Matenda a chiwindi ndi matenda omwe amabwera chifukwa cha matenda a chiwindi. Ndi mtundu wa kuthamanga kwa magazi (kuthamanga kwa magazi), koma mmalo mokhudza thupi lonse, zimakhudza kwambiri mitsempha yotsegula m'matumbo kupita ku chiwindi. Ndilo vuto lalikulu la chiwindi cha chiwindi ndi chiwindi cha chiwindi, ndipo chikhoza kuyambitsa kutupa ndi magazi.
Magazi Amayenda M'chiwindi: Momwe Amagwirira Ntchito
Chiwindi chimalandira magazi kuchokera kuzinthu ziwiri.
Magazi atsopano, ochokera pamtima, amapereka zosowa za chiwindi. Komanso, chifukwa chiwindi chimayambitsa poizoni ndi njira zothandizira zakudya, magazi m'matumbo ndi ziwalo zina za dongosolo la zakudya zimabwera kudzera mu mitsempha. Magazi m'matumbo amatha kuthamangira m'chiwindi ndipo amatha kuyanjana ndi hepatocytes (maselo a chiwindi). Mwazi ukupitirira kupyolera mu chiwindi ndipo umabwerera ku mtima ndi mapapo kudzera mu ziwiya zosiyanasiyana - mitsempha yodetsa nkhawa.
Ngati njira ya chiwindi kuchokera m'matumbo imatsekedwa kapena imachepetsedwa chifukwa cha chitetezo china, ndiye kuti kuwonjezeka kumawonjezeka mu mawonekedwe a zinyama. Izi zandifotokozera ine poganiza kuti mawotchi amatha kukhala ngati munda wa pakhomo komanso kutchinga ngati kink mu hose. Mukudziwa kuchokera pa zomwe zimachitika kuti kupanikizika kumawonjezeka m'madzi. Chinthu chomwecho chikhoza kuchitika mthupi lathu, kupatula kuti, mosiyana ndi phula la madzi, mitsempha yathu imatha kuthamanga pamene kupanikizika kumapanga.
Izi "zowonongeka" ndi zomwe zimapangitsa kuti aziti azitsamba ndipo ndi chifukwa cha ascites, kapena kukonza madzi.
Kodi N'chiyani Chimayambitsa Kuwonongedwa?
Chizungu cha chiwindi chingayambitse mafupa ambiri . Matenda a Fibrosis ndi omwe amachititsa kuti pakhale matenda oopsa, ngakhale pali zifukwa zambiri (monga schistosomiasis, sarcoidosis, ndi chifuwa chachikulu cha miliyari).
Kuchuluka kwa ulusi wa fibrosis kumalepheretsanso kuti madzi azidutsa m'chiwindi. Pogwiritsa ntchito fanizo lathu pamwambapa, fibrosis ndi "kink mu hose". The fibrosis imazungulira zitsulo mkati mwa chiwindi chomwe chimapangitsa kuti kukhale kovuta kuti magazi aziyenda. Pamene magazi ndi madzi amatha kuyesa kupyolera mu chiwindi choletsedwa, kupanikizika kumapangika muzitseko, ndipo kumabweretsa mavuto ena.
Kodi Vuto Ndi Chiyani Chifukwa Chakumayambitsa Matenda Aakulu?
Matenda ofunika kwambiri okhudzana ndi matenda opatsirana ndi operewera ndi okwera (kusungunuka kwa madzi okwanira mu ziwalo zovala ziwalo ndi m'mimba khomo) ndi mavitamini (mitsempha yambiri yomwe imayambira m'mimba, m'mimba kapena matumbo omwe amachitidwa ndi kuthamanga kwa magazi).
Mankhwalawa amatsogoleredwa mwachindunji ndi portal. Pamene magazi akuthamangira pachiwindi amalepheretsedwa, magazi amatha kusungidwa m'mipangidwe yowonongeka (mawonekedwe a mitsempha yotumiza magazi pakati pa chiwindi ndi chiwindi) komanso dongosolo la mitsempha yomwe imabwerera magazi kumtima). Mapangidwe a machitidwe awiriwa ndi mitsempha yaing'ono yamagazi yotchedwa capillaries. Zida zimenezi sizingathe kupirira kuwonjezeka kwa magazi ndipo zimapangidwanso.
Zombo zoterezi zimawoneka pamwamba pa mimba kapena m'mimba mwa njira yotchedwa endoscopy. Iwo ndi ofooka ndipo ali pangozi yotuluka m'magazi.
Kodi Kuthamanga Kwambiri Kwambiri Kwambiri N'koopsa?
Inde, chifukwa cholowera matenda oopsa kwambiri angayambitse magazi. Nthaŵi zambiri, zigawo za magazizi zimatengedwa ngati zoopsa zachipatala chifukwa chiwerengero cha anthu omwe amamwalira ndi chiwerengero cha 70%. Magulu ochepa oterewa ndi ofala kwambiri kwa anthu omwe ali ndi chibwibwi chachikulu ndipo akuganiza kuti mmodzi mwa anthu atatu aliwonse omwe ali ndi matenda amayamba kutuluka magazi.
Kodi Kuthamanga Kwambiri Kwambiri kwa Portal Kumapezeka Bwanji?
Aliyense amene ali ndi matenda opatsirana kwambiri adzayang'anitsitsa mosamala kuti akule kwambiri matenda opatsirana, omwe amapezeka ndi kukhalapo kwa chimodzi kapena zingapo zotsatirazi:
- Thrombocytopenia
- Splenomegaly (phula lokulitsa)
- Encephalopathy
- Kukhala ndi vuto limodzi la pathupi lapamwamba (ascites ndi esophageal varices)
Zotsatira:
> Bacon, BR. Cirrhosis ndi Zovuta Zake. Mu: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), Harrison's Principles of Internal Medicine , 17e. New York, McGraw-Hill, 2008. 1976-1978.
> Crawford, JM. Chiwindi ndi Biliary Tract. Mu: V Kumar, AK Abbas, N Fausto (eds), Robbins ndi Cotran Pathologic Basis of Disease , 7e. Philadelphia, Elsevier Saunders, 2005. 883-885.
> Shah VH, Kamath PS. Kuthamanga Kwambiri Kwambiri ndi Kutsekemera kwa M'mimba. Mu: M Feldman, LS Friedman, LJ Brandt (eds), Mimba ndi Matenda a Chiwindi , 8e. Philadelphia, Elsevier, 2006. 1899-1928.