I-hypertension ye-Portal enye yeengxaki ze- cirrhosis yesibindi . Kuyenzeka xa uxinzelelo kwi-portal vein luyanda kwaye ngenxa yoko, ukuhamba kwegazi kunoma iyiphi nayiphi inxalenye yalo kungavinjelwa. Iimvumba ezandisiweyo ziphuka kakhulu, kwaye oku kuholele ekuphumeni kwegazi.
Iimpawu zoxinzelelo lweengcango ze-hypertension
I-hypertension yesango kwi-cirrhosis yesibindi ibonakaliswe yimpawu ezifana nale:
- ukuqhaqha kunye nokwandisa isisu;
- ukuxuba omnyama nokuhlanza omnyama;
- Ukuvalelwa kabuhlungu (njengommiselo, bahlala kwindawo ephezulu yesisu);
- ukulahleka kwesidlo okanye ukulahlekelwa ngokupheleleyo;
- umthunzi ophuzi wesikhumba.
Phantse zonke izigulana zikhulisa kakhulu imithanjeni engaphantsi komzimba ejikelezweni lwangaphandle lwe-peritoneum. Iziqu ezihambayo zihamba ukusuka kwintonga, ngoko ke uphawu olubizwa ngokuthi "intloko ye-jellyfish".
Unyango lwe-hepatic portal yomshurensi
Unyango lwexinzelelo lwengxowankulu nge-cirrhosis kufuneka luqale ngokutya. Okokuqala, kufuneka unciphise inani lesetyu elisetyenziselwa ukunciphisa ukunyuka kwamanzi emzimbeni. Kwakhona kufuneka ukunciphisa inani leprotheni elidliwayo. Oku kuya kuphepha ukuvela kwe- encephalopathy ye- hepatic .
Unyango lwe-cirrhosis eqhelekileyo okanye exutywe kwi-forhosis yesibindi kunye neempawu zeengxowankulu zengxowankulu kufuneka ziqhutyelwe kuphela esibhedlele kunye nolawulo lwesigxina esilandelayo. Faka isicelo kwesi sonyango:
- iirmone ze-pituitary gland;
- beta-blockers;
- ezifanayo somatostatin analogues;
- diuretics.
Ukuba ukulahleka kwegazi kwakomelele, kujoyizwe nge-intryvenry erythromass, i-plasma okanye i-plasma substitutes. Ekubeni kwe-ascites (i-free fluid kwisigxina esiswini), isigulane siboniswa utyando. Ngokuqhelekileyo kwenziwa ngokukhupha. Kuyimfuneko ukwenzela ukudala enye, indlela eyongeziweyo yokuhamba kwegazi ukusuka kwisisu esonakalisiweyo. Ukuba akunakwenzeka ukubuyisela umsebenzi oqhelekileyo, isibindi sitshintshelwe kwizigulane.