Nekuvhiringidza-dystrophic chiropa kukanganisa, kushanda kwayo hakuna kukwana. Somugumisiro, chirwere chisingaperi chinonzi hepatitis chinoratidzwa. Mune varwere vane chirwere chakadaro, hupenyu hunofambidzana nekukanganisa uye kusagadziriswa kwekuwedzera.
Kuenzanisa kwechirwere chehepatitis
Ichi chirwere chinogara kwenguva refu. Kune zvikamu zvitatu zvakasiyana-siyana zvechirwere ichi:
- Chimiro chechiedza hachina kunyanya kushanda. Kuvhiringidzika kunongowanikwa chete mumashupu ekutengesa. Aminotransferase iri pedyo nezviratidzo zvekare kana zvishoma kudarika.
- Chirwere chinopedza hepatitis chine kemikirini yakafanana neyekupisa kwakasimba uye fibrosis yemasukisi.
- Mhando dzakasiyana-siyana dzechiropa dzinoratidzika nekuvapo kwemasero ane foci ye necrosis.
Kurwara kwehepatitis, kusazivikanwa kwemaiology, kunosanganisira biopsy . Iyi nzira inobatsira chiremba kunyatsoongorora uye kukura chirongwa chekurapa. Mukuwedzera, maererano nemigumisiro yebhiopsy, chiremba anokwanisa kufanotaura nezvechirwere ichi. Maitiro anopera anowanikwa nehepatitis B, C, G uye D. Chirwere cheboka reA kana E hachipfuuri kusvika ino. Zvisinei, iyo nzira yekushandurwa kwechirwere ichi kubva kune rumwe rutivi kusvika kune imwe haisati yadzidzwa.
Chronic viral hepatitis
Kazhinji kacho, chirwere ichi chinowanikwa mudiki. Iyo inokurwisana nekunze kwekusakanganiswa kwakashata kwekushaya hepatitis. Kuoma kwechirwere kunogona kuwedzerwa nemavirusi, kune boka iro hepatotropic rayo. Mamiriro ezvinhu anowedzera kukura nekunyanyisa doro. Nehuwandu hwebasa, risingaperi rehutachiona hwehupatachi C , B, D uye G inogona kuva nedhigirii dzakadaro:
- minimal expression;
- kudonhedzwa kuratidza;
- kuoma kusinganisa;
- chiyero chekuita;
- zvirwere zvakakwana.
Zvimwe zvikonzero zvekutapurirwa kwechirwere ndezviputi, ropa uye zvakavanzika zvemukadzi wemunhu ane utachiona. Utachiona hunogona kuitika nekuda kwehutachiona husina kuvharidzirwa mune zvehutano, bvudzi rekushongedza, manicure kana pedicure zvinoshandiswa zvekushandisa zvakare. Kune iyo kutapurirwa kwechirwere kunogona kuitika nekuwedzerwa ropa rakavhiringidzika. Vana vanowanzotapukirwa nemugwagwa weparinatal: kubva kuna amai vanorwara.
Chronic Chronic toxic hepatitis
Zuva rega rega, pamwe chete nezvinhu zvinobatsira mumutumbi wemunhu, chepfu dzinopindawo. Vakawanda vavo vane njodzi pamasero eropa. Nekuwedzerwa kwezvinhu izvi zvinokuvadza, chirwere chisingaperi chine hepatitis chinowedzera. Chirwere chacho chinotambudzwa nemapoka anotevera e "chepfu":
- phenols, arsenic, aldehydes, mishonga inouraya uye mamwe madhizimisi emabhizimisi;
- mishonga;
- doro;
- mishonga poisons.
Kuongorora uye kudya zvinokonzera hepatitis. Zita rechipiri rinonzi fecal-oral. Utachiona hunoitika apo anilingus. Muchikwata pane ngozi yakawanda ndevaya vanobatana nemakondohwe emagariro ezuva ranhasi. Chikonzero chechirwere ndechekuti zviduku zviduku zvezvipembenene zvine utachiona hwehupatachi nemuromo kunosvika kune munhu ane utano.
