ʻO Caput Medusae

Anter

• He aha nā hōʻailona?
• He aha ke kumu?
• Pehea ia ʻike?
• Pehea e mālama ʻia ai?
• He aha ke kuanaʻike?

He aha ka caput medusae?

ʻO Caput medusae, i kapa ʻia i kekahi manawa he hōʻailona lāʻau pāma, pili i ke ʻano o kahi pūnaewele o nā ʻeha ʻeha ʻole, pehu a puni kāu ʻōpū. ʻOiai ʻaʻole ia he maʻi, he hōʻailona ia o kahi ʻano paʻa, ka maʻi maʻamau o ka ate.

Ma muli o nā ʻenehana ʻoi aku ka maikaʻi no ka ʻike ʻana i ka maʻi o ke ake ma kāna mau mua, he kākaʻikahi ka caput medusae.

He aha nā hōʻailona?

ʻO ka hōʻailona nui o caput medusae kahi pūnaewele o nā veins nui i ʻike ʻia a puni ka ʻōpū. Mai kahi mamao aku, like paha ia me ka ʻeha ʻeleʻele a uliuli paha.

ʻO nā ʻōuli ʻē aʻe e pili pū me ia:

• nā wāwae pehu
• he lola hoʻonui
• nā umauma nui i nā kāne

Inā loaʻa ʻoe i ka maʻi maʻi akepē, ʻike paha ʻoe i nā ʻōuli penei:

• ʻōpū ʻōpū
• ʻōmaʻomaʻo ʻōiwi
• loli ke ʻano
• huikau
• kahe nui ke koko
• spider angioma

He aha ke kumu?

ʻO Caput medusae ka mea kokoke pinepine ʻia e ka hypertension portal. Kuhi kēia i ke kaomi kiʻekiʻe i loko o kāu veins portal. Lawe ke kīʻaha kūpoko i ke koko i kou ake mai kou ʻōpū, pākā gall, pancreas, a me spleen. Hoʻopaʻa ke akepaʻa i nā meaʻai i ke koko a laila hoʻouna i ke koko i ka puʻuwai.

ʻO Caput medusae ka mea maʻa mau i ka maʻi o ke ake, a ʻo ka hopena ka hopena o ke ake, a i ʻole ka cirrhosis. ʻOi aku ka paʻakikī o kēia kahe ʻana no ke kahe o ke koko ma o nā uaua o kou ake, e alakaʻi ana i kahi kahe o ke koko i loko o kāu veins portal. ʻO ke koko hoʻonui ʻia i loko o kāu veins portal alakaʻi i ka portal hypertension.

Me kahi ʻē aʻe e hele ai, hoʻāʻo kekahi o ke koko e kahe ma waena o nā veins kokoke a puni ka ʻōpū, i kapa ʻia ʻo nā veins periumbilical. Hana kēia i ke kumu o nā kīʻaha koko hoʻonui ʻia i ʻike ʻia ʻo caput medusae.

Nā kumu kūpono ʻē aʻe o ka maʻi akepaʻa e alakaʻi ai i ka hypertension portal e komo pū:

• hemochromatosis
• Ka hemahema alpha 1-antitrypsin
• hepatitis B
• he hepatitis C mau
• maʻi maʻi ate e pili ana i ka waiʻona
• maʻi maʻi ate

I nā hihia maʻamau, kahi paʻa i kou vena cava inferior, kahi aa nui e lawe i ke koko mai kou mau wāwae a hoʻohaʻahaʻa i kou puʻuwai, hiki ke hana i ka hypertension portal.

Pehea ia ʻike?

Maʻalahi ke ʻike ʻia ka Caput medusae, no laila e nānā paha kāu kauka i ka hoʻoholo ʻana inā no ka maʻi akepaʻa a i ʻole ka paʻa i kou veava cava haʻahaʻa.

Hiki i kahi CT scan a i ʻole ultrasound ke hōʻike i ke kuhikuhi o ke kahe o ke koko i loko o kou ʻōpū. E kōkua kēia i kāu kauka e hōʻemi i ke kumu. Inā neʻe ke koko i loko o nā veins hoʻonui i kou mau wāwae, no ka cirrhosis paha ia. Inā e kahe ana i luna i kou puʻuwai, ʻoi aku paha kahi blockage.

Pehea e mālama ʻia ai?

ʻOiai ʻaʻole pono ka caput medusae iā ia iho i kahi lāʻau, ʻo nā kumu kumu e hana ai.

ʻO ka Caput medusae kahi hōʻailona o ka cirrhosis ʻoi loa, e pono ai ka mālama koke ʻana. Aia i ka paʻakikī, hiki i kēia ke hoʻopili:

• e hoʻokomo ana i kahi shunt, kahi mea liʻiliʻi e wehe i ka aa koko e hōʻemi i ka piʻi kiʻekiʻe o ka portal
• nā lāʻau
• hoʻoliʻiliʻi ate

Inā caput medusa ma muli o kahi paʻa i kāu vena cava haʻahaʻa, pono paha ʻoe i kahi ʻoki pōpilikia e hoʻoponopono ai i ka palaka a pale i nā pilikia ʻē aʻe.

He aha ke kuanaʻike?

Mahalo i nā kiʻina i hoʻomaikaʻi ʻia no ka ʻike ʻana i nā maʻi o ka ate, kakaʻikahi ka caput medusae. Akā inā manaʻo ʻoe ke hōʻike nei ʻoe i nā hōʻailona o caput medusae, e kāhea koke i kāu kauka. ʻAneʻane mau ia he hōʻailona o kahi mea e pono ai ka lapaʻau koke.