Isibindi singesinye sezitho ezibaluleke kakhulu emzimbeni wethu. Njengefektri enkulu, isibindi sinohlelo olukhulu lwemithambo yegazi olususa ukungcola egazini. Cabanga nje, kwenzekani uma eyodwa noma ngaphezulu yale mithambo yegazi ivalekile noma incipha? Kwezokwelapha, lesi yisimo esingavamile kodwa esibi kakhulu esibangelwa ukuvaleka kwemithambo ethwala igazi esibindini . Kubaluleke kakhulu ukuqaphela lokhu. Ake sixoxe ngakho kalula.
Kalula nje, iyini i-Budd-Chiari Syndrome?
Indlela engcono kakhulu yokuqonda lokhu ukucabanga ngalokho okwenzekayo lapho ipayipi elivalekile ekhaya lethu livalekile. Njengoba nje ipayipi elivalekile ligcwele amanzi, lapho imithambo yesibindi ivalekile, igazi liqala ukuhlangana ngaphakathi kwesibindi. Lokhu kungaba ngenxa yokuqhekeka kwegazi, ukuvuvukala ngaphakathi kwemithambo, noma ingcindezi evela ngaphandle.
Uma igazi liqongelela ngale ndlela, isibindi siyavuvukala futhi sibe sikhulu. Akukhona lokho kuphela, kodwa ne-spleen ingakhula ngenxa yalesi ngcindezi. Uma lesi simo siqhubeka, kungase kube neminye imiphumela emibi eminingana.
- Umfutho wegazi ophezulu we-Portal: Ukucindezeleka okukhulu emthanjeni oyinhloko othwala igazi liye esibindini ('umthambo we-portal').
- Ama-Varice: Ngenxa yalokhu kucindezela okuphezulu, imithambo yegazi ezindaweni ezifana nomphimbo nesisu iyakhula futhi ingaqhuma futhi yophe igazi.
- Ama-Ascites: Isimo lapho uketshezi olufana namanzi lugcwalisa isisu, okubangela ukuthi sivuvuke. Lokhu sikubiza ngokuthi "ama-ascites."
- I-Cirrhosis: Ukulimala kwesibindi isikhathi eside, okuholela ekufeni kwamangqamuzana esibindi kanye nokuqhekeka kwesibindi. Lesi yisimo esibi kakhulu esingenakuguqulwa.
Ingabe kunezinhlobo ezahlukene zalesi sifo?
Yebo, ingahlukaniswa ngezinhlobo eziningana eziyinhloko ngokusekelwe esivinini kanye nobukhali bezimpawu. Futhi, kunezinhlobo ezimbili ngokusekelwe embangela eyisisekelo.
| Uhlobo lwesifo | Incazelo elula |
|---|---|
| I-Acute Budd-Chiari Syndrome | Izimpawu zingavela ngokuzumayo ezinsukwini noma emavikini ambalwa. Ngezinye izikhathi isibindi singase singasebenzi kahle ngokuzumayo. |
| I-Subacute Budd-Chiari Syndrome | Izimpawu zibonakala kancane kancane ezinyangeni eziningana. Lolu uhlobo oluvame kakhulu. |
| I-Chronic Budd-Chiari Syndrome | Kulesi simo, izimpawu ziyavela ngemva kokuba isibindi silimele kakhulu futhi sesifinyelele esigabeni se-cirrhosis. Kuze kube yileso sikhathi, izimpawu kungenzeka azizange zivele. |
Kuye ngembangela, kunezinhlobo ezimbili eziyinhloko:
1. I-Primary Budd-Chiari Syndrome: Kulesi simo, inkinga ingaphakathi kwemithambo yegazi uqobo. Lokhu kungabangelwa ukuqhekeka kwegazi (i-thrombus) noma ukuvuvukala ngaphakathi kwemithambo.
2. Isifo Sesibili Se-Budd-Chiari: Lapha inkinga ivela ngaphandle komthambo wegazi. Isibonelo, isimila esinomdlavuza noma esingesona umdlavuza eduze kwesibindi singabangela ukuthi umthambo wegazi uvaleke.
Ziyini izimpawu zalokhu?
