Portacaval shunting

Portacaval shunting magani ne na tiyata don ƙirƙirar sababbin haɗi tsakanin jijiyoyin jini biyu a cikin cikin. Ana amfani dashi don magance mutanen da suke da matsanancin matsalar hanta.

Portacaval shunting babban tiyata ne. Ya ƙunshi babban yanki (incision) a cikin yankin ciki (ciki). Daga nan sai likitan ya yi haɗi tsakanin ƙofar jijiya (wanda ke bayar da yawancin jinin hanta) da ƙananan vena cava (jijiyar da ke ɗebo jini daga mafi yawan ɓangaren jikin.)

Sabon haɗin yana karkatar da gudan jini daga hanta. Wannan yana rage karfin jini a cikin jijiya kuma yana rage hadari ga hawaye (fashewa) da zub da jini daga jijiyoyin cikin esophagus da ciki.

A ka’ida, jini da ke fitowa daga majibincin ciki, ciki, da hanji zai fara gudana ta hanta. Lokacin da hanta ta lalace sosai kuma akwai toshewa, jini ba zai iya gudana ta cikinsa da sauƙi ba. Wannan ana kiran sa hauhawar jini (karin karfi da kuma adon jijiya.) Jijiyoyin na iya budewa (fashewa), suna haifar da zub da jini mai tsanani.

Abubuwan da ke haifar da hauhawar jini ta hanyoyi sune:

• Yin amfani da barasa wanda ke haifar da raunin hanta (cirrhosis)
• Jinin jini a cikin jijiyar dake gudana daga hanta zuwa zuciya
• Iron da yawa a hanta (hemochromatosis)
• Cutar hepatitis B ko C

Lokacin hauhawar jini ta ƙofar ta faru, kuna iya samun:

• Zub da jini daga jijiyoyin ciki, esophagus, ko hanji (zubar jini)
• Ruwan ruwa a cikin ciki (ascites)
• Ruwan ruwa a cikin kirji (hydrothorax)

Fuskantar Portacaval yana karkatar da wani sashi na jinin ku daga hanta. Wannan yana inganta gudan jini a cikin ciki, hanji, da hanji.

Sau da yawa ana yin ɓarkewar Portacaval lokacin da ɓarnatar da tsarin cikin gida (TIPS) bai yi aiki ba. TAMBAYOYI hanya ce mafi sauƙi kuma mara sauƙi.

Hadarin don maganin sa barci da tiyata gaba ɗaya shine:

• Allerji ga magunguna, matsalolin numfashi
• Zub da jini, toshewar jini, ko kamuwa da cuta

Hadarin ga wannan tiyatar sun hada da:

• Rashin hanta
• Eningarfafa ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa.

Mutanen da ke da cutar hanta suna cikin haɗari mafi girma don rikitarwa bayan tiyata.

Mutanen da ke da cutar hanta mai tsanani da ke taɓarɓarewa na iya buƙatar yin la'akari da dashen hanta.

Shunt - tashar jirgin ruwa; Rashin hanta - portacaval shunt; Cirrhosis - tashar jirgin ruwa shunt

Henderson JM, Rosemurgy AS, Pinson CW. Hanyoyin fasaha na ɓoyewa na zamani: portocaval, distal splenorenal, mesocaval. A cikin: Jarnagin WR, ed. Tiyatar Blumgart na Ciwon Hanta, Biliary Tract, da Pancreas. Na 6 ed. Philadelphia, PA: Elsevier; 2017: babi na 86.

Shah VH, Kamath PS. Yawan hauhawar jini ta hanyar portal da zubar jini. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da cututtukan hanta da cutar Fordtran: Pathophysiology / Diagnosis / Management. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 92.