Nā kumu o nā varises esophageal, nā ʻōuli a me nā lāʻau

Anter

• Nā kumu o nā varises esophageal
• Nā hōʻailona nui
• Pehea e hōʻoia ai i ke kuhi
• Nā koho lapaʻau
• 1. Nā hoʻoponopono
• 2. Hoʻopau
• 3. ʻoki kino
• ʻO ka meaʻai no nā ʻekope esophageal

Hana ʻia nā varises Esophageal i ka wā o nā kīʻaha koko i ka esophagus, ʻo ia ka paipu e hoʻopili i ka waha i ka ʻōpū, lilo i mea nui a hiki ke hana i ke kahe ma ka waha. Hoʻomohala kēia mau veins varicose ma muli o ka hoʻonui ʻia o ka kaomi i ke ake nui o ke ake, i kapa ʻia ʻo ka veins vein, a hiki ke hōʻike ʻia ma muli o nā maʻi e like me ka cirrhosis ate a thrombosis paha i ke ake, no ka laʻana.

Hōʻike maʻamau nā ʻōuli o nā ʻekope esophageal ke haki nā kīʻaha koko i ka esophagus, kahi e alakaʻi ai i ka luaʻi me ke koko a me nā noho ʻeleʻele. Eia nō naʻe, inā ʻaʻole lākou e ʻeha i ka varises esophageal, ʻo ka poʻe i loaʻa i ka cirrhosis ate a me nā pilikia ʻē aʻe e loaʻa nā hōʻailona a me nā ʻōuli e like me ka ʻōpū pehu, ka hanu a me ka nui o nā wāwae.

ʻO ka hōʻoia ʻana o nā varises esophageal i hōʻoia ʻia ma o nā hoʻokolohua kiʻi, e like me ka endoscopy gastrointestinal luna, a me ka lāʻau i hōʻike ʻia e ka gastroenterologist ma muli o ke koʻikoʻi o ka maʻi, me ka hoʻohana ʻana o ka lāʻau, ke ʻoki a me ka transplantation ate i nā hihia ʻoi loa e hōʻike pinepine ʻia. .

Nā kumu o nā varises esophageal

Hōʻike ʻia nā varises Esophageal ke loaʻa ka mea keakea o ke kahe o ke koko i ke ake, e hoʻonui ana i ke kaomi i ke aa nui o kēia koina, i ʻike ʻia ʻo ka vein portal. ʻO kēia hoʻonui i ke kaomi ke kumu e hoʻonui ai nā veins esophageal ma muli o ka hōʻiliʻili ʻana o ke koko, i hiki ai ke kahe i ke kahe.

Hiki ke kumu ʻia kēia ʻano e nā pilikia akepaʻa, e like me ka momona nui, hoʻohana nui a hoʻomau ʻana i ka ʻalekohola, hepatitis C a i ʻole hepatitis B, kahi maʻi i hoʻokumu ʻia e nā mea ʻino a hiki ke lawe ʻia e ka pili pili ʻole i pale ʻole ʻia a i ʻole ka hoʻohana ʻia ʻana o ka haumia. kui kele a pahi paha. Eia ka mea e hana ai e pale aku i ka maʻi hepa B.

Nā hōʻailona nui

Hōʻike ʻia nā varises Esophageal ke haki nā kīʻaha koko i ka esophagus, a hiki i ke ʻano o:

• ʻO ka luaʻi me ke koko;
• Nā nohoʻeleʻele a ʻeleʻele paha;
• Puʻupuʻu;
• Pāleʻele a me ka ʻili melemele;
• Panting;
• Nawaliwali.

I nā hihia ʻoi loa, ke ikaika loa ke kahe ʻana o ke kahe mai ka waha, hiki i ke kanaka ke lilo i ka noʻonoʻo ma muli o ke kahe o ke koko, a no laila, pono e kāhea i ka ambulance SAMU ma ke kelepona 192.

Eia nō naʻe, inā ʻaʻole i loaʻa i kekahi kanaka nā ʻekope esophageal, loaʻa paha iā ia nā hōʻailona ʻē aʻe a me nā ʻōuli o nā pilikia o ke akepaʻa e hoʻokumu i nā varises esophageal, e like me ka ʻōpū pehu, ka liʻiliʻi o ka hanu a i ʻole ka huʻi nui o nā wāwae.

Pehea e hōʻoia ai i ke kuhi

Hoʻololi Manaʻo

Pono e ʻike ʻia ka diagnostical o nā varises esophageal e kahi loea maʻamau a i ʻole gastroenterologist, kahi e hiki ai ke hana i nā hoʻokolohua koko, e like me ka helu o ke koko, nā hoʻokolohua hana ate a me ka coagulogram e nānā ai i ka manawa o ke kino e hōʻoki ai i ke kahe ʻana o ke kahe. E ʻike he aha ka coagulogram a pehea e hana ai.

ʻO ka endoscopy gastrointestinal o luna ka hoʻāʻo e hoʻohana ʻia e hōʻoia i ke kuhi o nā ʻekope esophageal a hana ʻia ma o ka hoʻolauna ʻana o kahi paipu lahilahi, maʻalahi me kahi pahu liʻiliʻi i hoʻopili ʻia i hiki ai ke ʻike i ka paia o ka esophagus a me ka ʻōpū a ʻike i ke kumu o ke kahe ʻana o ke kahe, no laila ke hāʻawi nei i ka hōʻailona a hiki ke hoʻohana ʻia hoʻi ma ke ʻano he lapaʻau.

Nā koho lapaʻau

ʻO ke ʻano o ka mālama ʻana i hoʻohana ʻia no nā veins varicose i ka esophagus e pili ana i ka nui o ka pilikia o ke akepaʻa a me ka nui o kēia mau veins varicose:

1. Nā hoʻoponopono

ʻO nā hoʻoponopono i hoʻohana ʻia no nā ʻekope esophageal me:

• Nā lāʻau lapaʻau-beta, e like me propranolol a i ʻole nadolol, kahi e hōʻemi ai i ka helu o ka puʻuwai a, no laila, e hoʻēmi i ke kaomi i loko o nā veins varicose;
• Nā lāʻau lapaʻau Splenic vasodilator, e like me vasopressin a i ʻole somatostatin, kahi e hoʻēmi nui ai i ke kaomi i loko o nā veins varicose, a no laila e hoʻohana hou ʻia i nā hanana hemorrhage.

Hoʻohana ʻia kēia mau mea hoʻōla e hoʻoliʻiliʻi i ka makaʻu a i ʻole e hōʻoluʻolu i ke kahe ʻana o ke koko i nā veins varicose nui a, no laila, mai hōʻola i nā varises esophageal. No laila, hiki i ke kauka ke koi aku i nā koho lapaʻau ʻē aʻe e hoʻohana pū ʻia me nā lāʻau.

2. Hoʻopau

ʻO ka endoscopy no nā varises esophageal, i ka hoʻohui ʻana i ke kōkua ʻana i ka diagnose, lawelawe pū kekahi e hoʻomaikaʻi i ka dilation o nā veins esophageal, ma ke kau ʻana i kahi bandage elastis a puni nā veins varicose e hoʻopili i ke koko ma ka pūnaewele a hoʻemi i ka makaʻu o ke kahe nui.

3. ʻoki kino

ʻO ke kaʻina hana no nā veins varicose i ka esophagus, i kapa ʻia shunthepatic, hoʻohana ʻia ia i nā hihia ʻoi loa, kahi hiki ʻole ke kāohi i ke kaomi i loko o nā veins varicose wale nō me ka lāʻau lapaʻau, a hiki ke hōʻike ʻia ke kaohi ʻole ʻia ke kahe ʻana i ka esophagus me nā lāʻau lapaʻau a me ka endoscopy .

ʻO ka meaʻai no nā ʻekope esophageal

Pono e hoʻohaʻahaʻa nā meaʻai no nā varises esophageal i nā momona a me nā protein digestible maʻalahi, e like me ka iʻa, ʻiʻo keʻokeʻo a me nā mea kanu paha, no ka laʻana, e kōkua i ka mālama ʻana i ka pilikia o ke ake. E ʻike i nā meaʻai ʻē aʻe i ka papaʻai i kuhikuhi ʻia no nā pilikia o ke ake.

Eia hou, ma muli o ke kū ʻana o nā veins varicose, he mea nui ka mālama ʻana me nā meaʻai e like me:

• E hāʻawi i ka makemake i nā meaʻai pasty, e like me nā porridges, purees a i ʻole nā ​​wikamina, no ka laʻana;
• E nau i ka meaʻai i nā mea liʻiliʻi i ka manawa;
• Hōʻalo i nā meaʻai paʻakikī loa, crunchy a maloʻo paha, e like me nā kuki, nā hua maloʻo a i ʻole ka niu;
• Mai ʻai i ka meaʻai wela, e hoʻomaha ana ma kahi o 5 mau minuke, ma mua o ka ʻai ʻana.

ʻO kēia mau mālama e pili ana me ka hōʻemi ʻana i ka hoʻohana ʻana i nā mea inu ʻona he mea nui e pale aku ai i nā hōʻeha a i ʻole haki ʻia o nā veins varicose a, no laila, kōkua i ka hōʻemi ʻana i ke kahe o ke kahe.