I-Varicose veins esiswini: ziyintoni, izizathu kunye nonyango

Umxholo

• Indlela yokuchonga
• Ulwahlulo lweentlobo
• Yintoni ebangela varices esiswini
• Unyango lwenziwa njani

Imithambo ye-Varicose esiswini iyaxobeka kunye nemithambo yegazi ebumbekayo eludongeni lweli lungu, kwaye inokuba mandundu, njengoko isiba nkulu, isemngciphekweni wokuqhekeka kwaye ibangele ukopha kakhulu.

Le mithambo ye-varicose inokubumba esiswini ngenxa yokuxhathisa kokuhamba kwegazi kwi-portal vein, umthambo obalulekileyo okhupha igazi kwizitho zesisu, ezinokuthi zivele ngenxa yezizathu ezahlukeneyo, ezinje ngesifo esingapheliyo sesibindi, ukuqina kwesibindi, isifo seswekile okanye i-portal vein thrombosis, umzekelo. Ukuqonda ngcono ukuba yintoni kwaye yintoni enokubangela uxinzelelo lwegazi kwi-portal.

Ngokubanzi, ii-varices zesisu zivela emva okanye ngokudibeneyo nemithambo ye-varicose kwi-esophagus, kunye nakwi-rectum. Unyango lwalemithambo ye-varicose ibonakalisiwe ukunqanda kunye nokuyeka ukopha, kwaye kungenziwa ngamachiza okuthintela i-beta okanye iinkqubo zotyando, ezinje nge-sclerotherapy, i-cyanoacrylate okanye i-elastic ligators, umzekelo.

Indlela yokuchonga

Imithambo ye-varicose ye-gastric ayinakubangela naziphi na iimpawu, kwaye inokuchongwa kuvavanyo xa uxinzelelo lwe-portal lukrokreleka, ngenxa yesibindi sesibindi, umzekelo. Ii-varopha ze-Esophageal zezona zixhaphakileyo, nangona kunjalo, imithambo ye-varicose esiswini inokwenza i-20% yamatyala, ngakumbi xa ukwanda koxinzelelo kwi-portal vein kuya kusiba nzima.

Ukongeza, ii-varices zesisu azinamathuba okuqhekeka xa kuthelekiswa ne-esophageal, nangona kunjalo, zibangela ukopha okunzima kwaye kunzima ukulawula. Ezinye zeempawu ezibonisa ukopha kwimithambo ye-varicose zezi:

• Izitulo ezimnyama ezinevumba elibi;
• Ukuphalaza igazi;
• Ubumdaka, isiyezi kunye nokubetha.

Ulwahlulo lweentlobo

Uvavanyo oluphambili lokufumanisa imithambo ye-varicose yi-endoscopy yokwetyisa, i-doppler ultrasound kunye ne-tomography. Banokuba kwiindawo ezahlukeneyo esiswini, bahlelwa njenge:

1. Kukuqhubekeka kwe-varices esophageal varices, eyolula iisentimitha ezimbalwa ezantsi kotshintsho lwe-esophagogastric, ngokugoba okuncinci kwesisu, eyona nto ixhaphakileyo;
2. Kananjalo kukwandiswa kwe-varices esophageal varices, kodwa ngokubhekisele kwi-gastric fundus;
3. Ezi zizodwa ze-gastric varices, ezibekwe emazantsi esisu;
4. Kukwakho nezahlulo zesisu zodwa zesisu, ezinokubonakala naphina esiswini.

Ii-varices zesisu zithathwa njengezincinci xa zilinganisa ngaphantsi kwe-3 mm ubukhulu, phakathi xa ziphakathi kwe-3 kunye ne-5 mm okanye enkulu xa zilinganisa ngaphezulu kwe-5 mm ubukhulu. Ubungakanani obukhulu bemithambo ye-varicose, umngcipheko omkhulu wokopha.

Yintoni ebangela varices esiswini

Iimvumba ze-Varicose esiswini zenziwa ngoxinzelelo olonyukayo kwi-portal vein, kwaye izizathu eziphambili zezi:

• Hepatitis ezingapheliyo;
• Ukuqina kwesibindi;
• ISchistosomiasis;
• I-portal okanye i-splenic vein thrombosis;
• Isifo sikaBudd-Chiari. Fumanisa ukuba injani na le syndrome nokuba yenzeka njani;
• Ukungalunganga kwi-portal vein okanye kwi-vena cava engaphantsi.

Imithambo ye-Varicose esiswini nayo inokubangelwa sisifo sentliziyo esibizwa ngokuba yi-constrictive pericarditis, apho izicubu zemisipha zikhula zijikeleze intliziyo, kwaye zenze ukuba kube nzima ukusebenza. Funda ngakumbi malunga nokuba sikhula njani kunye nemiphumo yesi sifo.

Unyango lwenziwa njani

Ukuba imithambo ye-varicose incinci okanye ukuba ugqirha ufumanisa ukuba kukho umngcipheko ophantsi wokopha, akukho mfuneko yonyango lwee-varices zesisu, kuphela ukubekwa kweliso rhoqo.

Nangona kunjalo, ugqirha, kwezinye iimeko, unokucebisa unyango lokuthintela ukopha, ngakumbi ukuba balinganisa ngaphezulu kwe-10 mm ubukhulu okanye kukho umngcipheko omkhulu wokopha, okunokwenziwa ngamachiza okuthintela i-beta, anciphisa amandla egazi ukuhamba, njengePropranolol, okanye ukusetyenziswa kweCyanoacrylate, uhlobo lweglu olususa inqanawa.

Xa ii-varices zesisu zikhona ukopha, unyango lunokubandakanya i-endoscopy yesclerotherapy, inaliti ye-cyanoacrylate okanye ukubekwa kweebhandeji zelastic, iziqwengana okanye imithombo.

Ukongeza ekuyekiseni ukopha, kuba le yimeko enzulu, ugqirha kufuneka athathe amanyathelo okukhusela ubomi besigulana, njengokufaka ulwelo endaweni ye-serum emthanjeni, ukwenza utofelo-gazi, ukuba kukho imfuneko, okanye ukusebenzisa i-antibiotics ukuthintela usulelo lwesisu ., eziqhelekileyo kwizigulana ezinesibindi sesibindi. Jonga ezinye izizathu zokuphuma kwegazi esiswini kunye nokuba wenzeni.