Oonobangela be-varices esophageal varices, iimpawu kunye nonyango

Umxholo

• Oonobangela be-varices esophageal varices
• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Izinketho zonyango
• 1. Uncedo
• 2. I-Endoscopy
• 3. Utyando
• Ukutya kwe-varices esophageal varices

I-varopha esophageal varices zenzeka xa imithambo yegazi kwi-esophagus, eyityhubhu edibanisa umlomo nesisu, iya kuba nkulu kakhulu kwaye inokubangela ukopha ngomlomo. Le mithambo ye-varicose ikhula ngenxa yoxinzelelo olonyukayo kumthambo ophambili wesibindi, obizwa ngokuba yi-portal vein, kwaye inokubonakala ngenxa yezifo ezinje ngesibindi cirrhosis okanye i-thrombosis esibindini, umzekelo.

Iimpawu ze-varopha esophageal varices zihlala zivela xa imithambo yegazi kuqhekeko, enokukhokelela ekugabheni ngegazi kunye nezihlalo ezimnyama. Nangona kunjalo, nangona bengekabinangxaki yokufumana isisu, abantu abanesibindi sokuqina kwesibindi kunye nezinye iingxaki zesibindi baneempawu kunye neempawu ezinje ngesisu esidumbileyo, ukuphefumla kancinci okanye ukudumba kakhulu kwemilenze.

Ukuxilongwa kwe-varices esophageal varices kuqinisekiswa ngovavanyo lwe-imaging, olufana ne-endoscopy ephezulu yesisu, kwaye unyango oluboniswe sisigulo sesisu luxhomekeke kubukhali besi sifo, kusetyenziswa amayeza, utyando okanye ukufakelwa isibindi kwezona meko zinzima ziboniswa ngokubanzi .

Oonobangela be-varices esophageal varices

Ii-varopha ze-Esophageal varices ziyavela xa kukho ukuphazamiseka kokuhamba kwegazi ukuya esibindini, kunyusa uxinzelelo kumthambo ophambili weli lungu, laziwa njenge-portal vein. Olu konyuka koxinzelelo lubangela ukuba imithambo ye-esophageal yande ngenxa yokufumba kwegazi, elinokubangela ukopha.

Le meko inokubangelwa ziingxaki ezininzi zesibindi, ezinje ngamafutha agqithisileyo, ukusetyenziswa gwenxa kotywala, i-hepatitis C okanye i-hepatitis B, esisifo esibangelwa ziintsholongwane nesinokudluliselwa kukudibana okungakhuselekanga okanye ngokusebenzisa okungcolileyo. iinaliti okanye iincakuba. Nantsi into enokuyenza ukuthintela i-hepatitis B.

Iimpawu eziphambili

I-varopha esophageal varices ivela xa imithambo yegazi kuqhekeko, enokukhokelela kwinkangeleko:

• Ukuphalaza igazi;
• Izitulo ezimnyama okanye ezimnyama;
• Isiyezi;
• Isikhumba esimdaka nesityheli;
• Ukukhefuzela;
• Ubuthathaka.

Kwiimeko ezinzima kakhulu, xa ukopha okuphuma emlonyeni kuphakame kakhulu, umntu unokuphulukana nokuqonda ngenxa yokuphulukana negazi, kwaye ke, kubalulekile ukubiza i-ambulensi ye-SAMU kwifowuni 192.

Nangona kunjalo, nokuba umntu akanayo i-esophageal varices, unokuba neminye imiqondiso yeempawu zesibindi ezibangela i-esophageal varices, ezinje ngesisu esidumbileyo, ukuphefumla kancinci okanye ukudumba kakhulu kwemilenze.

Indlela yokuqinisekisa ukuxilongwa

Guqula Ingcebiso

Ukuxilongwa kwe-varices esophageal varices kufuneka kwenziwe ngugqirha oqhelekileyo okanye i-gastroenterologist, apho uvavanyo lwegazi, olunje ngokubalwa kwegazi, uvavanyo lwesibindi kunye necoagulogram, lunokwenziwa ukukhangela ixesha elithathayo lokuba umzimba uyeke ukopha. Jonga ukuba yintoni le coagulogram nokuba yenziwa njani.

