Thanzi, Matenda ndi zokwaniritsa
Matenda a chikasu ndiyo - ndi chiyani ichi? Matenda a chikasu ndiyo: Zoyambitsa, Matendawa ndi Chithandizo
Munthu wopanda maphunziro zachipatala ndi smyslyaschy pang'ono mu terminology sayansi sadziwa nkomwe matenda a chikasu ndiyo - ndi matenda yozungulira. M'malo mwake, ndi mndandanda wa mawonetseredwe matenda pa Botkin wa matenda, matenda a chiwindi kapena zinthu pathological a ziwalo, kuphatikizapo chiwindi. Ife tikuyang'anizana ntchito zofunika - chinenero Kufikika kulankhula za mitundu ya n'zothandiza zinthu, mawonetseredwe ndi mankhwala a matenda zosasangalatsa.
mbali yoyambirira
Tiyeni tiyambe ndi kufotokoza mwachidule za matendawa. Matenda a chikasu ndiyo - ndi discoloration (kudetsa) azungu cha maso, khungu ndipo zimagwira ntchito zosiyanasiyana mucous chifukwa ndende mkulu wa madzi a m'magazi a munthu pigment makamaka - bilirubin. Zizindikiro zimenezi komanso kusalekerera utsogoleri zimadalira chifukwa chenicheni, chikwiyire syndrome. Monga momwe taonera, zikuoneka kuti chifukwa chachikulu, kusintha mtundu wa ziwalo, ndi bilirubin. Iye anagwiritsa ntchito apanga ku hemoglobin.
Owonjezera mozungulira pigment (unconnected ndi acid) kwambiri poizoni kuti zimakhala ndi ziwalo za thupi lathu. A zambiri kuvutanganitsidwa ndi nkhawa akukamba ana ndi makolo awo. Zokhudza thupi matenda a chikasu ndiyo makanda aumbike mwa oipa mosiyanasiyana mankhwala ndi maselo ofiira, ndiye atasunga zimakhala ndi. Nthawi zina, mankhwala si chofunika - ndi chizindikiro yekha Mwamsanga mu masabata ochepa.
Mitundu ya matenda a chikasu ndiyo ndi zizindikiro zawo
Mu ndondomeko ya mosamala kagayidwe kachakudya pigment akatswiri zinthu anaganiza m'kagulu mitundu ya kudwala. Aliyense mtundu uli ndi khalidwe lapadera ndipo asagwidwe mwa chitsanzo yeniyeni. Timazindikira zina zabwino zonse.
Obstructive, kapena makina
Malinga ndi ogwira ntchito zachipatala, nthawi zambiri amapezeka ndi maziko a zotupa zilonda pa mundawo biliary, monga matenda gallstone, carcinoma bwino-selo, helminthic kuwukira. Pasanapite nthawi, izo Madontho khungu ndi diso sclera matenda a chikasu ndiyo. Chithandizo ikuchitika ndipo asang'ambe mankhwala njira. Ngati mulibe kanthu, ndiye pali blockage pa mundawo biliary.
A Mwina mkulu yopuma awo. Ngati zimenezi zachitika, ndiye ya ndulu onse kudutsa mu m'magazi. Chifukwa, chiwindi kumawonjezera ndi ndulu, discolored chopondapo. Ndi yaitali stagnation wa ya ndulu olumala maselo chiwindi, akusokoneza ntchito yawo zinchito.
cholestatic matenda a chikasu ndiyo
Mpatuko pambuyo akudwala tizilombo toyambitsa. Mofanana matenda cholestatic matenda a chikasu ndiyo akuluakulu ndi ana. atayezetsa chikusonyeza kuwonjezeka kwambiri bilirubin, pigment kwina metabolites mu ndowe ndi mkodzo. Kusintha kunja khungu (akutembenukira chikasu), dokotala akhoza kudziwa matenda.
hemolytic mtundu
Chifukwa mtundu wa azingokhala maselo a magazi - maselo ofiira. Matendawa akufotokozera matenda a chikasu ndiyo kuti apange yomweyo: kutupa wodwala nkhawa, syncope, magazi m'thupi. Malinga ndi kafukufuku, hemolytic mtundu ndi ambiri mu akhanda. Chifukwa kukhalapo kwa bilirubin mu thupi, amene amawononga mwanayo. Pa palpation ndi ultrasound ndinasintha anawonjezera ndulu. Opatsirana matenda pa mlingo majini - kuchokera abale ndi makolo. Popeza mankhwalawa ndi kuyang'aniridwa zotsatira zachipatala akumane kwambiri.
