Igama elithi "biliary" livela kwisiLatin. Ekuguquleleni ithetha "i-bilious". Ngoko ke, iimpawu zengcinezelo ye-biliary zihambelana ngqo ne-dysfunction ye gallbladder kunye neenkqubo, enye indlela okanye enye incike kuyo. Kutheni leli gama likhoyo kwigama, ngokuqhelekileyo lisetyenziswe ekuchazeni izifo zesimo senhliziyo? Kulula: ngamanye amaxesha izifo ezichaphazela i-biliary tract, ingangaphazamisi nje ukuphuma kwe-bile, kodwa zibangele ukuphazamiseka kwegazi, okukhokelela ekugqibeleni kwixinzelelo kwiimvumba ze-portal.
Iimpawu eziphambili zengcinezelo yegazi
Njengomthetho, iimpawu ze-biary hypertension zandulela ukuxilongwa kwezicubu ezinobungozi ezinokuthi zibekwe kwindawo ye-gallbladder, isibindi kunye nasentloko ye-pancreas. Kwaye kulula ukuyichaza: iimvumba zenziwe zifake izitho, kwaye ingcinezelo iphakama. Phantse njalo, ukongeza kwisifo esiyintloko, kukho iingxaki ezinjenge-jaundice yomatshini.
Zonke iintlobo zeengxowankulu zengxowankulu zengxowankulu zingabelana ngokwahlukileyo ngamaqela ngokutsho:
- isantya sokusasazeka kwengcinezelo kwimifuno;
- nqanaba;
- indawo yendawo yebhloko ephula ukuhamba kwegazi.
Uxinzelelo lwengcinezelo yebhiliyali yesibindi lunokunyuka kuphela kwi-vein splenic okanye kuyo yonke inkqubo yemithambo yegazi. Kwaye iintlobo ezinjalo zesifo zibizwa ngokuba yi-segmental kwaye zizonke, ngokulandelanayo.
I-tumor, engavumelekanga ukusebenza ngokuqhelekileyo kwemiva, ingafumaneka naphi na. Ngokuxhomekeke kwendawo yokuhlala, kuyisiko ukuhlukanisa i-intra-, post-no-pre-fover okanye uxinzelelo lwengcinezelo.
Inendima ebaluleke kakhulu ekudalweni kwemiqondiso yesifo idlalwa yinqanaba lesifo. Ngokomzekelo, kwinqanaba lokuqala kuphela ukuphazamiseka okusebenzayo kunokugqalwa. Kubo, ngokusemgangathweni, awukwazi ukuphulaphula. Isigaba esifanelekileyo sesifo sibonakaliswe yimbuyekezo ngenxa yeengxaki zonke. Ngokuphambene nayo, ifomu elibiziweyo lihlawulwa, kwaye kwiimeko ezininzi lihamba ne-edematous-ascitic syndrome. Ukongeza kuyo, kukho iimpawu ezifana nale:
- malaise jikelele;
- isicefe
- ukuhlanza;
- ukuqhuma rhoqo;
- umlomo;
- ukuphazamiseka kokutya;
- ukuqhawulwa, ukutshintshana kunye nehudo;
- ukucima;
- uvakalelo olubuhlungu kwi-hypochondrium efanelekileyo kunye nommandla we-epigastric.
Unyango lwe-biary blood pressure lungafuneka xa kwenzeka ukuba uviwo luqinisekisa ukwanda kwendiza, okanye kwisigidi esiswini esiswini.
Into eyingozi kakhulu yingozi yegazi, eyenzeka ngeengxaki. Ukongeza kwiimpawu eziphambili, ukuphuma kwegazi kwenzeka kule meko, ukungaphumeleli kwesibindi kukhula. Kwizigulane ezininzi, uhlobo olushiyiweyo lwesifo luhamba kunye ne-anemia, thrombocytopenia kunye neukopenia . Ezi ngxaki zivela ngenxa yokuba iiseli zegazi zichithwa, kwaye iincinci zabo zigcinwa ngepeni.
Izindlela zokonyango lweengcinezelo zebhiliyali
Ukusetyenziswa kweziyobisi kucebise xa kwenzeka isigulane sinezifo zokusebenza. Eyona nto ekulweni ne-biliary hypertension iqinisekise:
- ACE inhibitors;
- amalungiselelo e-nitrate;
- beta-blockers;
- glycoaminoglycans.
Ngokuqhelekileyo, izigulane ezinokuxilongwa zichazwe ezi zi yobisi:
- Ednit;
- Anaprilin;
- Atenolol;
- Monopril;
- Sulodexide;
- Nitroglycerin;
- Nitrosorbide.
Ukuba iindlela zonyango zonyango zingenamandla, unyango olusetyenziswayo lusetyenziswa. Iingcaciso zokungenelela ngoncedo zingacingelwa kwakhona:
- ukuphuma kwesisu okanye ukuphuma kwamathumbu emathunjini;
- phezulu ;
- hypersplenic syndrome.