Uyazi kahle ukuthi imiphi le mithambo yesibindi esesibindini sakho? Ake sixoxe!

Sonke sinezinto ezimangalisayo ezenzeka emizimbeni yethu, akunjalo? Ezinye izinto esingazicabangi nhlobo nsuku zonke, kodwa asinakuphila ngaphandle kwazo. Futhi, uhlelo lwemithambo yegazi olusebenza umsebenzi obaluleke kakhulu emizimbeni yethu lubizwa ngokuthi imithambo yesibindi. Kalula nje, lolu uhlobo lwemithambo yegazi ethwala igazi esibindini sethu. Ingabe singakhuluma ngalokhu ngemininingwane eyengeziwe?

Iyini imithambo yesibindi? Ikuphi?

Kulungile, cabanga ngale ndlela. Isibindi sakho siyisitho esimangalisayo. Senza umsebenzi omningi. Ngakho-ke, ngemva kokuba umsebenzi ongaphakathi kwesibindi usuqediwe, igazi elihlanziwe, kodwa elingenawo umoya-mpilo lidinga ukubuyiselwa enhliziyweni. Sibiza imithambo yesibindi ngokuthi, iqembu lemithambo elisiza ngalowo msebenzi.

Lo mthambo uxhumene ngqo ne-Inferior Vena Cava (IVC), umthambo omkhulu oqoqa igazi engxenyeni engezansi yomzimba wethu bese uliyisa enhliziyweni. Igazi libe selidlula kule IVC liye ekamelweni eliphezulu ngakwesokudla kwenhliziyo, i-atrium efanele.

Kunezinhlobo ezintathu eziyinhloko zemithambo yesibindi:

• Umthambo wesibindi wesokudla
• Umthambo wesibindi wesobunxele
• Umthambo wesibindi ophakathi

Le mithambo itholakala ngaphakathi kwesibindi sakho. Igijima ngezingxenye eziyisishiyagalombili zesibindi futhi isiza ekuphawuleni imingcele yezingxenye ezine ezinkulu zesibindi. Odokotela babiza lezi zingxenye ezine ngokuthi ingaphambili kwesokudla, ngemuva kwesokudla, phakathi kwesobunxele, kanye nehlangothini lesobunxele. Ngaphakathi kwesibindi, le mithambo yesibindi ithola igazi elivela emithanjeni ephakathi. Le mithambo ephakathi iyimithambo emincane eqoqa igazi elivela kuma-capillary amancane kulo lonke isibindi.

Imithambo yesibindi iphuma ngemuva kwesibindi bese ihlangana ngqo ne-inferior vena cava (IVC). Lokhu kuhlangana eduze komgogodla, ngaphansi nje kwe-diaphragm. Ngokuvamile, umthambo wesibindi wesokudla uhlangana ne-IVC wodwa, kuyilapho imithambo yesibindi ephakathi nesobunxele ihlangana ndawonye ukuze yakhe isiqu esivamile bese ijoyina i-IVC. Kodwa-ke, lokhu akufani kuwo wonke umuntu, futhi kungase kube nokwehluka okuthile.

Uyini umsebenzi wale mithambo?

Kalula nje, imithambo yesibindi iyingxenye ebaluleke kakhulu ohlelweni lwethu lokujikeleza kwegazi. Umsebenzi wayo oyinhloko ukuqoqa igazi elingenawo umoya-mpilo esibindini bese liyiswa kwi-inferior vena cava (IVC). Leli gazi libe selihamba enhliziyweni liye emaphashini, lapho lifakwa khona umoya-mpilo, bese liphonswa libuyele enhliziyweni kuwo wonke umzimba. Ngakho-ke, ungabona ukuthi lolu hlelo lwemithambo lubaluleke kangakanani, akunjalo?

Imithambo yesibindi ifana nohlelo lwamapayipi athwala amanzi asetshenzisiwe esibindini bese ewabuyisela emzimbeni ukuze ahlanzwe.

Ingabe imithambo yesibindi yawo wonke umuntu iyafana? Noma ingabe kukhona umehluko?

Leli iqiniso elithakazelisayo kakhulu. Akuwona wonke umuntu onemithambo yesibindi enesakhiwo esifanayo.Kungase kube nokwehluka okuncane kuzo, kodwa azibangeli monakalo. Kodwa-ke, kubaluleke kakhulu ukuthi odokotela abahlinzayo baqaphele lokhu kwehluka, ikakhulukazi ekuhlinzeni okufana nokufakelwa isibindi noma ukususwa kwesibindi.

