Mawu akuti "biliary" amachokera ku Latin. M'masulira amatanthawuza "zokongola". Choncho, zizindikiro za biliary hypertension zimagwirizana kwambiri ndi kukanika kwa ndulu ndi machitidwe, njira imodzi kapena ina yodalira pa izo. Nchifukwa chiyani liwuli likupezekapo mu dzina, kawirikawiri limagwiritsidwa ntchito pofotokoza matenda a mtima wamagetsi? Ndi zophweka: nthawi zina matenda omwe amakhudza kachilombo ka biliyasi, samangosokoneza kunja kwa bile, komanso amayambitsa matenda a magazi, omwe amachititsanso kudumpha m'mitsempha.
Zizindikiro zazikulu za biliary hypertension
Monga lamulo, zizindikiro za matenda oopsa a biliary zimayambitsa matenda otupa omwe amapezeka m'malo mwa ndulu, chiwindi komanso pamutu wa pansalu. Ndipo n'zosavuta kufotokoza: ziwalozo zimapanga ziwalo, ndipo kupsyinjika kukukwera. Pafupi nthawi zonse, kuphatikizapo matenda aakulu, pali mavuto omwe ali ngati mawonekedwe a jaundice.
Mitundu yonse ya biliary hypertension ingakhale yokhazikika mwa magawo molingana ndi:
- kufalikira kwa kupanikizika mu mitsempha;
- siteji;
- Kukhazikitsa malo omwe akuphwanya magazi.
Kupsyinjika kwa chiwindi cha biliyali ya chiwindi kungangowonjezera mitsempha ya splenic kapena dongosolo lonse la mitsempha ya mitsempha. Ndipo mitundu yosiyanasiyana ya matendawa imatchedwa segmental ndi totali, motero.
Chotupacho, chimene sichilola kugwira ntchito kwabwino kwa mitsempha, chingapeze kulikonse. Malingana ndi malo omwe mukukhala nawo, ndi mwambo wopatulira intra-, post- ndi pre-chiwindi kapena kupsyinjika kwa mtima.
Ntchito yofunika kwambiri pakupanga zizindikiro za matendawa imayendetsedwa ndi siteji ya matendawa. Mwachitsanzo, panthawi yoyamba chabe kusokonezeka kogwira ntchito kungakhoze kuwonedwa. Pa iwo, kwenikweni, simungakhoze ngakhale kumvetsera. Gawo laling'ono la matendali limadziwika ndi mphotho pazovuta zonse. Mosiyana ndi izo, mawonekedwe otchulidwawo amalipidwa, ndipo nthawi zambiri amatsatiridwa ndi matenda a edematous-ascitic. Kuwonjezera pa izo, pali zizindikiro monga:
- chisokonezo;
- chisokonezo;
- kusanza;
- zochitika kawirikawiri;
- mlingo;
- kuwonongeka kwa chilakolako;
- kudzimbidwa, kuphatikiza ndi kutsegula m'mimba;
- kukhetsa;
- zowawa mu hypochondrium yolondola ndi epigastric dera.
Chithandizo cha matenda oopsa a biliary chikhoza kuchitika ngati chochitikacho chikutsimikizira kuwonjezeka kwa nthenda, kapena m'mimba yamadzimadzi amapezeka.
Choopsa kwambiri ndi biliary hypertension, zomwe zimachitika ndi mavuto. Kuphatikiza pa zizindikiro zazikulu, kutuluka kwa magazi kumapezeka pakali pano, kulephera kwa chiwindi kumayambitsa. Kwa odwala ambiri, mtundu wosasamalidwa wa matendawo umaperekanso ndi matenda a anemia, thrombocytopenia ndi leukopenia . Mavuto amenewa amadza chifukwa chakuti maselo a magazi akuwonongedwa, ndipo ma particles awo amasungidwa mumphuno.
Njira zochizira matenda a biliary hypertension
Mankhwalawa ndi othandiza pa nthawi yomwe wodwalayo ali ndi matenda ogwira ntchito. Yabwino kwambiri polimbana ndi matenda oopsa a biliyari adziwonetsera okha:
- ACE inhibitors;
- nitrate kukonzekera;
- bwenzi;
- glycoaminoglycans.
Kawirikawiri, odwala omwe ali ndi matendawa amapatsidwa mankhwala awa:
- Ednit;
- Anaprilin;
- Atenolol;
- Monopril;
- Sulodexide;
- Nitroglycerin;
- Nitrosorbide.
Ngati njira zochiritsira zopanda chithandizo zilibe mphamvu, mankhwala opaleshoni amagwiritsidwa ntchito. Zisonyezero za kuchitapo opaleshoni zingaganizirenso:
- kupweteka kwa m'mimba kapena m'mimba;
- ascites ;
- matenda a hypersplenic.