Ingabe sikhuluma nge-portal hypertension?

Wake wezwa ngalesi simo esibizwa ngokuthi `(Portal Hypertension)`? Ungase uthole igama liyinqaba kancane futhi kunzima ukuliqonda. Kodwa lesi yisimo esingase senzeke esibindini sethu, sidinga ukunakekelwa okuthile, futhi singaba sibi kakhulu. Ake sixoxe ngalokhu namuhla kalula, ngendlela ongayiqonda, njengokungathi othile oseduze nawe uyakuchazela, kulungile?

Kuyini umfutho wegazi ophezulu we-portal?

Kalula nje, "i-Portal Hypertension" yilapho umfutho wegazi emthanjeni wegazi oyinhloko ('i-portal vein') uxhumene nesibindi sakho kanye nohlelo lwemithambo emincane ('i-portal venous system') ehlukana nalo ikhuphuka ngaphezu kwezinga elijwayelekile. Cabanga ukuthi kukhona umthambo omkhulu esiswini sakho oqoqa igazi elingcolile ezithweni ezifana nesisu sakho, amathumbu, i-pancreas, kanye ne-spleen bese uliletha esibindini sakho. Yilokho esikubiza ngokuthi "i-portal vein" noma i-portal vein. Uhlelo olwakhiwe yimithambo eminingi emincane exhunywe kulo mthambo oyinhloko lubizwa ngokuthi "i-portal venous system" noma uhlelo lwe-portal venous.

Isibindi sethu siyisitho esibaluleke kakhulu. Yisibindi esihlanza igazi eliqoqiwe, sihlukanise izakhamzimba ezidingekayo, bese silibuyisela enhliziyweni ukuze lisabalale emzimbeni wonke.

Manje, uma ngesizathu esithile ukugeleza kwegazi esibindini ngalo `(umthambo we-portal)` kuvinjiwe, noma uma lolo hambo luhamba kancane, ingcindezi kulolo hlelo lonke lwemithambo yegazi iyanda kancane kancane. Njengoba nje lapho ipayipi lamanzi livinjiwe phakathi, ingcindezi yamanzi ngaphakathi kwepayipi iyanda. Yilokho esikubiza ngokuthi `(umfutho wegazi ophezulu we-Portal)` lapho ingcindezi ikhuphuka.

Ngemuva kwalokho umzimba wethu uzama ukubhekana nalokhu kucindezela okwandisiwe. Ngakho-ke, uqala ukuthumela igazi kweminye imithambo yegazi, ngokuvamile emincane, lapho igazi ligeleza khona kancane, njengokungathi lidlula umgwaqo omkhulu ovinjiwe. Kodwa uma lelo gazi elengeziwe lingena, leyo mithambo yegazi emincane ayikwazi ukuyiphatha futhi yeluleke, ibe mikhulu, futhi izindonga zayo zingaba buthakathaka kakhulu. Ngezinye izikhathi le mithambo yegazi ebuthakathaka ingavuza uketshezi esiswini, noma imithambo yegazi ingaqhuma futhi yophe ngokuzumayo. Lena yinto eyingozi kakhulu.

Ubani onamathuba amaningi okuthola "i-Portal Hypertension"?

Emazweni aseNtshonalanga, imbangela enkulu yalesi simo ivame ukuba yisifo esibizwa ngokuthi i-cirrhosis yesibindi. I-cirrhosis yisimo lapho isibindi sonakala khona ngokuhamba kwesikhathi, futhi amangqamuzana esibindi aphilile athathelwa indawo yizicubu zesibazi (izicubu eziqinile, ezinemicu). Lokhu kusibazi kubangela ukuvinjelwa okukhulu kokugeleza kwegazi esibindini ngomthambo wesango. Kufana netshe elivimba umgwaqo.

Kwezinye izingxenye zomhlaba, isibonelo kwamanye amazwe ase-Afrika nase-Asia, kuvamile futhi ngenxa yokutheleleka okubangelwa yi-parasite okubizwa ngokuthi "i-schistosomiasis." Lesi silwanyana silimaza imithambo yegazi esibindini. Ngokusho kwe-World Health Organization, abantu abangaphezu kwezigidi ezingu-230 emhlabeni wonke banalesi sifo.

