Parenchymal matenda a chikasu ndiyo: zizindikiro zimayambitsa, matenda

Today pali matenda osiyanasiyana kuti anthu amakumana nawo si nthawi zambiri. Koma muyenera kudziwa iwo osachepera pang'ono. Ndi Mwachitsanzo, akhoza kuteteza zosayembekezereka mavuto amenewa. N'chifukwa chake lero ine ndikufuna kuti ndikuuzeni inu mwatsatanetsatane za kudwala ichi monga parenchymal matenda a chikasu ndiyo.

terminology

Tisanafotokoze kuthana ndi matenda, m'pofunika kufotokoza malingaliro ena omwe anagwiritsidwa ntchito kwambiri m'nkhaniyi. Choncho parenchymal matenda a chikasu ndiyo - matenda, koma chizindikiro makamaka amene amakhala ndi kudetsa mtundu jaundiced si khungu, komanso wa nembanemba mucous (diso sclera). Izo zonse zimachitika chifukwa cha mtima ayamba kudziunjikira pang'onopang'ono bilirubin (ichi pigment ya ndulu). M'pofunikanso kukumbukira kuti chizindikiro ichi chikusonyeza kuti wodwalayo ali ndi vuto la chiwindi, amene ayenera mwamsanga kuthetsawo.

N'zochititsa chidwi kuti mankhwala palinso maganizo olakwika a matenda a chikasu ndiyo. Pankhaniyi palibe bilirubin amasonkhana mu thupi la munthu, carotene, chinthu achilengedwe amene amapezeka chifukwa kudetsa khungu. Kotero, zikhoza kuchitika kukachitika kuti nthawi zambiri ndi lalikulu zedi kudya kaloti, maungu, malalanje ndi Beets. Vutoli zimachitika ngati yaitali kudya asidi picric, komanso mankhwala ena mankhwala.

chithunzi matenda

Kodi kudwala ichi monga parenchymal matenda a chikasu ndiyo? The pathogenesis matenda yotsatira. Choncho, poyamba ziyenera kuti pa ntchito bwinobwino, bilirubin, ya ndulu pigment, excreted mwachibadwa. Ngati pali mavuto ena mu chiwindi, pang'ono ndi pang'ono ayamba kudziunjikira mu thupi, chizindikiro mwa chikasu pathupi ndi nembanemba mucous. Kuyang'ana zomwe ndi parenchymal matenda a chikasu ndiyo, ndikofunika adzanena kuti nkhaniyi ali masiteji atatu chachikulu cha chitukuko.

1. Gawo loyamba. Pankhaniyi, kuchepetsa ntchito ya michere, Kakhungu kuonongeka hepatocytes, bilirubin mwachindunji zimaleka bwinobwino umatulutsa.
2. Mu gawo lachiwiri la matenda odwala ndi vuto monga giperfermentiya, hepatocyte Kakhungu permeability ukuwonjezeka. The ululu mbali yake ingaoneke chifukwa cha psinjika wa capillaries lapansi.
3. Mu njira yachitatu za ndondomeko ndi chisokonezo glucuronidation wa bilirubin kumachitika kwa chiwindi kulephera. Komanso, mkodzo umakhala yowala kwambiri, nthawi zonse anamva zowawa mu mbali yake.

Tikumbukenso kuti ndikofunika anayamba kuchita ndi parenchymal matenda a chikasu ndiyo pa magawo oyambirira yatsoka matenda. Inde, mu nkhani iyi, kuti athane ndi vuto akhoza chophweka kwambiri ndipo mofulumira. Ngati 'likuchedwa' chiyambi cha machiritso ndondomeko gawo lachitatu, mankhwala kudzakhala kovuta kwambiri matendawa.

Gwero la vuto

Chifukwa akhoza kuoneka parenchymal matenda a chikasu ndiyo, kodi zifukwa kwa pakuwonekera kwake?

• Choyamba tisaiwale kuti vuto lalikulu mu nkhani iyi ndi wothandizila opatsirana: ndi mavairasi, mabakiteriya, poizoni. Nthawi zambiri, mu nkhani iyi tikulankhula za matenda monga malungo, chindoko, toxoplasmosis ndi ena.
• Kugonjetsedwa gepatotsidov ziphe onse organic ndi zochita kupanga. Otani poyizoni wa thupi kumachitika chifukwa ntchito bowa chakupha, otsika kwambiri mowa, atalandira Arsenic kapena njoka kuluma.
• Vuto angathenso kutenga zina wothandizila pharmacological amene zotsatira hepatotoxic. Pankhaniyi, nthawi zambiri izo zifika kwa chiphunzitso monga "Paracetamol" kapena mankhwala.

chibadwa

Poganizira zimayambitsa parenchymal matenda a chikasu ndiyo, ukanene kuti matenda ndi cholowa china. Ndiko kuti, akhoza kudzera mwa chikhalidwe kuchokera m'banja wina ndi mzake.

• Mwina kulephera ligandinov pokha mapulotini anayikidwa padziko chiwindi.
• chifukwa akhoza kukhala akusowa cholowa cha enzyme makamaka, wotchedwa UDP-glucuronyl.
• Ndi cholowa, ndi matenda Wilson, pamene pali kudzikundikira mu hepatocytes zamkuwa, chifukwa vuto ili kumtundu akusokoneza magwiridwe a thupi.

