Hoʻokumu hou i ke ala i ke olakino: TIPS Puncture nā mea alakaʻi i kahi mokuna hou i ka mālama hypertension portal

Ma ke kahua nui o ka lāʻau lapaʻau, ke ʻimi mau nei mākou e ʻimi i ka lāʻau lapaʻau maikaʻi loa no kēlā me kēia maʻi. I kēia lā, haʻaheo mākou e hāʻawi aku iā ʻoe i kahi mea hou, TIPS puncture device, i hoʻolālā ʻia no ka transjugular transhepatic portal shunt device, e wehe i ka puka i kou olakino.

ʻO ka hypertension portal, kahi maʻi ʻeha, loaʻa i kēia manawa kahi hopena hou. TIPS puncture device me kona manaʻo hoʻolālā kū hoʻokahi, ma ka hoʻokumu ʻana i kahi ala shunt ma waena o ka vein hepatic a me ka vein portal i loko o ke ake, e hoʻemi akamai i ke kaomi o ka vein portal. ʻAʻole wale kēia e hāʻawi i ka hiki ke hōʻemi a hoʻopau paha i nā varices esophageal, rupture, bleeding, ascites a me nā hōʻailona ʻē aʻe, akā lawe pū kekahi i ka manaolana a me ka wiwo ʻole o ke ola i nā maʻi.

He kuleana koʻikoʻi nā mea puncture TIPS i ka ʻoki ʻana o TIPSS (transjugular intrahepatic portal vena cava shunt). Me ka ʻenehana puncture pololei a me ka ʻōnaehana lawe paʻa, hoʻokumu ia i kahi ala paʻa ma waena o ka vein hepatic a me ka vein portal, e hāʻawi ana i kahi hōʻoia ikaika no ka lawe ʻana i ka stent.

ʻO ka hoʻokō kūleʻa ʻana o kēia hana ʻaʻole i hoʻemi pono i ka hypertension portal, akā hana pū kekahi i nā kūlana maikaʻi no ka absorption o ascites, e ʻae ana i nā mea maʻi e loaʻa hou ke ola hou.

Ua ʻike mākou ua ʻiʻini kēlā me kēia maʻi e hoʻopau i ka maʻi a loaʻa hou ke olakino a me ka hauʻoli. No laila, pili mau mākou i ka poʻe, ʻepekema a me ka ʻenehana ma ke ʻano he alakaʻi, a hoʻomau mau a hoʻomaikaʻi i ka hana a me ka maikaʻi o nā mea puncture TIPS. Ke manaʻoʻiʻo nei mākou me ke kōkua o nā hāmeʻa puncture TIPS, ʻoi aku ka nui o nā maʻi e hiki ke lanakila i ka maʻi a loaʻa hou ke olakino a me ka manaolana.

Ma ke koho ʻana i kahi hāmeʻa piercing TIPS, ke koho nei ʻoe i ke ala i ke olakino. E hana pū kākou e hana i kahi wā e hiki mai ana!