Sibi kangakanani lesi simo?

Izinkinga ezibangelwa `(i-Portal Hypertension)` ngezinye izikhathi zingaba yingozi empilweni., ikakhulukazi ukopha kwangaphakathi. Akuwona wonke umuntu othola lezi zinkinga, kodwa ingozi iyanda njengoba ingcindezi ohlelweni lwemithambo yegazi ikhula. Lapho ingcindezi iphakama, kulapho amathuba okuba imithambo yegazi ikhule, ibe buthaka, futhi iqhume khona.

Eqinisweni, umfutho wegazi ophezulu we-portal kanye nezinkinga zawo kuyimbangela ehamba phambili yokulaliswa esibhedlela, futhi kwezinye izimo, ukufa kwabantu abane-cirrhosis yesibindi.

Yiziphi izimpawu ezi-5 eziyinhloko ze-`(Portal Hypertension)`?

Inkinga eyodwa ngalokhu ukuthi, ezimweni eziningi, kungase kungabi khona zimpawu zangaphandle kuze kube yilapho kuvela izinkinga. Cabanga ukuthi cishe abantu abangu-90% abane-cirrhosis banesifo somfutho wegazi ophakeme esikhula emizimbeni yabo ngaphambi kokuba babonise izimpawu. Futhi, cishe abangu-40% kungenzeka ukuthi kakade banemithambo emikhulu ebizwa ngokuthi ama-varice, ngaphandle kwesixwayiso.

Izimpawu zokuqala ezivelayo zivame ukuhlotshaniswa nemithambo emisha, ekhulisiwe, evuzayo, nephuma igazi. Lezi yizi:

• Ukuhlanza igazi (mhlawumbe ngisho nombala ofana nowekhofi).
• Igazi esitulweni (ngokuvamile limnyama, liphuzile, noma ngezinye izikhathi libomvu).
• Isisu siba sikhulu ngokuzumayo futhi sizizwe sigcwele, kanye nokukhuluphala okusheshayo. (Lokhu kungenxa yokugcwala kwesisu ngamanzi).
• Ukuvuvukala kwemilenze, ikakhulukazi amaqakala (i-edema) .
• Ukuzizwa udidekile kancane, ukulahlekelwa ukwazi, ngezinye izikhathi ukhohlwe ukuthi ungubani nokuthi ukuphi (ukudideka kwengqondo) .

Yiziphi izinkinga ezingaba khona ze-`(Portal Hypertension)`?

Lesi simo singaholela ezinkingeni ezahlukahlukene. Ake sibheke ngayinye ngayinye:

• ``Ascites``: `` Ascites`` ukuqongelela koketshezi olufana namanzi esiswini oluvela emithanjeni ekhuphukile, ebuthaka, oluvuza lungene emgodini wesisu (``umgodi we-peritoneal``). Lokhu kungabangela ukuthi isisu sivuvuke futhi sizizwe sikhukhumele, futhi kungabangela ukulahlekelwa yisifiso sokudla kanye nobunzima bokugaya ukudla. Kwezinye izimo ezinzima, lolu ketshezi lungakhuphukela esifubeni, okwenza kube nzima ukuphefumula. Futhi kwandisa ingozi yokuthola ukutheleleka ngaphakathi esiswini (``peritonitis``).

• Ukopha kwamathumbu: Imithambo emikhulu yokugaya ukudla (umphimbo, isisu, amathumbu) (ama-varice) ingaqhuma futhi yophe. Evame kakhulu kulezi yi-varice yomphimbo . Lena yimithambo eseduze nesikhumba futhi inezindonga ezincane kakhulu, ngakho ingaqhuma kalula. Imithambo esezindongeni zesisu nayo ingavuvukala (lokhu kubizwa ngokuthi i-portal hypertensive gastropathy) futhi, ezimweni ezimbi kakhulu, ingopha. Uma lokhu kopha kuqhubeka , i-anemia , noma ukuntuleka kwegazi emzimbeni, kungenzeka.