Chronic Cryptogenic Hepatitis
Icho chirwere chekuvhiringidza kwekusaziva etiology inoitika muchiropa kwemwedzi inopfuura 6. Munyaya imwe neimwe ye-5-th, chikonzero chekuvandudzwa kwechirwere kunyange kana mushure mekuongororwa kwakawanda hakugone kuonekwa. Cryptogenic hepatitis ine unhu humwe chete: chirwere ichi chinokurumidza kuchinja kuva cirrhosis kana kuti chimiro chikuru chekenza. Zvisinei, rudzi urwu rwechiropa kukuvara haisi mutongo. Kana chirwere chichizivikanwa uye chichitapwa zvakanaka, chinogona kukundwa.
Chronic autoimmune hepatitis
Nechirwere ichi chinoputira, chiropa pachacho chaparadzwa nemumasimba ezvirwere pachako. Kunyanya kukosha kunopiwa nhaka yekugara nhaka. Zvose zvinotapukisa zvinopinda kubva kunze kwenyika zvinogona kuva "kutanga kwechikwereti" pakuvandudzwa kwerwere. Zvisinei, kungoongororwa kwakajeka kwehutachiona hwehupatachi hunogona kuonekwa munguva. Chirwere ichi chinokurumidza kubuda mukati mechirhosis uye chinogona kukonzera rufu.
Doro rinodhaka rehepatitis
Ichi chirwere chinowedzera nekuda kwekuwedzerwa kudhakwa kwezvinwiwa zvinodhaka kwemakore mashanu nemakumi mashanu mushure. Zvisinei, mutengo wekuvandudzwa kwechirwere unotarisana nehupenyu hwehupenyu uye hutano hwehutano. Dorosi hepatitis inowanzovapo nekuda kwekuvhiringidza kwechiropa kune chiropa chevhu - acetaldehyde. Somugumisiro, panzvimbo yemasero ane utano, ruvara rwechivara runoonekwa, uye izvi zvinopesana nekushanda kwechimiro chemukati.
Chronic drug-induced hepatitis
Ichi chirwere chinopisa chinowanzoitika nekuda kwekudya nguva dzose kune mamwe mapoka emishonga. Chirwere chemakiriniki chakangofanana nekugara kwenguva refu kwechipatara. Inokurudzira kukura kwechirwere ichi kutevera mishonga:
- anticonvulsants (phenytoin, carbamazepine, dantrolene);
- antithyroid (Carbimazole, Propylthiouracil);
- anti-inflammatory non-steroid (Diclofenac, Sulindac, Felden, Piroxicam, Propafenone);
- sulfonamides (Pyrimethamine, Cotrimoxazole);
- hormonal (thyrotropin, somatotropin).
Chronic cholestatic hepatitis
Nehosha iyi, intrahepatic uye extrahepatic bile stasis inoonekwa. Izvi zvinokonzera kusingaperi kwehepatitis uye kunomutsa. Vazhinji vakwegura vanotambura nechirwere ichi. Mushure mokunge hutachiona hupinda muropa, mavara anokonzera akabatwa. Panguva apo mutumbi unotanga kurwisana nehutachiona, nhengo yomukati inopisa uye inowedzera muhukuru. Ichi chirwere chinoporesa kana iwe uchicherechedza nazvo munguva. Varwere vakashandura ichi kukudzivirira hutachiona.
Zviratidzo zveHurma Hepatitis
Kuyerera kwechirwere ichi kunobva kune mumwe munhu maitiro ehupenyu. Zviratidzo zvekugara kwenguva refu hepatitis zvakabatana zvakananga nezvinokonzera kuitika kwayo. Zvisinei, mifananidzo yakawanda yechirwere ndeyotevera:
- inhengo yechipfuuri inowedzera mukukura;
- apo kusvetwa kwechiropa kune chirwere chinorwadza chinoratidza;
- kurasikirwa nechido;
- Kumashure uye pamatama kunooneka "nyeredzi";
- murwere anonetseka nekukanganisa, kusuruvara uye flatulence;
- akaunganidzwa mumatumbu eB bile acids anokonzera bradycardia;
- kugona;
- kutsamwa uye zvimwe zviratidzo zvekuora kwehutano hwepfungwa;
- kukanganisa mu-endocrine system;
- kukanganisa kuvhara ropa, ndicho chikonzero matambudziko anowanzoonekwa mumuviri uye murwere anowanzobuda ropa;
- kutsanangurwa kwemarara;
- kurima kwemuti.
Nzira yekurapa chirwere chisingaperi chehepatitis?
