Tšitiso ea methapo ea hepatic (Budd-Chiari)

Tšitiso ea methapo ea sebete ke ho koala ha methapo ea sebete, e tsamaisang mali hole le sebete.

Tšitiso ea methapo ea pelo e thibela mali ho phalla ka ntle ho sebete le ho khutlela pelong. Thibelo ena e ka baka tšenyo ea sebete. Tšitiso ea mothapo ona e ka bakoa ke hlahala kapa kholo e hatellang sekepeng, kapa ke lesela ka sejaneng (hepatic vein thrombosis).

Nako le nako, e bakoa ke maemo a etsang hore mali a koalehe ho feta, ho kenyelletsa:

• Khōlo e sa tloaelehang ea lisele tsa mongo (mathata a myeloproliferative)
• Kankere
• Maloetse a sa foleng a ho ruruha kapa a ikemetseng
• Tšoaetso
• Lefa (lefutso) kapa mathata a fumanoeng ka ho koala mali
• Dithibela pelehi
• Boimana

Ho koala methapo ea pelo ke sesosa se atileng haholo sa lefu la Budd-Chiari.

Matšoao a kenyelletsa:

• Ho ruruha hoa mpa kapa ho ikotlolla ka lebaka la mokedikedi ka mpeng
• Bohloko bo ka mpeng e ka holimo e ka holimo
• Ho hlatsa madi
• Ho soeufala ha letlalo (jaundice)

E 'ngoe ea matšoao ke ho ruruha ha mpa ho tsoa mokelikeli oa mokelikeli (ascites). Sebete hangata sea ruruha ebile se bonolo.

Liteko li kenyelletsa:

• CT scan kapa MRI ea mpa
• Doppler ultrasound ea methapo ea sebete
• Biopsy ea sebete
• Liteko tsa ts'ebetso ea sebete
• Ultrasound sebeteng

Kalafo ea fapana, ho latela sesosa sa thibelo.

Mofani oa hao oa tlhokomelo ea bophelo a ka khothaletsa meriana e latelang:

• Li-thinner tsa mali (li-anticoagulants)
• Lithethefatsi tse qhekellang mali (kalafo ea thrombolytic)
• Meriana ea ho phekola lefu la sebete, ho kenyelletsa le li-ascites

Ho buelloa ho ka buuoa. Sena se ka kenyelletsa:

• Ho beoa ha Angioplasty le stent
• Transjugular intrahepatic portosystemic shunt (LITLHAHISO)
• Ho buuoa ka venous shunt
• Ho kenyelletsa sebete

Tšitiso ea methapo ea pelo e ka mpefala mme ea baka ho thatafala ha sebete le sebete. Sena se ka beha bophelo kotsing.

Bitsa mofani oa hau haeba:

• U na le matšoao a tšitiso ea methapo ea pelo
• U ntse u phekoloa ka boemo bona mme u ba le matšoao a macha

Lefu la Budd-Chiari; Lefu la hepatic veno-occlusive

• Tsamaiso ea ho sila lijo
• Lisebelisoa tsa tsamaiso ea lijo
• Ho thehoa ha mali
• Ho koala mali

Kahi CJ. Matšoao a mesifa ea pampiri ea meno. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 134.

Nery FG, DC ea Valla. Matšoao a methapo ea sebete. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 11th ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 85.