• `I-Hypersplenism`:Uma ukugeleza kwegazi ebhodweni kuncipha, ibhodwe liyakhukhumala ngegazi elengeziwe futhi likhule imithambo yegazi emisha ukuze ikwazi ukwamukela leli gazi elengeziwe. Ibhodwe elikhulisiwe liba matasa kakhulu bese liqala ukususa amangqamuzana abaluleke kakhulu egazini lomzimba (isibonelo, ama-platelet , asiza ukugoba kwegazi, kanye namangqamuzana amhlophe egazi , abalulekile ekulweni nomzimba). Lokhu kungaholela ekunciphiseni ukugoba kwegazi (ukopha kalula), kanye nobuthakathaka besimiso somzimba sokuzivikela (kulula ukugula).

• Umoya-mpilo ophansi egazini: Kwabanye abantu, le "Portal Hypertension" ibangela ukuthi imithambo yegazi emaphashini ibe banzi ngendlela engavamile. Ngemuva kwalokho amaphaphu awakwazi ukudlulisa umoya-mpilo egazini ngendlela efanele. Umphumela uba amazinga aphansi omoya-mpilo egazini ``(hypoxemia)`` . Lesi simo esithile sibizwa nangokuthi ``(hepatopulmonary syndrome)``` .

• Ukwehluleka kwezinso: Imithambo yegazi evulekile ebangelwa umfutho wegazi ophezulu we-portal ingenza imithambo yegazi ibe mincane kwezinye izindawo emzimbeni (ikakhulukazi leyo ehambisa igazi ezinso). Uma lokhu kwenzeka ezinso, ukunikezwa kwegazi ezinso kuyancishiswa, okubangela ukwehluleka kwezinso . Lokhu kuyinkinga engavamile kodwa engathi sína kakhulu, eyaziwa nangokuthi i-hepatorenal syndrome .

• Ukukhubazeka okuncane kokuqonda: Njengoba imizimba yethu izama ukuzivumelanisa nomfutho wegazi ophezulu we-portal, idala imithambo yegazi emisha (ama-shunt) adlula isibindi. Kodwa lapho igazi lidlula isibindi futhi lingena ngqo emgudwini wokujikeleza kwegazi, ubuthi okufanele isibindi sibuhlanze abuhlanzwa. Lawa ma-toxin abe eseqoqana egazini futhi kancane kancane athinte ukusebenza kobuchopho. Ungase ube nezimpawu zesikhashana ezifana nokudideka, ukukhuluma okungacacile, kanye nokulahlekelwa ukwazi. Lokhu kubizwa ngokuthi i-hepatic encephalopathy .

Yiziphi izimbangela eziyinhloko ze-Portal Hypertension?

Njengoba sikhulume kancane ngaphambili, kunezizathu ezimbalwa eziyinhloko:

• I-Cirrhosis yesibindi: Lena imbangela evame kakhulu. I-Cirrhosis ngokuvamile iyisigaba sokugcina sesifo sesibindi sesikhathi eside. Ivame kakhulu ukubangelwa izifo ezibangelwa amagciwane njenge- hepatitis C yegciwane, i-hepatitis ebangelwa utshwala , kanye nesifo sesibindi esinamafutha esingesilo utshwala . Lesi sikhumba sivimba ukugeleza kwegazi esibindini.

• `Ama-granuloma esibindi`:Ama-granuloma ayiqoqo lamaseli okuvuvukala ayenzeka ngezifo ezahlukahlukene (isb., i-schistosomiasis) kanye nezifo zokuvuvukala. Afana nezimila ezincane futhi angavimba uhlelo lwemithambo yegazi. Ngokuvamile ayisandulela sokuthuthukiswa kwe-fibrosis yesibindi kamuva.

• Amahlule egazi (Thrombosis): Uma ihlule legazi (thrombosis) lakha noma yikuphi ohlelweni lwemithambo yegazi, lingavimba ukugeleza kwegazi liye esibindini, esibindini, noma liphume esibindini. Lokhu kungaba nezimbangela eziningi, okuhlanganisa nezinye izifo zegazi ezizuzwe njengefa.