Usati wasarudzwa nezvemishonga inodhaka murwere anofanira kuongorora zvakadzama. Imwe yenzira dzakawanda kwazvo dzeb laboratory dzinokubvumira kuti uwane kunyatsorongororwa ndechokuendeswa kwehupenyu hwehupenyu hwekuongorora ropa. Kana munhu ane chirwere chechipatara chisingagumi, izvi zvinogona kuonekwa kubva pamigumisiro yekudzidza kwakadaro. Muropa pane kuwedzera kwebilirubin uye gamma globulin. Mukuwedzera, apo pavanenge vachifungidzirwa nezvechirwere chekushaya hepatitis B, chiropa chinokonzera chiropa chinopiwa uye kuongorora kwezviratidzo pane hutachiona kunoitwa. Apo chirwere cheEtiology isingazikamwi, kunyatsodzidza kunorayirwa.
Kurapa kwekugara kwenguva refu hepatitis inotarisirwa kusabvisa zvinhu zvinowedzera kukura kwehutano hwehutano. Mukuwedzera, chirwere chacho chinotevera:
- kubviswa kwezvinokonzera chirwere;
- kubviswa kwerwere;
- ropa kuchenesa.
Kuti kuve nekugadzirisa basa rekudya gorofu, Lactobacterin uye Bifidumbacterin inorayirwa. Mukuwedzera, Mezim anogona kupa murwere kubva mukugadzirira kwe enzyme. Vaya vanotambura nekuvhiringidzika, Dufalac inokurudzirwa. Panguva imwe chete, hepatoprotectors inorayirwa. Pakati pavo, inonyanya kukosha ndeye Essentiale, Ursosan, Heptral nevamwe. Iyi mishonga yakagadzirirwa kushandiswa kwenguva refu: mwedzi miviri.
Kana chirwere chisingaverengeki nehutachiona hunorapwa, chirongwa chakakosha chinorayirwa. Inosanganisira kusanganiswa kwe Ribavirin uye Interferon. Iyi kurapwa inongororwa chete mumamiriro ezvinhu akadaro, apo migumisiro yeongororo inosimbisa kushandiswa kwemavirusi. Mukufananidza, kudya kunowedzera nemigumisiro inotevera inogona kushandiswa:
- choleretic (yakavakirwa mumukaka musikana);
- antiviral (muzvakanyorwa kune St. John's wort uye licorice);
- antispasmodic (based on mint).
Kuchenesa ropa, murwere anorayirwa kudonha neHaemodesum. Iyi sarudzo inobatsira kubvisa tsvina uye zvimwe zvinhu zvinotapira kubva mumuviri kuburikidza neitsvo. Nekodzero yakasarudzwa yakasarudzwa, zvinokwanisika kuzadzikisa kusagadzikana kwakagadzikana, nekuda kweiyo nguva refu chirwere chacho hazvizviiti pachacho. Zvisinei, nokuda kwechikonzero ichocho, zvakakosha kuti murwere atevere mirayiridzo yechiremba pasina kukanganisa.
Kudya kwechirwere chechipatara
Kubudirira mukurwisana nechirwere kunoenderana nemararamiro emurwere. Chikafu chekugara kwenguva refu chinonzi hepatitis chinofanira kunge chiine unyoro. Zvokudya zvinotarisirwa nhamba 5. Chinangwa chekudya kwakadai ndechokuderedza kupisa kwekuita. Menyu yezuva nezuva inofanira kusanganisira zvinotevera:
- zvigadzirwa zvakapfuma mu-high-grade protein (chezi, hove, pasi-mafuta, nenyuchi, mukaka);
- mafuta anonyorera nyore (uchi, jamu, shuga);
- mafuta (zvichida muorivhi kana mafuta emaji).
Inokurudzirwa chikafu chezvokudya mairi 5-6 kazuva. Muzvokudya kunofanirwa kunge kune ikozvino zvokudya zvakakura mavithamini eboka B, salt ye phosphorus, zinc, magnesium, potasium uye cobalt. Zvisinei, rinofanira kubviswa zvachose:
- lard;
- mafuta ane nyama;
- zvokudya zvekunamatira;
- tsvina;
- mafuta ane marudzi ehove;
- unopinza zvinonhuwira;
- Pickles;
- doro;
- zvinotonhorera nezvimwewo zvakadaro.