Zizindikiro zazikulu

Poganizira matenda monga zizindikiro parenchymal matenda a chikasu ndiyo - ndicho chimene likusowa kuuzidwa. Choncho kodi mawonekedwe ali matendawa?

1. Umboni woyamba wa vuto chikasu pathupi ndi mucous zimagwira ntchito zosiyanasiyana, makamaka maso sclera.
2. Komanso, wodwala akhoza kukhala wofatsa kuyabwa.
3. Nthawi zina mutu, kutentha thupi, mutu.
4. Nthawi zambiri odwala amadandaula kusafuna kudya, chifukwa mu kuwonda amapezeka.
5. Komanso, pali minofu ululu ndi kufooka ambiri.

Indicators kusanthula zosiyanasiyana.

• Ndowe amakhala owala, pang'ono zosasonyeza mtundu wake weniweni. imfa onse kumachitika chifukwa stercobilin, pigment wina cholic.
• Mkodzo azisinthidwanso mtundu. Zikhoza onse mowala ndi mdima kwambiri.
• Mu magazi odwala kumawonjezera zili wa bilirubin mwachindunji kapena kudzera m'njira zina.

diagnostics

Monga Tingathe kuona kuti munthu parenchymal matenda a chikasu ndiyo? Diagnostics - kuti ndikuuzeni kuli matenda. Kuchita izi:

1. N'kukagwira kusanthula ambiri a mkodzo, ndowe ndi magazi.
2. Kafukufuku wonse chithunzi matenda.
3. Amuzolengedwa kusanthula magazi.
4. ena mayesero malangizo awerenge.

mayesero matenda

Ngati wodwala anatengedwa kusanthula ndowe ndi mkodzo, mu nkhani iyi, pamene matenda bilirubin ndi urobilin zizindikiro kuchuluka kwambiri, pamene anthu stercobilin akugwa, zomwe zimabweretsa ofooka ochekenera chimbudzi anthu.

Komanso, MAGAZI zidzafunika. Pankhaniyi, pangakhale leukocytosis ndi magazi m'thupi. Ngati wodwala parenchymal matenda a chikasu ndiyo, magazi sayansi - kuti kumathandizanso. Apa ntchito womangidwa ndi unbound bilirubin ndi urobilin adzaukitsidwa.

Nthawi zina, wodwalayo adzamuika ndi zina zofufuzira zina. Zimenezi zingakhale:

• Khama la milingo folic acid ndi vitamini B12 m'magazi.
• Khama la zolembera chotupa.
• Coprogram: Analysis kwa tizilombo ndi mphutsi.

maphunziro zoimbidwa

Mmisiri waluso mwina, popanda vuto makamaka kusiyanitsa parenchymal matenda a chikasu ndiyo syndrome ndi matenda zonse. Komabe, nthawi zina, ngakhale zounikira ambiri otchuka wa mankhwala kuti awonetsepo khalidwe matenda maphunziro zina zofunika chida. Pankhaniyi, wodwala angathe kuperekedwa:

1. Radiography. Kuzindikira mavuto ndi m'mimba, kum'mero ndipo matumbo.
2. Cholecystography. M'pofunika kudziwa ngati mwa miyala ndulu.
3. Ultrasound ingatithandize kudziwa za mmene chiwindi ndi ziwalo zina zazikulu.
4. CT kapena Kujambula.

kawirikawiri, odwala kutumikiridwa ngakhale chiwindi biopsy.

chithandizo

Tikumbukenso kuti kudwala uyu ali njira zingapo nazo. Izo zimatengera mlingo wa kunyalanyaza matenda chimapangitsa. Nthawi zambiri, madokotala mankhwala mankhwala kuchotsa bilirubin owonjezera m'thupi. Komabe, si onse mankhwala kumathandiza. Pankhaniyi, adokotala akhoza mankhwala ndondomeko monga phototherapy. Ndipo onse chifukwa kuwala ultraviolet amatha mofulumira kuswa mamolekyulu bilirubin ndi kuthandiza kuchotsa awo othamanga. Mu matenda imeneyi chofunikira kuchita mavitamini zovuta, makamaka B ndipo C, asidi lipoic ndi amino zidulo.

Kupewa ndi Zovuta

Popeza parenchymal matenda a chikasu ndiyo - chizindikiro chimene chimachitika pa maziko a matenda ena (tizilombo matenda a chiwindi B ndi C, chikhodzodzo miyala, etc.), n'kofunika kwambiri nthawi kuyamba kuchotsa matenda amenewa. Ndipotu, tiyenera kukumbukira kuti ngati nthawi sasamalira chisamaliro mtima, izi kungapangitse mavuto ena. Ndizo moleza mtima kalekale kusokoneza chiwindi ndi ndulu. Pankhaniyi, chinawonjezeka ndende ya bilirubin amachititsa kuledzera, amene ali kungasokoneze kwambiri pa ntchito ziwalo zake zonse ndi kachitidwe.