Wazi kanjani ukuthi une-`(Portal Hypertension)`?

Ukuze wazi ngokuqinisekile ukuthi lokhu kunjalo, udinga ukukala ingcindezi emithanjeni yesibindi. Lokhu kuhilela ukufaka ithubhu elincane (i-catheter) emthanjeni. Kodwa-ke, lokhu kuwukuhlolwa okunzima nokuyinkimbinkimbi, futhi akuvamile ukwenziwa kalula, futhi akuwona wonke umuntu okudingayo.

Ngenhlanhla, odokotela bangakwazi ukuxilonga lesi simo (i-Portal Hypertension) ngokusekelwe ezimpawini nezimpawu zomtholampilo. Okusho ukuthi, lokho okushoyo nalokho abakubonayo lapho bekuxilonga. Ukuskena nokuhlolwa kwegazi kungaqinisekisa lokhu kusola.

Yiziphi izimpawu udokotela angasola ukuthi une-Portal Hypertension?

• Imithambo emikhulu (ama-varice) (ikakhulukazi uma ibonwa ngesikhathi se-endoscopy).
• Ubende obukhulisiwe (kungaba ngokubuthinta noma ngokuskena).
• Ubufakazi begazi elidlula emgudwini wokugaya ukudla.
• Ukuba noketshezi esiswini (ama-ascites).
• Izimpawu zokwehla okuncane kokusebenza kobuchopho (njengoba kushiwo ngaphambili, izimpawu `ze-hepatic encephalopathy`).
• Uma ukuhlolwa kwegazi kukhombisa ukuthi inani lezinhlobo ezithile zamaseli egazini (isib. ama-platelet, amaseli amhlophe egazi) liphansi.
• Izimpawu zifaka phakathi ukuklwebheka okulula kanye nokopha kakhulu.

Yiziphi izivivinyo ezenziwayo ukuqinisekisa lesi simo?

• Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kungakutshela okuningi ngalokho okwenzekayo ezithweni zakho zomzimba, ikakhulukazi isibindi sakho nezinso. Iphaneli ephelele ye-metabolic ingahlola noma yiziphi izinkinga ngezinso zakho nesibindi. Ukubalwa kwegazi okuphelele (i-CBC) kungahlola noma yiluphi udengezi olusebenza ngokweqile olususa amangqamuzana egazi amhlophe amaningi noma ama-platelet. Kungahlola futhi izinkinga ezithile zegazi ezingabangela umfutho wegazi ophakeme we-portal, noma i-anemia ebangelwa ukopha kwangaphakathi.

• Ukuhlolwa kwezithombe: Ukuskena nge-ultrasound kanye nokuskena nge-CT kungasiza ekunqumeni ukuthi i-cirrhosis ikhona yini, i-ascites ikhona, izitho ezifana ne-spleen ziyakhula, uhlelo lwe-portal venous luyakhula, futhi kwakheka imithambo emisha. I-Doppler ultrasound iwusizo kakhulu.Umuntu angathatha izithombe zegazi eligeleza ngaphakathi kwemithambo yegazi. Kungabona ngokucacile ukuvinjelwa kokugeleza kwegazi, nokuthi ngabe imithambo yegazi ibanzi noma imincane ngendlela engavamile.

• I-Endoscopy: Uma unezimpawu zokuphuma kwegazi emgudwini wakho wokugaya ukudla (igazi ekuhlanzeni kwakho, igazi esitulweni sakho), udokotela wakho cishe kuzodingeka enze i-endoscopy. I-endoscopy ephezulu ihilela ukufaka ithubhu elide, elincane (i-endoscope) elinekhamera emlonyeni wakho ukuhlola umphimbo wakho, isisu, kanye nengxenye yokuqala yamathumbu akho amancane (i-duodenum). Udokotela uzobheka imithambo emikhulu ebizwa ngokuthi ama-varice, kungakhathaliseki ukuthi ayopha yini, nokuthi ngabe kukhona yini izindawo eziseduze zokuphuma kwegazi. Ingxenye engcono kakhulu ukuthi uma ubona ukopha, bavame ukufaka amathuluzi akhethekile nge-endoscope ukuze bamise ukopha.