Yiziphi lezi zinguquko ezingaba khona? Ake sibheke ezimbalwa:

• Umthambo wesibindi ongaphansi kwesandla sokudla oyingxenye: Ngaphezu kwemithambo emithathu eyinhloko yesibindi, omunye umthambo ungase ujoyine i-IVC ezingeni eliphansi.
• Imithambo emibili yesibindi yesokudla: Le mithambo emibili ingase yakhe isiqu esivamile ngaphambi kokujoyina i-`(IVC)`, noma ingase ihlangane ngokwehlukana.
• Ukuhlukana okusheshayo komthambo wesibindi wesokudla: Lapho umthambo wesibindi wesokudla usuzojoyina i-(IVC), umthambo omncane wegatsha ungase uwujoyine.
• Imithambo yesibindi ephakathi nesobunxele ihlangana ngokwehlukana ibe yi-`(IVC)`: Kungenzeka futhi ukuthi le mithambo emibili ihlangane ngokwehlukana ibe yi-`(IVC)` ngaphandle kokwakha isiqu esivamile.

Ngakho-ke, uyabona, akunjalo? Izinguquko ezincane ezinjengalezi zivamile.

Ububanzi bomthambo wesibindi buvame ukuba ngamamilimitha ayi-15.

Yiziphi izifo ezithinta imithambo yesibindi?

Ngeshwa, le mithambo yesibindi ingakha nezifo ezithile. Esinye sezibaluleke kakhulu salezi yisimo esibizwa ngokuthi i-Budd-Chiari Syndrome .

Kalula nje, lokhu kwenzeka lapho kwakheka amahlule egazi emithanjeni yesibindi. Lawa mahlule egazi anciphisa imithambo, noma angawavimba ngokuphelele. Kwenzekani-ke? Igazi liyama ngaphakathi kwesibindi. Lokhu kuxinana kuthinta nohlelo lwemithambo yegazi oluzungeze isibindi.

Ezinye zezinkinga ezingase zivele ngenxa ye-Budd-Chiari Syndrome yilezi:

• Umfutho Wegazi Ophakeme We-Portal: Ukwanda kwengcindezi emthanjeni we-portal othwala igazi liye esibindini.
• Ama-Varice Esophageal: Ukuvuvukala kanye nengozi yokuqhekeka kwemithambo emgudwini womchamo.
• Ukuqongelela koketshezi esiswini (ama-Ascites)
• I-cirrhosis yesibindi: ukuqina kanye nokwehla kokusebenza kwesibindi.

Zingaba yini lezi zimpawu?

Izimpawu ze-Budd-Chiari Syndrome kanye nezinkinga zayo zingahluka kumuntu nomuntu, kodwa nansi ezinye zezimpawu ezivamile:

• Ukuphalaza igazi ngendle.
• Izinkinga zokugaya ukudla ezifana ne-anorexia, ukuqunjelwa kanye nokuqunjelwa.
• Ukukhathala nobuthakathaka okuvamile.
• Ubuhlungu esiswini esingaphezulu.
• Ukuqunjelwa kwesisu kanye nokukhuluphala ngokushesha.
• Ubunzima bokuphefumula.
• Ukuvuvukala kwemilenze noma amaqakala (i-Edema).
• Ukuhlanza igazi.

Uma unesinye noma ngaphezulu salezi zimpawu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha.

Odokotela basithola kanjani isimo esinjengalesi?

Udokotela uzolandela izinyathelo eziningana ukuze anqume ukuthi kunenkinga yini ngale mithambo yesibindi.

1. Ukuhlolwa komzimba: Okokuqala, uzohlolwa.

2. Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kwenziwa ukuhlola ukusebenza kwesibindi.

3. Ezinye izivivinyo: Ngaphezu kwalokho, olunye noma ngaphezulu lwalezi zivivinyo lungenziwa:

• Ukuhlolwa kwe-ultrasound `(Ultrasound)`.
• Ukuhlolwa kwe-CT scan (i-Computed Tomography - i-CT scan).
• Ukuhlolwa kwe-MRI (i-Magnetic Resonance Imaging - i-MRI).
• Ukuthatha ingxenye encane yesibindi ukuze iyohlolwa (i-Liver Biopsy).

Udokotela wenza ukuxilongwa okufanele ngokusekelwe olwazini olutholwe kulezi zivivinyo.

