Kwa chiwindi steatosis - Kanema onenepa

Pathological chikhalidwe chiwindi chifukwa cha matenda kagayidwe kachakudya ndi zakudya, zimene pali kudzikundikira inclusions mafuta, komanso m'malovu mafuta mu hepatocytes wa steatosis chiwindi amatchedwa kapena "mafuta m'chiwindi". Kwa chiwindi steatosis ( «steatosis hepatis», Greek.) Mwina matenda osiyana, ndipo ndi chikhalidwe cha matendawa. Ngati oposa 5% ya kulemera kwa chiwindi ndi mafuta, umatchedwa mafuta.

The pathogenesis matenda sikuti afufuza. The zifukwa zakuya pakuwonekera kwake, amaganiza: zakudya kwambiri ufulu mafuta zidulo, kuchuluka kaphatikizidwe ndi esterification zidulo mafuta, yafupika makutidwe ndi okosijeni awo ndi utachepa mapuloteni kaphatikizidwe ndi katulutsidwe wa lipoproteins kuphwanya.

Waukulu zinthu etiological monga: chiwindi kawopsedwe, endocrine ndi matenda kagayidwe kachakudya, vutoli zakudya ndi hypoxia. A malo apadera mwa chikhalidwe poizoni zinthu ali zizolowezi ndi vutoli zakudya, udindo wa zinthu zina poizoni wosalemekezeka. Mlingo wa kusintha osachiritsika ndi liwiro la chitukuko, ndi apamwamba zikuluzikulu kuchuluka kwa mowa kudyedwa. Nthawi zina akufotokozera mankhwala kwa chiwindi steatosis, monga mankhwala, mankhwala tuberkulostaticheskoy, corticosteroids ndi mankhwala cytotoxic. Mphunzitsi endocrine-kagayidwe kachakudya matenda monga a shuga, matenda a chithokomiro, syndrome Cushing a ndi akukhudzidwira kunenepa.

Kwa chiwindi steatosis: zizindikiro.

Pali mitundu iwiri yaikulu ya zizindikiro morphological wa kudzikundikira kwambiri mafuta mu chiwindi: tosaoneka ndi macroscopic kudzikundikira. Globular kapena macroscopic kudzikundikira khalidwe uchidakwa, kunenepa, ndi mtundu lachiwiri la shuga. Mwamphamvu steatosis mtundu limafanana ndi kuwonjezeka mu thupi okwana thupi, koma pamene izo ikuchepa (njala kapena otsika kalori chakudya) index ichinso amachepetsa, ndipo ntchito chiwindi kubwerera mwakale.

Njira ya matenda ndi zambiri yaitali, nthawi yaitali, nthawi wachibale chikhululukiro m'malo exacerbations nthawi yomwe nthawi zambiri amayamba ndi mopambanitsa kapena kuvutika maganizo, matenda, ndi kudya mowa. Nthawi zambiri, matenda ndi asymptomatic, koma odwala ena amamva chisoni ndi kuchulukitsa lamanja nusu chapamwamba, umbilical kapena epigastric dera la pamimba, bloating ndi nkhanza zakudya mafuta. Kwambiri atengeke chiwindi steatosis akazi ndi kulemera kuchuluka thupi. Matenda a matenda ikuchitika mwa ultrasound, maginito kumveka ndi yopangidwa tomography. Komanso opangidwa MAGAZI amuzolengedwa, matenda yomaliza pambuyo singano biopsy chiwindi.

Steatosis chiwindi: chithandizo.

Odwala matenda ndi steatosis kwa chiwindi anatuma zakudya okhwima amene amachuluka mapuloteni ndi mafuta n'zochepa. Komanso prescribers kuthandiza kusintha mafuta kagayidwe (kupatsidwa folic acid, vitamini B12, mankhwala enaake choline, lipoic acid). Komanso anatumizidwa kukonzekera chiwindi phwando monga ripazon, ndi progepar Syrepar wokwanira zolimbitsa thupi.

Kupewa steatosis kwa chiwindi.

Nthawi zambiri matendawa amapezeka pamene ntchito kwambiri wa nyama mafuta, komanso kuphwanya kagayidwe mapuloteni Motero, zofunika muyeso wa kupewa steatosis kwa chiwindi ndi chakudya chamagulu. Komanso, kuti kupewa steatosis amalangiza supplementation ya antioxidants, ndi zowonjezera kuti ndi katundu detoxifying. Kuwonjezera m'pofunika kupewa m'mimba matenda yaitali, ndipo, popanda kuyembekezera pakutchulidwa matendawo, mwaluso yake amazisamalira.