Ese imiyoboro y'amaraso mu gifu? Ibimenyetso, Intandaro, n'Ubuvuzi

Ese imiyoboro y'amaraso mu gifu ni imiyoboro y'amaraso ikomeye kandi yaguka iri mu gifu cyawe, ishobora kuba ikintu cy'ubuzima kiramutse yavunitse. Tekereza kuri yo nk'imijyana y'amaraso, ariko aho kuba ku maguru yawe, ikura mu muyoboro utwara ibiryo uvuye mu kanwa kawe ujya mu gifu.

Iyi miyoboro y'amaraso ikomeye isanzwe ikura iyo umusaruro w'amaraso ujya mu mwijima wawe uhindutse, ugatuma amaraso ashaka inzira zindi. Nubwo iki kibazo cyumvikana nk'ikintu giteye ubwoba, gusobanukirwa ibiri kuba mu mubiri wawe bishobora kugufasha gukorana n'itsinda ry'abaganga bawe kugira ngo ubigenzure neza.

Ni ibihe bimenyetso by'ese imiyoboro y'amaraso mu gifu?

Ese imiyoboro y'amaraso mu gifu akenshi ntabimenyetso bigaragara kugeza igihe isukura, niyo mpamvu rimwe na rimwe bitwa uburwayi 'bucecetse'. Ushobora kutamenya ko uyifite kugeza igihe ikibazo gikomeye kibaye.

Iyo amaraso asukutse, biba ikibazo cyihutirwa gisaba ubutabazi bw'abaganga vuba. Dore ibimenyetso by'umuburo bivuze ko ugomba guhamagara 112 ako kanya:

• Kuruka amaraso cyangwa ibintu bisa n'ibitonyanga by'ikawa
• Amashyira mabi, yijimye, cyangwa afite amaraso
• Kuzenguruka cyane cyangwa guta ubwenge
• Gukubita k'umutima cyane cyangwa kumva nk'aho umutima wawe uri gusiganwa
• Intege nke cyangwa gucika intege
• Kubabara mu gituza cyangwa kugorana guhumeka

Bamwe bashobora kugira ibimenyetso bidakomeye mbere y'igihe cyo kuva amaraso menshi. Ibi bishobora kuba harimo kunanirwa gato, kumva unaniwe cyane, cyangwa kugira amashyira mabi yijimye atari umukara rwose.

Niba ufite uburwayi bw'umwijima cyangwa cirrhose, umuganga wawe azakugenzura buri gihe kugira ngo arebe ese imiyoboro y'amaraso mu gifu, nubwo udafite ibimenyetso. Ubu buryo bwo kwirinda burafasha gufata uburwayi mbere y'uko amaraso asukura.

Ese ni iki gituma haba ese imiyoboro y'amaraso mu gifu?

Ese imiyoboro y'amaraso mu gifu ikura iyo amaraso adashobora gutembera neza mu mwijima wawe, bigatuma amaraso ashaka inzira zindi. Umuvuduko wiyongereye muri sisitemu yawe y'amaraso mu mwijima utuma amaraso ajya mu miyoboro y'amaraso mito iri mu gifu cyawe, bigatuma ikura.

Intandaro zisanzwe zirimo uburwayi bw'umwijima butuma haba iki kibazo cy'umusaruro w'amaraso:

• Cirrhose iterwa no kunywa inzoga, igira uruhare mu bwinshi bw'ibi bibazo
• Hepatite B cyangwa C zangiza umwijima mu gihe kinini
• Uburwayi bw'umwijima buterwa no kubura amavuta, buriyongera ubu
• Cholangite ya biliaire y'ibanze, uburwayi bw'umwijima bwo mu mubiri
• Hemochromatosis, aho umubiri wawe ubitse ibyuma byinshi

Gake cyane, amaraso ahambiriye mu mwijima cyangwa uburwayi bwitwa Budd-Chiari syndrome bishobora gutera ingaruka imwe. Bamwe bavukana uburwayi bugira ingaruka ku musaruro w'amaraso ujya mu mwijima, nubwo ari gake cyane.

Imiti imwe n'ibintu byangiza umwijima mu gihe kinini, bishobora gutera varices. Umuganga wawe azashaka gusobanukirwa icyaba kigira ingaruka ku mwijima wawe kugira ngo akemure intandaro y'ibibazo hamwe no kuvura varices ubwayo.

Ni ryari ukwiye kujya kwa muganga kubera ese imiyoboro y'amaraso mu gifu?

Ugomba gushaka ubutabazi bw'ibanze bw'ubuvuzi niba ufite ibimenyetso byo kuva amaraso, harimo kuruka amaraso, amashyira mabi yijimye, cyangwa intege nke zidasanzwe. Ibi bimenyetso bigaragaza ikibazo cy'ubuvuzi gisaba ubuvuzi bw'ihutirwa.

