Ọrịa na-egbochi ịba ọcha (Budd-Chiari)

Hepatic vein mgbochi bụ mgbochi nke akwara hepatic, nke na-ebu ọbara pụọ ​​na imeju.

Pzọ akwara na-egbochi imeju ọbara n’imeju na ịlaghachi n’obi. Mgbapu a nwere ike imebi imeju. Mgbochi nke akwara a nwere ike ibute site na akpụ ma ọ bụ uto na-agbanye na arịa ahụ, ma ọ bụ site na nkedo n'ime arịa ahụ (akwara akwara nke akwara).

Ọtụtụ mgbe, ọ na - akpata ọnọdụ na - eme ka mkpụkọ ọbara nwee ike ịmalite, gụnyere:

• Ọrịa na - adịghị ahụkebe nke mkpụrụ ndụ na ụmị ọkpụkpụ (ọrịa myeloproliferative)
• Ọrịa
• Ọrịa na-adịghị ala ala ma ọ bụ ọrịa autoimmune
• Ọrịa
• Ihe nketa (ihe nketa) ma ọ bụ nweta nsogbu na nsị ọbara
• Mgbo ogwu na-egbochi onu
• Ime afọ ime

Ọkpụkpụ akụrụngwa bụ ihe kachasị akpata Budd-Chiari syndrome.

Mgbaàmà gụnyere:

• Ọkpụkpụ afọ ma ọ bụ ịgbatị n'ihi mmiri dị n'ime afọ
• Mgbu dị n'akụkụ aka nri nke elu
• Ọkpọ ọbara
• Yellowing nke anụ ahụ (jaundice)

Otu n’ime ihe ịrịba ama a bụ ịba afọ nke mmiri site n’ite mmiri (ascites). Imeju na-aza aza ma na-adịkarị nro.

Ule gụnyere:

• CT scan ma ọ bụ MRI nke afọ
• Doppler ultrasound nke akwara veins
• Ọkpụkpụ imeju
• Nnwale ọrụ imeju
• Ultrasound nke imeju

Ọgwụgwọ dịgasị iche, dabere n'ihe kpatara mgbochi.

Onye na-ahụ maka ahụike gị nwere ike ịkwado ọgwụ ndị a:

• Ndị na-edozi ọbara (anticoagulants)
• Clot-busting ọgwụ (ọgwụgwọ thrombolytic)
• Ọgwụ iji gwọọ ọrịa imeju, gụnyere ascites

Wa ahụ nwere ike ịkwado. Nke a nwere ike ịgụnye:

• Angioplasty na stent pụrụ isi chọta
• Transjugular intrahepatic portosystemic shunt (Ntụziaka)
• Ouswa ahụ nke Venous
• Imeju umeji

Ọkpụkpụ akụrụngwa hepatic nwere ike ịka njọ ma duga ọrịa cirrhosis na imeju imeju. Nke a nwere ike itinye ndụ gị egwu.

Kpọọ onye na-eweta gị ma ọ bụrụ:

• Have nwere ihe mgbaàmà nke igbochi akwara
• A na-agwọ gị maka ọnọdụ a ma mepee mgbaàmà ọhụụ

Ọrịa Budd-Chiari; Ọrịa na-agwọ ọrịa hepatic

• Usoro nri
• Ngwa ngwa ngwa
• Ọkpụkpụ ọbara
• Ọbara ọbara

Kahi CJ. Vaskụla ọrịa nke eriri afọ tract. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 134.

Nery FG, Valla DC. Ọrịa nke akwara nke imeju. Na: Feldman M, Friedman LS, Brandt LJ, eds. Ọrịa Cancer Sleisenger na Ọrịa Cancer nke Fordtran. Nke 11. Philadelphia, PA: Elsevier; 2021: Isi 85.