Yiziphi izindlela zokwelapha `(Portal Hypertension)`?

Ukuthi i-Portal Hypertension ingelapheka ngokuphelele noma cha kuncike embangela eyinhloko. Isibonelo, uma ukutheleleka noma ukuqhekeka kwegazi kuyimbangela, udokotela wakho angase akwazi ukwelapha imbangela eyinhloko ngemithi, futhi i-Portal Hypertension yakho izothuthuka kancane kancane, futhi ngezinye izikhathi ize iphele ngokuphelele.

Kodwa-ke, uma kukhona izibazi ezinkulu esibindini, njenge-cirrhosis, ngokuvamile azipheli. Lokhu kusho ukuthi izibazi azipheli. Ngakho-ke, umfutho wegazi ophakeme we-portal ungase uqhubeke. Ezimweni eziningi, ukwelashwa kuhloswe ukulawula izinkinga eziyingozi zomfutho wegazi ophakeme we-portal nokunciphisa umonakalo eziwubangelayo. Odokotela baqale bazama ukulawula izimo ezibucayi (isib. ukopha) bese beqhubekela ezixazululweni zesikhathi eside.

Ukwelashwa kokuqala kokuvimbela ukopha emgudwini wokugaya ukudla:

• Ukwelashwa nge-Endoscopic: Udokotela welapha ukopha okungazelelwe nge-endoscopy. Lezi zindlela zifaka phakathi i-sclerotherapy (ukufaka umuthi okhethekile emithanjeni ephuma igazi ukuze inciphe futhi ilawule ukopha) kanye nokubopha ( ukubopha imithambo ephuma igazi ngamabhande amancane enjoloba ukuze kumiswe ukopha).
• Imithi: Udokotela wakho angase akunike imithi, kungaba kanye noma ngaphandle kokwelashwa nge-endoscopic, ukuze unciphise ingcindezi emithanjeni yakho evalekile futhi unciphise ingozi yokopha futhi. Imithi ebizwa ngokuthi ama-beta-blockers ingasiza ekunciphiseni ingcindezi ye-portal, kuyilapho ama-vasoconstrictors angasiza ekunciphiseni imithambo ekhulisiwe futhi anciphise ukopha.

Ukwelashwa kokuqala kwezinye izinkinga:

• Uma kukhona `(hepatopulmonary syndrome)` (ukuntuleka komoya-mpilo egazini), kunikezwa umoya-mpilo `(Ukwelashwa komoya-mpilo)` .
• I-Dialysis uma kukhona i-hepatorenal syndrome (ukwehluleka kwezinso).
• Uma une-hepatic encephalopathy (izinkinga zokusebenza kobuchopho), kunemithi engasiza.
• I-Paracentesis ukususwa koketshezi oluningi esiswini ngenxa ye-ascites (ukuqongelela koketshezi esiswini) bese kuthathwa isampula yalolo ketshezi ukuze kuhlolwe i-peritonitis (ukutheleleka kwesisu).

Ukwelashwa kwesibili (uma ukopha noma ezinye izinkinga ziqhubeka):

Ngezinye izikhathi, uma ukopha kungenakuvinjelwa noma ezinye izinkinga ziqhubeka, odokotela bazosebenzisa izindlela zokwelapha zesibili. Izindlela ezimbili eziyinhloko ukuhlinzwa kwe-"shunt". Lezi zisetshenziselwa ukushintsha indlela yokugeleza kwegazi "ohlelweni lwemithambo yegazi" kanye nokunciphisa ingcindezi.

