Chiropa ndicho chikamu chakakosha mumuviri womunhu. Iro gland rekunze kwekunze, iro rinokonzera kusagadzikana kwezvinokonzerwa nekemikisi yemasikirwo, kuenzanisa kwekupararira kweropa, kugadzirisa uye dzimwe nzira. Kuvhiringidzika kwechiropa chinonzi hepatitis. Izwi rinobatanidza boka rezvirwere zvakasiyana-siyana.
Hepatitis - Species
Maererano nekliniki yekliniki, chirwere ichi chinorondedzerwa kuva chimiro chakaoma uye chisingaperi. Nechinangwa chekurapa kwakakodzera kunokosha kuziva kuti hepatitis inokonzerwa neitiotropic kusiyana (chii chakakonzera):
- zvinopararira (utachiona);
- toxic;
- autoimmune;
- danda.
Acute hepatitis
Nehutachiona hwechirwere ichi, kuputika kwechiropa kunowanikwa nezviratidzo zvakakomba zvinoonekwa kubva mumazuva ekutanga. Kuziva kuti chii chinonzi hepatitis uye kuti chinoratidzika sei, zviri nyore kuongorora mafomu ayo uye kutanga chirwere. Urwu hutachiona hunofadza uye huzhinji huripo hunopera mukudzoka, hahuwanzo hutsika.
Chronic hepatitis
Chirwere chemakiriniki chekuvhiringidza chirwere chiduku, chirwere chinoramba chichienda kwenguva refu. Vanhu vane chirwere chisingaperi chine hepatitis kuti pane zviratidzo zvisingabatsiri. Pasina kurapwa, chirwere chinosvibisa chinotungamirira kukurudzirwa kwechiropa chinonzi cirrhosis. Iyi ndiyo mamiriro ayo masero mashoma epa parenchyma anotsiviwa nehutano hunobatana uye anorasikirwa nemabasa avo. Dzimwe nguva chirwere chacho chakanyanya kukura zvokuti kune kenza huru yechiropa.
Hepatitis Causes
Mhedzisiro yekuvhiringidzika inobva kune fomu uye maitiro ehutano huripo. Zviri nyore kuziva kuti chii chinokonzera kutapukira kwehupatachi-nzira dzehutachiona dzinofanirana ne causative agent yehutachiwana chakadaro (utachiona, bhakitiriya, maronda). Mune dzimwe nguva zvinonetsa zvikuru kuziva chikonzero chechokwadi chemararamiro, asi zvinenge zvisingaiti maitiro ekutanga ekurapa.
Kutapukisa hepatitis
Chirwere ichi chikuru uye chechipiri. Mune mamiriro ezvinhu akawanda, hutachiona hwehupatachi hunoonekwa. Icho chinokonzera mishonga inoratidzika. Urongwa hunosanganisira marudzi akadaro ekurapa:
- Hepatitis A (chirwere cheBotkin). Kuvhiringidza kunokonzerwa neHIV virus. Inoparidzirwa nefecal-oral nzira, zvinoreva kuti mvura inotapukira uye zvokudya.
- Hepatitis B. Chinokonzera chirwere cheHBV. Vane utachiona hwepabonde, hwemusha, nzira yakananga. Iko-causative agent inowanikwa mumapuroteni biological fluids - sperm, ropa, saliva nevamwe.
- Hepatitis C. HVV inoparidzirwawo nemasikirwo emagetsi, chimwe chikonzero chinowanzokonzera utachiona chinofungidzirwa kuva nehutachiwana hwehutachiona.
- Hepatitis D. Kurwara kunopfurikidza nenzira yechipiri yehutachiona. Kupinda kwehutachiona hweHIVV kunoitika pamwe chete kana mushure mokunge utapukirwa neHBV. Nzira yekufambisa iri kuburikidza neropa uye zvarinowana.
- Hepatitis E. Urwu rudzi rwekuputika kwakafanana neBotkin's disease , iyo inobatanidza kuongororwa. Utachiona hunoparidzirwa nefecal-oral path.
- Hepatitis F. Mhando dzisingazivikanwi, dzinozivikanwa nemigumisiro yaro yekutsvakurudza uye dambudziko repidemiological. Pasi pemhando iyi yezvirwere, 2 mavairasi anoshandiswa kukura mushure mekutachiona nemamwe marudzi ehepatitis uye anotapurirwa nehutachiona.