Izimpawu zalesi sifo zingahluka kumuntu nomuntu. Ziyahlukahluka kuye ngohlobo lwesifo. Kodwa-ke, kunezimpawu ezimbalwa ezivamile ezingabonakala.
| Isibonakaliso | Kusho ukuthini lokho? |
|---|---|
| Ubuhlungu besisu | Ubuhlungu esiswini esingaphezulu, ikakhulukazi ohlangothini lwesokudla. |
| Ukuvuvukala kwesisu (ama-Ascites) | Umgodi wesisu ugcwala amanzi bese isisu sikhula. |
| I-Jaundice | Ukuphuzi kwesikhumba, ukumhlophe kwamehlo, nolimi. |
| Ukwanda kwesibindi kanye ne-spleen | Udokotela angakuqonda lokhu lapho ehlola isisu. |
| Ukuvuvukala kwemilenze (i-Edema) | Ukuvuvukala kwezinyawo nemilenze. |
| Ukukhathala | Ukukhathala ngokweqile ngaphandle kwesizathu. |
| Ukudideka (i-Hepatic encephalopathy) | Isibindi asisebenzi kahle, okuthinta ubuchopho futhi kubangele ukulahlekelwa yinkumbulo. |
Khumbula, abanye abantu, ikakhulukazi labo abanesimo esingamahlalakhona, bangase bangakhombisi zimpawu nhlobo. Ngakho-ke uma unalezi zimpawu, kungcono ukubona udokotela ngokushesha .
Kungani kwenzeka i-Budd-Chiari Syndrome? Ziyini izimbangela?
Ngokuvamile, lokhu kubangelwa yisimo sezokwelapha esikhuphula ukuthambekela komzimba kokwakha amahlule egazi.
- Izifo zegazi (ama-Myeloproliferative neoplasms - ama-MPN): Lezi yizinhlobo ezingavamile zomdlavuza wegazi. Zibangela umzimba ukuthi ukhiqize amangqamuzana egazi amaningi kakhulu, okwandisa ingozi yokuqhekeka kwegazi.
- Izifo ezibangela ukujiya kwegazi: Izimo lapho igazi lijiya khona ngokushesha ngenxa yezimbangela zofuzo noma ezinye izifo. Isibonelo, izimo ezifana nokuntuleka kwe-'Protein C' noma i-'S', i-'Antiphospholipid antibody syndrome'.
- Izimila zesibindi noma zezinso: Izimila ezinomdlavuza noma ezingengozini zingabangela ukuba imithambo yegazi icindezelwe ngaphandle.
- Ukukhulelwa: Abesifazane ngokwemvelo basengozini enkulu yokuqhekeka kwegazi ngesikhathi sokukhulelwa.
- Amaphilisi okuvimbela inzalo: Ukusetshenziswa kwezinye izinhlobo zamaphilisi okuvimbela inzalo kungandisa nengozi yokuqhekeka kwegazi.
- Ezinye izifo: Izifo ezifana nesifo se-Sickle cell kanye nesifo samathumbu esivuvukalayo (IBD) nazo zingadala lokhu.
Kodwa-ke, ngezinye izikhathi kunezimo lapho kungatholakali khona imbangela eqondile . Lokho sikubiza ngokuthi 'i-idiopathic'.
Udokotela ukuthola kanjani lokhu?
Uma ubona udokotela, uzolalela ngokucophelela izimpawu zakho, akuhlole, bese eyala ukuhlolwa okuningana ukuqinisekisa ukuthi unesifo.
1. Ukuhlolwa kwegazi: Lokhu kusiza ukuhlola amazinga e-enzyme yesibindi nokunquma ukuthi kukhona yini ingozi yokuqhekeka kwegazi.
2. Ukuhlolwa kwezithombe:
- I-Doppler Ultrasound Scan: Lesi yi-scan yokuqala, elula kakhulu, futhi ebaluleke kakhulu. Isebenzisa amaza omsindo ukubheka ukugeleza kwegazi emithanjeni yegazi yesibindi. Lokhu kunganikeza umbono omuhle wokuthi kukhona yini ukuvaleka.
- I-CT Scan noma i-MRI Scan: Lezi zinhlobo zokuskena zingathatha izithombe ezicacile zesibindi nezitho ezizungezile. Ngezinye izikhathi uketshezi olukhethekile ('izinto eziphambene') lungafakwa emzimbeni ukuze imithambo yegazi ibonakale kakhudlwana.