• I-Transjugular intrahepatic portosystemic shunt (AMACEBISO): Lena inqubo engeyona eyokuhlinzwa. Esebenzisa izithombe ze-X-ray, udokotela we-radiologist ongenelelayo ubeka i-stent (ithubhu elincane eline-mesh) ngaphakathi kwesibindi sakho. Basebenzisa inaliti ukudala umhubhe odlula esibindini bese bexhuma umthambo we-portal ngqo emthanjeni osesibindini (umthambo wesibindi). Lokhu kuvumela igazi ukuthi ligeleze emhubheni, kunciphisa ingcindezi. I-stent ibekwa ukuze kugcinwe umhubhe uvulekile. Lena inqubo ephumelela kakhulu, kodwa ngokuhamba kwesikhathi, i-stent ingavinjelwa, futhi kungadingeka ukuthi uyilungise futhi (inqubo ephindaphindwayo).

• I-Distal splenorenal shunt (DSRS): Lena inqubo yokuhlinzwa. Kwabanye abantu, kungaba yindlela engcono kune-TIPS. Kodwa-ke, udinga ukuba nempilo enhle ngokwanele ukuze udlule isikhathi sokuhlinzwa nokululama. Kodwa-ke, ingaba ngcono ekulawuleni lesi sifo isikhathi eside. Le nqubo ihilela ukususa umthambo wakho we-splenic esibindini sakho bese uwuxhuma emthanjeni wezinso wesobunxele. Lokhu kunciphisa ngokukhethekile ukugeleza kwegazi kanye nokucindezela kokubili esibindini kanye nasesinqeni.

Okokugcina, kulabo abanesifo sesibindi esibi kakhulu esingenakulawuleka ngezinye izindlela zokwelapha, kungacatshangwa ukufakelwa isibindi .

Hlobo luni lokunakekelwa kokulandelela engizodinga?

Ngemva kwakho konke lokhu kwelashwa , kubalulekile ukuqhubeka ungaphansi kokuqashwa kwezokwelapha. Udinga ukuqaphela isimo sakho. Kuzodingeka ubone udokotela wakho njalo ngonyaka wokuqala ngemuva kokwelashwa ukuze ubone ukuthi ukwelashwa kusasebenza yini nokuthi ngabe kukhona yini izinkinga ezintsha ezivele. Ngemva kwalokho, kuzodingeka ubone udokotela wakho okungenani kabili ngonyaka ukuze uhlolwe isibindi futhi uhlolwe igazi ukuze kuhlolwe ukusebenza kwesibindi sakho. Lokhu kufana nokulungisa imoto, udinga ukuqhubeka uyinakekela.

Yini engingayilindela ngalesi simo?

Ukubikezela kwakho kanye nokululama kuzoncika ekutheni umfutho wegazi ophezulu we-portal yakho unzima kangakanani, ukuthi une-varice ephuma igazi, nokuthi unezinye izinkinga.Eqinisweni, ingozi yokufa ngenxa yokopha kokuqala ingaba phezulu ku-40%. Uma wopha futhi ngemva kokwelashwa, ingozi yokufa ngenxa yokopha okulandelayo iseduze no-30%. Ingozi iphakeme uma isifo sakho sesibindi sibi kakhulu. Kodwa-ke, uma isifo sesibindi sisalawuleka ezigabeni zaso zokuqala, futhi ukwelashwa kushesha, ingozi ingancishiswa.

Ngingakuvimbela kanjani `(i-Portal Hypertension)`?

Indlela engcono kakhulu yokuvimbela lokhu "(i-Portal Hypertension)" ukuzama ukuvimba ukukhula kwesifo sesibindi sesikhathi eside uma kungenzeka. Awukwazi ukulawula zonke izimbangela, kodwa ezinye zezimbangela ezivame kakhulu zingalawulwa uma zitholakala kusenesikhathi.

• Isifo sesibindi esibangelwa ukusetshenziswa kotshwala, noma isifo sesibindi esibangelwa isifo se-metabolic (isb., isifo sesibindi esinamafutha esingenalo utshwala), singathuthukiswa ngokudla kanye nokushintsha indlela yokuphila enempilo (njengokuzivocavoca umzimba).
• I-Hepatitis C iyelapheka ngokuphelele ngemithi emisha yokulwa namagciwane. Ngakho-ke, kubaluleke kakhulu ukuhlolelwa i-hepatitis C okungenani kanye empilweni yakho.