Parenchymal, ndi mawonekedwe kwa chiwindi
erythrocytes ndisungunuka (unconjugated bilirubin) ndi kuwapititsa mu magazi ndi ya ndulu capillaries chifukwa chosayenerera maselo chiwindi. Kuyambira mlingo waukulu wa pigment thupi lili ndi nkhawa kwambiri ndipo amalephera. Kusiyanitsidwa ndi palpation a ndulu ndi chiwindi parenchymal matenda a chikasu ndiyo.
Zimenezi zimathandiza madokotala matenda (kuwonjezera MAGAZI ndi mkodzo). Pa kumverera kuphatikiza kwambiri ndi kuwonjezeka mu ziwalo mkati. Wodwalayo amakhala ululu komanso nkhawa. Onetsetsani kuti agwire mankhwala mabuku. Weather yabwino, nkhani zofuna dokotala.
Carotene matenda a chikasu ndiyo zakudya
Malingana ndi madokotala, tiyenera kusiyanitsa mfundo monga matenda a chikasu ndiyo woona ndi wabodza. Amene matenda wodwalayo zingadziŵike okha pa dokotala. Carotene mawonekedwe amatanthauza onyenga. Zikuoneka chifukwa cha pafupipafupi kudya mankhwala lalanje yofiira, monga karoti kapena malalanje. Pa matenda Kupenda magazi zimasonyeza kuchuluka kwa beta-carotene (vitamini A), amene amapereka khungu, maso ndi khungu komanso zochirikizira mucous lalanje mtundu.
Izi si matenda ndi sikutanthauza achipatala. Kuthetseratu mtundu zobwera wa khungu ndi chokwanira kuti achotse ku menyu mankhwala okhala ndi michere. Komabe, ayenera kumvetsa kuti kuyeretsedwa kwathunthu kwa thupi kwa carotene kungafune miyezi 12. Kupewa mphamvu chodabwitsa polojekiti.
Ndingatani kunyamula matenda a chikasu ndiyo?
Chikuyimira ngozi kwa anthu a chiwindi B ndi C. Matendawa imafalikira kudzera mu kugonana, mwa mwazi, latuluka (kuikidwa, zida zamankhwala, wamsuwachi msomali zipangizo). matenda ena chimodzimodzi kuwopsa ndi tizilombo matenda a chiwindi A (matenda Botkin a). Mgwireni chikhalidwe pathological akhoza kukhala mwa madzi bwino mwayeretsa, mankhwala mosasamba, zakhudzana zinthu, kugwirana chanza.
Pali magawo atatu a matenda: ofatsa, odziletsa ndi aakulu (mliri). Pa mayesero onsewa, tizilombo chiwindi kumachitika m'njira zosiyanasiyana. The owopsa mawonekedwe - mliri. Wodwalayo chapakati mantha dongosolo matenda, kumaonjezera ngozi ya chikomokere kwa chiwindi, malungo. Amafuna m'chipatala nthawi zonse zachipatala kuyang'aniridwa.
Common mawonetseredwe matenda
Ife tinapeza chimene matenda a chikasu ndiyo opatsirana ndi moyo pachiswe. Ife tsopano akufotokoza zizindikiro kuti zofanana kwa mitundu yonse ya matenda. Kudziwa zizindikiro matenda, munthu adzatha kuchenjeza matenda, kupempha kukhazikitsidwa zachipatala. Waukulu zimasiyanitsa mbali ya matenda - yellowness cha azungu cha maso, zikopa mucous ndi khungu.
Komabe, pamene aliyense kupanga hue osiyana. Pamene mwamwambo khungu pamwamba amakhala achikasu azitona mtundu ndi zofiirira kulocha. mawonekedwe kwa chiwindi amakhala ndi yowala mtundu lalanje, ndi hemolytic - ndimu-chikasu. matenda limodzi ndi kuyabwa, kukulitsa a chiwindi, ndulu, maonekedwe a mitsempha kangaude, malungo.
