ICaput Medusae

Umxholo

• Ziintoni iimpawu?
• Ibangelwa yintoni?
• Kufunyaniswa njani?
• Inyangwa njani?
• Yintoni imbonakalo?

Yintoni icaput medusae?

ICaput medusae, ngamanye amaxesha ebizwa ngokuba luphawu lomthi wesundu, ibhekisa kwinkangeleko yenethiwekhi engenazintlungu, imithambo edumbileyo ejikeleze isisu sakho. Ngelixa singesosifo, luphawu lweemeko ezisisiseko, ngesiqhelo isifo sesibindi.

Ngenxa yeendlela ezingcono zokuchonga isifo sesibindi kumanqanaba aso okuqala, i-caput medusae ngoku inqabile.

Ziintoni iimpawu?

Olona phawu luphambili lwe-caput medusae yinethiwekhi yemithambo enkulu, ebonakalayo ejikeleze isisu. Ukusuka kude, kunokubonakala ngathi kukugruzuka okumnyama okanye oluhlaza okwesibhakabhaka.

Ezinye iimpawu ezinokuhamba nazo zibandakanya:

• imilenze idumbile
• udakada owandisiweyo
• amabele amakhulu emadodeni

Ukuba uqhubekile nesifo sesibindi, unokwazi ukuqaphela ezi mpawu zilandelayo:

• ukudumba kwesisu
• inyongo
• utshintsho lweemvakalelo
• ukudideka
• ukopha kakhulu
• isigcawu se-angioma

Ibangelwa yintoni?

I-caput medusae phantse ihlala ibangelwa luxinzelelo lwegazi lwe-portal. Oku kubhekisa kuxinzelelo oluphezulu kwi-portal vein yakho. I-portal vein ithwala igazi liye esibindini sakho lisuka emathunjini akho, i-gall bladder, ipancreas, kunye ne-spleen. Isibindi sisebenza ngezakhi ezisegazini size sithumele igazi entliziyweni.

I-caput medusae ihlala inxulumene nezifo zesibindi, ethi ekugqibeleni ibangele ukonakala kwesibindi, okanye i-cirrhosis. Oku kubola kwenza kube nzima ukuba igazi liphume emithanjeni yesibindi sakho, kukhokelela kugcino lwegazi kwi-portal vein yakho. Ukunyuka kwegazi kwi-portal vein yakho kukhokelela kwi-portal hypertension.

Ngaphandle kokuya kwenye indawo, elinye igazi lizama ukuhamba ngemithambo ekufutshane nesisu, esibizwa ngokuba yimithambo ye-periumbilical veins. Oku kuvelisa ipateni yemithambo yegazi eyandisiweyo eyaziwa njenge caput medusae.

Ezinye izinto ezinokubangela isifo sesibindi ezinokuthi zikhokelele kwi-portal hypertension zibandakanya:

• hemochromatosis
• i-alpha 1-antitrypsin ukuswela
• hepatitis B
• hepatitis C engapheliyo
• isifo sesibindi esinxulumene notywala
• isifo sesibindi esinamafutha

Kwiimeko ezinqabileyo, ukuvaleka kwindawo yakho engaphantsi ye-vena cava, umthambo omkhulu ophethe igazi kwimilenze yakho kunye nesibetho esisezantsi entliziyweni yakho, kunokubangela ukuba uxinzelelo lwegazi lonyuke.

Kufunyaniswa njani?

I-caput medusae ihlala kulula ukuyibona, ke ugqirha wakho uya kugxila ekuqinisekiseni ukuba kungenxa yesifo sesibindi okanye ukuvaleka kwindawo yakho engaphantsi ye-vena cava.

Ukuskena i-CT okanye i-ultrasound kunokubonisa ulwalathiso lokuhamba kwegazi esiswini sakho. Oku kuya kunceda ugqirha wakho anciphise unobangela. Ukuba igazi kwimithambo eyandisiweyo lihamba liye emilenzeni yakho, kusenokwenzeka ngenxa yesibindi. Ukuba uphuphuma usiya entliziyweni yakho, ukubhloka kunokwenzeka.

Inyangwa njani?

Ngelixa i-caput medusae ngokwayo ingadingi nyango, iimeko ezisisiseko ezibangela ukuba ziyenze.

I-caput medusae ihlala ingumqondiso wokuqina kwesibindi, okufuna unyango kwangoko. Kuxhomekeka kubukhali, oku kunokubandakanya:

• Ukutyala i-shunt, isixhobo esincinci esivula umthambo we-portal ukunciphisa uxinzelelo lwegazi
• amayeza
• Ukufakelwa kwesibindi

Ukuba i-caput medusa ingenxa yokuvaleka kwindawo yakho engaphantsi ye-vena cava, kuyakufuneka utyando olungxamisekileyo ukulungisa ukubhloka kunye nokukhusela ezinye iingxaki.

Yintoni imbonakalo?

Ndiyabulela kwiindlela eziphuculweyo zokufumanisa isifo sesibindi, i-caput medusae inqabile. Kodwa ukuba ucinga ukuba ubonakalisa iimpawu ze-caput medusae, nxibelelana nogqirha wakho ngokukhawuleza. Iphantse yahlala ingumqondiso wento efuna unyango kwangoko.