Ngizinakekela kanjani ngenkathi ngiphila `(Portal Hypertension)`?

Lolu kungaba uhambo olunzima, kodwa awuwedwa.

• Hlala uxhumene nethimba lakho lezokwelapha, okuhlanganisa odokotela bakho nabahlengikazi. Lalela ngokucophelela futhi ulandele lokho abakushoyo.
• Hamba uyohlolwa ngesikhathi, thatha imithi yakho njengoba nje udokotela ekutshelile, ngesikhathi abakutshela sona. Ungaphuthelwa nayinye imini.
• Njalo thintana nodokotela wakho ngaphambi kokuthatha noma yimuphi umuthi omusha (kungaba owesinye isifo noma i-vitamin).
• Yeka ukuphuza utshwala ngokuphelele, noma unciphise ngangokunokwenzeka. Lokhu kuwusizo olukhulu esibindini.
• Kungase kudingeke ulandele ukudla okune-sodium ephansi , ikakhulukazi uma unamanzi amaningi esiswini sakho. Noma kungase kudingeke ulandele uhlelo lokudla oluklanyelwe wena ngqo. Kungumqondo omuhle ukubonisana nochwepheshe wezokudla.
• Ungase ube nezinye izimo ezihlobene (isib. isifo sikashukela, i-cholesterol ephezulu). Siza ekuzilawuleni ngokushintsha indlela odla ngayo nendlela ophila ngayo.

Ngenxa yokuthi lesi simo, esibizwa ngokuthi "i-Portal Hypertension," sithinta izitho eziningi zomzimba, ukusilapha kungazwakala sengathi kucisha umlilo ovuthayo ezindaweni ezahlukene. Ungase umangale, uze wesabe, ukuzwa ukuthi isifo sesibindi singathinta imithambo esiswini sakho, emhubheni, emaphashini nasezinso. Lokhu kungaba ukushaqeka okukhulu, ikakhulukazi uma ungakaze ube nezimpawu zesifo sesibindi. Kodwa into ebaluleke kakhulu ukuthi uma usibona kusenesikhathi futhi usithola ukwelashwa ngendlela efanele, uzoba nethuba elihle lokulawula "i-Portal Hypertension," kanye nezinkinga zaso. Ngakho ungesabi, futhi uma unokungabaza, bona udokotela ukuze uthole iseluleko.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, ngakho-ke kulokho esikuxoxile, ngithemba ukuthi usuthole ukuqonda okungcono nge-`(Portal Hypertension)`. Nazi izinto eziyinhloko okufanele uzikhumbule:

• Umfutho wegazi ophezulu we-portal ukwanda kwengcindezi emithanjeni exhumanisa nesibindi. Lokhu kungaba yisimo esibi kakhulu .
• Imbangela evame kakhulu yi-cirrhosis yesibindi. Ngakho-ke, ukuvikela isibindi kubaluleke kakhulu.
• Ngokuvamile, izimpawu zingase zingaveli ezigabeni zokuqala. Ngakho-ke, uma unezici eziyingozi (isib. isifo sesibindi esingamahlalakhona, i-hepatitis), thola ukuhlolwa njalo kwezokwelapha.
• Uma uzwa izimpawu ezifana nokuhlanza igazi, indle emnyama, noma isisu esivuvukile , xhumana nodokotela ngokushesha.
• Kukhona ukwelashwa, kodwa kungcono ukukubona kusenesikhathi bese uqala ukwelashwa.
• Landela imiyalelo kadokotela wakho kahle, thatha imithi yakho ngendlela efanele, bese wenza izinguquko ezidingekayo endleleni yokuphila.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela wakho. Hlala uphilile!

Umfutho wegazi ophezulu we - Portal, Isibindi, Ukucindezeleka kwe-Portal Vein, i-Cirrhosis, i-Hematemesis, i-Ascites, Isifo Sesibindi, (i-Cirrhosis), (ama-Varices), (ama-Ascites)