Hauv cov hlab ntsha ntshav, ib qho ntawm cov hlab ntsha loj tshaj plaws yog txoj hlua roj hmab. Nrog ua hydrostatic siab, portal hypertension loj hlob hauv nws. Qhov mob no tsis yog ib qho kab mob uas tsis tshua muaj siab, vim nws tshwm sim rau cov keeb kwm yav dhau los ntawm lwm cov kab mob hauv cov ntshav ntawm cov kab mob hauv zos thiab lub hauv paus chiv keeb.
Kev faib tawm ntawm portal hypertension syndrome
Muaj 4 hom ntaub ntawv ntawm kev mob nkeeg hauv lo lus nug:
- prehepatic;
- intrahepatic;
- superhepatic;
- tov.
Prehepatic lossis subhepatic portal hypertension yog suav tias yog qhov nyuaj tshaj plaws rau kev kho kab mob, raws li nws tsim tawm los ntawm cov hlab ntaws ntawm lub cev pob txha.
Intrahepatic hom mob hnyuv hauv 95% ntawm tus neeg mob yog txuam nrog ib theem siab ntawm kev siab ntsws ntawm lub siab los yog nws cov nyom. Tsis tshua muaj cov kab mob qeeb heev vim qhov sclerotic kev ua nyob rau hauv lub cev thiab lub cev nqaij daim tawv.
Superhepatic los yog extrahepatic portal hypertension yog tshwm sim los ntawm ib qho nyuaj outflow ntawm cov roj ntsha kua los ntawm cov leeg ntawm cov nplooj siab. Qhov no tej zaum yuav yog vim muaj ntshav nce siab, muaj cov cholesterol plaques, endocrine thiab hepatological kab mob.
Mixed daim ntawv ntawm kub siab yog qhov tsim nyog ntawm chronic portal vein thrombosis nyob rau hauv siab daim siab cirrhosis.
Raws li pom tau, qhov tseem ceeb ntawm kev loj hlob ntawm pathology yog circulatory mob, hepatological kab mob, compression ntawm portal portal, hlav thiab hlwv ntawm daim siab. Kuj provoking factors tau ua autoimmune, endocrine, vascular kab mob.
Cov tsos mob ntawm portal hypertension
Qhov chaw kho mob ntawm qhov kev piav qhia muaj xws li cov kev tsis txaus siab nram no:
- tsam plab, ua rau nws loj tuaj;
- zoo nkaus li cia li nyob rau hauv txoj cai hypochondrium, qhov hnyav;
- qee zaum - ib lub rooj zaum tsaus nti, yuav luag dub;
- encephalopathy;
- tsis tuaj-mindedness, tsis nco qab;
- nkees nkees, tsis muaj mob nkeeg;
- icterus ntawm daim tawv nqaij;
- ascites ;
- mob hauv cheeb tsam epigastric;
- xeev siab thiab ntuav;
- txog ua tsis taus pa, o;
- txoj hlab ntshav es txoj hlab ntshav;
- tsis qab los noj mov;
- apathy.
Hauv ntau ntau, cov tsos mob yuav zoo ib yam li cov kab mob siab, tiam sis pib sai dua thiab muaj zog dua.
Cov cim qhia ntawm portal hypertension rau ultrasound
Thaum kuaj ultrasound, nws pom muaj:
- kev nce hauv qhov loj ntawm daim siab thiab tus po;
- kuaj pom meej ntawm cov ntshav txhaws hauv cov hlab ntsha;
- nthuav ntawm lub lumens ntawm splenic thiab portal leeg.
Ntxiv rau, kom paub meej txog kev kub ntxhov siab koj yuav tsum tau sim kev kuaj mob:
- ntshav (dav, biochemical );
- zis thiab quav.
Kuj siv cov duab X-ray, rheogepatografiya, splenomanometry, daim nplooj xaig tshuaj, splenoportography, mos nqaij mos.
Kev kho mob ntawm portal hypertension
Cov theem pib ntawm cov pathology xav conservative kho los ntawm cov tshuaj vasoactive, hauv particular - Vasopressin los yog nws cov analogues.
Thaum muaj ntshav los yog muaj teebmeem, kev kho ntawm cov leeg nrog Sengshtaken-Blackmore sojntsuam lossis kev kuaj ntshav yuav siv 2-3 hnub.
Yog tias txoj kev kho qhov kev kho tsis zoo, tsis muaj kev khiav haujlwm. Raws li cov hom phiaj ntawm kev phais mob, cov nram qab no yog qhov txawv:
- Tshem tawm ntawm ascites los ntawm lub plab kab noj hniav.
- Tsim cov kev tshiab los tshem ntshav.
- Kev txhim kho ntawm cov ntshav qis thiab kev ua haujlwm hauv cov khoom.
- Txo qhov nchuav ntawm cov roj ntsha kua mus rau hauv cov leeg pob txha.
- Tsis pub cais tawm ntawm cov leeg ntawm lub plab thiab txoj hlab pas.