- I-Venography (i-venogram): Lokhu kuhlolwa kwenziwa uma ezinye izikena zingaqedi. Kulokhu kuhlolwa, kufakwa uketshezi olukhethekile emthanjeni wegazi bese kuthathwa izithombe ze-X-ray ukuze kubhekwe ukugeleza kwegazi.
3. Ukuhlolwa Kwesibindi: Ukuze kutholakale ukuthi kungakanani umonakalo owenziwe esibindini nokuthi ngabe isifo sokuqina kwesibindi sesivele sikhona yini, kuthathwa ingxenye encane kakhulu yesibindi kusetshenziswa inalithi encane bese ihlolwa ngaphansi kwe-microscope.
Yiziphi izindlela zokwelapha lokhu?
Kunemigomo emibili eyinhloko yokwelapha. Eyokuqala ukuvula kabusha umthambo wegazi ovalekile noma ukudala enye indlela yokugeleza kwegazi. Enye ukwelapha imbangela eyinhloko.
Ukwelashwa ngemithi
Ekuqaleni, imithi efana nemithi yokunciphisa igazi (imithi yokunciphisa igazi ) inikezwa ukuncibilikisa amahlule egazi nokuvimbela ukwakheka kwamahlule amasha. Isibonelo, imithi efana ne-heparin noma i-warfarin.
Ukwelashwa okukhethekile okungekona ukuhlinzwa
Uma imithi yodwa ingakwazi ukulawula lesi simo, kunezindlela eziningana zokwelapha ezenziwa odokotela abangochwepheshe.
- I-Transjugular Intrahepatic Portosystemic Shunt (AMACEBISO): Lena inqubo eyinkimbinkimbi kancane. Kalula nje, idala "i-bypass" ngaphakathi kwesibindi. Kufakwa ithubhu elincane (i-stent) phakathi komthambo we-portal ocindezelekile kakhulu nomthambo wesibindi, okhipha igazi esibindini. Lokhu kudala indlela entsha yokuthi igazi ligeleze ngaphandle kokuvinjelwa.
- I-Percutaneous Transluminal Angioplasty: Lokhu kuhilela ukufutha umthambo wegazi ovinjiwe noma oncishisiwe ngebhaluni. Ngezinye izikhathi kufakwa ipayipi elincane elifana ne-mesh (i-`stent`) ukuze kuvinjelwe umthambo ukuthi unganciphi futhi.
Ukufakelwa Kwesibindi
Uma zonke ezinye izindlela zokwelapha zingaphumeleli, noma uma isibindi sehlulekile ngokuphelele (ukwehluleka kwesibindi) noma sinesifo sokuqina kwesibindi, indlela yokugcina iwukufakelwa isibindi okunempilo.
Liyini ikusasa ngalesi sifo?
Ukubikezela kwesifo kuncike ezintweni eziningana. Ukuthi lesi sifo sitholakala ngokushesha kangakanani, ubukhulu bomonakalo, nokuthi sisabela kahle kangakanani ekwelashweni konke kubalulekile.
Uma singelashwa, isiguli esivalekile ngokuphelele emithanjeni yegazi singafa ngenxa yokwehluleka kwesibindi kungakapheli iminyaka emithathu. Kodwa-ke, ngokwelashwa okufanele, ikakhulukazi ukufakelwa isibindi, ngokuvamile ungaphila impilo ende. Ngakho-ke, ulwazi olungcono kakhulu ngalokhu luvela kudokotela wakho. Uzokuchazela ngqo ngokwesimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Budd-Chiari Syndrome yisimo esibi kodwa esingelapheka esibangelwa ukuvaleka kwemithambo yegazi esibindini.
- Uma unezimpawu ezifana nokukhula kwesisu okungazelelwe, ubuhlungu ohlangothini lwesokudla lwesisu, imilenze evuvukile, noma i-jaundice, ungakushayi indiva bese ubona udokotela ngokushesha.
- Ukuxilongwa kusenesikhathi kanye nokuqala ukwelashwa kwalesi sifo kubaluleke kakhulu ekusindiseni izimpilo.
- Kunezindlela eziningana zokwelapha. Udokotela wakho uzonquma izindlela zokwelapha ezahlukahlukene, kusukela emithini kuya ekufakelweni kwesibindi, kuye ngesimo sakho.
- Ngisho nangemva kokwelashwa, kubalulekile ukuqhubeka nokuhlolwa nokuya emitholampilo njengoba kunqunywe udokotela.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho