ʻO nā veins varicose i loko o ka ʻōpū: he aha ia, nā kumu a me ka mālama ʻana

Anter

• Pehea e ʻike ai
• Hoʻokaʻina o nā ʻano
• He aha ke kumu o nā ʻōpū gastric
• Pehea e hana ai i ka lāʻau

Hoʻonui ʻia nā veins varicose i loko o ka ʻōpū a me nā kīʻaha koko tortuous e hana ana ma ka paia o kēia mea, a hiki ke koʻikoʻi, ʻoiai lākou e nui aʻe ana, makaʻu lākou i ka haki a hana i ke kahe nui.

Hiki ke hana i kēia mau veins varicose i loko o ka ʻōpū ma muli o ka hoʻonui ʻana o ke kūpaʻa ʻana i ke kahe o ke koko i loko o ka aa koko, kahi aa nui e hoʻokahe i ke koko mai nā ʻōpū o ka ʻōpū, hiki ke kū aʻe no nā kumu like ʻole, e like me ka hepatitis mau, cirrhosis o ke ake, schistosomiasis a i ʻole kahi thrombosis vein portal, no ka laʻana. Hoʻomaopopo ʻoi aku ka mea a me nā mea e hiki ai i ka hypertension portal.

ʻO ka maʻamau, ʻike ʻia nā varic gastric ma hope a i ʻole hui pū ʻia me nā veins varicose i loko o ka esophagus, a me ka polima. Hōʻike ʻia ka lapaʻau ʻana no kēia mau uaua ʻelua i ka pale ʻana a me ka hoʻōki ʻana i ke kahe ʻana o ke kahe, a hiki ke hana ʻia me nā lāʻau lapaʻau beta-block a i ʻole nā ​​kaʻina hana, e like me sclerotherapy, cyanoacrylate a i ʻole nā ​​ligators elastis, e laʻa me.

Pehea e ʻike ai

ʻAʻole hiki i nā veins varicose ke kumu i kekahi o nā ʻōuli, a hiki ke ʻike ʻia i nā hoʻokolohua ke manaʻo ʻia ka hypertension portal, ma muli o ka cirrhosis o ke ake, no ka laʻana. ʻO nā varises Esophageal ka mea maʻa mau, akā naʻe, hiki i nā veins varicose i loko o ka ʻōpū ke hana i 20% o nā hihia, keu hoʻi i ka piʻi ʻana o ke kaomi i loko o ka vein portal e ʻoi aku ka nui.

Eia kekahi, ʻoi aku ka liʻiliʻi o ka haʻihaʻi o nā ʻōpū gastric i ka hoʻohālikelike ʻia me nā esophageal, akā naʻe, kumu lākou i ke kahe o ke koko i ʻoi aku ka paʻakikī a paʻakikī e kaohi. ʻO kekahi o nā ʻōuli e hōʻike ana i ke kahe ʻana o ke koko mai:

• Nā noho ʻeleʻele me ka pilau;
• ʻO ka luaʻi me ke koko;
• Paleness, dizziness a me nā palpitations.

Hoʻokaʻina o nā ʻano

ʻO nā hoʻokolohua nui e kuhikuhi ai i nā veins varicose he digestive endoscopy, doppler ultrasound a me tomography. Hiki iā lākou i nā wahi like ʻole i loko o ka ʻōpū, ke hoʻohālikelike ʻia me:

1. ʻO lākou ka hoʻomau ʻana o nā varises esophageal, e hoʻonui ana i kekahi mau kenimika ma lalo o ka hoʻololi esophagogastric, ma o ka curvature liʻiliʻi o ka ʻōpū, ka mea maʻamau;
2. ʻO lākou kekahi mea hoʻonui o nā ʻeleʻele esophageal, akā i ka waihona gastric;
3. ʻO kēia nā varic gastric kaʻawale, aia ma lalo o ka ʻōpū;
4. Hoʻokaʻawale pū ʻia lākou i nā ʻōpū ʻōpū, hiki ke ʻike ʻia ma nā wahi ʻē aʻe i loko o ka ʻōpū.

Manaʻo ʻia nā wīwī Gastric ke liʻiliʻi lākou i ke ana o 3 mm i ke anawaena, waena ma waena o 3 a me 5 mm a i ʻole ke ana ʻia ma mua o 5 mm ke anawaena. ʻO ka nui o nā veins varicose, ʻo ka nui o ka makaʻu o ke kahe ʻana.

He aha ke kumu o nā ʻōpū gastric

Hoʻokumu ʻia nā veins varicose i loko o ka ʻōpū e ka hoʻonui ʻana o ka kaomi i loko o ka veins vein, a ʻo nā kumu nui:

• Hepatitis maʻi mau;
• Hepatical cirrhosis;
• Schistosomiasis;
• ʻO ka thrombosis aʻa a splenic vein paha;
• ʻO ka maʻi ʻo Budd-Chiari. E ʻike pehea ke ʻano o kēia maʻi maʻi a pehea e hana ai;
• Nā hana hewa i ka vein portal a i ʻole ka vena cava inferior.

Hiki ke kumu ʻia nā veins varicose i loko o ka ʻōpū e ka maʻi puʻuwai i kapa ʻia he constrictive pericarditis, kahi e ulu ai nā mea fibrous a puni ka puʻuwai, a paʻakikī e hana. E aʻo hou e pili ana i ka ulu a me nā hopena o kēia maʻi.

Pehea e hana ai i ka lāʻau

Inā liʻiliʻi ka varicose veins a i ʻole ʻike ke kauka aia ka haʻahaʻa o ke kahe ʻana o ke kahe, ʻaʻohe pono no ka mālama ʻana i nā varic gastric, ʻo kā lākou nānā mau wale nō.

Eia nō naʻe, hiki i ke kauka, i kekahi mau hihia, ke koi aku i kahi lapaʻau e pale aku ai i ke kahe ʻana o ke kahe, keu hoʻi ke ana lākou ma mua o 10 mm o ke anawaena a i ʻole he pilikia nui o ke kahe ʻana, hiki ke hana ʻia me nā lāʻau lapaʻau beta-block, kahi e hoʻēmi ai i ka ikaika o ke koko. kahe, e like me Propranolol, a i ʻole ke noi ʻana o Cyanoacrylate, kahi ʻano kaola e hoʻopau ai ka moku.

Ke hele nei nā varic gastric i ke kahe ʻana o ke kahe, hiki i ka mālama ʻana ke hoʻopili i ka endoscopy no sclerotherapy, ka cyanoacrylate injection a i ʻole ke kau ʻana o nā bandages elastis, nā pāʻina a me nā punawai, no ka laʻana.

Ma waho aʻe o ka hoʻōki ʻana i ke kahe ʻana, no ka mea he kūlana koʻikoʻi kēia, pono ka kauka e mālama i nā hana e pale ai i ke ola o ka mea maʻi, e like me ka hoʻololi ʻana i nā wai me ke serum i loko o ka aa, e hana ana i ke koko, inā pono, a i ʻole ka hoʻohana ʻana i nā lāʻau ʻaloʻalo e pale aku ai i nā maʻi ʻōpū. ., maʻamau i nā mea maʻi me ka cirrhosis o ke ake. E nānā pū i nā kumu ʻē aʻe o ke kahe ʻana o ka ʻōpū a me ka mea e hana ai.