Impilo yezonyango

Ukuhlaziya indlela eya empilweni: IINGCEBISO Izixhobo zokubhoboza zikhokela isahluko esitsha kunyango lwe-portal hypertension

Kwicandelo elikhulu lezonyango, sihlala sihlola ukufumana unyango olungcono kumguli ngamnye. Namhlanje, siyazingca ngokukunika isixhobo esitsha, i-TIPS puncture device, esenzelwe isixhobo se-transjugular transhepatic portal shunt device, esiya kuvula ucango lwempilo yakho.

I-Portal hypertension, eyayikade iyimeko ebuhlungu, ngoku inesisombululo esitsha. Isixhobo sokubhoboza i-TIPS esinengcamango yaso eyahlukileyo yoyilo, ngokuseka umjelo we-shunt phakathi komthambo wesibindi kunye nomthambo we-portal esibindini, ngobuchule kunciphisa uxinzelelo lomthambo we-portal. Oku akuboneleli nje kuphela ngethuba lokunciphisa okanye ukuphelisa ii-varices zomqala, ukuqhekeka, ukopha, i-ascites kunye nezinye iimpawu, kodwa kuzisa ithemba kunye nesibindi sobomi kwizigulana.

Izixhobo zokubhoboza ze-TIPS zidlala indima ebalulekileyo kutyando lwe-TIPSS (transjugular intrahepatic portal vena cava shunt). Ngobuchwepheshe bokubhoboza obuchanekileyo kunye nenkqubo yokuhambisa ezinzileyo, iseka umjelo ozinzileyo phakathi komthambo wesibindi kunye nomthambo we-portal, inika isiqinisekiso esinamandla sokuhanjiswa kwe-stent.

Ukuphunyezwa ngempumelelo kwale nkqubo akunciphisi nje kuphela uxinzelelo lwegazi oluphezulu lwe-portal, kodwa kwadala neemeko ezilungileyo zokufunxwa kwe-ascites, okuvumela izigulane ukuba ziphinde ziphile ubomi obutsha.

Siyazi ukuba wonke umguli unomdla wokuphelisa ukugula aze aphinde abe sempilweni nolonwabo. Ngenxa yoko, sihlala silandela isayensi kunye netekhnoloji ejolise ebantwini njengesikhokelo, kwaye sihlala siphucula kwaye siphucula ukusebenza kunye nomgangatho wezixhobo zokubhoboza ze-TIPS. Sikholelwa ngokuqinileyo ukuba ngoncedo lwezixhobo zokubhoboza ze-TIPS, izigulane ezininzi ziya kukwazi ukoyisa esi sifo kwaye ziphinde zifumane impilo nethemba.