Portal kub siab yog qhov teeb meem ntawm daim siab cirrhosis . Nws tshwm sim thaum lub siab nyob rau hauv cov hlab ntsha portal nce thiab vim li no, cov ntshav khiav ntawm ib qho ntawm nws yog obstructed. Cov kab mob kis tau yooj yim heev tau yooj yim, thiab qhov no ua rau los ntshav.
Cov tsos mob ntawm hepatic portal hypertension
Portal kub siab nyob rau hauv daim siab paj hlwb yog tshwm sim los ntawm cov tsos mob xws li:
- tsam plab thiab mob plab;
- dub quav thiab dub ntuav;
- mob heev (raws li txoj cai, lawv nyob hauv cheeb tsam ntawm sab qaum ntawm lub plab);
- tsis qab los noj mov lossis tag nrho poob;
- daj ntxoov ntxoo ntawm daim tawv nqaij.
Zoo rau tag nrho cov neeg mob ho nthuav cov kab mob subcutaneous uas nyob hauv phab ntsa ntawm sab nrauv ntawm lub qhov ncauj. Venous trunks txav deb ntawm lub ntaws, yog li ntawd xws li ib tug kos npe hu ua "lub taub hau ntawm ib tug jellyfish".
Kev kho mob ntawm hepatic portal hypertension
Kev kho mob ntawm portal hypertension nrog cirrhosis yuav tsum pib nrog kev noj zaub mov. Ua ntej tshaj plaws, koj yuav tsum txo cov ntsev uas siv los txo cov kua stagnation hauv lub cev. Kuj xav tau kom txo tau tus nqi ntawm cov protein siv. Qhov no yuav zam qhov teeb meem ntawm hepatic encephalopathy .
Kev kho mob ntawm ib txwm los yog sib tov ntawm daim siab nrog cov cim ntawm portal hypertension yuav tsum tau nqa tawm nkaus xwb hauv tsev kho mob nrog rau kev saib xyuas tom qab. Thov rau no siv tshuaj yaj yeeb:
- hormones ntawm lub caj pas pituitary;
- beta-blockers;
- synthetic somatostatin analogues;
- diuretics.
Yog hais tias ntshav tsis muaj zog, txhaj tshuaj tua kab mob hauv cov ntshav, zas los yog ntshav hloov ntshav. Thaum muaj ascites (pub dawb hauv cov kab mob plab), tus neeg mob tau qhia txog kev khiav haujlwm phais. Feem ntau nws yog ua los ntawm shunting. Nws yog ib qho tsim nyog thiaj tsim lwm txoj hau kev, ntxiv rau txoj kev ntshav ntawm cov leeg puas. Yog hais tias nws tsis tuaj yeem rov qab kho dua li qub, lub siab ntshis yog transplanted rau cov neeg mob.