I-hepatic ischemia

I-hepatic ischemia yimeko apho isibindi singafumani gazi laneleyo okanye ioksijini. Oku kubangela ukonzakala kwiiseli zesibindi.

Uxinzelelo lwegazi oluphantsi kuyo nayiphi na imeko lunokukhokelela kwi-hepatic ischemia. Ezi meko zinokubandakanya:

• Isingqisho sentliziyo esingaqhelekanga
• Ukuphelelwa ngamanzi emzimbeni
• Ukumelwa yintliziyo
• Usulelo, ngakumbi i-sepsis
• Ukopha kakhulu

Ezinye izizathu zinokubandakanya:

• Amahlwili egazi kwimithambo ephambili yesibindi (umthambo we-hepatic) emva kokufakelwa kwesibindi
• Ukudumba kwemithambo yegazi, ekhokelela ekunciphiseni ukuhamba kwegazi (vasculitis)
• Ukutsha
• Ukubethwa bubushushu
• Ukuba nengxaki yeseli erhengayo

Umntu unokuba etshintshile ubume bengqondo ngenxa yokuncipha kokuhamba kwegazi ukuya kwingqondo. Ezinye iimpawu zingabandakanya:

• Ukuphelelwa ngumdla wokutya
• Ukuziva ungonwabanga ngokubanzi
• I-jaundice

Ukonakala kweeseli zesibindi kuhlala kungabangeli zimpawu de kuchaphazele ukusebenza kwesibindi.

Ukuqina kwegazi kwimithambo ephambili yesibindi kunokubangela iintlungu zesisu.

Ezi mvavanyo zilandelayo ziya kwenziwa:

• Uvavanyo lwegazi ukujonga ukusebenza kwesibindi (AST kunye ne-ALT). Olu fundo lunokuphakama kakhulu nge-ischemia.
• I-Doppler ultrasound yemithambo yegazi yesibindi.

Unyango luxhomekeke kwisizathu. Uxinzelelo lwegazi olusezantsi kunye namahlwili egazi kufuneka anyangwe kwangoko.

Abantu ngokubanzi bayachacha ukuba ngaba isifo esibangela i-hepatic ischemia sinokunyangwa. Ukufa ukusilela kwesibindi ngenxa ye-hepatic ischemia kunqabile kakhulu.

Ukusilela kwesibindi kunqabile, kodwa kuyabulala.

Nxibelelana nomboneleli wakho wezempilo kwangoko ukuba unobuthathaka obuqhubekayo okanye iimpawu zothuko okanye zokoma.

Ukunyanga ngokukhawuleza izizathu zoxinzelelo lwegazi oluphantsi kunokuthintela i-hepatic ischemia.

Ischemic hepatitis; Umothuko wesibindi

• Ukuhanjiswa kwegazi lesibindi

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I-Korenblat KM, iBerk PD. Indlela eya kwisigulana esine-jaundice okanye iimvavanyo zesibindi ezingaqhelekanga. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 138.

UNery FG, uValla DC. Izifo zemithambo yesibindi. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 85.