- Hepatitis G. The causative agent ine zvakawanda zvingave zvakasiyana. HIV yeHGV inopinda mumuviri neropa uye nekuita zvepabonde zvisina kudzivirirwa, asi haisati yanyatsojekesa kana yakazvimiririra inokonzera chirwere chokuvhiringidza kana inosanganiswa nehutano hwakasiyana.
- Secondary hepatitis. Kukundwa kwechiropa kunogona kuenderera nemavirusi ehepes , rubella, Lassa fever, mumps uye vamwe.
Maitiro eBhakteria anokura mushure mekupedzisira kwechiphilis uye leptospirosis . Zvinyorwa zvinokonzerwa nehepatitis ndizvo zvinokonzera zvirwere zvakadaro:
- toxoplasmosis ;
- amebiasis;
- schistosomiasis;
- opisthorchiasis ;
- fascioliasis.
Toxic hepatitis
Kukuvadza kwechiropa chechiropa kunowanzoitika nekuda kwekutyisa kwakanyanya. Kana iwe usinganzwisisi chinonzi hepatitis uye kushandisa chirwere chisina kukodzera, zvinetso zvine ngozi zvinogona kuitika. Zvinokonzera kupisa kwechiropa munyaya iyi ndezotevera:
- kunwisa doro;
- drug addiction;
- kutora mishonga;
- kudhakwa nemakemikari makwenzi.
Autoimmune Hepatitis
Chirwere chisinganzwisisiki chinowanikwa muhupenyu husingaperi, izvo zvinowanzoita kuti chirwere chinoramba chichiwedzera. Kusvika ikozvino hazvisati zvigoneka kujekesa kuti nei hepatitis yakadaro inowanikwa - kuputika kwechiropa kunotanga pasina zvikonzero pachena. Zvichida zvinokonzerwa nekukanganiswa kwezvinhu zvakasikwa zvakasikwa kune vanhu vane mamwe mararamiro.
Radiation Hepatitis
Mhando inofungidzirwa yekuputika inowanikwa inowanzoonekwa nevanorwara nekenza mushure mekushandisa kurapa ionizing. Vamiririri vezvimwe zvemabasa vanewo hepatitis - zvikonzero zvekutanga zvinosanganisira:
- kushandiswa kwezvombo zve radioactive;
- njodzi pamiti yemagetsi enyukireya;
- kuedza kushandisa majekiseni eoni uye zvimwe zvinhu.
Kuvhiringidza chiropa - zviratidzo
Chirwere chemakiriniki chechirwere ichi chinoenderana nemamiriro ehutachiona. Mune chimiro chakaoma, zviratidzo zvokutanga zvehupatachi zvakafanana nehutachiona nehutubu:
- kupisa;
- utera, utera, kusafarira;
- headaches;
- kuora kwekudya;
- kureba kweganda;
- sweating;
- kupera kwekugadzirisa;
- nausea;
- nyota.
Apo kuongororwa kuti zvakakosha kuyeuka chii chinonzi hepatitis - kuputika kwechiropa parenchyma. Zvishoma nezvishoma, zviratidzo izvi zviri pamusoro zvinobatanidzwa nezviratidzo zvakananga:
- kurima kwemuti;
- jaundice yeganda, sclera uye mucous membrane;
- kutsanangurwa kwemarara;
- kugona kukuru;
- chimiro chekushisa kwemuviri kana kuderedzwa kwaro maitiro;
- kusava nenzara, anorexia ;
- dyspeptic disorders.
Zviratidzo zvekusingaperi kwehepatitis hazvirevi kudanidzirwa, kazhinji chirwere chinosvibisa hachifambidzwi nezvimwe zviratidzo zvinooneka. Zvinokwanisika kufungidzira zvirwere zvinopisa mukati mechiropa maererano nemufananidzo wekliniki:
- kurwadziwa kwenguva nenguva mune kurudyi, kuwedzera nekushingaira kwemuviri uye kushandisa "zvokudya zvinorema", doro;
- ruvara rweganda pamichindwe ;
- zvishoma zvishoma yellowing ye sclera;
- stool disorders;
- flatulence;
- kunhuhwirira kunofadza kana kutora mumuromo;
- kuora kwekudya;
- kushungurudzika, kazhinji kusanza;
- tsika yekupwanya uye kubuda ropa;
- kutsetseka kwemuviri kwakadzika;
- kushushikana kwehope;
- kuneta;
- headaches;
- mental lability;
- kuwedzera muropa chiropa.
