- HCV: ton thudng dUdng mat, nang lympho trong khoang cUa, te bao gan thoai hoa md.
2. Nguyen nhan Tac tron g gan:
- Xd gan.
- Chen ep vao he thong tinh mach ciia: thiidng la K cac tang lan can nhii tuy, da day, viem tuy man, hach to. - Xam lan cua to chiic K vao he thong tinh mach ciia,
thiidng gap nhat la do K gan xam lan vao he thong tinh mach cUa trong gan, than tinh mach ciia con binh thiidng.
- Tac he thong tinh mach ciia do thrombose gom nhieu nguyen nhan
+ Thieu hut protein C - protein S hay anti thrombin III + Hoi chiing khang the khang phospholipid.
+ Dung thuoc tranh thai.
+ Cac o nhiem trung: viem ruot thiia, viem tui thiia, viem dai trang nhiem trung, benh Crohn.
+ O tre em co the la thii phat sau tac tinh mach ron do nhiem trung ron.
+ Tac tinh mach chu thii phat sau can thiep ngoai khoa. + Tac tinh mach chu do tac nghen trong gan, tren gan. + Bat thiidng bam sinh cua tinh mach ciia.
Tac tren gan:
Tac tinh mach tren gan la tac nghen tu: tinh mach trung tam tieu thuy hay tac than tinh mach 16n (hoi chiing Budd - Chiari).
Ro dong tinh m ach tron g gan hay ngoai gan:
Thiidng do chan thiidng, can thiep ngoai khoa, sinh thiet gan, Rendu - Oster.
3. Lam sang
Tang ap liic tinh mach ciia co the khong co trieu chiing: - Lach to.
- Tuan hoan ban g he.
- Vd bui gian tinh mach thiic quan - da day:
+ Non mau, phan den: so liidng nhieu co the anh hiidng den chiic nang song.
+ Benh ly da day xung huyet.
4. Dieu trj
Dieu tri hoi chiing tang ap liic tinh mach ciia thuc chat la dieu tri bien chiing xuat huyet tieu hoa do tang ap liic tinh mach ciia gom cac phiidng phap:
- Betabloquant - Tiem xd
- That gian tinh mach thiic quan - Noi ciia chu
- TIPS