Kurwara kwechiropa zvakanyanya ndizvo zvinokonzerwa nechiremera chikuru chemasero eropa, izvo zvinokonzera muviri kurasikirwa nekwanisiro yekuita zvakanaka. Iyi syndrome inoratidzika seyakanyanya. Chirwere ichi chinova chikonzero chekushungurudzika kwakakomba kwemagetsi, kutyisa muviri nemaprotheni metabolism michina, kushungurudzika kwepakati yenheyo. Uye kana nguva isati yatanga kurapwa, ipapo chirwere chinogona kutungamirira kuhutu hunouraya.
Zvikonzero zvekushaya chiropa kusakundikana
Inogamuchirwa kusiyanisa mhando dzakasiyana siyana dzechirwere ichi:
- engodennaya - kukura zvakananga mukukundwa kwehepatic parenchyma;
- zvisingaenzaniswi - mugumisiro wekusagadzikana kweropa kupararira uye kubuda kweropa nehuwandu hwezvinhu zvinokuvadza mumutambo mukuru wehemodynamic;
- kusanganiswa.
Zvose zvemhando dzinogona kuva dzakanyorova, zvisinganzwisisiki uye zvikamu zvakasimba.
Semitemo, itai kukanganisa kwakanyanya kwepfungwa, kuvhiringidza kunokonzera furosi, dystrophic kana necrotic kusagadzikana. Kazhinji, chirwere chinokurwisana nemamiriro ezvinhu akadai se:
- cirrhosis;
- hepatitis yakabva zvakasiyana;
- hepatosis ;
- ropa chepfu;
- kuwedzerwa ropa kweimwe boka;
- kudengenyeka kwemhepo kunokonzerwa nekupisa;
- kutyisa nehupfu kana chepfu.
Zvinhu zvinotarisa kuonekwa kwezviratidzo zvekushaya simba kwakanyanyisa kunobatwawo zvakare:
- kunwisa doro;
- kushandisa zvakanyanya hepatotoxic zvinodhaka;
- huwandu hwepuroteni muzvokudya;
- anesthesia panguva yekuvhiyiwa;
- chirwere chenguva refu.
Vanhu vane hutachiona hwechiropa, dzimwe nguva vanotambura nehutachiona, peritonitis, thrombophlebitis portal vein.
Zviratidzo zveApute Hepatic Insufficiency
Kakawanda nguva dzose, chirwere chacho chinokurumidza kukurumidza - mukati maawa mashomanana kana mazuva. Kuratidzwa kwaro kukuru kunogona kufungidzirwa kugona, kushandura nekufara uye kurwiswa kweutera hwakasimba. Kazhinji nyanzvi dzinosangana nematombo pamusoro:
- yellowness;
- kuzvimba;
- zviratidzo zvehemorrhagic diathesis;
- fever;
- ascites;
- kugona;
- hallucinations;
- kutaura kunonoka;
- kudengenyeka kwenyika;
- kuonekwa kwekunhuhwirira kwakashata kubva pamuromo;
- kukanganisa kwekufunga;
- kuora mukati mechiropa;
- nausea;
- kudzokorora kurutsa;
- hypothermia;
- kubuda kubva mumhino ;
- arrhythmia.
Kuongororwa uye kurapwa kwechiropa chakakundikana
Panosimbisa kuongororwa, nyanzvi dzinocherechedza zviratidzo, migumisiro yekudzidza ropa, urini, kuongorora kwechiropa, acid-base base, electroencephalography.
Inongova nyanzvi iyo inofanirwa kupa rubatsiro rwekukurumidzira mukushaya simba kwechiropa. Kuzvipira kunogona kukurisa nzira uye kutungamirira kuchinje chisingachinji.
Nyaya inowanzowanzo inodhaka yekrisstalloids ine colloids. Kuvonga kwacho, detoxification inobata, ropa rekufamba kwemvura rinodzorerwa uye rinovandudzwa, kupisa kweplasma kunodzorerwa.
Mukuwedzera, iyo algorithm yekuchengetedzwa kwekukurumidza kwechiropa chakakundikana
- Gastric yakasara sodium ne hydrocarbonate.
- Kupindira kwemishonga inotsigira basa remasvindi eropa rine traciol, albumin, sorbitol, mannitol.
- Kana murwere akawedzera kusununguka, anoratidzwa mishonga yakadai saSibazol, Oxibutyrate, Relanium.
- Mumatambudziko akaoma, varwere vanofanira kugara vachipfeka masikisi masikisi, vanotakura hemo-, lympho- kana plasmosorption.