{"id":50708,"date":"2018-05-17T11:26:24","date_gmt":"2018-05-17T11:26:24","guid":{"rendered":"https:\/\/www.humanitas.net\/?post_type=wiki&#038;p=50708"},"modified":"2018-05-17T11:26:51","modified_gmt":"2018-05-17T11:26:51","slug":"hipertensiunea-portala","status":"publish","type":"wiki","link":"https:\/\/www.humanitas.net\/ro\/wiki\/simptome\/hipertensiunea-portala\/","title":{"rendered":"Hipertensiunea portal\u0103"},"content":{"rendered":"<p>Hipertensiunea portal\u0103 este o cre\u0219tere a presiunii \u00een vena\u00a0 care conduce s\u00e2ngele de la organele implicate \u00een digestie la ficat. La baz\u0103 exist\u0103 o blocare a fluxului de s\u00e2nge prin ficat, care \u00een multe cazuri este asociat cu ciroza, dar poate fi \u0219i datorit\u0103 hepatitei, abuzului de alcool sau altor afec\u021biuni care pot d\u0103una ficatului. Mai mult, hipertensiunea portal\u0103 poate fi asociat\u0103 cu tromboza, adic\u0103 formarea unui cheag, \u00een aceea\u0219i ven\u0103.<\/p>\n<p>&nbsp;<\/p>\n<p>Ini\u021bial, hipertensiunea portal\u0103 nu poate fi asociat\u0103 cu simptome, dar cre\u0219terea presiunii duce la formarea de vene varicoase \u00een esofag \u0219i stomac. Aceste vene pot sl\u0103bi \u0219i pot pierde s\u00e2nge, iar posibilele consecin\u021be includ s\u00e2ngerarea gastrointestinal\u0103, s\u00e2ngele \u00een scaun sau v\u0103rs\u0103turi, acumularea de lichid \u00een abdomen \u0219i sc\u0103derea trombocitelor sau a globulelor albe. Defectarea ficatului poate duce, de asemenea, la encefalopatie.<\/p>\n<p>&nbsp;<\/p>\n<h2>Ce fel de boli pot fi asociate cu hipertensiunea portal\u0103?<\/h2>\n<p>&nbsp;<\/p>\n<p>Urm\u0103toarele boli pot fi asociate cu hipertensiunea portal\u0103:<\/p>\n<ul>\n<li>Ciroza biliar\u0103 primar\u0103<\/li>\n<li>Ciroza<\/li>\n<li>Hepatita<\/li>\n<li>Insuficienta cardiac\u0103<\/li>\n<li>Cancer de ficat<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Aminti\u021bi-v\u0103 c\u0103 aceasta nu este o list\u0103 exhaustiv\u0103 \u0219i este recomandat s\u0103 consulta\u021bi medicul dumneavoastr\u0103, \u00een caz de persisten\u021b\u0103 a simptomelor<\/p>\n<p>&nbsp;<\/p>\n<h2>Care este terapia pentru hipertensiunea portal\u0103?<\/h2>\n<p>&nbsp;<\/p>\n<p>Remediile \u00eempotriva hipertensiunii portale includ o diet\u0103 adecvat\u0103, un aport de medicamente, endoscopie, chirurgie \u0219i radiologie. Cel mai bun remediu depinde de gravitatea simptomelor \u0219i de starea de s\u0103n\u0103tate a ficatului.<\/p>\n<p>&nbsp;<\/p>\n<p>\u00cen general, primul diagnostic urmeaz\u0103 o prescrip\u021bie a unei terapii medicamentoase sau a unei interven\u021bii chirurgicale pentru a bloca s\u00e2ngerarea variceal\u0103 endoscopic\u0103 sau pentru a opri fluxul de s\u00e2nge prin ele. Uneori cele dou\u0103 tratamente sunt combinate.<\/p>\n<p>&nbsp;<\/p>\n<p>Dac\u0103 aceast\u0103 abordare nu este suficient\u0103 pentru a controla pierderea de s\u00e2nge, va trebui s\u0103 recurge\u021bi la metode radiologice sau chirurgicale. Chirurgia poate fi, de asemenea, necesar\u0103 pentru \u00eendep\u0103rtarea fluidului acumulat \u00een abdomen, iar transplantul de ficat este considerat o op\u021biune \u00een cazurile de boal\u0103 hepatic\u0103 \u00een faza terminal\u0103.<\/p>\n<p>&nbsp;<\/p>\n<p>Cu toate acestea, este important, de asemenea, s\u0103 v\u0103 angaja\u021bi \u00een schimb\u0103ri \u00een stilul de via\u021b\u0103 \u0219i \u00een obiceiurile alimentare. \u00cen special, este bine s\u0103 modera\u021bi aportul de alcool, s\u0103 limita\u021bi aportul de sodiu \u0219i, \u00een cazul \u00een care printre simptomele de confuzie sunt incluse, limita\u021bi proteinele. Pacientul trebuie s\u0103 limiteze cantitatea de medicamente luate cu permisiunea medicului s\u0103u.<\/p>\n<p>&nbsp;<\/p>\n<h2>C\u00e2nd este cel mai indicat s\u0103 v\u0103 adresa\u021bi medicului dumneavoastr\u0103 \u00een cazul hipertensiunii portale?<\/h2>\n<p>&nbsp;<\/p>\n<p>\u00cen cazul hipertensiunii portale, este important s\u0103 v\u0103 contacta\u021bi medicul, astfel \u00eenc\u00e2t acesta s\u0103 poat\u0103 determina cel mai bun tratament.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"author":11,"featured_media":0,"template":"","wiki-categories":[1695],"wiki-types":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.7.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Hipertensiunea portal\u0103 - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.humanitas.net\/ro\/wiki\/simptome\/hipertensiunea-portala\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hipertensiunea portal\u0103 - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Hipertensiunea portal\u0103 este o cre\u0219tere a presiunii \u00een vena\u00a0 care conduce s\u00e2ngele de la organele implicate \u00een digestie la ficat. 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