Izi limasintha mtundu wa mkodzo - kumakhaladi mdima. kuyan'anila ananena ya ubongo: tikuvutika ndi mphwayi, irritability, kutopa, kusowa tulo. Pamaso pa zizindikiro zofanana ayenera n'chiyani chikutitsimikizira dokotala chigawo.
miyeso matenda
Si zovuta ndi ntchito kuti akaone kudwala. Mwa mbiriyakale, zizindikiro zakunja chiwindi biopsy ndi maphunziro matenda (magazi, ndowe, mkodzo) mosavuta kudziwa chifukwa cha matendawa. Amafuna anatumizidwa zina njira yodziwira: Kujambula, ultrasound, chiwindi jambulani, mmatumbo intubation, tomography.
njira mankhwala
Udindo mankhwala chithandizo cha matenda opatsirana, hematology, madokotala ndi madokotala pambuyo kufufuza zonse zachipatala ndi matenda zolondola. Njira yaikulu ya kulimbana ndi matenda kuti: njira zachipatala ndi ntchito ndi khalidwe phototherapy ndi endoscopy. Opaleshoni alowererepo (Kupha adhesions, ndulu, formations, onongani concrements) imagwiridwa ngati anapulumutsa matenda a chikasu ndiyo.
Chithandizo cha chiyambi opatsirana a matenda ikuchitika kalekale kokha - ndi kukonza mankhwala kwa chiwindi. magazi zikusonyezedwa mtundu hemolytic. Bwino kuphatikiza Therapy. mphamvu zabwino limasonyeza phototherapy, pigment amalimbikitsa yobwezeretsanso ndi achire ku thupi. Iwo amagwira ntchito akulu onse ndi makanda. Komanso mankhwala Udindo monga phwando zowonjezera zakudya. Zowonjezera kuthandiza kubwezeretsa maselo chiwindi, ndi kupukusa chakudya, kusukulutsa mphamvu yakupha. Odwala Kwalamulidwa mankhwala, hepatoprotectors (protectants chiwindi), mankhwala spasmolytic. Pali chithandizo. Kusankha njira achire ndi kwa dokotala.
Zakudya imathandizira kuchira
Bwino menyu moyenera ndi mbali chibadidwe mankhwala a chikhalidwe ichi pathological (kuwonongeka chiwindi). Pamodzi ndi kumwa mankhwala wodwala ayenera kutsatira zakudya (by ayamikira katswiri). Ana osaposera chaka chimodzi zakubadwa kulandira mkaka yekha kapena osakaniza kusinthidwa.
Kuchokera zakudya kwathunthu lilibe nyama mafuta, dzira yolk, kuteteza, zokometsera, maswiti zoipa (mitanda, chocolate, maswiti). zakudya zonse ayenera kukhala yekha mu yophika, stewed, nthunzi, anaphika. Mu Mlingo Zingachepe kukhala batala, maswiti zachilengedwe zipatso, uchi, marshmallow. Muyenera kuwonjezera zambiri atsopano zipatso, masamba, zitsamba. Pamafunika zambiri chakumwa: madzi mchere, tiyi, teas azitsamba, zakumwa zipatso, odzola.
Medicine zina akuonetsa ...
Mothandizana ndi mankhwala chikhalidwe, mungagwiritse ntchito zosakaniza mankhwala, kumalimbikitsa kumaliseche kwa ya ndulu. Kukhazikika bwino decoctions ndi infusions wa dandelion, yarrow, plantain, calendula. Molingana - theka chikho katatu patsiku. Saletsa zimawononga bessolevoy brine sauerkraut ndi madzi a Beet - zakumwa taphunzira mu tsiku (250 ml kawiri pa tsiku).
zotsatira zoipa
mitundu yonse ya matenda a chikasu ndiyo akhoza zoipa mpaka kalekale ndipo amayambitsa mavuto zoopsa. Sikuthandiza ulendo kudwala. inki poizoni Imakhudzira pa ziwalo zonse za mkati, kuchititsa Crigler-Najjar matenda, ndi matenda neuro-maganizo, pachimake kapamba, hemolysis, Oncology, matenda enaake.
Kotero, ife anayambitsa owerenga chikhalidwe oopsa chosaona malire zaka ndipo amachititsa mavuto oopsa. Kupewa matenda, samalani: Pewani chakudya, osamwa madzi, nadzatsuka bwinobwino ndi mankhwala sizimakhoza ndi nyama msewu. Ife sitikhala amatchula za otetezeka kukhudzana kugonana - ayenera kudziwa chilichonse. Titalandira amene akudziŵa ndipo amatenga zodzitetezera.
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