Muropa rekuyerera, imwe yemidziyo yakakura ndiyo mutezo wemasuo. Nokuwedzera kweHystststatic pressure, portal yechirwere inowedzera mairi. Ichi chiitiko hachina kuonekwa sechirwere chakazvimirira, sezvinoitika mushure mechimwe chezvimwe zvirwere zvinokonzerwa nehutachiona hwehupenyu hwehutano hwakasiyana uye hunotangira.
Urongwa hwehutachiona hwehutachiona hwehutachiona
Kune 4 maitiro makuru ehutano mubvunzo:
- prehepatic;
- intrahepatic;
- superhepatic;
- kusanganiswa.
Prehepatic or subhepatic portal hypertension inonzi inonyanya kuoma kurapwa kwechirwere, sezvo inokura pamusana pekuberekwa kwemaitiro emusana wepachikova.
Intrahepatic type ye syndrome mu 95% yemhosva inobatanidza nechirwere chakaoma chechirwere chechiropa kana kuti kusangana kwayo. Pasinei nehutachiona hunowanzoonekwa hunovapo nekuda kwezviratidzo zvepleroti mu parenchyma uye mukati menyama yechirongwa.
Superhepatic kana extrahepatic portal yechirwere chepfungwa inokonzerwa nekubuda kwakaoma kwezvisikwa zvipenyu kubva mumaketani echiropa. Izvi zvinogona kunge zvakakonzerwa nekuwedzerwa kwevhisikizi yeropa, kuvapo kweiyo cholesterol plaques, endocrine uye zvirwere zvehepatological.
Mixed fomu ye hypertension ndeyekuguma kwechirwere chenguva refu chechirwere chepachirwere.
Sezvo zvinogona kuonekwa, zvikonzero zvikuru zvekukura kwehutano ndiko kukanganisika kwepakati, zvirwere zvehepatological, kudzvinyirira kwechivako chemasuo, zvipembenene uye maitiro eropa. Zvimwe zvinokonzera zvinhu zvinogona kuita autoimmune, endocrine, zvirwere zvevascular.
Zviratidzo zvehutachiona hwehutachiona
Kiriniki yehurwere inotsanangurwa inosanganisira zvikomba zvinotevera:
- kubvisa, kuwedzera muhukuru hwayo;
- manzwiro ekudzvinyirira mu right hypochondrium, kuoma;
- dzimwe nguva - chigaro chakasviba, chakati chisi;
- encephalopathy;
- kusavapo-pfungwa, kukanganwa;
- kugona, kupera nguva dzose;
- icterus yeganda;
- ascites ;
- kurwadziwa munharaunda yepigastric;
- kushungurudza uye kurutsa;
- kupfupika kwemhepo, kuzvimba;
- kupera-gastric bleeding;
- kurasikirwa nechido;
- kusafarira.
Mune dzimwe nzira, zviratidzo zvakafanana nekuratidzwa kwehupatitis, asi kukura zvakakurumidza uye zvakanyanya.
Zviratidzo zvehutachiona hwehutachiona hwe ultrasound
Munguva ye ultrasound kuongororwa, inowanikwa:
- kuwedzera kwehukuru hwechiropa uye spleen;
- kuvapo kwezviso zvakajeka zvekuvhara ropa mumidziyo yeropa;
- kuwedzera kwezvimiso zvemitsipa yeplenic and portal.
Mukuwedzera, kuti uone kuongororwa kwehutachiona hwepamusoro iwe uchada kuita maongorori ekuongorora:
- ropa (general, biochemical );
- urini uye mhuka.
Yakashandisawo X-ray, rheogepatografiya, splenomanometry, chiwenga chechiropa, splenoportografiya, zvinyoro zvinyoro zvinyuchi.
Kurapa kwehutachiona hwehutachiona
Matanho okutanga ekurwara anotora mushonga unoratidzira kuburikidza nemishonga inoshandiswa nemishonga, kunyanya - Vasopressin kana yakafanana nayo.
Muhupo hwekubuda ropa kana matambudziko, kuomeswa kwemuviri neSbeshtaken-Blackmore probe kana sclerotherapy inoshandiswa kwemazuva maviri.
Kana nzira dzokurapa dzakachengetedza dzisingabatsiri, kushanda kunorayirwa. Zvichienderana nezvinangwa zvekupindira, maitiro anotevera anosiyana:
- Kubviswa kwe ascites kubva mudumbu remuviri.
- Kuumba nzira itsva dzokubvisa ropa.
- Kuvandudzwa kwehepatic blood flow uye zvirongwa zvekugadzirisa zvekare munhengo.
- Kugadziriswa kwekuyerera kwehupenyu hwehutachiwana muhutachiona.
- Kusabatanidzwa kwehukama pakati pemakumbo emudumbu uye sopu.