Chirwere chepfungwa chinokonzerwa nechirwere cheropa. Icho chimiro chekuwedzera kweropa (hypertension), asi panzvimbo pekukanganisa muviri wose, inonyanya kuchinja mishonga inopinza inotungamirira kubva mumatumbo kusvika kuchiropa. Icho chinhu chakakosha chechidhakwa chechirwere chechirwere uye chiropa chinonzi cirrhosis, uye chinogona kukonzera kuvepa uye kubuda ropa.
Ropa Rinoyerera kuburikidza neChiropa: Kushanda Kwaro
Chiropa chinogamuchira ropa kubva mumitambo miviri.
Mvura itsva, inobva mumoyo, inopa zvido zvechiropa chairo. Uyewo, nokuti chiropa chinosvina chepfu uye zvinogadzirisa zviratidzo, ropa kubva mumatumbo uye dzimwe nhengo dzenhengo yekudya inouya kuburikidza nehutachiona. Ropa riri munharaunda yepachikova rinoyerera zvakananga muchiropa uye rinokwanisa kuwirirana ne hepatocytes (chiropa cheropa). Ropa rinopfuurira kuburikidza nechiropa uye rinodzokera kumwoyo nemapapu kuburikidza neketani yakasiyana yemidziyo - mitsipa yehepatic.
Kana nzira inoenda kuchiropa ichibva mumatumbo yakadzivirirwa kana kuti inononoka nekuda kwechimwe chivhiringidziro, saka kuwedzera kunowedzera muhutachiona hwehutachiona. Izvi zvakatsanangurirwa kwandiri nekufungidzira shanduro yenzvimbo inotyisa semunda webindu uye kuvhiringidzika sekink mu hose. Iwe unoziva kubva pane zvakaitika kuti kuwedzera kunowedzera mumvura. Chinhu chimwe chete chinogona kuitika mumitumbi yedu, kunze kwekuti, kusiyana nemudziyo wemvura, mitsetse yedu inogona kudonha kana dambudziko richivaka.
Izvi "zvinokonzera" ndizvo zvinokonzera kukwira kwemvura uye ndicho chinokonzerwa ne ascites, kana kuti mvura inovaka.
Chii Chinokonzera Kuvakwa?
Chiropa chinonzi cirrhosis chinogona kukonzera yakawanda fibrosis . Fibrosis ndiyo inonyanya kukonzera chirwere chekuwedzera kwehutachiona, kunyange pane zvimwe zvinokonzera (schistosomiasis, sarcoidosis, uye miliary tuberculosis).
Kucheka kwakanyanya kwe fibrosis kunovhiringidza kunyura kwemvura kuburikidza nechiropa. Tichishandisa shanduro yedu pamusoro, fibrosis ndiyo "kink muhomwe." I-fibrosis inopoteredza midziyo mukati mechiropa ichiita kuti zvive zvakaoma kuti ropa riyerere. Sezvo ropa uye mvura inonaya ichiedza kufuta nechiropa chinenge chisina kubvumira, kuwedzera kunowedzera mukati mehutachiona, zvichiita kuti zvinetso zviwedzere.
Ndeapi Matambudziko Anokonzerwa nePodal Hypertension?
Matambudziko anonyanya kukosha anowanikwa nehutachiona hwehutachiona ndiwo ascites (kuwedzerwa kwehuwandu hwemvura mumashuini akavhara nhengo uye mudumbu remadziro) uye varices (engorged veins pamwe nehuputi, mudumbu kana mumatumbo inokonzerwa nehutachiona hwekusimudza ropa).
Varindi vakananga zvakananga nehutachiona hwehutachiona. Apo ropa rinopinda mukati mechiropa rinovharidzirwa, ropa rinogona kushandiswa mukati mezvipindiro zvehutachiona hutachiona hwehutachiona (urongwa hwemitsipa inotakura ropa pakati pekudya kwekudya uye chiropa) uye systemic venous system (iyo nzira yemashuini inodzoka ropa kumwoyo). Nzira dzakasiyana-siyana dzematongerwo maviri aya mashoma, mishonga yeropa isina simba inonzi capillaries. Iyi midziyo haikwanisi kurwisa kuwedzerwa kweropa uye inogadziriswa kana kuputika.
Ngarava dzakadaro dzinogona kuonekwa pamwe nechepamusoro penheyo kana mudumbu panguva inonzi inozivikanwa se endoscopy. Ivo vakaoma uye vari pangozi yekubuda ropa.
Inonzi Hydtentension Dangerous?
Hungu, nokuti kuvhara kwepfungwa kunokonzera kubuda ropa. Muzviitiko zvizhinji, zvirwere izvi zvinobuda ropa zvinoonekwa sehutano hwekukurumidzira nokuti kushaya kwehuwandu (nhamba yevanhu vanofa) kubva pachiitiko chinoshingaira chekubuda ropa chinenge 70%. Esophageal varices inowanzoonekwa nevanhu vane chirwere chakakura uye zvinofungidzirwa kuti mumwe wevanhu vatatu vane varice achawedzera kubuda ropa.
Nzira yePortal Hypertension Inowanikwa Sei?
Chero ani zvake ane chirwere chakanyanya kukurudzirwa achaongororwa zvakanyanya pakukura kwehutachiona hwehutachiona, iyo inowanzoongororwa nekuvapo kweimwe kana zvimwe zvezvinotevera:
- Thrombocytopenia
- Splenomegaly (yakawedzera spleen)
- Encephalopathy
- Kuva nechimwe chezvinetso zvehutachiona hwepamusoro (ascites and esophageal varices)
Sources:
> Bacon, BR. Cirrhosis uye Matambudziko Ayo. Mune: 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. Chiropa neBiliary Tract. Mu: V Kumar, AK Abbas, N Fausto (eds), Robbins uye Cotran Pathologic Basis of Disease , 7e. Philadelphia, Elsevier Saunders, 2005. 883-885.
> Shah VH, Kamath PS. Pachirwere chepfungwa uye kuvhara kwemimba. Mune: M Feldman, LS Friedman, LJ Brandt (eds), Maviri uye Chiropa Chirwere , 8e. Philadelphia, Elsevier, 2006. 1899-1928.