Cabsigelinta Portacaval

Hantida Portacaval waa daaweyn qalliin si loo abuuro xiriiro cusub oo u dhexeeya labada xididdada dhiigga ee calooshaada. Waxaa loo isticmaalaa in lagu daaweeyo dadka qaba dhibaatooyinka daran ee beerka.

Ugaarsiga Portacaval waa qalliin weyn. Waxay ku lug leedahay jarid ballaaran (jeexitaan) aagga caloosha (caloosha). Dhakhtarka qalliinka ayaa markaa xiriir ka samaynaya xididka marinka (kaas oo bixiya inta badan dhiiga beerka) iyo vena cava (xididka dhiiga ka daadanaya inta badan qaybta hoose ee jirka.)

Xiriirinta cusub waxay leexineysaa socodka dhiigga ee ka tagaya beerka. Tani waxay yareynaysaa cadaadiska dhiigga ee xididka marinka waxayna yareyneysaa halista ilin (dillaac) iyo dhiig baxa xididdada hunguriga iyo caloosha.

Caadi ahaan, dhiig ka imanaya hungurigaaga, caloosha, iyo xiidmaha ayaa marka ugu horreysa mara beerka. Marka beerkaagu aad u dhaawacmo oo ay jiraan xannibaadyo, dhiiggu si fudud ugama dhex socon karo. Tan waxaa loogu yeeraa dhiig karka (cadaadiska kororka iyo keydinta xididka marinka.) Xididdada ayaa markaa kala jabi kara (dillaaca), oo sababa dhiig bax daran.

Sababaha guud ee keena dhiig karka waa:

• Isticmaalka aalkolada oo keenta nabar nabar ku dhaca beerka (cirrhosis)
• Xinjirowga dhiigga ee xididka ka soo baxa beerka ilaa wadnaha
• Bir badan oo beerka ku jirta (hemochromatosis)
• Cagaarshowga B ama C

Marka dhiig karka marinku dhaco, waxaa laga yaabaa inaad:

• Dhiigbax ka yimaada xididdada caloosha, hunguriga, ama xiidmaha (dhiig-baxa noocyada kala duwan)
• Kordhinta dareeraha caloosha (ascites)
• Dheecaan ka soo baxa laabta (hydrothorax)

Isdaba-marinta Portacaval waxay leexisaa qayb ka mid ah socodka dhiiggaaga ee beerka. Tani waxay hagaajinaysaa socodka dhiigga ee calooshaada, hunguriga, iyo xiidmaha.

Baadhitaanka Portacaval waxaa badanaa la sameeyaa marka isbadal-ku-timaadda is-beddelka 'transjugular intrahepatic portosystemic (TIPS)' aysan shaqeyn. TALOOYINKA ayaa ah nidaam aad ufudud una ficil yar.

Khataraha suuxdinta iyo qalliinka guud ahaan waa:

• Xasaasiyadda dawooyinka, dhibaatooyinka neefsashada
• Dhiigbax, xinjirowga dhiigga, ama infekshan

Khataraha qalliinkan waxaa ka mid ah:

• Beerka oo xumaada
• Ka sii darida cagaarshowga cagaarshowga (cilad saameysa isku-uruurinta, xaaladda maskaxda, iyo xusuusta - waxay u horseedi kartaa miyir-beel)

Dadka qaba cudurka beerka waxay ku jiraan khatar aad u sareysa oo ah dhibaatooyin ka dib qalliinka.

Dadka qaba cudurka daran ee beerka ee ka sii daraya waxay u baahan karaan in loo tixgeliyo beerka ku tallaalida.

Shunt - portacaval; Beerka beerka - portacaval shunt; Cirrhosis - portacaval shunt

Henderson JM, Rosemurgy AS, Pinson CW. Farsamaynta ugaarsiga nidaamka guud: portocaval, distal splenorenal, mesocaval. Gudaha: Jarnagin WR, ed. Qalliinka Blumgart ee Beerka, Cudurka Biliary, iyo Pancreas. 6aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 86.

Shah VH, Kamath PS. Dhiig karka iyo xinjiraha dhiig baxa. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger iyo Cudurka Mindhicirka iyo Beerka ee Fordtran: Pathophysiology / Diagnosis / Management. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 92.