Budd-Chiari ciwo

Budd-Chiari ciwo ya auku saboda wani m obliteration (rufe ko takaita) da lumen na jijiya draining a cikin hanta. Chiari yi imani da cewa babban dalilin - da farko kumburi da hanta jijiyoyinmu. Amma daga baya sai aka gano a cikin wasu lokuta, yayin da thrombosis na hanta jijiyoyinmu da kuma na baya vena cava.

A adabi bayyana kamar 200 sun kamu da obliterating endoflebita a hanta jijiyoyinmu (cuta , Budd-Chiari ciwo).

Tare da ci gaban thrombophlebitis arantsieva bututu, wanda empties kai tsaye a cikin hagu hanta jijiya, cibiyarki jijiya, kuma wannan ciwo zai iya ci gaba a farkon yara. A ciki harsashi na hanta jijiyoyinmu ko baya vena Vienna (kusa da mahaɗar tsakãninsu da hanta) yana girma, wani lokacin shiga ta jini clots. Duk wannan yana sa rufe ko takaita da lumen na jijiya, wanda, bi da bi, ya haddasa ci gaban da stagnation da kuma matsawa na hanta Kwayoyin.

Budd-Chiari ciwo tasowa ma a cikin sauran pathologies: m neoplasms na hanta, pancreas, koda, da dai sauransu, jijiyoyin bugun gini cututtuka jimlace yanayi. Cirrhosis kuma iya taimakawa wajen takaita da hanta jijiyoyinmu. Chiari ciwo zai iya sa a wani sarrafawa Gunma echinococcosis, actinomycosis, abscesses da sauransu.

Asibiti, Budd-Chiari ciwo bayyana bayyanar cututtuka na babban cuta, shi ya sa a kara nuni ne dogara da duration na occlusion na jijiyoyinmu. Yana tsaye daga kaifi da kuma a hankali a hankali zargin da ciwo.

M hanta jannayẽnsa occlusion sa bayyanar amai, zafi a dama babba quadrant ko epigastrium saboda kumburi na hanta, kazalika da hyperextension Glisson kwantena, tasowa ascites, akwai kananan yellowness.

Portal hauhawar jini tasowa a lokaci guda saboda m karuwa a matsa lamba a cikin hanta sinusoids da jijiyoyinmu.

Ascites da wannan cuta ba daman a da diuretics, ruwa ya gina up sosai da sauri sake bayan paracentesis, wani lokacin bikin samun shiga ta jini, iya ci gaba hydrothorax. Idan shiga thrombosis cewa tasowa a baya vena cava, to, a can ne busa a cikin ƙananan extremities, "Medusa kai", kuma tare da wani haske matsa lamba aka yi amfani da ita, da jini ke sama.

Tare da ci gaban hanta jannayẽnsa occlusion total shiga mesenteric thrombosis, akwai sha raɗaɗin da zawo, neurological rikitarwa bayyana saboda hanta cell rauni da kai ga mutuwa a cikin 'yan kwanaki.

Wani lokaci ciwo Budd - Chiari, tare da m ƙulli daga cikin lumen na jijiya iya faruwa yayin da kullum cutar na dogon lokaci. Tare da irin wannan yanayi na kwarara daga lokaci faruwa tabbaci zagayawa: dilate na waje fata jijiya, portal hauhawar jini bayyana, sa'an nan kuma shiga da kuma esophageal varicose veins.

Domin ganewar asali yana da muhimmanci gaban rage matsa lamba a cikin occlusal hanta jijiyoyinmu da kuma lokaci daya karuwa daga cikin portal matsa lamba, wanda aka gano ta hanyar hepato- da splenomanometrii hanyoyin. Amfani da retrograde rentgenogepatografiya a cikin abin da bambanci jamiái suna gabatar a cikin hanta jannayẽnsa. Duban bincikowa dogara ne a kan kai tsaye ãyõyi - Dabarar wani jini gudan jini a cikin jijiyoyinmu.

Ba tare da launi doplerrovskogo nazarin bayar da shawarar Budd-Chiari ciwo a cikin:

• A gaban yaxuwa canje-canje a cikin hanta, halayyar mai tsanani m hanta ko fibrosis na hanta nama,

• A hoto babu hanta jijiyoyinmu, misali, saboda gaban a cikin lumen amsa kuwa-tabbatacce talakawa a lumen,

• mai takaita na baya vena cava,

• ãyõyin portal hauhawar jini, idan cutar da ake yi tsawo.