Igama elithi "biliary" livela eLatini. Ekuhunyushweni lisho ukuthi "bilious". Ngakho-ke, izimpawu ze-hypertension ye-biliary zihlobene ngokuqondile nokungasebenzi kwe-gallbladder nezinhlelo, enye indlela noma enye incike kuyo. Kungani leli gama likhona nangegama, evame ukusetshenziswa ekuchazeni izifo zesimiso senhliziyo? Kuyinto elula: ngezinye izikhathi izifo ezithinta i-biliary tract, akugcini nje ukuphazamisa ukuphuma kwebhili, kodwa futhi zibangele ukuphazamiseka kwegazi, okuholela ekugxumeni kwezingcindezi emithanjeni ye-portal.
Izibonakaliso eziyinhloko ze-biliary hypertension
Njengomthetho, izimpawu ze-biliary hypertension zandulela ukuxilongwa kwezicubu ezimbi ezingatholakala endaweni ye-gallbladder, isibindi ngisho nasenhloko ye-pancreas. Futhi kulula ukuchaza: izicubu ezakhiwe zifake izitho, futhi ingcindezi iphakama. Cishe njalo, ngaphezu kokugula okuyinhloko, kunezinkinga ngendlela ye-jaundice yomshini.
Zonke izinhlobo zomshuwalense we-biliary zingahlukaniswa ngokomzimba ngamaqembu ngokusho:
- izinga lokusabalala kwengcindezi emithanjeni;
- isigaba;
- ukwakheka kwebhulophu ephula ukugeleza kwegazi.
Umfutho wegazi ophezulu wesibindi ungakhuphuka kuphela emithanjeni ye-splenic noma kuyo yonke isimiso semithambo yegazi. Futhi izinhlobo ezinjalo zesifo zibizwa ngokuthi yi-segmental futhi ziphelele, ngokulandelana.
I-tumor, engavumeli ukusebenza okujwayelekile kwemifino, ingatholakala noma kuphi. Kuncike endaweni yangakini, kuyisiko ukuhlukanisa i-intra-, i-post- ne-pre-fover noma i-hypertension exubekile.
Indima ebaluleke kakhulu ekwakheni izibonakaliso zesifo idlalwe yisigaba sesifo. Isibonelo, esigabeni sokuqala kuphela ukuphazamiseka okusebenzayo kungabonwa. Kuzo, ngokuyisisekelo, awukwazi ngisho nokulalela. Isigaba esiphezulu sesifo sibonakala sinxephezelo kuzo zonke izifo. Ngokuphambene naso, ifomu elibiziwe likhokhiswa, futhi ezimweni eziningi lihambisana ne-edematous-ascitic syndrome. Ngaphezu kwalokho, kunezimpawu ezifana nalezi:
- i-malaise jikelele;
- isicasuli;
- ukuhlanza;
- ukuqhutshwa njalo;
- i-mouthfeel;
- ukuwohloka kwesifiso;
- ukuqotshwa, ukushintshaniswa nesifo sohudo;
- ukuvula;
- izinzwa ezibuhlungu ku-hypochondrium ne-epigastric esifundeni.
Ukwelashwa kwesifo somfutho wegazi obilayo kungadingeka uma kwenzeka uhlolo luqinisekisa ukwanda kwesiteji, noma kutholakala umkhuhlane wamanzi esiswini.
Okuyingozi kakhulu yi-biliary hypertension, eyenzeka ngezinkinga. Ngaphandle kwezimpawu eziyinhloko, ukuphuma kwegazi kwenzeka kule nkinga, ukwehluleka kwesibindi esilula kukhula. Ezigulini eziningi, uhlobo olunakiwe lwelesi sifo nalo luhambisana ne-anemia, thrombocytopenia ne- leukopenia . Lezi zinkinga ziphakama ngenxa yokuthi amangqamuzana egazi abhujiswe, kanti izinhlayiya zazo zigcinwa ngepeni.
Izindlela zokwelashwa kwegazi eliphakeme
Ukwelashwa kwezidakamizwa kuphakanyiswa uma kwenzeka isiguli sinenkinga yokusebenza. Okuhle kakhulu empini yokulwa nokucindezeleka kwe-biliary baye bafakazela:
- ACE inhibitors;
- amalungiselelo e-nitrate;
- i-beta-blockers;
- ama-glycoaminoglycans.
Ngokuvamile, iziguli ezinezifo ezixilongwa zibeka izidakamizwa ezilandelayo:
- Ednit;
- Anaprilin;
- I-Atenolol;
- I-Monopril;
- I-Sulodexide;
- I-nitrolycerin;
- I-nitroorbide.
Uma izindlela zokwelashwa ezizimele zingenamandla, ukwelashwa okusetshenziswayo kuyasetshenziswa. Izimpawu zokungenelela okuhlinzekwayo zingacatshangelwa:
- ukuphuma kwegastric noma emathunjini;
- ascites ;
- i-hypersplenic syndrome.