Kuyini "ikhanda Medusa" kwezokwelapha?

Uyini "ikhanda Medusa"? Kwezokwelapha, lo ngakho ngokuthi uphawu ukuthi ngokuvamile kubonakala in iziguli isifo sokusha. It libhekene yokuthi isikhumba esiswini ekwandiseni emithanjeni ongama. Le ndawo ocebile kakhulu inethiwekhi semithambo ngenombolo enkulu amagatsha. Konke lokhu kuyinto okusikhumbuza umlingisi izinganekwane yaseGrisi yasendulo - jellyfish saba lapho ngihole izinyoka esikhundleni izinwele ezikhulayo. Lesi sici livela isifo sokusha kwesibindi ngenxa nomfutho wegazi ophezulu portal.

Inhloko Medusa kwezokwelapha: izimbangela

Kwavela isifo sokusha izimbangela ukuthi siyabhubha ukugeleza kwegazi e vein portal. Umthamo wegazi ngenxa ukunwetshwa igazi izitsha ukwanda, kodwa kunzima ngenxa samanje kwesibindi zezinzwa izicubu ayanda. Ngenxa yalokhu, umfutho vein luyanda 12 mm HG lapho ngokuvamile kufanele kube akazidluli 7 kwangu. Ngenxa ukuthuthukiswa nomfutho wegazi ophezulu portal zenzeka yezinkinga eziningi ngokoma kwesibindi. Njengoba kukhona isithiyo esibindini ukugeleza kwegazi ngaphakathi vein portal ekuqaleni ukuvela ukuzama ukuze usethe kabusha igazi. Ziyakwazi ngokuthi collaterals. Indlela efanayo nokuthuthukisa esikhumbeni esiswini. Yingakho abizwa ngokuthi "Inhloko Medusa". Kwezokwelapha, lokhu isisho isivele ezimisiwe, kodwa abanye kuzwakala eziyinqaba. izitsha Collateral axhunyiwe nge vein enkabeni. Ngaphezu ekwandeni amanethiwekhi emithambo yegazi kukhona emithanjeni varicose uvuleke. Ngenxa yalesi sizathu, wonke inethiwekhi imithambo kakhulu kuyabonakala. Ngisho kangcono, kungabonwa uma ascites eba. Kuyini lokhu? Ngakho ngokuthi ekuqongeleleni uketshezi besisu. Ngenxa umthamo isisu sakhe inyuka kakhulu, isikhumba kuba mncane futhi ezigabeni kamuva futhi ukudluliswa iqala ukuba kukhanye.

Ngakho, "Inhloko Medusa" - ingenye izimpawu nomfutho wegazi ophezulu portal, okuyinto egomela ukuhlukumeza kwegazi flow vein portal.

Okunye izimbangela uphawu

Lesi sici kungase kungabi kuphela isibindi sibe sesomile. Uhamba kanye nezinye izimo zokucabanga okubangelwa isifo okuholela ukuthuthukiswa kwe-nomfutho wegazi ophezulu efanayo. Lezi zimo zihlanganisa:

• acute isifo sesibindi (ukusha kwesibindi kohlobo oludakayo, ukwehluleka);
• izifo kwesibindi (izimila ebulalayo, sarcoidosis);
• thrombosis ka vein portal nabaphansi vena cava;
• kwezinso ohlelweni senhliziyo nemithambo yegazi.

Ukwelapha izimpawu

Yiqiniso, akukho ukwelashwa okunjalo, okuyinto okuhloswe ngalo ukuqeda lokhu uphawu oluthile. Kodwa odokotela libeke nesineke ekwelapheni nomfutho wegazi ophezulu, kuyingozi ngoba ingaqala opha varices futhi ascites kwenzeka. Ukuze kuncishiswe ingcindezi ohlelweni emithambo yegazi, besebenzisa amasu ezahlukahlukene, kufaka phakathi kokubili zokwelapha kanye kuhlinzwa.

Injongo amalungiselelo okuyinto dilates imithambo yegazi

Le mithi uphumule izindonga imisipha ye imithambo yegazi yomuntu uhlelo portal. Izidakamizwa, dilates imithambo yegazi, kukhona ama-nitrate. Basuke unikezwe indaba nje kuphela lihambisana namanye amanxusa. Vasoconstrictors esetshenziswa unciphise imithambo yegazi elise ubende. Ngakho, ingcindezi kuyehla e vein portal. ukwakhiwa okunjalo ukunciphisa ivolumu ukugeleza kwegazi, futhi asebenzise nomthelela nqgo odongeni semithambo. Kuyaphawuleka ukuthi vasoconstrictor oqondile has inqwaba yemiphumela emibi, ngakho ukusetshenziswa kwabo kwandile nzima. ukusetshenziswa kakhulu ngokungaqondile, okuyinto dilates emithanjeni yegazi nasemasosheni baqinisile kwesicelo ngqo izidakamizwa umzimba. Lezi izinto cishe akunamthelela igazi ekusakazeni eluhlelweni kanye kubangele eminingi engemihle. Basebenzise ekwelapheni nomfutho wegazi ophezulu portal kanye nezinkinga zayo.

Ngezinye izikhathi lesi sidakamizwa "Oktreopid" okunqunyiwe kuphela uma ukopha ime ngokokuqala ke sitholakale kwasendaweni. Ngakho, ukusetshenziswa amalungiselelo kokubili amaqembu lokuqala nelesibili likusiza ekwelapheni yomfutho ophakeme wegazi ngamaphesenti ukwehlisa portal blood pressure. "Inhloko Medusa" incipha.

izindlela kuhlinzwa

Akukhona nje izidakamizwa iphathwa "Inhloko Medusa" kwezokwelapha. Izithombe lokhu uphawu ubukeka edabukisayo. Ukuze ayibulale, sebenzisa izinhlobo ezahlukene ukuhlinzwa dlula. Lokhu kumiswa phakathi izitsha okuqondene uhlelo portal, nezitsha inani lamanje yokufakelwa igazi compounds. Ukusebenza kusiza ukunciphisa umfutho vein portal futhi kuvimbele okuvela ukopha. Ascites gwema ukusebenzisa ukuhlinzwa ngangokunokwenzeka.

Indlela evamile uphawu "Inhloko Medusa" ngoba izifo isibindi sibe sesomile? Akuzona zonke izimo. Ngokuvamile kukhona izandiso eyodwa noma a pair of emithanjeni.

Kumele kukhunjulwe ukuthi self kungaholela nemiphumela ungalungiseki empilweni. Ngesikhathi ukubonakaliswa yokuqala kakhulu lesi sifo ngokushesha kumele uxhumane nodokotela.