Hepatic leeg ob leeg (Budd-Chiari)

Hepatic leeg thaiv kev yog txhaws ntawm hepatic leeg, uas nqa ntshav tawm ntawm nplooj siab.

Hepatic leeg thaiv kev tiv thaiv kev ua kom ntshav tawm ntawm nplooj siab thiab rov qab rau lub siab. Qhov txhaws no tuaj yeem ua rau daim siab puas. Kev cuam tshuam ntawm cov hlab ntsha tuaj yeem tshwm sim los ntawm qog lossis hlav nias rau ntawm lub nkoj, lossis los ntawm cov hlab ntsha hauv cov hlab (hepatic vein thrombosis).

Feem ntau, nws tshwm sim los ntawm cov xwm txheej uas ua rau cov ntshav txhaws ntxiv, suav nrog:

• Kev loj hlob tsis zoo ntawm cov hlwb hauv cov hlwb pob txha (myeloproliferative mob)
• Mob Cancer
• Cov mob voos los yog kab mob autoimmune
• Kab mob
• Cov qub txeeg qub teg (roj ntsha) los yog muaj teeb meem nrog ntshav txhaws
• Qhov ncauj txwv tsis pub muaj
• Cev xeeb tub

Hepatic vein txhaws yog qhov ua rau muaj feem ntau ntawm Budd-Chiari syndrome.

Cov tsos mob muaj xws li:

• Lub plab o los yog ncab vim yog cov kua hauv lub plab
• Hnov mob sab xis hauv plab
• Ntuav ntshav
• Cov tawv nqaij daj (daj)

Ib qho ntawm cov cim qhia yog o ntawm lub plab los ntawm kua buildup (ascites). Lub siab feem ntau muaj kev o thiab kev sib tw.

Kev Xeem muaj xws li:

• CT scan lossis MRI ntawm lub plab
• Doppler ultrasound ntawm lub siab veins
• Mob siab me me
• Kev kuaj mob siab ua haujlwm
• Ultrasound ntawm daim siab

Txoj kev kho mob txawv nyob ntawm qhov ua kom txhaws tawm.

Koj tus kws kho mob yuav qhia cov tshuaj hauv qab no:

• Ntshav cov zis (cov tshuaj tiv thaiv)
• Clot-busting tshuaj (kev kho mob thrombolytic)
• Tshuaj kho mob los kho tus kab mob siab, nrog rau ascites

Kev phais mob tuaj yeem pom zoo. Qhov no yuav koom nrog:

• Angioplasty thiab stent tso kawm
• Transjugular intrahepatic portosystemic shunt (TIPS)
• Venous shunt phais
• Daim siab ua haujlwm hloov chaw

Hepatic leeg kev tav kev tuaj yeem mob hnyav ntxiv thiab ua rau mob qog thiab daim siab ua haujlwm. Qhov no tuaj yeem tsim kev hem thawj ua neej.

Hu rau koj tus kws khomob yog:

• Koj muaj cov tsos mob ntawm tus hlab hlwb hepatic leeg
• Koj tau raug kho rau tus mob no thiab koj tau tsim cov tsos mob tshiab

Budd-Chiari syndrome; Kab mob siab Hepatic veno-occlusive

• Lub plab zom mov
• Digestive system plab hnyuv siab raum
• Cov ntshav txhaws
• Cov ntshav txhaws

Kahi CJ. Vascular kab mob ntawm lub gastrointestinal ib ntsuj av. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 134.

Nery FG, Valla DC. Mob vascular kab mob ntawm daim siab. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 85.