Kuongorora kwehepatitis
Kuongororwa kwehutano huripo hunotanga nekuongororwa nekubvunzurudzwa kwemunhu, kuratidza zviratidzo zvinoratidzira zvekuvhiringidza. Iva nechokwadi chekufungidzirwa kunobatsirwa neropa rekuongorora hepatitis, mumigumisiro yekuti kuwedzera kwema bilirubin uye aminotransferases kunoonekwa. Kana chikonzero chechirwere ichi chirwere, kune chikonzero chinokonzerwa nehutachiona. Muchiitiko chekudzivirira kwega kwega kwekuvhiringidzika muropa, chikwata chepamusoro chezvirwere zvinoratidzika:
- kune microsomes yechiropa;
- antinuclear;
- kuti isvike masero masero.
Kujekesa kuongororwa, chiremba anounganidza dheta pane zvinotevera:
- basa rezvenyanzvi;
- kusangana nehoisons nemamwe makemikari akabatanidzwa;
- kugamuchira hepatotoxic zvinodhaka;
- nzira dzokurapa kwezvirwere zvepachikafu;
- kutarisana nemirairo yeioni;
- kuvapo kwekudhakwa;
- mikana uye nguva yakawanda yekukurukurirana nemasikirwo emagetsi.
Kurapa kwehepatitis
Therapy inokurudzirwa nechiremba ane ruzivo uye inobva kune rudzi rwehutano. Pane zvipo zvitatu zvekurapa kupisa kwechiropa, izvo zvinoshandiswa zvakafanana:
- pharmacological preparations;
- herbal remedies;
- kudya kunokosha.
Kugadzirira kwokuputika kwechiropa
Chero chero maitiro ehepatitis anoenderana nekusunungurwa kwenhamba yakawanda yezvinhu zvinouraya, izvo zvinovhiringidza muviri uye zvinodzivirira mabasa ekutsvaira kwezvinyorwa zvekunze. Nokuda kwechikonzero ichi, chirwere che detoxification chinotanga kuitwa, chinangwa chekuchenesa ropa uye kugadzirisa zvirongwa zvemagetsi. Kushamwaridzana (nechinokonzera) kunotanga mhinduro:
- glucose ane vitamini C;
- sodium chloride ne hepatoprotector (Glutargin kana analogue);
- Rheosorbylact uye zvakafanana.
Uyezve, masvibheti emitemo yemitemo anonyorwa:
- Atoxyl;
- Enterosgel ;
- Polysorb.
Kuchengetedza zvipembenene zvemitsipa yakashata zvinoshandisa nyxes:
- Papaverine;
- Asi-Shpa;
- Drotaverine uye zvakafanana.
Kudzorera masero eparenchyma yechimiro chakakanganisika uye kuratidza mabasa ayo, hepatoprotectors anobatsira:
- Essentiale;
- Heptral;
- Sowaldi;
- Karsil uye zvakafanana.
Targeted therapy inobva pane zvakakonzera kupisa kwechiropa - kurapwa kunogona kusanganisira mishonga yakasiyana inofanana nemapatijeni epathogen:
- antiviral (Interferon, Telaprevir uye maonesheni);
- antibiotics (Doxycycline, Oxycycline nevamwe);
- antiparasitic (Praziquantel, Albendazole uye zvakafanana);
- corticosteroid hormones (Prednisolone, Methylprednisolone uye maonesheni).
Kuvandudza hupenyu hwakanaka nekuita kuti murwere ave nemamiriro ezvinhu, kurapwa kwechiratidzo kunorayirwa, kunosanganisira:
- antipyretic mishonga;
- vitamini;
- antiemetics;
- utachiona hwemakemikari nemamwe madhiragi.
Mishonga yechiropa kupisa
Mushonga unonyanya kuzivikanwa wepanyama wehepatitis ndiyo mukaka mutsva. Inowanzoshandiswa pakudya kwayo, asi zvinogonawo kutora mafuta. Misi yakasungirirwa inokurudzirwa kudya 1 teaspoonful 5 kashanu pazuva, muhupenyu hwayo yakachena, yakashambidzwa pasi nemvura, kana kuwedzerwa kune zvokudya zvakagadzirirwa. Mafuta emichero anofanira kudhakwa 5 maminita 3-5 katatu pazuva kuti hafu yeawa vasati vadya, kwemwedzi inoverengeka.
