatywala), sinokuphucuka ngokutya kunye nokutshintsha indlela yokuphila enempilo (njengokuzilolonga).
• IHepatitis C iyanyangeka ngokupheleleyo ngamayeza amatsha okulwa neentsholongwane. Ngoko ke, kubaluleke kakhulu ukuba uvavanyelwe iHepatitis C ubuncinane kube kanye ebomini bakho.

Ndingazinyamekela njani xa ndiphila ne-`(Portal Hypertension)`?

Olu hambo lunokuba nzima, kodwa awuwedwa.

• Hlala unxibelelana neqela lakho lezonyango, kuquka oogqirha bakho kunye nabongikazi. Mamela ngononophelo kwaye ulandele oko bakuthethayo.
• Yiya kuhlolwa ngexesha, thatha amayeza akho kanye njengoko ugqirha ekuxelela, ngexesha abakuxelela ngalo. Ungaphoswa nalusuku olunye.
• Soloko uqhagamshelana nogqirha wakho ngaphambi kokuba usebenzise naliphi na iyeza elitsha (nokuba lelokugula okanye ivithamini).
• Yeka ukusela utywala ngokupheleleyo, okanye unciphise kangangoko unako. Le yenye yezona nzuzo zinkulu kwisibindi.
• Kusenokufuneka ulandele ukutya okunesodium encinci , ingakumbi ukuba unengxaki yokudumba. Okanye kusenokufuneka ulandele isicwangciso sokutya esenzelwe wena ngokukodwa. Kungumbono olungileyo ukufuna iingcebiso kwingcali yesondlo.
• Usenokuba nezinye izifo ezinxulumene noko (umz. isifo seswekile, i-cholesterol ephezulu). Nceda uzilawule ngokutshintsha indlela otya ngayo nendlela ophila ngayo.

Ngenxa yokuba le meko, ebizwa ngokuba yi-"Portal Hypertension," ichaphazela amalungu amaninzi, ukuyinyanga kunokuvakala ngathi kukucima umlilo ovuthayo kwiindawo ezahlukeneyo. Ungamangaliswa, ude woyike, ukwazi ukuba isifo sesibindi sinokuchaphazela imithambo esiswini sakho, emqaleni, emaphaphu, nasezintso. Oku kunokuba yinto eyoyikisayo kakhulu, ingakumbi ukuba awukaze ube nazo naziphi na iimpawu zesifo sesibindi. Kodwa eyona nto ibalulekileyo kukuba ukuba uyiqaphela kwangethuba kwaye uyifumane unyango olufanelekileyo, uya kuba nethuba elihle lokulawula i-"Portal Hypertension," kunye neengxaki zayo. Ngoko ke ungoyiki, kwaye ukuba unamathandabuzo, bona ugqirha ukuze akunike ingcebiso.

Umyalezo Wokugqibela Wokuya Ekhaya

Kulungile, ngoko ke ngokwezinto esizithethileyo, ndiyathemba ukuba ufumene ukuqonda okungcono `(Portal Hypertension)`. Nazi izinto eziphambili ekufuneka uzikhumbule:

• I-portal hypertension kukunyuka koxinzelelo kwimithambo edibana nesibindi. Le inokuba yimeko enzima .
• Eyona nto ixhaphakileyo yi-cirrhosis yesibindi. Ngoko ke, ukukhusela isibindi kubaluleke kakhulu.
• Amaxesha amaninzi, iimpawu zisenokungabonakali kwizigaba zokuqala. Ngoko ke, ukuba unezinto ezinokubangela umngcipheko (umz., isifo sesibindi esingapheliyo, i-hepatitis), fumana uhlolo rhoqo lwezonyango.
• Ukuba ufumana iimpawu ezinjengokuhlanza igazi, isitulo esimnyama, okanye isisu esidumbileyo , bona ugqirha ngokukhawuleza.
• Zikhona iindlela zonyango, kodwa kungcono ukuziqaphela kwangethuba uze uqale unyango.
• Landela imiyalelo kagqirha wakho ngokuchanekileyo, usele amayeza akho ngokuchanekileyo, kwaye wenze utshintsho olufunekayo kwindlela ophila ngayo.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho. Hlala usempilweni!

Uxinzelelo lwegazi oluphezulu lwePortal , isibindi, uxinzelelo lwemithambo yegazi ePortal, isifo sokuqina kwemithambo yegazi, isifo segazi esibizwa ngokuba yiHematemesis, iAscites, isifo sesibindi, (isifo sokuqina kwemithambo yegazi), (iiVarices), (iiAscites)