Hepatomegaly haisi chirwere chakasiyana, chiratidzo chezvirwere zvakawanda. Tinodzidza mafungiro evanoongorora nezvehutano hwechirwere chehepatomegaly, uye maitiro ekurapa chirwere chakadaro.
Chii chinonzi hepatomegaly chinorevei?
Hepatomegaly - kukura kwechirwere chechiropa chekukura, pamwe chete nekushandura mumatumbu echirongwa. Kuchinja kwechiropa kunobatanidzwa nekuvandudzwa kwezvirwere zvinoputika, utachiona hwemuviri, kutaridzirwa kune chepfu. Mhedzisiro ndeyekuti:
- rufu rwemasero ane utano;
- edema yechiropa;
- kukanganisa kwekugadzirwa kweglycogen - carbohydrate, kugadzirisa kusasha kweglucose.
Zvinokonzera chiropa chakawedzerwa
Kuwedzera kwechiropa kunoratidza kuti pane mahara (ane utachiona) kana kupararira (pamwe nekukura kwehutano hunoshandiswa) chimiro chinochinja.
Hepatomegaly inoitika nekuda kwezvirwere zvakawanda. Tinocherechedza zvikonzero zvinowanzoitika zvinotungamirira ku kuwedzera kwechiropa chiyero:
- kukanganiswa kwemoyo uye chirwere cheBad-Chiari, chinoratidzirwa nekubatana kweropa rinouraya muropa;
- kwete yehutachiona hwekuparara kwehutachiona - hutachiona hwechirwere uye hepatitis;
- Matambudziko emagetsi muropa uye kuiswa kwemafuta nezvimwe zvinhu;
- zvirwere zvinokonzerwa neB bile duct kudzivisa, zvirwere zvepancreatic;
- zvirwere zvinotapukira zvinokonzerwa nemavirusi, mabhakitiriya, helminths, fungi uye protozoa;
- maitiro akaipa mukati mechiropa.
Zviratidzo zve hepatomegaly
Nehepatomegaly, zviratidzo zvinotevera zvinowanzoitika:
- icteric ruvara rweganda;
- ganda rashes;
- kunhuwa kukuru;
- kurwadziwa uye kunzwa kwezviputi mukanotsi;
- nausea;
- kuchema;
- mweya wakaipa ;
- stool disorder;
- kuunganidzirwa kwemvura mumudumbu wepamuviri;
- kuonekwa kwe "chiropa chinomera" paganda.
Nzira dzinobatsira dzekuongorora (ultrasound, MRI, X-ray, biopsy) dzinokosha zvakanyanya pakuongororwa kwezvirwere zvechiropa pamwe chete nemagariro ekurapa uye ma laboratory. Munguva yekutenderera kwe ultrasound uye MRI, maitiro akasiyana ehepatomegaly anoratidzwa:
- kuwedzera uye kusimbiswa kweparenchyma mune chisingakoshi hepatitis;
- heterogeneity ye echostructure mu fatty hepatosis, cirrhosis;
- kuwedzerwa kwechirongwa paanenge achichengetedza homogeneity ye echostructure muhutachi hepatitis, zvirwere zveropa zvepasimiti etiology uye moyo kusakona;
- kuvapo kwe foci mumatumbu uye kupesana kwezvinyorwa mumasumbu, ma-cysts uye matumbo.
Nzira yekurapa hepatomegaly yechiropa?
Kurapa kwehepatomegaly inzira yakaoma, iyo inosanganisira nhamba dzenzira. Pakati pavo:
- Kunyanya kunorapwa. Chero bedzi pamigumisiro yemigumisiro yekuongororwa, nyanzvi inosarudza mahwendefa ekurapa kubva kune hepatomegaly. Mishonga inorwisa mabhakitiriya inorayirwa nehepatitis, antibiotics inoshandiswa kuporesa zvirwere zvebhakitiriya, echinococcosis inobatwa neanthineclinic agents. Nokushaya mwoyo, mwoyo glycosides inoshandiswa pakurapa. Zviratidzo zvakashata zvinoda kusarudzwa kwemakemikarirapeutic agents.
- Chiratidzo chekufananidzira chinangwa chekubvisa zviratidzo
zvirwere (kushungurudzika, kunyarara, etc.) - Kupindira kwekuvhiya kunogona kuiswa maererano zvichienderana nezviratidzo.
Mukuwedzera, mumatambudziko akawanda, murwere anorayirwa kuchinja kudya uye kudya kudya. Nekusangana kwechiropa, zvichikonzerwa nekushaya simba kwemoyo, kudya kusina munyu kunoshandiswa. Kuporesa kwechiropa nekusingaperi kudhakwa hakugone kunze kwekushandiswa kwehupfu, kunyanya doro. Kana iyo metabolism ichivhiringidzika, kudya nekuderera kwehuwandu hweakinehydrates nemafuta kunoratidzwa.