Niba ufite uburwayi bw'umwijima cyangwa cirrhose, uzakenera kugenzurwa buri gihe nubwo udafite ibimenyetso. Umuganga wawe azakugira inama yo gukora endoscopie kugira ngo arebe ese imiyoboro y'amaraso mbere y'uko iba ikintu cy'ubuzima.

Tegura gahunda yo kubonana n'umuganga wawe niba ubona kunanirwa guhoraho, igihombo cy'uburemere kidapfa gusobanuka, cyangwa impinduka mu ishyaka ryawe. Nubwo ibi bimenyetso bishobora kuba bifite impamvu nyinshi, birakwiye kubivugaho, cyane cyane niba ufite ibyago byo kurwara umwijima.

Ntugatege amatwi kubona ubufasha niba uhangayikishijwe no kunywa inzoga cyangwa niba warahuriye na hepatite. Kugira ubutabazi bw'ihutirwa kuburwayi bw'umwijima bishobora kwirinda ingaruka nk'ese imiyoboro y'amaraso mu gifu kudakomeza gukura.

Ni ibihe bintu byongera ibyago byo kurwara ese imiyoboro y'amaraso mu gifu?

Ibyago byo kurwara ese imiyoboro y'amaraso mu gifu biterwa ahanini n'ibintu bishobora kwangiza umwijima wawe cyangwa bigira ingaruka ku musaruro w'amaraso ujya muri wo. Gusobanukirwa ibi bintu byongera ibyago bishobora kugufasha gufata ingamba zo kurinda ubuzima bw'umwijima wawe.

Ibyago bikomeye birimo:

• Kunywamo inzoga nyinshi imyaka myinshi, ariyo ntandaro y'ibibazo byinshi
• Hepatite B cyangwa C idakira
• Umuvuzo n'uburwayi bwa metabolisme, bishobora gutera uburwayi bw'umwijima buterwa no kubura amavuta
• Diabete, cyane cyane iyo idakira neza
• Amateka y'umuryango w'uburwayi bw'umwijima cyangwa uburwayi bumwe na bumwe bwa gene
• Kuhura n'ibintu bimwe na bimwe byangiza umwijima cyangwa imiti

Bamwe bafite ibyago byinshi bitewe n'ibintu batagira uruhare, nko kuvuka bafite uburwayi nk'uburwayi bwa Wilson cyangwa alpha-1 antitrypsin deficiency. Imyaka ikinjira uruhare, kuko kwangirika kw'umwijima bisanzwe bikura mu gihe kinini.

Imiti imwe, harimo imiti yo kugabanya ububabare n'ibindi byongera, bishobora guhangayikisha umwijima wawe iyo ikoreshejwe igihe kirekire. Umuganga wawe ashobora kugufasha gusobanukirwa imiti ishobora kugira ibyago kandi agatanga indi miti irushaho kuba nziza iyo bishoboka.

Ni izihe ngaruka zishoboka za ese imiyoboro y'amaraso mu gifu?

Ingaruka zikomeye cyane za ese imiyoboro y'amaraso mu gifu ni ukuvuza amaraso, bishobora kuba ikintu cy'ubuzima kandi bisaba ubutabazi bw'abaganga bw'ihutirwa. Iyo iyi miyoboro y'amaraso ikomeye ivunitse, ishobora gutera igihombo kinini cy'amaraso vuba cyane.

Ingaruka zo kuva amaraso zishobora kuba:

• Gutakaza amaraso menshi kubera kuva amaraso vuba
• Pneumonia yo mu muhogo niba amaraso yinjiye mu mwijima
• Ibibazo by'impyiko kubera gutakaza amaraso no guhindura amazi
• Ibibazo by'umutima kubera anemia ikomeye
• Hepatic encephalopathy, aho ibintu byangiza ubwonko

Nubwo ubuvuzi bw'ese imiyoboro y'amaraso mu gifu bumaze gukira, hari ibyago byo kuvuza amaraso ukundi. Niyo mpamvu gukurikirana no kwirinda ubuvuzi ari ingenzi cyane kubantu bafite iki kibazo.

Mu bihe bitoroshye, ubuvuzi bukoreshwa mu guhagarika amaraso bushobora gutera ingaruka nk'kugabanya gifu cyangwa kwandura. Itsinda ryawe ry'abaganga rizagendera ku nyungu n'ibyago by'uburyo butandukanye bwo kuvura.

Ese ese imiyoboro y'amaraso mu gifu imenyekanwa gute?

Kumenya ese imiyoboro y'amaraso mu gifu bisaba endoscopie, uburyo umuganga akoresha umuyoboro muto, woroshye ufite camera kugira ngo arebe imbere mu gifu cyawe. Ibi bimufasha kubona neza imiyoboro y'amaraso ikomeye kandi bigafasha kumenya ibyago byo kuva amaraso.