Kurapa kwehepatitis nemishonga yevanhu kunosanganisira mamwe mapeji anobudirira, kunyanya avo vane zviyo zveuchi. Kubudirira mishonga kubva pauchi (1 kiyiyo) uye pergia kana mapurini (1 kiyipuni). Ichi chisanganiswa chinobatsira kutsungirira kudhakwa kwemuviri, kunova nemigumisiro yakanaka kune hutano huri hwose uye kunokurudzira kukurumidza kudzorera kwechiropa basa.
Plant sorbent
Zvisungo :
- oat mbeu - 1 girazi;
- mvura - 1 litre.
Kugadzirira, kushanda
- Dururirai oats yakashambidzwa nemvura mumhepo yechando.
- Simbisa maawa gumi nemaviri.
- Uya nechinetso chemota.
- Iva kune imwe maminitsi makumi matatu ekupisa kwakanyanya pasi pechivako chakavharwa zvakasimba.
- Putira chigadzirwa nemucheka wakaoma uye uende kwemaawa gumi nemaviri.
- Simbisa mishonga.
- Imwai 0.5 mukombe wemhino kwehafu yeawa musati mazodya, katatu pazuva.
Kudya nechiropa chokuputika
Kurapa kwechirevo chinorondedzerwa chirwere kunosanganisira kururamisa kwekudya kunofanirwa kubudiswa kwechiropa. Nheyo yezvokudya ndiyo kunzwisisa chii chinonzi hepatitis - chirwere chekuvhiringidza mumucheka wekunze kwekunze, izvo zvinoputsa basa rayo uye mabasa. Nokuda kwechikonzero ichi, zvigadzirwa zvose zvinokonzera mutoro pachiropa hazvisi kubva pamenyu:
- zvigadzirwa zvakagadzirwa nehuturu uye huputi;
- chingwa chitsva nechingwa;
- mafuta mazinga e nyama, hove, huku;
- by-products;
- tsvina;
- caviar;
- zvokudya zvekunamatira;
- pickling;
- sausages;
- marinades;
- mazai;
- mhuka dzemhuka;
- mishonga inokonzera kuvuta mumatumbo (garlic, radish, kabichi, sorrel nevamwe);
- mushroom;
- broths;
- Maseke ane miriwo isina kubvunzwa uye zviyo;
- zvose zvinonhuhwira;
- munyu (yakawandisa);
- acidic uye michero yakasimba;
- mahonokori nezviyo;
- sweets;
- mafuta, muto wakaoma;
- mukaka;
- kirimu;
- akacheka cheeses;
- zvirimwa zvakanaka;
- macaroni;
- crumbly porridge, kusanganisira muto, bhari, bhari;
- cocoa;
- doro;
- kofi;
- carbonated and cold cold.
Zvaunogona kudya nechiropa chokuputika:
- chingwa chakachena jeri, mabhisikiti;
- nyama yakasviba, hove, nyuchi chete mumhando ye nyama isina kudyiwa;
- steam protein omelet;
- Mazamu anocheka-mafuta uye misi yemukaka-mucheki;
- mafuta ezvirimwa uye mafuta (zvishoma);
- Mushonga (nemvura mumutengo we1: 1) mucous porridge;
- vegetarian soups;
- mishonga yakabikwa, yakabikwa kana yakabikwa, yakasvibiswa;
- Yakabikwa uye inotapira majiro, michero;
- jelly;
- marshmallow;
- kissel;
- pastille;
- muto wembwa;
- uzvar;
- tiyi nemukaka nemon;
- chibereko chinotapira, berry, majisi e tomato;
- achiri mvura.
Kudzivirira hepatitis
Kuyeuchidza chirwere chakaongororwa nyore nyore, kana kuchengeta mamwe mitemo. Kuziva zvinokonzerwa nehutachipatachi, zvinokosha kutevera mitemo yehutsanana, kudzivisa kuita zvepabonde zvisina kudzivirirwa. Zvakakosha kutarisa kutadza kwezviridzwa zvekuita zvinosanganiswa nekubatana nehupenyu hwehupenyu. Mhinduro kumubvunzo, kana zvichibvira kubata hepatitis panguva yekuita manicure, tattoo uye nzira dzakadaro, dzakanaka, naizvozvo kushandiswa kwakadaro hakugoni kuitika munzvimbo dzisingazivikanwi. Kubva kune mamwe marudzi ehutachiona hwehutachiona kune zvirwere zvakanaka.