I-endoscopy ephezulu esiswini luvavanyo olusetyenziselwa ukuqinisekisa ukuxilongwa kwe-varices esophageal kwaye kwenziwa ngokungenisa ityhubhu ecekeceke, eguqukayo enekhamera encinci eqhotyoshelwe ukuze kube nakho ukujonga udonga lomqala nesisu kwaye ubone imvelaphi ukopha, ke oko kunika uxilongo kwaye kunokusetyenziswa njengonyango.

Izinketho zonyango

Uhlobo lonyango olusetyenziselwa imithambo ye-varicose kwi-esophagus ixhomekeke kubukhali bengxaki yesibindi kunye nobungakanani beemithambo ze-varicose:

1. Uncedo

Olona nyango lusetyenziswayo lwe-varices esophageal varices lubandakanya:

• Unyango lwe-Beta-blocking, njengepropranolol okanye i-nadolol, eyanciphisa ukubetha kwentliziyo kwaye, ngenxa yoko, yehlisa uxinzelelo ngaphakathi kwemithambo ye-varicose;
• Unyango lwe-Spodic vasodilator, ezinje nge-vasopressin okanye i-somatostatin, eyehlisa kakhulu uxinzelelo ngaphakathi kwemithambo ye-varicose, kwaye ke zisetyenziswa kakhulu kwiimeko zokopha.

La mayeza asetyenziselwa ukunciphisa umngcipheko okanye ukunciphisa ukopha kwimithambo enkulu ye-varicose kwaye, ke ngoko, ayinyangi i-esophageal varices. Ke, ugqirha unokucebisa nezinye iindlela zonyango ezinokuthi zisetyenziswe ngokudibeneyo namayeza.

2. I-Endoscopy

I-Endoscopy ye-varopha esophageal varices, ukongeza ekuncedeni ukuxilongwa, ikwasebenza ekuphuculeni ukwanda kwemithambo ye-esophageal, ngokubeka ibhandeji ye-elastic ejikeleze imithambo ye-varicose ukuvala igazi kwindawo kunye nokunciphisa umngcipheko wokopha okukhulu.

3. Utyando

Utyando lwee-varicose veins kwi-esophagus, ebizwa shunti-hepatic, isetyenziswa ikakhulu kwezona meko zinzima, apho kungenakwenzeka ukulawula uxinzelelo ngaphakathi kwemithambo ye-varicose kuphela ngamayeza, kwaye inokubonakaliswa xa ukopha kwi-esophagus kungalawulwa ngamayeza kunye ne-endoscopy .

Ukutya kwe-varices esophageal varices

Ukutya kwe-varices esophageal varices kufuneka kubesezantsi kumanqatha kunye neeproteni ezinokwetyisa ngokulula, ezinje ngeentlanzi, inyama emhlophe okanye imifuno, umzekelo, ukulungiselela unyango lwengxaki yesibindi. Jonga okunye ukutya ekutyeni okubonisiweyo kwiingxaki zesibindi.

Ukongeza, ngenxa yobukho bemithambo ye-varicose, kubalulekile ukuthatha unonophelo ngokutya okufana:

• Nika ukhetho kukutya okwenziwe ngepastile, ezinje ngeeporridges, purees okanye iivithamini, umzekelo;
• Ukuhlafuna ukutya ngesixa esincinci ngexesha;
• Kuphephe ukutya okunzima kakhulu, ezixineneyo okanye ezomileyo, ezinjengee-cookies, iziqhamo ezomisiweyo okanye ikhokhonathi;
• Musa ukutya ukutya okushushu kakhulu, uyeke uphole malunga nemizuzu emi-5, ngaphambi kokutya.

Ezi zilumkiso zinxulunyaniswa nokunciphisa ukusetyenziswa kweziselo ezinxilisayo kubalulekile ukuthintela ukwenzakala okanye ukuqhekeka kwemithambo ye-varicose kwaye, ke, kunceda ukunciphisa umngcipheko wokopha.