Wenzani njengokwelashwa?

Izinketho zokwelapha zincike esimweni sakho kanye nobunzima baso. Ukwelashwa nge-thrombolytic kuvame ukunikezwa ukuze kuncibilikiswe amahlule egazi. Kukhona nezinqubo ezahlukahlukene zokubuyisela ukugeleza kwegazi. Udokotela wakho uzoxoxa nawe ngenketho yokwelashwa engcono kakhulu kuwe.

Yini okufanele siyenze ukuze sigcine imithambo yethu yesibindi iphilile?

Bathi, “Ukuvimbela kungcono kunokwelapha.” Ngakho-ke, kunezinto eziningana esingazenza ukuze sigcine hhayi nje kuphela imithambo yethu yesibindi, kodwa nesimiso sethu sonke semithambo yegazi siphilile.

• Nciphisa ukuphuza utshwala: Ukuphuza utshwala ngokweqile kuyingozi kakhulu enhliziyweni, emithanjeni yegazi nasesibindini. Uma uphuza utshwala, bunciphise bube ngamanani aphakathi.
• Gwema imikhiqizo kagwayi: Ukubhema konakalisa imithambo yegazi futhi kuyisici esikhulu esiyingozi sesifo senhliziyo.
• : `(High Blood Pressure)` ‍ `(Metabolic Syndrome)` , ‍ . .
• Yidla ukudla okunempilo kwenhliziyo: Ukudla kwaseMedithera ikakhulukazi kutholakale ukuthi kusiza ekunciphiseni ingozi yesifo senhliziyo.
• Ukuzivocavoca: Buza udokotela wakho ngezivivinyo eziphephile nezifanele wena. Ukunyakaza komzimba wakho kuthuthukisa ukujikeleza kwegazi.
• Hamba uyohlolwa minyaka yonke: Udokotela uzohlola izimpawu zakho ezibalulekile futhi, uma kudingeka, enze ezinye izivivinyo ukusiza ekutholeni nasekuphatheni noma yiziphi izinkinga ngokushesha.

Ingabe umthambo wesibindi nomthambo we-portal ziyafana?

Cha, lezi ezimbili azifani. Imithambo Yesibindi kanye nemithambo ye-Portal ziyizinhlobo ezimbili zemithambo yegazi ezenza imisebenzi ehlukene.

• I-Portal Vein: Ngezinye izikhathi ibizwa ngokuthi i-hepatic portal vein. YilokhuUkuletha igazi esibindini. Leli gazi livela ezithweni ezahlukene esiswini. Okusho ukuthi, liletha igazi elidinga ukuhlanzwa kwesibindi.
• Imithambo Yesibindi: Le ithwala igazi liphume esibindini. Okusho ukuthi, ngemva kokwenza inqubo yokuhlanzwa esibindini, igazi elingenawo umoya-mpilo lidlula kule mithambo liye kwi-vena cava engaphansi (IVC), lapho liya khona enhliziyweni.

Kalula nje, umthambo we-portal uthwala "izinto zokusetshenziswa" uye esibindini, kuyilapho imithambo yesibindi ithwala "umkhiqizo oqediwe" (okungukuthi, igazi elihlanziwe).

Umthambo we-portal ungowesistimu ye-portal venous. Uyinethiwekhi yemithambo ethwala igazi lisuka ezithweni ezisesiswini liye esibindini. Kodwa-ke, imithambo yesibindi ayiyona eyalolu hlelo.

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Ngakho-ke, ngithemba ukuthi usunombono omuhle ngemithambo yesibindi. Lena isixhumanisi esibaluleke kakhulu phakathi kwesibindi sethu nenhliziyo. Le mithambo isiza ekuthwaleni igazi elihlanzwe yisibindi, kodwa elinomoya-mpilo ophansi, libuyele enhliziyweni.

Uma unemibuzo noma ukukhathazeka mayelana nempilo yesibindi sakho noma imithambo yegazi exhumanisa naso, sicela ubone udokotela. Bazokujabulela ukukutshela okwengeziwe ngalokhu futhi bakunikeze iseluleko ngezinguquko zendlela yokuphila ongazenza ukuze ugcine uhlelo lwakho lokujikeleza kwegazi luphilile.

Ukuze sihlale siphilile, kubaluleke kakhulu ukuqaphela lezi zitho ezincane kodwa ezibaluleke kakhulu zomzimba wethu, akunjalo?

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