I-Portal hypertension ingenye yezinkinga ze- cirrhosis yesibindi . Kuyenzeka lapho ingcindezi emithanjeni ye-portal iyanda futhi ngenxa yalokhu, ukugeleza kwegazi kunoma iyiphi ingxenye yayo kuvinjelwe. Izindwangu ezandisiwe ziphukile kalula, futhi lokhu kuholela ekusenikeni.
Izimpawu ze-hepatic portal hypertension
I-portal yomshuwalense we-cirrhosis yesibindi ibonakala ngezimpawu ezinjenge:
- ukubhubhisa nokwandisa isisu;
- izinhlanzi ezimnyama nokuhlanza omnyama;
- izinzwa ezibuhlungu (njengombuso, zitholakala endaweni yangasese yesisu);
- ukulahlekelwa kwesidlo noma ukulahlekelwa okuphelele;
- umthunzi ophuzi wesikhumba.
Cishe zonke iziguli zikhulisa kakhulu imithanjeni engaphansi komzimba ekhoneni langaphakathi le-peritoneum. Izihlahla ezinama-Venous zihamba kude nenkaba, ngakho-ke uphawu olubizwa ngokuthi "ikhanda le-jellyfish".
Ukwelashwa kwe-hepatic portal hypertension
Ukwelashwa kwesifo somfutho wegazi obizwa nge-portal ne-cirrhosis kufanele kuqale nge-dietotherapy. Okokuqala, kufanele unciphise inani losawoti elisetshenziselwa ukunciphisa ukuqhuma komzimba emzimbeni. Futhi kudingeka ukunciphisa inani lamaprotheni ayidliwe. Lokhu kuzokugwema ukutholakala kwe- encephalopathy ye- hepatic .
Ukwelashwa kwe-cirrhosis evamile noma exubekile yesibindi ngezinpawu zokushisa komzimba kwangaphakathi kufanele kwenziwe kuphela esibhedlela kanye nokuqondiswa kweziguli ezilandelayo. Faka isicelo salesi sidakamizwa:
- amahomoni we-gland pituitary;
- i-beta-blockers;
- i-synthetic somatostatin analogues;
- ama-diuretics.
Uma ukulahlekelwa kwegazi kwakunamandla, i-erythromass, i-plasma noma i-plasma esikhundleni. Ngaphambi kokuba ukhuphuke (uketshezi olungenalutho emgodini wesisu), isiguli siboniswa ukuhlinzwa okuhlinzekwayo. Ngokuvamile kwenziwa ngokushukela. Kuyadingeka ukuze udale enye, indlela eyengeziwe yokugeleza kwegazi kusuka emthonjeni owonakele. Uma kungenakwenzeka ukubuyisela umsebenzi ovamile, isibindi sishintshelwe iziguli.