A cikin tsarin jini, daya daga cikin manyan tashar jiragen ruwa shine tashar tashar portal. Tare da matsa lamba mai karfi na hydrostatic, ƙwayar hauhawar jini ta tasowa a ciki. Wannan yanayin ba la'akari da cututtuka mai zaman kanta ba, kamar yadda yake faruwa a kan tushen wasu cututtukan da ke haɗuwa da ƙwayar cutar zagaye na wurare daban-daban da asali.
Ƙayyade na ciwon hawan jini na jini
Akwai manyan siffofi 4 na rashin lafiya a cikin tambaya:
- kaya;
- intrahepatic;
- Kwafi;
- gauraye.
Anyi amfani da hauhawar jini ko ƙaddarar ƙwayar ƙwayar cuta ta hanyar ƙwaƙwalwar jini ta hanyar ƙwayar cuta, kamar yadda yake tasowa sakamakon sakamakon rashin lafiyar jikin mutum.
Irin ciwo na intrahepatic a cikin kashi 95% na lokuta yana haɗuwa da wani mataki mai tsanani na cirrhosis na hanta ko kuma yana da matsalolin. Kwayoyin marasa lafiya na yau da kullum na faruwa ne saboda matakai na sclerotic a cikin parenchyma da na ciki na kwayar.
Magungunan asibitoci ko ƙwararrun ƙwayar cutar ta hanyar ƙwaƙwalwar jini yana haifar da rikice-rikice mai zurfi daga halittu mai tsabta daga cikin hanta na hanta. Wannan yana iya kasancewa saboda kara yawan dan jini, gaban ciwon cholesterol, endocrin da cututtukan cututtuka.
Hanyoyin hauhawar jini sune sakamakon mummunan ƙwayar magungunan ƙwayar cuta mai ɓarkewa a cikin ciwon hanta na cirrhosis.
Kamar yadda ake gani, babban mawuyacin ci gaba da ilimin cututtuka sunadarai ne, cututtukan cututtuka, damuwa da ƙwayar tashar portal, ciwace-ciwace da cysts na hanta. Har ila yau, yana haifar da dalilai na iya yin aiki da kai, endocrin, cututtuka na jijiyoyin jini.
Hanyoyin cututtuka na hauhawar jini
Ciwon asibiti na ciwo da aka bayyana ya hada da wadannan gunaguni:
- bloating, wani karuwa a cikin size;
- jin dadin squeezing a cikin dama hypochondrium, tsanani;
- Wani lokaci - wata kujera mai duhu, kusan baki;
- kwakwalwa;
- rashin hankali, mantawa;
- damuwa, wahala mai wuya;
- icterus na fata;
- ascites ;
- zafi a yankin yankin;
- tashin zuciya da zubar da ciki;
- rashin ƙarfi na numfashi, kumburi;
- jigon jini-na zub da jini;
- asarar ci;
- rashin tausayi.
A hanyoyi da yawa, alamun sunyi kama da bayyanar cutar hepatitis, amma ci gaba da sauri da kuma karuwa sosai.
Alamun portal hauhawar jini a kan duban dan tayi
A lokacin binciken jarrabawar, an samo shi:
- wani karuwa a cikin girman hanta kuma yadawa;
- gaban bayyanar jini a cikin jini;
- fadada na lumens na splenic da portal veins.
Bugu da ƙari, don cikakken ganewar asali na hawan jini za ku buƙaci yin gwaje gwaje-gwaje:
- jini (general, biochemical );
- fitsari da feces.
Har ila yau, sun yi amfani da X-ray, rheogepatografiya, splenomanometry, hanta scanning, splenoportografiya, mai laushi biopsy nama.
Jiyya na hauhawar jini na portal
Sakamakon farko na ilimin cututtuka sunyi amfani da kwayoyi masu mahimmanci ta hanyar magunguna, musamman - Vasopressin ko analogues.
A gaban zub da jini ko rikitarwa, ana amfani da matsalolin kwayar cutar tare da binciken Sengshtaken-Blackmore ko sclerotherapy na kwanaki 2-3.
Idan magunguna masu mahimmanci ba su da inganci, an tsara aikin. Dangane da manufar yin amfani da tsoma baki, ana rarrabe iri iri masu biyowa:
- Ana cire ascites daga rami na ciki.
- Samar da sababbin hanyoyi don cire jini.
- Inganta jini na jini da kuma tsarin tafiyarwa a cikin kwayar.
- Rage ragowar ruwa mai zurfi a cikin tashar portal.
- Cire haɗin haɗin tsakanin tsoka na ciki da esophagus.