Rarraba ƙawancen girma

Tsarin nesa mai banƙyama (DSRS) wani nau'in tiyata ne da aka yi don magance ƙarin matsi a cikin jijiya. Hanyar hanyar shiga tana dauke da jini daga sassan jikinka na narkewa zuwa hanta.

A lokacin DSRS, an cire jijiya daga ƙwayar jikinku daga jijiya. Jijiyar tana haɗe da jijiyar zuwa koda ta hagu. Wannan yana taimakawa rage gudan jini ta jijiya.

Hanyar bakin jijiyoyin tana kawo jini daga hanji, saifa, pancreas, da gallbladder zuwa hanta. Lokacin da jini ya toshe, matsawar wannan jijiya ya yi yawa. Wannan ana kiran sa hauhawar jini. Sau da yawa yakan faru ne saboda lalacewar hanta da:

• Yin amfani da barasa
• Ciwon kwayar cutar hepatitis
• Jinin jini
• Wasu rikicewar ciki
• Primary biliary cirrhosis (hanta tabo sanadiyyar toshe bile ducts)

Lokacin da jini ba zai iya gudana gaba ɗaya ta jijiyar ƙofa ba, yakan ɗauki wata hanyar. A sakamakon haka, kumburin jijiyoyin jini da ake kira varices form. Suna haɓaka ganuwar sirara waɗanda zasu iya fashewa da zubar jini.

Kuna iya yin wannan tiyatar idan gwajin hoto kamar su endoscopy ko x-rays ya nuna cewa kuna da jini iri daban-daban. Yin tiyata na DSRS yana rage matsin lamba a kan nau'ikan cuta kuma yana taimakawa sarrafa jini.

Hadarin don maganin sa barci da tiyata gaba ɗaya shine:

• Rashin lafiyan magunguna ko matsalolin numfashi
• Zub da jini, toshewar jini, ko kamuwa da cuta

Hadarin wannan tiyatar sun hada da:

• Ruwan ruwa a cikin ciki (ascites)
• Maimaita zub da jini daga varices
• Encephalopathy (asarar aikin kwakwalwa saboda hanta baya iya cire gubobi daga cikin jini)

Kafin aikin tiyata, kuna iya samun wasu gwaje-gwaje:

• Angiogram (don dubawa a cikin jijiyoyin jini)
• Gwajin jini
• Osarshen hoto

Bada ma likitanku jerin duk magungunan da kuka sha ciki harda takardar sayan magani da kan-kan-kanshi, ganye, da kari. Tambayi wanne ne yakamata ka daina sha kafin aikin, kuma wadanne ne ya kamata ka dauki safiyar tiyatar.

Mai ba ku sabis zai bayyana aikin kuma ya gaya muku lokacin da za ku daina ci da sha kafin aikin tiyata.

Fatan zauna kwana 7 zuwa 10 a asibiti bayan tiyata don murmurewa.

Lokacin da ka farka bayan tiyatar zaka sami:

• Wani bututu a cikin jijiyar ku (IV) wanda zai dauki ruwa da magani a cikin jini
• A catheter a cikin mafitsara don zubar da fitsari
• Toshin NG (nasogastric) wanda ke ratsa hancinka zuwa cikinka domin cire gas da ruwa
• Pampo tare da maɓalli zaka iya latsa lokacin da kake buƙatar maganin ciwo

Yayinda kuka sami damar ci da sha, za'a baku ruwa da abinci.

Kuna iya samun gwajin hoto don ganin idan shunt ɗin yana aiki.

Kuna iya saduwa da likitan abinci, kuma ku koyi yadda ake cin abinci mai ƙananan mai, mai ƙananan gishiri.

Bayan aikin tiyata na DSRS, ana sarrafa jini a cikin yawancin mutane tare da hauhawar jini ta ƙofar. Haɗarin haɗarin zubar jini sake shine a cikin watan farko bayan tiyata.

DSRS; Rarraba tsarin ƙawancen ƙawa; Renal - ƙuƙwalwar ƙwayar cuta; Warren shunt; Cirrhosis - ƙazantar ƙazanta; Rashin hanta - ƙyamar ƙyama; Pressurearfafawar jijiyoyin bugun gini - ƙananan ƙarancin haske

Dudeja V, Fong Y. Hanta. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 53.

Makonni SR, Ottmann SE, Orloff MS. Hauhawar jini ta Portal: rawar hanyoyin ɓoyewa. A cikin: Cameron JL, Cameron AM, eds. Far Mashi na Yanzu. 13th ed. Philadelphia, PA: Elsevier; 2020: 387-389.