Umuganga wawe azabanza gusubiramo amateka yawe y'ubuzima akakora isuzuma ry'umubiri, arebe ibimenyetso by'uburwayi bw'umwijima nk'umwijima cyangwa amazi menshi. Ibizamini by'amaraso bishobora kugaragaza ibibazo by'umwijima kandi bigafasha kumenya intandaro.

Uburyo bwa endoscopie ubwayo buramara iminota 15-30 kandi busanzwe bukorwa hakoreshejwe imiti yo gusinzira kugira ngo ugire amahoro. Umuganga wawe azabasha kubona varices neza kandi azayipima hashingiwe ku bunini n'uburyo bigaragara.

Ibizamini by'inyongera bishobora kuba harimo CT scan cyangwa ultrasound kugira ngo hagenzurwe umwijima wawe n'imijyana y'amaraso. Iyi isuzuma y'amashusho ifasha umuganga wawe gusobanukirwa neza ibiri kuba mu mubiri wawe.

Ese ni ikihe kivura ese imiyoboro y'amaraso mu gifu?

Kuvura ese imiyoboro y'amaraso mu gifu byibanda ku kwirinda kuva amaraso no gucunga uburwayi bw'umwijima. Umuganga wawe azategura gahunda yo kuvura hashingiwe ku bunini bwa varices yawe n'ubuzima bwawe muri rusange.

Niba utari kuva amaraso ubu, ubuvuzi bwo kwirinda bushobora kuba:

• Imiti ya beta-blocker kugira ngo igabanye umuvuduko mu mijyana y'amaraso yawe
• Endoscopic band ligation kugira ngo ihambire varices
• Gukurikirana buri gihe hakoreshejwe endoscopies
• Kuvura uburwayi bw'umwijima

Kubera kuva amaraso, ubuvuzi bw'ihutirwa bwibanda ku guhagarika igihombo cy'amaraso vuba. Ibi bishobora kuba harimo uburyo bwa endoscopie bwo gufunga imiyoboro y'amaraso ivuza amaraso, imiti igabanya umusaruro w'amaraso, cyangwa ibikoresho by'umupira by'igihe gito kugira ngo bishireho umuvuduko.

Mu bihe bikomeye, ushobora kuba ukeneye uburyo bukomeye nk'umuyoboro wa TIPS (transjugular intrahepatic portosystemic shunt), uhuza inzira nshya y'umusaruro w'amaraso. Bamwe bashobora guhita bakenera isuzuma ryo kubagwa umwijima niba uburwayi bw'umwijima bwabo bumaze gukura.

Uko wakwitwara mu rugo ufite ese imiyoboro y'amaraso mu gifu

Kwitwara mu rugo ufite ese imiyoboro y'amaraso mu gifu bisobanura kurinda ubuzima bw'umwijima wawe no gukurikiza inama z'umuganga wawe neza. Intambwe y'ingenzi ni ukwirinda inzoga rwose, kuko ishobora kongera kwangirika kw'umwijima no kongera ibyago byo kuva amaraso.

Fata imiti yawe uko yagenewe, cyane cyane beta-blockers zifasha kugabanya umuvuduko mu mijyana y'amaraso yawe. Ntucikwe na dose cyangwa uhagarike imiti udahamagaye umuganga wawe.

Kwita ku mirire yawe ugatunganya umunyu kugira ngo ugabanye amazi menshi kandi urye ibiryo bisanzwe kandi byuzuye kugira ngo ushyigikire imikorere y'umwijima. Irinde aspirine n'imiti igabanya ububabare idafite steroide (NSAIDs) nka ibuprofen, kuko bishobora kongera ibyago byo kuva amaraso.

Komeza kwitondera ibimenyetso byo kuva amaraso kandi umenye igihe ukwiye gushaka ubutabazi bw'ihutirwa. Gabanya urutonde rw'imiti yawe n'uburwayi bwawe igihe cyose mu gihe cy'ubuhangayikashi.

Uko wakwitegura gahunda yawe yo kubonana n'umuganga

Witondere gahunda yawe yo kubonana n'umuganga ukusanya amakuru yerekeye ibimenyetso byawe, imiti, n'amateka yawe y'ubuzima. Andika ibibazo byose ushaka kubaza kandi uzane urutonde rw'imiti n'ibindi byongera byose ufashe.

Komeza kwandika ibimenyetso byose wabonye, harimo igihe byabaye n'uburemere bwabyo. Bandika impinduka zose mu mbaraga zawe, ishyaka ryawe, cyangwa amashyira mabi.

Zana umuntu wo mu muryango cyangwa inshuti niba bishoboka, cyane cyane niba unaniwe kubonana n'umuganga. Bashobora kugufasha kwibuka amakuru y'ingenzi no kugushyigikira.

Ba umunyamwe mu byerekeye kunywa inzoga yawe n'ibindi bintu bishobora kugira ingaruka ku buzima bw'umwijima wawe. Umuganga wawe akeneye amakuru yuzuye kugira ngo atange ubuvuzi bwiza.

Icyingenzi cyo kumenya ku bijyanye n'ese imiyoboro y'amaraso mu gifu

Ese imiyoboro y'amaraso mu gifu ni ikibazo gikomeye gisaba ubuvuzi buhoraho, ariko bishobora gucungwa neza hakoreshejwe ubuvuzi bukwiye. Icyingenzi ni ugukorana n'itsinda ryawe ry'abaganga kugira ngo ugenzure uburwayi bwawe kandi wirinde ingaruka.

Kumenya hakiri kare no kuvura uburwayi bw'umwijima bishobora kwirinda varices kudakomeza gukura cyangwa kuba mbi. Niba umaze kugira varices, gukurikiza gahunda yawe yo kuvura no kwitondera ibimenyetso by'umuburo bishobora kugufasha kwirinda kuva amaraso menshi bishobora kuba ikintu cy'ubuzima.

Wibuke ko kugira ese imiyoboro y'amaraso mu gifu ntibivuze ko udashobora kubaho ubuzima buhimbaye. Abantu benshi bacunga iki kibazo neza hakoreshejwe ubuvuzi bukwiye n'impinduka mu mibereho.

Ibibazo byakunda kubaho ku bijyanye n'ese imiyoboro y'amaraso mu gifu

Ese ese imiyoboro y'amaraso mu gifu ishobora gukira yonyine?

Ese imiyoboro y'amaraso mu gifu isanzwe ntabwo ikira idavuwe, cyane cyane niba uburwayi bw'umwijima bukomeza gutera umuvuduko wiyongereye. Ariko, ubuvuzi bukwiye bushobora kugabanya cyane ubunini bwabyo n'ibyago byo kuva amaraso. Mu bihe bimwe na bimwe, kuvura neza uburwayi bw'umwijima bishobora gutuma habaho impinduka mu miyoboro y'amaraso mu gihe kinini.

Ese umuntu ashobora kubaho igihe kingana iki afite ese imiyoboro y'amaraso mu gifu?

Abantu benshi bafite ese imiyoboro y'amaraso mu gifu babaho imyaka myinshi hakoreshejwe ubuvuzi bukwiye n'impinduka mu mibereho. Ibyiringiro byawe biterwa n'ibintu byinshi, harimo ubukana bw'uburwayi bw'umwijima, uko wakira ubuvuzi, niba hari ingaruka zo kuva amaraso. Gukorana n'itsinda ryawe ry'abaganga biguha amahirwe meza yo kugira ubuzima bwiza.

Ese hari ibiryo nakwirinda mfite ese imiyoboro y'amaraso mu gifu?

Ugomba kwirinda ibiryo bikomeye, bikarishye, cyangwa birumvikana bishobora guhungabanya gifu cyawe, nka chips, umugati ukomeye, cyangwa imyembe. Ibiryo birimo ibinyomoro n'ibinyobwa bishyushye cyane bishobora kandi guhungabanya. Fata ibiryo byoroshye, byoroshye kurya kandi wirinda inzoga rwose. Umuganga wawe cyangwa umuhanga mu mirire ashobora gutanga inama zihariye ku mirire yawe hashingiwe ku mimerere yawe.

Ese ese imiyoboro y'amaraso mu gifu itandukaniye he n'imijyana isanzwe y'amaraso?

Nubwo zombi zirimo imijyana y'amaraso ikomeye, ese imiyoboro y'amaraso mu gifu ni ikintu gikomeye kurusha imijyana isanzwe y'amaraso ushobora kubona ku maguru yawe. Ese imiyoboro y'amaraso mu gifu iherereye ahantu hakomeye aho kuva amaraso bishobora kuba ikintu cy'ubuzima, kandi biterwa n'ibibazo bikomeye by'umwijima. Imijyana isanzwe y'amaraso ni ikibazo cy'ubwiza gusa kandi gake cyane itera ingaruka zikomeye.

Ese umunaniro ushobora kongera kuba mbi ese imiyoboro y'amaraso mu gifu?

Nubwo umunaniro ntabwo utera ese imiyoboro y'amaraso mu gifu kuba mbi, ushobora kugira ingaruka ku buzima bwawe muri rusange kandi ukagira ingaruka ku mikorere y'umwijima. Umunaniro ushobora kandi gutera imyitwarire ishobora kwangiza umwijima wawe, nko kunywa inzoga nyinshi. Gucunga umunaniro hakoreshejwe uburyo bwiza bwo guhangana, imyitozo ngororamubiri, no gusinzira bihagije bishobora gushyigikira gahunda yawe yo kuvura muri rusange.